8
U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Richard S. Schweiker, Secretary PUBLIC HEALTH SERVICE Charles Miller Acting Assistant Secretary for Health Julius B. Richmond, MD Surgeon General HEALTH RESOURCES ADMINISTRATION Robert Graham, MD Acting Administrator PUBLIC HEALTH REPORTS (USPS 324-990) Marian Priest Tebben, Editor Esther C. Gould, Assistant Executive Editor Virginla M. Larson, Managing Editor Frank Harding, Art Director Sandra Rogers, Art Production Opinions expressed are the authors' and do not necessarily reflect the views of Public Health Reports or the Health Resources Administration. Trade names are used for identifica- tion only and do not represent an endorsement by the Health Resources Administration. Address correspondence to: Editor, Public Health Reports Room 10-44 Center Bldg. 3700 East-West Highway Hyattsville, Md. 20782 Subscription Information To subscrlbe to Public Health Re- ports, send check or money order- $3 per single issue, domestic, $3.75 foreign; per year (6 issues) $15 domestic, $18.75 foreign-to Super- Intendent of Documents, U.S. Gov- ernment Printing Office, Washington, D.C. 20402. All correspondence about paid subscriptions (for example, re- change of address or failure to receive an issue) should also be addressed to the Superintendent of Documents. Photo credits Cover: Photo Section and Picture Library, U.S. Department of the In- terior; page 111, Carl L. Howard, Ballston Lake, N.Y. StWVICES. tt3 Prog 182 182 183 183 183 183 184 184 185 185 186 186 187 188 190 irams, Practices, People Joint National Committee updates its 1977 approaches to high blood pressure Black lung clinics programs must provide education, training, and counseling Interdisciplinary research conference on menarche 1982 WHO fellowships abroad for study or travel abroad Film highlights role of communications in health care HHS provides $3.5 million for long-term care centers NCHSR grants include research on health care for handicapped children FDA will test use of patient package inserts with 10 prescription drugs Surgeon General's Workshop on Maternal and Infant Health APHA seeks short-term management consultants to aid developing nations 1979 occupational injuries, illnesses, and fatalities JCAH receives grant to study potential for accreditation of hospice programs Legal note. Antitrust aspects of health planning E Peter A. Pavarini Education notes Publications PHR bookshelf (cover 3) :: .. ........~ ~~~~~~~~~~~~~~~~~~.... .....:..... ~~~~~~~~~~~~~~~~~~~~~~~~~........ ................... ..... ..... ~~~ ~~ ~~ ~ ~~~~~~~~~~~.... ... ............... .. , O, |.w . ........ .......~~~~~~~~~~~~~~~~~......... ....................... |g ~~~~~~~~~~~~~~~~~~~~~~~~........ .... . ...... ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~.a..... ... .: !l. U. Cover: Old Faithful, a geyser In Yel- lowstone National Park, Wyoming, is probably the most famous example In the United States of geothermal en- ....... .. i ........ ergy. The shortage of fossil fuels ..~ | poses new problems for health facil- ities and also for manufacturers of medical supplies. Three papers In this issue focus on these problems and offer possible solutions, such as the use of geothermal energy and heat recovery from solid waste In- cineration. 98 Public Healih Reports

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U.S. DEPARTMENT OF HEALTH,EDUCATION, AND WELFARERichard S. Schweiker, Secretary

PUBLIC HEALTH SERVICECharles MillerActing Assistant Secretary for HealthJulius B. Richmond, MDSurgeon General

HEALTH RESOURCESADMINISTRATIONRobert Graham, MDActing Administrator

PUBLIC HEALTH REPORTS(USPS 324-990)Marian Priest Tebben, EditorEsther C. Gould, Assistant Executive

EditorVirginla M. Larson, Managing EditorFrank Harding, Art DirectorSandra Rogers, Art Production

Opinions expressed are the authors'and do not necessarily reflect theviews of Public Health Reports orthe Health Resources Administration.Trade names are used for identifica-tion only and do not represent anendorsement by the Health ResourcesAdministration.

