Iowa Department of Public Health Performance Report, FY 2005

Agency Performance Report

Iowa Department of Public Safety Performance Report, FY 2004

Agency Performance Report

Iowa Department of Revenue and Finance Performance Report, FY 2004

Agency Performance Report

Iowa Department of Revenue and Finance Performance Report, FY 2005

Agency Performance Report

Iowa Department of Transportation Performance Report, FY 2004

Agency Performance Report

Iowa Department of Veterans Affairs Performance Report, FY 2004

Agency Performance Report

Iowa Department of Transportation Performance Report, FY 2005

Agency Performance Report

Iowa Department of Transportation Report of Savings through use of Iowa Communications Network (ICN), FY 2005

Iowa DOT savings through use of Iowa Communications Network (ICN) videoconferencing

Department of Transportation, A Review of Selected Service Contracts, July 1, 2001 through June 30, 2004

Other Audit Reports

A lower fistula rate in hypospadias surgery.

OBJECTIVE: To determine whether specific steps taken after a critical quality control of our results in hypospadias surgery lead to a decrease in fistula rate. PATIENTS AND METHODS: Retrospective review of prospectively collected data. Between 1994 and 2001, our series of 85 tubularized plate urethroplasties (modified Duplay or Duplay-Snodgrass procedure) had a fistula rate of 25.9%. In 2001, we modified our approach by systematically padding the urethral suture with a layer of vascularized subcutaneous preputial tissue, as described by Snodgrass. Scrotal hypospadias were excluded. Surgical outcome was assessed at 1 and 12months. In both groups, all repairs were performed by or under direct supervision of the senior author (BJM). RESULTS: After 2001, 57 hypospadias repairs were performed in 57 patients aged 8months to 14years (median 1.4years). Fistula occurred in two cases, one of which closed spontaneously within 6months. Our fistula rate had dropped to 3.5%, with a minimum follow up of 12months. CONCLUSION: Covering the urethral suture with a padding flap of vascularized preputial tissue helps avoid fistula formation. Technique modification after critical appraisal of our own series led to a much better outcome in this demanding surgery.

Use of Reversions Report, Iowa Department of Transportation, 2005

Use of Reversions Report.

Combined Report on the Institutions Under the Control of the Iowa Department of Human Services, Schedules, Findings and Recommendations, June 30, 2004

State Audit Reports

Iowa Department of Elder Affairs Legislative Update, February 25, 2005, Vol. 1, no. 8

Iowa Department of Elder Affairs provides a brief summation of a Departmental program or other important Departmental information in each Legislative Update. The Legislative Update is produced for informational and educational purposes only.

Iowa Department of Elder Affairs Legislative Update, January 10, 2005, Vol. 1, no.1

Iowa Department of Elder Affairs provides a brief summation of a Departmental program or other important Departmental information in each Legislative Update. The Legislative Update is produced for informational and educational purposes only.

Iowa Department of Elder Affairs Legislative Update, January 14, 2005, Vol. 1, no.2

Iowa Department of Elder Affairs provides a brief summation of a Departmental program or other important Departmental information in each Legislative Update. The Legislative Update is produced for informational and educational purposes only.