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The decision on the possible trails to be taken by an information that is to be transmitted from a data point to its destined point enact to have more significance on the performance measure of the transmission. The mobile wireless network is also one such network whose quality of service are determined from the ways the trails are entrenched. This wireless adhoc network that is independent of the previously existing structure forms a topology that undergoes spontaneous changes with the closely existing data points or devices. This type of networks are well suited for many adverse situation and environment, but certain attributes of the wireless adhoc such as insubstantial bandwidth, more over head in paths , hidden data point problem, energy restraints, motility interfered routing make them visage difficulties in having a proper routing, empowering MANET to achieve lesser quality in the service provided. So this paper quality of service analysis for the MANET using high power low mobility protocol ensures a routing path entrenchment between highly energetic with diminished motility data points to improvise the quality of service. The QoS analysis is done based on the delay, throughput and the packet delivery ratio to measure its performance.

BACKGROUND Solitary Thyroid Nodules (STN) occur in 4-7% of the adult population. Owing to increasing incidence of malignancy, it is necessary to differentiate patients with benign STN from malignant ones for early intervention and better patient management. The aim of the study is to study the clinicopathological characteristics of STN for better diagnosis, evaluation and management; evaluate the efficacy of FNAC in preoperative diagnostics of solitary thyroid nodules. MATERIALS AND METHODS The study was conducted over a period of one year at a tertiary healthcare institution in South India. One hundred patients with solitary nodule of thyroid were studied by taking detailed history and conducting clinical examination, thyroid hormone assay, ultrasonogram, FNAC and histopathological examination. The chances of malignancy and age, sex and site distribution were also analysed. RESULTS Solitary thyroid nodule cases showed female preponderance (81%), presented mostly as neck swelling followed by dysphagia (11%). Most common FNAC report was of colloid nodule (61%), followed by follicular neoplasm (20%) and papillary carcinoma (9%). Final HPR showed 53% as colloid nodule and 27% as papillary carcinoma. CONCLUSION Differentiating between benign and malignant lesions and their comprehensive management are the challenges presented by STN. Fine Needle Aspiration Cytology (FNAC) is the diagnostic tool of choice for the initial evaluation of STN.