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  • 1
    Language: English
    In: History of the Human Sciences, April 2010, Vol.23(2), pp.1-19
    Description: Foucault famously claimed that in political theory the king’s head still needs to be cut off, proclaiming the imperative to move beyond a centralized and prohibitive conception of power and toward a more distributed, relational and productive understanding of power in political society. Ironically, Edmund Burke, famous for criticizing an actual revolutionary regicide in France, can be read as an ally in Foucault’s project of theoretical regicide and conceptual revolution. For although he staunchly defended existing monarchies in France and Britain, Burke’s political theory in many ways encapsulates the kind of approach that Foucault sought to call forth. In this article, I argue for three particular resonances between Burke’s and Foucault’s views on power’s place and role in political society: one, power precedes subjects; two, power exceeds subjects; and three, subjects must negotiate with existing power relations (as opposed to ignoring or destroying them). Combined, these resonances remind us that political practice, reform and resistance are (almost) always situated in an unchosen context, thus happening in the middle of things rather than on a blank social canvas. Recognizing Burke’s interest in reform conditioned by the socio-cultural and historical circumstances and Foucault’s concern for resistance even though we can never be outside power allows us to appreciate the unchosen constraints that shape political practice of individual and collective subjects alike.
    Keywords: Edmund Burke ; Michel Foucault ; in Medias Res ; Power ; Resistance ; Social Sciences (General)
    ISSN: 0952-6951
    E-ISSN: 1461-720X
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  • 2
    Language: English
    In: Community Mental Health Journal, 2013, Vol.49(2), pp.172-177
    Description: Individuals with severe mental health disorders experience difficulty maneuvering the complexity encountered in primary care (PC). This study describes the impact of three components of primary care practice enhancements on: changes in missed appointments, changes in health outcomes, number of ER visits and hospitalization days, and perceptions of integrated care. Missed PC appointments : baseline to post practice enhancement changed from 42 to 11, statistically significant ( p  〈 .01). Changes in health outcomes : SF-12 scores had no significant change nor did ER utilization and hospitalization; however, outcomes are low-base rate and assessment period was short. Integration of care: liaison was most helpful in accessing and navigating PC, educating and reconciling medication lists. Behavioral health staff voiced relief regarding access and felt better informed. Strategies focusing on increasing communication, staff education, and reducing barriers to access and receipt of PC may improve integration and continuity of care.
    Keywords: Primary care ; Severe mental illness ; Integration of care
    ISSN: 0010-3853
    E-ISSN: 1573-2789
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  • 3
    Language: English
    In: The American Journal of Sports Medicine, November 2012, Vol.40(11), pp.2530-2535
    Description: Background: It has been shown a microscopic lumbar diskectomy (MLD) is effective in getting professional athletes back to their sport after a herniated nucleus pulposus (HNP). There is a need for more information on the time it takes professional athletes to return after surgery. Purpose: To determine average time for return to play and success in returning to play for professional athletes undergoing MLD. Study Design: Case series; Level of evidence, 4. Methods: Between 1996 and 2010, the senior authors treated 171 professional athletes for lumbar HNP. A retrospective review was performed using patient charts, operative reports, team medical records, and internet search. Eighty-five patients were treated with MLD, and 86 patients were treated nonoperatively. This study focused on the return to play of the operatively treated patients. Primary outcome measures were return rate and average return time, considering only patients whose sport is in season at specific postoperative time points. Results: Of surgically treated patients, 89.3% returned to sport. The average time it took operative patients to return to their sport (return time) was 5.8 months. Progressive return data for surgically treated patients showed the percentage of athletes who returned increased from 50% at 3 months to 72% at 6 months to 77% at 9 months and 84% at 12 months. Conclusion: The chance a player returns to play after MLD is 50% at 3 months, 72% at 6 months, 77% at 9 months, and 84% at 12 months. The overall chance of returning to play at any point is 89%.
