Discusses the differences between exercise alone and exercise with medication (e.g., diuretics, beta blockers, and ACE inhibitors) for treating hypertensive patients. Guidelines are presented for physicians wanting to change the therapeutic regimen or to step down from medical therapy, noting exercise must always be part of the program. (SM)

In discussing pharmacologic control of hypertension in children and adolescents who participate in sports, the second of two articles emphasizes drugs with few side effects and that usually do not alter heart rate (e.g., long-lasting angiotensin-converting enzyme inhibitors or calcium channel blockers). Such drugs allow continued sports…

Tuberculosis is on the rise in the United States. The article discusses its background, factors contributing to its increase, the likelihood of children and teens developing tuberculosis, how to prevent the disease from spreading, and what schools and states can do. (SM)

Describes the economic and demographic changes experienced by rural communities over the past few years and how they have increased rural health professionals' responsibilities. Presents the Community Wellness program and four case histories illustrating how it has strengthened community infrastructure, developed human capital, and created rural…

A survey of 142 U.S. and Canadian medical schools compared medical school curricula since 1991, especially in schools moving to the new interdisciplinary format. Thirty- five schools had retained preventive medicine teaching as a separate course; 25 schools integrated preventive medicine concepts into many courses; and 10 schools appeared to have…

Addresses the problem of child abuse, domestic violence, and interpersonal/community violence as leading causes of injury and death to young ethnic minority children, particularly males. It reviews some of the interdisciplinary collaborative strategies that have been offered by leaders in medicine and education and presents evaluative commentary…

This paper discusses the importance of an effective partnership between health services and early childhood programs, and examines ways that leaders in both service systems can cooperate to help caregivers, teachers, and parents raise healthy children. After examining the need for an improved partnership, the historic and contemporary role of a…

The following papers were presented at a symposium on clinical nutrition for the child who is chronically ill or handicapped: (1) "Food Allergy"; (2) "Anemia and the Chronically Ill or Handicapped Child"; (3) "Nutrition and Neurotransmitters--Clinical Implications"; (4) "The Importance of Lipid Type in the Diet after Burn Injury"; (5) "Advances of…

This monograph was designed for the high school biology curriculum. The first section reviews the major areas of importance in immunology. Section three contains six instructional activities for the high school classroom and the second section contains teacher's materials for those activities. The activities address for students some of the major…

The General Accounting Office (GAO) conducted a study in response to Senator Lawton Chiles' request that the GAO explore the adequacy of the funding levels proposed for the Department of Health and Human Services' Public Health Service and the appropriateness of priorities reflected in the administration's proposed budget for prevention of…

The study examined medical and social services to pregnant women, newborns and their families in 10 European countries and suggested implications for policy and practice in the United States. The 10 countries (Belgium, Denmark, France, Federal Republic of Germany, Ireland, Netherlands, Norway, Spain, Switzerland, and the United Kingdom) tend…

In this paper, problems and conditions of the foot, including flat feet, achilles tendon problems, heel spur syndrome, digital problems, shin splints, and leg stress fractures, are examined. Ways to examine the athlete's foot and leg are described, including the one-foot test and the off weight-bearing examination. (CJ)

This monograph is the result of a conference on the role of preventive and community medicine in primary medical care and education. The following six papers were presented at the conference: (1) Roles of Departments of Preventive Medicine; (2) Competency-Based Objectives in Preventive Medicine for the Family Physician; (3) Preventive Medicine…

Speech delivered to Plenary Session on "Specific Needs for Medical Manpower at the annual meeting of the Association of American Medical Colleges (79th, Houston, Texas, Nov. 2, 1968.