RESUMEN
BACKGROUND AND AIMS: The small bowel has, to date, remained a difficult area to access via endoscopy. The novel motorized power spiral enteroscopy, recently introduced, has more depth of insertion and is of shorter duration. Presented here is a case series of motorized spiral enteroscopies. METHODS: Motorized spiral enteroscopy is indicated for patients requiring deep enteroscopy (eg, for a diagnosis of obscure GI bleeding, suspected inflammatory bowel disorder) and for therapeutic interventions, such as polypectomy, hemostasis, or stricture dilatation. It is contraindicated in patients who are not eligible for general anesthesia, with perforation, or with coagulopathy and in the pediatric population. The contraindications for the anterograde route are gastroesophageal varices, foregut stenosis, eosinophilic esophagitis, and so on. The retrograde approach is contraindicated in active colitis, anal stenosis, or colonic stricture. Informed consent was sought from all the patients. RESULTS: The procedure was successful in 13 of 14 (92.8%) in that the target site was reached or panenteroscopy was confirmed. The diagnoses were stricture and ulcers of the jejunum or ileum. The procedures performed were argon plasma coagulation and stricture dilation. The average duration of anterograde enteroscopy was 61.1 minutes and retrograde enteroscopy was 90 minutes. The major adverse events were hypothermia (3 of 14) and pancreatitis (1 of 14), from which the patients recovered fully. CONCLUSIONS: Novel motorized power spiral enteroscopy is a great tool in small-bowel diagnostics and therapeutics. Speed and ease add to the attractiveness of the procedure.
RESUMEN
This paper presents a low cost solar powered vehicle for physically challenged persons. Generally, the persons with physical disabilities restrict their movement within a house or building due to their dependence on other people for their outdoor work. The disabled people use their limbs to drive the wheelchairs which physically stress them. There are electrical wheelchairs which are operated by hands, by mouth or any other functioning body part. The high cost and its limitation for outdoor environment restrict its usage for rich people and hospitals. This often makes the poor disabled person to be unemployed and depend on others for their daily life. In this regard, developing a low cost self-driven electric wheel chair can improve the life of the person. This paper presents a low cost vehicle for physically challenged people that can be used as a mobile shop to sell products at any place independently. The self-driven vehicle motivates the persons to become an entrepreneur. A cost effective and user friendly prototype has been developed for the benefit the poor disabled people and the cost analysis is presented. The purpose of developing the vehicle is satisfied as they no longer depend on others for their living. Implications for rehabilitation The movement of physically challenged persons is often restricted within a building due to their dependence on other people for their outdoor work. The high cost of the assist vehicles and the difficulty encountered in using the vehicles in outdoor environment decreases their standard of living. The developed low cost vehicle can be used by physically challenged people as a mobile shop to sell products at any place independently. The self-driven vehicle motivates the physically challenged persons to become an entrepreneur.