Spine tumor surgery in 272 Spine surgery clinics worldwide

AVOID - sat in emergencies waiting room for 7 hours with blood pressure 200/119 without being attended. The receptionists are rude and stated that since the pandemic more people have opted for private healthcare but the hospital won’t employ more staff. I showed my mum one video during the 7 hour wait where the video has literally 4 sentences and the skinny frustrated security guy ironically shouted at me from the other side of the room in front of everyone that no videos are allowed to be played instead of approaching us discreetly in a professional manner. My back is in so much pain from their poor facilities and waiting time that I shall have to book an appointment with the physio this week. I believe that the national health care system hospitals have higher standards than this private hospital. Awful, like someone said in the reviews a few weeks ago, I will go to IMED in Elche in the future. I also saw people who have private healthcare insurance being left until last and people who had to pay upfront were given priority.

Clara in Patient Care is very helpful. She is kind and sympathetic. She managed to get me an emergency appointment when I was struggling with pain and needed to see a consultant urgently. A really lovely lady. Thank you Clara.

I went to the Hospital a couple of months ago. At the reception desk I felt a pleasant attitude towards myself as a client; the administrator Karina served me. Everything is prompt and attentive. I really enjoyed my visit to this Hospital.

Once again in this awful building. 2 people almost dead, and the 3 of us are waiting for 3+ hours. You should be ashamed of yourselves honestly. How dare you calling yourselves emergency???

Thank you so much for the professional help on my situation. I went there for emergency, very friendly-approach from all the staff & doctor. Thumbs up for your kind & professional help.

This place is a nightmare. I always come here complaining because you always stay here at least 4 ou 5 hours to get a simple antibiotic for flu. It's ridiculous the disorganization. It's not clear where the waiting room is, not clear what is the next step, you see a lot of people passing by and not doing anything. It's a disaster. Only come here in case of serious problem. It's very bad here.

Sheba hospital is enormous and it takes time to find your way around. Come early for all appointments.

Horrible treatment in the emergency room. Also kept being referred to as “tourist” the doctor discharged me with no report on my X-rays that she didn’t feel the need to review and said my labs look “ok…just go see your doctor soon.” She said she “thinks” I have a viral infection…rest and go buy myself some pain pills. Then proceeded to kick me out of the room I was in because there were other people she had to see. I’ve never dealt with a hospital that shows such blatant disregard for their patients. Unbelievably disgusting!

Where do I even begin? A Disappointing and Negligent Experience at Sheba Medical Center!! I am deeply disappointed by the quality of care and treatment my mother received at Sheba Medical Center. The conditions, the behavior of the staff, and the medical negligence we encountered were nothing short of appalling. I feel compelled to share my experience to raise awareness and hopefully prompt improvements within the hospital, I have also contacted their custumer service WHILE we were at the hospital but there was 0 reaction from them, they just made the nurses and nurse's aid 'apologize' to us after they CURSED AND SWORE at us and that was it. From the moment we arrived at the hospitalization ward, we were met with unsanitary conditions and a complete lack of professionalism. The overall cleanliness and hygiene standards were severely lacking, which is completely unacceptable in a healthcare facility where the risk of infections should be minimized. The nurses were DROPPING off packs of medications, syringe and plasters all over room. Furthermore, the behavior of the nurses and doctors was consistently rude and dismissive. Instead of showing empathy and compassion towards cancer patient and their families, they demonstrated an alarming level of indifference and even disrespect. This type of attitude only added to the distress and anxiety we were already experiencing. One particularly distressing incident involved the administration of double dosage of medication to my mother. This blatant negligence resulted in a dangerous rise in her creatine levels, placing her at risk of kidney failure. This mistake could have had severe consequences for her health, and it highlights a significant failure in the hospital's medication management protocols. In light of these issues, I strongly urge Sheba to undertake the following measures to address the shortcomings and improve patient care: -Improve overall cleanliness and maintain strict hygiene protocols throughout the facility. -Conduct thorough training programs to foster a more empathetic and compassionate attitude among the staff. -Enhance medication management systems and implement robust safeguards to prevent dosage errors. -Establish a feedback mechanism to actively listen to patients and address their concerns promptly. The only positive experience we had was with our original physician. We are not crazy or problematic as the hospital staff often portrays patients to be there isn't fire without smoke and nobody has so much time to file complaints out of thin air! Do better!!!!!

