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288   Control theory in biomedical engineering


          and a bright light source, which are inserted into the patient’s mouth for the
          physician to observe the nasopharynx region. While this method is not as
          invasive as direct nasopharyngoscopy, it is unable to give a clear view, espe-
          cially if the patient has a narrow, constricted throat or tends to exhibit a
          vomiting reflex. As such, the diagnosis will not be as conclusive. Direct
          nasopharyngoscopy, on the other hand, employs a nasopharyngoscope that
          is inserted through the nostril of the patient to allow the physician to view
          the nasopharynx region clearly. Local anesthesia is usually applied to the
          nasal cavity before carrying out the procedure. This method can provide
          more conclusive diagnosing of NPC in patients as compared to indirect
          nasopharyngoscopy. However, the disadvantage of this method is that its
          invasive nature may tend to cause discomfort to the subject. Both procedures
          need a skilled physician to perform them. This makes it more tedious for the
          subject as they have to make an appointment at a hospital or clinic before
          being able to undergo the procedure.
             We developed a home-based kit that allows patients to maneuver the
          nasopharyngoscope with ease. The following are the key aims:
          •  A nasopharyngoscope can be self-directed, without the presence of a
             clinician, as well as affordable for the public. This will increase the
             frequency of observations and reduce the healthcare burden on
             professionals.
          •  To have a good bending range to allow smooth motion in the nasophar-
             ynx and to increase the viewing range of the nasopharyngoscope. This
             will enable users to be able to detect problem areas in the nasopharynx
             easily.
          •  To reduce discomfort for patients that will be self-administering the
             device through the nasopharynx region. This is done by minimizing
             coincidence with the surrounding tissue.
          •  To manufacture a device that is compact and lightweight for increased
             convenience. This will increase the portability of the device, which
             will help reduce the healthcare burden and increase the frequency of
             observations.
          •  To develop an economical device that will increase the affordability
             and accessibility of health care to all, regardless of economic status.


          2Methods
          A new nasopharyngoscope, NasoXplorer, allows for self-administered
          nasopharyngoscopy at home instead of having the procedure done at
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