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Lean SigmaCertificate
This certificate is specifically for organizations who want local ongoing training to help them implement Lean Six Sigma into their company. Time commitment for this accelerated, hybrid certificate is four hours every other week plus significant project time between classes for two semesters. Individuals are also encouraged to enroll. Teams and individuals will use the tools of Lean and Six Sigma to identify and improve opportunities to improve processes at their workplace.
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certificate Outcomes
- Sit for the American Society for Quality's Green Belt Certification
- Complete a Six Sigma project for their employer
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- Assess the impact of group technology (GT) and flexible manufacturing system (FMS) on an automated production system
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To view the amount of credits or descriptions for the courses required within this certificate please view the course list.Course List
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Credits earned at NTC may transfer to four-year colleges and universities. Visit www.ntc.edu/transfer for a complete listing of transfer opportunities for this certificate.
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Kulp, Marjean Taylor*; Ying, Gui-shuang†; Huang, Jiayan‡; Maguire, Maureen†; Quinn, Graham§; Ciner, Elise B.∥; Cyert, Lynn A.**; Orel-Bixler, Deborah A.††; Moore, Bruce D.∥; for the VIP Study Group
**PhD, OD, FAAO
††OD, PhD, FAAO
The Ohio State University College of Optometry, Columbus, Ohio (MTK); University of Pennsylvania, Philadelphia, Pennsylvania (G-sY, JH, MM); Children's Hospital of Pennsylvania, Philadelphia, Pennsylvania (GQ); Pennsylvania College of Optometry at Salus University, Philadelphia, Pennsylvania (EBC); Northeastern State University Oklahoma College of Optometry, Tahlequah, Oklahoma (LAC); University of California, Berkeley School of Optometry, Berkeley, California (DAO-B); New England College of Optometry, Boston, Massachusetts (BDM).
Marjean Taylor Kulp The Ohio State University College of Optometry 338 W Tenth Ave Columbus, OH 43210 e-mail: firstname.lastname@example.com
Purpose: To investigate the association of hyperopia greater than +3.25 diopters (D) with amblyopia, strabismus, anisometropia, astigmatism, and reduced stereoacuity in preschoolers.
Methods: Three- to five-year-old Head Start preschoolers (N = 4040) underwent vision examination including monocular visual acuity (VA), cover testing, and cycloplegic refraction during the Vision in Preschoolers Study. Visual acuity was tested with habitual correction and was retested with full cycloplegic correction when VA was reduced below age norms in the presence of significant refractive error. Stereoacuity testing (Stereo Smile II) was performed on 2898 children during study years 2 and 3. Hyperopia was classified into three levels of severity (based on the most positive meridian on cycloplegic refraction): group 1: greater than or equal to +5.00 D, group 2: greater than +3.25 D to less than +5.00 D with interocular difference in spherical equivalent greater than or equal to 0.50 D, and group 3: greater than +3.25 D to less than +5.00 D with interocular difference in spherical equivalent less than 0.50 D. "Without" hyperopia was defined as refractive error of +3.25 D or less in the most positive meridian in both eyes. Standard definitions were applied for amblyopia, strabismus, anisometropia, and astigmatism.
Results: Relative to children without hyperopia, children with hyperopia greater than +3.25 D (n = 472, groups 1, 2, and 3) had a higher proportion of amblyopia (34.5 vs. 2.8%, p < 0.0001) and strabismus (17.0 vs. 2.2%, p < 0.0001). More severe levels of hyperopia were associated with higher proportions of amblyopia (51.5% in group 1 vs. 13.2% in group 3) and strabismus (32.9% in group 1 vs. 8.4% in group 3; trend p < 0.0001 for both). The presence of hyperopia greater than +3.25 D was also associated with a higher proportion of anisometropia (26.9 vs. 5.1%, p < 0.0001) and astigmatism (29.4 vs. 10.3%, p < 0.0001). Median stereoacuity of nonstrabismic, nonamblyopic children with hyperopia (n = 206) (120 arcsec) was worse than that of children without hyperopia (60 arcsec) (p < 0.0001), and more severe levels of hyperopia were associated with worse stereoacuity (480 arcsec for group 1 and 120 arcsec for groups 2 and 3, p < 0.0001).
Conclusions: The presence and magnitude of hyperopia among preschoolers were associated with higher proportions of amblyopia, strabismus, anisometropia, and astigmatism and with worse stereoacuity even among nonstrabismic, nonamblyopic children.
Moderate to high hyperopia is a common vision disorder in children with varying prevalence among different populations. Ying et al. reported that the prevalence of hyperopia greater than +3.25 diopters (D) in preschoolers enrolled in the Vision in Preschoolers (VIP) Study varied significantly with race and ethnicity (p = 0.007) from 5.5% in Asians to 6.8% in African Americans, to 6.9% in Hispanics, to 8.9% in American Indians, to 11.9% in non-Hispanic whites.1 A US population–based study of children aged 6 to less than 72 months reported a prevalence in white children of 13.2% for greater than or equal to +3 D, 5.2% for greater than or equal to +4 D, and 2.4% for greater than or equal to +5 D (in the more hyperopic eye).2 The prevalence of hyperopia was also found to be lower in African American children as compared with white or Hispanic children.2,3 Results from a longitudinal study of school-aged children suggest that moderate to high levels of hyperopia tend to persist.4
Previous literature has suggested the importance of detecting hyperopia greater than +3.25 or +3.50 D in vision screening.5–7 Hyperopia has been reported to be associated with an increased risk of amblyopia8 and/or strabismus.9 Population-based studies of children aged 6 to 72 months showed an association between hyperopia and esotropia (odds ratios [ORs] of 23 for +3 D to <+4 D, 59.8 for +4 to <+5 D, and 122 for ≥+5 D hyperopia; reference level, 0.00 to <+1 D)10 and between bilateral hyperopia greater than or equal to +4 D and bilateral decreased visual acuity (VA; OR of 11; reference level, 0.00 to <+1 D).11 Pascual et al. recently reported that bilateral hyperopia was associated with increased odds of bilateral amblyopia in preschool children enrolled in the VIP Study (OR of 9.4 for bilateral hyperopia ≥+4 D; reference level, 0.00 to <+1 D; p < 0.0001).12 A recent population-based study showed an increased prevalence of strabismus and amblyopia in 6- and 12-year-old children with moderate hyperopia.13 Longitudinal studies have also supported an association between hyperopia and strabismus and/or amblyopia.14–19 Monocular and binocular blur has been shown to decrease stereoacuity in adults,20 and an association between hyperopia and decreased stereoacuity has been reported in school-aged children.13
Although the association between the presence and magnitude of hyperopia and amblyopia and strabismus has been well studied, the association between the presence and magnitude of hyperopia and other refractive errors (anisometropia and astigmatism) and reduced stereoacuity has not been investigated in preschool children. The VIP Study was a multicenter, cross-sectional, National Institutes of Health-National Eye Institute–funded study that evaluated the effectiveness of vision screening tests in identifying preschool children with vision disorders. The purpose of this article is to investigate the association of hyperopia greater than +3.25 D (based on cycloplegic refraction) with amblyopia, strabismus, anisometropia, astigmatism, and reduced stereoacuity in preschool children enrolled in the VIP Study.
This is a secondary data analysis of the VIP data. The VIP Study was a two-phase study; phase I identified the best tests for detection of one or more targeted vision conditions (amblyopia, strabismus, significant refractive error, and/or unexplained reduced VA) in the hands of licensed eye care practitioners and phase II evaluated the best-performing tests in the hands of trained nurse and lay screeners in schools. The details of the VIP Study methods have been published previously.5,6 The comprehensive vision examination that was performed to identify vision disorders is described briefly below.