    Keywords: Herniated Disk ; Diskectomy ; Mld ; Sports ; Athletes ; Return ; Medicine
    ISSN: 0363-5465
    E-ISSN: 1552-3365
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  • 4
    Language: English
    In: PLoS ONE, 2011, Vol.6(5), p.e19939
    Description: Community-associated methicillin-resistant Staphylococcus aureus accounts for a large portion of the increased staphylococcal disease incidence and can cause illness ranging from mild skin infections to rapidly fatal sepsis syndromes. Currently, we have limited understanding of S. aureus -derived mechanisms contributing to bacterial pathogenesis and host inflammation during staphylococcal disease. Herein, we characterize an influential role for the saeR/S two-component gene regulatory system in mediating cytokine induction using mouse models of S. aureus pathogenesis. Invasive S. aureus infection induced the production of localized and systemic pro-inflammatory cytokines, including tumor necrosis factor alpha (TNF-α), interferon gamma (IFN-γ), interleukin (IL)-6 and IL-2. In contrast, mice infected with an isogenic saeR/S deletion mutant demonstrated significantly reduced pro-inflammatory cytokine levels. Additionally, secreted factors influenced by saeR/S elicited pro-inflammatory cytokines in human blood ex vivo . Our study further demonstrated robust saeR/S -mediated IFN-γproduction during both invasive and subcutaneous skin infections. Results also indicated a critical role for saeR/S in promoting bacterial survival and enhancing host mortality during S. aureus peritonitis. Taken together, this study provides insight into specific mechanisms used by S. aureus during staphylococcal disease and characterizes a relationship between a bacterial global regulator of virulence and the production of pro-inflammatory mediators.
    Keywords: Research Article ; Biology ; Medicine ; Immunology ; Infectious Diseases
    E-ISSN: 1932-6203
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  • 5
    Language: English
    In: Journal of Community Health, 2011, Vol.36(4), pp.669-674
    Description: To describe the participatory approach used to develop “Good For The Neighborhood” (GFTN), a community program to improve the health of four underserved communities. A core program was developed involving a “park and stay” approach to impact four underserved predominately minority communities (two predominately African American, 1 predominately Latino, and the Seneca Nation of Indians). The core program includes health screenings, risk assessments, health education, and exposure to health services. An extensive tracking and evaluation system was developed to determine participation and impact on the community. Multi-methods (key informant interviews, focus groups, surveys) were implemented to gain feedback from community partners and participants as to how to adopt the program to meet the needs of the community. GFTN has been sustained for over 3 years and has reached over 3,500 predominately minority individuals in four communities with 1/3 of participants engaging regularly in the program. The program has evolved in the four communities to meet specific needs. A “park and stay” approach in partnership with the community has led to a strong program that community partners and residents embrace. Community ownership and social networking, including word-of-mouth from residents is essential to establishing a successful program.
    Keywords: Community health ; Health disparities ; Evaluation ; Community based participatory research ; Minorities
    ISSN: 0094-5145
    E-ISSN: 1573-3610
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  • 6
    Language: English
    In: The Spine Journal, 2011, Vol.11(3), pp.187-189
    Description: COMMENTARY ON: Hsu WK, McCarthy KJ, Savage JW, et al. The Professional Athlete Spine Initiative: outcomes after lumbar disc herniation in 342 elite professional athletes. Spine J 2011:11:180–6 (in this issue).
    Keywords: Physical Therapy
    ISSN: 1529-9430
    E-ISSN: 1878-1632
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  • 7
    In: Contemporary Political Theory, 2013, Vol.12(2), p.e1
    Description: [...]while Pippin notes that Westerns deal thematically with 'the founding of modern bourgeois, law-abiding, property-owning, market-economy, technologically advanced societies in transition' (p. 20), the political and philosophical significance of such a founding is neither adequately defended nor criticized....
