Inadvertent perioperative hypothermia can adversely affect the outcome of surgery and the patient's postoperative course. It should be actively prevented.

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Clinical evaluation of the LMA Supreme showed easy insertion, optimal laryngeal fit, and low airway morbidity. Oropharyngeal leak pressure results were comparable to earlier data from the LMA ProSeal.

Schooling, an archetype of collective behavior, emerges from the interactions of fish responding to visual and other informative cues mediated by their aqueous environment. In this context, a fundamental and largely unexplored question concerns the role of hydrodynamics. Here, we investigate schooling by modeling swimmers as vortex dipoles whose interactions are governed by the Biot-Savart law. When we enhance these dipoles with behavioral rules from classical agent based models we find that they do not lead robustly to schooling due to flow mediated interactions. In turn, we present dipole swimmers equipped with adaptive decision-making that learn, through a reinforcement learning algorithm, to adjust their gaits in response to non-linearly varying hydrodynamic loads. The dipoles maintain their relative position within a formation by adapting their strength and school in a variety of prescribed geometrical arrangements. Furthermore, we identify schooling patterns that minimize the individual and the collective swimming effort, through an evolutionary optimization. The present work suggests that the adaptive response of individual swimmers to flow-mediated interactions is critical in fish schooling.Comment: 18 pages, 12 figure