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Elliot D.K. Cha,Conor P. Lynch,James M. Parrish,Nathaniel W. Jenkins,Cara E. Geoghegan,Caroline N. Jadczak,Shruthi Mohan,Kern Singh 대한척추신경외과학회 2021 Neurospine Vol.18 No.1
Objective: There is a scarcity of research evaluating gender differences in depressive symptoms among patients undergoing cervical surgery. This study investigated gender differences with regard to depressive symptom severity, measured by Patient Health Questionnaire-9 (PHQ-9), in patients following anterior cervical discectomy and fusion (ACDF) or artificial disc replacement (ADR). Methods: A prospectively maintained surgical registry was retrospectively reviewed for eligible spine surgeries. Depressive symptom severity was evaluated by PHQ-9 at both pre- and postoperative timepoints (e.g., 6 weeks, 12 weeks, 6 months, 1 year, and 2 years). A chi-square test and Student t-test evaluated differences between the gender for demographic and operative variables where appropriate. Differences between the gender subgroup mean PHQ-9 scores were assessed using a t-test pre- and postoperatively (e.g., 6 weeks, 12 weeks, 6 months, and 1 year) and a paired t-test was used to assess differences from preoperative scores at each postoperative time point. Results: A total of 170 subjects underwent 125 ACDFs and 45 ADRs. Both pre- and postoperative timepoints demonstrated no significant differences between mean PHQ-9 scores by gender. Female patients demonstrated statistically significant improvement in PHQ-9 scores at 6 weeks, and 12 weeks, but not through 2 years. Male patients demonstrated statistically significant improvement in PHQ-9 scores at 6 weeks, 12 weeks, 6 months, 1 year, and 2 years. Conclusion: Although there were no significant differences between mean PHQ-9 score between the genders, there was a difference in magnitude of improvement. Females had a significant improvement in depressive symptom severity over baseline at the 6- and 12-week timepoints only, whereas males had significant improvement through 2 years postoperatively.
Elliot K. Blau,Sarah A. Adelstein,Katherine A. Amin,Sharon J. Durfy,Alvaro Lucioni,Kathleen C. Kobashi,Una J. Lee 대한비뇨의학회 2020 Investigative and Clinical Urology Vol.61 No.-
Purpose: To identify demographic and clinical characteristics of patients with symptomatic pelvic floor mesh complications who underwent mesh removal at our academic medical center. The secondary goal was to determine patient-reported outcomes after mesh removal. Materials and Methods: We conducted a retrospective review of consecutive patients from 2011–2016 undergoing removal of mesh graft for treatment of symptomatic mesh-related complications. Patient demographics, comorbidities, symptoms, and mesh factors were evaluated. Outcomes after explant were determined by the Patient Global Impression of Improvement and a Likert satisfaction scale. Results: One hundred fifty-six symptomatic patients underwent complete or partial pelvic floor mesh removal during the study period. Mid-urethral slings comprised 86% of explanted mesh grafts. Mesh exposure or erosion was identified in 72% of patients. Eighty-one percent of patients presented with pain, and 35% reported pain in the absence of exposure or erosion. Pre-operative comorbidities included psychiatric disease (54.5%), chronic pain (34.0%), irritable bowel syndrome (20.5%) and fibromyalgia (9.6%). Forty-three percent of patients reported current or past tobacco use. At mean follow-up of 14 months, 68% of responding patients reported improvement on the Patient Global Impression of Improvement after surgery. Conclusions: This research identified tobacco use, and psychiatric, immunosuppressive, and chronic pain conditions as prevalent in this cohort of patients undergoing mesh removal. Surgical removal can improve presenting symptoms, including for patients with pain in the absence of other indications.
Nontraumatic Splenic Rupture due to Infectious Mononucleosis
Elliot A. Frank,James R LaFleur,Stanley Okosun 대한외상중환자외과학회 2019 Journal of Acute Care Surgery Vol.9 No.2
A 19-year-old otherwise healthy male presented to the Emergency Department with left upper quadrant abdominal pain having felt a “pop” in his abdomen which was followed by nausea and lightheadedness. There was no evidence of trauma but 3 weeks earlier he began with symptoms of a sore throat and nasal congestion without cough. On subsequent investigation, given the patient’s acute abdominal pain, abnormal vitals and a non-diagnostic computed tomography scan, an emergent exploratory laparotomy was performed. There was 600 mL of blood evacuated from the abdomen. A 643-gram inflamed and ruptured spleen was identified and removed, and follow-up lab work was positive for heterophile antibody. This report describes spontaneous splenic rupture caused by infectious mononucleosis and compares characteristics of traumatic versus non-traumatic cases.
“I Want, Therefore It Must Be”: Treating Fascistic Inferences in Logic-Based Therapy
Elliot D. Cohen 강원대학교 인문과학연구소 2015 Journal of Humanities Therapy Vol.6 No.1
David Hume’s well known observation that one cannot deduce an “ought” from an “is” has profound implications for philosophical counseling as well as psychology. This is because one of the most self-defeating inferences human beings can make trades upon this mistake. The inference in question is that from individual preferences or desires to what must or should be. By demanding or dictating that reality be a desired or preferred way, such inferences are ontologically “fascistic.” This paper examines how Logic-Based Therapy (LBT), one of the most prominent modalities of philosophical counseling, treats this emotionally disturbing set of inferences.