We brought my mom to A&E and we waited for 6 long hours because the nurses kept telling us that she’d be warded and left us waiting at the waiting area for hours. We were only told that there was no bed available after we kept following up hour by hour. My mom was kept at ASC in the A&E department till the second night and no treatment/scans were done because there was no bed available. Nobody could provide us with any updates on her condition which was really ridiculous. When she finally got warded, we were informed that scans would be done the next day because there were too many patients. By now, she’s already running a fever and unable to walk but we still have no idea what exactly is wrong. What’s really appalling is that the nurses do not seem to show any empathy when we informed them of my mom’s condition. This is really disappointing for what we thought is the best hospital in Singapore.

I am posting this review due to the incompetency and lack of communication in Singapore General Hospital (SGH) feedback department with its staff, Andrea Chen and Serena Chua. I sent them numerous emails including follow-up and they haven't responded back yet. Never ever send feedback to SGH even though their automated message said they would respond back within 2 working days. Don't bother calling or emailing the general hotline or feedback department.They only receive feedback It's up to them when or whether they want to respond to you, You cannot complain against them if they are not doing their job responsibly. There's no higher authority to escalate the matter to, not even the Chief of the hospital .It seems they are not under the hospital's supervision. Ms Andrea's answers were incomplete, and mistakes made were not corrected. Showing impatience and arrogance by remarking that her email would be her final reply and acknowledgement. Ms Serena didn't bother to investigate nor address the specific issues appropriately. Her response was conditional. It was a half-hearted effort. As the Head of the department, certainly she can do better., It's a shame she couldn't do it with sincerity. Terrible long waiting time to get a reply. Requests were not taken seriously and responsibly. Not forthcoming in assisting or resolving issues and to clarify any misunderstandings. Very unprofessional and not responsible at all for a public hospital. The hospital has no intention to make improvement nor reform of it's feedback department. I don't understand how this hospital is so highly rank when they can't even respond to an email.

As a 21 years old patient, Doc WILL NOT take you seriously. My surgery was delayed for 2 years. not just that, after surgery i HAD Postoperative Urinary Retention but the nurse and doc don't believe me. they only believe when my belly is very extended which was caused because i cant urine for almost 24 hours which caused me a lot of pain. Which then they catheterize me. They drained about 2Ls of urine.

I went to emergency at 9 pm. I got bleeding from my uterus and very painful Stomachache, I am bleeding non-stop like 3 days continuing and the doctor asked me "Why are you here?" Asked me two times and I explained my symptoms and she told me to take pain killers without checking my bleeding things. PS. I am not on My period right now and I am still bleeding until now! What a Unprofessional Doctor! No any patients would like to go to Emergency if they really do not need help!

We were in an emergency situation where we were informed to reach the BDU department. Unfortunately it was the wrong department for the treatment which was needed but the BDU department saw to it that they won't even touch the patient who is in excruciating pain. They didn't even try to give the patient some kind of pain medication. After an hour we reached the right department and they were in horror to see the patient and surprised why the BDU department didn't do anything. Thanks to the urology department, we got the right treatment on time but the negligence of the BDU department and how they shrug their shoulders off is something I had to write here. I hope no one else goes through this..

Thanks a lot to all team of Palliative department for care support and warmth to my father!!!

Our two children were born in this hospital in 2019 and 2023. We can only report positive things about our time here. You felt very cared for and the entire team is extremely competent, motivated, courteous and friendly. It is important to me to mention this and thank you for all your efforts. Thank you very much for your support. All the very best.

I had the most horrible experience in the gynecology department here, my house doctor told me to go to the emergency room and when I got in for my consultation the doctor told me my problem is not an emergency and that there are people who actually need help. It was my first time seeing a gynecologist and she asked me if I have been before and I said no because I was not financially able to ever before and she almost laughed at me and said „no doctors in your country?“ she was clearly bothered by the fact that I asked her if we can speak in English. After she consulted me she said she can’t give me a diagnostic and than gave me a prescription without a diagnostic. She made me feel very uncomfortable, she made fun of me and where I come from, made me feel like I am not worth helping even tho my house doctor did. That woman should not be a doctor of any kind she was horrible!

