Agreed-upon procedures report on the City of Monroe, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Monroe, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Lambs Grove, Iowa for the period August 1, 2013 through July 31, 2014

Agreed-upon procedures report on the City of Lambs Grove, Iowa for the period August 1, 2013 through July 31, 2014

Agreed-upon procedures report on the City of Dallas Center, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Dallas Center, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Derby, Iowa for the period August 1, 2013 through July 31, 2014

Agreed-upon procedures report on the City of Derby, Iowa for the period August 1, 2013 through July 31, 2014

Intraarterial nimodipine for the treatment of symptomatic vasospasm after aneurysmal subarachnoid hemorrhage: a preliminary study.

OBJECTIVE: Despite dramatic advances in all medical era, cerebral vasospasm is still the major complication in patients with subarachnoid hemorrhage (SAH). The purpose of this study was to assess the influence of intraarterial (IA) nimodipine in the treatment of symptomatic vasospasm and in preventing neurological disabilities. MATERIALS AND METHODS: We retrospectively reviewed 10 patients of SAH who received IA nimodipine in 15 procedures. The decision to perform angiography and endovascular treatment was based on the neurological examination, brain computed tomography (CT) and CT-angiography. The procedure reports, anesthesia records, neurological examination before and after the procedure, brain imaging and short- and long-term outcome were studied. RESULTS: The average dose of nimodipine was 2 mg. The median change in mean arterial pressure at 10 min was -10 mmHg. No significant change of heart rate was observed at 10 min. There was radiological improvement in 80% of the procedures. Neurological improvement was noted after eight out of 12 procedures when nimodipine was used as the sole treatment and after 10 out of 15, overall. Six patients clinically improved after the treatment and had good outcome. In one patient, an embolus caused fatal anterior and middle cerebral arteries infarction. There was no other neurological deficit or radiological abnormality due to the nimodipine treatment itself. CONCLUSION: Low-dose IA nimodipine is a valid adjunct for the endovascular treatment of cerebral vasospasm. Beneficial effects are achieved in some patients, prompting a prospective control study.

Agreed-upon procedures report on the City of Stanwood, Iowa for the period November 1, 2013 through October 31, 2014

Agreed-upon procedures report on the City of Stanwood, Iowa for the period November 1, 2013 through October 31, 2014

Agreed-upon procedures report on the City of Harper, Iowa for the period November 1, 2013 through October 31, 2014

Agreed-upon procedures report on the City of Harper, Iowa for the period November 1, 2013 through October 31, 2014

Agreed-upon procedures report on the City of Brayton, Iowa for the period September 1, 2013 through August 31, 2014

Agreed-upon procedures report on the City of Brayton, Iowa for the period September 1, 2013 through August 31, 2014

Agreed-upon procedures report on the City of Hamburg, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Hamburg, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Mechanicsville, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Mechanicsville, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Manly, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Manly, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Lone Rock, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Lone Rock, Iowa for the period July 1, 2013 through June 30, 2014

Traitement des varices et des télangiectasies [Treatment of varicose veins and telangiectasias].

Dermatologic surgery has evolved enormously within the past few years especially for the treatment of varicose veins and telangiectasias. New minimally-invasive techniques have been developed: lasers, echo-sclerosis, surgery with tumescent anesthesia and endovascular treatment of saphenous veins. Most interventions can be performed with local anesthesia in the office setting. These new treatments are intended to decrease the risks of surgery, reduce medical costs and the necessity for hospitalization, and improve functional and esthetic results.

ECIL-3 classical diagnostic procedures for the diagnosis of invasive fungal diseases in patients with leukaemia.

Invasive fungal diseases (IFDs) continue to cause considerable morbidity and mortality in patients with haematological malignancy. Diagnosis of IFD is difficult, with the sensitivity of the gold standard tests (culture and histopathology) often reported to be low, which may at least in part be due to sub-optimal sampling or subsequent handling in the routine microbiological laboratory. Therefore, a working group of the European Conference in Infections in Leukaemia was convened in 2009 with the task of reviewing the classical diagnostic procedures and providing recommendations for their optimal use. The recommendations were presented and approved at the ECIL-3 conference in September 2009. Although new serological and molecular tests are examined in separate papers, this review focuses on sample types, microscopy and culture procedures, antifungal susceptibility testing and imaging. The performance and limitations of these procedures are discussed and recommendations are provided on when and how to use them and how to interpret the results.

Agreed-upon procedures report on the City of Ely, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Ely, Iowa for the period July 1, 2013 through June 30, 2014