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VA Surgical Implants: Purchase Requirements Were Not Always Followed at Selected Medical Centers and Oversight Needs Improvement (open access)

VA Surgical Implants: Purchase Requirements Were Not Always Followed at Selected Medical Centers and Oversight Needs Improvement

A letter report issued by the Government Accountability Office with an abstract that begins "Clinicians at the four Department of Veterans Affairs Medical Centers (VAMC) GAO visited said that patient need and their clinical expertise were the main factors influencing their decisions of which surgical implants to use. Also, clinicians in certain specialties said they typically used one of the implants available on VA-negotiated national committed-use contracts, which generally establish a fixed price for several models of nine types of surgical implants that the Veterans Health Administration (VHA) commits to using nationally. VHA recognizes the need for expanding items covered under these contracts to fully leverage its purchasing power but, as of October 2013, had not identified additional implants to include on such contracts or established timelines for doing so. GAO also found that the availability of implants on VA-negotiated federal supply schedule (FSS) contracts rarely influenced clinicians' decisions on which implant to use. Clinicians were often not aware of the availability of surgical implants on FSS contracts, which are negotiated by one of VA's contracting offices, but for which VHA clinicians have little or no input. Clinicians told GAO that in some cases they may avoid implants on FSS …
Date: January 13, 2014
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Public Service Announcement Campaigns: Activities and Financial Obligations for Seven Federal Departments (open access)

Public Service Announcement Campaigns: Activities and Financial Obligations for Seven Federal Departments

A letter report issued by the Government Accountability Office with an abstract that begins "Government-sponsored public service announcement (PSA) campaigns are prepackaged messages generally placed for free through various media to promote designated government activities, programs, or services. Although PSAs may be placed for free, PSA campaigns may still incur financial obligations for production. GAO was mandated to provide information about federal PSA campaign activities by a House Appropriations Committee report (House Report No.108-671). GAO received detailed information on PSA campaigns for the seven federal departments with the highest obligations for public relations and advertising in fiscal year 2003--Commerce, Defense, Health and Human Services, Homeland Security, Interior, Treasury, and Veterans Affairs--as reported in a governmentwide federal procurement data system. GAO submitted questionnaires to these seven departments to obtain information for fiscal year 2003 through the second quarter of fiscal year 2005 on (1) obligations incurred for PSA campaigns, including whether obligations were incurred externally, such as through a contract, or internally; (2) the purpose, audience, and type of media employed; and (3) whether campaigns were evaluated for success and their results published in performance reports, including Government Performance Results Act (GPRA) reports."
Date: January 13, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Defense Contracting: Improved Policies and Tools Could Help Increase Competition on DOD's National Security Exception Procurements (open access)

Defense Contracting: Improved Policies and Tools Could Help Increase Competition on DOD's National Security Exception Procurements

A letter report issued by the Government Accountability Office with an abstract that begins ""
Date: January 13, 2012
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Department of Homeland Security: Ammunition Purchases Have Declined since 2009 (open access)

Department of Homeland Security: Ammunition Purchases Have Declined since 2009

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Homeland Security's (DHS) annual ammunition purchases have declined since fiscal year 2009 and are comparable in number to the Department of Justice's (DOJ) ammunition purchases. In fiscal year 2013, DHS purchased 84 million rounds of ammunition, which is less than DHS's ammunition purchases over the past 5 fiscal years, as shown in the figure below. DHS component officials said the decline in ammunition purchases in fiscal year 2013 was primarily a result of budget constraints, which meant reducing the number of training classes, and drawing on their ammunition inventories. From fiscal years 2008 through 2013, DHS purchased an average of 109 million rounds of ammunition for training, qualification, and operational needs, according to DHS data. DHS's ammunition purchases over the 6-year period equates to an average of 1,200 rounds purchased per firearm-carrying agent or officer per year. Over the past 3 fiscal years (2011-2013), DHS purchased an average of 1,000 rounds per firearm-carrying agent or officer and selected DOJ components purchased 1,300 rounds per firearm-carrying agent or officer."
Date: January 13, 2014
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Media Contracts: Activities and Financial Obligations for Seven Federal Departments (open access)