We were in the children's hospital last night with our 10-week-old daughter and were really excited. Of course it was to wait but that's the way it is now. The doctors and the nurse were super nice and took really good care of our mouse. Our mouse obviously felt good, despite being in a really bad mood. During the examination she made the whole team and us smile and laugh. We felt very well cared for. Thanks!

My experience the doctor are the patient are Caring and nurses are taken care patients GOod honest kind responsable respect caring trusted helping Concerns

This is the worst experience I've ever had in my seven years living in Taiwan. The nurses and all the staff at the front desk (emergency department) are the worst and very slow!!!! I literally cried in pain because I had an animal stuck in my left ear but they still had a lot to ask about my condition like getting fever, nausea, vomiting, etc.. Even though my boyfriend was with me and said he would help with everything but just please get the animal out., they didn’t care because “that’s the procedure”. Very bad attitude. I just hope this has nothing to do with race or anything.

Adequate facilities for the single ward, with bathroom, refrigerator, desk, sofa, sofa bed, TV, and electric bottle in the room. On the same floor you can find clothe dryer. Overall remained in good condition.

I did have a motorbike accident with several injuries. They admitted me to the hospital, wehere they carried out the necessary checks, including blood test, including x-ray, including CT scan. To have full picture of my various injuries. Afterwards the surgeons did an excellent job stitching me together, and after operation care was excellent. The nurses are very caring, the stuff is highly professional, the doctor speaks English, and if there is a communication problem, Google translate is always of a great help. They ensured a perfect hospital experience, despite my accident in a hospital, which has to be highly recommended due to its professional staff, including administration, nurses and doctors. Great job done!

Thank you very much to the excellent Dr Tran Quoc Khanh, nurses and staff. I really appreciate the ‘honest’ and efficient care that I received today. I came in for a last-minute general health check report (to support a work permit application to another country). All simple tests including urine and blood tests were comfortably completed in one afternoon. Cost was around 2.5million which is a very reasonable fee given the quality standard of service. Hospital is nice and clean and overall in good condition. International section is on 4th floor of Block C. Very easy to get to from the road entrance.

Customer service very bad. Don't want to even try and contact the insurance even if you have full international coverage. Procedures urgently need a review.

The hospital has clean space and rooms, modern and fairly new facilities, and quite enthusiastic staff. The dishes in the hospital meals are delicious and delicious, my mother complimented me after eating them (3 meals/day are included in the hospital room fee). But the wifi in the room is weak and not prepared for patients with pillows and blankets, so it is a bit lacking in this regard. Hopefully the hospital will improve so that patients and relatives can be comfortable and worthy of the money spent.

It's not an international hospital, as they are trying to make it look like. They don't provide translation service. And their administration are laggy and corrupted, just trying to make people move round and round without giving an actual response, especially any case regarding English. The quality of room is acceptable in comparison to price, but the services are not that good.

I am a person who is quite sensitive to hospitals because of spiritual factors. But when I come here I feel comfortable (good energy field). Surprisingly, the leaders of this side focus on finding treatment solutions for customers to prevent diseases with advanced technology instead of focusing on business to make a profit or cure. Focusing on helping customers prevent illness is a place I think few places do. So satisfied Not to mention the visibility is also very far, so there are diverse examination areas or treatment functions suitable to the needs of customers. My family also experienced medical examination and treatment at the hospital here. Service is okay. Delicious food. The space is clean and airy. Regarding price, I have a life guarantee so it doesn't cost money. Basically, when you come here, there are enough services for both patients and caregivers. No need to worry about going out. If you come here, go in the direction the rocket is pointing, don't take the road according to Google, it will be a bit flooded. In the near future, there will also be apartments and a medical school here. There's also aeomall next door for convenient shopping for what you need.

Good service. Staff's are very friendly to the patients. Good doctors. There are more than 2 pharmacy. Clean and hygienic wards. There are wending machines which we can get our snacks quickly. Good cafeteria. Theres a children play area in the 8th floor. There are fish tanks in every floor to entertain the kids. There are bill paying machines where you can pay your phone bills or any other bills quickly. There's no free parking, slow elevators.

I had a fantastic experience at Asiri Hospital! The atmosphere is calming and welcoming, creating a comfortable environment. The staff members were incredibly friendly and attentive, making me feel well taken care of throughout my visit. Additionally, their easy-to-access services made the whole process smooth and hassle-free. I highly recommend Asiri Hospital for anyone seeking quality care in a pleasant setting.

