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PubMedDate not supplied

Survey of Iowa general dentists regarding the age 1 dental visit.

PURPOSE: The purpose of this study was to assess Iowa general dentists regarding the age 1 dental visit. METHODS: A 15-item survey was mailed to 1,521 licensed dentists to address their knowledge, attitudes, and behavior regarding the age 1 dental visit. Chi-square statistics and logistic regression models were used to analyze data. RESULTS: Seven hundred fifteen (47%) useable surveys were returned from 2 mailings. Five hundred forty (76%) general dentists were familiar with the American Academy of Pediatric Dentistry (AAPD) age 1 dental visit recommendation. Most reported obtaining this information through continuing education (37%). Eleven percent believed the first dental visit should occur between 0 and 11 months of age, and 66% reported seeing children younger than 2. "Prefer to refer infants to a pediatric dentist" (20%) was the most common reason for not seeing children 0 to 23 months old. Bivariate and multivariate logistic regression analyses indicated that dentists who believed children should have their first dental visit at 0 to 23 months and those willing to see children at age 0 to 23 months were younger, more recent graduates, more likely to be female, aware of the AAPD recommendations, and were already seeing children 0 to 23 months. CONCLUSIONS: The majority of Iowa general dentists are aware of the AAPD age 1 dental visit recommendation.

Adult↗
PubMed1991

Lyme disease: the picture in Iowa.

Lyme disease in Iowa increased sharply in 1989 and 1990, creating concern in Iowans who spend considerable time out-of-doors. The authors review the history of Lyme disease and its symptoms and present an update on the status of Lyme disease and its tick vector in Iowa.

Animals↗
PubMed1978

Epidemiologic findings on canine and feline intestinal nematode infections from records of the Iowa state University Veterinary Clinic.

A wealth of data was available on intestinal nematode infections of dogs and cats in the Ames, Iowa, practice area served by the Iowa State University Veterinary Clinic. From July 1966 through June 1974, 8.5% of 33,594 dogs and 4.5% of 11,995 cats hospitalized for 1 or more days were recorded as infected with at least 1 type of intestinal nematode. For both dogs and cats, infection rates were generally higher in males than in females and in those that were sexually intact, compared with those that were neutered. The highest prevalence of hookworm infections in both dogs and cats was recorded in June and July, and the highest prevalence of ascarid infections in cats, but not in dogs, was in December. Seasonal patterns were not demonstrated for other nematode infections. Ascarid infections in dogs and cats and hookworms infections in dogs were most prevalent in 2-week-old to 2-month-old animals. Whipworm infections in dogs and hookworm infections in cats generally appeared at greater ages, reaching their highest prevalence in hosts 1 to 2 years old.

Animals↗
PubMed1982

Prevalence of antibodies to Haemophilus pleuropneumoniae in Iowa swine.

The prevalence of complement-fixing (CF) antibodies to Haemophilus pleuropneumoniae in Iowa swine was determined by testing samples collected randomly from each of 9 crop-reporting areas (9 to 12 counties) in Iowa in approximate proportion to the number of swine marketed annually from each area. For testing, a pooled antigen composed of serotypes 1 to 5 of H pleuropneumoniae was used in a modified direct Microtiter complement-fixation test. Of 7,348 sera tested, 2,362 or 32.1% had CF antibodies (titer greater than or equal to 1:4) to the organism. On a herd basis, 417 of 597 herds or 68.8% had at least 1 animal with CF antibodies (titer greater than or equal to 1:4) to the organism. The clinical problem with H pleuropneumoniae has become significant in recent years, but by no means is the overt disease as prevalent as animals or herds with CF antibodies to the organism.

Animals↗
PubMed1981

Cost comparison of searching the Iowa Drug Information Service index manually and by computer.

A cost comparison of searching the Iowa Drug Information Service index manually and by computer is presented. Identical searches were performed on a computer system and by hand. The searches were timed and the results compared. Costs of start-up, maintenance, and operation were calculated for the manual and computer systems. Both systems yielded a similar number of relevant references. Start-up and maintenance costs were found more expensive for the computer system, but operational costs were less expensive (p less than 0.05). Operational costs varied according to the number of uses per year. Operational costs were found to increase faster for the manual system than the computer system. At 980 uses per year, the overall cost of the computer system was less than the manual system. A dedicated microcomputer system to search the Iowa Drug Information Service index was found less costly than, and as effective as, the common manual system.