During the VIP Study, all 3- to 5-year-old Head Start children who failed their standard school-based screening and a random sample (~20%) of those who did not fail the screening were invited to participate. All children (N = 4040) underwent a comprehensive vision examination at one of five VIP clinical centers (New England College of Optometry, Boston, MA; Northeastern State University Oklahoma College of Optometry, Tahlequah, OK; Ohio State University College of Optometry, Columbus, OH; Pennsylvania College of Optometry at Salus University, Philadelphia, PA; and University of California Berkeley School of Optometry, Berkeley, CA). Children with special needs were excluded. The VIP Study adhered to the tenets of the Declaration of Helsinki and was approved by the appropriate local institutional review boards associated with each VIP center. Parents or legal guardians of participating children provided written informed consent/parental permission before testing.
Enrolled children received comprehensive vision examinations performed according to VIP protocol by study-certified optometrists and ophthalmologists who were experienced in providing pediatric vision care. The vision examination included monocular threshold VA testing at 3 m, cover testing at distance and near, and cycloplegic refraction. Visual acuity testing was performed using single crowded HOTV optotypes on the Electronic Visual Acuity tester, according to the protocol established by the Amblyopia Treatment Study.21 Visual acuity testing was performed with habitual correction, if any, and VA was retested with full cycloplegic correction when VA was worse than 20/50 for 3-year-olds or worse than 20/40 for 4- to 5-year-olds or when a child showed an interocular acuity difference greater than or equal to two lines and cycloplegic refraction showed hyperopia greater than or equal to 2.0 D, myopia greater than or equal to −0.5 D, or astigmatism greater than or equal to 1.0 D in either eye. Stereoacuity testing (Stereo Smile II) was also performed on 2898 of the children during phases I (year 2) and II with habitual correction, if any. The Stereo Smile II is a two-alternative forced-choice test consisting of a blank card (random dot pattern only), a nonstereo demonstration/pretest card, and four test cards (480, 240, 120, and 60 arcsec at a test distance of 40 cm). Stereoacuity was the best disparity for which the child was able to obtain four correct responses (out of a maximum of five presentations at each disparity level). Children who could not complete the demonstration/pretest card were classified as "unable." Children who were able to complete the demonstration/pretest card but not the 480-arcsec card were scored as having "no measurable stereopsis."
Results from the comprehensive vision examinations were used to classify children with respect to the presence or absence of each type of vision disorder (Table 1). Hyperopia was defined as greater than +3.25 D in the most positive meridian in either eye (based on cycloplegic refraction) and was further classified into three levels of severity. These consisted of group 1 (≥+5.00 D), group 2 (>+3.25 D to <+5.00 D with interocular difference in spherical equivalent ≥0.50 D), and group 3 (>+3.25 D to <+5.00 D with interocular difference in spherical equivalent <0.50 D). "Without" hyperopia was defined as refractive error of +3.25 D or less in the most positive meridian in both eyes.
Unilateral amblyopia was defined as a greater than or equal to two-line interocular difference and presence of a unilateral amblyogenic factor (Table 1). Bilateral amblyopia was defined as the presence of a bilateral amblyogenic factor along with bilaterally reduced VA (VA in the worse eye poorer than 20/50 for 3-year-olds or 20/40 for 4-year-olds and contralateral eye VA worse than 20/40 for 3-year-olds or 20/30 for 4-year-olds) (Table 1). Strabismus was defined as any heterotropia in primary gaze at distance or near. Anisometropia was defined as an interocular difference greater than 1 D in hyperopia, greater than 1.5 D in astigmatism, or greater than 3 D in myopia. Astigmatism was defined as greater than 1.5 D between principal meridians.
For the groups of children with and without hyperopia, the proportion of each vision disorder (amblyopia, strabismus, anisometropia, and astigmatism) was calculated. The association of each vision disorder with hyperopia and with each severity level of hyperopia was assessed using the OR and 95% confidence interval calculated from a logistic regression model. The Cochran-Armitage trend test was used to evaluate whether increasing severity of hyperopia was associated with higher proportions each having vision disorder. To evaluate whether the association of hyperopia with a vision disorder varied with the age of a child, the interaction between hyperopia and age was tested using a logistic regression model. Similar analyses were performed to evaluate the association between bilateral hyperopia with bilateral amblyopia and strabismus. The comparisons of frequency distribution of stereoacuity between eyes with and without hyperopia and among the three severity levels of hyperopia (groups 1, 2, and 3) were evaluated using the Fisher exact test. Their differences in median stereoacuity were evaluated using the Wilcoxon rank sum test and Kruskal-Wallis test. All the statistical analyses were performed in SAS V9.3 (SAS Institute Inc, Cary, NC), and two-sided p < 0.05 was considered to be statistically significant.
Among the 4040 children in the VIP Study (overrepresented with children with vision disorders), 472 (11.7%) had hyperopia greater than +3.25 D. Of these, 163 (4.0%) were in group 1, 165 (4.1%) were in group 2, and 144 (3.6%) were in group 3. In addition, 264 (6.5%) children had amblyopia, 157 (3.9%) had strabismus, 309 (7.6%) had anisometropia, and 505 (12.5%) had astigmatism.
The presence of hyperopia greater than +3.25 D was significantly associated with a higher proportion of children with amblyopia (34.5 vs. 2.8%, OR = 18.1, p < 0.0001) and strabismus (17.0 vs. 2.2%, OR = 9.1, p < 0.0001) (Table 2). In addition, more severe hyperopia was associated with higher proportions of amblyopia (51.5% for group 1, 36.4% for group 2, and 13.2% for group 3, trend p < 0.0001) and strabismus (32.9% for group 1, 9.1% for group 2, and 8.4% for group 3, trend p < 0.0001). Bilateral hyperopia (defined as hyperopia >+3.25 D in both eyes) was also significantly associated with a higher proportion of bilateral amblyopia (23.4 vs. 4.4%, OR = 6.7, p < 0.0001) and strabismus (20.5 vs. 2.5%, OR = 10.0, p < 0.0001) (Table 3). Furthermore, increasing severity of bilateral hyperopia was associated with higher proportions of bilateral amblyopia (trend p = 0.02) and strabismus (trend p < 0.0001) (Table 3).
The presence of hyperopia was significantly associated with a higher proportion of anisometropia (26.9 vs. 5.1%, OR = 6.8, p < 0.0001) and astigmatism (29.4 vs. 10.3%, OR = 3.7, p < 0.0001) (Table 4). Among the 472 children with hyperopia greater than +3.25 D, 300 (63.6%) had strabismus, amblyopia, astigmatism, or anisometropia.
Among these 3- to 5-year-old children, the association of hyperopia with amblyopia, strabismus, astigmatism, and/or anisometropia did not vary by age (all p > 0.05 for test of interaction, data not shown).
Among children without strabismus or amblyopia, the association of hyperopia with stereoacuity is presented in Table 5. The median stereoacuity of nonamblyopic, nonstrabismic children with hyperopia (n = 206) was 120 arcsec, which was significantly worse than that of nonamblyopic, nonstrabismic children without hyperopia (60 arcsec) (p < 0.0001) (Table 5). In addition, more severe levels of hyperopia were associated with worse stereoacuity (120 arcsec for groups 2 and 3 and 480 arcsec for group 1, p = 0.002) (Table 5).
This study evaluated the association of hyperopia with various vision disorders (amblyopia, strabismus, other refractive errors, and reduced stereoacuity) among a large number of preschool children (N = 4040) enrolled in the VIP Study. VIP Study participants were Head Start preschool children who were geographically, racially, and ethnically diverse.5,6 Although children were recruited to participate in the VIP Study so as to include a higher percentage of children who failed an initial screening in Head Start and were thus more likely to have vision disorders, the comparison of the proportion of vision disorders in children with and without hyperopia in the VIP population is generalizable to other hyperopic preschool children.
