National Treatment Improvement

Treatment. (1997). The National Treatment Improvement Evaluation Final report. Washington, DC Author. 

Based on the information in the previous section, treatment would not be expected to have much of an impact on substance use and the problems related to addiction. Surprisingly, that is not the case. The Center for Substance Abuse Treatment sponsored a congressionally mandated study of treatment outcomes for clients in public-sector treatment programs. The National Treatment Improvement Evaluation Study followed 4,411 clients in 78 treatment sites across the country for 5 years. Clients were from vulnerable and underserved populations such as minorities, pregnant women, youth, public housing residents, welfare... 

D. Gerstein, R. Dana, J. Ingels, R. Fredson, K. Rasinski, S. Schildhaus, K. Talley, et al., 1997. National treatment improvement evaluation study Final report. Washington, D.C. U.S. Department of Health and Human Services. 

Other important documents in HSTAT include the National Institutes of Health (NIH) Consensus Conference Reports and Technology Assessment Reports the HIV/AIDS Treatment Information Service (ATIS) resource documents the Substance Abuse and Mental Health Services Administration s Center for Substance Abuse Treatment (SAMHSA/CSAT) Treatment Improvement Protocols (TIP) and Center for Substance Abuse Prevention (SAMHSA/CSAP) Prevention Enhancement Protocols System (PEPS) the Public Health Service (PHS) Preventive Services Task Force s Guide to Clinical Preventive Services the independent, nonfederal Task Force on Community Services Guide to Community Preventive Services and the Health Technology Advisory Committee (HTAC) of the Minnesota Health Care Commission (MHCC) health technology evaluations. 

Patterns of improvement after methadone treatment One year follow-up results from the National Treatment Outcome Research Study (NTORS). Drug and Alcohol Dependence, 60, 275-86... 

Alprazolam was also compared with imipramine and placebo in a sample of 1,168 randomly assigned subjects in the Cross-National Collaborative Panic Study, Phase Two. This study was conducted at 12 centers and assessed clinical change over 8 weeks of double-blind treatment. Improvement occurred with alprazolam by weeks 1 and 2 and with imipramine by week 4. By the end of week 8, the effects of the two active drugs were similar and both were superior to placebo for most outcome measures (31). 

Cardiovascular disease is by far the leading cause of death in industrialized nations. Although improved treatments have lowered this death rate, an additional result is a growing number of patients who are surviving with diseased hearts and who require intensive drug therapy regimens. 

FoUowiag Monsanto s success, several companies produced membrane systems to treat natural gas streams, particularly the separation of carbon dioxide from methane. The goal is to produce a stream containing less than 2% carbon dioxide to be sent to the national pipeline and a permeate enriched ia carbon dioxide to be flared or reinjected into the ground. CeUulose acetate is the most widely used membrane material for this separation, but because its carbon dioxide—methane selectivity is only 15—20, two-stage systems are often required to achieve a sufficient separation. The membrane process is generally best suited to relatively small streams, but the economics have slowly improved over the years and more than 100 natural gas treatment plants have been installed. 

Clean Air Act and its amendments ia 1970, 1977, and 1990 1967 Air Quahty Standards and National Air Pollution Acts and 1970 National Environmental PoHcy Act) (2) better waste disposal practices (1965 SoHd Waste Disposal Act 1976 Resource Conservation and Recovery Act) (see Wastes, industrial Waste treatment, hazardous wastes) (i) reduced noise levels (1972 Noise Control Act) (4) improved control of the manufacture and use of toxic materials (1976 Toxic Substances Control Act) and (5) assignment of responsibiUty to manufacturers for product safety (1972 Consumer Product Safety Act) (15,16). 

An overview is given of plutonium process chemistry used at the U. S. Department of Energy Hanford, Los Alamos National Laboratory, Rocky Flats, and Savannah River sites, with particular emphasis on solution chemistry involved in recovery, purification, and waste treatment operations. By extrapolating from the present system of processes, this paper also attempts to chart the future direction of plutonium process development and operation. Areas where a better understanding of basic plutonium chemistry will contribute to development of improved processing are indicated. 

National and international trends over the past 15 years depict modest improvements in the treatment and/or control of blood pressure (BP) for hypertensive patients. This observation is made despite efforts to promote awareness, treatment, and the means available to aggressively manage high blood pressure. Over 65 million Americans have hypertension, which was listed as the primary cause of death for over 261,000 individuals in the United States in 2002.1 Hypertension is also a significant cause of end-stage renal disease and heart failure. National and international organizations continually refine their recommendations of how... 

NIMH (2005). Treatment Research in Mental Illness Improving the Nation s Public Mental Health Care through NIMH Funded Interventions Research. Report of the National Advisory Mental Health Council s Workgroup on Clinical Trials. Washington, D.C. 

Treatment of PVDF by dehydrofluorination and doping with sulfuric acid prior to blending have been shown to improve the hydrophilicity of a Nafion/PVDF blend. Such blends were demonstrated to show comparable conductivity and FC performance to unmodified Nation and significantly improved over blends in which the PVDF had not been treated. MeOH crossover rates, however, were not reported. PEMs composed of "sandwiches" of Nation plus Nafion/PVDF blends have also been used as PEMs in order to reduce MeOH crossover and improve DMFC performance. - Other non-ionic polymers that have been blended with Nation include PPCF and polypyrrole. 21... 

Krofta, M. Wang, L.K. Development of Innovative Floatation Processes for Water Treatment and Wastewater Reclamation, National Water Supply Improvement Association Conference, San Diego, August 1988, 42 pp. 

Cutler and Kadiyala s (2003) estimates of life expectancy benefits associated with improved cardiovascular treatment suggest a high value of pharmaceutical products relative to costs. An analysis at the national level would provide confirmation that the value of pharmaceuticals is not limited to cardiovascular disease. Here we performed such an analysis for Canada, where the public funding of health care has led to extensive debate over its value and, more specifically, over the value of pharmaceutical products whose rate of growth within the health care budget continues to increase. 

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