A-1A Supplemental Security Income Program, July 2006

Supplemental Security Income Program, May 2006

A-1A Supplemental Security Income Program, May 2006

Supplemental Security Income Program, May 2006

A-1A Supplemental Security Income Program, June 2006

Supplemental Security Income Program, May 2006

Tailored thoracomyoplasty as a valid treatment option for chronic post-lobectomy empyema

Background: Chronic post-lobectomy empyema is rare but may require space obliteration for infection control. We report our experience by using a tailored thoracomyoplasty for this specific indication with respect to infection control and functional outcome. Patients and Methods: We retrospectively analysed 17 patients (11 men, 6 women) with chronic post-lobectomy empyema and treated by thoracomyoplasty in our institution between 2000 and 2011. All patients underwent an initial treatment attempt by use of chest tube drainage and antibiotics except those with suspicion of pleural aspergillosis (n=6). In 5 patients, bronchus stump insufficiency was identified at preoperative bronchoscopy. A tailored thoracoplasty was combined with a serratus anterior - rhomboid myoplasty which also served to close a broncho-pleural fistula, if present. The first rib was resected in 11/17 patients. Results: The 90-day mortality was 11.7%. Thoracomyoplasty was successful in all surviving patients with respect to infection control, space obliteration and definitive closure of broncho-pleural fistula, irrespective of the type of infection, the presence of a broncho-pleural fistula and whether a 1st rib resection was performed . Post-lobectomy pulmonary function testing before and after thoracoplasty revealed a mean predicted FEV1 of 63.0±8.5% and 51.5±4.2% (p=0.01), and a mean predicted DLCO of 59.8±11.6% and 54.5±12.5%, respectively. Postoperative shoulder girdle dysfunction and scoliosis were prevented in patients willing to undergo intense physiotherapy. Conclusions: Tailored thoracomyoplasty represents a valid option for patients with chronic post-lobectomy empyema without requiring a preceding open window thoracostomy. Space obliteration and infection control was equally obtained with and without first rib resection.

A-1A Supplemental Security Income Program, August 2006

A-1A Supplemental Security Income Program, August 2006

Parking System Revenue Bond Funds, Iowa State University of Science and Technology, Independent Auditor's Reports, Basic Financial Statements and Supplemental Information, June 30, 2006

State University Audit Report

A-1A Supplemental Security Income Program, September 2006

A-1A Supplemental Security Income Program produced by the Department of Human Services

A-1A Supplemental Security Income Program, June 2002

Monthly report from Iowa Department of Human Services on income.

A-1A Supplemental Security Income Program, January 2002

Monthly report from Iowa Department of Human Services on income.

A-1A Supplemental Security Income Program, February 2002

Monthly report from Iowa Department of Human Services on income.

A-1A Supplemental Security Income Program, March 2002

Monthly report from Iowa Department of Human Services on income.

A-1A Supplemental Security Income Program, April 2002

Monthly report from Iowa Department of Human Services on income.

A-1A Supplemental Security Income Program, May 2002

Monthly report from Iowa Department of Human Services on income.

A-1A Supplemental Security Income Program, December 2003

Monthly report from the Iowa Department of Human Services on income.

A-1A Supplemental Security Income Program, July 2002

Monthly report from the Iowa Department of Human Services on income.