Media Contracts: Activities and Financial Obligations for Seven Federal Departments

A letter report issued by the Government Accountability Office with an abstract that begins "The federal government contracts with public relations firms, advertising agencies, media organizations, and individual members of the media to provide, among other things, messages about its programs and services. As we have reported, there is a lack of accurate governmentwide information on these contracts. Seven federal departments account for nearly all the obligated federal dollars for public relations and advertising activities in fiscal year 2003--Commerce, Defense, Health and Human Services, Homeland Security, Interior, Treasury, and Veterans Affairs. GAO submitted a questionnaire to each of these seven departments to obtain information for fiscal year 2003 through the second quarter of fiscal year 2005 on (1) the number of contracts with public relations firms, advertising agencies, media organizations, and individual members of the media for which obligations have been incurred; (2) the total amount of contract obligations incurred on each contract by fiscal year; (3) the method by which the contract was awarded--competed, noncompeted, follow-on to competed action, or not available for competition; and (4) summaries of the purpose and scope of work to be performed under each contract."
Date: January 13, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Defense Infrastructure: Army's Approach for Acquiring Land Is Not Guided by Up-to-Date Strategic Plan or Always Communicated Effectively (open access)

Defense Infrastructure: Army's Approach for Acquiring Land Is Not Guided by Up-to-Date Strategic Plan or Always Communicated Effectively

A letter report issued by the Government Accountability Office with an abstract that begins "Recently, the Army forecast that it would experience a 4.5-million-acre training land shortfall by 2013 and proposed to purchase additional land adjacent to certain existing training ranges. In response to a congressional request, GAO reviewed the Army's approach for acquiring training land. This report (1) evaluates the Army's approach to the acquisition of training land, (2) describes the Army's consideration of alternatives and assessment of the environmental and economic effects, and (3) analyzes the Army's effectiveness in communicating its approach for making decisions to pursue these acquisitions before the Office of the Secretary of Defense's (OSD) approval. GAO reviewed the Army strategic plan for training lands and other relevant documents, and focused on all five land acquisitions since 2002 at Fort Irwin, California; three training sites in Hawaii; and the proposed expansion of the Pinon Canyon Maneuver Site in Colorado."
Date: January 13, 2009
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Defense Infrastructure: Additional Information Is Needed to Better Explain the Proposed 100,000-Acre Expansion of the Pinon Canyon Maneuver Site (open access)

Defense Infrastructure: Additional Information Is Needed to Better Explain the Proposed 100,000-Acre Expansion of the Pinon Canyon Maneuver Site

A letter report issued by the Government Accountability Office with an abstract that begins "In 2007, the Army announced that the Office of the Secretary of Defense (OSD) had approved its request to expand its Pinon Canyon Maneuver Site, Colorado, by acquiring up to an additional 418,577 acres. The National Defense Authorization Act for Fiscal Year 2008 required the Army to address 29 provisions related to the expansion in a report to Congress. In July 2008, the Army reported that, although it had revalidated the requirement for at least 418,577 additional acres at the maneuver site, in response to community, cost, and other concerns it now proposed to limit the acquisition of additional training land to 100,000 acres. The act also required GAO to review the Army's report and the justification for the proposed expansion. This report examines the extent to which the Army's report (1) addresses the provisions of the mandate and (2) explains the selection of the 100,000-acre site. GAO compared the mandate requirements with the responses in the Army's report, met with Army officials to discuss the expansion, and visited the Pinon Canyon Maneuver Site and Fort Carson."
Date: January 13, 2009
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Arctic Capabilities: DOD Addressed Many Specified Reporting Elements in Its 2011 Arctic Report but Should Take Steps to Meet Near- and Long-term Needs (open access)

