Iowa Budget Report Agency Budgets, January 2005

This is the detailed budget report of all state agencies for the FY2006. Page 604 long.

Adherence to anti-hypertensive treatment within a chronic disease management program: A longitudinal, retrospective study

Objective This study assessed pharmacological treatment adherence using the Morisky-Green Test and identified related variables. Method A longitudinal and retrospective study examined 283 patients with hypertension (62.5% women, 73.4 [10.9] years old) who were being monitored by a chronic disease management program for 17 months between 2011 and 2012. Nurses performed all the actions of the program, which consisted of advice via telephone and periodic home visits based on the risk stratification of the patients. Results A significant increase in treatment adherence (25.1% vs. 85.5%) and a decrease in blood pressure were observed (p<0.05). Patients with hypertension and chronic renal failure as well as those treated using angiotensin-converting enzyme inhibitors were the most adherent (p<0.05). Patients with hypertension who received angiotensin receptor blockers were less adherent (p<0.05). Conclusions Strategies such as nurse-performed chronic disease management can increase adherence to anti-hypertensive treatment and therefore contribute to the control of blood pressure, minimizing the morbidity profiles of patients with hypertension.

Qualitative and Hierarchical Analysis of Protective Factors against Illicit Use of Doping Substances in Athletes Calling a National Anti-Doping Phone-Help Service

Evidence of a sport-specific hierarchy of protective factors against doping would thus be a powerful aid in adapting information and prevention campaigns to target the characteristics of specific athlete groups, and especially those athletes most vulnerable for doping control. The contents of phone calls to a free and anonymous national anti-doping service called 'ecoute dopage' were analysed (192 bodybuilders, 124 cyclists and 44 footballers). The results showed that the protective factors that emerged from analysis could be categorised into two groups. The first comprised 'Health concerns', 'Respect for the law' and 'Doping controls from the environment' and the second comprised 'Doubts about the effectiveness of illicit products, 'Thinking skills' and 'Doubts about doctors'. The ranking of the factors for the cyclists differed from that of the other athletes. The ordering of factors was 1) respect for the law, 2) doping controls from the environment, 3) health concerns 4) doubts about doctors, and 5) doubts about the effectiveness illicit products. The results are analysed in terms of the ranking in each athlete group and the consequences on the athletes' experience and relationship to doping. Specific prevention campaigns are proposed to limit doping behaviour in general and for each sport.

Shelby County Area Solid Waste Agency, Independent Auditor's Reports, Financial Statement and Required Supplementary Information, Schedule of Findings, June 30, 2006

Other Audit Reports - 28E Organizations

Audit report on the Heart of Iowa Regional Transit Agency, Des Moines, for the year ended June 30, 2006

Audit report on the Heart of Iowa Regional Transit Agency, Des Moines, for the year ended June 30, 2006.

‘A tiger that wants to become a lion’: Violent forms of agency among youth in Cape Verde

Cape Verdean prison population raised 100% in the last ten years: in this paper I offer an interpretation of this disturbing figure, addressing the issue of young offenders and children in conflict with the law, the perception of youth crime in Cape Verde, and how the government has recently dealt with these issues. Cape Verde currently deploys a repressive approach to the issue of youth crime: in this draconian context, I will follow the application of policies and laws targeting juvenile delinquents as well as the public and media discourse on the issue. At the same time, through interviews with younger inmates in prisons and institutions, I will relocate young offenders’ behavior and activity within their wider social context, providing urgently needed data on the cultural and social dimensions of juvenile offending and violence.

Audit report on the Crawford County Area Solid Waste Agency Commission for the year ended June 30, 2006.

Audit report on the Crawford County Area Solid Waste Agency Commission for the year ended June 30, 2006.

Governor’s Office of Drug Control Policy Agency Performance Reporting, 2006

The Agency Performance Report for the Governor’s Office of Drug Control Policy is published in accordance with the Accountable Government Act. The information provided within this report is to aid in decision-making and to illustrate accountability to stakeholders and citizens. The report is indicative of the agency’s progress in meeting performance targets and achieving goals consistent with the enterprise strategic plan, the agency strategic plan and agency performance plan.

Efficacy and Safety of Canakinumab Vs Triamcinolone Acetonide in Patients with Gouty Arthritis Unable to Use Nonsteroidal Anti-Inflammatory Drugs and Colchicine, and On Stable Urate Lowering Therapy (ULT) or Unable to Use ULT

