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As we are all well aware, health care expenditures in the United States are out of control and growing at epic proportions. Since private industry shoulders a significant burden of paying these rising health care costs, the huge and ever increasing sum paid by these corporations continues to impact the US economy translating into higher prices of services and manufactured goods and reduced job opportunities when companies outsource jobs or locate manufacturing facilities to avoid paying health care benefits for workers. As a result, health care expenditures have become a centerpiece of an enormous public policy debate as Congress is currently working on several versions of a bill to completely revise health care from the ground up. This research project was accomplished to examine the effectiveness of one approach to control rising health care costs and contain corporate financial responsibility--the establishment of wellness and health risk screening programs to improve the health of employees. Total health care cost per insured individual was gathered through an online survey directly from health care benefit administrators. The survey also asked information about wellness and health risk screening programs and the related responses were used to determine if there were a relationship between health care costs and health prevention programs. While statistical analysis was hampered in the current study because of the small sample size, some valid conclusions were reached. The study was successful in identifying a benchmark of Average Total Health Care Cost per Individual from $5,100 to $5,800 for 2005 through 2007. This is especially interesting in light of the fact that an average of $7,026 was spent on health care per person in 2006 in the United States. The study was also able to contribute an estimate of the increase realized in these expenditures of 6 percent in 2007 over 2006, and 4 percent in 2006 over 2005, which were in fact similar to the national average. The final contribution of the study is to suggest an explanation for the costs which appear to be holding their own in terms of the national average. While this cannot be statistically verified, it does seem that the active participation of these companies in wellness programs could be a factor. Wellness programs were very popular in this sample of companies as 82 percent of the respondents answered "YES" when asked if the company funds their own employee wellness program. This is an impressive number of companies that have recognized wellness programs as a potential means to reduce employee health care costs. In regards to specific programs, at least 50 percent of respondents answered that they have smoking cessation, employee fitness, counseling, health risk screening, and bio-metric screening programs. The existence of health screening variables show an impressive 73 percent of respondents do practice some sort of health care screening, 50 percent offer biometric screening while 18 percent have onsite clinics and 23 percent run annual employee fairs.

Many undergraduate baccalaureate nursing programs incorporate clinical emersion courses at the end of the program. Nursing capstone courses have become increasingly important in facilitating student transition into practice. However, little is known regarding the overall effectiveness of this teaching model for students, nursing programs, and clinical agencies. Previous studies revealed conflicting results about the benefits of a senior level precepted clinical experience. In this multi-method study, the authors examined student learning outcomes, perceptions, employment choice and retention following implementation of a new capstone nursing course. Results of this study indicated that a capstone course does not necessarily significantly improve scores on achievement exams or NCLEX RN first time pass rates. Nevertheless, qualitative content analysis revealed the following themes: integration, autonomy, confidence, authority, and advocacy consistent with a perceived enhanced competence in the nursing role. Data indicated that graduates often seek employment and remain at their capstone site or within their capstone specialty.

Research on receptive language development in typical children, especially as explicated in a classic paper by Robin Chapman, is reviewed. These findings raise three challenges for clinicians assessing comprehension in children with language disorders: (1) contrary to popular wisdom, comprehension does not always precede production in a simple step-by-step way; (2) comprehension is a private event; indicators of comprehension must be used to assess it, and these indicators can be misleading; and (3) children with subtle comprehension deficits may do well on standardized tests that are not sensitive to their difficulties with real-time discourse. Some strategies for addressing these challenges, as well as a framework for assessing comprehension, are offered.

The literature shows that racially and economically segregated schools diminish educational outcomes for students in non white schools with impoverished peers (Frankenberg & Lee, 2002; Mayer, 2000). To reveal which children are apt to begin their education in high minority and poor schools, this study drew on nationally representative data from the Early Childhood Longitudinal Study. Evidence documents variations in school racial and economic contexts according to children's race and social class backgrounds. Over half of Black and Hispanic first-graders attend segregated minority and poor schools while very few White first-graders do so. Additional analyses reveal that while social class is a useful predictor of educational segregation, it is less predictive for Black and Asian students than for White and Hispanic students.

Over the last several decades, academic discourse on racial inequality has focused primarily on political and social issues with significantly less attention on the complex interplay between race and economics. African Americans in the U.S. Economy represents a contribution to recent scholarship that seeks to lessen this imbalance. This book builds upon, and significantly extends, the principles, terminology, and methods of standard economics and black political economy. Influenced by path-breaking studies presented in several scholarly economic journals, this volume is designed to provide a political-economic analysis of the past and present economic status of African Americans. The chapters in this volume represent the work of some of the nation's most distinguished scholars on the various topics presented. The individual chapters cover several well-defined areas, including black employment and unemployment, labor market discrimination, black entrepreneurship, racial economic inequality, urban revitalization, and black economic development. The book is written in a style free of the technical jargon that characterizes most economics textbooks. While the book is methodologically sophisticated, it is accessible to a wide range of students and the general public and will appeal to academicians and practitioners alike.

This reference analyzes, summarizes, and explains the complexities of men's lives and the idea of modern manhood. It looks at literature, art, and music from a gender perspective, and covers intimacy, sexual violence, pornography, sexism and rituals.

