Catalogue Search | MBRL
Are you sure you want to remove the book from the shelf?
{{itemTitle}}
208
result(s) for
"Morrissey, Paul"
Sort by:
Mouse Guard. Legends of the guard. Volume three
Inside the June Alley Inn, the storytelling competition continues, with each mouse telling a more fantatic story than the last mouse. Written and illustrated by various award-winning authors and illustarators.
BOOK
Online patient resources for deceased donor and live donor kidney recipients: a comparative analysis of readability
Abstract
Background
The Internet has extensive resources for kidney transplantation recipients. Half of the population reads below a seventh-grade level. Previous studies showed that living donor recipients have higher health literacy rates compared with deceased donor recipients. There has been no study comparing the readability of online living donor recipient materials versus deceased donor recipient materials.
Methods
Analysis was performed using eight readability scales on the top 10 websites for live donor and deceased donor kidney transplantation. Analysis was performed through the Readability Studio Software. USA reading grade level was determined for each site.
Results
Overall, the mean reading level for the living donor materials was 12.54 (range 9.2-17) and for the deceased donor materials, 12.87 (range 8.7-17, P = 0.73), corresponding to a university level. None of the sites met the seventh-grade level recommended by the National Institute of Health.
Conclusions
The readability of online materials remains too high for the corresponding health literacy rates among patients requiring kidney transplantation. Specifically, the lower health literacy rates among deceased donor recipients does not mirror the readability of online materials provided at a university level. This may affect decision-making, contributing to a smaller proportion of patients of a lower socioeconomic status and those with poor English language skills pursuing live donor organs.
Journal Article
Smells like Teen Titans spirit
\"First, Beast Boy is ready to save the world using his new super-power--the power to smell the future! Then, is Robin really the fulfillment of an ancient prophecy? Can the team answer the Justice League's call and take on the not-so-awesome responsibility of babysitting an infant Superman...Superbaby? And when a punk rock supervillain sentences Jump City to death by rock and roll, only the musical stylings of the Teen Titans can stop him!\"-- Provided by publisher.
Book
Successful Kidney Transplantation in a Recipient Coinfected with Hepatitis C Genotype 2 and HIV from a Donor Infected with Hepatitis C Genotype 1 in the Direct-Acting Antiviral Era
Despite significant advances in transplantation of HIV-infected individuals, little is known about HIV coinfected patients with hepatitis C virus (HCV) genotypes other than genotype 1, especially when receiving HCV-infected organs with a different genotype. We describe the first case of kidney transplantation in a man coinfected with hepatitis C and HIV in our state. To our knowledge, this is also the first report of an HIV/HCV/HBV tri-infected patient with non-1 (2a) HCV genotype who received an HCV-infected kidney graft with the discordant genotype (1a), to which he converted after transplant. Our case study highlights the following: (1) transplant centers need to monitor wait times for an HCV-infected organ and regularly assess the risk of delaying HCV antiviral treatment for HCV-infected transplant candidates in anticipation of the transplant from an HCV-infected donor; (2) closer monitoring of tacrolimus levels during the early phases of anti-HCV protease inhibitor introduction and discontinuation may be indicated; (3) donor genotype transmission can occur; (4) HIV/HCV coinfected transplant candidates require a holistic approach with emphasis on the cardiovascular risk profile and low threshold for cardiac catheterization as part of their pretransplant evaluation.
Journal Article
People of the Ecotone
Winner of the 2023 Hal K. Rothman Book Prize for best book in western environmental history from the Western History AssociationIndigenous power in a significant cultural and ecological borderlandIn People of the Ecotone, Robert Morrissey weaves together a history of Native peoples with a history of an ecotone to tell a new story about the roots of the Fox Wars, among the most transformative and misunderstood events of early American history. To do this, he also offers the first comprehensive environmental history of some of North America’s most radically transformed landscapes—the former tallgrass prairies—in the period before they became the monocultural “corn belt” we know today.Morrissey situates the complex rise and fall of the Illinois, Meskwaki, and Myaamia peoples from roughly the collapse of Cahokia (thirteenth to fourteenth century CE) to the mid-eighteenth century in the context of millennia-long environmental shifts, as changes to the climate shifted bison geographies and tribes adapted their cultures to become pedestrian bison hunters. Tracing dynamic chains of causation from microscopic viruses to massive forces of climate, from the deep time of evolution to the specific events of human lifetimes, from local Illinois village economies to market forces an ocean away, People of the Ecotone offers new insight on Indigenous power and Indigenous logics.
