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        Dravidian and Altaic parts of the body -3. Heart, chest, inside, mind, thought-

        Jaroslav Vac 한국몽골학회 2007 몽골학 Vol.0 No.22

        This is the third paper discussing the etyma concerning the ‘body’ (cf. Vacek 2005c, which also mentions a few individual etymologies mentioned on previous occasions; and Vacek 2006 in print). It is a part of a number of etymological studies concerning the basic lexicon (animals, basic verbs and the like, cf. Vacek 2001ff.). The body seems to have a number of parallel lexemes in Dravidian and Altaic. Here I have taken up just one etymon, whose relation to the ‘body’ is more complex. This parallel was noticed by me very early (Vacek 1981, par. 2.7.; at that time only Mo., and Ta. and Ko. words were mentioned). In the full extent of various forms in the individual languages (both Dravidian and Altaic) it may present a number of typical formal and semantic features of the Dravidian and Altaic comparison. In several of my latest papers the phonetic forms and correspondences have been discussed in greater detail (Vacek 2001ff., especially 2004b or 2006a; and also in the book on ‘water viscosity cold’, Vacek 2002). Important is the variation of the forms and the concept of phonetic ‘models’, which are conceived as forming a part of a continuum. Besides that some questions of Dravidian and Altaic were also discussed by K. H. Menges (1964, 1977, mainly with reference to Turkic). More recently K. V. Zvelebil (especially 1990, 1991, both with further references) touched upon some of the general issues concerning this subject.攀 It is further to be noted that Dravidian was also compared with Korean (Hulbert 1905; Clippinger 1984) and Japanese (Ohno 1980).攀攀

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        Modified Frailty Index as a Predictor of Postoperative Complications and Patient-Reported Outcomes after Posterior Cervical Decompression and Fusion

        Lambrechts Mark James,Tran Khoa,Conaway William,Karamian Brian Abedi,Goswami Karan,Li Sandi,O'Connor Patrick,Brush Parker,Canseco Jose,Kaye Ian David,Woods Barrett,Hilibrand Alan,Schroeder Gregory,Vac 대한척추외과학회 2023 Asian Spine Journal Vol.17 No.2

        Study Design: A retrospective cohort study.Purpose: To determine whether the 11-item modified frailty index (mFI) is associated with readmission rates, complication rates, revision rates, or differences in patient-reported outcome measures (PROMs) for patients undergoing posterior cervical decompression and fusion (PCDF).Overview of Literature: mFI incorporates preexisting medical comorbidities and dependency status to determine physiological reserve. Based on previous literature, it may be used as a predictive tool for identifying postoperative clinical and surgical outcomes.Methods: Patients undergoing elective PCDF at our urban academic medical center from 2014 to 2020 were included. Patients were categorized by mFI scores (0–0.08, 0.09–0.17, 0.18–0.26, and ≥0.27). Univariate statistics compared demographics, comorbidities, and clinical/surgical outcomes. Multiple linear regression analysis evaluated the magnitude of improvement in PROMs at 1 year.Results: A total of 165 patients were included and grouped by mFI scores: 0 (n=36), 0.09 (n=62), 0.18 (n=42), and ≥0.27 (n=30). The severe frailty group (mFI ≥0.27) was significantly more likely to be diabetic (<i>p</i> <0.001) and have a greater Elixhauser comorbidity index (<i>p</i> =0.001). They also had worse baseline Physical Component Score-12 (PCS-12) (<i>p</i> =0.011) and modified Japanese Orthopaedic Association (mJOA) (<i>p</i> =0.012) scores and worse 1-year postoperative PCS-12 (<i>p</i> =0.008) and mJOA (<i>p</i> =0.001) scores. On regression analysis, an mFI score of 0.18 was an independent predictor of greater improvement in ΔVisual Analog Scale neck (<i>β</i> =−2.26, <i>p</i> =0.022) and ΔVAS arm (<i>β</i> =−1.76, <i>p</i> =0.042). Regardless of frailty status, patients had similar 90-day readmission rates (<i>p</i> =0.752), complication rates (<i>p</i> =0.223), and revision rates (<i>p</i> =0.814), but patients with severe frailty were more likely to have longer hospital length of stay (<i>p</i> =0.006) and require non-home discharge (<i>p</i> <0.001).Conclusions: Similar improvements across most PROMs can be expected irrespective of the frailty status of patients undergoing PCDF. Complication rates, 90-day readmission rates, and revision rates are not significantly different when stratified by frailty status. However, patients with severe frailty are more likely to have longer hospital stays and require non-home discharge.

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