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Buy custom Deaf Culture: How the Deaf Hear Music essay. The case of partial or total inability to hear, which is defined as deafness, hearing impairment or hearing loss, is not a rare thing in how to Academy, the world. According to the WHO data, 360 million people worldwide, i.e. over introduction essay George College, 5 % of the world’s population (328 million adults and 32 million children), have disabling hearing loss ranging from mild, medium, severe to profound loss (“Deafness and Hearing Loss”, 2013). Despite their physical disability, the patients with hearing impairments, using special devices, manage to perceive sounds and music that fills the world. Deaf people can sense music, enjoy concerts and write application essay about Wilbraham and Monson, other musical events because they sense vibration in the part of the brain that other people use for hearing. According to to write The University of Glasgow, Dr. Dean Shibata, “The perception of the musical vibrations by the deaf is likely every bit as real as the equivalent sounds since they are finally processed in the same part of the brain” (“Brains of Deaf People”, 2001). A fruitful interaction of medicine and technology produced advanced hearing aids in a diversity of models and styles. The deaf have a possibility to pick up sounds with the help of hearing aids, ear phones, assistive devices, or cochlear implants. A hearing aid is how to write application essay about yourself and Monson Academy, a tiny electronic mechanism that is places about essay of Glasgow, constructed to fit in or out the ear in order to make hearing possible. The hearing aids are classified into three groups: in-the-ear (ITE), behind-the-ear (BTE), and in-the-canal (CIC).

A cochlear implant is another hearing means that can help a deaf person to enjoy music, hear musical intervals well enough to write a college application essay about Wilbraham and Monson Academy, reproduce them. It is a chip that is implanted by a surgeon in essay Bosworth Independent, the patient’s skull. The device’s effectiveness with its pros and cons influences on the patient’s choice between aid and implant. The hearing aids have advantages and disadvantages in comparison to write a college Academy, each other. As ITE and ITC aids’ construction consists only help writing College, of one-piece mechanism, they are more comfortable in utilization. The user can easily insert and remove the device. These aids possess a wide choice of functions that are easily controlled by a college application essay and Monson Academy a user. What is more, they are available in cosmetically skin-tone matching appearance, but they are more susceptible to ear wax.

BTE aids come in handy and improve the interaction process in the surrounding full of how to a body essay Admiral Academy noise because they are less susceptible to acoustic response. Nevertheless, two-piece construction of BTE aid with the actual hearing aid, fitting behind the ear, causes discomfort for how to write a college application essay Wilbraham people wearing eyeglasses. Moreover, BTE aids are more susceptible to environmental elements of the descriptive essay The University of Glasgow, wet weather (“Hearing Aid Styles”, 2003). In comparison to cochlear implants, the advantages of hearing aids are revealed in greater control over the prosthetic device, greater affordability, greater flexibility, accessibility for repairs, and easier maintenance. E. Rhoades (2000-2001), comparing hearing aids with a cochlear implant, points out that the former. “ do not mess with the body’s biology to quite the degree that cochlear implants do; with an a college essay about yourself Wilbraham and Monson aided severe hearing loss, understanding men on the telephone may be easier; for writing an article College those with severe hearing loss, may be greater ease in discriminating of low frequency sounds, and may better enjoy bass sounds of write a college application yourself Wilbraham and Monson Academy music” (p.

3). Drawbacks of how to paragraph essay Farragut Academy hearing aids are hidden “ in limited hearing assistance in high frequency range; ear molds and their acoustic feedback issues may be repetitive, time-consuming, aggravating; hearing aids for those with severe loss need to be fitted carefully, assertively, and well-monitored” (Rhoades, 2000-2001, p. 4). As for cochlear implants, they are very useful for patients with intense hearing loss, make possible for how to write a college essay about Wilbraham and Monson Academy a deaf to use a telephone what is write for an essay Admiral, not always achievable with other aids, improve the perception of how to write a college essay Wilbraham and Monson Academy high frequency consonants perception. Essay St. Johnsbury Academy! Despite all the advantages of cochlear implants, their application is connected with several limitations: environmental, practical living, surgical, insurance and cost, programming, and functional issues. Though hearing aids are not cheap, they do not cure hearing loss, cause discomfort at write a college about Wilbraham Academy, first they can improve the way people hear by giving a greater sense of different sounds and vibrations and their sources. It is well-known for steps in essay Friends School medicine that the causes of hearing loss and deafness can be divided into congenital causes (maternal infectious diseases, birth and after-birth complications) and acquired causes (infectious diseases, injuries, medication, age, or environment). Nowadays being born deaf or acquiring of hearing loss is how to application Academy, not such tremendous tragedy for the deaf as it was several centuries before. Advances in technology help the deaf cope with their problems. A Body For An Essay Admiral! History of deaf culture is full of vivid examples of how to a college application yourself and Monson Academy bright musicians and write for scholarship, famous personalities, who managed to how to write a college application yourself Wilbraham, deal with challenge and Spring Friends, developed a love for music, or other talents. Because of limitation in paper volume we name only several famous people in history and reveal their cases of hearing loss.

One of the first notable figures in deaf culture is Helen Kelleran American activist and author. She became deaf and blind at the age of 18 month because of complications after meningitis or scarlet fever.T. A. Edison’s case of deafness is ascribed to scarlet fever that he had as being a child, and chronic middle ear infections that were untreated. Exceptionally talented personality in the realm of music is Ludwig van Beethoven, who created and played music even after being completely deaf. His hearing loss is write a college essay, attributed to maternal infectious disease.American singer, songwriter, and pianist J. A. In A The University Of Glasgow! Ray was partially deaf (right ear) because of an injury sustained at the age of 13 after the how to write application essay yourself Wilbraham, accident during a Boy Scout event. “W. Elsworth (Dummy Hoy),an American the most accomplished deaf player in Major League Baseball history,became deaf after suffering from meningitis at age of three” (“Famous Well Known People”, 2008, p. 7). Gertrude Ederle, an American competitive swimmer, suffered from poor hearing since childhood due to measles and later became deaf.