A population-based study showed that hyperopic school-aged children were more likely to be anisometropic.22 The VIP Study results show that hyperopic preschool children not only show greater odds of having anisometropia but also show increased odds of having astigmatism. Therefore, preschoolers with hyperopia greater than +3.25 show greater odds of having other significant refractive errors.
These results show that a higher magnitude of hyperopia is associated with greater odds of amblyopia and strabismus in preschool children. Although methodological differences prevent direct comparison of the risk level associated with hyperopia, these results confirm previous reports that have shown an association between hyperopia and amblyopia/visual impairment and/or strabismus.8–19,23 Furthermore, this study also supports previous literature showing that the association between strabismus and hyperopia is dependent on the severity of the hyperopia.10 These findings explain in part why screening tests of refractive error can perform well in detecting amblyopia and strabismus.5
School-aged children with hyperopia have been shown to be more likely to have reduced stereoacuity.13 These results extend the association between decreased stereoacuity and hyperopia to the preschool population and also show that greater magnitudes of hyperopia are associated with worse stereoacuity even among nonstrabismic, nonamblyopic preschool children. Monocular or binocular blur has been associated with decreased stereoacuity.20 Although blur from uncorrected hyperopia can potentially be overcome through accommodation, children with over 4 D of hyperopia have been shown to have more variable lags of accommodation, suggesting a failure to accommodate accurately, at least part of the time.24 An increased lag of accommodation results in increased hyperopic blur.
Furthermore, the hyperopic child experiences conflicting accommodative and vergence demands.25 Uncorrected hyperopic children have a smaller convergence demand than adults (owing to a smaller interpupillary distance) in the presence of a greater accommodative demand than nonhyperopes.25 Because of the cross-link between the accommodative and vergence systems (expressed as the AC/A ratio), accurate accommodation puts the hyperopic child at risk of overconvergence and results in a need to exert sufficient divergence to maintain single vision. Thus, if a hyperopic child accommodates accurately, the child will need to compensate for this imbalance in accommodative and vergence demands through fusional divergence. Another possible means to compensate for the vergence demand is a neurological adaptation that changes the cross-link between accommodation and vergence. In fact, nonstrabismic, hyperopic school-aged children have been shown to have a significantly lower response AC/A ratio, suggesting a change in accommodation and vergence cross-linking, as compared with age-matched emmetropes (3.4 vs. 3.94 pd/D).26 However, the ability of the child to compensate for conflicting accommodation and vergence demands has been found to decrease with the magnitude of the conflict between demands.25 Therefore, the association between decreased stereoacuity and greater magnitudes of uncorrected hyperopia may be attributed at least in part to greater difficulty compensating for the imbalance in accommodative and vergence demands as the degree of the imbalance increases. Future research should further explore the relationship between decreased stereoacuity and the presence and degree of hyperopia.
In conclusion, the presence and magnitude of hyperopia among preschoolers in the VIP Study were associated with increased odds of amblyopia and strabismus and with worse stereoacuity even among nonstrabismic, nonamblyopic children. Hyperopia was also associated with increased odds of anisometropia and/or astigmatism. The coexistence of hyperopia with other vision disorders should be taken into account when developing guidelines for pediatric screenings and management of refractive error. Because of the increased odds of other vision disorders, preschool vision screenings should identify and refer children at risk for having moderate to high levels of hyperopia. Future research should further explore educational and cognitive implications of hyperopia27–31 and the effect of early correction18,19,32–34 in order to increase understanding and provide optimum management guidelines for this vision disorder.
Marjean Taylor Kulp
The Ohio State University College of Optometry
338 W Tenth Ave
Columbus, OH 43210
e-mail: firstname.lastname@example.com
The VIP Study Group
Executive Committee
Paulette Schmidt, OD, MS (Chair); Agnieshka Baumritter, MA; Elise Ciner, OD; Lynn Cyert, PhD, OD; Velma Dobson, PhD; Beth Haas; Marjean Taylor Kulp, OD, MS; Maureen Maguire, PhD; Bruce Moore, OD; Deborah Orel-Bixler, PhD, OD; Ellen Peskin, MA; Graham Quinn, MD, MSCE; Maryann Redford, DDS, MPH; Janet Schultz, RN, MA, CPNP; and Gui-shuang Ying, PhD.
Participating Centers
AA, Administrative Assistant; BPC, Back-up Project Coordinator; GSE, Gold Standard Examiner for comprehensive vision examinations; LS, Lay Screener; NS, Nurse Screener; PI, Principal Investigator; PC, Project Coordinator; PL, Parent Liaison; PR, Programmer; VD, Van Driver; and NHC, Nurse/Health Coordinator.
Berkeley, CA: University of California Berkeley School of Optometry: Deborah Orel-Bixler, PhD, OD (PI/GSE); Pamela Qualley, MA (PC); Dru Howard (BPC/PL); Lempi Miller Suzuki (BPC); Sarah Fisher, PhD, OD (GSE); Darlene Fong, OD (GSE); Sara Frane, OD (GSE); Cindy Hsiao-Threlkeld, OD (GSE); Selim Koseoglu, MD (GSE); A. Mika Moy, OD (GSE); Sharyn Shapiro, OD (GSE); Lisa Verdon, OD (GSE); Tonya Watson, OD (GSE); Sean McDonnell (LS/VD); Erika Paez (LS); Darlene Sloan (LS); Evelyn Smith (LS); Leticia Soto (LS); Robert Prinz (LS); Joan Edelstein, RN (NS); and Beatrice Moe, RN (NS).
Boston, MA: New England College of Optometry: Bruce Moore, OD (PI/GSE); Joanne Bolden (PC); Sandra Umaña (PC/LS/PL); Amy Silbert (BPC); Nicole Quinn, OD (GSE); Heather Bordeau, OD (GSE); Nancy Carlson, OD (GSE); Amy Croteau, OD (GSE); Micki Flynn, OD (GSE); Barry Kran, OD (GSE); Jean Ramsey, MD (GSE); Melissa Suckow, OD (GSE); Erik Weissberg, OD (GSE); Marthedala Chery (LS/PL); Maria Diaz (LS); Leticia Gonzalez (LS/PL); Edward Braverman (LS/VD); Rosalyn Johnson (LS/PL); Charlene Henderson (LS/PL); Maria Bonila (PL); Cathy Doherty, RN (NS); Cynthia Peace-Pierre, RN (NS); Ann Saxbe, RN (NS); and Vadra Tabb, RN (NS).
Columbus, OH: The Ohio State University College of Optometry: Paulette Schmidt OD, MS (PI); Marjean Taylor Kulp, OD, MS (Co-Investigator/GSE); Molly Biddle, MA (PC); Jason Hudson (BPC); Melanie Ackerman, OD (GSE); Sandra Anderson, OD (GSE); Michael Earley, OD, PhD (GSE); Kristyne Edwards, OD, MS (GSE); Nancy Evans, OD (GSE); Heather Gebhart, OD (GSE); Jay Henry, OD, MS (GSE); Richard Hertle, MD (GSE); Ann Hickson, OD, MS (GSE/LPS); Jeffrey Hutchinson, DO (GSE); LeVelle Jenkins, OD (GSE); Andrew Toole, OD, MS (GSE); Keith Johnson (LS/VD); Richard Shoemaker (VD); Rita Atkinson (LS); Fran Hochstedler (LS); Tonya James (LS); Tasha Jones (LS); June Kellum (LS); Denise Martin (LS); Christina Dunagan, RN (NS); Joy Cline, RN (NS); and Sue Rund, RN (NS).
