Special investigation of Iowa Association of Skills USA-VICA, for the period September 1, 2001 through September 30, 2008

Special investigation of Iowa Association of Skills USA-VICA, for the period September 1, 2001 through September 30, 2008

Special report on the Former Russell Community School District for the period July 1, 2007 through June 30, 2008

Special report on the Former Russell Community School District for the period July 1, 2007 through June 30, 2008

Monitoreo y marcación de invertebrados marinos, Callao, Perú, 2014

En los alrededores de la isla San Lorenzo, en el 2014, bimensualmente se efectuaron muestreos en siete estaciones, monitoreando a los bivalvos Argopecten purpuratus, Glycymeris ovata y los crustáceos Romaleon polyodon, Cancer coronatus, Cancer porteri y Hepatus chilensis; también, se efectuaron experimentos de marcación y recaptura para determinar tasas de crecimiento en A. purpuratus, G. ovata, Semele spp., Gari solida y Protothaca thaca. A. purpuratus fue más abundante a finales del año, periodo en el que (como en el 2013) se registraron mayores valores de oxígeno a nivel de fondo del mar. R. polyodon presentó tendencia creciente de la talla media y biomasa. C. coronatus fue observado frecuentemente al norte de la isla San Lorenzo con densidades máximas de 10,67 ejemplares.10min. El cangrejo Platymera gaudichaudii fue observado solo en diciembre con densidades medias de 24 ejemplares.10 min de buceo. Se marcaron 7214 ejemplares y recapturaron 2730 ejemplares. G. ovata tuvo el 80% de recaptura y A. purpuratus 24%. Las tasas de crecimiento presentaron tendencias decrecientes a mayores tallas en todas las especies. En G. ovata la tasa de crecimiento fue mayor en ejemplares liberados en La Pampa diferente al comportamiento en Cabinzas; también se observaron diferencias entre las almejas Semele spp. y Gari solida. La abundancia de G. ovata en mayo y setiembre fue de hasta 190 ejemplares y 648,6 g por m². Las mayores densidades se registraron al noroeste de la isla San Lorenzo, mayor incidencia de esta especie estuvo en el substrato formado por conchuela molida. El rendimiento de G. ovata fue mayor en el área La Pampa respecto a Cabinzas, Palomino y Mal Nombre.

Report on a special investigation of the Keokuk County Sheriff’s Office for the period July 1, 2006 through April 15, 2009

Report on a special investigation of the Keokuk County Sheriff’s Office for the period July 1, 2006 through April 15, 2009

Reaudit report on the City of St. Charles, Iowa for the period July 1, 2005 through June 30, 2006

Reaudit report on the City of St. Charles, Iowa for the period July 1, 2005 through June 30, 2006

Origine et évolution de la réhabilitation psychosociale

The main historical stages of the social rehabilitation of the mentally-ill patients show that the psychiatric hospital centred approach has been progressively cast off and therefore the creation of intermediate institutions and ambulatory care integrated in the city has been favoured. This has allowed the progressive development of the psychosocial rehabilitation. This reorientation of the medical practice towards the community was based on two specific and corollary approaches: the deinstitutionalisation and the rehabilitation, which have the common objective to facilitate the return of the patient in the natural social community. The psychosocial rehabilitation includes the deinstitutionalisation and the return to the community, in a holistic approach aiming at compensating for the psychosocial handicap induced by the mental illness. The concept of the psychosocial rehabilitation itself has been progressively elaborated over time. The initial enthusiasm was followed by a period of progressive disillusion, which was finally followed by the development of the psychosocial rehabilitation as a true specific clinical discipline, a topic in medical education and in scientific research

Reaudit letter to the City of Ottumwa for the period July 1, 2005 through June 30, 2006, as well as certain issues applicable to the year ended June 30, 2005 and subsequent periods

Reaudit letter to the City of Ottumwa for the period July 1, 2005 through June 30, 2006, as well as certain issues applicable to the year ended June 30, 2005 and subsequent periods

Efficiency and safety of bilateral contemporaneous pallidal stimulation (deep brain stimulation) in levodopa-responsive patients with Parkinson's disease with severe motor fluctuations: a 2-year follow-up review.

