Citizen Engagement: Analysis of Johnson County Budget Simulator

The report discusses the importance of citizen engagement in local budgeting and uses the budget simulator exercise of Johnson County as a case study to evaluate the benefits and challenges of the tool. The report concludes by discussing recommendations for local officials on citizen engagement and public communication strategies, especially in a fiscally challenging environment.The report was a service learning project of a MPA class, Resource Allocation and Control, taught by Dr. Alfred T. Ho at the School of Public Affairs and Administration, University of Kansas in spring, 2012. The results of the project were presented to officials of Johnson County, Kansas

The Grizzly, April 6, 1984

Loyalty Fund Phon-a-thon, Successful • Parsons Re-elected VP of Historical Society • Nagy\u27s Stellar Lecture • McQuaid Presents Views on Candidates • Letters to the Editor: Fraternities Help to Combat Apathy; Bubble World ; UC Social Life Needs Help; Pledging Not Destructive; Pledging Enhances Development; To Ban Pledging not a Positive Aspect; In Memory of Zeta Chi; Pledging to Expand Socially • Patrol Pattern Changed, Woman is Assaulted • The Limerick Syndrome: What Would UC do? • Mardi Gras Ball Declared Success • Changing Picture of Health in \u2780\u27s • Ride for Your Life! • Two Views on the Bussing Situation • Women\u27s Tennis Splits in Opening Matches • Softball Undefeated at 6-0 • Tennis Team Nets Two Victories • Denning Captures Fencing Title • Strizke, Rosenberg Qualify for Gymnastics Championship • Men\u27s Track Kicks off \u2784 Season • Men\u27s Lacrosse Thumps Bloomsburg • Hot Hitting Leads Bears Batsmen to Victories • Baseball Team Raises Record to 6-3 • Women\u27s Track Promisinghttps://digitalcommons.ursinus.edu/grizzlynews/1116/thumbnail.jp

Response to a Second Single Antihypertensive Agent Used as Monotherapy for Hypertension After Failure of the Initial Drug

BACKGROUND: An important issue in clinical practice is how to treat patients whose blood pressure does not respond to the first antihypertensive drug selected. OBJECTIVE: To analyze the antihypertensive response of patients who had failed to achieve their diastolic blood pressure goal (<90 mm Hg at the end of 8 to 12 weeks of titration) with one of six randomly allocated drugs or placebo to the random allocation of an alternate drug. METHODS: We initially randomized 1292 men with diastolic blood pressure of 95 to 109 mm Hg to treatment with hydrochlorothiazide, atenolol, captopril, clonidine hydrochloride, diltiazem hydrochloride (sustained release), prazosin hydrochloride, or placebo. Of 410 men in whom initial treatment failed, 352 qualified for randomization to the alternate drug. RESULTS: Of the 352 patients, 173 (49.1%) achieved their goal diastolic blood pressure, in 133 (37.8%) the alternate drug failed, and 46 (13.1%) left the study for various reasons. Overall response rates were as follows: diltiazem, 63%; clonidine, 59%; prazosin, 47%; hydrochlorothiazide, 46%; atenolol, 41%; and captopril, 37%. The best response rate for patients in whom hydrochlorothiazide failed was achieved with diltiazem (70%); after atenolol failure, clonidine (86%); after captopril failure, prazosin (54%); after clonidine failure, diltiazem (100%); after diltiazem failure, captopril (67%); and after prazosin failure, clonidine (53%). The combined response rate for patients initially randomized to an active treatment was 76.0%, which is similar to that achieved by the combination of two drugs in previous studies. CONCLUSIONS: We conclude that sequential single-drug therapy is a rational approach for treatment of hypertension in patients in whom initial drug therapy has failed.(Arch Intern Med. 1995;155:1757-1762