Address correspondence to:Editor, Public Health ReportsRoom 10-44 Center Bldg.3700 East-West HighwayHyattsville, Md. 20782

Subscription InformationTo subscrlbe to Public Health Re-ports, send check or money order-$3 per single issue, domestic, $3.75foreign; per year (6 issues) $15domestic, $18.75 foreign-to Super-Intendent of Documents, U.S. Gov-ernment Printing Office, Washington,D.C. 20402. All correspondence aboutpaid subscriptions (for example, re-change of address or failure toreceive an issue) should also beaddressed to the Superintendent ofDocuments.

Photo creditsCover: Photo Section and PictureLibrary, U.S. Department of the In-terior; page 111, Carl L. Howard,Ballston Lake, N.Y.

StWVICES.

tt3

Prog

182

182

183

183

183

183

184

184

185

185

186

186

187

188

190

irams, Practices, People

Joint National Committee updates its 1977 approaches to high blood pressure

Black lung clinics programs must provide education, training, and counseling

Interdisciplinary research conference on menarche

1982 WHO fellowships abroad for study or travel abroad

Film highlights role of communications in health care

HHS provides $3.5 million for long-term care centers

NCHSR grants include research on health care for handicapped children

FDA will test use of patient package inserts with 10 prescription drugs

Surgeon General's Workshop on Maternal and Infant Health

APHA seeks short-term management consultants to aid developing nations

1979 occupational injuries, illnesses, and fatalities

JCAH receives grant to study potential for accreditation of hospice programs

Legal note. Antitrust aspects of health planning E Peter A. Pavarini

Education notes

Publications

PHR bookshelf (cover 3)

::

..

........~ ~~~~~~~~~~~~~~~~~~.... .....:.....~~~~~~~~~~~~~~~~~~~~~~~~~..................................... ~~~ ~ ~ ~~ ~~~~~~~~~~~~....... ........ ....... .., O, |.w . ........ .......~~~~~~~~~~~~~~~~~......... .......................|g ~~~~~~~~~~~~~~~~~~~~~~~~........ ..... ......~~~~~~~~~~~~~~~~~~~~~~~~~~~~~.a..... ....: !l.

U.

Cover: Old Faithful, a geyser In Yel-lowstone National Park, Wyoming, isprobably the most famous example Inthe United States of geothermal en-

......... i ........ ergy. The shortage of fossil fuels

..~ | poses new problems for health facil-ities and also for manufacturers ofmedical supplies. Three papers Inthis issue focus on these problemsand offer possible solutions, such asthe use of geothermal energy andheat recovery from solid waste In-cineration.

98 Public Healih Reports

0plication to the minimum extent neces-sary to make a regulatory schemework. 628 F.2d at 1054.

After reviewing the statutory frame-work giving rise to this lawsuit andthe legislative history of the PlanningAct, the Eighth Circuit Court heldthat an implied immunity from theantitrust laws did exist in this case.The Court reasoned that If the volun-tary cooperation of Blue Cross ofKansas City with MAHSA's plan wasdeemed to be an antitrust violation,then a major provision of the PlanningAct would be without legal effect. 628F.2d at 1054. In view of legislativehistory to the contrary, the Courtreasoned that it was unlikely thatthe Congress intended such a result.628 F.2d at 1056-57.

CONCERN ABOUT SUITSIn essence, the Eighth Circuit

Court's decision indicates that volun-tary private action within the scope ofthe Planning Act (that is, planning ac-tivities not under the direct mandateof a Federal or State agency), suchas the reliance of a third party payoron a regional health systems plan,may be undertaken free of antitrustlimitations. This ruling comes at atime of increased concern and con-fusion about antitrust challenges tohealth planning.Two other cases involving health

planning and the doctrine of impliedImmunity are currently pending in theFederal courts. In one, Huron ValleyHospital, Inc. v. City of Pontiac, 477F. Supp. 1301 (E.D. Mich. 1979), ap-peal docketed, No. 79-1265 (6th Cir.May 16, 1979), the antitrust action wasdismissed on grounds that the doctrineof implied immunity and other legaltheories insulated the health plan-ning at issue. The other case, NorthCarolina v. P.T.A. Asheville, Inc., Civ.No. A-C-80-29 (W.D. N.C., filed Feb.22, 1980), was an antitrust challengeto the defendant's efforts to acquiretwo hospitals, an acquisition subjectto approval of the State Health Plan-ning and Development Agency.On January 26, 1981, the Supreme

Court agreed to review the EighthCircuit Court's decision. The justicesare expected to hear arguments inApril 1981.

