Medicine (R0)

This book discusses all aspects of non-pharmacologic approaches to primary and secondary CVD prevention. It highlights the strength of evidence for particular diet styles in CVD prevention, including plant-based diets, the Mediterranean diet, the DASH diet, and low-carbohydrate diets. Chapters present evidence and future directions for diet and nutrition in diseases related to CVD, such as dyslipidemia, cardiometabolic disease (pre-diabetes, the metabolic syndrome, type-2 diabetes mellitus), and obesity. Finally, the book reviews novel and emerging aspects of dietary intervention in CVD prevention, such as dietary approaches to inflammation and the role of the microbiome in CVD.

Up-to-date, evidence-based, and clinically oriented, Prevention and Treatment of Cardiovascular Disease: Nutritional and Dietary Approaches is an essential resource for physicians, residents, fellows, and medical students in cardiology, clinical nutrition, family medicine, endocrinology, and lipidology.

This book is a comprehensive guide to lung cancer screening for clinicians, healthcare systems, community leaders, and public health officials with the hope of creating a more equitable landscape in both lung cancer screening and lung cancer-related outcomes, at local, state, and national levels. Authors take a new approach to primary and secondary lung cancer prevention that is in the early stages of adoption in the United States. The last decade ushered in recognition of screening as an effective intervention, but unfortunately, despite the wide acceptance of the importance of this new screening modality, nationally, not more than 5% of eligible subjects have undergone screening to date in the United States, although in some states uptake has reached as high as 16%. As is common with any new preventive cancer screening, racial and socioeconomic disparities emerge in utilization, stage at diagnosis, and mortality. Over time, these disparities decline, but consequential differences endure. Therefore, it is critical to establish equitable screening practices. 

The true measure of the effectiveness of any lung cancer screening program needs to be viewed through the lens of its impact on populations, including those most affected by the morbidity and mortality of smoking-related illness and lung cancer. As such, this book emphasizes a number of important public health topics, including community outreach to vulnerable populations, social justice issues, addressing stigma and fatalism in the general community, and the use of geocoding to assess a program’s impact at a population level. This book weaves traditional topics related to lung cancer screening, such as promoting initial and repeat screening, interpreting Lung RADs, and managing the follow-up of findings, into the population perspective in order to present a unified, comprehensive approach to the subject. Further, it serves as a guide that health systems, health care professionals, community leaders, and other stakeholders can use to achieve the promise of lung cancer screening.

This fully-updated third edition of Scleroderma: From Pathogenesis to Comprehensive Managementbuilds upon the well-regarded approach in the previous editions to provide integrated, concise, and up-to-date synthesis of current concepts of pathogenesis and modern approaches to management of systemic sclerosis (scleroderma). With a multidisciplinary approach to comprehensive care, this book is easily accessible for health care professionals in many fields. Comprised of the authoritative work of international experts, the new edition includes extensive updated material reflecting major developments in the field. It presents a succinct and thoughtful synthesis of current pathomechanistic concepts, providing a valuable reference tool for basic and translational investigators working in the field.  Scleroderma: From Pathogenesis to Comprehensive Management serves as an essential, all-inclusive and fully up to date resource for rheumatologists, pulmonologists, cardiologists, gastroenterologists, nephrologists and all those involved in the care of scleroderma patients.

This book grounds the work of street mental health within the lived realities of the people it serves, emphasizing the importance of trauma and context of care, and how these factors shape the experience of homelessness and engagement with mental health care. With the rise in homelessness has come a growing movement of street medicine—healthcare delivered directly to individuals who live on the streets, in encampments, or within emergency shelters. While physical health services are relatively well-integrated into street medicine models, mental health care remains underdeveloped and poorly resourced. There is a pressing need for guidance, reflection, and solidarity in this space.

The authors have nearly fifty years of combined experience working in street-based mental health services across North America. Much in this field has not yet been formally researched or codified; many insights have been gained through trial, error, and the wisdom of those served. The authors’ goal is to share what they have learned in a way that is honest, grounded, and helpful. The opening chapters discuss the individual, collective, historical, and structural traumas that are common in the vulnerably housed population and how these should inform engagement, diagnosis, and treatment. Subsequent chapters explore the complexities of and practical strategies for conducting mental health assessments and prescribing medications on the street. The authors discuss the importance of building and working in teams to adapt to the chaos that street medicine clinicians and their patients frequently encounter. The book closes with a discussion of psychosocial interventions for individuals experiencing homelessness, emphasizing their potential effectiveness despite implementation challenges. Chapters emphasize harm reduction and include case studies and dialogues to aid understanding.

The primary audience of Street Mental Health Handbook is front-line clinicians—physicians, nurses, outreach workers, social workers, and others—who are new to the field of street mental health or are seeking to deepen their understanding of it. For those already embedded in this work, the authors hope it will serve as a practical and reflective guide that acknowledges the unique challenges and rewards of working with people who are homeless and living with mental illness.