What is the value of hypothermia in acute neurologic diseases and status epilepticus?

Patients with status epilepticus that proves refractory to anesthetic agents represent a daunting challenge for treating clinicians. Animal data support the neuroprotective action of brain hypothermia, and its efficacy in status epilepticus models. This approach, targeting a core temperature of about 33°C for at least 24 hours together with pharmacological sedation, has been described in adults and children. However, although relatively safe if concomitant barbiturates are avoided, it seems that mild hypothermia rarely allows a sustained control of ongoing status epilepticus, since seizures tend to recur in normothermia. Conversely, mild hypothermia has a high-evidence level and is increasingly used in postanoxic encephalopathy, both in newborns and adults. Due to the paucity of available clinical data, prospective studies are needed to assess the value of hypothermia in status epilepticus.

Iowa Commission on the Status of Women, 29th Annual Report, February 1, 2001

Annual report for the Iowa Commission on the Status of Women, Department of Human Rights

Iowa Commission on the Status of Women, 30th Annual Report, February 1, 2002

Annual Report for the Iowa Commission on the Status of Women, Department of Human Rights.

Iowa Commission on the Status of Women, 31st Annual Report, February 1, 2003

Annual Report for Iowa Commission on the Status of Women,Department of Human Rigths.

Amamentação: uma necessária mudança de enfoque

Durante muitos anos o objetivo da produção científica sobre amamentação têm sido o produto: o leite. No entanto, pesquisas da década de 90, realizadas por enfermeiras, vêm mostrando que este enfoque não é adequado e que as nutrizes precisam ser vistas como pessoas que estão amamentando (ou tentando fazê-lo). O processo de amamentar pode ser muito sofrido causando, inclusive, desmame precoce. Tendo em vista tais interpretações, propõe-se um cuidado centrado na pessoa da nutriz. Deve-se lembrar também que a nutriz precisa de circunstância sócio-ambientais adequadas para conseguir amamentar e é dever da sociedade provê-las.

Status Report Of The UI Trust Fund, 2001

Status report of UI Trust Fund for Iowa Workforce Development

Status Report Of The UI Trust Fund, 2002

Status report On the Iowa Unemployment Compensation Trust Fund for Iowa Workforce Development

Midwest Regional Rail Passenger Initiative Status Report, December 2002

Rail passenger report for Iowa Department of Transportation

Iowa Commission on the Status of Women Brochure, 2001

Brochure for Iowa Commission on the Status of Women their services and information to the public.

Status of Iowa Women Report, 6th Edition

Report on the Iowa Commission on the Status of Iowa Women for 2001

Midwest Regional Rail Passenger Initiative Status Report, December 2003

Status report of Midwest Regional Rail Initiative