Satinder Gill

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Merkel cell carcinoma (MCC) is an uncommon, highly aggressive cutaneous neoplasm of neuroendocrine differentiation with a poor prognosis. MCC most often presents as a painless, firm, raised lesion in sun-exposed sites of the head and neck region of the elderly. We report a case of a metastatic MCC to the stomach presenting as upper gastrointestinal(More)
BACKGROUND There is an increasing demand for enteral feeding in intensive care unit (ICU) patients. However, gastroparesis is common, and jejunal placement with gastric decompression leads to delays in feeding. In an attempt to minimize delays, we describe our technique and results with transnasal endoscopic placement of double-lumen gastric aspiration,(More)
Many authors have argued the need for a broader understanding of context and the situatedness of activity when approaching the evaluation of systems. However, prevailing practice often still tends towards attempting to understand the use of designed artefacts by focusing on a core set of tasks that are thought to define the system. A consequence of such(More)
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