Lack of agreement between tonometric and gastric juice partial carbon dioxide tension

Our goal was to compare measurement of tonometered saline and gastric juice partial carbon dioxide tension (PCO2). In this prospective observational study, 112 pairs of measurements were simultaneously obtained under various hemodynamic conditions, in 15 critical care patients. Linear regression analysis showed a significant correlation between the two methods of measuring PCO2 (r 2 = 0.43; P < 0.0001). However, gastric juice PCO2 was systematically higher (mean difference 51 mmHg). The 95% limits of agreement were 315 mmHg and the dispersion increased as the values of PCO2 increased. Tonometric and gastric juice PCO2 cannot be used interchangeably. Gastric juice PCO2 measurement should be interpreted with caution.

The Merida Initiative: A Flawed Agreement

The Mexican government and people are engaged in a war for the survival of their nation. Drug cartels are creating a situation of terror on the streets of the nation in their attempts to retain control of trafficking drugs into the United States. The Merida Initiative is a flawed agreement as it only addresses the issue of violence perpetrated by drug cartels. The issues of human rights protection, education, and economic stability within Mexico must be addressed in order to not only improve the situation but also eradicate the power and allure of the cartels.

Nutrient Load Reduction: Challenges facing the Chesapeake 2000 Agreement

The Chesapeake Bay is the largest estuary in the United States supporting a complex ecosystem that sustains many habitats and the organisms that depend on them. The bay also supports economic, recreational, and cultural activities to over 16 million people residing in the watershed. Changes within the watershed have caused excessive levels of nutrients, mainly nitrogen and phosphorous, to pollute the bay. The Chesapeake Bay Program, guided by a complex agreement, was created to address these and other issues and oversee the restoration of the bay. The most recent version of this agreement, the Chesapeake 2000, declares its continued commitment to restore the bay with over 100 goals to be met by the year 2010. Reports show that although intensive efforts have been made to promote nutrient reduction, very little reduction has actually resulted. This project described these efforts. The final results reveal obstacles affecting progress, shortcomings to current approaches and possible solutions for future implementation.

Agreement between William Croswell and Charles Turner, 1807 September

Draft of an agreement between Croswell and Turner related to their evening school in Liverpool.

Publishing agreement for the celestial planisphere, 1808 June 18

Handwritten agreement between Croswell and geographer William Faden of Westminster, Massachusetts, for the engraving and printing of three maps.

Draft of lease agreement, 1832 May

Handwritten document with drafts of a lease agreement with William Croswell and Sarah Bumstead, as tenants, for lodging in Boston.

Agreement between John Lowell and John Walton, Thomas Mason, Joseph Holmes, and Samuel Mason to finish the basement of University Hall, 7 June 1814

This contract includes stipulations for finishing the two kitchens, windows, and floors in University Hall by the first of August 1815.

Statement of trips, 1795

Thirteen statements of trips of the Cyrus between April 23, 1795 and December 9, 1795 signed by Steward Caleb Gannett. The statements list the cords of wood added to the College's supply and the cords sold. The statements are on thirteen slips of paper of various sizes bound with thread.