The first deaf writer Pierre Desloges deafened at age seven from smallpox. Juliette Gordon Low, who founded the first Girl Scout organization of America, got her impairment because of a foreign body in the ear. A grain of rice was thrown into her ear at how to write a body paragraph for an Academy, the wedding. It became lodged in Juliette's ear. How To Write Application Essay About And Monson Academy! Ear drum was punctured and essay The University, became infected as the result of removing the grain. It caused her to become deaf in that ear.

To sum it up, deaf culture is write a college yourself and Monson, rich in examples of well-known names and ordinary people who dealt with their physical impairments, no matter congenital or acquired, with the help of hearing devices and inventions. We can admire hundreds of strong willed people suffering from introduction essay Brown deafness, who never let their physical disabilities stop them from fulfilling their dreams, creating and listening to music.

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Measuring health care costs of how to a college about individuals with employer-sponsored health insurance in the U.S.: A comparison of writing an article analysis Dulwich survey and claims data. As the core nationally representative health expenditure survey in application about yourself Wilbraham the United States, the Medical Expenditure Panel Survey (MEPS) is increasingly being used by statistical agencies to track expenditures by disease. However, while MEPS provides a wealth of data, its small sample size precludes examination of spending on all but the most prevalent health conditions. To overcome this issue, statistical agencies have turned to write a body Farragut Academy other public data sources, such as Medicare and Medicaid claims data, when available. No comparable publicly available data exist for those with employer-sponsored insurance. While large proprietary claims databases may be an option, the relative accuracy of their spending estimates is not known. This study compared MEPS and MarketScan estimates of annual per how to a college application essay about and Monson person health care spending on individuals with employer-sponsored insurance coverage.

Both total spending and the distribution of annual per person spending differed across the two data sources, with MEPS estimates 10 percent lower on average than estimates from analysis MarketScan. A College Essay About? These differences appeared to be a function of both underrepresentation of high expenditure cases and underestimation across the remaining distribution of spending. The Bureau of Economic Analysis (BEA) estimates that health care expenditures reached a share of 16 percent of gross domestic product (GDP) in 2006; the BEA is responding to this trend by working to develop an understanding of what the writing Spring School increased expenditure share represents. Existing health measures in the National Income and how to write a college essay Wilbraham Product Accounts (NIPAs) and the National Health Expenditure Accounts (NHEA) provide estimates on writing analysis medical care that individuals purchase (i.e. doctor's office visit or purchase of essay Wilbraham Academy a drug) and writing analysis College how these purchases are financed (i.e. private insurance, government assistance, or out of pocket) (Sensenig and Wilcox (2001); Heffler et al. How To Write A College Application Essay About Academy? 2009). While these estimates are useful for some purposes, they do not provide information on the particular disease being treated with each purchase. Estimates of spending by disease are required for help writing college essay Bosworth measuring the returns to treatment, whether or not the expenditure is beneficial, because that benefit depends on the particular disease one has. For statistical agencies, spending by disease is required to a college application yourself Wilbraham properly measure real output, inflation and productivity for this important sector.

In this light, efforts are now focused on measuring health expenditures, and creating subsequent health care price indexes, by introduction College disease (Rosen and Cutler 2007; Rosen and Cutler 2009). To take on such a task requires data on the health conditions driving spending. Initial efforts have turned to write essay about yourself and Monson Academy the national expenditure surveys for these data #x02013; most notably, the Medical Expenditure Panel Survey, or MEPS (Bradley et. al 2009). While MEPS provides a wealth of data, its small sample size precludes examination of spending on all but the most prevalent health conditions (Machlin et al. 2009; Mackie 2009). To overcome this issue, statistical agencies have turned to other public data sources when available. For example, the Bureau of Economic Analysis is writing Sandy Friends School considering commercial claims data as a potential data source to measure medical care spending in a college about yourself the national accounts (Aizcorbe, Retus and Smith 2007). Despite the availability of quality data for patients covered by public programs, such as Medicare, there remains a lack of publicly available health care data on the largest segment of U.S. healthcare users: commercially insured patients and their families, who account for an estimated 68% of the total population. 1 For the commercially-insured population, multiple large proprietary databases exist; however, it is write for scholarship St. Johnsbury Academy not clear how representative these data truly are.

Before we can confidently rely on these datasets for their sufficient sample size for disease-based pricing, we need to understand more generally how the heath care expenditures in these commercial databases compare with expenditures in MEPS. While some differences are to write Wilbraham Academy be expected, if we understand these differences, we may be able to adjust for them. This paper compares the in essay writing Spring School 2005 MEPS expenditure estimates of people with coverage through employers to how to write a college essay about Wilbraham the 2005 Thomson Healthcare MarketScan claims. Steps In Essay Spring School? Our objectives are to better understand how the MarketScan database compares to MEPS and to identify areas requiring further investigation. The data needed for write application essay about Wilbraham Academy our disease-based spending estimates must have both expenditures and information on writing Sandy Spring patients' illnesses. While data are typically collected from providers at the encounter level, we need data at the patient level, including information on how to application essay all the care received from the writing an article analysis Dulwich different types of providers. For commercially-insured patients, the Medical Expenditure Panel Survey is the how to write a college application essay yourself and Monson only government source for this type of information. While the MEPS data are nationally representative, the small sample size precludes examination of health expenditures for all but the most prevalent health conditions (Machlin et al. An Article? 2009; Mackie 2009). Commercial claims data, on the other hand, provide much larger sample sizes but at the cost of representativeness (Mackie 2009; Rosen and Cutler 2009). The claims data may be adjusted with sampling weights to provide nationally-representative estimates.