Philadelphia, PA: Pennsylvania College of Optometry: Elise Ciner, OD (PI/GSE); Angela Duson (PC/LS); Lydia Parke (BPC); Mark Boas, OD (GSE); Shannon Burgess, OD (GSE); Penelope Copenhaven, OD (GSE); Ellie Francis, PhD, OD (GSE); Michael Gallaway, OD (GSE); Sheryl Menacker, MD (GSE); Graham Quinn, MD, MSCE (GSE); Janet Schwartz, OD (GSE); Brandy Scombordi-Raghu, OD (GSE); Janet Swiatocha, OD (GSE); Edward Zikoski, OD (GSE); Jennifer Lin, MD (GSE); Leslie Kennedy (LS/PL); Rosemary Little (LS/PL); Geneva Moss (LS/PL); Latricia Rorie (LS); Shirley Stokes (LS/PL); Jose Figueroa (LS/VD); Eric Nesmith (LS); Gwen Gold (BPC/NHC/PL); Ashanti Carter (PL); David Harvey (LS/VD); Sandra Hall, RN (NS); Lisa Hildebrand, RN (NS); Margaret Lapsley, RN (NS); Cecilia Quenzer, RN (NS); and Lynn Rosenbach, RN (NHC/NS).
Tahlequah, OK: Northeastern State University College of Optometry: Lynn Cyert, PhD, OD (PI/GSE); Linda Cheatham (PC/VD); Anna Chambless (BPC/PL); Colby Beats, OD (GSE); Jerry Carter, OD (GSE); Debbie Coy, OD (GSE); Jeffrey Long, OD (GSE); Shelly Rice, OD (GSE); Shelly Dreadfulwater, (LS/PL); Cindy McCully (LS/PL); Rod Wyers (LS/VD); Ramona Blake (LS/PL); Jamey Boswell (LS/PL); Anna Brown (LS/PL); Jeff Fisher, RN (NS); and Jody Larrison, RN (NS).
Study Center
Columbus, OH: The Ohio State University College of Optometry: Paulette Schmidt, OD, MS (PI) and Beth Haas (Study Coordinator).
Coordinating Center
Philadelphia, PA: University of Pennsylvania, Department of Ophthalmology: Maureen Maguire, PhD (PI); Agnieshka Baumritter, MA (Project Director); Mary Brightwell-Arnold (Systems Analyst); Christine Holmes (AA); Andrew James (PR); Aleksandr Khvatov (PR); Lori O'Brien (AA); Ellen Peskin, MA (Project Director); Claressa Whearry (AA); and Gui-shuang Ying, PhD (Biostatistician).
Advisory Committee (voting members)
Roy Beck (Chair), Susan Cotter, Jonathan Holmes, Melvin Shipp, and Sheila West.
National Eye Institute
Bethesda, MD: Maryann Redford, DDS, MPH.
Supported by National Eye Institute/National Institutes of Health, Department of Health and Human Services grants: U10EY12644, U10EY12547, U10EY12545, U10EY12550, U10EY12534, U10EY12647, U10EY12648, and R21EY018908.
We thank Velma Dobson, PhD, who died in 2010, for her invaluable contributions to the VIP Study.
The Stereo Smile II is currently available as the Preschool Assessment of Stereopsis with a Smile test.
The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Received September 22, 2013; accepted January 9, 2014.
hyperopia; strabismus; amblyopia; anisometropia; astigmatism; stereoacuity
© 2014 American Academy of Optometry
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Solve the circuit shown
Show transcribed image text
Solve the circuit shown
Show transcribed image text A balanced three-phase system has the following characteristics: source impedance Zsource = 0 + j0 Ohm/ phase, Z Line = 1 + j1 Ohm/ phase and V rightarrow AN = 120 45 degree VRMS. The load in this system is two three-phase loads connected in parallel. The first load is connected in a Y configuration and requires 600 - 30 degree VA per phase. The second load is connected in a delta configuration with impedance value of ZP Delta = 60 + j40 Ohm/ phase Determine the phase currents in the SPEC at the load end (I rightarrow AN1 , I rightarrow AN2) and line current (I rightarrow aA). Determine the complex power delivered by the sources (1 phi and 3 phi).


text:
More hybrid naming wedding lettering.
check it out on in a brush
for more process shots you can check out my instagram
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Show and tell for designers
What are you working on? Dribbble is a community of designers sharing screenshots of their work, process, and projects.
Copyright © 2009–2016 Dribbble LLC. All screenshots © their respective owners. Shipped from Salem, Mass. USA.


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The Egyptian Question
Local experts will take on Middle Eastern conflicts in Friday conference
Local experts will take on Middle Eastern conflicts in Friday conference
Hear a father and daughter, Ron Shoopman and Brandi Dignum, talk about the business side of education.
Arizona's pioneering Jewish congregation marks the milestone with a public ceremony
From Karma to the Cosmos Tibetan Monks and Nuns learn about the physical world. Tibetan monks and nuns usually spend their whole lives learning about the inner world of the mind.
Some students at the Arizona State Schools for the Deaf and the Blind are learning how to be news reporters for their teachers and peers.
Plastination process used for Bodies exhibit is employed by anatomy lab at University of Arizona.
The Young Artists Series showcases exceptionally talented individuals such as cellist Sara Page.
Tucson food activist says we can all make a difference in what we eat and how we live.
Voices is a community-based nonprofit organization that provides youth with training in the documentary arts. Producer Luis Carrión introduces us to some of the kids in the program and we see the most recent work produced at Voices.
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text:
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text:
Photo Details
Photo of Julia Ann Town Farrington (1833-1909) as it appears on a wedding certificate dated 15 Sep 1853 and place Arkwright, Chautauqua county, NY. She was the daughter of Aaron and Lucina Harvey Town of Arkwright. The groom was William W. Farrington of Cherry Creek. The photo was purchased at a yard sale by GPD.
in Arkwright, Chautauqua County, New York USA


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Paper Chase is a research database designed to offer abstracts of research articles published in journals that have a highly rated impact factor as determined by ISI Impact Factor and PageRank. Abstracts are organized by date, with the most recently published papers listed first.
Paper Chase
Xist RNA is a potent suppressor of hematologic cancer in mice.
Howard Hughes Medical Institute, Massachusetts General Hospital, Boston, MA 02114, USA.
X chromosome aneuploidies have long been associated with human cancers, but causality has not been established. In mammals, X chromosome inactivation (XCI) is triggered by Xist RNA to equalize gene expression between the sexes. Here we delete Xist in the blood compartment of mice and demonstrate that mutant females develop a highly aggressive myeloproliferative neoplasm and myelodysplastic syndrome (mixed MPN/MDS) with 100% penetrance. Significant disease components include primary myelofibrosis, leukemia, histiocytic sarcoma, and vasculitis. Xist-deficient hematopoietic stem cells (HSCs) show aberrant maturation and age-dependent loss. Reconstitution experiments indicate that MPN/MDS and myelofibrosis are of hematopoietic rather than stromal origin. We propose that Xist loss results in X reactivation and consequent genome-wide changes that lead to cancer, thereby causally linking the X chromosome to cancer in mice. Thus, Xist RNA not only is required to maintain XCI but also suppresses cancer in vivo.
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text:
Reviews - The Park Royal Hotel - QHotels4
Stretton Road,Stretton Cheshire, Warrington, WA4 4NS
Price FromView Rooms
Customer Reviews
Our reviews are from genuine LateRooms.com customers. We verify that the customer has stayed before leaving a review.
Very Good
79% would recommend it to a friend
Customer service
Food quality
Room quality
The Park Royal Hotel - QHotels
I ve stayed here before I will definitely stay again.
Great hotel friendly staff fantastic spa facilities. My only gripe is that parts of the hotel are looking a little tired nothing major just some maintenance & touch of decorating here & there. Great hotel breakfast spot on.
Read More Less
The Park Royal Hotel - QHotels
I needed a boarding pass printed for my flight home from Manchester as I forgot to print it before I left home.
The receptionist...Garth printed it for me while I was at reception.
Read More Less
Fading away
Have stayed at this hotel many times over the years.
