TOPIC: Critical Care TYPE: Fellow Case Reports INTRODUCTION: Thyroid storm is a rare life-threatening thyrotoxicosis accounting for 16.2% of hospital admissions involving hyperthyroidism. Mortalities rates in thyroid have been found to be between 8-25%. This case involves patient refractory vasodilatory shock from requiring rectal propylthiouracil (PTU) with rapid resolution shock. CASE PRESENT...

We present a female infant with facial abnormalities such as bilateral cleft lip and palate, ectrodactyly and central diabetes insipidus. She had a history of recurrent hypernatremic attacks and she was treated successfully with oral desmopressin. As an alternative to the nasal route, long-term management was achieved using oral route and she had a favorable growth and development during infancy.

A proper support for multimedia communications transport has to provide fault tolerance capabilities such as the preservation of established connections in case of failures. While multi-homing addresses this issue, the currently available solution based in massive BGP route injection presents serious scalability limitations, since it contributes to the exponential growth of the BGP table size. ...

This paper 1 proposes a new DiffServ routing architecture (PAP) that integrates the admission control signaling and the QoS routing. It differs from traditional routing in its ability to route most Expedite Forwarding (EF) traffic along the shortest paths while making use of alternative paths to absorb transient overload. Once an EF data flow is admitted, its performance is assured. The overhea...

We present in this paper a task allocation mechanism constrained by a distributed, complex environment namely in our case a home network. Thus, added to multi agent systems constraints, we have restrictions in terms of communication (available throughput) and resource (bandwidth). We have a multi agent system with a knowledge base, and we have to ensure a proper quality of service in home Netwo...

This paper explores some of the traffic phenomena that arise when drivers have to navigate a network in which queues back up past diverge intersections. If a diverge provides two alternative routes to the same destination and the shorter route has a bottleneck that generates a queue, one would expect that queue to stabilize at an equilibrium level where the travel time on both routes is roughly...

Traffic Emergency Management deals with directing the vehicular and pedestrian traffic around traffic disruptions due to emergencies, such as accidents or flooded roadways, aiming to ensure the safety of drivers, pedestrians, and emergency responders. In this study, a scenario involving the local flooding of the A1 motorway, one of Italy’s main highways connecting north to the south, is studied...

Ad hoc routing protocols that use broadcast for route discovery may be inefficient if the path between any pair sourcedestination is frequently broken. In order to efficiently use network resources, this paper proposes to use a controlled flooding (CF) mechanism to replace network-wide broadcast in route discovery procedures. CF is used to build alternative routes around the shortest-path betwe...