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Reprocessed Single-Use Medical Devices: FDA Oversight Has Increased, and Available Information Does Not Indicate That Use Presents an Elevated Health
Within the Department of Health and Human Services (HHS), the Food and Drug Administration (FDA) is responsible for reviewing the safety and effectiveness of medical devices. The decision to label a device as single-use or reusable rests with the manufacturer. To market a reusable...- $15.75
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Young Adults With Serious Mental Illness: Some States and Federal Agencies Are Taking Steps to Address Their Transition Challenges: GAO-08-678
The transition to adulthood can be difficult for young adults who suffer from a serious mental illness, such as schizophrenia or bipolar disorder. When these individuals are unsuccessful, the result can be economic hardship, social isolation, and in some cases suicide, all of which...- $18.75
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Defense Health Care: Oversight of Military Services Post-Deployment Health Reassessment Completion Rates Is Limited: GAO-08-1025R
The U.S. Government Accountability Office (GAO) is an independent agency that works for Congress. The GAO watches over Congress, and investigates how the federal government spends taxpayers dollars. The Comptroller General of the United States is the leader of the GAO, and is appointed...- $14.75
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Vendor: Edward Huntington Cobb
Placer Deposits of Alaska: Usgs Open-File Report 72-71
The United States Geological Survey (USGS) is a scientific organization created in 1879, and is part of the U.S. government. Their scientists explore our environment and ecosystems, to determine the natural dangers we are facing. The agency has over 10,000 employees that collect, monitor,...- $23.75
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Indoor Mold: Better Coordination of Research on Health Effects and More Consistent Guidance Would Improve Federal Efforts: GAO-08-980
The U.S. Government Accountability Office (GAO) is an independent agency that works for Congress. The GAO watches over Congress, and investigates how the federal government spends taxpayers dollars. The Comptroller General of the United States is the leader of the GAO, and is appointed...- $17.75
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HIV/AIDS: Federal and State Efforts to Identify Infected Individuals and Connect Them to Care: GAO-09-985
Of the estimated 1.1 million Americans living with HIV, not all are aware of their HIV-positive status. Timely testing of HIV-positive individuals is important to improve health outcomes and to slow the disease's transmission. It is also important that individuals have access to HIV...- $17.75
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Medicare Advantage: Relationship between Benefit Package Designs and Plans' Average Beneficiary Health Status: GAO-10-403
Nearly 11 million Medicare beneficiaries are enrolled in Medicare Advantage (MA), Medicare's private health insurance option. Benefits vary by MA plan and may include coverage for services not available in traditional Medicare. To ensure MA plan benefit package designs do not discriminate against beneficiaries...- $15.75
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Home Infusion Therapy: Differences Between Medicare and Private Insurers Coverage: Gao-10-426
The U.S. Government Accountability Office (GAO) is an independent agency that works for Congress. The GAO watches over Congress, and investigates how the federal government spends taxpayers dollars. The Comptroller General of the United States is the leader of the GAO, and is appointed...- $15.75
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Nursing Home Quality: Implementation of the Quality Indicator Survey: GAO-11-403R
This report discusses the approach that the Centers for Medicare & Medicaid Services (CMS) is taking to implement the Quality Indicator Survey (QIS) nationally. CMS developed the QIS--a new electronic process used to conduct nursing home inspections--to provide a more reliable assessment of the...- $15.75
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Direct-To-Consumer Genetic Tests: Misleading Test Results Are Further Complicated by Deceptive Marketing and Other Questionable Practices: GAO-10-847T
In 2006, GAO investigated companies selling direct-to-consumer (DTC) genetic tests and testified that these companies made medically unproven disease predictions. Although new companies have since been touted as being more reputable--Time named one company's test 2008's "invention of the year"--experts remain concerned that the...- $15.75
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School-Based Health Centers: Available Information on Federal Funding: GAO-11-18R
Many of our nation's children have difficulty accessing needed health care services. In 2008, the Robert Wood Johnson Foundation reported that about 25 percent of children with insurance and about 55 percent of uninsured children did not receive a recommended routine checkup within the...- $14.75
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National Institutes of Health: Awarding Process, Awarding Criteria, and Characteristics of Extramural Grants Made with Recovery ACT Funding: Gao-10-8
The American Recovery and Reinvestment Act of 2009 (Recovery Act) included $10.4 billion in funding for the National Institutes of Health (NIH), an agency of the Department of Health and Human Services (HHS). Of the NIH Recovery Act funding, $8.2 billion was to be...- $17.75
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Oral Health: Efforts Under Way to Improve Children's Access to Dental Services, but Sustained Attention Needed to Address Ongoing Concerns: GAO-11-96