OBJECT: The aim of this study was to evaluate the long-term safety and efficacy of bilateral contemporaneous deep brain stimulation (DBS) in patients who have levodopa-responsive parkinsonism with untreatable motor fluctuations. Bilateral pallidotomy carries a high risk of corticobulbar and cognitive dysfunction. Deep brain stimulation offers new alternatives with major advantages such as reversibility of effects, minimal permanent lesions, and adaptability to individual needs, changes in medication, side effects, and evolution of the disease. METHODS: Patients in whom levodopa-responsive parkinsonism with untreatable severe motor fluctuations has been clinically diagnosed underwent bilateral pallidal magnetic resonance image-guided electrode implantation while receiving a local anesthetic. Pre- and postoperative evaluations at 3-month intervals included Unified Parkinson's Disease Rating Scale (UPDRS) scoring, Hoehn and Yahr staging, 24-hour self-assessments, and neuropsychological examinations. Six patients with a mean age of 55 years (mean 42-67 years), a mean duration of disease of 15.5 years (range 12-21 years), a mean "on/off' Hoehn and Yahr stage score of 3/4.2 (range 3-5), and a mean "off' time of 40% (range 20-50%) underwent bilateral contemporaneous pallidal DBS, with a minimum follow-up period lasting 24 months (range 24-30 months). The mean dose of levodopa in these patients could not be changed significantly after the procedure and pergolide was added after 12 months in five patients because of recurring fluctuations despite adjustments in stimulation parameters. All but two patients had no fluctuations until 9 months. Two of the patients reported barely perceptible fluctuations at 12 months and two at 15 months; however, two patients remain without fluctuations at 2 years. The mean improvements in the UPDRS motor score in the off time and the activities of daily living (ADL) score were more than 50%; the mean off time decreased from 40 to 10%, and the mean dyskinesia and complication of treatment scores were reduced to one-third until pergolide was introduced at 12 months. No significant improvement in "on" scores was observed. A slight worsening after 1 year was observed and three patients developed levodopa- and stimulation-resistant gait ignition failure and minimal fluctuations at 1 year. Side effects, which were controlled by modulation of stimulation, included dysarthria, dystonia, and confusion. CONCLUSIONS: Bilateral pallidal DBS is safe and efficient in patients who have levodopa-responsive parkinsonism with severe fluctuations. Major improvements in motor score, ADL score, and off time persisted beyond 2 years after the operation, but signs of decreased efficacy started to be seen after 12 months.

Report on the Unemployment Insurance Tax Redesign Project administered by Iowa Workforce Development for the period July 1, 2002 through June 30, 2009

Report on the Unemployment Insurance Tax Redesign Project administered by Iowa Workforce Development for the period July 1, 2002 through June 30, 2009

Audit report on the Honey Creek Resort operated by Central Group Management, LLC for the period from inception (September 18, 2008) to June 30, 2009

Audit report on the Honey Creek Resort operated by Central Group Management, LLC for the period from inception (September 18, 2008) to June 30, 2009

Report on a review of the funding for construction of the Lewis and Clark Interpretive Center at Lewis and Clark State Park in Monona County for the period February 25, 1999 through December 31, 2008

Report on a review of the funding for construction of the Lewis and Clark Interpretive Center at Lewis and Clark State Park in Monona County for the period February 25, 1999 through December 31, 2008

Report on payments made subsequent to recipients’ dates of death under the Medicaid program administered by the Department of Human Services for the period July 1, 2006 through December 31, 2008

Report on payments made subsequent to recipients’ dates of death under the Medicaid program administered by the Department of Human Services for the period July 1, 2006 through December 31, 2008

Special investigation of the City of Truro for the period January 1, 2003 through February 18, 2009

Special investigation of the City of Truro for the period January 1, 2003 through February 18, 2009

Report on the City of Hills Fire Department, also known as Hills Fire Fighters, for the period July 1, 2006 through September 30, 2009

Report on the City of Hills Fire Department, also known as Hills Fire Fighters, for the period July 1, 2006 through September 30, 2009

Report on a review of the Transportation Enhancement Program of the Iowa Department of Transportation for projects closed out during the period July 1, 2007 through June 30, 2009

Report on a review of the Transportation Enhancement Program of the Iowa Department of Transportation for projects closed out during the period July 1, 2007 through June 30, 2009