Myxedema coma accompanied by sick sinus syndrome and hypoventilation: A case report

Myxedema coma is an emergency presentation of hypothyroidism, and cardiopulmonary manifestations of the disease are related to a high mortality rate. We herein report a case of myxedema coma accompanied by sick sinus syndrome requiring temporary cardiac pacing and hypercapnic respiratory failure in an 87-year-old woman. This case is unique because both of the cardiac and pulmonary manifestations were reversible and successfully treated with thyroid hormone replacement. Our case indicates that early detection of the condition and administration of levothyroxine are essential to improve the life-threatening condition and avoid invasive treatment such as permanent pacemaker implantation or intubation

A response model for a cg character based on timing of interactions in a multimodal human interface

In this paper, we propose a response model for a multimodal human interface, by inserting listener responses particular times by detecting keywords from the user’s utterances and controlling the face direction of a humanlike Computer Graphics (CG) character according to the direction of the user’s attention which is determined by tracing user’s face. Then we integrated the response model into a prototype system, and evaluated its efficiency