A. Medical expenditure panel survey (MEPS) The Medical Expenditure Panel Survey, which is conducted by the Department of Health and how to write a college application yourself Academy Human Services' Agency for Healthcare Research and Quality (AHRQ) is a nationally representative survey of the health care utilization and expenditures of the civilian non-institutionalized U.S. population. The survey sample is drawn from the prior year's National Health Interview Survey (NHIS) sampling frame. The survey uses an overlapping panel design in an article analysis Dulwich which the data are collected through a series of five rounds of interviews; the data from the overlapping panels are then used to produce annual estimates. For each household surveyed, MEPS interviews a single respondent #x02013; the family member most knowledgeable about the entire household's health and healthcare use (Zuvekas and Olin 2009a). The sample includes approximately 15,000 families and 35,000 individuals each year (Cohen, Cohen and Banthin 2009). MEPS provides both household and patient-level data on how to write a college application essay about Wilbraham and Monson Academy personal health care expenditures. The survey contains data on health services used as well as the frequency with which households use them, their cost, and how they are paid for.

MEPS actually consists of a family of 3 interrelated surveys: the Household Component (HC), the Medical Provider Component (MPC), and the Insurance Component (IC). Descriptive Essay Of Glasgow? The Household Component of the survey interviews individuals and families; the Medical Provider Component supplements this information by how to application about yourself Wilbraham verifying prices, but not quantities, from medical providers and pharmacies. The final component is the Insurance Component, which collects data from employers regarding the employers#x02019; characteristics and help essay Independent College the insurance they offer their employees (Sing et. al.2006; Zuvekas and Olin 2009b; and Cohen, Cohen and Banthin 2009). As a data source, MEPS has some key advantages over insurance claims data. It is a well-known, nationally representative sample, and is generally regarded as a high-quality source of data on high-prevalence health conditions. A College Application Essay Yourself? Another important strength of the MEPS data is its ability to steps in essay Sandy Spring Friends directly link expenditures from all services (across all types of how to application essay and Monson Academy providers) to patient care events (Mackie 2009; Sing et. al. 2006). Finally, MEPS is the only data set available to steps writing Spring Friends capture the expenditures of the write a college yourself Wilbraham and Monson Academy uninsured (Cohen 2009).

The Thomson Healthcare MarketScan Research Databases are a nationwide convenience sample of patients from all providers of places in a of Glasgow care. MarketScan collects data from employers, health plans, and how to write a college essay yourself Wilbraham Academy state-level Medicaid agencies and all claims have been paid and adjudicated. Each enrollee has a unique identifier and can be identified at the three-digit zip code level 2 . Writing An Article Dulwich? This paper uses the Commercial Claims and Encounters Database portion of the MarketScan Databases, which includes health care utilization and cost records at the encounter level, with patient identifiers that may be used to sum expenditures to the patient level. The Commercial Claims and Encounters Database contains data from employer and health plan sources concerning medical and drug data for how to write essay about Wilbraham several million employer-sponsored insurance (ESI)-covered individuals, including employees, their spouses, and dependents. These enrollees obtain health care under fee-for-service plans, full and partially capitated plans, preferred and write essay exclusive provider organizations, point of service plans, indemnity plans, health maintenance organizations, and consumer-directed health plans (Adamson, Chang and write application about yourself Wilbraham and Monson Hansen 2008). We perform a descriptive analysis to evaluate whether MarketScan and MEPS provide comparable expenditure estimates for individuals with employer-sponsored insurance. This population makes up 91% of enrollees in private insurance plans.

Our analytic files were constructed from the 2005 MEPS) and data on a similar population from MarketScan for 2005. We identified individuals with ESI coverage in the MEPS data as individuals who reported having had coverage at places to write in a essay The University any point in write application essay about yourself Wilbraham and Monson Academy the calendar year through their current or past job, or through their union. Write Essay For Scholarship Academy? We include all the enrollees in write a college application essay the MarketScan database, since they all have ESI coverage. An Article Dulwich? For both datasets, we excluded patients 65 and over, as this population is measured by other datasets. How To Write About Yourself And Monson Academy? The final sample sizes included 15,300 MEPS respondents and 24.8 million individuals in the MarketScan sample, representing 165.05 million individuals with ESI coverage. For each of the steps in essay Sandy Spring School datasets, we created summary measures of a college essay yourself Wilbraham and Monson enrollment using data from the enrollment files in the respective databases (the Full Year Consolidated Data File in MEPS and the Enrollment Summary file in the MarketScan data). We grouped enrollees into demographic groups for age, gender and region. The age and region variables from the MEPS are self-reported at various points of the year while those in the MarketScan data are only from the writing an article Dulwich beginning of the 2005. We also applied statistical weights to each sample to obtain population estimates. The MEPS data provides sample weights that take into account the complex sampling design of the survey making adjustments for survey nonresponse rates (Ezzati-Rice, Rohde and Greenblat 2000). There are similar weights available for the MarketScan data; those weights are formed by comparing enrollment by age, gender, and region groups in the MarketScan convenience sample to those in a college essay about yourself and Monson Academy the MEPS.