    Keywords: Philosophy ; Problems ; Political Theory ; Psychology ; Theory ; Studies ; Books ; Politics ; Philosophers;
    ISSN: 1470-8914
    E-ISSN: 14769336
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  • 8
    In: Medicine, 2014, Vol.93(29), pp.e275-e275
    Description: ABSTRACT: Retrospective radiographic analysis.To determine the fusion rate of stand-alone lateral lumbar interbody fusion (LLIF).Biomechanical studies have indicated that LLIF may be more stable than anterior or transforaminal lumbar interbody fusion. Early clinical reports of stand-alone LLIF have shown success in obtaining fusion and indirectly decompressing nerve roots.A consecutive case series of stand-alone LLIF was analyzed with chart and radiographic review. Non-union was determined by symptomatology consistent with non-union and absence of bridging bone on the CT scan.Thirty-nine levels of stand alone LLIF were performed in 23 patients. Eleven patients received 1-level surgery, 7 patients received 2-level surgery, 3 patients received 3-level surgery, and 1 patient received 4-level surgery. Excluding 1 infected case, we analyzed 37 levels of stand alone LLIF in 22 patients. Non-union incidence was 7 levels in 6 patients. Non-union rate was 7/37 (19%) per level and 6/22 (27%) per patient.While our study population was relatively low, a non-union rate of 19% to 27% is concerning for modern spine surgery. Currently in our practice, we occasionally still perform stand-alone LLIF utilizing 22 mm wide grafts in low-demand levels in non-smoking and non-osteoporotic patients. However, in a majority of patients, we provide supplemental fixation: bilateral pedicle screws in most patients and unilateral pedicle screws or spinous process plates in some patients.
    Keywords: 7100 ; Article ; Observational Study;
    ISSN: 0025-7974
    E-ISSN: 15365964
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  • 9
    Language: English
    In: Maternal and Child Health Journal, 2010, Vol.14(2), pp.215-226
    Description: Objective Studies evaluating the effect of maternal stress on preterm birth (PTB) or low birth weight (LBW) and variations across neighborhood contexts have been inconclusive. The purpose of the study was to examine the relationships among neighborhood contexts, prenatal stress, and birth outcomes, and to further explore the modifying effects of neighborhood contexts. Methods We evaluated this objective by using South Carolina Pregnancy Risk Assessment and Monitoring System (PRAMS), 2000–2003 data linked to the 2000 U.S. census data for 8064 women ( N  = 8064). Principal component analysis with varimax rotation was used to group stress constructs into four main domains (Financial, Emotional, Traumatic, and Spousal-related). We used multilevel logistic regression analysis to estimate the adjusted odds ratio for different models. Results Maternal stress was significantly associated with increased risks of low birth weight and preterm deliveries. Neighborhood high poverty and low education (upper quartiles) were independently associated with low birth weight but not preterm deliveries and stress appeared as a partial mediator of contextual effects on birth outcomes. The interaction models showed that the relationship between stress and LBW or PTB was modified by neighborhood contexts with risks being greater for infants born in disadvantaged neighborhoods. Conclusions Effects of maternal stress on LBW and PTB outcomes may be different for mothers living in different neighborhood contexts. Therefore, investigations that fail to examine places of residence would most likely not identify mothers at risk of LBW or PTB. Policies to improve birth outcomes need to target both places of residence and specific mediating or moderating factors associated with deprived neighborhoods of residence.
    Keywords: Maternal stress ; Neighborhood contexts ; Multilevel Analysis ; Pregnancy risk assessment and monitoring system (PRAMS) ; Low birth weight (LBW) ; Preterm birth (PTB) ; Procedure generalized linear mixed model (PROC GLIMMIX) ; Corticotrophin releasing hormone (CRH) ; Census tract (CT)
    ISSN: 1092-7875
    E-ISSN: 1573-6628
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  • 10
    Language: English
    In: Public Health Reports, Nov-Dec, 2013, Vol.128(6), p.s48(6)
    Keywords: Public Health -- Social Aspects ; Public Health -- Aims And Objectives ; Health Care Disparities -- Control
    ISSN: 0033-3549
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