Arctic Capabilities: DOD Addressed Many Specified Reporting Elements in Its 2011 Arctic Report but Should Take Steps to Meet Near- and Long-term Needs

A letter report issued by the Government Accountability Office with an abstract that begins "DOD’s Arctic Report, submitted May 31, 2011, addressed three and partially addressed two of the elements specified in the House Report."
Date: January 13, 2012
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Army Medium Trucks: Information on Delivery Delays and Corrosion Problems (open access)

Army Medium Trucks: Information on Delivery Delays and Corrosion Problems

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the Army's Family of Medium Tactical Vehicles (FMTV) program, focusing on: (1) the causes and effects of the contractor's delays in delivering acceptable trucks; and (2) the Army's actions to mitigate corrosion problems on FMTV trucks."
Date: January 13, 1999
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Medicare: Payment Changes Are Needed for Assistants-at-Surgery (open access)

Medicare: Payment Changes Are Needed for Assistants-at-Surgery

A letter report issued by the General Accounting Office with an abstract that begins "Medicare pays for assistant-atsurgery services under both the hospital inpatient prospective payment system and the physician fee schedule. Payments under the physician fee schedule are limited to a few health professions. In 2001, Congress directed GAO to report on the potential impact on the Medicare program of allowing physician fee schedule payments to Certified Registered Nurse First Assistants for assistant-at-surgery services. This report examines: (1) who serves as an assistant-atsurgery, (2) whether health professionals who perform the role must meet a uniform set of professional requirements, and (3) whether Medicare's payment policies for assistants-at-surgery are consistent with the goals of the program and, if not, whether there are alternatives that would help attain those goals. GAO analyzed information provided by physician and other health professional associations and Medicare payment data."
Date: January 13, 2004
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Unemployment Compensation (Insurance) and Military Service (open access)

Unemployment Compensation (Insurance) and Military Service

This report discusses Unemployment Compensation for Ex-Servicemembers (UCX), which provides income support while former active duty military personnel or reservists released from active duty search for work. The report addresses funding for this service, who is entitled to UCX benefits, and Emergency Unemployment Compensation (EUC08) and the Extended Benefits (EB) payments, which a servicemember receives when regular unemployment benefits are exhausted.
Date: January 13, 2011
Creator: Whittaker, Julie M.
System: The UNT Digital Library
Modeling node bandwidth limits and their effects on vector combining algorithms (open access)

Modeling node bandwidth limits and their effects on vector combining algorithms

Each node in a message-passing multicomputer typically has several communication links. However, the maximum aggregate communication speed of a node is often less than the sum of its individual link speeds. Such computers are called node bandwidth limited (NBL). The NBL constraint is important when choosing algorithms because it can change the relative performance of different algorithms that accomplish the same task. This paper introduces a model of communication performance for NBL computers and uses the model to analyze the overall performance of three algorithms for vector combining (global sum) on the Intel Touchstone DELTA computer. Each of the three algorithms is found to be at least 33% faster than the other two for some combinations of machine size and vector length. The NBL constraint is shown to significantly affect the conditions under which each algorithm is fastest.
Date: January 13, 1992
Creator: Littlefield, R.J.
System: The UNT Digital Library
Health Care Quality Measurement: HHS Should Address Contractor Performance and Plan for Needed Measures (open access)

Health Care Quality Measurement: HHS Should Address Contractor Performance and Plan for Needed Measures