The service of this pharmacy at the ground floor is terrible. I had to wait about 20 minutes in the front desk to handover my prescription. There is no clear procedure to purchase the medicines. The front pharmacist guy takes too much time to read the prescription. Once you pay, still have to wait like another 20,25 minutes in the queue to collect your meds. Certainly, not satisfied at all about the service from the ground floor pharmacy.

Hospital

They don't even accept you even in an emergency situation if you are a foreigner. Even as a Hokkaido university student I was told the doctor is busy with other patients and has no time to see a foreign patient... I was standing at the first aid/ emergency section with my hand bleeding.. I was just told to go somewhere else and was handed a printout with an emergency ph no of Sapporo city emergency services ( The irony ) I was just told to call that and try my luck.

in spring and snow 👌

I don't quite understand. Keio University Hospital is a well known hospital BUT no one seems to speak even a very basic english. They all have japanese and english signs all over the hospital but no one knows how to speak it. I mean they don't have japanese only patients, but for me it feels like they only admit japanese because once you try to communicate with them, they mostly just say "no english" and then they leave you alone even if you have a serious health problem. I know expats should learn japanese but what about tourist or guests that only spends a week or two in japan? I come from Germany and we also have expats and foreigners there that hardly speaks any german BUT they don't get turned away by the hospital, because that is ILLEGAL and against the doctor's and healthcare workers OATH (do no harm!). WHAT IS WRONG JAPAN? you make A LOT of advertisement about OMOTENASHI and then you treat non japanese speakers as if they're not worth treating. And this is not the only hospital in Tokyo that do this. DO BETTER!!!

Excellent doctors and staff. I've had two surgeries at this hospital and both have gone very well. I recommend this hospital but if I understand their processes correctly, one needs a referral to go there. They are centrally located, and are right in front of the Shinanomachi station. There's another station close by on the Oedo Line. They have new facilities and parking. They also have motorcycle parking. This is one of the best hospitals in Tokyo in my opinion, but English is not spoken here. If you have a need for a special surgery involving a doctor from another hospital, then you may experience difficulty in having that arranged. I had to forego surgery on my heart there because they did not have a doctor on staff to do what I needed done immediately after the heart surgery. It was breast bone surgery. I had to have the heart surgery and the breast bone work done elsewhere, but the surgeries needed to be done back-to-back. Keio could not do it, which I believe is rare for them. I wish they could have facilitated it. It's a great hospital otherwise.

I went there because my period haven’t stopped in six months. I went there for a biopsy which made the bleeding increase for more than days, accompanied with terrible cramps. I returned urgently there and was treated really poorly by the interns who told me “they couldn’t do anything”that my cramps had probably nothing to do with my uterus ( but i had told them it was the same pain as period pain), and that i should just get painkillers. I really wonder in what world someone can say that is normal to have periods for six months, and bleed for more than ten days after a biopsy. I am deeply disappointed in this lack of professionalism and compassion.

Best hospital in the world. Very kind staff and very good doctors

I'd be indebted to work within this facility as Massage Therapist to help relieve Patients with Stress related issues. Thank you +233241488250

Really really bad Experience with this hospital. I had a visit, I told that I have card EKUZ ask also if I should give it them this later. They say no no i don't need pay anything no problem with anything. After TWO MONTHS they sended me a facture that I have to pay! Really dissapointed, never come here again. During visit with doctor they didn't check what is wrong only give me one pill that's all. Nobody answers the phone either.

Ok

Reception: 1 Emergency care: 2 Telecommunications (phone): 1 Laboratory: 1 Ambulatory care: 1 Accessibility and parking: 1 Hygiene: 3 Medical equipment: 3 Atmosphere and visual decoration: 2 Hospitalization-reception: 2 Hospitalization-rooms: 2 Hospitalization-privacy: 1 Hospitalization-care: 2 Hospitalization-rest and comfort: 2 Hospitalization-amenities: 1 Hospitalization-food: 2 Hospitalization-entertainment: 1 Hospitalization-patient’s rights: 1 Post-hospitalization care: 1 Diagnosis: 1 Doctors’ behavior: 1 Nurses’ behavior: 2 Other staff’s behavior: 3 Doctors’ experience: 2 Nurses’ experience: 2 Outcome: 1 Management and directorate: 1 OVERALL EXPERIENCE: 1

Very bad hospital they cant do any diagnosis for my patient they left her go to home she vomiting and having diarrhea very bad hospital 🤐🤐🤐🤐

I came here at 9 : 15 am . still waiting and now it's 12: 00 pm . I told them that it's urgent I can't wait . i have stomachache. Being a foreigner is not easy in Croatia 🙂 Please don't expect good reviews from foreigners 👎

Banana Republic of Croatia, nonfunctional, corrupt and messy. That is the summary of your wonderful hospitals.

