Report on a special investigation of the Cedar Rapids Community School District for the period July 1, 2002 through August 24, 2009

Report on a special investigation of the Cedar Rapids Community School District for the period July 1, 2002 through August 24, 2009

Report on the IowaCare program administered by the Iowa Medicaid Enterprise, a division of the Department of Human Services (DHS-IME), for the period July 1, 2005 through June 30, 2009

Report on the IowaCare program administered by the Iowa Medicaid Enterprise, a division of the Department of Human Services (DHS-IME), for the period July 1, 2005 through June 30, 2009

Report on the City of Harper for the period July 1, 2008 through December 31, 2009

Report on the City of Harper for the period July 1, 2008 through December 31, 2009

Report on a review of selected general and application controls over the Iowa Department of Human Services’ Issuance Verification System for the period March 19, 2009 through April 17, 2009

Report on a review of selected general and application controls over the Iowa Department of Human Services’ Issuance Verification System for the period March 19, 2009 through April 17, 2009

Report on the City of Van Wert for the period July 1, 2008 through June 30, 2009

Report on the City of Van Wert for the period July 1, 2008 through June 30, 2009

Report on a special investigation of certain collections of the Tama County Clerk of Court and the Tama County Sheriff’s Office for the period January 1, 2007 through August 31, 2009

Report on a special investigation of certain collections of the Tama County Clerk of Court and the Tama County Sheriff’s Office for the period January 1, 2007 through August 31, 2009

Report on the Juvenile Detention Home Fund administered by the Department of Human Services for the period July 1, 2007 through November 10, 2009

Report on the Juvenile Detention Home Fund administered by the Department of Human Services for the period July 1, 2007 through November 10, 2009

Report on a special investigation of Squaw Township for the period April 19, 2001 through March 18, 2009

Report on a special investigation of Squaw Township for the period April 19, 2001 through March 18, 2009

Age and adverse drug reactions from psychopharmacological treatment: Data from the AMSP drug surveillance programme in Switzerland.

QUESTION UNDER STUDY: The frequency of severe adverse drug reactions (ADRs) from psychotropic drugs was investigated in hospitalised psychiatric patients in relation to their age. Specifically, the incidence of ADRs in patients up to 60 years was compared to that of patients older than 60 years. METHODS: Prescription rates of psychotropic drugs and reports of severe ADRs were collected in psychiatric hospitals in Switzerland between 2001 and 2010. The data stem from the drug surveillance programme AMSP. RESULTS: A total of 699 patients exhibited severe ADRs: 517 out of 28,282 patients up to 60 years (1.8%); 182 out of 11,446 elderly patients (1.6%, ns). Logistic regression analyses showed a significantly negative relationship between the incidence of ADRs and patients' age in general and in particular for weight gain, extrapyramidal motor system (EPMS) symptoms, increased liver enzymes and galactorrhoea. A significantly negative relationship was observed for age and the dosages of olanzapine, quetiapine, risperidone, valproic acid and lamotrigine. When comparing age groups, frequency of ADRs was lower in general for antipsychotic drugs and anticonvulsants, in particular for valproic acid in the elderly. Weight gain was found to be lower in the elderly for antipsychotic drugs, in particular for olanzapine. For the group of mood-stabilising anticonvulsants (carbamazepine, lamotrigine and valproic acid) the elderly exhibited a lower incidence of reported allergic skin reactions. CONCLUSION: The results suggest that for psychiatric inpatients the incidence of common severe ADRs (e.g., weight gain or EPMS symptoms) arising from psychotropic medication decreases with the age of patients.

Reaudit report on the City of Waverly, Iowa for the period July 1, 2007 through June 30, 2008

Reaudit report on the City of Waverly, Iowa for the period July 1, 2007 through June 30, 2008

Agreed upon procedures report on the City of Bevington, Iowa for the period July 1, 2008 through June 30, 2009

Agreed upon procedures report on the City of Bevington, Iowa for the period July 1, 2008 through June 30, 2009

Special investigation of the City of Collins Library for the period July 1, 2007 through July 30, 2009

Special investigation of the City of Collins Library for the period July 1, 2007 through July 30, 2009

Special investigation of the Newell Ambulance Service for the period August 1, 2004 through September 30, 2009

Special investigation of the Newell Ambulance Service for the period August 1, 2004 through September 30, 2009

Report on a special investigation of the Food Service Department of the Springville Community School District for the period July 1, 2005 through March 31, 2009

Report on a special investigation of the Food Service Department of the Springville Community School District for the period July 1, 2005 through March 31, 2009

Report on a special investigation of the Muscatine County Drug Task Force for the period January 1, 2004 through November 30, 2009

Report on a special investigation of the Muscatine County Drug Task Force for the period January 1, 2004 through November 30, 2009