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The Menopause, Hormone Therapy, and Women's Health

Description: This background paper describes what is known about the natural progression of the menopause and its effect on women’s health, hormone treatment and prescribing practices, alternative approaches, and research needs.
Date: May 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Identifying and Controlling Immunotoxic Substances

Description: This background paper, which describes the state-of the- art of identifying substances that can harm the immune system, represents one response to the committee’s request. Chapter 2 provides basic information about the principal components of the immune system and the general consequences that stem from perturbations to it. Chapter 3 describes methods for evaluating chemical immunotoxicity and reports on some known or suspected immunotoxicants. Chapter 4 summarizes Federal research and regulatory activities related to immunotoxicity.
Date: April 1991
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Long-Lived Legacy: Managing High-Level and Transuranic Waste at the DOE Nuclear Weapons Complex

Description: This report describes, documents, and analyzes available data about two key waste management problems at the Department of Energy Weapons Complex—those of high-level radioactive waste and transuranic waste. The paper is organized in two chapters—” Chapter 1: Managing High Level Waste’ and ‘Chapter 2: Managing Transuranic Waste. ” Each chapter contains a summary overview followed by a discussion and analysis of important areas in the waste management problem that the DOE faces at present and in its future operations.
Date: May 1991
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Medical Monitoring and Screening in the Workplace: Results of a Survey

Description: This OTA Background Paper presents the results of a survey of 1,500 U.S. companies, the 50 largest utilities, and the largest unions. The survey was designed to obtain information about the types of medical monitoring and screening done in the United States and the extent of their use. OTA finds that virtually all large U.S. employers use some of these tests.
Date: September 1991
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Benefit Design in Health Care Reform: Patient Cost-Sharing

Description: This paper examines the health services and economics literature to learn what is known about the effects of patient cost-sharing (that is, annual deductibles, coinsurance, copayments, and out-of-pocket maximurns) on patients’ use of health care services, on plan expenditures, and on patients’ health outcomes.
Date: September 1993
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

New Opportunities for U.S. Universities in Development Assistance: Agriculture, Natural Resources, and Environment

Description: This background paper discusses the legacy of 40 years of U.S. university/AID collaboration, and examines new opportunities for U.S. university participation in development assistance.
Date: September 1991
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Disposal of Chemical Weapons: Alternative Technologies

Description: This background paper briefly describes the Army’s chemical weapons destruction program, discusses the factors that could affect a decision to develop alternatives, discusses the alternatives, and illustrates the difficulty of gaining public acceptance of complex technical systems.
Date: June 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Does Health Insurance Make a Difference?

Description: This background paper reviews and evaluates the available literature linking health insurance coverage with the utilization and process of health care services and with individual health outcomes.
Date: September 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Dioxin Treatment Technologies

Description: This paper presents the status of national efforts to cleanup dioxin-contaminated sites and the technologies that have been used, proposed, and researched. It covers thermal and nonthermal treatment techniques as well as approaches such as stabilization and storage. It discusses the development of these technologies as well as advantages and disadvantages of their use.
Date: November 1991
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

The Big Picture: HDTV and High-Resolution Systems

Description: A report on High Definition Television (HDTV. During 1989, HDTV moved from obscurity to center stage in the ongoing debate over the role of the Federal Government in U.S. industrial competitiveness. HDTV and related High-Resolution System (HRS) technologies in the computer and communications sectors may significantly impact U.S. electronics manufacturing, accelerate fundamental restructuring of the U.S. communications infrastructure, and provide a host of valuable services.
Date: June 1990
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Children's Dental Services Under the Medicaid Program

Description: The report discusses the oral health of children eligible for Medicaid, the House Committee on Energy and Commerce and its Subcommittee on Health and the Environment requested OTA to determine whether children eligible for Medicaid are provided at least a minimum level of dental care. This study compares the dental manuals of seven State Medicaid programs with a set of “basic’ dental services (which comprise shared components of various well-accepted dental guidelines) to see if States allow these particular services.
Date: September 1990
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Computer Software and Intellectual Property

Description: This background paper examines existing intellectual-property protection for computer software-copyrights, patents, and trade secrets—and provides an overview of the often conflicting views and concerns of various stakeholders. It was prepared in response to a request from the Subcommittee on Courts, Intellectual Property, and the Administration of Justice of the House Committee on the Judiciary.
Date: March 1990
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Coping With an Oiled Sea

