D-3 2002-1 Dependent Adult Abuse Report, January-June 2002

Adult dependent abuse report from the Iowa Department of Human Services

D-3 2003-1 Dependent Adult Abuse Report, January-June 2003

Adult dependent abuse report from the Iowa Department of Human Services

D-3 2000-2 Dependent Adult Abuse Report, July-December 2000

Adult dependent abuse report from the Iowa Department of Human Services

D-3 2001-1 Dependent Adult Abuse Report, January-June 2001

Adult dependent abuse report from the Iowa Department of Human Services

D-3 2001-2 Dependent Adult Abuse Report, July-December 2001

Adult dependent abuse report from the Iowa Department of Human Services

Investigation of the Department Human Services' handling of allegations of child abuse concerning Shelby Duis, 2000

Investigative report produced by Iowa Citizens' Aide/Ombudsman

D-3 2003-2 Dependent Adult Abuse Report, July-December 2003

Adult dependent abuse report from the Iowa Department of Human Services

D-3 2004-1 Dependent Adult Abuse Report, January-June 2004

Reported Dependent Adult Abuse by County

D-3 2005-2 Dependent Adult Abuse Report, July-December 2005

D-3 Dependent Adult Abuse Report

L'adolescent consommateur de substances face au réseau de soins [Substance abuse adolescents and the health care network]

Substance user adolescents were asked to report on each contact they had had with any type of care providers since they had begun to use alcohol or illegal drugs regularly. Primary care doctors and social workers represent the main access to the care network. In one out of two contacts substance use was not discussed.

D-3 2004-2 Dependent Adult Abuse Report, July - December 2004

Dependent adult abuse report

Pyoderma gangrenosum after minor trauma in a pregnant woman, mistaken for necrotizing fasciitis: report of a case and literature review.

Abstract Background: Pyoderma gangrenosum is an ulcerative, non-infectious skin disorder. However, it can be mistaken as necrotizing fasciitis, a life-threatening infective condition. We describe here a case of pyoderma gangrenosum after minor trauma treated as necrotizing fasciitis. METHODS: Case report and literature review. CASE REPORT: A 27-year-old pregnant nurse had a pretibial wound after a fall on a rough surface. When erythema developed and no response to empirical antibiotic therapy was observed, multiple debridements were performed. Paradoxically, her condition became worse. The diagnosis of pyoderma gangrenosum was suspected. Treatment with corticosteroids was started and this was successful. CONCLUSION: Pyoderma gangrenosum can mimic infectious necrotizing fasciitis. Differentiating these two conditions is important because mistreatment of pyoderma can lead to disfigurement.

Sudden death and cocaine abuse

We read with great interest the results of the study by Lucena et al.(1) and present the following comments related to the paper. Lucena et al. presented a series of 21-cocaine-related sudden deaths (SD) showing two main structural abnormalities, cardiac hypertrophy and atherosclerotic coronary disease. Both abnormalities have been previously considered as a consequence of a chronic cocaine abuse, but could also be related to others cardiovascular risk factors, as admitted by Lucena et al.

The decision of an obese woman to have bariatric surgery: the social phenomenology

Objective To understand the process by which an obese woman decides to have bariatric surgery. Method A qualitative survey with a social phenomenology approach, carried out in 2012, with 12 women, using the phenomenological interview. Results A woman bases the decision to have the surgery on: the inappropriateness of her eating habits; a physical appearance that is incompatible with an appearance that is standardized by society; the social prejudice that she has to live with; the limitations imposed by obesity; and her lack of success with previous attempts to lose weight. Outcomes that she hopes for from the decision to have the surgery include: restoring her health; achieving social inclusion; and entering the labor market. Conclusion This study allows one to reflect that prescriptive actions do not give a satisfactory response to a complexity of the subjective questions involved in the decision to have surgery for obesity. For this, what is called for is a program of work based on an interdisciplinary approach, and training that gives value to the bio-psycho-social aspects involved in a decision in favor of surgical treatment.