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Biomedical subjects

M Mehta

Publications and source records attributed to M Mehta.

153 records · Page 9Linked to original sources

Bellyboard device reduces small bowel displacement.

The ability to cure several pelvic malignancies is hampered by the inability to deliver doses greater than 45 to 50 Gy, beyond which radiation enteritis becomes dose-limiting. The design and fabrication of a device that allows exclusion of small bowel from the pelvis during radiation therapy are described in this study. A prospective dose-volume analysis conducted on 30 patients reveals a 66 percent reduction in the volume of small bowel within the radiation portals.

Equipment Design↗

Nasal mucus clearance in chronic smokers.

Smokers were observed to have grossly prolonged nasal mucus clearance. It was also inferred that the persons smoking bidi/unfiltered cigarettes had significant depression of ciliary activity. The clearance was prolonged as the number of cigarettes smoked and the duration of smoking increased. It was greater among those who gave a history of nasal exhalation of inhaled smoke. Nasal mucociliary clearance measurement is easy to measure and can be a useful index in evaluating the effect of smoking on the ciliary activity of the mucosa of the respiratory tract.

Adolescent↗

Increasing the availability of vasectomy in public-sector clinics.

A program designed to improve the availability of vasectomy in public-sector clinics trained physicians at 43 facilities in no-scalpel vasectomy between 1993 and 1995. Among the 38 clinics that responded to a follow-up survey in 1996, the number of clinics providing vasectomies rose from 23 to 32, an increase of almost 40%, while the number of vasectomies performed rose by 18%. Seventeen of the 32 clinics performed more vasectomies after the training; 10 of the 17 had not previously provided the procedure. In-depth interviews with staff from seven sites that experienced large caseload increases and from seven that experienced decreases identified three elements for the successful establishment or expansion of vasectomy services-sufficient numbers of trained providers, funds to subsidize vasectomies for men who cannot afford them and activities to raise awareness about the availability of low-cost or free vasectomy.

Ambulatory Care Facilities↗

Spontaneous regression of a tectal mass in neurofibromatosis 1.

MR images showed an enhancing, enlarging mass in the tectum of the midbrain in a child with neurofibromatosis type 1. The mass was presumed to be a tectal glioma, which initially enlarged then regressed in size over a 3-year period and ceased to enhance. Although a tissue diagnosis was not available, we believe the temporal evolution of this lesion is strong presumptive evidence of a hamartoma. This case argues for the conservative management of patients with neurofibromatosis type 1 when possible.

Adolescent↗

Right ventricular endocarditis due to infection of pacemaker apparatus.

This article describes an unusual case of endocarditis in a 73-year-old man with a permanent pacemaker. Echocardiography revealed vegetations in the right ventricle below the tricuspid valve only, and he required open heart surgery for removal of the pacemaker system. This case demonstrates the potentially protracted course of infective endocarditis many years after pacemaker insertion. It also emphasizes the importance of echocardiography in diagnosing right ventricular vegetations; and the need for total replacement of the endocardial pacing system whenever it becomes infected.

Aged↗