It is becoming tired with some annoying issue with fixtures and fittings that could be sorted out if the staff who visit the rooms most, the cleaners, should be reporting. However, they probably don't have time to do reports because with cost cutting they probably get penalised for taking too long to 'do' the room.
Read More Less
salty food
the hotel and room were very very nice and clean, unfortunately the food was extremely salty and not enjoyable,
First time at Qhotel
Very good hotel at an excellent price with excellent food and wine.
Breakfast choice is wonderful and the dinner was well worth the price. Nice touch having iced water available at reception in hot weather.
Read More Less
Park Royal Business Develpment
Well looked after
Value for money
Very enjoyable stay in a relaxing hotel
Noisy room
I have stayed here a number of times before and know that a number of rooms suffer noise pollution from a generator system.
I specifically asked to be in a room away from this annoyance, but was placed in room 221 directly above it. Never again. Didn't sleep for 2 nights.
Read More Less
Returning home
when booking online I requested a quiet room as I am a light sleeper, the allocated room fitted the bill perfectly (with views to the Pennines too.) I used to live in the village and have stayed at the Hotel several times over the years when visiting relatives, so far have never been disappointed with my stay!.
Read More Less
Short break
Lovely hotel, plenty parking , quiet spacious room, clean , pleasant staff, Good breakfast , plenty of choice, spacious restaurant, attentive staff.
Large swimming pool. Hotel handy for chester and several places to visit. Would recommend to anyone.
Read More Less
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text:
- Free general admission
- 11150 East Boulevard
- 216-421-7350
- Hours
Promote the appreciation and collection of work created by artists of the African diaspora. This group strives to increase public awareness of this art through educational opportunities, to encourage collecting of these works throughout the community, and to generate funds to acquire works for the museum.
Events include lectures, gallery talks, trips to other museums and galleries, and special receptions.
To join or for more information call 216-707-2579.


text:
The National Institute of Standards and Technology sent out its latest advice for federal agencies moving to continuous cybersecurity monitoring.
In the guidance, NIST's computer security division said the information system security authorization process depends on a robust information system continuous monitoring (ISCM) program.
A Nov. 18, 2013, memo from the Office of Management and Budget provided a framework for federal agencies to use to manage risk and continuously monitor critical IT networks and systems.
In that memo, OMB chose a phased approach and set a 2017 deadline for agencies to deploy ISCM tools that provide dynamic and proactive cybersecurity. OMB's memo specified the use of strategic sourcing to "minimize the costs associated with implementing requirements of the risk management framework."
The OMB memo also included eight steps for instituting ISCM across the government and assigned specific responsibilities to the Department of Homeland Security and NIST, including the establishment of a federal dashboard for ISCM, coordination with the PortfolioStat and CyberStat programs, and ongoing guidance.
NIST's latest guidance said agencies could transition to ongoing authorization after they have implemented an ISCM process and the authorization officer approves the move. NIST defined ISCM as "maintaining an ongoing awareness of information security, vulnerabilities and threats to support organizational risk management decisions."
The guidance also explains information generation/collection requirements, as well as criteria for ongoing authorization and reauthorization.
About the Author
Mark Rockwell is a staff writer at FCW.
Before joining FCW, Rockwell was Washington correspondent for Government Security News, where he covered all aspects of homeland security from IT to detection dogs and border security. Over the last 25 years in Washington as a reporter, editor and correspondent, he has covered an increasingly wide array of high-tech issues for publications like Communications Week, Internet Week, Fiber Optics News, tele.com magazine and Wireless Week.
Rockwell received a Jesse H. Neal Award for his work covering telecommunications issues, and is a graduate of James Madison University.
Click here for previous articles by Rockwell.
Contact him at firstname.lastname@example.com or follow him on Twitter at @MRockwell4.
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In the latest issue: grid security, agile development, BYOD and more!
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The latest version of the Defense Department-wide Enterprise Service Management Framework places more emphasis on managing IT risk.
Despite GSA's efforts to accelerate the FedRAMP approval process, the lack of agency reciprocity puts the program's central goals at risk.
Got some early-career colleagues who are doing great things in federal IT? Nominate them for FCW's 2016 Rising Star awards.
The agency software inventories required under the draft category management policy will be treasure maps that lead to efficient, effective, streamlined buying and unprecedented savings.
As experts warned of the "dire" threats posed by outdated federal technology, lawmakers grilled top feds, debated workforce issues and inched closer to backing a $3.1 billion fix-it fund.
The agency is making strides in developing and deploying border technologies but still has some weaknesses.
Agencies have spent almost $23 billion on legacy IT over the past three years, according to reports to Congress. Is a revolving fund the answer?
The United Kingdom will go live with its governmentwide digital identity platform, GOV.UK Verify, in the coming days. The U.S. government will need a little more time.
What contracting officer representatives really think is needed to fix contract management.
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text:
Holly Heist - "Ba Ba Da Ba Ba"
Credits & Info
- Uploaded
- Jul 2, 2008 | 12:42 PM EDT
- File Info
- Song
- 3 min 19 sec
- Score
- 3.68 / 5.00
Related Content
You might also enjoy:
Licensing Terms
You may not use this work for commercial purposes without making specific arrangements with the artist UNLESS your work is a web-based game or animation, in which case you may use this freely.
- Score:
- Rated 3.68 / 5 stars
- Plays & Downloads:
- 4,044 Plays | 301 Downloads
- Share Links:
- Genres:
- Metal, Rock - Indie
- None
Author Comments
Rated 5 / 5 stars
This is the best song ever, really
I have this song on my iPod and I listened to it more miles time. The sound is excellent and the song too. I congratulate you, really.
Rated 5 / 5 stars
for a garage band this is incredibly well recorded, sounds extremly professional.
if you did this yourself, be proud alot of our members are lacking these recording skills.
ohh yea nice song too lol.
Rated 4 / 5 stars
It's really well-recorded, I like it. I think it might be more "general rock", not that I have room to speak. Good work.
Rated 4 / 5 stars
Just plain rocking.
Very nice man. Very nice indeed.
Love & peace.
Rated 5 / 5 stars
23 seconds in!
Like it says im 23 seconds in and i'm in love with this song, got a hit? lol Anyways nice recording for a garage I never got this in my garage.


text:
Initial reaction on entering the hotel is to turn around and leave. No reception area, just a dingy hallway with a frosted glass door to one side. No sign advising how to check in, but a push button beside the door.
After pushing this button a man appeared and showed me into the bar to check in.
I was shown to my room along a passage and through a door marked "PRIVATE" Staff Only.
Initial impressions of the room were favourable. Freshly decorated, modern coordinated bed covers and drapes. Twin room very small. Television unable to receive many channels as the picture broke up due to poor signal. Makeshift wardrobe made of two pieces of furniture board.
DIY is obviously not a strong point of the owners.
En-suite - grim. Vinyl flooring laid direct onto concrete floor. Hairs in shower. Black fungus on tiles. Cobweb hanging from window. No drapes. Tiny radiator.
Awakened in the morning to find room freezing cold, radiator had just the slightest suggestion of heat in it. Bathroom was even colder. Shower pressure was good, but floor was freezing cold.
Decided not to indulge in the included breakfast.
This could be fairly decent establishment if a little bit of updating and cleaning was carried out.
It appears to be frequented by a lot of tradesman judging by the number of vans parked in the car park.
- Reservation Options:
- TripAdvisor is proud to partner with Expedia, Booking.com, Hotwire, Hotels.com, Travelocity, Agoda, Odigeo and Priceline so you can book your St. Andrews Hotel reservations with confidence. We help millions of travelers each month to find the perfect hotel for both vacation and business trips, always with the best discounts and special offers.
