A Challenging Case of Adrenal Insufficiency Presenting with Hypertensive Crisis

Adrenal insufficiency is the deficient production or action of glucocorticoids, with or without deficiency in mineralocorticoids or adrenal androgens. It usually presents with anorexia, abdominal pain, weakness, weight loss, fatigue, and hypotension. We report a case of 67 year old male, who is known to have hypertension, presented to emergency room with severe headache and was found to have high blood pressure 241/135mmHg and hypoosmolar hyponatremia. He was started on intravenous nicardipine and his blood pressure dropped suddenly, became orthostatic, and required fluid resuscitation but his headache resolved. On next day, the cosyntropin test was suggestive of primary adrenal insufficiency. The patient was started on oral hydrocortisone with improvement in his blood pressure and hyponatremia

The dataset for: Inventory routing and dynamic redistribution of relief goods in post-disaster operations

The following contents are provided in the dataset: 1- The input parameters of 9 sample problems and 2 case study problems; 2- The detailed results of the tuning process of the proposed algorithm parameters; 3- The results of solving problems by the exact solver and the proposed algorithm; 4- The sensitivity analyses of the proposed model and algorithm

Managerial Ability, Investment Efficiency and Financial Reporting Quality

This study is aimed to investigate the effects of managerial ability on the investment efficiency and also examine the effect of financial reporting quality on the extent of managerial ability effectiveness on the investment efficiency of firms listed in Tehran Stock Exchange (TSE). Investment efficiency in a conceptual framework means the acceptance of the investment projects with positive NPV, and investment inefficiency means rejecting these investments opportunities (underinvestment) or investing in projects with negative NPV (overinvestment). Overinvestment and underinvestment are signs of investment inefficiency. Chen(2011) modeling, Demerjian et al(2011) modeling and Kothari(2005)accruals quality modeling have been used for evaluating the investment efficiency, managerial ability and financial reporting quality respectively.  The systematic elimination method was used for sampling 119 firms listed in Tehran Stock Exchange during the years 2008 to 2014, and the model of panel data was applied to test hypotheses. The results indicate that managers with more ability are more willing to do overinvestment. Also, the results show that the financial reporting quality decreases the managerial ability effectiveness on overinvestment

The dataset for: Inventory routing and dynamic redistribution of relief goods in post-disaster operations

The following contents are provided in the dataset: 1- The input parameters of 9 sample problems and 2 case study problems; 2- The detailed results of the tuning process of the proposed algorithm parameters; 3- The results of solving problems by the exact solver and the proposed algorithm; 4- The sensitivity analyses of the proposed model and algorithm