-PETER A. PAVARINI, Attorney Ad-visor, Office of the General Counsel,Department of Health and HumanServices.

Occupational health courses. The RockyMountain Center for Occupational andEnvironmental Health, University ofUtah, Salt Lake City, has announcedthat the following courses will be heldin 1981: Occupational Safety andHealth in Mining Industry, June 15-19;Occupational Safety and Health Law(for occupational health professionals,industrial hygienists, attorneys, physi-cians, and so forth), June 22-26; Occu-pational Health Nursing, June 22-26;Advanced Occupational RespiratoryProtection, July 13-17 and October 26-30; and Industrial Hygiene Chemistry(NIOSH-National Institute of Occu-pational Safety and Health-No. 590),Aug. 3-7 and November 16-20.

For further information, contactKatharine C. Blosch, Director, C.E.,Rocky Mountain Center for Occupa-tional and Environmental Health, Bldg.112, University of Utah, Salt Lake City,Utah 84112, telephone (801) 581-5710.

Course in maternal and child nutrition.The Department of Nutrition, CaseWestern Reserve University, Cleveland,Ohio, will offer the Fourth Annual In-tensive Course in Maternal and ChildNutrition, June 14-19, 1981. Entitled"1981 Nutrition and the Quality ofLife," the course will include thesetopics: new advances in nutrition sci-ence; techniques in nutrition assessment;and the physiology, growth, and feedingof children. The annual Helen Hunscherlecture will feature Alex Roche, MD,Fels Research Institute, known for his

work on the growth of children. Con-tinuing education hours have been ap-plied for.

For further information, contactKaren M. Fiedler, PhD, M & C 1981,Department of Nutrition, Case WesternReserve University, Cleveland, Ohio44106, telephone (216) 368-2440.

Workshop on drug and alcohol use. The23rd Annual Workshop on Drug andAlcohol Use will be held June 2-16,1981, at Indiana University, Blooming-ton. Three hours of graduate credit,continuing education units, and non-credit enrollment are available. For fur-ther information, contact Dr. Ruth C.Engs, HPER 116, Health and SafetyEducation, Indiana University, Bloom-ington, Ind. 47505, telephone (812)337-9581.

Graduate Summer Session in Epidemi-ology. The 1981 graduate summersession in epidemiology, sponsored bythe Epidemiology Section of the Ameri-can Public Health Association, theAssociation of Teachers of PreventiveMedicine, and the American College ofPreventive Medicine, will be presentedat the University of Minnesota in Min-neapolis through the School of PublicHealth, Health Sciences Center, andthe Nolte Center for Continuing Edu-cation during the 3-week period June21 to July 11, 1981.These summer graduate sessions are

designed primarily for teachers in medi-cal schools, but postdoctoral fellows,graduate students, and residents in de-

188 Public Health Reports

partments of preventive medicine andother medical school departments mayqualify. Similarily teachers, postdoctoralfellows, and graduate students in schoolsof public health, dentistry, and veter-inary medicine are eligible, as are quali-fied personnel of Federal, State, andlocal health agencies. The course isaccredited (category I) for the Ameri-can Medical Association PhysiciansRecognition Award.

