Report of the director of Veterinary services and animal industry.

The 11th/12th-15th, 17th-18th reports issued in two parts.

Report of the Committee on survey of medical services and health agencies to the House of delegates, Michigan state medical societyy ...

"Lithoprinted."

Meeting of directors of meteorological services of western hemisphere countries : hearings before the Committee on Foreign Affairs, House of Representatives, Seventy-seventh Congress, first session, on R.J. res. 191, a joint resolution to authorize the President of the United States to invite the governments of the countries of the western hemisphere to participate in a meeting of the national directors of the meteorological services of those countries, to be held in the United States as soon as practicable in 1941 or 1942 : to invite regional commissions III and IV of the International Meteorological Organization to meet concurrently therewith, and to authorize an appropriation for the expenses of organizing and holding such meetings ..

Mode of access: Internet.

Evaluating the provision of employer services : a methodology : final report /

"Contract number 20-42-75-43".

A study of public welfare administration in the Cleveland metropolitan area; report of consultant team,

Mode of access: Internet.

Pictorial keys to arthropods, reptiles, birds, and mammals of public health significance.

"Previously issued under the same title by the Centers of Disease Control and PRevention of the U. S. Public Health Service, Atlanta, Georgia"--t.p. verso.

Rochambeau. A commemoration by the Congress of the United States of America of the services of the French auxiliary forces in the war of independence.

Includes index.

Socialism and politics : a study in the readjustment of the values of life /

"Printed at the Essex House Press."

Memorials of the parochial church, the collegiate chantry, and the chapel of St. Mary : commonly called Mortimer's Chapel, in the Parish of Attleborough, in the county of Norfolk, together with some account of the services used at the consecration of churches from the Anglo-Saxon to the present time /

Includes bibliographical references.

The origins and development of the Office of Medical Services, Department of State /

Mode of access: Internet.

Monitoring & evaluation of clinical services : meeting the JCAHO challenge.

"Department of Veterans Affairs"--Cover.

Economic aspects of medical services,

Mode of access: Internet.

Increased use of emergency services by older people after health screening

Background: evaluation of the 'Keep Well At Home' (KWAH) Project in West London indicated that a programme of screening persons aged 75 and over had not reduced rates of emergency attendances and admissions to hospital. However, coverage of the target population was incomplete. The present analysis addresses 'efficacy'-whether individuals who completed the screening protocol as intended did subsequently use Accident & Emergency (A&E) services less often. Methods: the target population was divided into five groups, depending on whether an individual had completed none, one or both phases of screening, and whether deviations from the protocol related to incomplete coverage or refusal to participate further. We ascertained use of emergency services before screening and for up to 3 years afterwards by linkage of records from KWAH to those of local A&E Departments. Patterns of emergency care were examined as crude races and, via proportional hazards models, after adjustment for available confounders. Results: there was an increase of 51% (95% CI 22-86%) in the crude rate of emergency admissions in the year after first-phase screening compared with the 12 months before assessment. This was most obvious in individuals deemed at high risk who also underwent the second-phase assessment (adjusted hazard ratio relative to individuals not 'at risk'= 2.33; 95% CI 1.59-3.42). Conclusions: the available data do not allow us to distinguish between several possible explanations for the paradoxical increase in use of emergency services. However, what seem to be sensible policies do not necessarily have their intended effects when implemented in practice.

Psychology in practice: Guidelines for the provision of psychological services for older adults

The practice of psychology covers the range of ages from conception through to the end of life and palliative care. Psychologists practice in a variety of roles, but the majority of these roles involve interactions with nonprofessionals of varying ages. These interactions are governed by codes of ethical practice, whether these are developed by the funding bodies for research activities, professional associations, or regulatory bodies. Ethical codes vary in their format and emphasis, but all have the protection of the public as a major purpose. Often there are special provisions in these codes for particular populations or circumstances. Here we describe the development of ethical guidelines for the practice of psychology with older adults in Australia and report on those guidelines and their supporting literature.