Evaluation of prenatal diagnosis of congenital heart diseases by ultrasound: experience from 20 European registries.

OBJECTIVES: To evaluate prenatal diagnosis of congenital heart diseases by ultrasound investigation in well-defined European populations. DESIGN: Data from 20 registries of congenital malformations in 12 European countries were included. The prenatal ultrasound screening programs in the countries ranged from no routine screening to three ultrasound investigations per patient routinely performed. RESULTS: There were 2454 cases with congenital heart disease with an overall prenatal detection rate of 25%. Termination of pregnancy was performed in 293 cases (12%). There was considerable variation in prenatal detection rate between regions, with the lowest detection rates being in countries without ultrasound screening (11%) and in Eastern European countries (Croatia, Lithuania and Ukraine; 8%). In Western European countries with ultrasound screening, detection rate ranged from 19-48%. There was a significant difference in prenatal detection rate and proportion of induced abortions between isolated congenital heart disease and congenital heart disease associated with chromosome anomalies, multiple malformations and syndromes (P < 0.0001). There were 1694 cases with isolated congenital heart disease of which 16% were diagnosed prenatally. Malformations affecting the size of the ventricles were detected prenatally in half of the cases. CONCLUSIONS: Prenatal detection rate of congenital heart disease varies significantly between countries even with the same screening recommendations. The presence of associated malformations significantly increases the prenatal detection rate.

Agri-News, October 3, 2006, Vol. 6, no. 20

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

Iowa Agri-News, January 20, 2011, Vol. 11, no. 2

Crop and livestock summaries for the state of Iowa, produced by the Iowa Department of Agriculture. Preivous titled Agri-News.

Agri-News, August 20, 2010, Vol. 10, no. 14

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

Agri-News, November 16, 2010, Vol. 10, no. 20

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

Agri-News, December 4, 2009, Vol. 9, no. 20

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

US 20 Proposed Dyersville Interchange Delaware and Dubuque Counties, IA, Environmental Assessment, February 2001

The Transportation Equity Act of the 21st Century (TEA-21) (23 CFR) mandated environmental streamlining in order to improve transportation project delivery without compromising environmental protection. In accordance with TEA-21, the environmental review process for this project has been documented as a Streamlined Environmental Assessment (EA). This document addresses only those resources or features that apply to the project. This allowed study and discussion of resources present in the study area, rather than expend effort on resources that were either not present or not impacted. Although not all resources are discussed in the EA, they were considered during the planning process and are documented in the Streamlined Resource Summary, shown in Appendix A. The following table shows the resources considered during the environmental review for this project. The first column with a check means the resource is present in the project area. The second column with a check means the impact to the resource warrants more discussion in this document. The other listed resources have been reviewed and are included in the Streamlined Resource Summary.

Iowa Department of Transportation Major Items - Preliminary Quantity Report, September 20, 2011; With Addendums

Weekly letting report.

List of Bid Proposal Holders, September 20, 2011

List of Bid Proposal Holders

Friday Facts, May 20, 2011, Vol. 102

Bureau of Nutrition and Health Promotion part of the Iowa Department of Public Health produces of weekly newsletter about the Iowa WIC Program for the State of Iowa citizen.

Celebrating 20 Years, Main Street Iowa, 20 Year Report, 1986-2006.

The Main Street Four Point Approach® is a proven development process and has provided both focus and opportunity to Iowa’s participating cities. Collectively, these progressive communities have documented thousands of volunteer hours and millions of dollars in private investment into the revitalization of their historic city centers.