Background/Purpose: The primary treatment goals for gouty arthritis (GA) are rapid relief of pain and inflammation during acute attacks, and long-term hyperuricemia management. A post-hoc analysis of 2 pivotal trials was performed to assess efficacy and safety of canakinumab (CAN), a fully human monoclonal anti-IL-1_ antibody, vs triamcinolone acetonide (TA) in GA patients unable to use NSAIDs and colchicine, and who were on stable urate lowering therapy (ULT) or unable to use ULT. Methods: In these 12-week, randomized, multicenter, double-blind, double-dummy, active-controlled studies (_-RELIEVED and _-RELIEVED II), patients had to have frequent attacks (_3 attacks in previous year) meeting preliminary GA ACR 1977 criteria, and were unresponsive, intolerant, or contraindicated to NSAIDs and/or colchicine, and if on ULT, ULT was stable. Patients were randomized during an acute attack to single dose CAN 150 mg s.c. or TA 40 mg i.m. and were redosed "on demand" for each new attack. Patients completing the core studies were enrolled into blinded 12-week extension studies to further investigate on-demand use of CAN vs TA for new attacks. The subpopulation selected for this post-hoc analysis was (a) unable to use NSAIDs and colchicine due to contraindication, intolerance or lack of efficacy for these drugs, and (b) currently on ULT, or contraindication or previous failure of ULT, as determined by investigators. Subpopulation comprised 101 patients (51 CAN; 50 TA) out of 454 total. Results: Several co-morbidities, including hypertension (56%), obesity (56%), diabetes (18%), and ischemic heart disease (13%) were reported in 90% of this subpopulation. Pain intensity (VAS 100 mm scale) was comparable between CAN and TA treatment groups at baseline (least-square [LS] mean 74.6 and 74.4 mm, respectively). A significantly lower pain score was reported with CAN vs TA at 72 hours post dose (1st co-primary endpoint on baseline flare; LS mean, 23.5 vs 33.6 mm; difference _10.2 mm; 95% CI, _19.9, _0.4; P_0.0208 [1-sided]). CAN significantly reduced risk for their first new attacks by 61% vs TA (HR 0.39; 95% CI, 0.17-0.91, P_0.0151 [1-sided]) for the first 12 weeks (2nd co-primary endpoint), and by 61% vs TA (HR 0.39; 95% CI, 0.19-0.79, P_0.0047 [1-sided]) over 24 weeks. Serum urate levels increased for CAN vs TA with mean change from baseline reaching a maximum of _0.7 _ 2.0 vs _0.1 _ 1.8 mg/dL at 8 weeks, and _0.3 _ 2.0 vs _0.2 _ 1.4 mg/dL at end of study (all had GA attack at baseline). Adverse Events (AEs) were reported in 33 (66%) CAN and 24 (47.1%) TA patients. Infections and infestations were the most common AEs, reported in 10 (20%) and 5 (10%) patients treated with CAN and TA respectively. Incidence of SAEs was comparable between CAN (gastritis, gastroenteritis, chronic renal failure) and TA (aortic valve incompetence, cardiomyopathy, aortic stenosis, diarrohea, nausea, vomiting, bicuspid aortic valve) groups (2 [4.0%] vs 2 [3.9%]). Conclusion: CAN provided superior pain relief and reduced risk of new attack in highly-comorbid GA patients unable to use NSAIDs and colchicine, and who were currently on stable ULT or unable to use ULT. The safety profile in this post-hoc subpopulation was consistent with the overall _-RELIEVED and _-RELIEVED II population.

Audit report on the Westory Fire Agency for the year ended June 30, 2006.

Audit report on the Westory Fire Agency for the year ended June 30, 2006.

Jackson County Sanitary Disposal Agency independent auditor's reports, basic financial statements and required supplementary information, schedule of findings, June 30, 2006

Audit report on the Jackson County Sanitary Disposal Agency for the year ended June 30, 2006

Discursos de gènere, nacionalisme i respostes col•lectives de les dones a Catalunya i Irlanda

El projecte realitzat se situa en el marc de la història contemporània, i s’ha centrat en primer lloc, en l’anàlisi, des d’una perspectiva comparativa, del desenvolupament dels discursos de gènere a Catalunya durant la Dictadura Franquista i a la Irlanda postcolonial. Mitjançant l’anàlisi del discurs, s’han estudiat els models de feminitat imposats pel Franquisme i les seves bases ideològiques com són el valors catòlics i l’antindividualisme. En el cas irlandès, s’ha analitzat com, a través de determinades institucions gestionades per l’Església Catòlica, es controlaven aquelles dones que es desviaven del model de gènere que propugnava l’Estat Irlandès, molt similar al proposat pel Franquisme i també basat en els catolicisme. De la mateix manera, s’ha estudiat com el feminisme Català i irlandès dels anys 1970 i 1980 van contrarestar aquests models de gènere imposats, a través de l’anàlisi d’un conjunt d’expressions culturals produïdes per ambdós moviments feministes. La perspectiva comparativa del projecte ha permès: El coneixement dels mecanismes culturals de repressió de les dones així com la seva institucionalització. Revelant els paral•lelismes pel que fa a les polítiques de gènere entre els dos casos estudiats malgrat diferències significatives entre els dos contextos (Catalunya es troba sota una dictadura, Irlanda és un Estat democràtic). La importància de l’agència de les dones i les seves diverses estratègies de resistència, especialment a través d’expressions culturals més efímeres o considerades frívoles que, malgrat el poc reconeixement que han obtingut, són molt eficaces en la deconstrucció de discursos de gènere repressius envers les dones. Ha posat de manifest, també, la importància de l’experiència i les pràctiques personals i íntimes com a pràctiques de resistència. Així mateix, ha visibilitzat les dinàmiques pròpies de moviments feministes.

Iowa Department of Administrative Services Agency Performance Plan, FY 2007

Agency Performance Plan

Department of Commerce - Alcoholic Beverages Division, Agency Performance Plan, 2007

Annual Report, Agency Performance Plan