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A Scalable Explicit Multicast Protocol for MANETs
Gossain Hrishikesh,Anand Kumar,Cordeiro Carlos,Agrawal Dharma P. The Korea Institute of Information and Commucation 2005 Journal of communications and networks Vol.7 No.3
Group oriented multicast applications are becoming increasingly popular in mobile ad hoc networks (MANETs). Due to dynamic topology of MANETs, stateless multicast protocols are finding increased acceptance since they do not require maintenance of state information at intermediate nodes. Recently, several multicast schemes have been proposed which scale better' with the number of multicast sessions than traditional multicast strategies. These schemes are also known as explicit multicast (Xcast; explicit list of destinations in the packet header) or small group multicast (SGM). In this paper, we propose a new scheme for small group' multicast in MANETs named extended explicit multicast (E2M), which is implemented on top of Xcast and introduces mechanisms to make it scalable with number of group members for a given multicast session. Unlike other schemes, E2M does not make any assumptions related to network topology or node location. It is based on the novel concept of dynamic selection of Xcast forwarders (XFs) between a source and its potential destinations. The XF selection is based on group membership and the processing overhead involved in supporting the Xcast protocol at a given node. If the number of members in a given session is small, E2M behaves just like the basic Xcast scheme with no intermediate XFs. As group membership increases, nodes may dynamically decide to become an XF. This scheme, which can work with few E2M aware nodes in the network, provides transparency of stateless multicast, reduces header processing overhead, minimizes Xcast control traffic, and makes Xcast scalable with the number of group members.
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Endoscopic Gallbladder Drainage for Acute Cholecystitis
Jessica Widmer,Paloma Alvarez,Reem Z. Sharaiha,Sonia Gossain,Prashant Kedia,Savreet Sarkaria,Amrita Sethi,Brian G. Turner,Jennifer Millman,Michael Lieberman,Govind Nandakumar,Hiren Umrania,Monica Gaid 대한소화기내시경학회 2015 Clinical Endoscopy Vol.48 No.5
Background/Aims: Surgery is the mainstay of treatment for cholecystitis. However, gallbladder stenting (GBS) has shown promise in debilitated or high-risk patients. Endoscopic transpapillary GBS and endoscopic ultrasound-guided GBS (EUS-GBS) have been proposed as safe and effective modalities for gallbladder drainage. Methods: Data from patients with cholecystitis were prospectively collected from August 2004 to May 2013 from two United States academic university hospitals and analyzed retrospectively. The following treatment algorithm was adopted. Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and cystic duct stenting was initially attempted. If deemed feasible by the endoscopist, EUS-GBS was then pursued. Results: During the study period, 139 patients underwent endoscopic gallbladder drainage. Among these, drainage was performed in 94 and 45 cases for benign and malignant indications, respectively. Successful endoscopic gallbladder drainage was defined as decompression of the gallbladder without incidence of cholecystitis, and was achieved with ERCP and cystic duct stenting in 117 of 128 cases (91%). Successful endoscopic gallbladder drainage was also achieved with EUS-guided gallbladder drainage using transmural stent placement in 11 of 11 cases (100%). Complications occurred in 11 cases (8%). Conclusions: Endoscopic gallbladder drainage techniques are safe and efficacious methods for gallbladder decompression in non-surgical patients with comorbidities.
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