In general, the summer sessions in1981 will follow the pattern previouslyestablished. In addition to the two basiccourses in Fundamentals of Epidemi-ology and Fundamentals of Biostatistics,several of the previously presentedcourses will be offered. These includeEpidemiology of Infectious Diseases,Surveillance and Control of Communi-cable Diseases, Hospital Epidemiologyand Infection Control, Epidemiology ofCancer, Epidemiology of Cardiovascu-lar Disease, Advanced Statistical Meth-ods in Epidemiology, OccupationalEpidemiology, Clinical Trials-Design,Operation and Analysis, and the Epi-demiology of Injuries. A new courseon environmental epidemiology also willbe offered.A total of 1,881 students have at-

tended the prior 15 summer sessions.Five hundred and fifty-eight studentscame from medical schools and, ofthese, 236 were from departments ofpreventive medicine. Departments ofanatomy, biophysics, computer sciences,dermatology, epidemiology, familymedicine, medical statistics, medicine,microbiology, neurology, obstetrics-gynecology, pathology, pediatrics, andpsychiatry have also been represented.In addition, schools of public health,colleges of veterinary medicine, andschools of dentistry have sent post-graduate students or faculty.

Tuition for the 3-week session will be$500. Special rates for food and lodg-ing in dormitories have been arranged.Grants for tuition may become avail-able, but prospective registrants shouldexplore other sources of funding as soonas possible.The course will be limited to 300

students, and special limits will be seton certain courses. The applicationdeadline is May 1, 1981. A $50 deposit,credited to tuition, should accompanyapplications and will constitute evidenceof intent to attend. Refund of the de-posit will be made if the applicationis not accepted or if the applicant'splans change before May 1, 1981.

Further information and applicationforms for the 1981 session may be ob-tained from Dr. Leonard M. Schuman,Director, Graduate Summer Session inEpidemiology, University of MinnesotaSchool of Public Health, 1-117 HealthSciences Unit A, 515 Delaware St., SE,Minneapolis, Minn. 55455.

1981 Health Executives DevelopmentProgram. Applications are being ac-cepted for the 24th annual HealthExecutives Development Program, tobe offered on the Ithaca campus ofCornell University June 15-25, 1981.Approximately 30 speakers will discussthe latest trends and issues in healthpolicy, planning, regulation, and man-agement. A variety of points of viewwill be presented to stimulate each par-ticipant to seek fresh approaches tohealth services problems and to lay thegroundwork for continuing self-develop-ment.

The program is open to hospital ad-ministrators; Federal, State and regionalhealth planners and regulators; clinicaland medical directors; and executives ofvoluntary and government health careorganizations from the United States,Canada, and overseas. For further in-formation and applications, contactHealth Executives Development Pro-gram, Malott Hall, Cornell University,Ithaca, N.Y. 14853, telephone (607)256-4686.

Courses for professionals responsible foroccupational health and safety. TheMidwest Center for OccupationalHealth and Safety, an educational re-source center sponsored by the Na-tional Institute of Occupational Safetyand Health (NIOSH), is offering thefollowing courses in the period May-December 1981 for professionalscharged with responsibility for occupa-tional health and safety.

Occupational Respiratory Protection(NIOSH 593), May 3-8, 1981, KansasCity, Mo. For persons who have respon-sibility for any portion of a respiratorprogram. Course will provide the neces-sary information to initiate or upgradeand supervise a program to comply withrequirements of the Occupational Safetyand Health Act. Topics include Gov-erning Legislation; Selection; Qualita-tive and Quantitative Fit Testing;Respiratory Protective Devices; Stand-ard Operating Procedures and Records;Maintenance; Storage and Inspection;and Training. Continuing EducationUnits will be awarded; also, 1 pointfrom the American Board of IndustrialHygienists toward maintenance of certi-fication. Registration fee $325.

Recognition of Accident Potential inthe Workplace Due to Physical Envi-ronmental Factors (NIOSH 511), June3-5, 1981, Kansas City, Mo. Cospon-sored with the Greater Kansas CityArea Safety Council. For personnel newto the field of occupational safety. De-signed to provide an understanding ofthe principal physical environmental

factors involved in making workplaceshazardous. Course will consist of lec-tures, augmented by discussion andproblem-solving sessions that are in-tended to increase the knowledge andskills of the program participants. Top-ics will include The Work Site andStructures; Industrial Machines; Powerand Hand Tools; Equipment; Materialsand Industrial Processes and Energy.Continuing Education Units will beawarded. Tuition $160.

