Report on special investigation of the Department of Inspections and Appeals, Office of the State Public Defender, for the period August 31, 2007 through March 31, 2011

Report on a special investigation of the State Public Defender’s Office for the period August 31, 2007 through March 31, 2011

Report on the Iowa Judicial Branch – County Clerks of District Courts, a part of the State of Iowa, for the year ended June 30, 2012

Report on the Iowa Judicial Branch – County Clerks of District Courts, a part of the State of Iowa, for the year ended June 30, 2012

A novel technique for the reconstruction of infected full-thickness chest wall defects.

BACKGROUND: Chest wall resection and reconstruction can be performed with minimal mortality and excellent functional and cosmetic results using synthetic meshes, methylmethacrylate, or other substitutes. However, these techniques are less easily applicable if chest wall resections have to be performed for infections. METHODS: We report a novel technique for this purpose using a modified latissimus dorsi flap harvested in continuity with the thoracolumbar fascia. The vascularized fascia was sutured into the chest wall defect, providing a stable base for the muscular component of the flap. Three patients requiring large full-thickness resections of the anterolateral chest wall for chronic infections were treated accordingly, two presenting with chronic radionecrosis and osteomyelitis and one with chest wall invasion by pulmonary aspergillosis. RESULTS: There were no intraoperative or postoperative complications and immediate extubation was possible in all 3 patients without the need for postoperative ventilation or tracheotomy. Healing of the infected chest wall was observed in all 3 patients. Postoperative cinemagnetic resonance imaging revealed concordant movements of the replaced segments without evidence of paradoxical motion during inspiration and expiration. CONCLUSIONS: This technique is easy and safe. It allows a stable and satisfactory reconstruction after large anterolateral full-thickness chest wall resections of infected, previously irradiated tissues, using only well-vascularized autologous tissue.

Iowa Office of the State Long-Term Care Ombudsman Annual Report 2013

This report reflects the efforts of the Long-Term Care Ombudsmen by sharing program highlights, discussing issues encountered and making recommendations by the Office in carrying out its federal mandate to act as an advocate for the residents of long-term care facilities.

Audit report of the State of Iowa as of and for the year ended June 30, 2013

Audit report of the State of Iowa as of and for the year ended June 30, 2013

Audit report of Iowa State University of Science and Technology, Ames, Iowa, and its discretely presented component unit as of and for the years ended June 30, 2013 and 2012

Audit report of Iowa State University of Science and Technology, Ames, Iowa, and its discretely presented component unit as of and for the years ended June 30, 2013 and 2012

Audit report of the State University of Iowa, Iowa City, Iowa, (University of Iowa) and its discretely presented component units as of and for the years ended June 30, 2013 and 2012

Audit report of the State University of Iowa, Iowa City, Iowa, (University of Iowa) and its discretely presented component units as of and for the years ended June 30, 2013 and 2012

Visibility and Speed Estimation of Iowa State Highway Commission Snowplows, HR-174, 1975

Many accidents involving Iowa snowplows have happened in recent years. This study investigated the influence of time of day, sex of subject, type of snowplow sign and snowplow speed on the criteria of oncoming driver reaction time and his estimate of snowplow speed. Film strips were made of a car passing a snow-Plow under various experimental conditions. These experimental movie strips were viewed in the laboratory by college student drivers who were asked to indicate their reaction time to slow down and to estimate the speed of the snowplow being passed. The generally best sign condition for the snowplow was to have a striped rear sign and a speed-proportional flashing light in addition to the standard rotating beacon on top of the truck. Several recommendations were made.

Constitution of the State of Iowa - Codified.

This version of the Iowa Constitution incorporates into the original document all amendments adopted through the 2010 general election and omits certain provisions apparently superseded or obsolete. The footnote following an amended section is the latest action only. See the original Constitution for the original text and amendments in chronological order. This codified version generally adopts the rules for capitalization and punctuation used in drafting legislation.

Report on a special investigation of the State Public Defender’s Office for the period July 1, 2009 through August 31, 2013

Report on a special investigation of the State Public Defender’s Office for the period July 1, 2009 through August 31, 2013

Condition of the State of Iowa, 1957

A transcript of the Condition of the State of Iowa speech by Governor Hoegh delivered at the State Capitol.