Faculty Bibliography

In a surprising reversal of longtime health gains, fewer adult Americans are aware they have high blood pressure, fewer are getting effective therapy and more are dying, federal health officials said here Thursday in issuing new treatment guidelines for the ailment that affects 50 million Americans. During the past 25 years, anti-high blood pressure therapies have led to significant declines in deaths from stroke and coronary heart disease. But the latest health statistics show a rise in severe kidney disease and heart failure, a slight rise in the rate of stroke, and a leveling in the death rate for Americans with coronary heart disease. These conditions often occur as complications of longstanding high blood pressure, which is also called hypertension. The reason for the abrupt reversal is not known, federal health officials and experts in high blood pressure said at a news conference. But they said contributing factors could be an increase in obesity, growing complacency among doctors and patients about high blood pressure, a large number of patients who stop drug therapy because of unwanted effects, such as decreased sexual interest and fatigue, and lack of effective communication to the public

In a surprising reversal of longtime health gains, fewer adult Americans are aware they have high blood pressure, fewer are getting effective therapy, and more are dying as a result, Federal health officials said here today in issuing new treatment guidelines for the ailment, which affects 50 million Americans. Over the last 25 years, therapies to fight high blood pressure have led to significant declines in deaths from stroke and coronary heart disease. But the latest health statistics show a rise in severe kidney disease and heart failure, a slight rise in the rate of stroke, and a leveling in the death rate for Americans with coronary heart disease. These conditions often occur as complications of longstanding high blood pressure, which is also called hypertension. ''We are very concerned to see this decline in awareness and control,'' said Dr. Claude Lenfant, the director of the National Heart, Lung, and Blood Institute, a Federal agency in Bethesda, Md. Dr. Lenfant and Dr. Edward J. Roccella, who is in charge of the Government's education program on high blood pressure, said the institute was developing new public announcements and a research program intended to improve compliance with therapy, which generally has to be lifelong

In a surprising reversal of longtime health gains, fewer adult Americans are aware they have high blood pressure, fewer are getting effective therapy and more are dying, federal health officials said Thursday in issuing new treatment guidelines for the ailment affecting 50 million Americans. Over the past 25 years, anti-high blood pressure therapies have led to significant declines in deaths from stroke and coronary heart disease. But the latest statistics show a rise in severe kidney disease and heart failure, a slight rise in the rate of stroke, and a leveling in the death rate for Americans with coronary heart disease. These conditions often occur as complications of long-standing high blood pressure, also called hypertension. The reason for the abrupt reversal is not known, federal health officials and experts in high blood pressure said at a news conference. But they said contributing factors could be an increase in obesity, growing complacency among doctors and patients about high blood pressure, a large number of patients who stop drug therapy because of unwanted effects, such as decreased sexual interest and fatigue, and lack of effective communication to the public

Over the last 25 years, anti-high blood pressure therapies have led to significant declines in deaths from stroke and coronary heart disease. But the latest health statistics show a rise in severe kidney disease and heart failure, a slight rise in the rate of stroke, and a leveling in the death rate for Americans with coronary heart disease. These conditions often occur as complications of long-standing high blood pressure, which is also called hypertension

In a surprising reversal of longtime health gains, fewer adult Americans are aware they have high blood pressure, fewer are getting effective therapy and more are dying, federal health officials said Thursday in issuing new treatment guidelines for the ailment that affects 50 million Americans. Over the past 25 years, therapies against high blood pressure have led to significant declines in deaths from stroke and coronary heart disease. But the latest health statistics show a rise in severe kidney disease and heart failure, a slight rise in the rate of stroke, and a leveling in the death rate for Americans with coronary heart disease. These conditions often occur as complications of long-standing high blood pressure, which is also called hypertension

In a surprising reversal of longtime health gains, fewer adult Americans are aware they have high blood pressure, fewer are getting effective therapy and more are dying, federal health officials said Thursday in issuing new treatment guidelines for the ailment that affects 50 million Americans. Over the past 25 years, treatments to reduce blood pressure have led to significant declines in deaths from stroke and coronary heart disease. But the latest health statistics show a rise in severe kidney disease and heart failure, a slight rise in the rate of stroke, and a leveling in the death rate for Americans with coronary heart disease. These conditions often occur as complications of long-standing high blood pressure, also called hypertension. The reason for the abrupt reversal is not known, federal health officials and medical experts said at a news conference. But they said contributing factors could be an increase in obesity, growing complacency among doctors and patients about high blood pressure, a large number of patients who stop drug therapy because of unwanted effects, such as decreased sexual interest and fatigue, and lack of effective communication to the public

The World Bank said Monday that the AIDS epidemic is about to explode in China, India and Eastern Europe and threw its political and financial weight behind needle exchange, condom distribution and other prevention programs. In its first extensive report on AIDS, the World Bank said it was prepared to spend hundreds of millions of dollars in countries that will implement programs to help control the world epidemic that has infected 23 million people and killed 6 million others. The AIDS epidemic is increasing poverty and decreasing educational opportunities in the developing world, and, without aggressive prevention programs, the epidemic cannot be stopped, said Martha Ainsworth, a senior economist at the bank

'It was like ignoring half of it on purpose,' Dr. [Catherine Wilfert] said. Because her name was on the masthead, 'it implied that I agreed with it, when I didn't

In February 1996, George Shultz went to visit his old boss, Ronald Reagan, at the former president's home in the Bel Air neighborhood of Los Angeles. He drank tea with Reagan and his wife, Nancy, and talked a little politics. In all, he stayed perhaps an hour. Reagan 'absolutely' did not 'show any signs of dementia or Alzheimer's,' said Dr. John Hutton, who cared for him from 1984 until the end of his presidency and remains a close family friend. Extensive mental status tests did not indicate evidence of Alzheimer's until 1993, more than four years after Reagan left office, Hutton said. Dr. Lawrence C. Mohr, one of the White House doctors in Reagan's second term, was seeing him for the first time in six months, and afterward, the doctor and the former president talked. As usual, Reagan asked about Mohr's family. But Reagan 'was distant,' he said, and seemed 'preoccupied, which was unusual, because Ronald Reagan is a person who was engaged when he would talk to you.'

In February 1996, George Shultz, the former US Secretary of State, went to visit his old boss, Ronald Reagan, in Los Angeles. He drank tea with Reagan and his wife, Nancy, and talked a little politics. In all, he stayed perhaps an hour. That night Shultz received a call from Mrs Reagan, who told him: `Something poignant happened today that you would like to know about.' At one point, Reagan had left the room briefly with a nurse. When they came back, Mrs Reagan went on: `He said to the nurse, `Who is that man sitting with Nancy on the couch? I know him. He is a very famous man.' It is almost three years since Reagan disclosed that he had Alzheimer's disease. And if, at 86, the old actor still looks the image of vigorous good health, the truth is that, behind the firm handshake and barely grey hair, he is steadily, surely ebbing away