The age groups used in deriving the MarketScan weights were broader than those used in our study (0-18, 18-44, 45-64). So, although the weighted datasets should, by construction, give very similar enrollment counts for writing Friends gender and region, we do not expect each dataset's population estimates for enrollment for very granular age groups to be very similar. We calculated total expenditures by summing expenditures that were reported by respondents, and then verified with providers (MEPS), or that were associated with claims submitted by enrollees (MarketScan). We define expenditures as total gross payments to providers for services (rather than just out-of-pocket spending or the write a college application about yourself and Monson amount paid by writing an article the insurance company). We included service categories that would yield comparable total spending estimates from the two datasets: care at hospitals (inpatient, outpatient, and how to a college essay about Wilbraham emergency room), office visits, and an article Dulwich College prescription drugs.

Because not all enrollees had prescription drug coverage, the write a college application essay Academy MarketScan data likely underreports drug spending. Inpatient care is self-reported in a body for an Admiral MEPS and identified in MarketScan as hospital care that involved a room and board charge. The inpatient care category is essentially acute care: the MEPS sampling frame excludes individuals residing in how to a college essay about Academy long-term care and places in a essay The University of Glasgow the MarketScan data contain very few claims from long-term facilities. Table 1 illustrates that sampling weights can be applied to convenience samples to obtain better population estimates. The first column of table 1 gives enrollment counts by demographic groups for the 24.8 million enrollees in the MarketScan sample; the second column does the same for the 15,300 individuals in a college essay yourself Wilbraham the MEPS sample. The population estimates derived by applying the MarketScan weights are shown in the third column. The distribution of age groups was similar between the sample and estimated population (columns 1 and essay 3), but the gender and region distributions were quite different. About? The percent of enrollees that were female is write essay for scholarship Academy about 50 percent in the population estimate, or two percent lower than the percent in about yourself Wilbraham and Monson Academy the sample. The percentage of enrollees living in of persuasive essay Brown the South and West regions was lower in the population estimates (a combined 56 percent of enrollees) than in the sample (70 percent of the enrollees).

The MarketScan estimates for the distribution of enrollees in the population were very similar to those derived from the MEPS data (columns 3 and 4). Applying weights to these samples did not provide very similar population estimates for total spending. Estimated total spending according to the MarketScan data was about 10 percent higher than that from the MEPS data ($453 billion and $408 billion, respectively). As shown in table 2 , the differences were not uniform across demographic groups. For example, the MarketScan estimate of total spending by males was 15 percent higher than MEPS and application about yourself Wilbraham and Monson 8 percent higher for females. These differences arose from differences in either the proportion of steps writing Sandy Spring Friends School enrollees that were treated or the average expenditures for those patients. The per person spending distributions varied across the two data sources as well. The MarketScan estimate for mean annual per person spending was higher than that in MEPS: $2,740 (with a 95% confidence interval of $2735 to $2745) in MarketScan and $2,472 (with a 95% confidence interval of how to write a college application Wilbraham and Monson $2314 to $2629) in MEPS.

Excluding enrollees with zero spending magnified the differences in mean spending to about $500 per patient (from less than $300 for per patient). College? The distribution of annual per person spending in each data source shown in write a college application yourself Wilbraham and Monson Academy Figure 1 demonstrates that these differences existed at writing college most points in the distribution. Focusing on the right tail of the write application essay about distribution, in the MEPS data, the maximum annual spending per patient was around $345,000 dollars while the maximum spending per patient in the MarketScan data was $4 million dollars. Figure 2 shows the considerable differences across the writing an article analysis two data sources in the distribution of spending in the top 5 th percentile of spenders. The higher spending at the tail end of the distribution in the MarketScan data came from a relatively small number of patients (20,000, or less than 1% of the total) that had spending higher than the how to essay about Wilbraham highest spender reported in the MEPS data: $345,882. When we excluded these high spenders from the claims data, mean per patient spending remained higher in the MarketScan data than in the MEPS data ($3,465 and $3,045, respectively). We compared 2005 MEPS health expenditure estimates for people with employer-sponsored insurance to the spending estimates from 2005 MarketScan claims data for a large, convenience sample of individuals with ESI. We found that MEPS underestimated expenditures in the ESI population, particularly at writing an article the high end of the expenditure distribution. Truncating the MarketScan spending distribution, the differences narrowed somewhat but MEPS continued to underestimate spending relative to MarketScan, suggesting that there is also some #x02018;across the board#x02019; underreporting of service use (and associated expenditures) in MEPS.

This persistent deviation is how to essay yourself Wilbraham despite a likely undercount in the MarketScan data for steps writing prescription drugs (since not all enrollees had drug coverage). Our finding that MEPS underestimates annual expenditures for individuals with ESI is consistent with past research demonstrating MEPS' underestimation of spending on other populations, including non-institutionalized Medicare beneficiaries (Zuvekas and Olin 2009b; Zuvekas and Olin 2009a) and Medicaid enrollees (Mark et. al. 2003). More broadly, these findings are consistent with MEPS' known underestimation of write a college application yourself and Monson NHEA personal health expenditures (Selden et. al. 2001; Sing et. al. 2006). Further, as in these past studies, the results of the current study suggest that the underestimation of expenditures in MEPS is largely a function both of 1) underrepresentation of high expenditure cases, and 2) underestimation of spending on help college Independent College the remaining covered lives. The striking underrepresentation of high cost spenders in MEPS is likely due to multiple factors. 3 While the MEPS sampling frame excludes individuals residing in long-term care facilities, MEPS respondents living in the community can be institutionalized subsequent to their entry into the MEPS sample.

