This assessment analyzes the problem of acid deterioration of books and the program underway at the Library of Congress. The program at the Library involves the chemical treatment of books in a unique and effective process that, however, also presents some new engineering and safety concerns. Because of these concerns, the House of Representatives Committee on Appropriations requested this independent review of the Library’s system and other available or potential processes.

This report provides introduction of Dr. James Parkinson, diagnosis of Parkinson's syndromes, the age of onset of the disease, racial origin and incidence rate of Parkinson's, as well as survival after the onset of Parkinson's.

This report discusses the physician-specific vs. patient-specific data, the identifiable interests vie for attention in the analysis of physician-identified data collection and disclosure.

This is a quarterly report detailing the budget and progress of the Office of Technology Assessment.

This report addresses the opportunities to improve the dissemination of Federal information. It also highlights two major problems: maintaining equity in public access to Federal information in electronic formats, and defining the respective roles of Federal agencies and the private sector in the electronic dissemination process. The report focuses on current and future roles of the U.S. Government Printing Office (GPO) and Superintendent of Documents, the Depository Library Program (administered by GPO), and the National Technical Information Service (NTIS). In addition, this report examines electronic dissemination of congressional information, the Freedom of Information Act in an electronic environment, and electronic dissemination of government information to the press.

This report focuses on the formal policies and guidelines’ through which health care institutions articulate decision making procedures and identify permissible options regarding the use of life-sustaining treatments for adult patients in their care.

Part I of the report discusses how the meaning of “the press” has expanded from printed material to include a wide range of broadcast and electronic media. Satellites, computers, electronic bulletin boards, teletex, videotext, and other new ways of gathering, editing, and delivering news are blurring legal and regulatory distinctions between common carriers and “the press, ” thus changing arguments about the constitutional rights that they have each enjoyed. Part II addresses freedom of speech and press as they apply to scientific communications and technological know-how. As science and technology become ever more important to our economy and our military strength, the delicate balance between individual rights and the national interest becomes both more important and more difficult to maintain.

This report reviews the research on AIDS and sex education programs. It examines the more significant studies that have evaluated the actual impact of those programs upon various outcomes, including knowledge, attitudes, skills and sexual behaviors.

Annual report detailing the progress and budget of the Office of Technology Assessment.

Annual report of the progress and budgets of the Office of Technology Assessment.

This report discusses classification and aggregation of patients according to differential needs for care that have bee accepted as normal features of contemporary hospital practice.

This report examines developments in the use of computer-based technologies, analyzes key trends in hardware and software development, evaluates the capability of technology to improve learning in many areas, and explores ways to substantially increase student access to technology. The role of the teacher, teachers’ needs for training, and the impact of Federal support for educational technology research and development are reviewed as well.

This report discusses the research and technology efforts aimed at mapping and sequencing large portions or entire genomes. It includes the implication of technologies, social and ethical issues, applications in research biology and medicine etc.

Changes in how physicians and hospitals are paid have made individual consumers, health insurers, employers, and medical providers more sensitive to the cost implications of their decisions. At the same time, these policy changes have elevated the importance of having consumers be informed about the quality of medical providers. Purchasers of medical care (individual consumers, employers, health insurers) need to know about any differences in quality so that they can weigh quality along with cost in making decisions.

This report illustrates a range of options for congressional action in nine principal areas of public policy related to infertility: collecting data on reproductive health; preventing infertility; information to inform and protect consumers; providing access to infertility services; reproductive health of veterans; transfer of human eggs, sperm, and embryos; recordkeeping; surrogate motherhood; and reproductive research.

Scientific and technical journals in biology and medicine have extensively covered a debate about whether and how to determine the function and order of human genes on human chromosomes and when to determine the sequence of molecular building blocks that comprise DNA in those chromosomes. This report surveys the points made so far in the debate that involves science, technology, and politics, focusing on those that most directly influence the policy options facing the U.S. Congress.

Tests to identify individuals who are likely to develop serious diseases are being rapidly developed. Some of these tests are directed at diseases for which there are presently no known therapies, thereby raising questions over the social consequences of identifying susceptible persons. This assessment examines existing and developing medical tests and their current and potential uses by health insurers and employers.

This special report is the fourth in a series of OTA studies being carried out under an assessment of “New Developments in Biotechnology, ” requested by the House Committee on Energy and Commerce and the House Committee on Science, Space, and Technology. This fourth report in the series describes the levels and types of investment currently being made by the Federal, State, and private sectors. Ten major issues that affect investment were identified.

This report has gathered information on agricultural production throughout Sub-Saharan Africa, looked closely at specific, promising technologies such as agroforestry, small-scale irrigation, soil and water management, and the improved use of animals. As a result, it seems clear that low-resource agriculture has a sizable potential to contribute to increased African food security. Also, it is clear that low-resource agriculture must be enhanced in order to reach its full potential. This report identifies ways that U.S. development assistance can aid this process.

The report highlights strategic choices available to Americans as we negotiate a period of major transformation. The choices we make will have profound consequences for the quality of work and the amenities available to Americans and for America’s role of leadership in the free world.