- Also Known As:
- St. Andrews Hotel Ayr, Scotland


text:
1. Heat a skillet with extra virgin olive oil.
2. Crack the quail eggs in the pan and fry them sunny side up.
3. In a mixing bowl, take the frisee, pea shoots, cucumber slices, tomato halves, parsley and the ohba.
4. Pour in a tablespoon of yuzu vinaigrette in the greens and mix well.
5. Thinly slice the Ahi tuna loin in sashimi style.
6. In a plate, empty the dressed greens.
7. Arrange the thinly sliced tuna on the side next to the greens.
8. Spoon in a tablespoon of the yuzu vinaigrette on the tuna.
9. Place the quail eggs on the tuna slices.
10.Drizzle the garlic oil over the tuna.
11.Sprinkle the finely chopped chives and sea salt on the tuna and serve.
Serving size: Complete recipe
Calories 742 Calories from Fat 419
% Daily Value*
Total Fat 46 g70.7%
Saturated Fat 6.4 g32%
Trans Fat 0 g
Cholesterol 227.9 mg76%
Sodium 441.7 mg18.4%
Total Carbohydrates 18 g6%
Dietary Fiber 3.2 g12.6%
Sugars 4.1 g
Protein 67 g133.5%
Vitamin A 91.2%
Vitamin C 79.4%
Calcium 10.6%
Iron 21.9%
*Based on a 2000 Calorie diet


text:
News By Tag
Industry News
News By Location
Industry News
Annuity Services, Inc. Launches New Website
Annuity Services has created a website to serve as a online resource for the general visitor as well as the industry professional.
Annuity Services aims to extend the reach of its offerings by informing a nation-wide audience of Actuaries, Attorneys, Plan Sponsors, Retirement Plan Administrators, Chief Financial Officers, Benefits and Compensation Directors, and Human Resource Executives about the advantages of using Annuity Services. The new website features expanded content detailing why ASI is, in fact, "The value and stability option for employer-sponsored retirement plans."
"We want our online visitors to be well informed without the overstimulation of unnecessary content and imagery. Visitors will experience a more vibrant yet Lean view of who we are and what we can do for them," says Matt Krauel, Business Development Manager for Annuity Services. "In the same way that ASI was formed to offer value, this redesigned website creates an informative online resource while providing a fast and simple way to receive a free top-rated annuity quote."
Manageable Content
In addition to educating its readers, the new website offers a very clean look and an easy to understand logical flow of content from page to page. Apart from the refreshingly minimalistic approach to their website, there is no empty sales pitch to be found. Quite the opposite is true. The phrase, "Our clients are never charged a fee for our services. Instead, ASI is paid a placement fee by the annuity provider," can be found at the bottom of several pages throughout the site. The ASI website simply answers the questions, "Who is Annuity Services, What do they do, and Why their services add value?"
The ASI Design Team has worked with web developers, staff, and even ASI President Ken Weber to ensure that the new site reflects the company's multifaceted mission.
"This new website was created to inform both general visitors and industry professionals,"
Note: Access to the new Annuity Services, Inc. Web site can be found at www.annuityservicesinc.com. Feel free to also find us on FaceBook.
# # #
Established in 1990, Annuity Services, Inc. recognized the need for an independent organization to form a non-bias group to represent the plan sponsor in the specialized market of annuity placements.
Mission Statement:
Annuity Services, Inc. is dedicated to providing top quality annuities and related annuity services to participants of employer-sponsored programs through the use of our Master Annuity Contracts. We pride ourselves on giving the retiree a sensible retirement option while equipping the employer with the valued option of eliminating latent underfunding issues, risk, liability and administration. Each of our client's needs are met with the highest levels of integrity, commitment and value. Additionally, we hold the insurance companies to the same standard by only using superior carriers with an A+ rating or above.
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text:
Playboy's Penthouse
|Playboy's Penthouse
|Hugh Hefner
|Opening theme
|"Playboy's Theme" by Cy Coleman[1]
|Country of origin
|United States
|Original language(s)
|No. of seasons
|No. of episodes
|Running time
|48 mins.
|Original network
|Picture format
|Audio format
|Original release
|October 24, 1959– 1961
Playboy's Penthouse was an American variety/talk television show hosted by Playboy founder and then-editor/publisher Hugh Hefner. It was first broadcast on October 24, 1959 and ran in syndication for slightly more than one year with a second season starting on September 9, 1961 with Jack E. Leonard, Anita O'Day, Buddy Greco, and George Wein.[2]
The show was designed as a way to spread Playboy magazine's influence beyond the printed page and to help non-readers get to know Hefner.[3]
The show, recorded at Chicago station WBKB-TV, was set up as if it were a party at Hefner's own apartment, with many Playboy Playmates and bunnies in attendance. Celebrity guests would engage in conversation with Hefner and then perform, as well. The theme was written by Cy Coleman.
In 1969, Hefner launched a show in a very similar style, Playboy After Dark which was taped in Los Angeles. Episodes of Playboy's Penthouse were included in the DVD release of Playboy After Dark in 2006 and footage from the show has been used on Hefner's most recent program, The Girls Next Door.
- ^ Playboy's Penthouse T.V. Party, Classic Themes dot com
- ^ Episode list at IMDB
- ^ TV Party entry
External links[edit]
|This television program–related article is a stub. You can help Wikipedia by expanding it.
- Television series by Playboy Enterprises
- 1959 American television series debuts
- 1961 American television series endings
- First-run syndicated television programs in the United States
- Television programs based on magazines
- 1950s American television series
- 1960s American television series
- American variety television series
- American television talk shows
- Black-and-white television programs
- English-language television programming
- Television shows set in Chicago, Illinois
- Television program stubs


text:
You are visiting our UK site. Click here to view our US site
Vol 1 Issue 4 - Aug 2006
- The Connection of the Six Channels with the Five Viscera and the Six Bowels - Part One
by Lorraine Wilcox
- The Final Days of Traditional Beliefs? - Part One
by Matthew Bauer
- Always Read the Label
by Stephen Gascoigne
- Effective Use Of Mild Acting Herbs II. Hoelen (Poria)
by Subhuti Dharmananda
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by Phil Rogers
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by Bruce Ferguson
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Qigong for Self-Healing with Daverick Leggett (Saturday 15th October)
The focus of the day will be self healing through the practice of Qigong. [more]
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Many,or perhaps all, chronic conditions have an underlying deficiency at their root [more]


text:
Since cost of hosting is always going down at what rate are you estimating it to fall for your cost prediction?
I think the best you could do as look at the trend in cost reductions over time. Here is one recent source:
Notice for large data sets there was no change. So you need to look at your current data amount and go off of that.
Personally, I would be conservative and just assume it is not going to cost any less (it could actually start to cost more). If the differences in these projections is actually a significant amount of money your time might be better spent looking at non-cloud hosting solutions for a cost comparison.
I use this Amazon Calculator for Monthly Costs.
It's not infallible, but it's a pretty good guess.


text:
SHAWNEE, Okla. - Troy Smith rolled into Shawnee in 1946 after serving in World War II, with lots of ideas, a wife, two kids and $80 won in a poker game in his pocket.
The 80-year-old Sonic founder smiles when he remembers the early days of the hot dog and root beer stand that in the last 50 years has grown to 2,600 Sonic Drive-In locations in 30 states.
Smith is modest about his success in a world that rewards big concepts, original ideas and getting there first.
"It was a fast 50 years," he said, in an interview at his Edmond office where he still puts in several hours a day.
Call it a combination of luck, genius or instincts, but Smith developed a formula that now boasts the highest customer frequency rate in the quick-service restaurant industry.
Smith tried several restaurant ideas before operating his first Sonic Drive-In.
He partnered with Mac McKimmey on a log cabin steak restaurant in May 1953. As a bonus, there was a hot dog stand on the front of the restaurant's five-acre tract.
Smith named it the Top Hat Drive-In and installed speakers similar to those used for drive-in movies and a canopy to create atmosphere.