This essay revisits the work of the German historian Friedrich Meinecke and offers new interpretation of his major works, Weltbürgertum und Nationalstaat (1907), Die Ideen der Staatsräson in der neuen Geschichte (1924), and Die Entstehung des Historismus (1936). The standard interpretation of Meinecke's work maintains that World War I caused a break in his thinking and caused him to rethink the role of power in the state. By stressing the first half of Weltbürgertum rather than the second, this article delineates a continuity of Meinecke's thought and points to the limitations of historicism as a historical narrative. It offers a possible explanation for how the conservative implications in the thought of an individual, who personally and politically was a Vernuftrepublikaner, could escape the author himself. This article also discusses what could be called the classical liberal critique of Meinecke's historicism, points to some of its limitations, and offers a more measured criticism of Meinecke that examines him on his own terms—and finds him wanting.

Reprinted in Zauber und Abwehr. Aur Kultutgeschichte der deutsch-russiachen Beziehungen, Dagmar Hermann and Mechthild Keller, eds. (Wilhelm Fink Verlag, 2003)

"This collection explores the various forms of narrative, semiotic, and technological mediation that shape the experience of place. From the East End of London to Navajo lands to Ground Zero, Lived Topographies examines the great effect of language, mass media, surveillance, and other incursions of the contemporary world on topographical experience and description. Gary Backhaus and John Murungi have assembled a wide array of scholars to provide an interdisciplinary approach to this subject, giving this collection a unique perspective on the phenomenology of place."--Jacket.

World War I highlighted the influence of newspapers in rousing and maintaining public support for the war effort. Discussions of the role of the press in the Great War have, to date, largely focused on atrocity stories. This book offers the first comparative analysis of how newspapers in Great Britain, France, Russia, Germany, and Austria-Hungary attempted to define war, its objectives, and the enemy. Presented country-by-country, expert essays examine, through use of translated articles from the contemporary press, how newspapers of different nations defined the war for their readership and t., World War I highlighted the influence of newspapers in rousing and maintaining public support for the war effort. Discussions of the role of the press in the Great War have, to date, largely focused on atrocity stories. This book offers the first comparative analysis of how newspapers in Great Britain, France, Russia, Germany, and Austria-Hungary attempted to define war, its objectives, and the enemy. Presented country-by-country, expert essays examine, through use of translated articles from the contemporary press, how newspapers of different nations defined the war for their readership and t

The first collection of original contributions on American abolitionism to appear in a generation.The campaign to abolish slavery in the United States was the most powerful and effective social movement of the nineteenth century and has served as a recurring source of inspiration for every subsequent struggle against injustice. But the abolitionist story has traditionally focused on the evangelical impulses of white, male, middle-class reformers, obscuring the contributions of many African Americans, women, and others.Prophets of Protest, the first collection of writings on abolitionism in more than a generation, draws on an immense new body of research in African American studies, literature, art history, film, law, women's studies, and other disciplines. The book incorporates new thinking on such topics as the role of early black newspapers, anti-slavery poetry, and abolitionists in film and provides new perspectives on familiar figures such as Sojourner Truth, Louisa May Alcott, Frederick Douglass, and John Brown.With contributions from the leading scholars in the field, Prophets of Protest is a long overdue update of one of the central reform movements in America's history.

Robert Pierce Forbes goes behind the scenes of the crucial Missouri Compromise, the most important sectional crisis before the Civil War, to reveal the high-level deal-making, diplomacy, and deception that defused the crisis, including the central, unexpected role of President James Monroe. Although Missouri was allowed to join the union with slavery, the compromise in fact closed off nearly all remaining federal territories to slavery.When Congressman James Tallmadge of New York proposed barring slavery from the new state of Missouri, he sparked the most candid discussion of slavery ever held in Congress. The southern response quenched the surge of nationalism and confidence following the War of 1812 and inaugurated a new politics of racism and reaction. The South's rigidity on slavery made it an alluring electoral target for master political strategist Martin Van Buren, who emerged as the key architect of a new Democratic Party explicitly designed to mobilize southern unity and neutralize antislavery sentiment. Forbes's analysis reveals a surprising national consensus against slavery a generation before the Civil War, which was fractured by the controversy over Missouri.

In 1815 the United States was a proud and confident nation. Its second war with England had come to a successful conclusion, and Americans seemed united as never before. The collapse of the Federalist party left the Jeffersonian Republicans in control of virtually all important governmental offices. This period of harmony—what historians once called the Era of Good Feeling—was not illusory, but it was far from stable. One-party government could not persist for long in a vibrant democracy full of ambitious politicians, and sectional harmony was possible only as long as no one addressed the hard issues: slavery, race, western expansion, and economic development.Congress and the Emergence of Sectionalism: From the Missouri Compromise to the Age of Jackson inaugurates a new series for the United States Capitol Historical Society, one that will focus on issues that led to the secession crisis and the Civil War. This first volume examines controversies surrounding sectionalism and the rise of Jacksonian Democracy, placing these sources of conflict in the context of congressional action in the 1820s and 1830s. The essays in this volume consider the plight of American Indians, sectional strife over banking and commerce, emerging issues involving slavery, and the very nature of American democracy.“It is to be regretted that the rich and powerful too often bend the acts of government to their selfish purposes…. There are no necessary evils in government. Its evils exist only in its abuses. If it would confine itself to equal protection, and, as Heaven does its rains, shower its favors alike on the high and the low, the rich and the poor, it would be an unqualified blessing. In the act before me there seems to be a wide and unnecessary departure from these just principles.”—Andrew Jackson, Veto Message Regarding the Bank of the United States, July 10, 1832“I consider, then, the power to annul a law of the United States, assumed by one State, incompatible with the existence of the Union, contradicted expressly by the letter of the Constitution, unauthorized by its spirit, inconsistent with every principle on which it was founded, and destructive of the great object for which it was formed.”—Andrew Jackson, Proclamation Regarding Nullification to the People of South Carolina, December 10, 1832