Cancer du sein: inhibiteurs de l'aromatase en situation adjuvante, un peu, beaucoup ou pas du tout [Aromatase inhibitors in the adjuvant treatment of postmenopausal patients with early breast cancer: a little, a lot or no way?]

Several large randomized trials showed that tamoxifen alone is no more the standard adjuvant hormonal therapy for menopausal patients. Aromatase inhibitors, given upfront or sequentially after tamoxifen, confirmed their efficacy by improving disease free survival, risk of distant metastasis and overall survival in some situations or subgroups of patients. These drugs are usually well tolerated, but they clearly increase bone mineral density loss as well as the risk of fractures and their long term safety on the cardio-vascular system needs to be followed. Thus, even if the role of the aromatase inhibitors is now evident in the adjuvant therapy of postmenopausal women the benefice/risk ratio should be carefully evaluated for each patient.

F-1 Food Assistance Program State Summary, January 2005

The Food Assistance Monthly Participation Report is a monthly summary of Food Assistance program participation, Statewide and for each Iowa county. Breakouts are reported for participants also in the FIP program, those only receiving Food Assistance, and those that are receiving economic assistance under other programs (primarily Medicaid). This report may also be known as the F-1 Report.

Avaluació del projecte "Nightingale/Rossinyol": projecte de mentoria amb estudiants universitaris adreçat a alumnes d'origen estranger

La recerca que aquí es presenta es centra en tres objectius. Primerament, obtenir informació d’altres experiències de mentoria d’alumnat immigrat desenvolupades en altres països (Alemanya, Àustria, Eslovènia, Estats Units, Israel, Noruega, Suècia, Suïssa, etc.) amb l’objectiu d’elaborar un marc teòric sòlid que ajudi a argumentar científicament el projecte "Rossinyol". Aquest objectiu s’ha treballat mitjançant la recerca bibliogràfica i documental a nivell nacional, estatal i internacional. Posteriorment, realitzar una primera anàlisi dels ímputs que aporta el projecte Rossinyol al territori on es porta a terme. Mitjançant l’elaboració i passi d’una entrevista a mentors, mestres (dels mentorats) i enllaços territorials (persones del territori que es posen en contacte amb les escoles per seleccionar els mentorats –entre d’altres tasques-) s’ha analitzat: els punts forts i febles del projecte, els possibles efectes de la mentoria en el mentorat i el tipus de relacions que s’han establert entre els agents que participen en el projecte. Finalment, establir uns criteris d’avaluació que permetin donar pautes per desenvolupar aquest projecte –o projectes similars de mentoria- en altres llocs del nostre país. En aquest apartat del treball s’ha elaborat una proposta d’indicadors amb el conseqüent instrument per, en una fase posterior, recollir informació que permetin fer un seguiment acurat, objectiu i extens del projecte.

A Review of the State of Iowa Procurement Card Program, For the Period July 1, 2000 through June 30, 2003

Other Audit Reports - Performance Investigation

A-1 Monthly Public Assistance Statistical Report Family Investment Program, February 2005

Monthly Public Assistance Statistical Report Family Investment Program

F-1 Food Assistance Program State Summary, February, 2005

The Food Assistance Monthly Participation Report is a monthly summary of Food Assistance program participation, Statewide and for each Iowa county. Breakouts are reported for participants also in the FIP program, those only receiving Food Assistance, and those that are receiving economic assistance under other programs (primarily Medicaid). This report may also be known as the F-1 Report.

Abaisser la pression arterielle: urgent ou pas urgent? [How urgent is it to decrease high blood pressure?]

Severe hypertension represents a frequent problem for the general practitioner. One has to decide if the blood pressure needs to be decreased immediately (hypertensive emergency), or if the blood pressure maybe progressively decreased in a few hours and normalized in a few days (hypertensive crisis). Thus it is crucial to identify on the basis of the clinical history and a careful physical examination, the patients for whom the arterial blood pressure elevation represents an acute danger for organ damage or a vital threat in the absence of immediate blood pressure control. In the case of hypertensive crisis, oral medication is usually sufficient (slow release or GITS nifedipine, nitroglycerin, labetalol, captopril). The hypertensive emergency sometimes requires an oral medication before the admission to the emergency room, then followed by intravenous drug administration (sodium nitroprussiate, nitroglycerin, labetalol).

A-1A Supplemental Security Income Program, February 2005

Supplemental security income program

A-1A Supplemental Security Income Program, December 2004

SUPPLEMENTAL SECURITY INCOME PROGRAM

A-1A Supplemental Security Income Program, January 2005

A-1A Supplemental Security Income Program, January 2005

A-1A Supplemental Security Income Program, March 2005

A-1A SUPPLEMENTAL SECURITY INCOME PROGRAM

F-1 Food Assistance Program State Summary, March 2005

The Food Assistance Monthly Participation Report is a monthly summary of Food Assistance program participation, Statewide and for each Iowa county. Breakouts are reported for participants also in the FIP program, those only receiving Food Assistance, and those that are receiving economic assistance under other programs (primarily Medicaid). This report may also be known as the F-1 Report.

A-1 Monthly Public Assistance Statistical Report Family Investment Program, March 2005

A-1 Monthly Public Assistance Statistical Report Family Investment Program