Health Issues in the Black Community THIRD EDITION "The outstanding editors and authors of Health Issues in the Black Community have placed in clear perspective the challenges and opportunities we face in working to achieve the goal of health equity in America." David Satcher, MD, PhD, 16th Surgeon General of the United States and director, Satcher Health Leadership Institute at Morehouse School of Medicine "Eliminating health disparities must be a central goal of any forward thinking national health policy. Health Issues in the Black Community makes a valuable contribution to a much-needed dialogue by focusing on the challenges of the black community." Marc Morial, Esq., president, National Urban League "Health Issues in the Black Community illuminates comprehensively the range of health conditions specifically affecting African Americans, and the health disparities both within the black community and between racial and ethnic groups. Each chapter, whether addressing the health of African Americans by age, gender, type of disease, condition or behavior, is well-detailed and tells an important story. Together, they offer practitioners, consumers, scholars, and policymakers a crucial roadmap to address and change the social determinants of health, reduce disparities, and create more equal treatment for all Americans." Risa Lavizzo-Mourey, MD, MBA, president, Robert Wood Johnson Foundation "I recommend Health Issues in the Black Community as a must-read for anyone concerned about the future of the African American community. Health disparities continues to be one of the major issues confronting the black community. This book will help to highlight the issues and keep attention focused on the work to be done." Elsie Scott, PhD, president of the Congressional Black Caucus Foundation "This book is the definitive examination of health issues in black America issues sadly overlooked and downplayed in our culture and society. I congratulate Drs. Braithwaite, Taylor, and Treadwell for their monumental book." Cornel West, PhD, professor, Princeton University

In the previous two volumes of this series, we presented classic problems in internal medicine as illustrated by actual cases cared for in our institution. It has been gratifying for us to see the interest that these volumes have generated with students and trainees. We remain committed to the case method of instruction, and believe that there is no better method to learn medicine than to have an individual patient problem as the basis for study of pathophysiology, natural history, diagnosis and management. We hope that our readers find this third volume as enjoyable and instructive as the editors found it. Juan M. Bowen, MD Ernest L. Mazzaferri, MD, FACP xiii Acknowledgement The editors are grateful to Jeff Smith and Jenny Riegler for their unflagging professionalism and patience. xiv Contents Case 1 Mitral Regurgitation - Chronic Versus Acute: Implications for Timing of Surgery • . • • • . . • . . . . . • . . . . . . . . . . . 1 Harisios Boudoulas, MD Charles F. Wooley, MD Advances and diagnostic imaging in a surgical technique have changed the approach to mitral valve regurgitation. This chapter provides an expert's perspective. Case 2 Cystic Fibrosis in Adults .. • •••••••••••• 36 Andrew Libertin, MD John S. Heintz, MD As children with cystic fibrosis grow into adulthood, the internist assumes a greater role in their care. Case 3 Thrombotic Thrombocytopenic Purpura . . . . . . . . . . 51 . . . Donald E. Thornton, MD Earl N. Metz, MD, FACP Patients with ITP continue to present difficulties in diagnosis and management. Two experts discuss the current approach to ITP.

Annotation This book covers human identification, trauma analysis, and forensic biomechanics of the foot, ankle, tibia, and femur as frequently encountered in mass casualty incidents, human decomposition, and human rights abuse investigations.

"The authors ... continue the pursuit of new knowledge, calculated to bring new fruits of health, safety, and comfort to man and his environs. The charms, as well as the subtle hazards, of the terms ‘conservation, preservation, and ecology’ need to be crystallized so that the public and their decision-makers practice this complex art with clearer conception and perception than is apparent in recent bitter confrontations." —From the Foreword to the Fourth Edition by Abel Wolman What’s New in This Edition: New entries on environmental and occupational toxicology, geoengineering, and lead abatement Twenty-five significantly updated entries, including expanded discussion of water supplies and waste water treatment, biomass and renewable energy, and international public health issues An expanded list of acronyms and abbreviations Encyclopedia of Environmental Science and Engineering, Sixth Edition is still the most comprehensive, authoritative reference available in the field. This monumental two-volume encyclopedia now includes entries on topics ranging from acid rain, air pollution, and community health to environmental law, instrumentation, modeling, alternative energy, radioactive waste, and water treatment. The broad coverage includes highly specialized topics as well as those that transcend traditional disciplinary boundaries, reflecting the interdisciplinary skills and knowledge required by environmental researchers and engineers. Featuring expert contributors representing industry, academia, and government agencies, the encyclopedia presents fundamental concepts and applications in environmental science and engineering. The entries are supported by extensive figures, photographs, tables, and equations. This sixth edition includes new material on water supplies and wastewater treatment, biomass and renewable energy, and international public health issues. New entries cover environmental and occupational toxicology, geoengineering, and lead abatement. The Encyclopedia of Environmental Science and Engineering provides a view of the field that helps readers understand, manage, and respond to threats to the human environment. Contact us to inquire about subscription options and print/online combination packages. US: (Tel) 1.888.318.2367 / (email) [email protected] International: (Tel) +44 (0) 20 7017 6062 / (email) [email protected]