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Loneliness: Science and Practice

Title: Loneliness: Science and Practice. 

Authors: Dilip V. Jeste, Tanya T. Nguyen, Nancy J. Donovan. 

Publication info: American Psychiatric Association Publishing. 2022. 

Available: Academic eBook Collection

Description: The internet, social media platforms, and digital technology all seem to point to a world of greater interconnectivity and social connection. Yet even against this background of global social networks, loneliness remains a major issue for millions of individuals, and one with tangible consequences: studies have demonstrated that loneliness correlates with to an increased risk of mental illnesses, as well as a 45% increased risk of death.In Loneliness: Science and Practice, experts from the United States and Europe seek to construct a translational framework for recognizing and addressing loneliness in the clinical context. Based on the latest literature on the topic, the book tackles • The theoretical foundations of loneliness and other dimensions of social connection. Readers will benefit from validated rating scales to measure loneliness that account for the varied experiences of, and factors that contribute to, loneliness.• The incidence and presentation of loneliness throughout the life cycle• Loneliness among marginalized communities, including racial and ethnic minorities, LGBTQ+ individuals, immigrants, and individuals with mental illnesses• The neurobiological and systemic neuroendocrine and inflammatory mechanisms of loneliness• Interventions for loneliness, from research-based interventions for both younger and older age groups to community-based interventions Throughout this guide, clinical vignettes help ground the theoretical information in real-world applicability. Key points help readers reference each chapter's most salient points quickly, and lists of suggested readings open the door to further exploration.By examining the psychosocial and biological mechanisms of loneliness, as well as the unique social and cultural contexts in which it can occur, Loneliness: Science and Practice offers readers a holistic understanding of loneliness and a framework for addressing it in the distinct communities they serve.

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Title: Tangles: A Story About Alzheimer's, My Mother, and Me

Author: Sarah Leavitt

Publication info: Skyhorse, 2012; Graphic novel, 128 pages. 

Location: Rancho Cordova campus library. Call number: RC523 .L43 2012. 

Description: "In this powerful memoir the the LA Times calls “moving, rigorous, and heartbreaking," Sarah Leavitt reveals how Alzheimer’s disease transformed her mother, Midge, and her family forever. In spare blackand- white drawings and clear, candid prose, Sarah shares her family’s journey through a harrowing range of emotions—shock, denial, hope, anger, frustration—all the while learning to cope, and managing to find moments of happiness. Midge, a Harvard educated intellectual, struggles to comprehend the simplest words; Sarah’s father, Rob, slowly adapts to his new role as full-time caretaker, but still finds time for wordplay and poetry with his wife; Sarah and her sister Hannah argue, laugh, and grieve together as they join forces to help Midge. Tangles confronts the complexity of Alzheimer’s disease, and ultimately releases a knot of memories and dreams to reveal a bond between a mother and a daughter that will never come apart." 

 

Title: Becoming Dr. Q. 

Author: Alfredo Quinones-Hinojosa. 

Location: Academic eBook Collection.

Description: "Today he is known as Dr. Q, an internationally renowned neurosurgeon and neuroscientist who leads cutting-edge research to cure brain cancer. But not too long ago, he was Freddy, a nineteen-year-old undocumented migrant worker toiling in the tomato fields of central California. In this gripping memoir, Alfredo Quiñones-Hinojosa tells his amazing life story—from his impoverished childhood in the tiny village of Palaco, Mexico, to his harrowing border crossing and his transformation from illegal immigrant to American citizen and gifted student at the University of California at Berkeley and at Harvard Medical School. Packed with adventure and adversity—including a few terrifying brushes with death— Becoming Dr Q is a testament to persistence, hard work, the power of hope and imagination, and the pursuit of excellence. It's also a story about the importance of family, of mentors, and of giving people a chance." 

On this day in 1960, for the first time, Dr. Belding Scribner (Scrib) inserted a shunt into a man's arm to connect an artery to a dialysis machine. The operation was successful and enabled the man, Clyde Shields, to survive on dialysis for over a decade. This shunt (shown in the images below) was the last piece of technology needed to provide long-term dialysis for patients with failing kidneys. The impact of this successful procedure was immediate -- kidney failure was no longer a death sentence. 

      

Left: A diagram naming parts of the original 1960 shunt. Middle: The shunt inserted into Clyde Shields's arm in 1960. Right: Dr. Belding Scribner. 

How it works: The shunt consists of two extension tubes, a stabilizer, and a "U tube" (which takes on a U-shape closer to the patient's elbow). When dialysis is needed, the "U tube" is removed and the dialysis machine connected in its place. (The original 1966 article below explains how this shunt works in more detail.)

Today: Now there are more options for dialysis. Patients may undergo surgery to have a fistula or graft in their arm, or a catheter in their neck, all of which improve access to the bloodstream for dialysis. At-home dialysis is also possible. The patient education webpages listed below offer general overviews of dialysis, including its types, steps, effects, risks, and outlooks. 

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