They are the largest hospital center in Croatia and have the best equipment. That's the biggest plus. After that the personal is overworked and somewhat rude; and it gets worse and worse as they climb the hierarchy. Organisation overall is mediocre and dictated directly by politics, failures in organisation are then blamed on the people who work there.

A large hospital dating from the 70s, partly renovated, with many specialties and relatively correct care but very uncertain depending on the services as in many public assistance hospitals in general... We can therefore go there from heaven to hell, often with adorable and caring teams in intensive care or intensive care units and other totally overwhelmed teams with little regard for their patients because they are understaffed in many others services...

On the 3rd floor Orthopedic department: Caregivers, nurse, friendly staff overall 👍 Arthrodesis + laminectomy operation Dr Solène Prost service teacher Tropiano All the pain went well and was well treated. 5 days hospital Return home for 4 weeks to recover peacefully. Then start of physiotherapy rehabilitation.

I was taken to the Urgences here by ambulance and I have never had such an awful experience. The nurse who was looking after me was completely cold and uncaring despite the fact I has a blocked intestine and was not only I’m agony but kept blacking and vomiting. At one point when he saw me vomiting he said “don’t you think you are exaggerating a bit”! It took 6 hours before I had a scan and in that time I was left alone and given no blanket despite being soaked in sweat from the pain. When I finally went upstairs to the operating theatre, the experience was much better. I know this hospital has some great doctors and the surgeon who operated on me did an amazing job. My criticism is uniquely directed at the a&e “urgences” here which is just not good enough. All the staff were uncaring and cold and I felt scared and abandoned which is not what one should feel in hospital. Sorry, but a little more humanity would mean less stress to patients!

The service in the " Station" is a disaster. Really really bad, the personal will barely visit or ask you if you need anything and moreover I have done their job, therefore being unable to have any meal as the baby was constantly crying...no one even asked if I need something... If I have to rate it - then I will even not put a star... just as bad as it is... No more here anymore!!! ( hopefully not reaching any hospital at all)!!!!

I’m not sure how well you think your clinic is working or how well you’re doing. However, our 6 month old has not eaten for 16 hours (3 of those hours are spend in your waiting room so far), or has eaten, but hasn’t managed to keep it inside as he has been puking, a lack of energy and a behavioral change after falling on his head. Now, like many parents, we seek the advice of a specialist. Where your clinic is unfortunately the closest one to us. We just wanted the advice of a doctor, however, we got shipped off the the emergency clinic by the receptionist. Here my issue starts. How can you call it an emergency clinic when the waiting time is over 3 hours? (3 hours and counting when writing this) When you don’t filter anyone coming in. I’m definitely not saying we’re an emergency case, neither am I stating I am a medical specialist and can judge the cases, but, from what I can see, 80% of the cases sitting in here aren’t emergency cases either. It’s just parents sitting and waiting. People sitting on the floor, people waiting outside in the rain or sitting in an idling car because you lack waiting room in an emergency clinic treated as an undersized doctors waiting room. From my point of view, this is only your issue: - either you’re understaffed in the children clinic and therefor decided to just sent everyone straight to this “emergency room”, even if it isn’t anything closely related to an emergency. Or; - you’re too small for the capabilities you’re trying to offer and hence investment is needed from your side to modernize and expand Or; - and this might be a bold one, you’re collecting insurance money by sending everyone to emergency care first and hope they get sent to the children’s clinic so you can bill twice. Which one is it?

I was there twice with my kids, the reception, emergency service were very friendly & helpful. One of kids were to stay in the hospital and the staff on the residing floor was also very helpful, my kid was also in the intensive care and we felt really in safe hands there with a super friendly and accommodating staff. A big thanks and kudos to all the team there!

