Objective:Employers that strive to create a corporate environment that fosters a culture of health often face challenges when trying to determine the impact of improvements on health care cost trends. This study aims to test the stability of the correlation between health care cost trend and corporate health assessment scores (CHAS) using a culture of health measurement tool.Methods:Correlation analysis of annual health care cost trend and CHAS on a small group of employers using a proprietary CHAS tool.Results:Higher CHAS scores are generally correlated with lower health care cost trend. For employers with several years of CHAS measurements, this correlation remains, although imperfectly.Conclusion:As culture of health scores improve, health care costs trends moderate. These findings provide further evidence of the inverse relationship between organizational CHAS performance and health care cost trend.

Abstract. During a 6-year period, 62 out of 2,980 calves examined (2.08%) between 1-30 days of age had lesions consistent with Bovine herpesvirus 1 infection. The mean and median age of affected calves was 14 days of age. Most cases of infection were in calves 12 and 15 days of age, with 34 calves (54.8%) affected; 14 calves (22.6%) were between 16-21 days of age; 11 calves (17.8%) were between 7-11 days of age; and 3 calves (4.8%) were between 22-30 days of age. In 29 of the calves, the adrenal gland was the only organ affected. In 25 calves, the adrenal gland and at least 1 other tissue had lesions consistent with herpes viral infection. Five animals had no adrenal lesions but had 1 or more additional tissue with lesions consistent with herpesvirus. Three animals had no adrenal gland present for examination but had lesions in other tissues. Organs and number of animals affected by Bovine herpesvirus 1 infection were adrenal gland (54), liver (18), lungs (15), kidney (8), small intestines (7), large intestines (7), rumen/omasum (7), trachea/larynx (3), abomasum (2), heart (1), esophagus (1), thymus (1), and lymph node (1).

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Dependent decision makers form a significant population of students and adults who seek help from career counselors. This study investigated the learning style characteristics of dependent decision makers in an urban community college setting. The results suggest that the dependent decision makers as a group may have reduced motivation for learning, show limited persistence, and take less responsibility for their learning. Because of these learning style characteristics, we recommend that these characteristics be considered when making counseling interventions and instructional modifications when working with dependent decision makers.

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