Current health status and the future demand for health care programs and social support services : follow-up analyses from the survey of aging veterans /

"March 1985."

The centennial of the University of Virginia, 1819-1921; the proceedings of the centenary celebration, May 31 to June 3, 1921.

"Editorial committee: John Calvin Metcalf, chairman, Fiske Kimball, Bruce Williams, Robert Henning Webb, James Southall Wilson."

The Virginia text-book : containing a digest of the laws of the Grand Lodge of Virginia : with illustrations of the work : and the constitution of masonry or Ahiman rezon /

Includes index.

Employment and unemployment among Vietnam era veterans : an analysis of the 1979 national survey of veterans /

Item 989-F

School enrollment among male veterans and nonveterans 20 to 34 years old, October 1983 /

Mode of access: Internet.

The Aging female veteran : follow-up analyses from the survey of aging veterans.

Cover title.

Differences in the symptom experience of older versus younger oncology outpatients : a cross-sectional study

Background: Mortality rates for cancer are decreasing in patients under 60 and increasing in those over 60 years of age. The reasons for these differences in mortality rates remain poorly understood. One explanation may be that older patients received substandard treatment because of concerns about adverse effects. Given the paucity of research on the multiple dimensions of the symptom experience in older oncology patients, the purpose of this study was to evaluate for differences in ratings of symptom occurrence, severity, frequency, and distress between younger (< 60 years) and older ( ≥ 60 years) adults undergoing cancer treatment. We hypothesized that older patients would have significantly lower ratings on four symptom dimensions. Methods: Data from two studies in the United States and one study in Australia were combined to conduct this analysis. All three studies used the MSAS to evaluate the occurrence, severity, frequency, and distress of 32 symptoms. Results: Data from 593 oncology outpatients receiving active treatment for their cancer (i.e., 44.4% were < 60 years and 55.6% were ≥ 60 years of age) were evaluated. Of the 32 MSAS symptoms, after controlling for significant covariates, older patients reported significantly lower occurrence rates for 15 (46.9%) symptoms, lower severity ratings for 6 (18.9%) symptoms, lower frequency ratings for 4 (12.5%) symptoms, and lower distress ratings for 14 (43.8%) symptoms. Conclusions: This study is the first to evaluate for differences in multiple dimensions of symptom experience in older oncology patients. For almost 50% of the MSAS symptoms, older patients reported significantly lower occurrence rates. While fewer age-related differences were found in ratings of symptom severity, frequency, and distress, a similar pattern was found across all three dimensions. Future research needs to focus on a detailed evaluation of patient and clinical characteristics (i.e., type and dose of treatment) that explain the differences in symptom experience identified in this study.

Study protocol: home-based telehealth stroke care: a randomized trial for veterans.

BACKGROUND: Stroke is one of the most disabling and costly impairments of adulthood in the United States. Stroke patients clearly benefit from intensive inpatient care, but due to the high cost, there is considerable interest in implementing interventions to reduce hospital lengths of stay. Early discharge rehabilitation programs require coordinated, well-organized home-based rehabilitation, yet lack of sufficient information about the home setting impedes successful rehabilitation. This trial examines a multifaceted telerehabilitation (TR) intervention that uses telehealth technology to simultaneously evaluate the home environment, assess the patient's mobility skills, initiate rehabilitative treatment, prescribe exercises tailored for stroke patients and provide periodic goal oriented reassessment, feedback and encouragement. METHODS: We describe an ongoing Phase II, 2-arm, 3-site randomized controlled trial (RCT) that determines primarily the effect of TR on physical function and secondarily the effect on disability, falls-related self-efficacy, and patient satisfaction. Fifty participants with a diagnosis of ischemic or hemorrhagic stroke will be randomly assigned to one of two groups: (a) TR; or (b) Usual Care. The TR intervention uses a combination of three videotaped visits and five telephone calls, an in-home messaging device, and additional telephonic contact as needed over a 3-month study period, to provide a progressive rehabilitative intervention with a treatment goal of safe functional mobility of the individual within an accessible home environment. Dependent variables will be measured at baseline, 3-, and 6-months and analyzed with a linear mixed-effects model across all time points. DISCUSSION: For patients recovering from stroke, the use of TR to provide home assessments and follow-up training in prescribed equipment has the potential to effectively supplement existing home health services, assist transition to home and increase efficiency. This may be particularly relevant when patients live in remote locations, as is the case for many veterans. TRIAL REGISTRATION: Clinical Trials.gov Identifier: NCT00384748.

Old Northwest and Great Lakes Region, 1785 (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: A map of the north west parts of the United States of America, [by] John Fitch. It was published in 1785. Scale [ca. 1:3,000,000]. Covers the Old Northwest from the Great Lakes to Kentucky and the Mississippi River to the Allegany River and a portion of Lake Ontario. The image inside the map neatline is georeferenced to the surface of the earth and fit to the USA Contiguous Albers Equal Area Conic projection (Meters). All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, or other information associated with the principal map. This map shows features such as human settlements, forts, Native American lands, roads, drainage, proposed state boundaries, and more. Relief shown by landform drawing. Includes descriptive notes. This layer is part of a selection of digitally scanned and georeferenced historic maps of New England from the Harvard Map Collection. These maps typically portray both natural and manmade features. The selection represents a range of regions, originators, ground condition dates, scales, and purposes.

Program of on-the-job training facilities for veterans; list of approved establishments.

Mode of access: Internet.

Program of on-the-job training facilities for veterans; list of approved establishments

Mode of access: Internet.

Program of on-the-job training facilities for veterans; establishments eliminated from the lists of approved facilities.

Mode of access: Internet.

The 84th infantry division in the battle of Germany, November 1944-May 1945,

"First published ... in May 1946."

Two years of outreach, 1968-1970 : a report from--the Administrator of Veterans Affairs.

Mode of access: Internet.