Agreed–upon procedures report on the City of Riverside, Iowa for the period July 1, 2013 through June 30, 2014

Agreed–upon procedures report on the City of Riverside, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Laurel, Iowa for the period February 1, 2014 through January 31, 2015

Agreed-upon procedures report on the City of Laurel, Iowa for the period February 1, 2014 through January 31, 2015

Minimally invasive fixation versus conservative treatment of undisplaced scaphoid fractures: a cost-effectiveness study.

This study compares the direct and indirect costs of conservative and minimally invasive treatment for undisplaced scaphoid fractures. Costs data concerning groups of non-operated and operated patients were analysed. Direct costs were higher in operated patients. Although highly variable, indirect costs were significantly smaller in operated patients and the total costs were higher in non-operated patients. In conclusion, operative treatment of scaphoid fractures is initially more expensive than conservative treatment but markedly decreases the work compensation costs.

Agreed-upon procedures report on the City of Ocheyedan, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Ocheyedan, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Collins, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Collins, Iowa for the period July 1, 2013 through June 30, 2014

Agreed-upon procedures report on the City of Martensdale, Iowa for the period November 1, 2013 through October 31, 2014

Agreed-upon procedures report on the City of Martensdale, Iowa for the period November 1, 2013 through October 31, 2014

Rivascolarizzazione miocardica con arteria radiale: tecniche chirurgiche a confronto e risultati a breve termine [Myocardial revascularization and radial artery: different surgical strategies and short-term results]

BACKGROUND: The radial artery is routinely used as a graft for surgical arterial myocardial revascularization. The proximal radial artery anastomosis site remains unknown. In this study, we analyzed the short-term results and the operative risk determinants after having used four different common techniques for radial artery implantation. METHODS: From January 2000 to December 2004, 571 patients underwent coronary artery bypass grafting with radial arteries. Data were analyzed for the entire population and for subgroups following the proximal radial artery anastomosis site: 140 T-graft with the mammary artery (group A), 316 free-grafts with the proximal anastomosis to the ascending aorta (group B), 55 mammary arteries in situ elongated with the radial artery (group C) and 60 radial arteries elongated with a piece of mammary artery and anastomosed to the ascending aorta (group D). RESULTS: The mean age was 53.8 +/- 7.7 years; 55.5% of patients had a previous myocardial infarction and 73% presented with a satisfactory left ventricular function. A complete arterial myocardial revascularization was achieved in 532 cases (93.2%) and 90.2% of the procedures were performed under cardiopulmonary bypass and cardioplegic arrest. The operative mortality rate was 0.9%, a postoperative myocardial infarction was diagnosed in 19 patients (3.3%), an intra-aortic balloon pump was used in 10 patients (1.7%) and a mechanical circulatory device was implanted in 2 patients. The radial artery harvesting site remained always free from complications. The proximal radial artery anastomosis site was not a determinant of early hospital mortality. Group C showed a higher risk of postoperative myocardial infarction (p = 0.09), together with female gender (p = 0.003), hypertension (p = 0.059) and a longer cardiopulmonary bypass time. CONCLUSIONS: The radial artery and the mammary artery can guarantee multiple arterial revascularization also for patients with contraindications to double mammary artery use. The four most common techniques for proximal radial artery anastomosis are not related to a higher operative risk and they can be used alternatively to reach the best surgical results

Agreed-upon procedures report on the City of Urbana, Iowa for the period July 1, 2014 through June 30, 2015

Agreed-upon procedures report on the City of Urbana, Iowa for the period July 1, 2014 through June 30, 2015

Agreed-upon procedures report on the City of Sidney, Iowa for the period July 1, 2014 through June 30, 2015

Agreed-upon procedures report on the City of Sidney, Iowa for the period July 1, 2014 through June 30, 2015

Agreed-upon procedures report on the City of Glidden, Iowa for the period July 1, 2014 through June 30, 2015

Agreed-upon procedures report on the City of Glidden, Iowa for the period July 1, 2014 through June 30, 2015

Agreed-upon procedures report on the City of Fruitland, Iowa for the period July 1, 2014 through June 30, 2015

Agreed-upon procedures report on the City of Fruitland, Iowa for the period July 1, 2014 through June 30, 2015

Agreed-upon procedures report on the City of Walcott, Iowa for the period July 1, 2014 through June 30, 2015

Agreed-upon procedures report on the City of Walcott, Iowa for the period July 1, 2014 through June 30, 2015

Agreed-upon procedures report on the City of Pleasanton, Iowa for the period July 1, 2014 through June 30, 2015

Agreed-upon procedures report on the City of Pleasanton, Iowa for the period July 1, 2014 through June 30, 2015

Iowa Department of Administrative Services Central Procurement Enterprise (CPE) Policy and Procedures Manual, December 2013

Report on a review of the Central Procurement Enterprise (CPE) of the Iowa Department of Administrative Services for the period July 1, 2009 through March 31, 2013