Introduction to Radiation Protection,June 17-18, 1981, Kansas City, Mo.Cosponsored with the Mid AmericaChapter, American Industrial HygieneAssociation. For industrial hygienists,health physics technicians, and otherprofessional health personnel. Specialtyprogram includes concepts of ionizingradiation. Didactic lectures are tobe supplemented with workshop sessions.Continuing Education Units will beawarded. Tuition $150.

Recognition of Accident Potential in theWorkplace Due to Human Factors(NIOSH 512), to be held September16-18 in Minnesota. This course willenable the student to identify the prin-cipal elements of accident causationand to apply methodology for control.Audience: professionals in the fields ofsafety, engineering, loss control, per-sonnel, insurance, and others with suffi-cient background to incorporate thiskind of training into their current safetyresponsibilities. Participants will be ableto recognize the human factors that helpto predict the occurrence of accidentsin the workplace. Course content willinclude Physiological and PsychologicalFactors; Motivation and Attitudes;Group Influences on Behavior; Individ-ual Characteristics; Organizational Im-pact on Work; Man-Machine Interface;Performing a Job Analysis; and Acci-dent Prevention. Continuing EducationUnits will be awarded. Fee $160.

The Injured Worker: A ComprehensiveApproach to Medical, Legal, and Psy-chological Management of Disability,Sept. 21-22, 1981, Minneapolis, Minn.Cosponsored with the University ofMinnesota and Employers Insurance ofWausau. Participants will acquire aworking knowledge of the disabilityevaluation and compensation systemsand learn more effective methods tospeed the return of disabled workers toproductive activity.

For further information about allthese courses and registration, writeRuth K. McIntyre, Director, Continu-ing Education, Midwest Center forOccupational Health and Safety, 640Jackson St., St. Paul, Minn. 55101 orcall (612) 221-3771.

March-April 1981, Vol. 96, No. 2 189

EpXU E~U1©BJ00

FEDERALTask Force Report on Epidemiology ofRespiratory Diseases. DHHS Publica-tion No. (NIH) 80-2019. 1980; 244pages.A Review of the United States Role inInternational Biomedical Research andCommunications: International Healthand Foreign Policy. By Mary E. Corn-ing. DHHS Publication No. (NIH) 80-1638. October 1980; 436 pages; $8,foreign $10 (Stock No. 017-052-00203-1).Special Report. Dental Care for Handi-capped People. DHHS Publication No.(PHS) 81-5014. October 1980; 24pages.Catalog of Publications of the NationalCenter for Health Statistics. DHHSPublication No. (PHS) 80-1301. July1980; 33 pages.Shelley & Pete (& Carol). Leader'sguide. DHHS Publication No. (HSA)80-5670. 1980; 39 pages.Ten Years of Short-Stay Hospital Utili-zation and Costs Under Medicare:1967-1976. Health Care Financing Re-search Report. Prepared by CharlesHelbing, contributions Allen Dobson,Roger L. McClung, and Herbert A.Silverman. DHHS Publication No.(HCFA) 03053. 1980; 41 pages.Veterans Benefits for Older Americans.1980. Veterans Administration, Wash-ington, D.C. 20420 or nearest VAregional office.Psychiatric Drug Study. Part II. MentalHygiene Clinic Survey, Day TreatmentCenter Survey, and Day Hospital Sur-vey. By Susan Gee. Controller Mono-graph No. 12. September 1980; 212pages. Reports and Statistics Service,Office of Controller, Veterans Admin-istration, Washington, D.C. 20420.

The following FDA publications areavailable from the National TechnicalInformation Service, Springfield, Va.22161.