I had there fundraisers opening my door and when i confronted him, he said oh i thought you wont be able to hear me. Since when did they have the right to open my house door? eastlondon area. Please advise your staff not to open peoples porch doors or any door if they dont answer the door.

Will you please remind your door to door salespeople whom I guess are students operating in Ripley Derbyshire that it is against Charity Commission regulations to pressurise people into signing up to donating. They have been targeting elderly people twice in two days now. By using high pressure tactics like this you are tarnishing the good works this Hospital does.

We’ve been harassed by GOSH representatives on numerous occasions now. They knocked our door THREE times in a single day. Once at midday when no-one was home, the second just 10 minutes after I arrived home from work (obviously stalking me), and the third at 8:30pm!! I’ve previously expressed my disinterest on donating to the charity, yet they continue to return to our property. If a property could be put on a sort of TPS these guys would be in some serious trouble. After speaking to neighbours, they had nothing good to say either (we have a community Facebook Group), some even said that the representatives were extremely rude and overly personal - one lady even had to leave her house because she didn’t feel safe! Times are hard enough and people certainly aren’t going to donate money to a charity that is being represented by such rude individuals. We’ve offered to give them some spare change as a donation but they insist on bank details. You can jog on if you think I’m going to be giving my bank details to some stranger at my doorstep. I’ll happily donate to charity but it will be on my own terms - not with harassment and peer pressure at my door. I wrote this review after GOSH decided to ignore my email of complaint. We’ve now opted to purchase a ‘no cold callers’ plaque to prevent them from visiting in future. If they choose not to comply and continue to harass us, I will be taking this further; perhaps even deciding as a community to set up a ‘no cold calling zone’ with the Local Authority if need be.

My brother was in this hospital because he had appendicitis and had to get surgery and He said the nurse was nice! I think this place is really nice because it's clean and Its nice looking, I know that because I was there to visit him in the hospital. I also want to thank you for saving my Brother before more consequences happened to him and that he could've died.. but thank God this hospital was there! Once again, thank you for saving him🙏🤍 Also I definitely Recommend this place if you want nice doctors and want to feel less anxious and comfortable here.👍

This hospital isn't what it used to be! It seems to be loosing patient focus and fast. We've been a CHLA family for 11 years and I think it's time to switch. My autistic son was SCHEDULED for Dental Surgery. Originally it was supposed to be at 1pm and us be here at 11am. When we got the call from the nurse last night that we needed to be here at 530 AM we were like no one told us! But we got here right on time. We'll let me tell you that they took him upstairs to Surgery PreOp it took over 4 hours to get him into the the surgery room, because he needed to be admitted after surgery and no beds were available. This hospital needs to have better planning for these types of things OBVIOUSLY there will be emergencies that come in over night THAT SHOULD'VE ALREADY BEEN ACCOUNTED FOR!!! Maybe you need more staff and more beds!!! Because to have a child basically starving because you couldn't plan Accordingly is just plainly ridiculous! Then when I spoke to the Charge Nurse in the Surgery Dept she tells me that if my autistic son has an outburst that the anesthesiologist and nurse are there to help give him something to calm down. So basically if my son has an autistic outburst they will just drug him up. I'm like realistically drugging my son just to calm him down because your hospital didn't plan accordingly is uncalled for and unnecessary! Again I am seriously contemplating switching hospitals even though my son is on the Heart Transplant List!!! -A Frustrated Autistic Heart Mom

Ok so I had open heart surgery 20 years ago. I was well cared for and was in icu for three days and then went to a step down room where I was later discharged home after only three days at the hospital. My team was so amazing and so supportive and loving. And a picture of me twenty years later.

Horrible experience… i arrived at midnight in an ambulance with my 1 year old and i am sitting in the waiting room at 4:29 writing this review … they told me to wait for 5 hours for a doctor …. My son is really sick and cant do anything about it and the people that are supposed to help are just being awful to me for asking if they could check on him

Excellent care for our two year old, every staff member made us feel at ease, looked after us well. car parking (multi storey) was simple, drive in, no coins or tokens to mess around with, well laid out hospital and clean, far better than our local hospital (RPH)

Every single staff member I have met in this hospital, from security to cleaner reception to nurses to physicians, is a genuine nice person. They are willing to help you without hesitating. The communication between units is excellent.