Missing Persons Bulletin, February 2004

Missing Persons Bulletin provides a list of people reported to law enforcement agencies that are currently missing. This is the Monthly Missing Persons Bulletin published by the Iowa Missing Person Clearinghouse, Iowa Department of Public Safety, Division of Criminal Investigation.

Missing Persons Bulletin, March 2004

Missing Persons Bulletin provides a list of people reported to law enforcement agencies that are currently missing. This is the Monthly Missing Persons Bulletin published by the Iowa Missing Person Clearinghouse, Iowa Department of Public Safety, Division of Criminal Investigation.

Missing Persons Bulletin, April 2004

Missing Person Bulletin providing a list of those persons reported to a law enforcment agency that are currently missing. This is the Monthly Missing Persons Bulletin published by the Iowa Missing Person Clearinghouse, Iowa Department of Public Safety, Division of Criminal Investigation

Missing Persons Bulletin, May 2004

Missing Persons Bulletin provides a list of people reported to law enforcement agencies that are currently missing. This is the Monthly Missing Persons Bulletin published by the Iowa Missing Person Clearinghouse, Iowa Department of Public Safety, Division of Criminal Investigation.

Recommendations on the use of EEG monitoring in critically ill patients: consensus statement from the neurointensive care section of the ESICM.

OBJECTIVES: Recommendations for EEG monitoring in the ICU are lacking. The Neurointensive Care Section of the ESICM assembled a multidisciplinary group to establish consensus recommendations on the use of EEG in the ICU. METHODS: A systematic review was performed and 42 studies were included. Data were extracted using the PICO approach, including: (a) population, i.e. ICU patients with at least one of the following: traumatic brain injury, subarachnoid hemorrhage, intracerebral hemorrhage, stroke, coma after cardiac arrest, septic and metabolic encephalopathy, encephalitis, and status epilepticus; (b) intervention, i.e. EEG monitoring of at least 30 min duration; (c) control, i.e. intermittent vs. continuous EEG, as no studies compared patients with a specific clinical condition, with and without EEG monitoring; (d) outcome endpoints, i.e. seizure detection, ischemia detection, and prognostication. After selection, evidence was classified and recommendations developed using the GRADE system. RECOMMENDATIONS: The panel recommends EEG in generalized convulsive status epilepticus and to rule out nonconvulsive seizures in brain-injured patients and in comatose ICU patients without primary brain injury who have unexplained and persistent altered consciousness. We suggest EEG to detect ischemia in comatose patients with subarachnoid hemorrhage and to improve prognostication of coma after cardiac arrest. We recommend continuous over intermittent EEG for refractory status epilepticus and suggest it for patients with status epilepticus and suspected ongoing seizures and for comatose patients with unexplained and persistent altered consciousness. CONCLUSIONS: EEG monitoring is an important diagnostic tool for specific indications. Further data are necessary to understand its potential for ischemia assessment and coma prognostication.

Iowa Commission of Persons with Disabilities Commission Members And Activities, July 1, 2001—June 30, 2002

Commission members and activities for Iowa Commission for Persons with Disabilities Commission.

Division of Persons with Disabilities Agency Performance Plan

Agency Performance Plan

Iowa Division of Persons with Disabilities Annual Report, 2003

Agency Annual Report

Iowa Division of Persons with Disabilities Annual Report, 2002

Agency Annual Report

Iowa Division of Persons with Disabilities Annual Report, 2004

Annual report from Iowa Division of Persons with Disabilities

A combined ear sensor for pulse oximetry and carbon dioxide tension monitoring: accuracy in critically ill children.

IMPLICATIONS: A new combined ear sensor was tested for accuracy in 20 critically ill children. It provides noninvasive and continuous monitoring of arterial oxygen saturation, arterial carbon dioxide tension, and pulse rate. The sensor proved to be clinically accurate in the tested range.

High prevalence of peripheral arterial disease in HIV-infected persons

BACKGROUND: Atherosclerosis has been assessed in human immunodeficiency virus (HIV)-infected persons by using various methods. Peripheral arterial disease (PAD) has not been evaluated, however. We studied the cross-sectional prevalence of lower limb PAD in an HIV-infected population. METHODS: PAD was assessed using the Edinburgh Claudication Questionnaire and by measuring the systolic ankle-brachial blood pressure index (ABI) at rest and after exercise. Patients with PAD were further evaluated by duplex scan of lower limb arteries. RESULTS: Ninety-two consecutive HIV-infected patients were evaluated (23.9% women; mean age, 49.5 years; 61.9% current smokers). Claudication was reported by 15.2% of the patients. PAD was found in 20.7% of the patients: 9.8% had an abnormal ABI (<0.90) at rest, and 10.9% had normal ABI at rest but a >25% decrease after exercise. Of the patients with PAD, 84.2% were investigated with duplex scan, all of whom had atherosclerotic occlusions or stenoses of the iliac or femoral arteries. Age, diabetes, smoking, and low CD4+ T lymphocyte counts were identified as independent predictors of PAD. CONCLUSIONS: The prevalence of symptomatic and asymptomatic PAD is high in the HIV-infected population and is much higher than expected (prevalence in the general population, approximately 3% at 60 years). This study suggests the presence of an epidemic of PAD approximately 20 years earlier in the HIV-infected than in the general population. Larger epidemiological studies are needed to better define risk factors and to evaluate whether PAD is associated with increased mortality, as it is in the general population.

Iowa Missing Persons 2003 Annual Report, 2003

Annual report for Missing Persons, Division of Criminal Investigation.

Iowa Missing Persons 2002 Annual Report, 2002

Annual report for Missing Persons, Division of Criminal Investigation.