Clinical picture of the amyloid arthropathy in patients with chronic renal failure maintained on haemodialysis using cellulose membranes.

The clinical picture of 15 patients (10 male, five female) with amyloid arthropathy secondary to chronic renal failure treated with haemodialysis has been studied. The average period of haemodialysis was 10.8 years. Joint symptoms appeared between three and 13 years after starting haemodialysis. No patient had renal amyloidosis. Early symptoms were varied and often overlapped: knee swelling (seven patients), painful and stiff shoulders (seven), and carpal tunnel syndrome (six) were the most prominent. Follow up showed extension to other joints. Joint effusions were generally of the non-inflammatory type. Radiologically, geodes and erosions of variable sizes were seen in the affected joints, which can develop into a destructive arthropathy. Amyloid was found in abdominal fat in three of the 12 patients on whom a needle aspiration was performed. Four of 12 patients showed changes compatible with amyloid infiltration in the echocardiogram. One patient had amyloid in the gastric muscular layer, another in the colon mucus, and two of four in rectal biopsy specimens. Amyloid deposits showed the presence of beta 2 microglobulin in 10 patients. The clinical and radiological picture was similar to the amyloid arthropathy associated with multiple myeloma. These patients can develop systemic amyloidosis.

Feed the ICU patient 'gastric' first, and go post-pyloric only in case of failure.

In a randomised trial comparing early enteral feeding by gastric and post-pyloric routes, White and colleagues have shown that gastric feeding is possible and efficient in the vast majority of critically ill patients. But the authors' conclusion that gastric is equivalent to post-pyloric is true in only the least severe patients. Given the extra workload and costs, post-pyloric is now clearly indicated in case of gastric feeding failure.

Agreed-upon procedures report on the Iowa State Center Business Office of Iowa State University of Science and Technology for the year ended June 30, 2009

Agreed-upon procedures report on the Iowa State Center Business Office of Iowa State University of Science and Technology for the year ended June 30, 2009

Business Sphere, Vol. 17, no.3

Through networking, Iowa’s manufacturers share expertise in lean manufacturing, supply chain efficiency and rapid prototyping, strengthening the powerful environment for success. The Iowa Department of Economic Development builds on these strengths with a focus on advanced manufacturing, extending financial and tax benefits to companies making substantial investments and creating higher skill, higher paying jobs. Many companies these days are finding that it pays to explore options in Iowa as they plan manufacturing expansions. You can get in touch with us at www.iowalifechanging.com.

Business Sphere, Vol. 17, no.2

Anadvanced foods economy is under development in the state of Iowa that builds on Iowa’s established strengths in plant and animal sciences,production agriculture, food science, nutrition, and processing technology. This new pathway was identified when Battelle Institute studied Iowa’s strengths in the biosciences and recommended six technology platforms as opportunities to use these strengths for growing the economy. One of those technology platforms is functional foods, sometimes called nutraceuticals.

Business Sphere, Vol. 17, no.1

Iowa first in ethanol Iowa is now the largest ethanol-producing state in America, according to the Iowa Corn Promotion Board, with 864 million gallons of production capacity. Fourteen facilities now produce ethanol in Iowa, and nine more plants are planned or under construction. This burgeoning renewable fuels industry continues to spread through the state of Iowa.

Business Sphere, Vol. 18, no.2

The biosciences industry significantly impacts Iowa’s economy. Kemin, Integrated DNA Technologies, Archer Daniels Midland Co., Roquette America, Cargill, Monsanto and DuPont’s Pioneer Hi-Bred International are only a few of Iowa’s 1,800 bioscience companies employing more than 83,000 people. Everyday, Kemin and other Iowa life sciences companies seek to commercialize new bioscience innovations. Together with Iowa’s outstanding business climate, a skilled, well educated and adaptable workforce, and an enviable quality of life, Iowa is providing bioscience companies with an exciting new resource to assist us in our endeavors: The Biosciences Alliance of Iowa.

Business Sphere, Vol. 21, no.4

Iowans have long been proud of our educational heritage. With I-VREP, business and educational leaders are taking steps to enhance its world-class education for Iowans, while ensuring the qualified workforce needed by Iowa’s businesses competing in a global economy. For more information on the Iowa Virtual Reality Education Pathfinder, or a confidential consultation on how Iowa innovation can fuel your company’s growth, contact IDED at 800.245.IOWA or visit iowalifechanging.com

Business Sphere, Vol. 18, no.4

As the nation’s leading producer of ethanol and biodiesel, Iowa is building upon its national reputation as an innovative renewable fuel and energy leader by aggressively pursuing more wind energy production. We invite you to take a closer look at Iowa as we harness the winds of renewable energy

Business Sphere, Vol. 19, no.4

We keep in touch with insurance leaders throughout the nation, as well as in our state, to promote Iowa as one of the most competitive locations for insurance operations. These ongoing efforts have produced strong growth that is the envy of other states. The insurance industry in the state of Iowa is expanding for all the right reasons. With the support of the State of Iowa, domestic insurers and the insurance division, the environment is favorable for companies looking for a competitive location in the U.S. insurance market.

Business Sphere, Vol. 20, no.3

When selecting sites for the industry’s leading data centers, experts and IT leaders such as Google and Microsoft, are increasingly choosing Iowa They’re doing so because they understand that Iowa is a safe zone for data and information storage — tucked away from the major threats and terrorist targets in the U.S. What’s more, there are many infrastructural and financial benefits that only Iowa offers. With all this activity, available research and Iowa’s inherent advantages, it seems the question isn't so much why Iowa, but why not?

Business Sphere, Vol. 21, no.3

Iowa may be known for some of the world’s most fertile cropland, but in recent years, we’ve become fertile ground for rapid growth in information technology as well. From the recent “plug-in” of Google’s $600-million Council Bluffs data center to Microsoft’s planned half-billion-dollar West Des Moines expansion to IBM’s 1,300-job-creating expansion in Dubuque, technology leaders are finding Iowa a place to grow. And why not? Iowa has a supportive business climate and its infrastructure — physical and human — give our technology companies the competitive advantages that allow them to grow and prosper.

Business Sphere, Vol. 18, no.3

Iowa may be known for some of the world’s most fertile cropland, but in recent years, we’ve become fertile ground for rapid growth in information technology as well. From the recent “plug-in” of Google’s $600-million Council Bluffs data center to Microsoft’s planned half-billion-dollar West Des Moines expansion to IBM’s 1,300-job-creating expansion in Dubuque, technology leaders are finding Iowa a place to grow. And why not? Iowa has a supportive business climate and its infrastructure — physical and human — give our technology companies the competitive advantages that allow them to grow and prosper.

Business Sphere, Vol. 19, no.3

Iowa may be known for some of the world’s most fertile cropland, but in recent years, we’ve become fertile ground for rapid growth in information technology as well. From the recent “plug-in” of Google’s $600-million Council Bluffs data center to Microsoft’s planned half-billion-dollar West Des Moines expansion to IBM’s 1,300-job-creating expansion in Dubuque, technology leaders are finding Iowa a place to grow. And why not? Iowa has a supportive business climate and its infrastructure — physical and human — give our technology companies the competitive advantages that allow them to grow and prosper.