The report discusses trends in numbers of AIDS cases, approaches to AIDS prevention--changing behavior, efforts designed for the American people as a whole, and preventing AIDS among different groups.

This paper assesses the medical benefits and costs of both screening and hormone replacement therapy. It is divided into two volumes. This volume presents the results of a model that estimates the cost per year of life gained from osteoporosis screening and hormone replacement therapy in postmenopausal women.

This background paper describes and assesses the role of technology in underwater archaeology and historic maritime preservation. As several underwater projects have recently demonstrated, advanced technology, often developed for other uses, plays an increasingly important role in the discovery and recovery of historic shipwrecks and their contents.

The background paper summarizes the evidence on the effectiveness and costs of prostate cancer screening and treatment in elderly men and explores the implications for Medicare of offering this preventive technology as a Medicare benefit.

This report has four parts. The first part focuses on several factors that are necessary for substance abuse and addiction to occur, including an examination of the biological research regarding the phenomenon of addiction to a variety of substances. The second part describes individual risk and protective factors that contribute to the abuse of, and addiction to, alcohol and drugs. The third part, looks at how risk and protective factors play out in subcultures and in major activity settings (home, school, workplace, and recreation), and assesses the effectiveness of various substance abuse prevention initiatives. The fourth section, addresses a range of legislative issues and options for Congress arising from an understanding of the factors leading to substance abuse and addiction.

This report discusses biological rhythms: what they are, how they are controlled by the brain, and the role they play in regulating physiological and cognitive functions. The major focus of the report is the examination of the effects of nonstandard work hours on biological rhythms and how these effects can interact with other factors to affect the health, performance, and safety of workers.

The purpose of this report is to examine two crucial questions: 1. What are we getting out of this investment? 2. How can we improve it?

This report analyzes the case for developing a long-term, comprehensive strategic plan for civilian satellite remote sensing, and explores the elements of such a plan, if it were adopted. The report also enumerates many of the congressional decisions needed to ensure that future data needs will be satisfied.

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 background paper focuses on the Federal role in supporting a national high-performance computing initiative. High-performance ‘‘supercomputers’ * are fast becoming tools of international competition and they play an important role in such areas as scientific research, weather forecasting, and popular entertainment. They may prove to be the key to maintaining America’s preeminence in science and engineering. The automotive, aerospace, electronic, and pharmaceutical industries are becoming more reliant on the use of high-performance computers in the analysis, engineering, design, and manufacture of high-technology products.

The report focuses on mental disabilities, a broad rubric. In this background paper, OTA examines current knowledge about psychiatric disabilities and employment in the context of the ADA’s requirements and reviews Federal activities directly or indirectly aimed at supporting the ADA’s employment provisions.

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

This report discusses government (public) information, both published and unpublished, which Federal Government either does or does not make public."Public information", is collected and/or developed at Government expenses or as required by public law, and not considered to be classified, personal, or otherwise subject to exemption from the Freedom of Information Act or the Privacy Act.

This Report, the first of the neuroscience series, discusses the risks posed by neurotoxic substances—substances that can adversely affect the nervous system—and evaluates the Federal research and regulatory programs now in place to address these risks.

This paper deals with one of the most basic questions in any health research endeavor: how to measure the outcomes associated with whatever is being studied. The paper describes in greater detail some of the research techniques discussed.

This report includes statements by the Chairman and Vice Chairman of the board, TAAC Chairman, and the director of the Office of Technology Assessment (OTA). The report discusses the year in review regarding the work in progress, organization and operations of OTA.

The focal point of this report is elaboration of the metaphysical and ethical issues raised by neural transplants.

This background paper is one of four documents resulting from OTA’s study of policy issues in the prevention and treatment of osteoporosis.

This report discusses the study that has been proposed as a partial response to the mandate of Public Law 99-272; that law also requires approval from the Director of OTA before any such studies are undertaken, which is the reason for this review. This study is one of three that make up the full VA response to the mandate to look into the health of women Vietnam veterans.

Describes the purpose, function, and makeup of the Office of Technology Assessment. Includes organization chart with handwritten annotations.

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 synthesizes current understanding of tuberculosis (TB) in the United States, including the extent of the disease, the state of research of new preventive, diagnostic, and therapeutic technologies to aid in its control, and the delivery of effective TB services. The report also provides an overview of Federal involvement in these activities.

The report discusses the opportunities for Native Americans to use telecommunications (including computer networking, videoconferencing, multimedia, digital and wireless technologies, and the like) in the realms of culture, education, health care, economic development, and governance.

This report involves collection of more than 10)000 pages of existing documents and preparation of more than 40 papers by outside experts under contract to OTA. Many of the OTA contract reports have been released to the National Technical Information Service or published elsewhere.