The U.S. Government Accountability Office (GAO) is an independent agency that works for Congress. The GAO watches over Congress, and investigates how the federal government spends taxpayers dollars. The Comptroller General of the United States is the leader of the GAO, and is appointed...- $18.75
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Children with Down Syndrome: Families Are More Likely to Receive Resources at Time of Diagnosis Than in Early Childhood: GAO-11-57
On October 8, 2008, the Prenatally and Postnatally Diagnosed Conditions Awareness Act was signed into law, requiring GAO to submit a report concerning the effectiveness of current health care and family support programs for the families of children with disabilities. In this report, GAO...- $16.75
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Health Care Delivery: Features of Integrated Systems Support Patient Care Strategies and Access to Care, But Systems Face Challenges: Gao-11
The U.S. Government Accountability Office (GAO) is an independent agency that works for Congress. The GAO watches over Congress, and investigates how the federal government spends taxpayers dollars. The Comptroller General of the United States is the leader of the GAO, and is appointed...- $15.75
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Public Health Preparedness: Developing and Acquiring Medical Countermeasures Against Chemical, Biological, Radiological, and Nuclear Agents: GAO-11-56
The anthrax attacks of 2001 and a radiation leak after the recent natural disaster in Japan highlighted concerns that the United States is vulnerable to threats from chemical, biological, radiological, and nuclear (CBRN) agents, which can cause widespread illness and death. Medical countermeasures--such as...- $14.75
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Medical Devices: FDA's Premarket Review and Postmarket Safety Efforts: GAO-11-556T
The Food and Drug Administration (FDA) is responsible for overseeing medical devices sold in the United States. In general, new devices are subject to FDA review via either the 510(k) premarket notification process, which determines if a device is substantially equivalent to another legally...- $14.75
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President's Emergency Plan for AIDS Relief: Program Planning and Reporting: Gao-11-785
U.S. assistance through the President's Emergency Plan for AIDS Relief (PEPFAR) has helped provide treatment, care, and prevention services overseas to millions affected by HIV/AIDS. In 2008, Congress reauthorized PEPFAR with the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS,...- $15.75
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Medicare Advantage: Changes Improved Accuracy of Risk Adjustment for Certain Beneficiaries: GAO-12-52
The effect of CMS's revised community model on payment accuracy varied for the high-risk groups studied. Specifically, compared with the current community model, the revised community model slightly reduced the accuracy of MA payment adjustments for beneficiaries with multiple chronic conditions by $164, or...- $15.75
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Precollege Math and Science Education: Department of Energy's Precollege Program Managed Ineffectively: Hehs-94-208
Pursuant to a congressional request, GAO provided information on the Department of Energy's (DOE) management of its precollege mathematics and science education program, focusing on: (1) DOE program implementation priorities; (2) the role of project evaluations in budget decisions; and (3) whether the program...- $15.75
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Vendor: Debra Palka
Cooperative Research to Study Dive Patters of Sperm Whales in the Atlantic Ocean: Ocs Mms 2007-033
The Bureau of Ocean Energy Management (BOEM) is a agency within the U.S. Department of Interior. BOEM has four sections that cover the United States' waters: Alaska OCS Region, Pacific OCS Region, Gulf of Mexico OCS Region and the Atlantic OCS Region. The Gulf...- $17.75
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Drug Shortages: FDA's Ability to Respond Should Be Strengthened: Gao-12-116
The number of drug shortages has grown substantially since 2006. In total, 1,190 shortages were reported from January 1, 2001, through June 20, 2011, according to UUDIS data. From 2006 through 2010, the number of drug shortages increased each year. A record number of...- $17.75
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Drug Pricing: Manufacturer Discounts in the 340b Program Offer Benefits, But Federal Oversight Needs Improvement: Gao-11-836
The Health Resources and Services Administration (HRSA), within in the Department of Health and Human Services (HHS), oversees the 340B Drug Pricing Program, through which participating drug manufacturers give certain entities within the health care safety net--known as covered entities--access to discounted prices on...- $17.75
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Information Technology: Management Improvements Needed on the Department of Homeland Security's Next Generation Information Sharing System: GAO-09-40
The U.S. Government Accountability Office (GAO) is an independent agency that works for Congress. The GAO watches over Congress, and investigates how the federal government spends taxpayers dollars. The Comptroller General of the United States is the leader of the GAO, and is appointed...- $17.75
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Aviation Security: Tsa's Cost and Performance Study of Private-Sector Airport Screening: Gao-09-27r
This report formally responds to Congress' request that GAO review the Transportation Security Administration's (TSA) Screening Partnership Program (SPP). In accordance with the Aviation and Transportation Security Act, TSA created the SPP to allow commercial airports an opportunity to apply to TSA to use...- $17.75
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Medical Devices: FDA Has Met Most Performance Goals but Device Reviews Are Taking Longer: GAO-12-418
