The History of Georgia in the Eighteenth Century, As Recorded in the Reports of the Georgia Bar Association

https://digitalcommons.law.uga.edu/historic_treat/1013/thumbnail.jp

A determination of the variation of soil moisture in three plots of soil during one month's growing period

Citation: Kiser, Orville M. and Praeger, Herman A. A determination of the variation of soil moisture in three plots of soil during one month's growing period. Senior thesis, Kansas State Agricultural College, 1908.Introduction: In choosing this work for our thesis we have intended to show the variation of soil moisture to a depth of four feet in three different plots; wheat, corn, and alfalfa, respectively, during the spring season from April 22 to May 21, ’08. The wheat and alfalfa made a good growth during this time while the corn was planted toward the end of the month and was coming up at the close of the experiment

Metabolic Effects of the Incretin Mimetic Exenatide in the Treatment of Type 2 Diabetes

Interventional studies have demonstrated the impact of hyperglycemia on the development of vascular complications associated with type 2 diabetes, which underscores the importance of safely lowering glucose to as near-normal as possible. Among the current challenges to reducing the risk of vascular disease associated with diabetes is the management of body weight in a predominantly overweight patient population, and in which weight gain is likely with many current therapies. Exenatide is the first in a new class of agents termed incretin mimetics, which replicate several glucoregulatory effects of the endogenous incretin hormone, glucagon-like peptide-1 (GLP-1). Currently approved in the US as an injectable adjunct to metformin and/or sulfonylurea therapy, exenatide improves glycemic control through multiple mechanisms of action including: glucose-dependent enhancement of insulin secretion that potentially reduces the risk of hypoglycemia compared with insulin secretagogues; restoration of first-phase insulin secretion typically deficient in patients with type 2 diabetes; suppression of inappropriately elevated glucagon secretion to reduce postprandial hepatic output; and slowing the rate of gastric emptying to regulate glucose appearance into the circulation. Clinical trials in patients with type 2 diabetes treated with subcutaneous exenatide twice daily demonstrated sustained improvements in glycemic control, evidenced by reductions in postprandial and fasting glycemia and glycosylated hemoglobin (HbA1c) levels. Notably, improvements in glycemic control with exenatide were coupled with progressive reductions in body weight, which represents a distinct therapeutic benefit for patients with type 2 diabetes. Acute effects of exenatide on beta-cell responsiveness along with significant reductions in body weight in patients with type 2 diabetes may have a positive impact on disease progression and potentially decrease the risk of associated long-term complications

The Quality Improvement Demonstration Study: An example of evidence-based policy-making in practice

<p>Abstract</p> <p>Background</p> <p>Randomized trials have long been the gold-standard for evaluating clinical practice. There is growing recognition that rigorous studies are similarly needed to assess the effects of policy. However, these studies are rarely conducted. We report on the Quality Improvement Demonstration Study (QIDS), an example of a large randomized policy experiment, introduced and conducted in a scientific manner to evaluate the impact of large-scale governmental policy interventions.</p> <p>Methods</p> <p>In 1999 the Philippine government proposed sweeping reforms in the National Health Sector Reform Agenda. We recognized the unique opportunity to conduct a social experiment. Our ongoing goal has been to generate results that inform health policy. Early on we concentrated on developing a multi-institutional collaborative effort. The QIDS team then developed hypotheses that specifically evaluated the impact of two policy reforms on both the delivery of care and long-term health status in children. We formed an experimental design by randomizing matched blocks of three communities into one of the two policy interventions plus a control group. Based on the reform agenda, one arm of the experiment provided expanded insurance coverage for children; the other introduced performance-based payments to hospitals and physicians. Data were collected in household, hospital-based patient exit, and facility surveys, as well as clinical vignettes, which were used to assess physician practice. Delivery of services and health status were evaluated at baseline and after the interventions were put in place using difference-in-difference estimation.</p> <p>Results</p> <p>We found and addressed numerous challenges conducting this study, namely: formalizing the experimental design using the existing health infrastructure; securing funding to do research coincident with the policy reforms; recognizing biases and designing the study to account for these; putting in place a broad data collection effort to account for unanticipated findings; introducing sustainable policy interventions based on the reform agenda; and providing results in real-time to policy makers through a combination of venues.</p> <p>Conclusion</p> <p>QIDS demonstrates that a large, prospective, randomized controlled policy experiment can be successfully implemented at a national level as part of sectoral reform. While we believe policy experiments should be used to generate evidence-based health policy, to do this requires opportunity and trust, strong collaborative relationships, and timing. This study nurtures the growing attitude that translation of scientific findings from the bedside to the community can be done successfully and that we should raise the bar on project evaluation and the policy-making process.</p

Spark-Timing Control Based on Correlation of Maximum-Economy Spark Timing, Flame-front Travel, and Cylinder-Pressure Rise

An investigation was conducted on a full-scale air-cooled cylinder in order to establish an effective means of maintaining maximum-economy spark timing with varying engine operating conditions. Variable fuel-air-ratio runs were conducted in which relations were determined between the spark travel, and cylinder-pressure rise. An instrument for controlling spark timing was developed that automatically maintained maximum-economy spark timing with varying engine operating conditions. The instrument also indicated the occurrence of preignition