He has worked at UH since 1977 in various technical and management roles that culminated with his creating and leading the university's first system wide IT support organization. Greenwood announced she was retiring to spend more time with family and deal with health problems, leaving nearly two years left on her contract. Indiana University believes student athletes should have a formal Collective Voice in the administration of intercollegiate athletics. Through the Student Athlete Advisory Committee, student athletes will be annually provided by the Athletics Director a report of the department just like that given to the Board of Trustees and Bloomington Faculty Council, have a chance each semester to meet with the Athletics Director to ask questions and share concerns, as well as have permanent representation on the Bloomington Faculty Council Athletics Committee. Student athletes will also be represented on any search or advisory committees for the hiring of a head coach or athletics director. Indiana University also commits to develop its student athletes in A Culture of Trust and Respect, with no physical or verbal abusive demeaning language being tolerated. Summary pointsResistant hypertension is defined as high blood pressure that remains uncontrolled despite treatment with at least three antihypertensive agents (one of which is usually a diuretic) at best tolerated doses. A diagnosis of true resistant hypertension should be made only after a thorough assessment to exclude apparent or pseudo resistant hypertensionPost hoc analyses of large scale trials of antihypertensive drugs plus retrospective cross sectional observational studies point to a prevalence of resistant hypertension of 10 20% of the general hypertensive populationPatients with resistant hypertension are almost 50% more likely to experience an adverse cardiovascular event compared burberry with patients with blood pressure controlled by three or fewer antihypertensive agentsStudies indicate that 5 10% of resistant hypertension patients have an underlying secondary cause for their elevated blood pressure a prevalence significantly greater than that burberry of the general hypertensive populationNo clinical trials have compared the effectiveness of specific drug regimens for the treatment of resistant hypertension. The best available evidence supports the use of low dose spironolactone as the preferred fourth drug if the patient's blood potassium level is 4.5 mmol/L. With higher blood potassium levels, intensification of thiazide like diuretic therapy burberry should be consideredRenal sympathetic denervation therapy, as a device based intervention, could potentially stimulate a paradigm shift in the management of resistant hypertensionThe disease burden attributable to arterial hypertension is substantial, accounting for or contributing to 62% of all strokes and 49% of all cases of heart disease, culminating burberry in an estimated 7.1 million deaths a year; equivalent to 13% of total worldwide deaths.1 Although most cases of hypertension can be effectively treated burberry with lifestyle changes or drugs, or both, hidden within this population lies a cohort at the extreme end of the cardiovascular risk spectrum those with hypertension that is resistant to treatment.