Ménière’s disease(MD)patients may suffer episodes of sudden falls,named Tu markin drop attacks(DAs).This fall occurs abruptly and without warning or loss of consciousness.DAs usually aggravate the clinical ...Ménière’s disease(MD)patients may suffer episodes of sudden falls,named Tu markin drop attacks(DAs).This fall occurs abruptly and without warning or loss of consciousness.DAs usually aggravate the clinical picture of MD and are challenging to manage.The present report describes a case treated by cochlear implantation(CI)due to concomitant deafness and offers some clinical considerations for this condition.A male patient aged 48 years with a 10-year history of definite bilateral MD had profound SNHL on the right and severe SNHL on the left side.He suffered from intermittent attacks of vertigo,ear fullness,and tinnitus and,in the last year,had developed DAs and experienced 14 episodes in the previous six months.The preoperative category of acoustic performance was 3.The Dizziness Handicap Inventory(DHI)questionnaire showed a total score of 46,which indicated a moderate degree of disability.A CI was planned for the right side.The patient did not report any further DAs episode for two years since then.The postoperative category of acoustic performance became 11,and the postoperative DHI questionnaire showed a decrease in the total score(from 46 to 19),which indicated a mild disability.Unilateral CI effectively alleviated the DAs associated with bilateral MD.Our report proposes a new modality for managing vertiginous symptoms in cases of MD with hearing loss without the need for more aggressive surgical interventions with the need for clinical trials to confirm our results.展开更多
Network security and energy consumption are deemed to be two important components of wireless and mobile ad hoc networks(WMANets).There are various routing attacks which harm Ad Hoc networks.This is because of the uns...Network security and energy consumption are deemed to be two important components of wireless and mobile ad hoc networks(WMANets).There are various routing attacks which harm Ad Hoc networks.This is because of the unsecure wireless communication,resource constrained capabilities and dynamic topology.In order to cope with these issues,Ad Hoc On-Demand Distance Vector(AODV)routing protocol can be used to remain the normal networks functionality and to adjust data transmission by defending the networks against black hole attacks.The proposed system,in this work,identifies the optimal route from sender to collector,prioritizing the number of jumps,the battery life,and security,which are fundamental prerequisites.Researches have proposed various plans for detecting the shortest route,as well as ensuring energy conversions and defense against threats and attacks.In this regard,the packet drop attack is one of the most destructive attack against WMANet communication and hence merits special attention.This type of attack may allow the attacker to take control of the attacked hubs,which may lost packets or transmitted information via a wrong route during the packets journey from a source hub to a target one.Hence,a new routing protocol method has been proposed in this study.It applies the concept of energy saving systems to conserve energy that is not required by the system.The proposed method for energy aware detection and prevention of packet drop attacks in mobile ad hoc networks is termed the Ad Hoc On-Demand and Distance Vector–Packet Drop Battling Mechanism(AODV–PDBM).展开更多
文摘Ménière’s disease(MD)patients may suffer episodes of sudden falls,named Tu markin drop attacks(DAs).This fall occurs abruptly and without warning or loss of consciousness.DAs usually aggravate the clinical picture of MD and are challenging to manage.The present report describes a case treated by cochlear implantation(CI)due to concomitant deafness and offers some clinical considerations for this condition.A male patient aged 48 years with a 10-year history of definite bilateral MD had profound SNHL on the right and severe SNHL on the left side.He suffered from intermittent attacks of vertigo,ear fullness,and tinnitus and,in the last year,had developed DAs and experienced 14 episodes in the previous six months.The preoperative category of acoustic performance was 3.The Dizziness Handicap Inventory(DHI)questionnaire showed a total score of 46,which indicated a moderate degree of disability.A CI was planned for the right side.The patient did not report any further DAs episode for two years since then.The postoperative category of acoustic performance became 11,and the postoperative DHI questionnaire showed a decrease in the total score(from 46 to 19),which indicated a mild disability.Unilateral CI effectively alleviated the DAs associated with bilateral MD.Our report proposes a new modality for managing vertiginous symptoms in cases of MD with hearing loss without the need for more aggressive surgical interventions with the need for clinical trials to confirm our results.
文摘Network security and energy consumption are deemed to be two important components of wireless and mobile ad hoc networks(WMANets).There are various routing attacks which harm Ad Hoc networks.This is because of the unsecure wireless communication,resource constrained capabilities and dynamic topology.In order to cope with these issues,Ad Hoc On-Demand Distance Vector(AODV)routing protocol can be used to remain the normal networks functionality and to adjust data transmission by defending the networks against black hole attacks.The proposed system,in this work,identifies the optimal route from sender to collector,prioritizing the number of jumps,the battery life,and security,which are fundamental prerequisites.Researches have proposed various plans for detecting the shortest route,as well as ensuring energy conversions and defense against threats and attacks.In this regard,the packet drop attack is one of the most destructive attack against WMANet communication and hence merits special attention.This type of attack may allow the attacker to take control of the attacked hubs,which may lost packets or transmitted information via a wrong route during the packets journey from a source hub to a target one.Hence,a new routing protocol method has been proposed in this study.It applies the concept of energy saving systems to conserve energy that is not required by the system.The proposed method for energy aware detection and prevention of packet drop attacks in mobile ad hoc networks is termed the Ad Hoc On-Demand and Distance Vector–Packet Drop Battling Mechanism(AODV–PDBM).