Even though FDA met all medical device performance goals for 510(k)s, the elapsed time from submission to final decision has increased substantially in recent years. This time to final decision includes the days FDA spends reviewing a submission as well as the days FDA...- $17.75
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Biosafety Laboratories: BSL-4 Laboratories Improved Perimeter Security Despite Limited Action by CDC: GAO-09-1038T
The U.S. Government Accountability Office (GAO) is an independent agency that works for Congress. The GAO watches over Congress, and investigates how the federal government spends taxpayers dollars. The Comptroller General of the United States is the leader of the GAO, and is appointed...- $14.75
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Biosurveillance: Developing a Collaboration Strategy Is Essential to Fostering Interagency Data and Resource Sharing: Gao-10-171
The U.S. Government Accountability Office (GAO) is an independent agency that works for Congress. The GAO watches over Congress, and investigates how the federal government spends taxpayers dollars. The Comptroller General of the United States is the leader of the GAO, and is appointed...- $15.75
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Medicaid Expansion: States' Implementation of the Patient Protection and Affordable Care ACT: Gao-12-821
Under PPACA, states are responsible for making a number of changes to their Medicaid programs by January 1, 2014, including expanding eligibility levels and streamlining their enrollment processes. Specifically, states must expand Medicaid eligibility to non-elderly individuals with incomes at or below 133 percent...- $15.75
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Health Care: Comparing Cost and Time Overruns on Selected Hospital Construction and Air-Conditioning Contracts: Mwd-75-50
The U.S. Government Accountability Office (GAO) is an independent agency that works for Congress. The GAO watches over Congress, and investigates how the federal government spends taxpayers dollars. The Comptroller General of the United States is the leader of the GAO, and is appointed...- $15.75
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Critical Infrastructure Protection: Key Private and Public Cyber Expectations Need to Be Consistently Addressed: GAO-10-628
Pervasive and sustained computer-based attacks pose a potentially devastating impact to systems and operations and the critical infrastructures they support. Addressing these threats depends on effective partnerships between the government and private sector owners and operators of critical infrastructure. Federal policy, including the Department...- $15.75
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Aviation Security: Actions Needed to Address Challenges and Potential Vulnerabilities Related to Securing Inbound Air Cargo: GAO-12-632
The Transportation Security Administration (TSA) has taken three primary actions since October 2010 to enhance security of inbound cargo on passenger and all-cargo aircraft. First, from October 2010 through May 2011, TSA issued new risk-based security requirements to focus more detailed screening measures on...- $15.75
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The Borderlands and climate change: Chapter 10 in United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science: USGS Circular
The prediction of global climate change in response to both natural forces and human activity is one of the defining issues of our times. The unprecedented observational capacity of modern earth-orbiting satellites coupled with the development of robust computational representations (models) of the Earth's...- $15.75
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Vendor: R. Sky Bristol
U.S. Geological Survey Core Science Systems Strategy: Characterizing, Synthesizing, and Understanding the Critical Zone Through a Modular Science Fram
Core Science Systems is a new mission of the U.S. Geological Survey (USGS) that resulted from the 2007 Science Strategy, "Facing Tomorrow's Challenges: U.S. Geological Survey Science in the Decade 2007-2017." This report describes the Core Science Systems vision and outlines a strategy to...- $15.75
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Strategies for managing the effects of urban development on streams: USGS Circular 1378
Urban development remains an important agent of environmental change in the United States. The U.S. population grew by 17 percent from 1982 to 1997, while urbanized land area grew by 47 percent, suggesting that urban land consumption far outpaced population growth (Fulton and others,...- $18.75
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Vendor: Marc J. Zimmerman
Effects of Low-Impact-Development (Lid) Practices on Streamflow, Runoff Quantity, and Runoff Quality in the Ipswich River Basin, Massachusetts: A Summ
Low-impact-development (LID) approaches are intended to create, retain, or restore natural hydrologic and water-quality conditions that may be affected by human alterations. Wide-scale implementation of LID techniques may offer the possibility of improving conditions in river basins, such as the Ipswich River Basin in...- $15.75
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Vendor: Otto Moosburner
A proposed streamflow-data program for Arizona: USGS Open-File Report 70-231
The United States Geological Survey (USGS) is a scientific organization created in 1879, and is part of the U.S. government. Their scientists explore our environment and ecosystems, to determine the natural dangers we are facing. The agency has over 10,000 employees that collect, monitor,...- $17.75
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Vendor: P. K. Theobald
Geology of Samrah and vicinity, Kingdom of Saudi Arabia: USGS Open-File Report 70-321