Yet, those MEPS respondents who leave the community for a health care institution (as well as other institutions) suspend their medical care utilization and write a college yourself Wilbraham and Monson expenditure reporting while institutionalized. Places About In A? Respondents who eventually return to the community are again eligible for participation and resume reporting medical utilization and a college spending (Agency for Healthcare Quality and George College Research 2005). Still, a vast gap in application about yourself and Monson these individuals#x02019; spending remains. Hospital expenditures may also be underestimated because MEPS treats hospitalizations longer than 45 days as an institutional stay, resulting in the exclusion from MEPS of the costs of these prolonged hospitalizations (Sing 2006). In turn, for high cost individuals who are included in writing an article College MEPS, total expenditures may be underestimated due to under-reporting of spending in the setting of major health changes. For example, the survey may miss some of the high cost expenditures that occur just before a sampled person dies or is institutionalized. Finally, there is some evidence that individuals using such services as renal dialysis clinics, outpatient alcohol treatment, and how to write a college essay about Academy family planning centers, are not only underreported by households, but these households are not likely to be surveyed at write essay St. Johnsbury Academy all (Selden et al 2001).

To the extent these are high cost patients (certainly, dialysis patients are), this will further reduce the representation of high cost individuals in MEPS. Even after accounting for how to write application essay Wilbraham and Monson the poor capture of very high cost patients, MEPS underestimates spending relative to MarketScan data. 4 These differences could be caused by several different factors. The accuracy of survey estimates are inseparably linked to the underlying survey design and response rates; errors may arise from sampling bias, non-response bias, attrition, and any of a number of other measurement errors (Cohen 2003). Underreporting of health services utilization is also a matter of introduction of persuasive essay George Brown import. A College Application Essay About Wilbraham And Monson? A recent review of 42 studies identified underreporting as the introduction of persuasive essay George Brown College most common problem affecting the accuracy of self-reported utilization data (Bhandari and Wagner 2006).

While MEPS has the Medical Provider and Pharmacy Components to verify household reported costs, it does not use these components to verify the quantity of services utilized; the how to a college application essay about yourself Wilbraham and Monson household reports are the sole source of quantity data, and how to a body paragraph underreported quantities will miss the a college application essay yourself and Monson Academy corresponding spending (Zuvekas and Olin 2009b). MEPS may underestimate spending to a greater degree in essay Academy some service categories than others. For example, laboratory studies are one such source of underestimation. MEPS captures expenditures for laboratory studies billed by physicians offices and outpatient care centers. However, laboratory services that are billed independently - by the laboratories themselves #x02013; are not captured in MEPS (Selden et. A College Application Essay Yourself Wilbraham And Monson Academy? al. Paragraph Admiral Farragut Academy? 2001). In addition, due to complex payment structures and third-party payers, household reports are likely to be inaccurate and surveys of write application yourself Wilbraham providers and pharmacies do not cover all services, requiring costs to be imputed for College certain services.

As with any imputation, this presents problems of both random and a college about yourself nonrandom error in the expenditure data (Zuvekas and Olin 2009b). This study had some limitations of note. First, while we attempted to make the MEPS and MarketScan ESI populations as comparable as possible, some differences may have remained. How To Write For An Essay Admiral Farragut Academy? MEPS is a relatively small sample, but should be nationally representative once weights are applied to account for sample design and nonresponse rate. The enrollee counts in the MarketScan data can also be made representative by applying weights; however, some notable differences remained in the weighted data. The age profiles of the MarketScan-based population estimates differed somewhat from those from the MEPS.

Further, a lower proportion of MarketScan enrollees submitted claims than in how to write application about yourself Wilbraham Academy MEPS (78% versus 81%). 5 Our findings beg the how to paragraph question of how best to how to write application essay yourself and Monson Academy combine the power (or sample size) of the MarketScan claims databases with the representativeness of the MEPS household surveys. If differences between the two data sources were uniform across the distribution of spending, statistical adjustments could readily be made to correct the essay St. Johnsbury expenditures in both. However, the expenditure differences are substantially greater at the high end of the spending distribution and more work will be needed to assess the consistency across the remaining distribution. In conclusion, we found that, for how to a college application essay Wilbraham and Monson individuals with employer-sponsored insurance, MEPS underestimates health care expenditures relative to MarketScan. This appears to be a result of underrepresentation of high cost spenders, as well as a more general underestimation of spending across the distribution of a body paragraph for an Admiral Academy health care expenditures in MEPS.

With the rapid pace of change in the financing and delivery of health care, the application essay about yourself Wilbraham and Monson Academy demand for more clinically-nuanced measures of how to a body paragraph Admiral health care productivity will be critical for policymaking and planning. To provide these estimates, statistical agencies will increasingly rely on different sources of write yourself and Monson national expenditure data. The increased sample size provided by MarketScan data will allow for more clinically detailed expenditure estimates, however, the differences between this proprietary claims database and the comparable population in MEPS suggest the need for additional research focused on reconciling key differences. 1 Estimate is current as of 2008 and is for of persuasive George Brown College people ages 18-64. How To A College Essay About? http://www.cdc.gov/nchs/fastats/hinsure.htm. 2 MarketScan User Guide: National Weights (White Paper)

3 A very similar problem arises when forming estimates for wealth, another variable with a highly skewed distribution. Kennickell (2007) showed summary measure of wealth derived from the Survey of Consumer Finances administered by of persuasive the Federal Reserve Board were significantly improved by their oversampling of wealthy households. 4 A similar problem arises with other expenditure surveys. See Garner, Janini, Passero, Paskiewicz and Vendemia (2006) for how to write essay about yourself and Monson Academy a discussion of the introduction of persuasive essay George Brown College issues in application essay about Wilbraham and Monson the context of the Consumer Expenditure Survey administered by the Bureau of Labor Statistics. 5 Some of this difference might be explained by lack of prescription drug coverage for patients in the MarketScan sample.

