Design for a brain revisited: the neuromorphic design and functionality of the interactive space 'Ada'.

While much is now known about the operation and organisation of the brain at the neuronal and microcircuit level, we are still some way from understanding it as a complete system from the lowest to the highest levels of description. One way to gain such an integrative understanding of neural systems is to construct them. We have built the largest neuromorphic system yet known, an interactive space called 'Ada' that is able to interact with many people simultaneously using a wide variety of sensory and behavioural modalities. 'She' received 553,700 visitors over 5 months during the Swiss Expo.02 in 2002. In this paper we present the broad motivations, design and technologies behind Ada, and discuss the construction and analysis of the system.

Suspension laryngoscopy for endotracheal stenting.

OBJECTIVES/HYPOTHESIS: Airway stents have recently been used to establish and maintain patent airways in patients with malignant central airway obstruction, but insertion modalities remain controversial to date. The study seeks to determine the role of suspension laryngoscopy in interdisciplinary airway stenting. STUDY DESIGN: Retrospective, single-institution analysis of a case series treated by a multidisciplinary airway team. METHODS: Ninety-three consecutive patients with malignant obstruction of the trachea and/or tracheobronchial bifurcation underwent endotracheal stenting through a suspension laryngoscopy approach for the relief of impending respiratory distress. Feasibility, mortality, survival, and complications were analyzed as main outcome measures. RESULTS: Stenting through a suspension laryngoscopy approach was feasible 91 of 93 patients (97.8%). Fifteen patients needed repeated stenting, and in all, 121 stents were implanted during the observation period. This approach allowed for the repeated insertion of rigid bronchoscopes of graded sizes to establish an airway and for precise stent positioning. Optical instruments and stent introducer systems could easily be used while adequate ventilation was continuously maintained. Silicone stents of maximal size were inserted without injury of the vocal cords during intubation. Median survival for all patients was 8 months. No intraoperative airway complications were observed, and no patient died secondary to stenting. CONCLUSIONS: Suspension laryngoscopy and jet ventilation provide an ideal setting for the precise placement of tracheal and bifurcation airway stents. Laryngologists should actively participate in interdisciplinary airway stenting programs.