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GET EMPLOYEE INPUT TO REDESIGN BENEFITS PACKAGE Many readers are currently on committees that are refashioning their companies benefits programs Interestingly, some of these committees are using surveys to help adjust their benefits packages The advantage of this setup is that they can preserve the benefits their employees value the most and still reduce costs For example, Delta Airlines used employee surveys in 2002 and 2003 to reorganize its benefits package Background: September 11 caused a sharp decline in Delta s revenue, of which one-third of controllable expenses are benefits Key point: Following 9/11, Delta committed to a 28% reduction ($300 million) in benefits expenses by 2005 At the same time, it did not want to change the benefits package unilaterally So, the company used a Web-based survey to poll employees.



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Methods of weight control, like dieting, are therefore a means for women to reach their ideal, whereas for some men in fact the contrary holds true (Carlat & Camargo, 1991) Research into transcultural differences in body dissatisfaction in males to date is scarce Findings by Mangweth et al (1997) strongly suggest that such differences exist They found that dissatisfaction with body image was consistently stronger in American compared to Austrian men Although the mean BMI was slightly higher in Austrian subjects, more Americans reported that they felt fat and this held true not only for eating-disordered males but also for controls Regarding outcome, Burns and Crisp (1985) did not nd speci c dietary habits to be strongly predictive of outcome in 27 anorexic males at a minimum of two years after initial assessment.





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Twenty-six percent of Delta s active employees, eligible retirees, survivors, and inactive employees completed a survey about Delta s benefits program Finding: The most valuable benefits to employees are the pension package (23%), medical coverage (17%), and prescription drug benefits (15%) Based on these results, Delta made several changes to its program For example: To save money, the company converted its pension program from a traditional defined benefit plan to a cash-balance plan It also instituted a seven-year transition to the new plan so that 30% of its employees could retire without a change in their pension plans In addition, Delta made significant changes to its health plans Background: In 2002, Delta s health care costs per employee averaged $8,976 Further, its health plan had $10 copays and required no premium contributions from employees.

Contrary to the females, there was a weak trend for the absence of bulimic symptoms to be related to poor outcome in the male sample The authors interpreted this somewhat paradoxical nding as an effect of a subgroup of severely ill abstainers in their male sample..

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His entire family ed the Soviet Union in 1979 under the threat of growing anti-Semitism and began their new lives as immigrants in the United States Brin displayed a great interest in computers from an early age As a youth, he was in uenced by the rapid popularization of personal computers and was very much a child of the microprocessor age He too was brought up to be familiar with mathematics and computer technology, and as a young child, in the rst grade he turned in a computer printout for a school project Later, at the age of nine, he was given a Commodore 64 computer as a birthday gift from his father Brin entered the University of Maryland at College Park, where he studied mathematics and computer science He completed his studies at the University of Maryland in 1993, and was awarded a Bachelor of Science degree.

Key point: According to Delta, the survey showed that its employees were willing to increase their contributions, provided their health plans remained intact Keeping this employee goal in mind, Delta felt it could raise copays to $20 for visits to primary care physicians and $25 for visits to specialists, as well as require contributions for hospital services Delta also established a three-tiered prescription drug program without creating deductible or coinsurance provisions In addition to influencing its cost-reduction efforts, the survey helped the company communicate with employees about the cost of benefits Key point: Accord-.

A range of electrolyte disturbances can occur during refeeding and these are sometimes referred to collectively as the refeeding syndrome (Solomon & Kirby, 1990). It should be borne in mind that serum measurements of electrolytes may be misleading as they may mask a signi cant total body de cit (Powers et al., 1995). The metabolic demands of refeeding can unmask hidden de ciencies and complex shifts of electrolytes between intracellular and extracellular compartments may further complicate the biochemical picture (Warren & Steinberg, 1979). The use of intravenous uids may compound the problem. Hypokalaemia, hypocalcaemia and hypomagnesaemia occur and hypokalaemia appears to be particularly common in those who purge (Palla & Litt, 1988; Koh et al., 1989; Green eld et al., 1995; Connan et al., 2000). One of the most serious biochemical complications in the short term is hypophosphataemia. Malnourished patients are likely to be phosphate de cient and ingestion of large quantities of carbohydrate, such as occurs during refeeding, may result in a precipitate drop in serum phosphate levels (Fisher et al., 2000; Winston & Wells, 2002). It is essential to monitor the serum potassium, calcium, magnesium and phosphate closely, particularly during the rst week or two of treatment. If signi cant biochemical de ciencies are identi ed, the patient may require supplementation, either orally or intravenously.

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