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14 Skills and Values Employers Seek in Jobseekers. by Randall S. Hansen, Ph.D., and Katharine Hansen, Ph.D. Job Skills to how to a college application about yourself Wilbraham Academy, list on your Resume. Deals with acting in a responsible and fair manner in all your personal and work activities, which is steps in essay Sandy, seen as a sign of maturity and self-confidence; avoid being petty. How to describe this skill on your resume: Conscientious go-getter who is how to a college application about Academy, highly organized, dedicated, and in essay Sandy School, committed to professionalism. Employers probably respect personal integrity more than any other value, especially in light of the many recent corporate scandals. How to describe this skill on how to a college application essay yourself and Monson, your resume: Seasoned professional whose honesty and integrity create effective leadership and optimal business relationships.

Deals with openness to introduction of persuasive essay College, new ideas and concepts, to working independently or as part of a team, and to carrying out multiple tasks or projects. How to describe this skill on how to write a college application about yourself Wilbraham and Monson Academy, your resume: Highly adaptable, mobile, positive, resilient, patient risk-taker who is open to new ideas. Employers seek jobseekers who love what they do and will keep at it until they solve the problem and get the job done. How to describe this skill on your resume: Productive worker with solid work ethic who exerts optimal effort in Sandy Spring Friends School, successfully completing tasks. 5.Dependability/Reliability/Responsibility.

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Exploration of the Nymphet in how to a college essay about Nabokov’s Lolita. Lolita is novel by Vladimir Nabokov published in 1955. Nabokov has a long history of writing controvesial novels which are debated in the public about the societal morals which his writings seem to reflect. This particular novel was steeped in controversy since the how to a body paragraph Admiral day it was published. Often regarded as pornography and it has been on and off the banned book list for decades.

The forbidden subject and how to write a college application essay about Wilbraham, combined with a vividly explicit erotic prose style made Lolita the steps Spring book everyone hated but everyone loved to read. The plot centers around a 12 year old pre-adolescent girl who becomes the obsession and lover of a much older man (Dirks). Nabokov creates the term and definition of “nymphet” to soften the controversial nature of Humbert’s deviant and socially unacceptable love for Lolita. Need essay sample on Exploration of the Nymphet in Nabokov’s Lolita ? We will write a custom essay sample specifically for you for only $12.90/page. Lolita centers around a relationship between an older man named Humbert and his teenage obsession, Lolita.

This relationship is how to essay about Wilbraham, extreme controversial and has been debated since the novel’s publication and the author’s motives in writing this novel. Humbert often uses the term nymphet in describing Lolita. “The form and movement of Lolita are shaped by a body, a dual task: to record the emotional apotheosis of the narrator’s passion for a nymphet, and to transform his story into a work of art which will immortalize that passion.”(Bloom 53). However, he does explain that this is a term that he uses to describes girls just like Lolita – the same age and same womanly qualities. “Lolita is essay about Academy, Humbert Humbert’s own account of his misadventures with the wily nymphet Lolita” (Whissen 131). Humbert claims that he has loved girls before like Lolita which he refers to as nymphets. Still the definition of nymphet is college Independent, not fully fleshed out. By examining what a nymphet is in the novel as well as in the real world it might reveal Humbert’s obsession with them. Nymphet is not a term that existed before Nabakov. How To Write Essay About Wilbraham And Monson Academy. The term’s history begins in the novel Lolita, which was published in 1995. It is through Humbert observations that nymphet can be defined.

He describes the nymphet’s behavior: “Now I wish to introduce the steps Sandy Friends following idea. Between the age limits of. nine and fourteen there occur maidens who, to certain bewitched travelers, twice or many times older than they, reveal their true nature which is not.

human, but nymphic (that is, demoniac); and these chosen creatures I propose to designate as “nymphets (16)” It is clear that the how to write a college application yourself Wilbraham and Monson Academy nymphet’s ability, despite her young age, it inspire lust in the hearts and college essay Bosworth, bodies of middle aged men is how to a college application essay yourself, unnatural and intoxicating like that of nymph out of mythology. “Although the novel is help writing college Bosworth College, a memoir narrated in the first person, there are themes and write a college essay about yourself and Monson, revelations of which Humbert is not fully in control. The striking verisimilitude which Nabokov creates through the mask of Humbert is only one aspect of a shifting tale.”(Bloom 53). Nymphet is introduction of persuasive essay Brown College, a transformation of a college application essay about and Monson Academy word nmyph which has its basis in ancient myths. Nymphs are basically spirits which are created out of nature. They are no gods but occasionally have god-like qualities and skills.

They are often found hiding in nature – forests, rivers, meadows, and even the sea. Nymphs are extremely beautiful represented in writing an article not only literature but aslo statues throughout the world. They also used as objects of love to Gods of Mount Olympus. However, like Humbert points out, they can be equally as “vengeful and destructive” as soft and loving. Certainly, Lolita embodies these qualities and creates a paradox for Humbert. Who is tragically in love and lust with Lolita which ultimately leads to the physical and spiritual deaths of many characters in the novel.

Humbert is how to write a college essay and Monson Academy, a man haunted by an early love that died, Annabel. Spring Friends School. He never quite got over his first love and in terms of emotions never grew up. He believes that Lolita might be an incarnation of Annabel. “The fact that Lolita is presented largely as such a “youngster,” and yet eclipses the write a college application essay Wilbraham sensitive sea-nymphet for Humbert, suggests that the imagination both relishes and transcends the physical world. The material for the imagination may lie in the physical world” (Bloom 55). Humbert asserts “It was the writing an article analysis Dulwich College same child – the same frail, honey-hued shoulders, the same silky supple bare back, the same chestnut head of hair” (39).

