Meckel's diverticulum (MD) has varied presentations and often becomes a diagnostic challenge. The purpose of this study was to review the various presentations of symptomatic MD and to assess the sensitivity of the Meckel's scan as a diagnostic tool in patients with bleeding MD. The hospital records of 71 consecutive patients with a diagnosis of MD from 1990 to 2005 were retrospectively reviewed. The data was assessed for age at presentation, sex, clinical features, investigations performed, surgical intervention and histopathological findings. There were 71 patients with a diagnosis of MD (age 2 days-14 years). In eight patients, MD was an incidental finding at laparotomy. The remaining 63 patients were symptomatic and presented with various clinical features. Ten patients (15.8%) had clinical features of peritonitis; of these, six had perforated MD and four had Meckel's diverticulitis at laparotomy. Nine patients (14.2%) were diagnosed as intestinal obstruction, and at laparotomy, a Meckel's band was found to be the cause of the obstruction. Nine patients (14.2%) had a patent vitello-intestinal duct and presented with umbilical discharge. Thirty-five patients (55.5%) presented with episodes of bleeding per rectum or malaena. Ultrasound scans revealed intussusception in six patients requiring open reduction. Of the remaining 29 patients with bleeding per rectum, 27 underwent a Meckel's Tc99 scan that showed a positive tracer in 18 patients (66.6%) and negative in 9 (33.3%). All patients with a symptomatic MD underwent resection of the diverticulum. Histology revealed ectopic gastric mucosa in 43 patients (68.3%). MD has various presentations and can be easily misdiagnosed. It is necessary to maintain a high index of suspicion in the paediatric age group. The Meckel's scan has a poor positive predictive value and cannot be relied upon for a diagnosis in cases of bleeding MD if Tc99 scan is negative.

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Cloud Security was provided for the services such as storage, network, applications and software through internet. The Security was given at each layer (Saas, Paas, and Iaas), in each layer, there are some security threats which became the major problem in cloud computing. In Saas, the security issues are mainly present in Web Application services and this issue can be overcome by web application scanners and service level agreement(SLA). In Paas, the major problem is Data Transmission. During transmission of data, some data may be lost or modified. The PaaS environment accomplishes proficiency to some extent through duplication of information. The duplication of information makes high accessibility of information for engineers and clients. However, data is never fully deleted instead the pointers to the data are deleted. In order to overcome this problem the techniques that used are encryp-tion[12], data backup. In Iaas the security threat that occurs in is virtualization and the techniques that are used to overcome the threats are Dynamic Security Provisioning(DSC), operational security procedure, for which Cloud Software is available in the market, for e.g. Eucalyptus, Nimbus 6.

properly cited.Vehicular Ad Hoc Networks (VANETs) are getting more popularity due to the potential Intelligent Transport Systems (ITS) technology. It provides many efficient network services such as safety warnings (collision warning), entertainment (video and voice), maps based guidance, and emergency information. VANETs most commonly use Road Side Units (RSUs) and Vehicle-toVehicle (V2V) referred to as Vehicle-to-Infrastructure (V2I) mode for data accessing. IEEE 802.11p standard which was originally designed for Wireless Local Area Networks (WLANs) is modified to address such type of communication. However, IEEE 802.11p uses Distributed Coordination Function (DCF) for communication between wireless nodes. Therefore, it does not perform well for high mobility networks such as VANETs. Moreover, in RSU mode timely provision of data/services under high density of vehicles is challenging. In this paper, we propose a RSU-based efficient channel access scheme for VANETs under high traffic and mobility. In the proposed scheme, the contention window is dynamically varied according to the times (deadlines) the vehicles are going to leave the RSU range. The vehicles with shorter time deadlines are served first and vice versa. Simulation is performed by using the Network Simulator (NS-3) v. 3.6. The simulation results show that the proposed scheme performs better in terms of throughput, backoff rate, RSU response time, and fairness.

Aim of Study The aim of this study was to review our experience of postnatal investigations and management of congenital lung lesions. Methods All children with antenatal diagnosis undergoing surgical management were identified from hospital records. Antenatal diagnosis and serial antenatal ultrasound findings were noted, postnatal chest X-ray (CXR) and computed tomographic (CT) scan were reviewed. Pearson correlation coefficient (r) was used to look into relation between CT scan and per-operative findings. Surgical management and outcome of these lesions were assessed. Results A total of 38 children were identified between January 2000 and December 2011; 22 were males and 16 were females. The mean gestational age at diagnosis was 21 weeks (range18 to 26 weeks). Five children showed complete resolution antenatally. Four children were symptomatic at birth. Postnatal CXR showed an abnormality in only 17 infants. CT scan with three-dimensional (3D) reconstructions was performed at the mean age of 7.7 months (range 1 day to 42 months). CT scan correlated well with per-operative findings and provided adequate anatomical information r ¼ 0.98. Open thoracotomy and lobectomy/excision was performed in 23, and 15 had thoracoscopic lobectomy/excision. The mean age of operation was 18 months (range 2 days to 96 months). Twenty patients had signs of recurrent preoperative infection with pleural adhesions and hilar thickening resulting in conversion of 10 thoracoscopic cases to open surgery. Histology confirmed 26 congenital cystic adenomatoid malformations, 2 hybrid lesions, 7 sequestrations, and 3 bronchopulmonary malformations. Conclusions Antenatal resolution and normal postnatal CXR are not reliable indicators of resolution of the lesion. Early postnatal CT scan preferably with 3D reconstruction and early surgical treatment are suggested, as delaying the operation may result in repeated infection making thoracoscopic approach more difficult.

Ingestion of magnetic toys is associated with serious complications that can result in pressure necrosis and bowel perforation. We report three cases of multiple (more than two) magnet ingestion. In two patients, the symptoms did not resolve and complications of perforation and jejunocolic fistula occurred. The third patient, however, had early intervention with no resultant complication. The literature is reviewed and close observation and early surgical intervention is recommended.

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