eBook
Logotherapy as an Adjunctive Treatment for Chronic Combat-related PTSD: A Meaning-based Intervention
Combat-related Post-traumatic Stress Disorder (PTSD) is often highly debilitating and affects nearly all areas of psychosocial functioning. Veterans with PTSD re-experience their traumas in the form of haunting intrusive memories, nightmares and flashbacks, and have chronic difficulty modulating arousal. As a way to cope with these symptoms, many survivors live isolated and avoidant lives, self-medicate with alcohol and substances of abuse, and numb themselves to emotional experiences and relationships with family and friends. Additionally, many combat veterans report survivor guilt, depression, affect dysregulation, and an altered world view in which fate is seen as uncontrollable and life is viewed as devoid of meaning. In this report we describe the use of logotherapy (healing through meaning) for the treatment of combat-related PTSD
Journal Article
Unexpected Medical Conditions Discovered During Live Donor Kidney Evaluation: Single Center Study
Living donor kidney transplantation (LDKT) is the preferred method of treatment for patients with end-stage kidney disease. Potential living kidney donors (PLKD) are evaluated through a thorough medical, psychological and surgical work-up to ensure successful transplantation with minimal risks to all parties involved. The transplant center at Rhode Island Hospital has noticed an increasing number of PLKDs excluded from donation due to conditions newly diagnosed during the screening process. Our objective is to understand the local trends underlying the high PLKD exclusion rates in the context of newly diagnosed conditions, age, race, and sex of the excluded donors.
Our study is a retrospective electronic medical record review of the 429 PLKDs screened at Rhode Island Hospital Kidney Transplant Center between December 2012 and April 2023. Age, race, gender, relationship to recipient, and reasons for exclusion were collected from the medical record for each PLKD.
115 of the 429 total PLKDs screened were excluded for newly diagnosed conditions, the most common of which were renal issues (49%), diabetes mellitus (33%), and hypertension (13%), with many comorbid diagnoses. While these donors were able to receive proper treatment after their diagnosis, the earliest intervention possible yields the best prognosis. The high prevalence of treatable yet undiagnosed conditions raise many public health concerns, such as primary care gaps or discontinuous healthcare, and increases awareness about the importance of follow-up care for the excluded PLKDs.
Journal Article
Obstructive Uropathy due to Bilateral Sliding Hernia in a Renal Transplant Patient with Incidental RCC in Native Kidney
Ureteral obstruction is a common complication after kidney transplantation. Ureteral obstruction caused by inguinal hernia, however, is a rare complication of transplantation and requires urgent surgical repair to prevent allograft loss. Case presentation: A 58-year-old man presented with allograft dysfunction 18-years after renal transplant. He was compliant with medications and given the long duration of allograft survival, a primary renal etiology was suspected. Thus, the initial work-up included allograft biopsy that was unremarkable. Three months later, worsening allograft function prompted further evaluation. At this time, allograft ultrasound and computed tomography led to the diagnosis of ureteral obstruction due to uretero-inguinal herniation of left kidney transplant secondary to bilateral sliding inguinal hernias. The patient was also found to have incidental renal cell carcinoma of the left native kidney. A percutaneous nephrostomy tube was placed and then followed by surgical repair with ureteral reimplantation, herniorrhaphy with mesh, and left native nephrectomy.
Mechanical obstruction can occur years after kidney transplantation. Even though it is uncommon, ureteral obstruction due to inguinal herniation is critical. Early detection of this complication and surgery can salvage the allograft and prolong function.
RCC: renal cell carcinoma; PCN: Percutaneous Nephrostomy; ACKD: Acquired Cystic Kidney Disease.
Journal Article