Computers↗
PubMed1995

Managed care in Iowa. A difficult transition.

On March 1, Medco Behavioral Care began managing mental health services for Iowa's Title 19 population. The state says Medco can improve access and save money, but many providers and other patient advocates have grave concerns about Iowa's first major experience with managed care.

Humans↗
PubMed1995

Synergistic effect between alcohol and estrogen replacement therapy on risk of breast cancer differs by estrogen/progesterone receptor status in the Iowa Women's Health Study.

Two cohort studies have reported that alcohol and estrogen replacement therapy (ERT) act synergistically to increase the incidence of breast cancer. Possible interactions between alcohol consumption and family history of breast cancer or body mass index were also reported in the Iowa Women's Health Study data. In the Iowa Women's Health Study cohort, alcohol appears to be associated only with estrogen receptor-negative (ER-)/progesterone receptor-negative (PR-) breast cancers. Therefore, we investigated whether the interactions between alcohol and other risk factors differ according to ER/PR status. In January 1986, participants completed a questionnaire that included alcohol intake and other information. Through 1992, 939 breast cancer cases occurred among 37,105 postmenopausal women at risk. Cox proportional hazards regression was used to compute adjusted relative risks and to test for multiplicative interactions. Relative risks of ER+/PR+, ER+/PR-, and ER-/PR- breast cancer for women who consumed > or = 4.0 g of ethanol/day and reported ever using ERT compared to abstainers who never used ERT were 1.8, 1.3, and 2.6, respectively. Relative risks of ER+/PR+, ER+/PR-, and ER-/PR- breast cancer associated with any alcohol intake and a positive family history of breast cancer compared to abstainers with no family history of breast cancer were 1.7, 0.8, and 3.1, respectively. Relative risks of ER+/PR+, ER+/PR-, and ER-/PR- breast cancer associated with the highest quintile of body mass index and drinking > or = 4.0 g of ethanol/day compared to abstainers in the lower four-fifths of body mass index were 0.9, 1.8, and 2.0, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗
PubMed1995

Progesterone and estrogen receptors and mammary neoplasia in the Iowa Women's Health Study: how many kinds of breast cancer are there?

Characterization of breast tumors on both estrogen receptor (ER) and progesterone receptor (PR) status suggests distinct biological and clinical profiles. We hypothesized that these tumor subtypes might also show specific differences in their relations with epidemiologic risk factors. Risk factors were assessed via a questionnaire mailed in January 1986 to 37,105 cancer-free women, ages 55-69 years: the Iowa Women's Health Study. To the end of 1992 (241,627 person-years of follow-up), 939 incident breast cancers were ascertained by the Iowa population-based Surveillance, Epidemiology, and End Results Cancer Registry. Joint ER and PR status was determined on a total of 610 (65%) tumors. Three patterns of association were seen in relation to epidemiologic risk factors. Endogenous hormone exposure variables--parity, age at first birth, age at menarche, body mass index, and body fat distribution as defined by waist-to-hip ratio--showed their expected pattern of associations only with PR+ breast cancers. In age- adjusted and polychotomous logistic regression analyses, both ER-PR- and ER+PR- breast cancers showed evidence of an inverted pattern of associations with several risk factors compared with that seen for ER+PR+ cancers [including parity (ER-PR-), waist-to-hip ratio (ER-PR-), body mass index (both), body mass index at age 18 years (ER-PR-), history of bilateral oophorectomy (ER+PR-), and oral contraceptive use (ER+PR-)]. Family history was not associated with ER+PR- cancers; only 8 (8%) of 99 patients with this subtype had a family history of breast cancer compared with 16% of all other types combined.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗
PubMed1993

Public health consequences of a flood disaster--Iowa, 1993.

Unprecedented amounts of rain in the spring and summer of 1993 led to disastrous flooding and crop damage in nine Midwestern states. In Iowa (1990 population: 2,777,000), extensive flood damage occurred in all 99 countries. On July 11, 1993, the Iowa Department of Public Health (IDPH) requested assistance from CDC to assess the adverse public health impact of the flooding and to plan the public health response to the disaster. CDC assisted IDPH in performing an initial rapid statewide public health assessment and establishing weekly surveillance to monitor ongoing or anticipated flood-related health problems. This report summarizes the methods of the assessment and surveillance and preliminary findings.