A letter report issued by the Government Accountability Office with an abstract that begins "NQF has made progress on projects under its contract activities, as of August 2011. Specifically, NQF has completed or made progress on 60 of 63 projects. For example, NQF has completed projects to endorse measures related to various topics, including nursing homes. However, for more than half of the projects, NQF did not meet or did not expect to meet the initial time frames approved by HHS. For example, NQF completed one project to retool measures—that is, convert previously endorsed quality measures to an electronic format. While the retooling project was expected to be completed by September 2010, its completion was delayed by 3 months. NQF and HHS officials identified various reasons that contributed to this delay, including an expansion of the project’s scope and complexity. As a result of the delay, HHS did not have all the retooled measures it expected to include in its Electronic Health Records (EHR) Incentive Program. The delay of this project was also a contributing factor to NQF exceeding its estimated cost for its entire contract activity related to EHR by about $560,000 in the second contract year— January 14, …
Date: January 13, 2012
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
F-35 Joint Strike Fighter (JSF) Program: Background and Issues for Congress (open access)

F-35 Joint Strike Fighter (JSF) Program: Background and Issues for Congress

Report that details the Obama Administration's proposed Fiscal Year 2010 defense budget requests for F-35 program funding and outlines the issues that Congress must consider when deciding whether to approve, reject, or modify the administration's funding requests.
Date: January 13, 2011
Creator: Gertler, Jeremiah
System: The UNT Digital Library
Japan-U.S. Relations: Issues for Congress (open access)

Japan-U.S. Relations: Issues for Congress

Report that looks at Japan-U.S. relations since WWII. The report focuses on some problems which can be addressed by Congress, including the earthquake and tsunami which hit Japan in March, 2011, the Futenma Marine Air Station in Okinawa, bilateral trade, and economic issues resulting from the recent credit crisis and related economic recession.
Date: January 13, 2011
Creator: Chanlett-Avery, Emma; Cooper, William H. & Manyin, Mark E.
System: The UNT Digital Library
Social Security and Medicare Taxes and Premiums: Fact Sheet (open access)

Social Security and Medicare Taxes and Premiums: Fact Sheet

Financing for social security -- Old Age, Survivors, and Disability Insurance -- and the Hospital Insurance part of Medicare is provided primarily by taxes levied on wages and net self-employment income. Financing for the Supplementary Medical Insurance portion of Medicare is provided by premiums from enrollees and payments from the government. This report describes these taxes and premiums.
Date: January 13, 2004
Creator: Nuschler, Dawn
System: The UNT Digital Library
Brief Facts About Congressional Pensions (open access)

Brief Facts About Congressional Pensions

This report contains a table that lists the number of retired Members of Congress and the average amount of congressional pension they receive in retirement.
Date: January 13, 2004
Creator: Purcell, Patrick J.
System: The UNT Digital Library
Gamma-Ray Bursts Shower the Universe with Metals (open access)

Gamma-Ray Bursts Shower the Universe with Metals

According to the results from a Livermore computer model, some of the small change jingling in your pocket contains zinc and copper created in massive gamma-ray bursts (GRBs) that rank as the most impressive light shows in the universe. Livermore astrophysicist Jason Pruet and his colleagues Rebecca Surman and Gail McLaughlin from North Carolina State University (NCSU) reported on their calculations in the February 20, 2004, issue of ''Astrophysical Journal Letters''. They found that GRBs from black holes surrounded by a disk of dense, hot plasma may have contributed heavily to the galactic inventory of elements such as calcium, scandium, titanium, zinc, and copper. ''A typical GRB of this kind briefly outshines all the stars in millions of galaxies combined'', says Pruet. ''Plus it makes about 100 times as much of some common elements as an ordinary supernova''.
Date: January 13, 2006
Creator: Hazi, A.
System: The UNT Digital Library
2008 Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site (open access)

2008 Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site

This report is a compilation of the groundwater sampling results from the Area 5 Radioactive Waste Management Site (RWMS) including calendar year 2008 results. Each of the three Pilot Wells was sampled on March 11, 2008, and September 10, 2008. These wells were sampled for the following indicators of contamination: pH, specific conductance, total organic carbon, total organic halides, and tritium. Indicators of general water chemistry (cations and anions) were also monitored. Results from all samples collected in 2008 were within the limits established by agreement with the Nevada Division of Environmental Protection for each analyte. These data indicate that there has been no measurable impact to the uppermost aquifer from the Area 5 RWMS. There were no significant changes in measured groundwater parameters compared to previous years. Other information in the report includes an updated Cumulative Chronology for the Area 5 RWMS Groundwater Monitoring Program and a brief description of the site hydrogeology.
Date: January 13, 2009
Creator: National Security Technologies, LLC
System: The UNT Digital Library
Preliminary study for a nuclear rocket actuator (open access)