The United States Geological Survey (USGS) is a scientific organization created in 1879, and is part of the U.S. government. Their scientists explore our environment and ecosystems, to determine the natural dangers we are facing. The agency has over 10,000 employees that collect, monitor,...- $15.75
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Vendor: C. L. Hummel
Preliminary Report on the Ancient Mines and Mineral Occurrences in Northeastern Hijaz Quadrangle 205 and the Southwest Part of Wadi AR Rimah Quadrangl
The United States Geological Survey (USGS) is a scientific organization created in 1879, and is part of the U.S. government. Their scientists explore our environment and ecosystems, to determine the natural dangers we are facing. The agency has over 10,000 employees that collect, monitor,...- $17.75
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Observation of the Atmospheric Boundary Layer in the Western and Central Gulf of Mexico, Final Performance Report: OCS Study MMS 2002-028
The Bureau of Ocean Energy Management (BOEM) is a agency within the U.S. Department of Interior. BOEM has four sections that cover the United States' waters: Alaska OCS Region, Pacific OCS Region, Gulf of Mexico OCS Region and the Atlantic OCS Region. The Gulf...- $20.75
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Thorium Deposits of the United States - Energy Resources for the Future?: USGS Circular 1336
The United States Geological Survey (USGS) is a scientific organization created in 1879, and is part of the U.S. government. Their scientists explore our environment and ecosystems, to determine the natural dangers we are facing. The agency has over 10,000 employees that collect, monitor,...- $15.75
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Earth Science Studies in Support of Public Policy Development and Land Stewardship, Headwaters Province, Idaho and Montana: USGS Circular 1305
The USGS Headwaters Province project in western Montana and northern and central Idaho was designed to provide geoscience data and interpretations to Federal Land Management Agencies and to respond to specific concerns of USDA Forest Service Regions 1 and 4. The project has emphasized...- $18.75
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Occupational Safety and Health: Options for Improving Safety and Health in the Workplace: HRD-90-66BR
Pursuant to a congressional request, GAO reviewed: (1) policies or procedures that might better accomplish the Occupational Safety and Health Act's goal of providing safe and healthy workplaces; (2) options that Congress and the Occupational Safety and Health Administration (OSHA) could consider to improve...- $18.75
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Budget and Spending: Reduced Communications Costs Through Centralized Management of Multiplex Systems: LCD-80-53
The Government's use of multiplex communications technology and the potential for increased exploitation of the technology to reduce long-distance communications costs are described. Long-distance and local communications services are used by the Government to process administrative data between user locations, to make computer inquiries,...- $15.75
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Vendor: Et Al
Rainfall, Streamflow, and Water-Quality Data During Stormwater Monitoring, Halawa Stream Drainage Basin, Oahu, Hawaii, July 1, 2005 to June 30, 2006:
Storm runoff water-quality samples were collected as part of the State of Hawaii Department of Transportation Stormwater Monitoring Program. This program is designed to assess the effects of highway runoff and urban runoff on Halawa Stream. For this program, rainfall data were collected at...- $15.75
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Vendor: Eric V. Regehr
Polar Bear Population Status in the Southern Beaufort Sea: USGS Open-File Report 2006-1337
The United States Geological Survey (USGS) is a scientific organization created in 1879, and is part of the U.S. government. Their scientists explore our environment and ecosystems, to determine the natural dangers we are facing. The agency has over 10,000 employees that collect, monitor,...- $15.75
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Equal Opportunity: Problems in Obtaining and Enforcing Compliance With Good Manufacturing Practices for Drugs: B-164031(2)
The U.S. Government Accountability Office (GAO) is an independent agency that works for Congress. The GAO watches over Congress, and investigates how the federal government spends taxpayers dollars. The Comptroller General of the United States is the leader of the GAO, and is appointed...- $17.75
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Health Care: Relationships Between Nonprofit Prepaid Health Plans with California Medicaid Contracts and for Profit Entities Affili
The U.S. Government Accountability Office (GAO) is an independent agency that works for Congress. The GAO watches over Congress, and investigates how the federal government spends taxpayers dollars. The Comptroller General of the United States is the leader of the GAO, and is appointed...- $18.75
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Science and Technology: NSF's Award of Two Research Vessels Met Requirements: PAD-82-14
GAO was asked to review the appropriateness of the National Science Foundation (NSF) award of two new oceanographic coastal zone research vessels to the University of Miami and the Duke/University of North Carolina consortium. Recognizing that energy and pollution problems were accelerating the need...- $14.75
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Asbestos in Schools: A Dilemma: CED-82-114
In response to a congressional request, GAO reviewed the progress of federal efforts to reduce asbestos hazards in schools, including: (1) the impact of an Environmental Protection Agency (EPA) technical assistance program to stimulate states and school districts to correct asbestos problems; (2) other...- $17.75
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