Integrated Farm/Livestock Management Demonstration Program, 2002

Farm/Livestock Management Demonstration Program produced by Iowa Departmment of Agriculture and Land Stewardship

Development and evaluation of a shaken baby syndrome prevention program.

OBJECTIVE: To evaluate parents' and nurses' opinions regarding the adequacy of an educational program on shaken baby syndrome: the Perinatal Shaken Baby Syndrome Prevention Program (PSBSPP). DESIGN: Qualitative and quantitative assessments in the form of interviews and questionnaires administered in French. SETTING: Two birthing institutions in Montréal, QC, Canada: a university hospital and a regional center. PARTICIPANTS: Two hundred and sixty-three parents (73.8% mothers, 26.2% fathers) received the intervention after the birth of their child, and 69 nurses administered it. METHODS: Parents' and nurses' assessments of the adequacy and relevance of the program and nurses' assessments of the training they received to administer the program were evaluated. RESULTS: Both parents and nurses supported this initiative. Most parents appreciated the usefulness of the information. Nurses believed the program was adequate, and their training to deliver the program was satisfactory. All participants reported that the program was highly relevant, especially for new parents. CONCLUSION: The Perinatal Shaken Baby Syndrome Prevention Program achieves the goals of (a) increasing parents' knowledge about infant crying, anger, and shaken baby syndrome and (b) helping parents identify coping strategies. The relevance of introducing the PSBSPP in all birthing institutions is supported. Future studies should focus on vulnerable and culturally diverse populations, and longitudinal follow-up could help determine if the PSBSPP reduces the incidence of shaken baby syndrome.

Is it worth treating fever in intensive care unit patients? Preliminary results from a randomized trial of the effect of external cooling.

BACKGROUND: Antipyresis is a common clinical practice in intensive care, although it is unknown if fever is harmful, beneficial, or a negligible adverse effect of infection and inflammation. METHODS: In a randomized study, rectal temperature and discomfort were assessed in 38 surgical intensive care unit patients without neurotrauma or severe hypoxemia and with fever (temperature >/=38.5 degrees C) and systemic inflammatory response syndrome. Eighteen patients received external cooling while 20 received no antipyretic treatment. RESULTS: Temperature and discomfort decreased similarly in both groups after 24 hours. No significant differences in recurrence of fever, incidence of infection, antibiotic therapy, intensive care unit and hospital length of stay, or mortality were noted between the groups. CONCLUSIONS: These results suggest that the systematic suppression of fever may not be useful in patients without severe cranial trauma or significant hypoxemia. Letting fever take its natural course does not seem to harm patients with systemic inflammatory response syndrome or influence the discomfort level and may save costs.

2005 Highway Accomplishment Program, July 1, 2004 to June 30, 2005

Future plans for funding for Iowa Department of Transportation Report.

A-1A Supplemental Security Income Program, August 2004

Monthly report about supplemental income produced by the Iowa Department of Human Services.

F-1 Food Assistance Program State Summary, August 2004

The Food Assistance Monthly Participation Report is a monthly summary of Food Assistance program participation, Statewide and for each Iowa county. Breakouts are reported for participants also in the FIP program, those only receiving Food Assistance, and those that are receiving economic assistance under other programs (primarily Medicaid). This report may also be known as the F-1 Report.

A-1 Monthly Public Assistance Statistical Report Family Investment Program, August, 2004

Monthly Public Assistance Statistical Report Family Investment Program

F-1 Food Assistance Program State Summary, September 2004

Food Assistance Program State Summary

A-1A Supplemental Security Income Program, September 2004

Supplemental Security Income Program

A-1 Monthly Public Assistance Statistical Report Family Investment Program, September 2004

Monthly Public Assistance Statistical Report Family Investment Program

F-1 Food Assistance Program State Summary, October 2004

Food Assistance

A-1A Supplemental Security Income Program, October 2004

Supplemental Security Income Program

A-1 Monthly Public Assistance Statistical Report Family Investment Program, October 2004

Monthly Public Assistance Statistical Report Family Investment Program

Iowa New Jobs Training Program Annual Report, 2003

Iowa New Jobs Training Program Annual Report produced by Economic Developement

F-1, Food Assistance Program State Summary, November 2004

Food Assistance Program State Summary