Audit report on the City of Leon, Iowa for the year ended June 30, 2010

Audit report on the City of Leon, Iowa for the year ended June 30, 2010

State of Iowa’s Single Audit Report for the year ended June 30, 2010

State of Iowa’s Single Audit Report for the year ended June 30, 2010

Audit report on the Iowa Water Pollution Control Works Financing Program and the Iowa Drinking Water Facilities Financing Program, joint programs of the Iowa Finance Authority and the Iowa Department of Natural Resources, for the year ended June 30, 2010

Audit report on the Iowa Water Pollution Control Works Financing Program and the Iowa Drinking Water Facilities Financing Program, joint programs of the Iowa Finance Authority and the Iowa Department of Natural Resources, for the year ended June 30, 2010

Audit report on the City of Clarinda, Iowa for the year ended June 30, 2010

Audit report on the City of Clarinda, Iowa for the year ended June 30, 2010

Report of recommendations to the Public Employment Relations Board for the year ending, June 30, 2010

Report of recommendations to the Public Employment Relations Board for the year ending, June 30, 2010

Report on the Iowa Department of Human Services – Central Distribution Center for the year ended June 30, 2010

Report on the Iowa Department of Human Services – Central Distribution Center for the year ended June 30, 2010

Audit report of the Rebuild Iowa Office for the year ended June 30, 2010

Audit report of the Rebuild Iowa Office for the year ended June 30, 2010

Acute myocardial infarction caused by coronary embolization of a papillary fibroelastoma of the thoracic ascending aorta.

Papillary fibroelastomas (PFE) are benign endocardial masses and generally originate from the cardiac valves, while PFE arising from the ascending thoracic aorta are an uncommon clinical finding. We report the case of a 78-year-old female who presented to the emergency department with an acute ST segment elevation myocardial infarction. Urgent coronary angiography showed no significant coronary artery obstructive disease but left ventriculography revealed the presence of a highly mobile mass located in the proximal portion of the ascending thoracic aorta. We postulated that the clinical symptoms were caused by embolization from the aortic mass and surgical excision of the peduncle was performed. Histopathological examination revealed a PFE with thrombotic material. Nowadays, surgical excision of PFE remains, the treatment of choice for symptomatic patients with excellent short- and long-term results but recurrence of PFE following surgical excision has not been reported.

Audit report on the City of Urbana, Iowa for the year ended June 30, 2010

Audit report on the City of Urbana, Iowa for the year ended June 30, 2010

Audit report on the City of Dyersville, Iowa for the year ended June 30, 2010

Audit report on the City of Dyersville, Iowa for the year ended June 30, 2010

Audit report of the Iowa State Prison Industries for the year ended June 30, 2010

Audit report of the Iowa State Prison Industries for the year ended June 30, 2010

Report on the Iowa Department of Education for the year ended June 30, 2010

Report on the Iowa Department of Education for the year ended June 30, 2010

Report on the Office of Governor for the year ended June 30, 2010

Report on the Office of Governor for the year ended June 30, 2010

Report on the Department of Management for the year ended June 30, 2010

Report on the Department of Management for the year ended June 30, 2010

Audit report on the City of Clarence, Iowa for the year ended June 30, 2010

Audit report on the City of Clarence, Iowa for the year ended June 30, 2010