Description: In the aftermath of the Exxon Valdez oil spill in Alaska in March, 1989, a myriad of investigations were initiated to evaluate the causes of that accident and to propose remedies. The Office of Technology Assessment was asked to study the Nation’s oil spill clean-up capabilities and to assess the technologies for responding to such catastrophic spills in the future.
Date: March 1990
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Nonferrous Metals: Industry Structure

Description: This report profiles the structures of four domestic nonferrous metals industries (copper, aluminurn, lead, and zinc) and the changes they have undergone since 1980. The study also outlines the U.S. position in the world markets.
Date: September 1990
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Orbiting Debris: A Space Environmental Problem

Description: This background paper, OTA sought the contributions of abroad spectrum of knowledgeable individuals and organizations. Some provided information, others reviewed drafts. OTA gratefully acknowledges their contributions of time and intellectual effort. As with all OTA studies, the content of this background paper is the sole responsibility of the Office of Technology Assessment and does not necessarily represent the views of our advisors or reviewers.
Date: October 1990
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Technologies for Reducing Dioxin in the Manufacture of Bleached Wood Pulp

Description: As analytical technology improves, we are discovering dioxins associated with many products commonly found in the home and workplace. This report provides an assessment of these technologies; it does not address the policy issues related to regulating dioxin in paper products and controlling environmental release.
Date: May 1989
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Affordable Spacecraft: Design and Launch Alternatives

Description: This background paper examines several proposals for reducing the costs of spacecraft and other payloads and describes launch systems for implementing them. It is one of a series of products of a broad assessment of space transportation technologies undertaken by OTA at the request of the Senate Committee on Commerce, Science, and Transportation, and the House Committee on Science, Space, and Technology.
Date: January 1990
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Using Desalination Technologies for Water Treatment

Description: This study provides a technical assessment of traditional desalination techniques that can be used for water treatment. These techniques include distillation, as well as more recently developed membrane processes. As part of this effort OTA held a one-day workshop on July 29, 1987, with desalination and water treatment experts to review the initial draft of this background paper and to discuss other areas of interest. The conclusions of these discussions are included in this background report.
Date: March 1988
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Adolescent Health Insurance Status: Analyses of Trends in Coverage and Preliminary Estimates of the Effects of an Employer Mandate and Medicaid Expansion on the Uninsured

Description: This report examines the health insurance status of adolescents (10 to 18 years of age) based on census data. It considers the reasons that some adolescents are insured and others are not, changes in the number of uninsured adolescents over time, and the effects of various approaches to ensure that more adolescents have insurance.
Date: June 1989
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Artificial insemination: practice in the United States: summary of a 1987 survey

Description: This background paper presents the results of a study of physician and sperm bank practice of artificial insemination in the United States. It documents the number of women undergoing artificial insemination each year, the annual cost, medical and social screening criteria for women seeking artificial insemination and men who donate semen, the genealogical recordkeeping available to the resulting children, and physician attitudes toward possible changes in artificial insemination practice.
Date: August 1988
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Genetic Counseling and Cystic Fibrosis Carrier Screening: Results of a Survey

Description: This paper presents results from a 1991 OTA survey of 431 genetic counselors and nurse geneticists. It was conducted to better understand the environment in which the average genetic counselor or nurse in genetics works, to describe the infrastructure and tools available to these professionals, to assess the state of practice in the provision of cystic fibrosis (CF) carrier screening, and to evaluate their attitudes regarding CF carrier screening.
Date: October 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

The 1992 World Administrative Radio Conference: Issues for U.S. International Spectrum Policy

Description: This report examines the U.S. preparations process for WARC-92, highlighting efforts to integrate the needs and concerns of various interest groups. It also reviews the forces and trends affecting the United States as it approaches WARC-92, and is intended to inform future congressional oversight of the domestic and international radio communication policy process.
Date: November 1991
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Hazards Ahead: Managing Cleanup Worker Health and Safety at the Nuclear Weapons Complex

Description: This paper concludes that, thus far, Department of Energy has (DOE) and its contractors have devoted little attention to cleanup worker health and safety. They have not convinced workers and managers that a “new culture” of accountability in environment, safety, and health is truly ascendent.
Date: February 1993
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Impact of Legal Reforms on Medical Malpractice Costs

Description: This report discusses the indirect cost of medical malpractice, commonly referred to as “defensive medicine,” that may add to overall health care costs. The cost of defensive medicine remains unknown and is subject to much speculation because there are no sound empirical data.
Date: September 1993
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department