[Selective Service Manual]

Mode of access: Internet.

The Cooperative federal-state-local health statistics system.

"May 1973"--P. [2] of cover.

Drug program report : the National Training System, a year of transition, 1981-1982.

"Written for the Training Division, National Institute on Drug Abuse by the Career Development Center, HCS, Inc., ... under contract number 271-80-4807"--T.p. verso.

Backgrounds of selective service.

v. 1. A historical review of the principle of citizen compulsion in the raising of armies [prepared by R.E. Jackson, Jr.]--v. 2. Military obligation: the American tradition, a compilation of the enactments of compulsion from the earliest settlements of the original thirteen colonies in 1607 though the Articles of Confederation, 1789 [prepared and compiled by A. Vollmer]. 14 v.

The nitrogen system of compounds, by Edward Curtis Franklin.

Bibliographical foot-notes.

Compilation of statutes relating to soil conservation, marketing quotas and allotments, soil bank, Commodity Credit Corporation, price support, export and surplus removal, crop insurance, sugar payments and quotas, marketing agreements and orders, and related statutes.

Issued Jan. l, 1953- as U.S. Dept. of Agriculture. Agriculture handbook, no. 49, 79, 113, 192, 242, 281, 317, etc.

The spy of the rebellion; being a true history of the spy system of the United states army during the late rebellion.

Mode of access: Internet.

Carbon dioxide reduction system. Technical documentary report no. AMRL-TDR-64-42. Contract monitor: Richard E. Bennett. Project no. 6373, Task no. 637302.

Cover title.

Regionalization of Veterans' Administration's health care system [microform] /

Reuse of record except for individual research requires license from Congressional Information Service, Inc.

Implications of prospective payment for the health care system and health planning /

"HRP-0906516."

TDQAS : Training Development Quality Assurance System : clients.

"September 1989."

The promotion and disruption of community service delivery systems

In this paper, we report data drawn from a larger project on the functioning of the Queensland community service delivery system, particularly that providing services to people with disabilities. Our reasoning for focusing at this level is that, from the service user's perspective, support is derived from the service delivery system, not just individual service providers. Defining the service delivery system as formal services and informal support networks, we undertook interviews and focus groups with service providers in six areas in Queensland: inner urban, outer urban, rural and remote. The period on which we report is one in which considerable reform activity had been undertaken by funding bodies of the Commonwealth and State governments. We report on those factors we identified which promote the integrated functioning of the service delivery system, as well as those factors that disrupt it. We conclude with a brief evaluative analysis of the current status of the system.

Prospective case review of a global e-health system for doctors in developing countries

The Swinfen Charitable Trust has managed email consultations for doctors in developing countries since 1999. The process was handled manually for the first three years and then subsequently using an automatic message-handling system. We conducted a prospective review of email consultations between referring doctors and consulting specialists during six months of automatic operation (December 2003 to May 2004). During the study period 125 consultations took place. These concerned a wide range of specialties (e.g. orthopaedics 17%, dermatology 16%, obstetrics and gynaecology 11%, radiology 10%). Of these referrals, 33% (41) were for paediatric cases. Consulting specialists, who were based in five countries, were volunteers. Referring doctors were from 24 hospitals in 12 developing countries. The median time from referral to definitive reply was 1.5 days (interquartile range 0.6-4.9). There was an 85% response rate (n = 106) to a survey concerning the value of the consultation to the referring doctor. All the referring doctors who responded made positive comments about the service and half said that it improved their management of the case. The second-opinion consultation system operated by the Swinfen Charitable Trust represents an example of a global e-health system operated for altruistic, rather than commercial, reasons.

Evaluation of an accident and emergency teleconsultation service for north-east Scotland

We evaluated an accident and emergency teleconsultation service provided to 14 community hospitals in north-east Scotland. Each community hospital was equipped with a videoconferencing system and a document camera to allow transmission of radiographs. The network used 384 kbit/s ISDN connections. A total of 1392 teleconsultations were recorded during a 12-month study period. Seventy-seven per cent of patients (n=1072) were managed locally and 23% (n=320) were transferred to Aberdeen. The majority (95%) of teleconsultations were conducted on weekdays, and 90% of these occurred between the hours of 09:00 and 16:00. The mean delay in contacting a doctor was 9 min and the mean consultation time was 10 min. The majority of patients were suffering from fractures or suspected fractures of the limbs. Radiograph transmission was used in 75% of all teleconsultations. A high degree of satisfaction was recorded by all users of the service.