Disasters↗
PubMed1993

Public health focus: impact of safety-belt use on motor-vehicle injuries and costs--Iowa, 1987-1988.

Each year in the United States, motor-vehicle-related trauma results in approximately 40,000 deaths, 5.4 million nonfatal injuries, and $15.4 billion in direct medical costs and costs of emergency services. The use of safety belts reduces the number and severity of injuries from motor-vehicle crashes, and since states began enacting safety-belt laws, the prevalence of safety-belt use in the United States has increased substantially. In Iowa, where a safety-belt use law was enacted in 1986, the observed rate of safety-belt use increased from 18% in 1985 to 55% in 1988. Data from the Iowa Safety Restraint Assessment were used to estimate the effect of this increase on injury severity and hospital costs and to estimate the statewide savings in direct costs (i.e., hospital and professional fees) and indirect costs (i.e., administrative costs and loss of productivity) for 1 year. This report summarizes the findings of this study.

Accidents, Traffic↗
PubMed1993

Vegetables, fruit, and lung cancer in the Iowa Women's Health Study.

Previous epidemiological studies have shown an inverse association between vegetable and fruit consumption and lung cancer risk; few of these studies have been prospective or have focused upon women. In 1986, we assessed food intake in 41,837 Iowa women, aged 55 to 69 yr, with a mailed 127-item food frequency questionnaire. After 4 years of follow-up, 179 incident cases of lung cancer were identified via the Iowa Surveillance, Epidemiology, and End Results cancer registry. After specific exclusion criteria were applied, a nested case-control comparison of 138 cases with 2,814 randomly selected noncases was undertaken. Intakes, in the upper-most quartile, of 11 vegetable and fruit groups, as well as of the nutrients beta-carotene and vitamin C, were explored. High intakes of all vegetables and fruit, all vegetables, and green leafy vegetables were each associated with an approximate halving of risk: age-, smoking-, and energy-adjusted odds ratios (ORs) were 0.49 (95% confidence interval, 0.28-0.86), 0.50 (95% confidence interval, 0.29-0.87), and 0.45 (95% confidence interval, 0.26-0.76), respectively. A lower lung cancer risk was also seen for all fruit (adjusted OR = 0.75 for high consumption), high vitamin C vegetables and fruit (OR = 0.75), carrots (OR = 0.71), and brocolli (OR = 0.72) and for the nutrients beta-carotene (OR = 0.81) and vitamin C (OR = 0.81) (all 95% confidence intervals included 1.0). Lung cancer risk was unrelated to consumption of the three food groups defined as "high-carotenoid" (beta-carotene, lutein, and lycopene) and tomatoes. In an analysis stratified by histological type of lung cancer, the strongest inverse associations for vegetables and fruit were seen for large cell carcinoma. Analysis by smoking status showed the inverse associations for most vegetable and fruit groups with lung cancer risk to be stronger for exsmokers than for current smokers. Results from the stratified analyses must be interpreted with caution because of the small number of cases in each stratum.

Aged↗
PubMed1997

Association of Stein-Leventhal syndrome with the incidence of postmenopausal breast carcinoma in a large prospective study of women in Iowa.

BACKGROUND: The Stein-Leventhal syndrome (SLS), first described in 1935, is characterized by infertility, hyperandrogenization, and obesity. Because this phenotype represents an aggregation of risk factors for postmenopausal breast carcinoma, and because in general, a hormonal imbalance underlies the disorder, the authors examined the association between self-reported SLS and breast carcinoma incidence in a cohort of 34,835 cancer-free women assembled in 1986 and followed through 1992. METHODS: All participants were between the ages of 55 and 69 and held a valid Iowa driver's license. A total of 472 women in the cohort (1.35%) reported a history of SLS at baseline. Incident cases of breast carcinoma were identified annually using the State Health Registry of Iowa. Data were analyzed using Cox proportional hazards regression. RESULTS: During the follow-up period, there were 883 incident breast carcinomas, 14 among women reporting a history of SLS. Women with SLS were more likely than women without SLS to report fertility problems and menstrual irregularities, but there were no significant differences observed regarding body mass index (BMI). Although women with SLS were 1.8 times as likely to report benign breast disease than women without SLS (P < 0.01), they were not more likely to develop breast carcinoma (relative risk [RR] = 1.2; 95% confidence interval [CI] = 0.7-2). Adjustment for age at menarche, age at menopause, parity, oral contraceptive use, BMI, waist-to-hip ratio, and family history of breast carcinoma lowered the RR to 1 (95% CI = 0.6-1.9. CONCLUSIONS: Despite the high risk profiles of some women with SLS, these results do not suggest that the syndrome per se is associated with an increased risk of postmenopausal breast carcinoma.

