Report on the Special Investigation of the City of Mt. Vernon Fire Department, For the Period January 1, 2003 through March 31, 2005

Other Audit Reports - Special Investigation

Special Investigation Letter to Jones County, March 8, 2005

County Audit Report - Special Investigation Letter

Health care-associated native valve endocarditis: importance of non-nosocomial acquisition.

BACKGROUND: The clinical profile and outcome of nosocomial and non-nosocomial health care-associated native valve endocarditis are not well defined. OBJECTIVE: To compare the characteristics and outcomes of community-associated and nosocomial and non-nosocomial health care-associated native valve endocarditis. DESIGN: Prospective cohort study. SETTING: 61 hospitals in 28 countries. PATIENTS: Patients with definite native valve endocarditis and no history of injection drug use who were enrolled in the ICE-PCS (International Collaboration on Endocarditis Prospective Cohort Study) from June 2000 to August 2005. MEASUREMENTS: Clinical and echocardiographic findings, microbiology, complications, and mortality. RESULTS: Health care-associated native valve endocarditis was present in 557 (34%) of 1622 patients (303 with nosocomial infection [54%] and 254 with non-nosocomial infection [46%]). Staphylococcus aureus was the most common cause of health care-associated infection (nosocomial, 47%; non-nosocomial, 42%; P = 0.30); a high proportion of patients had methicillin-resistant S. aureus (nosocomial, 57%; non-nosocomial, 41%; P = 0.014). Fewer patients with health care-associated native valve endocarditis had cardiac surgery (41% vs. 51% of community-associated cases; P < 0.001), but more of the former patients died (25% vs. 13%; P < 0.001). Multivariable analysis confirmed greater mortality associated with health care-associated native valve endocarditis (incidence risk ratio, 1.28 [95% CI, 1.02 to 1.59]). LIMITATIONS: Patients were treated at hospitals with cardiac surgery programs. The results may not be generalizable to patients receiving care in other types of facilities or to those with prosthetic valves or past injection drug use. CONCLUSION: More than one third of cases of native valve endocarditis in non-injection drug users involve contact with health care, and non-nosocomial infection is common, especially in the United States. Clinicians should recognize that outpatients with extensive out-of-hospital health care contacts who develop endocarditis have clinical characteristics and outcomes similar to those of patients with nosocomial infection. PRIMARY FUNDING SOURCE: None.

Report on Special Investigation of the Rural Iowa Waste Management Association for the Period July 1st, 1999 through October 15th, 2004

Other Audit Reports - Special Investigation

Lottery Action Special Edition, October 10, 2005

Iowa Lottery newsletter for lottery retailers.

Iowa Lottery Action Newsletter Special Edition, Oct 31, 2005

Iowa Lottery newsletter for lottery retailers

Lottery Action Special Edition, October 31, 2005

Iowa Lottery newsletter for lottery retailers.

Invasive lobular breast cancer and its variants: How special are they for systemic therapy decisions?

The WHO classification of breast tumors distinguishes, besides invasive breast cancer 'of no special type' (former invasive ductal carcinoma, representing 60-70% of all breast cancers), 30 special types, of which invasive lobular carcinoma (ILC) is the most common (5-15%). We review the literature on (i) the specificity and heterogeneity of ILC biology as documented by various analytical techniques, including the results of molecular testing for risk of recurrence; (ii) the impact of lobular histology on prediction of prognosis and effect of systemic therapies in patients. Though it is generally admitted that ILC has a better prognosis than IDC, is endocrine responsive, and responds poorly to chemotherapy, currently available data do not unanimously support these assumptions. This review demonstrates some lack of specific data and a need for improving clinical research design to allow oncologists to make informed systemic therapy decisions in patients with ILC. Importantly, future studies should compare various endpoints in ILC breast cancer patients among the group of hormonosensitive breast cancer.

Report on Special Investigation of the Keokuk County Information Technology Department, For the Period October 14, 2002 through March 14, 2005

Other Audit Reports - Special Investigation

Report on Special Investigation of the City of Valeria, For the Period January 1, 2004 through August 31, 2005

Other Audit Reports - Special Investigation

2005 Iowa Special Deer Hunt for Severely Disabled Persons Instructions and Affidavit, 2005

Regulations for hunting in Iowa.

Report on Special Investigation of the Cedar County Economic Development Commission, For the Period December 1, 2000 through July 31, 2005

Other Audit Reports - Special Investigation

ABD e-News Special February 15, 2006

Weekly Newsletter

Iowa Health Focus Special Edition, February 21, 2006

Monthly newsletter for the Iowa Department of Public Health

ABD e-News, April 26, 2006 Special

Weekly Newsletter, includes a financial report as a seperate document.