University of Iowa Graduate College news. Spring 2009.

Newsletter on the activities of the University of Iowa Graduate College.

University of Iowa Graduate College news. Fall 2009.

Newsletter on the activities of the University of Iowa Graduate College.

University of Iowa Graduate College news. Spring 2010.

Newsletter on the activities of the University of Iowa Graduate College.

University of Iowa Graduate College news. Fall 2010.

Newsletter on the activities of the University of Iowa Graduate College.

University of Iowa Graduate College news. Spring 2011.

Newsletter on the activities of the University of Iowa Graduate College.

University of Iowa Graduate College news. Fall 2011.

Newsletter on the activities of the University of Iowa Graduate College.

Report on the State University of Iowa, Iowa City, Iowa for the year ended June 30, 2013

Report on the State University of Iowa, Iowa City, Iowa for the year ended June 30, 2013

Report on Iowa State University of Science and Technology, Ames, Iowa, for the year ended June 30, 2013

Report on Iowa State University of Science and Technology, Ames, Iowa, for the year ended June 30, 2013

Report on the University of Northern Iowa for the year ended June 30, 2013

Report on the University of Northern Iowa for the year ended June 30, 2013

Report on a special investigation of the University of Iowa Athletic Ticket Office and the operations of the Hawkeye Express for the period September 1, 2005 through November 30, 2013

Report on a special investigation of the University of Iowa Athletic Ticket Office and the operations of the Hawkeye Express for the period September 1, 2005 through November 30, 2013

A guide to resources for the study of the recent history of the United States in the libraries of the University of Iowa, the State Historical Society of Iowa, and in the Herbert Hoover Presidential Library, 1977

This guide is designed as a finding aid for researchers seeking materials on a particular topic and it indicates the nature and extent of resources for the study of United States history available at the Historical Society of Iowa, the Herbert Hoover Presidential Library and the Iowa University Libraries.

Assessment of the capacity to consent to treatment in patients admitted to acute medical wards.

BACKGROUND: Assessment of capacity to consent to treatment is an important legal and ethical issue in daily medical practice. In this study we carefully evaluated the capacity to consent to treatment in patients admitted to an acute medical ward using an assessment by members of the medical team, the specific Silberfeld's score, the MMSE and an assessment by a senior psychiatrist. METHODS: Over a 3 month period, 195 consecutive patients of an internal medicine ward in a university hospital were included and their capacity to consent was evaluated within 72 hours of admission. RESULTS: Among the 195 patients, 38 were incapable of consenting to treatment (unconscious patients or severe cognitive impairment) and 14 were considered as incapable of consenting by the psychiatrist (prevalence of incapacity to consent of 26.7%). Agreement between the psychiatrist's evaluation and the Silberfeld questionnaire was poor (sensitivity 35.7%, specificity 91.6%). Experienced clinicians showed a higher agreement (sensitivity 57.1%, specificity 96.5%). A decision shared by residents, chief residents and nurses was the best predictor for agreement with the psychiatric assessment (sensitivity 78.6%, specificity 94.3%). CONCLUSION: Prevalence of incapacity to consent to treatment in patients admitted to an acute internal medicine ward is high. While the standardized Silberfeld questionnaire and the MMSE are not appropriate for the evaluation of the capacity to consent in this setting, an assessment by the multidisciplinary medical team concurs with the evaluation by a senior psychiatrist.