Aged↗
PubMed1997

Association of family history of cervical, ovarian, and uterine cancer with histological categories of lung cancer: the Iowa Women's Health Study.

A family history of cervical, ovarian, or uterine cancer has been shown to be associated with increased lung cancer risk among postmenopausal women. The present report examines the hypotheses that a family history of cervical cancer is positively associated with histological subtypes of lung cancer most strongly associated with smoking and that a family history of ovarian or uterine cancer are positively associated with risk of adenocarcinoma of the lung. Data are from the Iowa Women's Health Study, a prospective cohort study of 34,480 women ages 55-69 in 1986. Personal smoking histories, use of alcohol, and family history of selected cancers in first- and second-degree relatives were collected at baseline. Follow-up for cancer occurrence was achieved through the State Health Registry of Iowa. After baseline exclusions, a total of 343 incident lung cancers were identified in the cohort at risk through 1994. Women with a family history of cervical cancer in a first-degree relative had a multivariate-adjusted relative risk of lung cancer of 1.6 [95% confidence interval (CI): 0.98-2.6] compared to women without a family history. The risk was particularly high for malignancies most strongly associated with smoking (squamous, small cell, and large cell tumors; relative risk, 2.0; 95% CI, 1.1-3.7). Consistent with our hypotheses, a family history of ovarian cancer was associated with an approximately 2-fold increased risk (multivariate adjusted) of adenocarcinoma of the lung; the association with malignancies more strongly associated with smoking was inverse (relative risk, 0.6; 95% CI, 0.2-2.4). A family history of uterine cancer was not associated with adenocarcinoma, but there was a positive association observed for the most strongly smoking-associated histological types. These results suggest that a family history of cervical cancer is a modest independent risk factor for lung cancers most strongly associated with smoking, and a family history of ovarian cancer is a risk factor for adenocarcinoma of the lung.

Adenocarcinoma↗
PubMed1997

Prevalence of coronavirus antibodies in Iowa swine.

Three hundred and forty-seven serum samples from 22 Iowa swine herds were screened for TGEV/PRCV neutralizing antibody. Ninety-one percent of the sera and all 22 herds were positive. These sera were then tested by the blocking ELISA test to distinguish TGEV and PRCV antibody. The ELISA test confirmed the high percentage of TGEV/PRCV positive sera. By the blocking ELISA test, 12 herds were PRCV positive, 6 herds were TGEV positive and 4 herds were mixed with sera either positive for TGEV or PRCV antibody. The results suggest a recent increase in TGEV/PRCV seroprevalence in Iowa swine most likely due to subclinical PRCV infections.

Animals↗
PubMed1991

The isolated bowel segment (Iowa Model II): absorption studies for glucose and leucine.