"The teen-agers just went crazy. They really liked it," Smith said. "They liked to say, 'Roger, over and out."'
The Stillwater location was the first to get its Sonic sign by several weeks.
The focus was on getting the orders out fast. Each order was timed, with a goal of getting them in customers' hands in less than four minutes.
The chain notched its 10-year anniversary with 19 drive-ins in Oklahoma, Texas and Arkansas.
Sonic turned 20 in 1973, with 165 drive-ins and 10 principal franchisees. Shawnee attorney Jim Winterringer helped Smith take the company public the same year.
The Winterringer family has had three generations involved in Sonic Drive-Ins and, through their company Wintco, own 19 Sonic Drive-Ins in Oklahoma, Texas and Idaho.
"My father always said it would do what it did," Jim Winterringer said.
Smith prides himself on attending the first 1,200 openings of Sonic Drive-Ins.
Smith regularly eats his favorite No. 2 hambur- gers and homemade onion rings.
The publicly traded company is now run by Sonic Industries, but Smith still owns real estate at about 50 of the drive-ins leased by franchisees.
Although he moved his family and the company headquarters to Oklahoma City in 1960, he remembers his time in Shawnee fondly.
"I don't think I would have ever moved from Shawnee if we'd had the interstate roads then that we have now," he said.
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Bob Cavnar: Five Questions With A Deepwater Horizon Expert
Bob Cavnar is not happy with investigative efforts so far
Bob Cavnar is an oil-industry insider who quickly became an expert-in-demand for reporters covering the Deepwater Horizon explosion and the resulting Gulf oil spill.
He's written a book on the event, Disaster on the Horizon, and will be at Brazos Bookstore to discuss it and sign copies from 3 to 4:30 p.m tomorrow.
Hair Balls had five questions for him.
5) What do you make of the investigative report and conclusions that have been released so far? They are repeating what they're being told by BP, Chevron, Shell, and Exxon. Fred Bartlit's conclusion that no decisions were made pitting money against lives is a false comparison. Of course, no one decided to trade lives for money on April 20th. However, BP decided on lower cost casing design, ignoring increased risks. Bartlit has accepted BP's assertions almost at face value.
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4) Was Deepwater Horizon a worst-case scenario, or could things have been far more destructive? This was about as bad as it could get, except for the good fortune of good weather, calm seas, and an able rescue crew on the Damon Bankston. There was a fine line here between 11 deaths and over 100.
3) Do you trust the industry/federal government to fix things? Why or why not? Just the opposite. Drilling rule changes are stalled in the courts.The major rule changes (increasing the $75 million liability cap and increasing the permit review time) both require congressional action, which simply won't happen under the Republicans. They'll use this as an opportunity for a showdown with the Obama administration. As time drags on, the administration will cave, allowing the rigs to go back to work with only superficial changes. No redesign of safety systems is even proposed.
2) How much did a cost-cutting philosophy contribute to the disaster? Certainly the casing design increased the risk by eliminating a downhole barrier and increasing the chance of a bad cement job. Beyond that, though, was the complacency, overconfidence, and convoluted management structure that allowed for unchecked bad decisions. This is what started the disaster to go into motion. Due to lack of oversight, events compounded, causing the blowout.
1) What's one thing most people don't realize about what happened either in the event itself or dealing with the aftermath, and why is it important? Even though the well has been off of the television for two months, the well was actually capped only 3 days ago. BP and the government never publicly disclosed the condition of the casing as they worked on it for two months.
Over 75 percent of the oil spewed into the Gulf never reached the surface. The estimate that it was "dispersed" or "dissipated" is unsupported by facts.
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On the post:
9th Circuit Appeals Court: 4th Amendment Applies At The Border; Also: Password Protected Files Shouldn't Arouse Suspicion
Mar 11th, 2013 @ 12:12pm
I'm confused, does this mean that if you have a password prompt when you either boot up your laptop or open the lid to wake it from sleeping, they can't require you to type enter your password or does this only apply to actual files/folders beyond the login screen that require password protection?
On the post:
Avid Gamer (And Minnesota Vikings Punter) Chris Kluwe Does The Math On How Much EA's SimCity Debacle Cost EA
Mar 11th, 2013 @ 11:58am
Aside from 'piracy', wouldn't you think it would be obvious that there are really, really good reasons to play any game offline? Such as on a road trip, on the bus, on the plane, when your parents ground you via restricting internet access, etc? I know that is not a large percentage and never will be but how would that not be obvious to anyone/everyone both making this game and interested in buying this game?
On the post:
Texas Legislator Introduces Bill That Would Allow Legal Papers To Be Served To People's Social Media Accounts
Mar 8th, 2013 @ 12:16pm
if this becomes a law, there will be at least one company that either soley does this or adds this to their list of existing services: "Auto Out of social contact" messages that can be configured to automatically send to anyone not on your friends or followers list. That way the person being summoned was "clearly not active on their social media account(s)" as the auto response was set up immediately.
If this trend were somehow able to grow throughout the country, i'm sure the social media companies would build some work around into their settings in a nonchalant way.
On the post:
Despite Threat Of $50,000 Fine, Montreal Designer Plans To Release More 'Real World' Counter-Strike Maps
Mar 8th, 2013 @ 11:55am
I'm not sure its right to even suggest that Liatis is not a reliable narrator simply b/c one of the employees of the agency currently trying to prosecute/fine/sue him says she didn't talk to him. Doesn't she have incentive to lie if they only spoke on the phone and there's no way to definitively prove that they spoke and/or what they spoke about? Especially since her alleged words are seem to work in his favor.
I haven't read the Ars article so perhaps there are more details that aren't lining up but when i read that sentence in this article Liatis' credibility started to head out the door right away. Only re-reading the whole thing put it back into perspective...
On the post:
Prenda Law Issues Subpoena For IP Addresses Of Every Visitor To Critic Blogs For The Past Two Years
Mar 8th, 2013 @ 9:12am
If CISPA is approved, this request would be valid, no?
On the post:
7-Year-Old Student Suspended For Waving Around A 'Gun' Made From A Pastry
Mar 8th, 2013 @ 9:10am
Did no one else f*cking watch the movie "V for Vendetta"? Even the Guy Fawkes masks have become a reality for f*cks sake.
The 'good' news is we already know what to expect in the near future......
On the post:
SimCity: The Backlash
Mar 8th, 2013 @ 8:54am
The most shocking news here (to me) is Amazon's action and subsequent response. I think it's so awesome that they are refusing to sell the product b/c they know their customers will be unhappy, how novel for a giant corporation!
On the post:
Is It 'Fair' That Baauer Gets The Proceeds From Harlem Shake Videos, Despite Having Little To Do With Meme Popularity?
Mar 5th, 2013 @ 1:09pm
Why does this apply so strictly to audio recordings? If a poster or painting is visible in the background of a video, why doesn't the artist earn some money for that? Hearing a song is not the same as owning a license to that song, seeing a poster/painting is not the same as owning the physical poster or a license to the digital version so why does one type of artist get paid and not the other?
On the post:
Game Of Thrones Director: I'm 100% Opposed To The Piracy I Just Said Helps My Show Survive
Mar 5th, 2013 @ 12:30pm
Someone probably said this already but i'm sure the director is misusing words (like so many do these days surrounding piracy/the internet). He is not for illegal downloads as he clearly stated. Illegal downloads of his show are any format/method you download that is not a temporary file (streaming) or a download from a source like iTunes (containing DRM).
