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We conducted a pilot study of implementing community health workers (CHWs) to assist patients with hypertension and social needs. As part of clinical care, patients identified as having an unmet need were referred to a CHW. We evaluated changes in blood pressure and needs among 35 patients and conducted interviews to understand participants’ experiences. Participants had a mean age of 54.1 years and 29 were Black. Twenty-six completed follow-up. Blood pressure and social needs improved from baseline to 6 months. Participants reported being accepting of CHWs, but also challenges with establishing a relationship with a CHW and being unclear about their role.
Nancy Henry examines the mid-century coexistence of trains and horses and argues that horses became industrialised, machine-like commodities as they entered a new place in the cultural imagination. Railway construction in the 1840s meant that by the 1850s novelists recognised the coexistence of train and horse travel and raised questions about their economic and physical dependence on both mechanical and animal forms of power. The number of horses actually increased dramatically during the railway age as horses were needed to access stations and to carry freight to be loaded onto trains, and this led to an increasing number of accidents which figured as the focus of anxieties about risk, danger, and the unexpected. Henry observes a tipping point in the relationship between the Victorians and progress that manifests in this case in fictional narratives of travel accidents that generated plots of financial loss, disfigurement, and death.
This second edition of The Cambridge Companion to George Eliot includes several new chapters, providing an essential introduction to all aspects of Eliot's life and writing. Accessible essays by some of the most distinguished scholars of Victorian literature provide lucid and original insights into the work of one of the most important writers of the nineteenth century, author most famously of Middlemarch, Adam Bede, The Mill on the Floss, and Daniel Deronda. From an introduction that traces her originality as a realist novelist, the book moves on to extensive considerations of each of Eliot's novels, her life and her publishing history. Chapters address the problems of money, philosophy, religion, politics, gender and science, as they are developed in her novels. With its supplementary materials, including a chronology and an extensive section of suggested readings, this Companion is an invaluable tool for scholars and students alike.
In their collection of essays, The New Economic Criticism: Studies at the Intersection of Literature and Economics (1999), Mark Osteen and Martha Woodmansee identified and named a movement in economic literary studies and sought to place it alongside a cultural turn in economics. In their introduction, they offer possible reasons for the proliferation of scholarship in literature, culture, and economics. One is that “the critical pendulum has decidedly swung back toward historicist methods” and away from formalist approaches (3); another is that the 1980s thrust “interest rates, stock market speculation, takeovers, leveraged buyouts, and so on, into the public attention as never before since the 1930s” (4). Today, the proverbial pendulum has swung back toward formalism, and it is now surprising to encounter their comparison of the 1980s to the 1930s because we have become so accustomed to claim that comparison to the 1930s for our own post-2008 economy.
As the author of The Mill on the Floss and Middlemarch, George Eliot was one of the most admired novelists of the Victorian period, and she remains a central figure in the literary canon today. She was the first woman to take on the kind of political and philosophical fiction that had previously been a male preserve, combining rigorous intellectual ideas with a sensitive understanding of human relationships and making her one of the most important writers of the nineteenth century. This innovative introduction provides students with the religious, political, scientific and cultural contexts they need to understand and appreciate her novels, stories, poetry and critical essays. Nancy Henry also traces the reception of her work to the present, surveying a range of critical and theoretical responses. Each novel is discussed in a separate section, making this the most comprehensive short introduction available to this important author.