1000 resultados para 1995_03230900 TM-31 4501302
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Report on a special investigation of the State Public Defender’s Office for the period August 31, 2007 through March 31, 2011
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Agreed upon procedures report on the Iowa Turkey Marketing Council for the period January 1, 2011 through December 31, 2012
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Audit report on America’s Agricultural Industrial Heritage Landscape, Inc., d/b/a Silos and Smokestacks National Heritage Area and Silos and Smokestacks Natural Heritage Area Foundation in Waterloo, Iowa for the years ended December 31, 2012 and 2011
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D-3 Dependent Adult Abuse Report
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Expanded abstract: Iowa Department of Transportation (IA DOT) is finalizing research to streamline field inventory/inspection of culverts by Maintenance and Construction staff while maximizing the use of tablet technologies. The project began in 2011 to develop some new best practices for field staff to assist in the inventory, inspection and maintenance of assets along the roadway. The team has spent the past year working through the complexities of identifying the most appropriate tablet hardware for field data collection. A small scale deployment of tablets occurred in spring of 2013 to collect several safety related assets (culverts, signs, guardrail, and incidents). Data can be collected in disconnected or connected modes and there is an associated desktop environment where data can be viewed and queried after being synced into the master database. The development of a deployment plan and related workflow processes are underway; which will eventually feed information into IA DOTs larger asset management system and make the information available for decision making. The team is also working with the IA DOT Design Office on Computer Aided Drafting (CAD) data processing and the IA DOT Construction office with a new digital As-Built plan process to leverage the complete data life-cycle so information can be developed once and leveraged by the Maintenance staff farther along in the process.
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Weekly newsletter for Center For Acute Disease Epidemiology of Iowa Department of Public Health. SPECIAL ALERT
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Welcome to the initial edition of the Iowa Ag Insider, the newsletter of the Iowa Department of Agriculture and Land Stewardship. We see this newsletter as a way to keep people informed of the activities of the Department and also highlight some of the exciting things going on in Iowa agriculture in general. If you know of events or stories that should be included in future newsletters I hope that you will share them with us so they can be included in future editions. Also, if you know of people who would enjoy receiving this newsletter I hope you will pass it on as the information on how to subscribe is on the bottom of each issue. This is an exciting time of year in Iowa as farmers and everyone involved in agriculture gets ready to kickoff the growing season. We wish everyone a successful and safe 2013 as we get to the business of growing the crops that help power Iowa’s economy and feed the people of our state and trading partners around the world. Iowa is fortunate to have such a dynamic agriculture industry and each of you play a role in helping make Iowa agriculture so successful.
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Report on a special investigation of the football program at Lincoln High School within the Des Moines Independent Community School District for the period May 30, 2003 through October 31, 2012
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Audit report on the Muscatine Agricultural Learning Center for the year ended December 31, 2012
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Report on a review of the operations of the Poweshiek County Sheriff’s Office for the period January 1, 2010 through March 31, 2013
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Report on a special investigation of Remsen-Union Family Connections for the period July 1, 2011 through October 31, 2012
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Background And Objectives: Isolated limb perfusion with TNF-alpha and melphalan (TM-ILP) is a limb salvage therapy for non-resectable soft tissue sarcomas (STS) of the extremities. It is indicated for patients for whom amputation or debilitating surgery is the only alternative. It can be used either as an exclusive therapy (in palliation) or as a neo-adjuvant treatment, followed by marginal resection of tumor remnants with minimal functional impairment. Methods: Between February 1992 and March 2006, 57 TM-ILPs were performed on 51 patients with 88% high grade and 84% advanced stage tumors. Results: Mean follow-up is 38.9 months (4-159, median 22 months). Twenty-one percent patients had significant early complications, with 3 major re-operations, and 23% suffered long-lasting complications. Complete response was observed in 25%, partial response in 42%, stable disease in 14% and progressive disease in 14%. Resection of the tumor remnants was possible in 65%. A complementary treatment was necessary in 31%, mostly radiation therapy. A local recurrence was observed in 35%, after a mean of 20.3 months (2-78), and distant relapse was seen in 45%, after a mean of 13.4 months (5-196). Mean Disease-free survival was 14.9 months, and overall 5-year-survival 43.5%. Amputation rate at 5 years was 24%. Conclusions: TM-ILP is a conservative treatment with a high complications rate, but it can be successful even for the most severe STS of extremities. As a consequence the limb can be spared from amputation or debilitating surgery on the long term in about 75% of patients