Brokering careers in transportation between community colleges and transit agencies /

"NY-06-0154"--P. 1 of Cover.

Aviation weather for pilots and flight operations personnel /

"AC 00-6A."

National airspace system plan : engineering and development.

Includes index.

The Post Office Department of the United States of America : its history, organization, and working, from the inauguration of the Federal Government, 1789, to the close of the administration of President Andrew Johnson /

Mode of access: Internet.

A study of the effect of automatic sequence clothes washing machines on individual sewage disposal systems, conducted for the Federal Housing Administration under contract no. Ha-fh-646 (amendment no. 1) March 22, 1956.

Mode of access: Internet.

Federal budgeting for research and development. Hearings before the Subcommittee on Reorganization and International Organizations of the Committee on Government Operations, United States, Eighty-seventh Congress, first session. Agency coordination study (pursuant to S. Res. 26, 87th Cong.) July 26 and 27, 1961.

Includes bibliographies.

Characteristics of primary care office visits to nurse practitioners, physician assistants and physicians in United States Veterans Health Administration facilities, 2005 to 2010: a retrospective cross-sectional analysis.

UNLABELLED: BACKGROUND: Primary care, an essential determinant of health system equity, efficiency, and effectiveness, is threatened by inadequate supply and distribution of the provider workforce. The Veterans Health Administration (VHA) has been a frontrunner in the use of nurse practitioners (NPs) and physician assistants (PAs). Evaluation of the roles and impact of NPs and PAs in the VHA is critical to ensuring optimal care for veterans and may inform best practices for use of PAs and NPs in other settings around the world. The purpose of this study was to characterize the use of NPs and PAs in VHA primary care and to examine whether their patients and patient care activities were, on average, less medically complex than those of physicians. METHODS: This is a retrospective cross-sectional analysis of administrative data from VHA primary care encounters between 2005 and 2010. Patient and patient encounter characteristics were compared across provider types (PA, NP, and physician). RESULTS: NPs and PAs attend about 30% of all VHA primary care encounters. NPs, PAs, and physicians fill similar roles in VHA primary care, but patients of PAs and NPs are slightly less complex than those of physicians, and PAs attend a higher proportion of visits for the purpose of determining eligibility for benefits. CONCLUSIONS: This study demonstrates that a highly successful nationwide primary care system relies on NPs and PAs to provide over one quarter of primary care visits, and that these visits are similar to those of physicians with regard to patient and encounter characteristics. These findings can inform health workforce solutions to physician shortages in the USA and around the world. Future research should compare the quality and costs associated with various combinations of providers and allocations of patient care work, and should elucidate the approaches that maximize quality and efficiency.

Trends and patterns in research and development expenditures in the United States

This paper is a review of recent trends in United States expenditures on research and development (R&D). Real expenditures by both the government and the private sector increased rapidly between the mid-1970s and the mid-1980s, and have since leveled off. This is true of both overall expenditures and expenditures on basic research, as well as funding of academic research. Preliminary estimates indicate that about $170 billion was spent on R&D in the United States in 1995, with ≈60% of that funding coming from the private sector and about 35% from the federal government. In comparison to other countries, we have historically spent more on R&D relative to our economy than other advanced economies, but this advantage appears to be disappearing. If defense-related R&D is excluded, our expenditures relative to the size of the economy are considerably smaller than those of other similar economies.

Comparison of energy consumption between West Germany and the United States

"Contract no. 14-01-001-1885."

Highway safety research and development - better management can make it more useful. Report by the Comptroller General of the United States.

Mode of access: Internet.

Research and related services in the United States Department of Agriculture : prepared for the Committee on Agriculture of the House of Representatives, Eighty-first Congress, second session. Dec. 21, 1950.

At head of title: Committee print.

Federal action plan for research and monitoring related to at-sea disposal of low-level radioactive wastes : FY 1986 to FY 1990

Mode of access: Internet.

In situ determination of the chloride content of portland cement concrete bridge decks / prepared for Federal Highway Administration, Offices of Research & Development Materials Division.

Mode of access: Internet.

On sample size determination; informal report no. 2 to Systems Analysis Division, Chemical Research and Development Laboratories, Edgewood Arsenal, Md., under Contract DA-18-108-CML-7174.

Mode of access: Internet.