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Addison's disease is most commonly due to autoimmune adrenalitis and tuberculosis and refers to primary hypoadrenalism caused by a total or near total destruction or dysfunction of both adrenal cortices. Usual manifestations involve chronic fatigue, muscle weakness, loss of appetite, nausea, vomiting, diarrhea, hypotension and hyperpigmentation of skin. We(More)
Mostly ingested button batteries passed through the gastrointestinal tract without any adverse effects. But button battery can lead to hazardous complications including tracheoesophageal fistula (TEF), especially when the battery is impacted in the esophagus. Urgent esophagoscopic removal of the battery is essential in all cases. Once the TEF is identified,(More)
OBJECTIVE This study was conducted to validate the use of Acute Physiology and Chronic Health Evaluation II (APACHE II) scoring system in pediatric population in predicting the risk of mortality and to compare the predicted death rate (using APACHE II) with the actual death rate of the patients. DESIGN Hospital-based prospective study. SETTING Tertiary(More)
The motivation of our work is from the paper by Chen et al. (2012) in which the assembly line balancing (ALB) problem in the garment manufacturing process for a single model is solved by using genetic algorithm. Out of four steps of manufacturing the product, we focus on the third step in their paper in which there is a sewing line which is to be operated(More)
Network congestion occurs when a link or node carries large data but its quality of service deteriorates. Typical effects include queuing delay, packet loss or the blocking of new connections. It causes actual reduction in network throughput. The paper outlines VLAN Trunking Protocol (VTP) approaches to control network congestion and deliver maximum(More)
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