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

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

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

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

Agreed-upon procedures report on the Villisca Municipal Power Plant for the period January 1, 2014 through December 31, 2014

Agreed-upon procedures report on the Villisca Municipal Power Plant for the period January 1, 2014 through December 31, 2014

Agreed-upon procedures report on the Grand Junction Municipal Utilities, Grand Junction, Iowa for the period December 1, 2013 through November 30, 2014

Agreed-upon procedures report on the Grand Junction Municipal Utilities, Grand Junction, Iowa for the period December 1, 2013 through November 30, 2014

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

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

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

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

Issue review : construction status and operating costs of new corrections beds.

This issue review provides information on the Department of Corrections construction and of proposed staffing for additional beds in the prison system and community-based corrections.

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

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

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

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

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

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

Agreed-upon procedures report on the City of Pleasant Plain, Iowa for the period January 1, 2014 through December 31, 2014

Agreed-upon procedures report on the City of Pleasant Plain, Iowa for the period January 1, 2014 through December 31, 2014

Audit report on the Wireless E911 Emergency Communications Fund of the Iowa Department of Homeland Security and Emergency Management for the year ended June 30, 2014

Audit report on the Wireless E911 Emergency Communications Fund of the Iowa Department of Homeland Security and Emergency Management for the year ended June 30, 2014

Agreed-upon procedures report on the City of Patterson, Iowa for the period December 1, 2013 through November 30, 2014

Agreed-upon procedures report on the City of Patterson, Iowa for the period December 1, 2013 through November 30, 2014

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

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

At-risk drinking and drug use among patients seeking care in an emergency department.

OBJECTIVE: This study reports the frequency of alcohol use and associated tobacco and drug use among emergency department (ED) patients, in order to increase physician awareness and treatment of women and men seeking care in ED settings. METHOD: All adults seen in the ED at the University Hospital in Lausanne, Switzerland, between 11 AM and 11 PM were screened by direct interview for at-risk drinking, tobacco use, drug use, and depression during an 18-month period. RESULTS: A total of 8,599 patients (4,006 women and 4,593 men) participated in the screening procedure and provided full data on the variables in our analysis. The mean age was 51.9 years for women and 45.0 years for men; 57.5% (n = 2,304) of women and 58.5% (n = 2,688) of men were being treated for trauma. Based on guidelines of the National Institute on Alcohol Abuse and Alcoholism, 13.1% (n = 523) of the women were at-risk drinkers, 57.3% (n = 2,301) were low-risk drinkers, and 29.6% (n = 1,182) were abstinent. Among men, 32.8% (n = 1,507) met criteria for at-risk drinking, 51.8% (n = 2,380) met criteria for low-risk drinking, and 15.4% (n = 706) were abstinent. Younger individuals (ages 18-30) had significantly higher rates of episodic heavy drinking episodes, whereas at-risk older patients were more likely to drink on a daily basis. A binary model found that women and men who drank at at-risk levels are more likely to use tobacco (odds ratio [OR] = 2.48, 95% confidence interval [CI]: 2.0-3.08) and illicit drugs (OR = 5.91, CI: 3.32- 10.54) compared with abstinent and low-risk drinkers. CONCLUSIONS: This study supports systematic alcohol screening of women and men seen in EDs and suggests that patterns of alcohol and drug use vary by age and gender.