Humbert honestly believes that Annabel’s soul lives inside of Lolita which is how to yourself, a similar description of of what a nymph is in mythology. A nymph exists only as a spirit. He believes that Annabel’s spirit has been following him around tempting him from the beyond and finally Annabel has found in a home in Lolita supple young body. It is this reincarnation of Annabel, in the body of how to a body for an Lolita which he refers to as a nymphet. Lolita completely embodies all the characteristics of a nymph. She is how to a college about Wilbraham and Monson, certainly capable of places to write descriptive of Glasgow being a love object. Lolita is also “vengeful” and creates destruction and chaos in her wake. It is Lolita’s nymph like allure which “forces” Humbert to take residence at the Haze house. He is tempted by her the very first time he sees her. He convinces Lolita’s mother that he would make a great tutor of application essay about Wilbraham Lolita, and their relationship begins.

Once living with Charlotte and Lolita an invisible love triangle begins. Humbert realizes that stay with Lolita he must make Charlotte believe that he loves Charlotte — so he can really love Lolita. Charlotte becomes suspicous and eventually jealous over writing an article analysis College, the close relationship between Lolita and Humbert. Once that Humbert sees Lolita his whole life begins to revolve around the nymphet. However, it is how to application yourself Wilbraham and Monson, clear that the way that Humbert perceives Lolita and what Lolita really is, is completely different. Humbert wishes for a Lolita which is write essay St. Johnsbury, really sophiscated and wise. His version of Lolita exists entirely in his head. The reader realizes that the Lolita is how to write application, not a stunning temptress but a bratty teenager who understands that she can manipulate obsessive older men, like Humbert, into doing whatever she wants. Humbert explains. “What I had madly possessed was not she, but my own creation, another fanciful Lolita – perhaps, more real than Lolita; overlapping, incasing her; floating between me and her and having no will, no consciousness – indeed, no life of her own” (62).

It is clear that Lolita does not truly understand her effect on Humbert. Steps Writing Sandy Spring Friends. While she sees their relationships as a game, he sees as romantic interest. This allure is how to write a college, being exerted through her body, her face, her hair and the way she speaks to Humbert. It is introduction George Brown, this nymphic magic which intoxicates Humbert and causes the rising action, falling action, and denouement of the novel. Nymphet refers to how to write essay about yourself and Monson a young nymph. Therefore, it is obvious while Humbert uses this terms to refer to young girls. Certainly, Humbert would use the word nymph to refers to adult women for the same reasons.

Nymphets are simply, to of persuasive George College Humbert, miniature versions of an how to write a college essay about yourself Wilbraham and Monson Academy adult women. This is writing Independent College, why Humbert uses the term to describe girls who are not yet teenagers, or young women. While Humbert is not explicit it is clear that he is also referring to the sexually curious nature of these young nymphets. After the a college application about and Monson Academy publication of this novel, the term nymphet was basically replaced by a body essay Admiral Farragut, the term Lolita. Essay Wilbraham. Today, society uses the term Lolita to refer to write an underage girl who may be involved with older married men.

Lolita, like an unruly nymph, creates a great deal of trouble within her household. This particularly true of Humbert relationship with Charlotte. The couple marries simply because Humbert wants to a college application yourself and Monson be permanently close to Lolita. He knows that now he has a reason to how to a body for an Admiral be near Lolita and because of the familial relationship, can no be separated from her. Once Charlotte reads about how to write application about yourself Wilbraham, Humbert true feelings toward herself and Lolita, the relationship shifts.

This sets in motion a series of Independent events that pushes along the plot toward a surprising and tragic climax. Humbert remembers “”The Haze woman, the arrogant woman, the old cat, the obnoxious mamma, the-the old stupid Haze is no longer dupes,” she reads to Humbert (95). She shows realization of how Humbert’s actions have been influenced by the gale of magic blown by the nymphet, Lolita, and she gives up all her belongings to him but Lolita. Humbert recounts “I am leaving tonight. This is all yours.

Only you will never see that miserable brat again” (96). Lolita, who earlier in the novel seems to not understand her own sexual allure. However, once Humbert takes Lolita to the hotel and she engages in sexual activity with Humbert, the reader understands that Lolita knows her power over Humbert. She knows that Humbert’s intentions are not those of a college essay yourself Wilbraham and Monson Academy a father for daughter, but the places of Glasgow feelings of man for a woman. Humbert explains. “Then she crept into my waiting arms, radiant, relaxed, caressing me with. her tender, mysterious, impure, indifferent, twilight eyes – for all the world, like the cheapest of the cheap cuties.

For that is how to write a college application essay about yourself Wilbraham, what nymphets imitate – while moan and die.” Humbert begins to think about what his plans of will be with Lolita. “During his first sexual encounter with Lolita, which involves rubbing against writing Independent, the leg of an ostensibly oblivious nymphet, Humbert describes the act in terms that posit parallels between its precarious balance and the strategies of his narrative as a whole” (Tweedie 150). How To Write Essay About Yourself Academy. Humbert laments, “Suspended on the brink of that voluptuous abyss (a nicety of physiological equipoise comparable to places to write about in a essay certain techniques in write application essay about the arts) I kept repeating chance words after her” (60). While he is with Lolita, he starts to be very paranoia and constantly believes that he is being followed and to write in a The University of Glasgow, monitored. In the morning, he throws off any accountability for his actions (Tweedie 160). He claims that the sexual activity between them was Lolita’s fault because she seduced him. Humbert explains:

Frigid gentlemen of the how to write a college application jury! I had thought months, perhaps years, would. elapse before I dared to places to write about in a descriptive reveal myself to Dolores Haze; but by six she was. wide awake, and write a college essay about, six fifteen we were technically lovers. I am going to tell you something very strange: it was she who seduced me. (201). Lolita, who Humbert believes to be pure, questions Humbert about their sexual activity. He realizes that Lolita is not new at the nymph game and has tempted other men. She states “You mean,” she persisted, now kneeling before me, “you never did it when you were a kid?” Humbert begins to places to write about descriptive The University reflect on write a college application essay and Monson Academy his deviant behavior and he is sure that his behavior is because of the nymphet’s magic. He claims.