A model of the isolated bowel segment (IBS, Iowa Model II) was successfully created in experimental animals using a new surgical technique we developed. The IBS is completely free of its mesenteric attachment, yet its viability is preserved. The technique consists of two staged procedures: (1) initial enteropexy between the anterior margin of the liver and the antimesenteric border of the IBS with its ends forming cutaneous stomas; and (2) division of the IBS mesentery 5 weeks later. The IBS is nourished by vascular collaterals that form at the hepatoenteropexy during the interval between these two procedures. Our previous studies demonstrated preserved viability and motility in the IBS. This study was undertaken to test absorption in the IBS. In 25 rats (experimental group), the IBS (Iowa Model II) was created using an 8-cm-long isolated segment of jejunum. In 15 rats (control group), an 8-cm-long segment of jejunum was arranged to form a Thiry-Vella loop. Five weeks later, the IBS mesentery was divided in the experimental group, and sham laparotomy was performed in the control group animals. Absorption of glucose and leucine was studied in 13 rats of the experimental group and 6 of the control group using a constant single perfusion technique at 3, 8, and 11 weeks after the initial operation. The results were compared between the two groups. There was a 25% to 35% reduction in absorption of glucose and leucine in both groups with the advance of time, but no significant difference was observed between the groups except in leucine absorption at 11 weeks after the initial operation. This study concludes that absorption of glucose and leucine is preserved in the IBS after its mesentery is divided, suggesting that the IBS can be used as a functioning bowel for bowel reconstruction.

Animals↗
PubMed2005

Artificial time constraints on the Iowa Gambling Task: the effects on behavioural performance and subjective experience.

In the last decade, the Iowa Gambling Task (IGT) has become a widely employed neuropsychological research instrument for the investigation of executive function. The task has been employed in a wide range of formats, from 'manual' procedures to more recently introduced computerised versions. Computer-based formats often require that responses on the task should be artificially delayed by a number of seconds between trials to collect skin-conductance data. Participants, however, may become frustrated when they want to select from a particular deck in the time-limited versions--so that an unintended emotional experience of frustration might well disrupt a task presumed to be reliant on emotion-based learning. We investigated the effect of the various types of Iowa Gambling Task format on performance, using three types of task: the classic manual administration, with no time limitations; a computerised administration with a 6-s enforced delay; and a control computerised version which had no time constraints. We also evaluated the subjective experience of participants on each task. There were no significant differences in performance, between formats, in behavioural terms. Subjective experience measures on the task also showed consistent effects across all three formats-with substantial, and rapidly developing, awareness of which decks were 'good' and 'bad.'

Adolescent↗
PubMed2005

The effect of reward magnitude differences on choosing disadvantageous decks in the Iowa Gambling Task.

In the Iowa Gambling Task, participants have to develop a long-term profitable monetary scenario in a situation of uncertainty and a conflict between the chance of encountering an immediate large reward (100 US dollars) in two long-term loosing decks (A and B; -250 US dollars per 10 cards) and the chance of encountering an immediate small reward (50 US dollars) in two long-term winning decks (C and D; +250 US dollars per 10 cards). The ratio of the immediate rewards in decks A/B and C/D is thus 2:1. Here, we manipulated these differences in reward magnitude between the advantageous (C/D) and disadvantageous (A/B) decks, while keeping the net gains and losses per 10 cards the same, to assess the impact of the conflict between immediate and distant pay-off on choice behaviour. Participants selected less cards from disadvantageous decks and won more money when the reward magnitude difference was decreased, A/B:C/D=1:1, while they selected more cards from disadvantageous decks and lost more money when reward magnitude differences were increased, A/B:C/D=4:1 and 6:1. This study shows that the outcome in the Iowa Gambling Task is sensitive to differences between the magnitude of immediate rewards in the advantageous and disadvantageous decks.

Adult↗
PubMed2005

Functional activity related to risk anticipation during performance of the Iowa Gambling Task.

Risk anticipation is an important cognitive/emotional component of decision making. The Iowa Gambling Task [Bechara, A., Damasio, A.R., Damasio, H., Anderson, S.W., 1994. Insensitivity to future consequences following damage to human prefrontal cortex. Cognition 50, 7-15], which is the most widely used "risk-anticipation task" in clinical studies, has been demonstrated to be sensitive to lesions involving the ventromedial prefrontal cortex or amygdala. However, the critical neural circuitry involved in this complex task has not yet been fully clarified even in healthy subjects. Using a 3-T scanner, we performed an event-related functional magnetic resonance imaging study in 14 healthy subjects performing the task. The statistical parametric mapping showed that the risk anticipation component (risky decisions minus safe decisions) exclusively activated the medial frontal gyrus. Furthermore, we found a significant interindividual correlation between the task performance and the magnitude of brain activity during risky decisions. These results indicate that the Iowa Gambling Task does recruit the neural circuitry that is critical in decision making under uncertainty, particularly when subjects perceive the risk of their decision.

Adult↗