Bureau of Radiological Health Publica-tions Index. DHHS Publication No.(FDA) 80-8070. Compiled by theTechnical Information Staff. 1980; $5,$3.50 microfiche (Accession No. PB80-2-1221).Microwave Hazard Instruments: AnEvaluation of the Narda 8100, HoladayHI-1500 and Simpson 380M. By W. A.Herman and D. M. Witters, Jr. DHHSPublication No. (FDA) 80-8122. 1980;$6, $3.50 microfiche (Accession No.PB 80-227820).

Possible Genetic Damage From Diag-nostic X Irradiation: A Review. ByThomas J. Withrow, F. Allan Andersen,Kenneth T. S. Yao, and Melvin E.Stratmeyer. DHHS Publication No.(FDA) 80-8129. 1980; $6, $3.50 micro-fiche (Accession No. PB81-101743).

Nationwide Survey of Cobalt-60 Tele-therapy. By D. L. Thompson, F. E.Kearley, J. N. Gitlin, E. B. Refit, E. J.Shangold, and H. 0. Wyckoff. DHHSPublication No (FDA) 80-8130. 1980;$6, $3.50 microfiche (Accession No.PB 81-101784).Guide for the Filing of Annual Reportsfor X-Ray Components and Systems.Compiled by the Division of Compli-ance. DHHS Publication No. (FDA)80-8123. 1980; $5, $3.50 microfiche(Accession No. PB 80-204597).

Guide for the Filing of Annual Reports(21 CFR Subchapter J, Section 10002.11). Compiled by the Division of Com-pliance. DHHS Publication No. (FDA)80-8127. 1980; $6, $3.50 microfiche(Accession No. PB 210099).

Federal publications listed are obtainable fromthe Superintendent of Documents, U.S. Govern-ment Printing Office, Washington, D.C. 20402.Orders should be accompanied by check ormoney order and should identify the pubilca-tion. Single copies may be requested from theagency.

WORLD HEALTH ORGANIZATIONGlossary on Air Pollution. WHO Re-gional Publications, European Series,No. 9; 1980; 114 pages (ISBN 92 9020109 6); WHO Regional Office forEurope, Copenhagen.Prevention in Childhood of HealthProblems in Adult Life. Edited byFrank Falkner. 1980; 135 pages (ISBN92 4 156064 9); Geneva (French andSpanish editions in preparation).Glossary on Solid Waste. Compiled byP. K. Patrick. 1980; 92 pages (ISBN92 9020 199 1); WHO Regional Officefor Europe, Copenhagen.

Breastfeeding. 1970; 40 pages (ISBN92 4 154138 5); Geneva (Arabic,French, and Spanish editions in prep-aration).

A Guide to Leprosy Control. 1980; 97pages (ISBN 92 4 154147 4); WHO,Geneva (French and Spanish editionsin preparation).

Recommended Health-Based Limits inOccupational Exposure to Heavy Met-als. Report of a WHO study group.Technical Report Series, No. 647. 1980;116 pages (ISBN 92 4 120647 0);Geneva.

Tin and Organotin Compounds. A Pre-liminary Review. Environmental HealthCriteria 15. Published under the jointsponsorship of the United Nations Envi-ronment Programme and the WorldHealth Organization. 1980; 109 pages(ISBN 92 4 154075 3); WHO, Geneva(French edition in preparation).

Environmental Sanitation in EuropeanTourist Areas. Report on a WHO meet-ing, Montpellier, September 25-29,1978. EURO Reports and Studies, No.18. 1980; 33 pages (ISBN 92 9020 1576). WHO Regional Office for Europe,Copenhagen.

The Environmental Health Officer inan Industrial Society. Report on aWHO Consultation, Copenhagen, No-

