Supervisory training manual.

No. 1. The supervisor's job. -2. How to get the work out. - 3. How to train employees. -4. How to work with people.

Improving work performance : a guide for supervisors /

Mode of access: Internet.

The supervisor's responsibilities in labor relations.

Issued in plastic binder.

Negro population in the United States, 1790-1915.

Reprint of the 1918 ed.

The Southern Appalachian forests,

Examination of the forest conditions was made under the joint supervision of the Geological survey of North Carolina, of the Bureau of Forestry of the Department of Agriculture, and of the U. S. Geological Survey.

Business leadership course for American Airlines; program summary,

Ralph N. Campbell, program director.

County revenues, expenditures and public properties, 1913.

Pub. in advance of the complete report pertaining to Wealth, debt, and taxation, cf. "Letter of transmittal," p. 5.

Municipal revenues, expenditures and public properties, 1913 /

Prepared in connection with the decennial investigation authorized by the permanent census act pertaining to public indebtedness, valuations, taxation, revenues and expenditures, under the supervision of Starke M. Grogan, chief statistician in charge of Wealth, debt and taxation; John Lee Coulter, expert special agent in an advisory capacity; and Arthur J. Hirsch, chief of division, and pub. in advance of the complete report. cf. "Letter of transmittal," p. 5.

Annual Report

Mode of access: Internet.

San Francisco Bay marine piling survey, [first-third annual progress reports].

Appendices reprinted from various issues of University of California Publications in zoology, v.22.

Laws relating to public health.

Mode of access: Internet.

Training operations in small departments : student manual /

Designed to provide the student [i.e. the training officer] with the essential tools and skills to lead and manage a training program in a small department.

Management techniques for foremen; questions and answers for all supervisors.

Mode of access: Internet.

Postoperative Analgesia Following Sciatic Nerve Blockade Administered by Nurse Anesthetists Supervised by Regional Anesthesia Faculty in an Academic Hospital

Introduction: Assessment of expertise in regional anesthesia techniques is traditionally based upon quota fulfillment of procedures during training. Validation of practitioner proficiency in performing procedures in surgical specialties has moved from simple measurement of technical skills to evaluation of global patient outcomes. Complete absence of pain as a result of nerve blockade is the most important clinical endpoint but patient, technical and procedural factors influence results. The purpose of this study was to measure the postoperative pain scores and associated analgesic medication requirements for patients administered sciatic nerve blockade by nurse anesthetists and determine patient or procedural factors that influenced this outcome. Methods: Either nerve stimulator or ultrasound guided sciatic nerve blockade was administered by nurse anesthetists under the supervision of regional anesthesia faculty. Patient demographic data that was collected included gender, body mass index, surgical procedure, and pre-existing chronic pain with associated opioid use. Patient self-reported pain scores and opioid analgesic dosages in the preoperative, intraoperative, immediate postoperative and 24 hour post procedure intervals were recorded. Results: 22 nurse anesthetists administered sciatic nerve blockade to 48 patients during a 36 month interval. Transition from a nerve stimulator to ultrasound guided sciatic nerve block technique resulted in lower mean pain scores. Patients reporting chronic opioid use were observed to have elevated perioperative opioid analgesic requirements and pain scores compared to opioid naïve patients. Conclusion: Effective analgesia is a prime measure for assessing expertise in regional anesthesia and continuous evaluation of this outcome in everyday practice is proposed.

Caries experience in preschool children referred for specialist dental care in hospital

Background : Increasing numbers of preschool children are being referred for specialist dental management in a paediatric hospital. Most cases have severe early childhood caries and require comprehensive management under general anaesthesia. The present study investigated risk factors for disease presence at initial consultation. Methods : A convenience sample of 125 children under four years of age from the north Brisbane region were examined and caries experience recorded using dmft and dmfs indices. A self-administered questionnaire obtained information regarding social, demographic, birth, neonatal, infant feeding and dental health behaviour variables. The data were analysed using the chi-square and one-way analysis of variance procedures. Results : Ninety-four per cent of referred children had severe ECC with mean dmft of 10.5 ± 3.8 and mean dmfs of 27.1 ± 15.1. Prevalence of severe ECC was significantly higher in children allowed a sweetened liquid in the infant feeding bottle (99 per cent) and allowed to sip from an infant feeding bottle during the day (100 per cent). Mean dmfs was significantly higher in children allowed to sleep with a bottle (28.7) and sip from a bottle during the day (29.9), children from a non-Caucasian background (31.8), those children that commenced regular toothbrushing between 6 to 12 months of age (28.1), had no current parental supervision of daily tooth-brushing (34.2) and had not taken daily fluoride supplements (27.8), vitamin supplements (27.8) or prescription medicine previously (27.6). Conclusions : The behavioural determinants for severe early childhood caries presence in hospital-referred children were similar to those identified in the regional preschool population.