Some industrial and community conditions for small retailer survival,

"Prepared by the University of Illinois under the Small Business Administration's management research grant program."

Seniors in national and community service : a report prepared for the Commonwealth Fund's Americans over 55 at Work Program /

"April 1994."

Child care food program management manual for institutions.

Cover title.

People and trees growing together : America the Beautiful : National Tree Program : Urban and Community Forestry : Forest Stewardship : Stewardship Incentive Program.

"November 1991"--back cover.

Caring for our natural community : region 1 - threatened, endangered & sensitive species program /

Shipping list no.: 89-191-P.

Child care food program management manual for institutions.

Issued Sept. 1980.

Cost effectiveness of the U.S. Geological Survey's stream-gaging program in Illinois /

Tables.

Medical care and health services for rural people; a study prepared as a result of a conference held at Chicago, Illinois, April 11-13, 1944,

Mode of access: Internet.

A conceptual model of organized primary care and comprehensive community health services.

Mode of access: Internet.

Implementing community development : a study of the Community Development Block Grant Program /

Item 582

A Guide to developing a community-based, designated driver program.

"DOT HS 808 137"--P. [4] of cover.

Secondary prevention of renal and cardiovascular disease: Results of a renal and cardiovascular treatment program in an Australian aboriginal community

Australian Aborigines are experiencing an epidemic of renal and cardiovascular disease. In late 1995 we introduced a treatment program into the Tiwi community, which has a three- to fivefold increase in death rates and a recent annual incidence of treated ESRD of 2760 per million. Eligible for treatment were people with hypertension, diabetics with micro or overt albuminuria, and all people with overt albuminuria. Treatment centered around use of perindopril (Coversyl, Servier), with other agents added to reach BP goals; attempts to control glucose and lipid levels; and health education. Thirty percent of the adult population, or 267 people, were enrolled, with a mean follow up of 3.39 yr. Clinical parameters were followed every 6 mo, and rates of terminal endpoints were compared with those of 327 historical controls matched for baseline disease severity, followed in the pretreatment program era. There was a dramatic reduction in BP in the treatment group, which was sustained through 3 yr of treatment. Albuminuria and GFR stabilized or improved. Rates of natural deaths were reduced by an estimated 50% (P = 0.012); renal deaths were reduced by 57% (P = 0.038); and nonrenal deaths by 46% (P = 0.085). Survival benefit was suggested at all levels of overt albuminuria, and regardless of diabetes status, baseline BP, or prior administration of angiotensin converting enzyme inhibitors (ACEI). No significant benefit was apparent among people without overt albuminuria, nor among those with GFR less than 60 ml/min. An estimated 13 renal deaths and 10 nonrenal deaths were prevented, with the number-needed-to-treat to avoid one terminal event of only 11.6. Falling deaths and renal failure in the whole community support these estimates. The program was extremely cost-effective. Programs like this should be introduced to all high-risk communities as a matter of urgency.

The template: A cooperative approach to evaluating community rehabilitation services

This article describes a workshop and consultation process utilized by four community rehabilitation services and other stakeholders. This process led to the development of an evaluation Template upon which to plan a service evaluation. The Template comprises a number of guiding questions within three broad domains. These are, the people domain (pertaining to the client, their disability, their family and service context), the program domain (pertaining to the service and its activities), and the perspective domain (pertaining to the broader social and community context). It is suggested that the Template, the process by which it was developed, and the guidelines for its use will have relevance to rehabilitation managers, administrators, and others involved in evaluation of community rehabilitation services.