190 Public Health Reports

vember 20-23, 1979. EURO Reportsand Studies, No. 29. 1980; 31 pages(ISBN 92 9020 168 1). WHO RegionalOffice for Europe, Copenhagen.Health Aspects of Wellbeing in WorkingPlaces. Report on a WHO WorkingGroup, Prague, September 18-20, 1979.EURO Reports and Studies, No. 31.1980; 28 pages (ISBN 92 9020 170 3).WHO Regional Office for Europe,Copenhagen.Continuing Education of Health Per-sonnel and Its Evaluation. Report onthe technical discussion at the twenty-ninth session of the Regional Committeefor Europe, Helsinki, September 14,1979. EURO Reports and Studies, No.33. 1980; 42 pages (ISBN 92 9020 172X). WHO Regional Offlce for Europe,Copenhagen.Assessing Health Workers' Performance:A Manual for Training and Supervision.By F. M. Katz and R. Snow. PublicHealth Papers, No. 72. 1980; 174 pages;Sw.fr. 12 (ISBN 92 4 130072 8);Geneva (French and Spanish editionsin preparataion).

WHO publications may be obtained from WHOPublications Centre USA, 49 Sherldan Ave.,Albany, N.Y. 12210.

NON-FEDERALIssues in Health Care Regulation.Edited by Richard S. Gordon. 1980;375 pages; $35 (ISBN 0-07-02370-8).McGraw-Hill Book Co., 1221 Avenueof the Americas, New York, N.Y. 10020.

Public Health and Preventive Medicine.Continuing Education Review. 406essay questions and referenced answers.By Peter Isacson. August 1980; 204pages (ISBN 0-87488-348-2). MedicalExamination Publishing Co., Inc. (anExcerpta Medica Co.), Garden City,N.Y.

The Legal Rights of Retarded Persons.By Elizabeth Ogg. Public Affairs Pam-

phiet No. 583. July 1980; 28 pages; 50cents. Public Affairs Pamphlets, 381Park Ave. South, New York, N.Y.10016.

Graduate Medical Education, Presentand Prospective. A call for action. Re-port of the Macy study group. 1980;227 pages (ISBN 0-914362-34-8).Josiah Macy, Jr., Foundation, OneRockefeller Plaza, New York, N.Y.10020.

Profiles in Health Caring. 1980; $4,discounts for 5 or more copies. NationalHealth Council, 70 West 40th St., NewYork, N.Y. 10018.

Credentialing in Nursing-Design fora Workshop. Pub. No. 52-1832. 1980;48 pages; $4.95. Conceptual Frame-works Used in Baccalaureate and Mas-ter's Degree Curricula. By DeloresSantora. Pub. No. 15-1828. 1980; 49pages; $4.95. The Community Collegeand Associate Degree Nursing, 1952-1980. By Leola Davidson and LucilleKnopf. Pub. No. 23-1820; 1980; 26pages; $3.95. Curriculum Design forAssociate Degree Nursing Programs:Teaching and Evaluation in the Class-room. By Lynne Lear Tier and BarbaraDeAngelis Roberts. Pub. No. 23-1826.1980; 73 pages; $4.95. National Leaguefor Nursing, 10 Columbus Circle, NewYork, N.Y. 10019.

Epidemiologic Reviews. Vol. 2. Editedby Philip E. Sartwell and Neal Nathan-son. 1980; 231 pages; $13.50. TheJohns Hopkins University Press, Balti-more, Md. 21218.

Beyond Alcoholism. Alcohol and PublicHealth Policy. By Dan E. Beauchamp.1980; 222 pages; $17.50. Temple Uni-versity Press, Broad and Oxford Sts.,Philadelphia, Pa. 19122.

The Nation's Families: 1960-1990. ByGeorge Masnick and Mary Jo Banewith Neal Baer, John Pitkin, Lee Rain-

water, Martin Rein, and Barbara Wiget.1980; $19.50 hardcover, $10 paper.Joint Center for Urban Studies of MITand Harvard, 53 Church St., Cam-bridge, Mass. 02138.

A Guide to Information Sources.Edited by Lawrence W. Green andConnie Cavanaugh Kansler. 1980; 330pages; $28 (ISBN 0-8103-1422-3).Gale Research Co., Book Tower, De-troit, Mich. 48226.

Aging in American and other Cultures.By Gerhard Falk, Ursula Falk, andGeorge Vid Tomashevich. 1980. Cen-tury Twenty One Publishing Co., P.O.Box 8A, Saratoga, Calif. 95079.