Preliminary study for a nuclear rocket actuator

None
Date: January 13, 1961
Creator: Proffitt, S. H.
System: The UNT Digital Library
Methadone and its use in the treatment of narcotic drug addiction (open access)

Methadone and its use in the treatment of narcotic drug addiction

This report is selected references
Date: January 13, 1970
Creator: Jones, Charlotte
System: The UNT Digital Library
National Seismic Stations transducers and filters (open access)

National Seismic Stations transducers and filters

The National Seismic Stations (NSS) instruments are being developed for seismic monitoring of regional and teleseismic events. They consist of two 3-component, broadband, borehole seismometers: the KS-36000 and the S-700, which is the backup for the KS-36000. Output is divided into frequency bands to reduce data loss due to saturation. Complete block diagrams of the KS-36000 and S-700 NSS seismometers and filters are presented. Both open-loop and closed-loop steady-state amplitude and phase curves are given. Without band-pass filters (but with shaping filters) the KS-36000 has a flat (i.e., between the -3dB points) velocity sensitivity from 0.03 to 23 Hz. With its shaping filters, the S-700 is flat from 0.2 to 40 Hz. The structure of the three band-pass filters (LP, MP, and SP) is superimposed on these velocity sensitivities. Passbands of the resulting overall velocity sensitivity for the KS-36000 are as follows: LP band = 0.01-0.05 Hz, MP band = 0.02-1.3 Hz, and SP band = 1-10 Hz. Step-function responses and phase and group delays are given for each of the bands. The MP-band step response is oscillatory due to its sharp, high-frequency cutoff, but an MP-band filter with a less abrupt cutoff eliminates the oscillation. To generate typical NSS …
Date: January 13, 1981
Creator: Rodgers, P.W. & Hummell, M.
System: The UNT Digital Library
Assessment of need for developing and implementing technical and skilled-worker training for the solar-energy industry. Final report (open access)

Assessment of need for developing and implementing technical and skilled-worker training for the solar-energy industry. Final report

A forecast for solar-trained manpower needs was produced based on projected demand for solar systems and manpower requirement for solar systems. A skills analysis was made to determine the types of training required to produce manpower capable of performing the tasks identified in the task analysis. (MHR)
Date: January 13, 1978
Creator: Orsak, C.G. Jr.
System: The UNT Digital Library
Final safety analysis report for the Galileo mission: Volume 3 (Book 1), Nuclear risk analysis document: Revision 1 (open access)

Final safety analysis report for the Galileo mission: Volume 3 (Book 1), Nuclear risk analysis document: Revision 1

It is the purpose of the NRAD to provide an analysis of the range of potential consequences of accidents which have been identified that are associated with the launching and deployment of the Galileo mission spacecraft. The specific consequences analyzed are those associated with the possible release of radioactive material (fuel) of the Radioisotope Thermoelectric Generators (RTGs). They are in terms of radiation doses to people and areas of deposition of radioactive material. These consequence analyses can be used in several ways. One way is to identify the potential range of consequences which might have to be dealt with if there were to be an accident with a release of fuel, so as to assure that, given such an accident, the health and safety of the public will be reasonably protected. Another use of the information, in conjunction with accident and release probabilities, is to estimate the risks associated with the mission. That is, most space launches occur without incident. Given an accident, the most probable result relative to the RTGs is complete containment of the radioactive material. Only a small fraction of accidents might result in a release of fuel and subsequent radiological consequences. The combination of probability with …
Date: January 13, 1989
Creator: unknown
System: The UNT Digital Library