Facet joints and low back pain.
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Biomedical subjects
Publications and source records attributed to M Mehta.
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The range of non-invasive methods of treatment of chronic pain which are currently available has been discussed. They fall into three categories; those dependent on counter stimulation, those which influence the higher centres and those, like acupuncture, which possibly combine both mechanisms. The empirical, but frequently successful nature of such treatments has been emphasised.
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A clinical trial was undertaken to evaluate three medical treatments commonly used for chronic secretory otitis media. The treatments compared were Ephedrine nose drops, an oral antihistamine and decongestant (Dimotapp) and autoinflation of the middle ear. Changes in middle ear compliance and pressure were used as objective criteria of the efficacy of treatment in addition to changes in pure-tone threshold and to clinical assessment. Symptoms and abnormal signs tended to remit during the trial but there was no evidence from pure-tone audiometry and tympanometry that any of the treatments was beneficial. The period of observation enabled 28% of the children to avoid surgical treatment. Good and bad prognostic features are described which should help in deciding whether to manage a case conservatively or whether to proceed directly to surgery.
The anatomy and radiological appearances of the subdural space in the cervical region are described. Recognition of this space facilitates neurolytic injections for severe cancer pain in the distribution of the cervical nerve roots. The subdural space may have significance also in explaining the extensive sensory block which follows a delayed or 'massive' lumbar extradural injection.
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Four marker constituents, namely, onocer-7-ene-3 alpha, 21 beta-diol, delta-amyrin, delta-amyrone and 3,3',4,4'-tetrahydroxybiphenyl of an Ayurvedic crude drug Cissus quadrangularis Linn. are defined for standardisation purposes. 3,3',4,4'-Tetrahydroxybiphenyl has been isolated for the first time from this drug. The contents of the marker constituents were quantitatively determined by HPTLC and HPLC methods in samples collected from five different geographic zones of India.
A rare case of stercoral ulcers of the cecum in an incarcerated inguinal hernia is described. Local resection was followed by an uneventful recovery.
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