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

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

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

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

Agreed-upon procedures report on the City of Lambs Grove, Iowa for the period August 1, 2013 through July 31, 2014

Agreed-upon procedures report on the City of Lambs Grove, Iowa for the period August 1, 2013 through July 31, 2014

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

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

Agreed-upon procedures report on the City of Derby, Iowa for the period August 1, 2013 through July 31, 2014

Agreed-upon procedures report on the City of Derby, Iowa for the period August 1, 2013 through July 31, 2014

Evaluation of clinician-operated sonography and fine-needle aspiration in the assessment of salivary gland tumours.

OBJECTIVES: To evaluate the combination of ultrasound (US) + fine-needle aspiration (FNA) in the assessment of salivary gland tumours in the hands of the otolaryngologist. DESIGN: A retrospective review of case notes was performed. SETTING: Two university teaching hospitals in Switzerland. PARTICIPANTS: One hundred and three patients with a total of 106 focal masses of the salivary glands were included. Clinician-operated US + FNA were the first line of investigation for these lesions. All patients underwent surgical excision of the lesion, which allowed for confirmation of diagnosis by histopathology in 104 lesions and by laboratory testing in two lesions. MAIN OUTCOME MEASURES: Primary--diagnostic accuracy in identifying true salivary gland neoplasms and detecting malignancy. Secondary--predicting an approximate and specific diagnosis in these tumours. RESULTS: The combination of US + FNA achieved a diagnostic accuracy of 99% in identifying and differentiating true salivary gland neoplasms from tumour-like lesions. In detecting malignancy, this combination permitted an accuracy of 98%. An approximate diagnosis was possible in 89%, and a specific diagnosis in 69% of our patients. CONCLUSIONS: Due to economic factors and a high diagnostic accuracy, the combination of US + FNA represents the investigation method of choice for most salivary gland tumours. We suggest that the otolaryngologist be employed in carrying out these procedures, as is already the rule in other medical specialties, while computed tomography and magnetic resonance imaging should be reserved to those few lesions, which cannot be delineated completely by sonography.

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

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

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

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

Agreed-upon procedures report on the City of Brayton, Iowa for the period September 1, 2013 through August 31, 2014

Agreed-upon procedures report on the City of Brayton, Iowa for the period September 1, 2013 through August 31, 2014

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

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

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

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

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

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

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

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

ECIL-3 classical diagnostic procedures for the diagnosis of invasive fungal diseases in patients with leukaemia.

Invasive fungal diseases (IFDs) continue to cause considerable morbidity and mortality in patients with haematological malignancy. Diagnosis of IFD is difficult, with the sensitivity of the gold standard tests (culture and histopathology) often reported to be low, which may at least in part be due to sub-optimal sampling or subsequent handling in the routine microbiological laboratory. Therefore, a working group of the European Conference in Infections in Leukaemia was convened in 2009 with the task of reviewing the classical diagnostic procedures and providing recommendations for their optimal use. The recommendations were presented and approved at the ECIL-3 conference in September 2009. Although new serological and molecular tests are examined in separate papers, this review focuses on sample types, microscopy and culture procedures, antifungal susceptibility testing and imaging. The performance and limitations of these procedures are discussed and recommendations are provided on when and how to use them and how to interpret the results.

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

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