G-1 Appeal Activity in the Public Assistance Programs, May 2003

Monthly report from the Iowa Department of Human Services

G-1 Appeal Activity in the Public Assistance Programs, June 2003

Monthly report from the Iowa Department of Human Services

G-1 Appeal Activity in the Public Assistance Programs, July 2003

Monthly report from the Iowa Department of Human Services

G-1 Appeal Activity in the Public Assistance Programs, August 2003

Monthly report from the Iowa Department of Human Services

G-1 Appeal Activity in the Public Assistance Programs, September 2003

Monthly report from the Iowa Department of Human Services

G-1 Appeal Activity in the Public Assistance Programs, October 2003

Monthly report from the Iowa Department of Human Services

G-1 Appeal Activity in the Public Assistance Programs, November 2003

Monthly report from the Iowa Department of Human Services

Relationship between time of day and periprocedural myocardial infarction after elective angioplasty.

Objectives: To test if the time of day significantly influences the occurrence of type 4A myocardial infarction in elective patients undergoing percutaneous coronary intervention (PCI). Background: Recent studies have suggested an influence of circadian rhythms on myocardial infarction size and mortality among patients with ST-elevation myocardial infarction. The aim of the study is to investigate whether periprocedural myocardial infarction (PMI) is influenced by the time of day in elective patients undergoing PCI. Methods: All consecutive patients undergoing elective PCI between 2007 and 2011 at our institutions with known post-interventional troponin were retrospectively included. Patients (n = 1021) were divided into two groups according to the starting time of the PCI: the morning group (n = 651) between 07:00 and 11:59, and the afternoon group (n = 370) between 12:00 and 18:59. Baseline and procedural characteristics as well as clinical outcome defined as the occurrence of PMI were compared between groups. In order to limit selection bias, all analyses were equally performed in 308 pairs using propensity score (PS) matching. Results: In the overall population, the rate of PMI was statistically lower in the morning group compared to the afternoon group (20% vs. 30%, p < 0.001). This difference remained statistically significant after PS-matching (21% vs. 29%, p = 0.03). Multivariate analysis shows that being treated in the afternoon independently increases the risk for PMI with an odds ratio of 2.0 (95%CI: 1.1-3.4; p = 0.02). Conclusions: This observational PS-matched study suggests that the timing of an elective PCI influences the rate of PMI.

G-1 Appeal Activity in the Public Assistance Programs, August 2006

G-1 Appeal Activity in the Public Assistance Programs

G-1 Appeal Activity in the Public Assistance Programs, September 2006

G-1 Appeal Activity in the Public Assistance Programs

G-1 Appeal Activity in the Public Assistance Programs - October 2006

G-1 Appeal Activity in the Public Assistance Programs - October 2006

G-1 Appeal Activity in the Public Assistance Programs, November 2006

G-1 Appeal Activity in the Public Assistance Programs

G-1 Appeal Activity in the Public Assistance Programs, December 2006

G-1 Appeal Activity in the Public Assistance Programs

Diet-induced thermogenesis measured over a whole day in obese and nonobese women.

The overall thermogenic response to food intake measured over a whole day in 20 young nondiabetic obese women (body fat mean +/- SEM: 38.6 +/- 0.7%), was compared with that obtained in eight nonobese control women (body fat: 24.7 +/- 0.9%). The energy expenditure of the subjects was continuously measured over 24 h with a respiration chamber, and the spontaneous activity was assessed by a radar system. A new approach was used to obtain the integrated thermogenic response to the three meals ingested over the day (from 8:30 AM to 10:30 PM). This method allows to subtract the energy expended for physical activity from total energy expenditure and to calculate the integrated dietary-induced thermogenesis as the difference between the energy expended without physical activity and basal metabolic rate. The thermogenic response to the three meals (expressed in percentage of the total energy ingested) was found to be blunted in obese women (8.7 +/- 0.8%) as compared with that of controls (14.8 +/- 1.1%). There was an inverse correlation between the percentage body fat and the diet-induced thermogenesis (r = -0.61, p less than 0.001). In addition, the relative increase in diurnal urinary norepinephrine excretion was lower in obese than in the control subjects. It is concluded that a low overall thermogenic response to feeding may be a contributing factor for energy storage in some obese subjects; a blunted response of the sympathetic nervous system could explain this low thermogenic response.

G-1 Appeal Activity in the Public Assistance Programs, January 2007

G-1 Appeal Activity in the Public Assistance Programs for January 2007