From racialized brands to authentic brands: Dynamic conceptual blending
Elliot Esi A.,Cavazos Carmina,Chow Ai Ming 한국마케팅과학회 2024 마케팅과학연구 Vol.34 No.1
Our primary objective for this study is to examine how racialization can shift along the continuum to authenticity that is also sustainable. A subordinate objective is to examine the conceptual blending process that occurs when racialized brands are shifted to sustainable authentic brands. We review the foundation of our research. This includes existing approaches to diversity, equity, and inclusion and conceptual blending. Our methodology is ethnography and The Zaltman Metaphor Elicitation Technique (ZMET). Using the visual metaphors of 8 artrepeneurs from racialized populations we conclude that sustainable authenticity is a construct that emerges with four themes: unleashing resources, environmental sustainability, emotional transparency, and beauty in diversity. Theoretical and managerial implications are provided.
Copy invisibility and (non-)categorial labeling
Elliot Murphy,심재영 경희대학교 언어정보연구소 2020 언어연구 Vol.37 No.2
In contrast to dominant views that the labeling algorithm (LA) detects (i) only the structurally highest copy of a moved object, or (ii) detects all copies, we propose and defend a third option: (iii) all copies are invisible to LA. The most immediate consequence of this is that objects formed by Internal Merge cannot serve as labels. We relate this proposal to a particular reinterpretation of LA theory such that LA constructs only categorial labels, barring the construction of <Q, Q> and <φ, φ> configurations. We then propose an interface condition, Equal Embedding (EE), under which agreeing features must be equally as embedded in order for interpretation to be licensed. We argue that EE appears to fall out of minimal search requirements. We then propose a principled distinction between Agree and LA, based on their sensitivity to copies and interface relations: Both Agree and LA involve minimal search (Probe-Goal for Agree; categorial feature-detection for LA); however, copies are invisible to LA but not to Agree, and LA involves a CI relation (category-specific interpretation) whereas Agree involves an SM relation (the morpho-phonological process of feature-valuation).
Comorbidity Influence on Postoperative Outcomes Following Anterior Cervical Discectomy and Fusion
Elliot D.K. Cha,Conor P. Lynch,Caroline N. Jadczak,Shruthi Mohan,Cara E. Geoghegan,Kern Singh 대한척추신경외과학회 2021 Neurospine Vol.18 No.2
Objective: This study aims to detail the association between comorbidity burden and achieving minimum clinically important difference (MCID) following anterior cervical discectomy and fusion (ACDF). Methods: A prospective surgical registry was retrospectively reviewed. Patients with missing preoperative Patient-Reported Outcomes Measurement Information System physical function (PROMIS PF) were excluded. Patients were stratified by Charlson Comorbidity Index (CCI): no comorbidities=0 point; low CCI=1–2 points; high CCI=≥3 points. Demographic and perioperative characteristics were collected and evaluated for differences. Visual analogue scale (VAS), 12-item Short Form health survey (SF-12), and PROMIS PF were collected pre- and postoperatively and assessed for differences. Differences in achievement of MCID were compared using established values: VAS neck=2.6, VAS arm=4.1, NDI=8.5, SF-12 physical composite score (SF-12 PCS)=8.1, PROMIS PF=4.5. Results: One hundred twenty-five ACDF patients were included: 37 had no comorbidities, 64 with low CCI, and 24 with high CCI. Higher CCI groups were older, nonsmokers, diabetic, arthritic, hypertensive, and had cancer. Multilevel fusions, operative time, length of stay, and later discharge day were associated with high CCI. VAS neck differed preoperatively by group. SF-12 PCS and PROMIS PF were inversely associated with CCI groups. CCI did not impact achievement of MCID for all outcomes. A lower rate of reaching MCID was demonstrated at 3 months for SF-12 PCS. Conclusion: Regardless of comorbidity burden, patients undergoing ACDF for cervical pathology demonstrated a similar rate of achieving MCID for VAS neck, VAS arm, NDI, and PROMIS PF. Regardless of CCI score, ACDF can have a significant benefit for patients.
Patient satisfaction in shoulder arthroscopy: telemedicine vs. clinic follow-up visits
Elliot D.K. Cha,Corey Suraci,Daniel Petrosky,Rebeca Welsh,Gustin Reynolds,Michael Scharf,Joseph Brutico,Gabriella SantaLucia,Joseph Choi 대한견주관절학회 2022 대한견주관절의학회지 Vol.25 No.2
Background: The use of telemedicine for postoperative visits is increasing, especially in rural areas. Few studies have investigated its use for arthroscopic shoulder patients. This study aims to evaluate patient satisfaction with telemedicine for postoperative clinic visits following arthroscopic shoulder procedures in a rural setting. Methods: Patients were prospectively enrolled using the following exclusion criteria: 0.05). Patient satisfaction did not vary significantly based on care by the surgeon, concerns being addressed, thoroughness of visit, overall clinical assessment at a prior visit, and improvements in pain and physical function (all p>0.05). Among patients who opted out of telemedicine visits, the most common reason was a preference to meet in-person but these patients agreed that telemedicine visits are a good idea. Conclusions: Regardless of type of follow-up, individuals reported similar levels of satisfaction with treatment during the visit and improvements in pain and physical function.