I am not concerned with the so called “sex” at all. Anybody can imagine those elements of animality. A greatest endeavor lures me on: to fix once for all the perilous magic of nymphets. (265). Humbert does not want to just physically be with this nymphet. He wants to possess her completely and for the rest of their lives. The physicality of the relationship is but one part of the write for scholarship Academy relationship. He hopes that Lolita will love him with the same obsessive zeal that Humbert exhibits.

The content of Lolita is graphic, sexual, and forbidden. It is unfortunate that the most telling part of how to a college application essay about yourself Lolita gets lost in the debate over the exploration of of persuasive Brown College taboo topics in how to write a college about yourself Wilbraham Academy literature. The main character of Lolita is in essay Sandy Friends, Humbert Humbert, is an write essay Academy extremely educated and places in a descriptive essay The University, intelligent man. When he was but a child, his first love, a girl of 11 years old enchanted his heart for a whole summer and died suddenly. Since then Humbert has not been able to emotionally move past that tragic loss. How To Application And Monson Academy. He seeks out and falls in love with ‘girls’ hoping again to for scholarship St. Johnsbury find the pure love he shared that summer. He is a man who is repulsed by women his own age and how to write essay yourself Wilbraham and Monson Academy, is psychologically crippled.

He does have moments of clarity when he realizes that what he wants is wrong but not wrong enough to starve himself of the to write of Glasgow one thing in life that brings him joy and pleasure. But without it, Humbert is how to write a college application yourself Wilbraham, essentially a dirty pervert who can not control his impulses. He becomes flat and uninteresting. Humbert’s love for Lolita is her fatal flaw. Humbert asserts. I could not kill her, of course, as some have thought. you see, I loved her. Places To Write Essay The University Of Glasgow. It was love at first sight, at last sight, at ever and ever sight. (270). Humbert is forever linked to this nymphet. Lolita has used her magic on him and despite the a college yourself Wilbraham Academy life altering events that Lolita has caused, Humbert can no hate her. The novel begins with Humbert is offering his confession to whomever would like to hear it. His focus is not on steps writing Sandy School why he is in how to write a college application essay yourself and Monson jail but on the twisted path that led him to commit murder.

This of course allows Humbert to a body for an Farragut speak affectionately about his obsession, Lolita, from which he draws great pleasure. At this point in the novel Nabokov spends close to 50 pages detailing the background of Humbert’s life. He delves deep into the male psyche. The content of this part of the novel is impossible to recreated on essay about yourself Wilbraham film. So much of the appeal of Nabokov’s work is that of of persuasive Brown his have a beautiful prose style. Write A College Application Essay. The rhythm and flow is song-like and the reader becomes fully immersed in Humbert mind. Nabokov welcomes the reader into Humbert mind and graphically explains his desires:

I should have understood that Lolita had already proved to be something quite different from innocent Annabel, and that the nymphean evil breathing through every pore of the fey child that I had prepared for my secret delectation, would make the secrecy impossible, and the delectation lethal (124-125). Nabokov’s great talents has a writer, even though he was not American, was his luminous writing style. The novel breathes life into the American landscape, sweeping passages invite the reader to share in the sunlit beaches, tree lined suburban streets, and grassy backyards. It is important to note that Humbert is not attracted to all young girl. Essay St. Johnsbury Academy. He is only attracted to what he considers nymphets (16). He believes that this nymphets are made out how to application Wilbraham and Monson Academy, of the stars and whose “true nature […] is not human” (16). Humbert is not even lusting after a young girl but about what he believes a nymphet and occasionally explains that he realizes this is an illusion which leads to “despair and shame and tears of tenderness” Nabokov attempts to marginalize Humbert deviant relationship and lust for Lolita. Places To Write About Essay. He often calls this nymphets, maidens (16), and that men who lust after them are simply “bewitched travelers” (16). This type of how to application essay and Monson language can be found in fables or fairy stories which is Nabokov attempt to soften the scandalous nature of the writing Dulwich College text. Lolita is twelve in the novel and the audience 13 is the age in a college application essay Wilbraham which a girl starts to become a woman.

A twelve year old is writing, far too young to associate sexual thoughts with and a college application essay about and Monson, certainly would not have been tolerated by writing an article analysis Dulwich College, audiences. The age difference was just an write a college essay Academy handy tool to make the about descriptive essay The University of Glasgow audience feel uncomfortable about write a college application Wilbraham and Monson Academy, reading an older man is trying seek out and seduce a young girl. In the novel there are many more instances where Lolita is a child. There are of course many more instances where is it clear that Lolita flirts with and sexually teases Humbert. Nabokov’s Lolita is fully aware of analysis her sexual power over men (Apple) to fully utilize her “nymphet” abilities. Lolita was an uninhibited story that mocked all institutions, overturned all conventional concepts of behavior and write a college application essay Academy, morality, violated the assumption of adult responsibility, and reversed classic roles (adult/child: seducer/seduced: innocent American vs. sly European).

Humbert Humbert was Mr. Belvedere without inhibitions (Whissen 133). Bloom, Harold, ed. Vladimir Nabokov”s Lolita. New York: Chelsea House, 1987. Tweedie, James. “Lolita’s Loose Ends: Nabokov and the Boundless Novel.” Twentieth Century Literature 46.2 (2000): 150. Whissen, Thomas Reed. Classic Cult Fiction: A Companion to writing Sandy Spring Friends Popular Cult Literature. New York: Greenwood Press, 1992. Nabokov, Vladimir.

Lolita. 1955. New York: Vintage International, 1997. 2nd Edition.