Renal Adenocarcinoma. A series ofworkshops on the biology of humancancer. Edited by G. Sufrin and S. A.Beckley. UICC Technical Report Series,Vol. 49. 1980; 215 pages; Swiss Francs17.00 plus postage and packaging(ISBN 92-9018-049-8). InternationalUnion Against Cancer (UICC), 3 ruedu Conseil-General, CH 1205, Geneva,Switzerland.

Biology of Ovarian Neoplasia. A seriesof workshops on the biology of humancancer. Edited by E. D. Murphy andW. G. Beamer. UICC Technical ReportSeries, Vol. 50, No. 11. 1980; 132pages; Swiss Francs 16.00 plus postageand packaging (ISBN 92-9018-050-1).International Union Against Cancer(UICC), 3 rue du Conseil-General,3 CH 1205, Geneva, Switzerland.

Hospital Liability Revisited: How Gov-erning Boards Can Protect Themselvesand Improve Patient Care. By ThomasR. Mulroy. An INQUIRY Book. 1980;55 pages (ISBN 0-914818-06-6). BlueCross Association 676 St. Clair St.,Chicago, Ill.. 60611.

Children and Drugs. By Jules Saltman.Public Affairs Pamphlet No. 584.August 1980; 24 pages; 50 cents. Public

March-April 1981, Vol. 96, No. 2 191

Affairs Pamphlets, 381 Park Ave. South,New York, N.Y. 10016.

School-Based Dental Delivery Systems.Edited by Rueben C. Warren andElizabeth Potts. 1980; 190 pages.Celecom Corp., East Longmeadow,Mass.

Statistical Report, Department ofHealth, State of Hawaii. 1979; 187

pages. Research and Statistics Office,State Department of Health, P.O. Box3378, Honolulu, Hawaii 96801.

Inventory of Programs and Expendituresand Uses of 314(d) Funds by Stateand Territorial Health Agencies, FiscalYear 1979. ASTHO-NPHPRS Publica-tion No. 55. August 1980; 127 pages.Ronald E. Whorton, ASTHO-NPHPRS,Suite 403, 962 Wayne Ave. SilverSpring, Md. 20910.

Comprehensive NPHPRS Report, Serv-ices, Expenditures, and Programs ofState and Territorial Health Agencies,Fiscal Year 1979. ASTHO-NPHPRSPublication No. 56. August 1980; 179pages. Ronald E. Whorton, ASTHO-NPHPRS, Suite 403, 962 Wayne Ave.Silver Spring, Md. 20910.

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'^ 93. TOTAL ENERGY MANAGEMENT FOR HOSPITAl;-.z_ ~~~Identifies proved techniques for conserving energy and

--: :-:;, ~~in hospitals

LSenergy dollars

94. MONTHLY VITAL STATISTICS REPORT: PROVISIONALSTATISTICSAnnual summary for the United States, 1979: births, deaths, marriages,and divorces

95. THE SURGEON GENERAL'S WORKSHOP ON MATERNAL ANDINFANT DEATHSRecommendations and findings of participants in workshop heldDecember 14-17, 1980

96. THE HEALTH PLANNING PROGRAM: CITIZENS PLANNINGFOR LOCAL NEEDSLegislative background, highlights of the program, health service areas,health systems agencies, State planning and development agencies,national guidelines and priorities, final regulations, and other elementsof the program

97. MINORITY BIOMEDICAL SUPPORT PROGRAM: A RESEARCHRESOURCES DIRECTORYGuide to research projects and facilities supported by the programthroughout the country; 1980 revision

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U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESPublic Health ServiceHealth Resources AdministrationRm. 10-44, Center Bldg.3700 East-West HighwayHyattsville, Md. 20782

POSTAGE AND FEES PAIDU.S. DEPARTMENT OF HHSHHS-396

CONTROLLED CIRCULATION RATEPUBLIC HEALTH REPORTS(USPS 324-990)

OFFICIAL BUSINESSPENALTY FOR PRIVATE USE, $300

HRA 81-605