Agri-News, April 14, 2009, Vol. 9, no. 6

Crop and livestock summaries for the state of Iowa, produced by the Iowa Department of Agriculture.

Agri-News, September 9, 2009, Vol. 9, no. 14

Crop and livestock summaries for the state of Iowa, produced by the Iowa Department of Agriculture.

Agri-News, September 19, 2008, Vol. 8, no. 14

Crop and livestock summaries for the state of Iowa, produced by the Iowa Department of Agriculture.

Agri-News, November 14, 2008, Vol. 8, no. 18

Crop and livestock summaries for the state of Iowa, produced by the Iowa Department of Agriculture.

Agri-News, September 18, 2007, Vol. 7, no. 14

Crop and livestock summaries for the state of Iowa, produced by the Iowa Department of Agriculture.

Report of the Workshop on Intelligent Construction for Earthworks, April 14-16, 2008

This document summarizes the discussion and findings of a workshop on intelligent technologies for earthwork construction held in West Des Moines, Iowa, on April 14–16, 2009. This meeting follows a similar workshop conducted in 2008. The objective of the meeting was to provide a focused discussion on identifying research and implementation needs/strategies to advance intelligent compaction and automated machine guidance technologies. Technical presentations, interactive working breakout sessions, and a panel discussion comprised the workshop. About 100 attendees representing state departments of transportation, Federal Highway Administration, contractors, equipment manufacturers, and researchers participated in the workshop.

Characteristics and outcome of 27 elbow periprosthetic joint infections: results from a 14-year cohort study of 358 elbow prostheses.

Elbow arthroplasty is increasingly performed in patients with rheumatic and post-traumatic arthritis. Data on elbow periprosthetic joint infection (PJI) are limited. We investigated the characteristics and outcome of elbow PJI in a 14-year cohort of total elbow arthroplasties in a single centre. Elbow prosthesis, which were implanted between 1994 and 2007 at Schulthess Clinic in Zurich, were retrospectively screened for infection. PJI was defined as periprosthetic purulence, the presence of sinus tract or microbial growth. A Kaplan-Meier survival method and Cox proportional hazard analysis were performed. Of 358 elbow prostheses, PJI was identified in 27 (7.5%). The median patient age (range) was 61 (39-82) years; 63% were females. Seventeen patients (63%) had a rheumatic disorder and ten (37%) had osteoarthritis. Debridement and implant retention was performed in 78%, followed by exchange or removal of the prosthesis (15%) or no surgery (7%).The relapse-free survival (95% CI) was 79% (63-95%) after 1 year and 65% (45-85%) after 2 years. The outcome after 2 years was significantly better when patients were treated according to the algorithm compared to patients who were not (100% vs. 33%, p <0.05). In 21 patients treated with debridement and retention, the cure rate was also higher when the algorithm was followed (100% vs. 11%, p <0.05). The findings of the present study suggest that the treatment algorithm developed for hip and knee PJI can be applied to elbow PJI. With proper patient selection and antimicrobial therapy, debridement and retention of the elbow prosthesis is associated with good treatment outcome.

Secure and Prepared Newsletter, September 9, 2011, Vol. 7, no. 14

A bi-weekly newsletter for those involved in the fields of homeland security and/or emergency management

Local Letting Information, September 14, 2011

Local letting information

Overweight and eating disorders in primary care: a sentinella reporting in 2-20 years old patients

Aims: To describe overweight or eating disorders in primary care consultations of Swiss children or adolescents and analyze responses by physicians. Methods: 150 to 200 primary care physicians participating in the Swiss Sentinel Surveillance Network in collaboration with the Swiss Federal Office of Public Health register their consultations over one year for selected health conditions. We describe reports of consultations where overweight or eating disorders were identified in subjects aged 2-20 years by physicians, patients or their relatives, or referring professionals, between 29.12.2007 and 15.2.2008. Results: 189 consultations were registered in the first 7 weeks of declaration. A short majority concerned female (58%) and 12-20 years old (53%) patients. Half were reported by pediatricians, one third by general practitioners and the remaining minority by internists. The sample included two thirds of Swiss-German and one third of Swiss-French cases. In the male subgroup aged 2-20 and in female children aged 2-11, almost all reported consultations were characterized by overweight. Among female teenagers, underweight was reported in 29% whilst overweight was recorded in 60%. Anorexia was noted in 68% of reported consultations of underweight female teenagers. In underweight patients, advice given by physicians frequently covered both nutrition and physical activity (38%) or nutrition only (29%), while no specific recommendations were recorded for the remaining third. In case of overweight, for one half of consultations patients received both nutritional and physical activity recommendations, for 12% nutritional only, and for one quarter patients were not advised in these domains. No specific treatment was usually proposed to overweight patients (65%), except when bulimia was diagnosed; in such case, one third of patients were proposed a psychological/psychiatric treatment, whereas both psychological and pharmacological treatments were frequently offered for underweight teenagers. Therapy was most often motivated by physicians (50%) or by relatives (44%), more rarely by patients themselves (7%). Conclusions: These preliminary data indicate that in some primary care consultations of young patients with overweight or eating disorders, advice was not given on nutrition and physical activity. This observation needs to be later confirmed with the totality of the consultations registered in 2008 and reasons will be further investigated.

Bataille de Friedland le 14 juin 1807 / gravé par J. Fialkowski

Échelle(s) : [ca 1:33 600], échelle de 1000 toises [= 5,8 cm]