Fiscal Update, November 13, 2007

The Fiscal Division newsletter, published weekly during session and periodically during the interim.

Fiscal Update, December 13, 2007

The Fiscal Division newsletter, published weekly during session and periodically during the interim.

Fiscal Update, February 13, 2008

The Fiscal Division newsletter, published weekly during session and periodically during the interim.

Secure and Prepared Newsletter, March 13, 2007, Vol. 3, no. 4

A bi-weekly newsletter for those involved in the fields of homeland security and/or emergency management

Secure and Prepared Newsletter, May 13, 2008, Vol. 4, no. 9

A bi-weekly newsletter for those involved in the fields of homeland security and/or emergency management

Secure and Prepared Newsletter, October 28, 2008, Vol. 4, no. 13

A bi-weekly newsletter for those involved in the fields of homeland security and/or emergency management

Secure and Prepared Newsletter, July 2, 2009, Vol. 5, no. 13

A bi-weekly newsletter for those involved in the fields of homeland security and/or emergency management

Secure and Prepared Newsletter, August 13, 2009, Vol. 5, no. 16

A bi-weekly newsletter for those involved in the fields of homeland security and/or emergency management

Motor Vehicle Crash Fatalities for Week Ending, November 13, 2009

Motor Vehicle Crash Fatalities

Federal AIP Funding For Iowa’s NPIAS Airports 2004-2007, September 13, 2004

Vision 100, the Century of Aviation Reauthorization Act, reauthorizes federal aviation programs through fiscal year 2007 and sets spending levels for the Airport Improvement Program (AIP), Essential Air Service, Small Community Development Grants, and other programs that develop and maintain facilities at airports around the country. A major component of the bill is the Airport Improvement Plan (AIP) program, which provides funding for airport rehabilitation and development projects.

Iowa Board of Dental Examiners, January 13, 2003, vol 1, no. 1

Newsletter produced by the Iowa Dental Board.

EPI Update, November 13, 2009

Weekly newsletter for Center For Acute Disease Epidemiology of Iowa Department of Public Health.

Business Recovery Status Report #13: Presidential Disaster #1763, October 3, 2008

Safeguard Iowa Partnership launched a survey to the business community to capture the impact from the 2008 disasters. Five hundred eighty surveys were completed and compiled for the report submitted to the Rebuild Iowa Office Economic and Workforce Development Task Force on August 20, 2008.

Impact of bedside open lung biopsies on the management of mechanically ventilated immunocompromised patients with acute respiratory distress syndrome of unknown etiology.

BACKGROUND: Open lung biopsy (OLB) is helpful in the management of patients with acute respiratory distress syndrome (ARDS) of unknown etiology. We determine the impact of surgical lung biopsies performed at the bedside on the management of patients with ARDS. METHODS: We reviewed all consecutive cases of patients with ARDS who underwent a surgical OLB at the bedside in a medical intensive care unit between 1993 and 2005. RESULTS: Biopsies were performed in 19 patients mechanically ventilated for ARDS of unknown etiology despite extensive diagnostic process and empirical therapeutic trials. Among them, 17 (89%) were immunocompromised and 10 patients experienced hematological malignancies. Surgical biopsies were obtained after a median (25%-75%) mechanical ventilation of 5 (2-11) days; mean (+/-SD) Pao(2)/Fio(2) ratio was 119.3 (+/-34.2) mm Hg. Histologic diagnoses were obtained in all cases and were specific in 13 patients (68%), including 9 (47%) not previously suspected. Immediate complications (26%) were local (pneumothorax, minimal bleeding) without general or respiratory consequences. The biopsy resulted in major changes in management in 17 patients (89%). It contributed to a decision to limit care in 12 of 17 patients who died. CONCLUSION: Our data confirm that surgical OLB may have an important impact on the management of patients with ARDS of unknown etiology after extensive diagnostic process. The procedure can be performed at the bedside, is safe, and has a high diagnostic yield leading to major changes in management, including withdrawal of vital support, in the majority of patients.