From what I gather from talking to 'average users', most people (correctly) associate 'downloading' with basically everything on the internet. There is no way to view a file, site, page, w/e on the internet w/o first downloading it. A streaming video is still first downloaded to your browser and stored in a temp file that is deleted when you close the tab/window. I hope the director realizes that when people view his shows via streaming (which is totally legal in the US) that methods is far less detrimental to 'sales' figures b/c they do not permanently retain a copy and to view it again, they must stream it (again), illegally obtain a copy or pay for it. Not everyone is going to pay for it but most people who stream in the first place probably aren't going to download it illegally later on, they'll stream it again or buy it. Where the real value of unrestricted streaming comes in is the time-tested marketing technique called 'word of mouth'.
Most of my friends started watching Game of Thrones only after I told them how good it was and several of them now have HBO or have purchased the DVDs. After i streamed the first couple of episodes, i bought the books - which i would not have done if i wasn't first able to watch the episodes for free.
On the post:
Police Chief Deploys Officers With Assault Rifles To Stop & ID Everyone; Says Local Crime Stats Give Him Probable Cause
Dec 21st, 2012 @ 12:59pm
seriously, that police chief and mayor should both be fired immediately. even 'unofficially' announcing that kind of stuff to the world is not ok and the chief is verging on inciting public panic.
On the post:
NRA: To Protect The 2nd Amendment, We Must Trample The 1st & 4th Amendments
Dec 21st, 2012 @ 12:23pm
It was a really terrible thing that happened and what continues to happen today is almost as bad. The press are completely over blowing the gun issue, they are so excited to have something to talk about since Sandy is over and Obama is still president. As much as they want you think everyone is 'so concerned' about it, i think the majority of people do realize that bans won't work, more guards won't work, databases won't work and certainly 'curbing video game violence' won't work. The only things that might actually work are building modern fortresses and (trying to) educate children in them OR eliminating all physical schools and enabling every child to be home/internet schooled.
There is no way to guarantee 100% safety.
On the post:
Instagram: 'Wait, Wait! That's Not What We Meant!'
Dec 19th, 2012 @ 8:31am
as we've all learned from reading this site, they legally cannot sell your photos in the first place b/c as the original artist, you have copyright protection. each 'sale' would be subject to 'infringement prosecution' (or whatever) and a bunch of lawyers would make a bunch of money off of it.
On the post:
DMCA Fun: Movie Studios Issue Takedowns Over Their Authorized Films
Dec 4th, 2012 @ 1:57pm
i think this is best thing that could happen for the anti-copyright movement.
On the post:
Don't Promise $1 Million For Your Lost Laptop Via YouTube & Twitter If You're Not Prepared To Pay
Dec 4th, 2012 @ 1:49pm
is it likely the guy who returned it also stole it? not that it matters..
On the post:
BitTorrent Book Promotion Drives 40% Of Downloaders To Book's Amazon Page
Dec 4th, 2012 @ 1:02pm
The most important thing to take from this article is that 40% of the ppl who torrented were at least interested in supporting the artist. I think that is a really great statistic to tout for posterity.
On the post:
New Zealand Government Admits That Order To Suppress Illegal Spying On Kim Dotcom Only Such Order Issued In 10 Years
Dec 4th, 2012 @ 12:52pm
When I read the excerpt, I kept seeing all these coincidences lining up like 'V for Vendetta' or any other conspiracy movie. It just so happened that the Prime Minister was out of the country and the acting PM was the one who actually signed the document. -WHY was the PM out of the country just then, did the US know and push for action right then knowing the 'temp' guy would probably just sign it or did they orchestrate the event that the PM attended to put the puppet in place?
Makes me laugh b/c its probably nothing like that (but at the same time, it could be....)..
On the post:
GEMA Feels It Isn't Killing German Nightclubs Fast Enough, Moves Towards Charging DJs Per MP3 On Their Laptops
Dec 4th, 2012 @ 12:42pm
GEMA wouldn't make any money from nightclubs but it makes money from actual sales as well as other sources, just like the MPAA/RIAA.
On the post:
GEMA Feels It Isn't Killing German Nightclubs Fast Enough, Moves Towards Charging DJs Per MP3 On Their Laptops
Dec 4th, 2012 @ 12:33pm
I don't understand how they (GEMA) knows how many songs a DJ has on their laptop.. anyone explain?
On the post:
Homeless Man Who Got Free Boots From Cop Now 'Wants His Cut' Of YouTube Attention
Dec 4th, 2012 @ 9:52am
Re: Chose to be homeless.
What an asshole. "Even though I have a home and no need (besides drugs/alcohol) for your money, I'm going to manipulate you into giving it to me." Is he 'shomeless' or just shameless? As for the 'mental instability' claims, he was with it enough to ask for a cut of whatever money was circulating as a result of being on YouTube so i don't think his issues could be that serious.
That said, i have heard this (owning a house/car) about several homeless people in the towns I've lived in over the years. Probably something like 10 years ago, i heard that a homeless person in NYC could make about $40-$50k annually from panhandling. A low salary for NYC but considering that's all tax free, enough for a decent living. I have no facts to back up the claim but i can believe its at least possible.
On the post:
Electronic Versions Of Textbooks Spy On Students As They Read Them
Nov 20th, 2012 @ 9:20am
A surprisingly small number of people opposed this 'technology' directly but I see it having HUGE drawbacks that make it unusable. First, buying a textbook for a class should not ever be required. Second, even if everyone did buy it, two people could read together, especially with digital technology, they could put it on a big screen and read the pages at the same time which would only show 1 student's work and not the other(s). Third, I had a good friend in college who was not too far below that off the charts genius level who didn't have to read very much (or do much of anything) to get straight As all four years. How would this technology account for the rare cases like him?
This is yet another example of colleges trying to leverage technology to 'enforce learning' but that is completely contradictory to higher education You can't force adults to learn, if they don't want to learn, they should not be in college. If 'college' is seen as 'required' then it should actually be required...
I'm all for higher education but its not for everyone. A lot of what is taught in college should be taught in high school, that's where changes need to be made - not spying on students to enforce homework (that's what parents are for - in high school).
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LITTLETON — Evergreen's Jak Hamilton won the Division 2 boys race at the Dave Sanders Invitational at Clement Park on Oct. 1, and the girls team took top honors with three finishers in the top four.
Hamilton won the boys race in a time of 16 minutes, 29 seconds, beating out Pomona's Dezmin Rameriz by six seconds. Fellow Evergreen runners Jackson Sayler and Andre Lane finished in the top six, but Pomona placed six runners in the top 15 en route to team honors by three points over the Cougars.
Evergreen won every match in straight sets, led by Nate Chart's 6-2, 6-1 victory at No. 1 singles, as the host Cougars shut out Green Mountain, 7-0, on Sept. 30.
The No. 4 doubles team of Brad Lindsay and Steve Jensen posted a 6-0, 6-0 win over Green Mountain's Justin Olson and Trevor Olson.
Other winners for Evergreen were No. 2 singles Stephen Hardy, No. 3 singles Bryan Repko, No. 1 doubles team of Peter Hassinger and Matt Golub, No. 2 doubles team of Seth Purkey and Jack Staebel and No 3 doubles squad of Cameron Sadler and Garrett Smith.
Reprinted from Oct. 11, 2006
This has been a beautiful fall, with the best color being at lower elevations, such as around Evergreen. The aspen in Little Cub Creek Valley have been at their best for a week now, but strong breezes have begun to take their toll.
October has brought some of the warm weather we looked for in September, and we have enjoyed the Indian summer days.
AURORA — Ethan Lederer had the ball and then he didn't. Unfortunately for Evergreen that one miscue less than a minute into the second overtime proved to be the difference.
Howie Samuel's rocket shot from 30 yards out ricocheted off Lederer's hands and trickled into the back of net, sending host Smoky Hill to a 2-1 double overtime victory over Evergreen on Sept. 25 at Legacy Stadium.
As most of my friends know, I took a tumble in early August and broke my right wrist, so I have been confined to a nursing home ever since I got out of the hospital. That's only because I can't manage very well by myself with only one arm. However, it's doing well and I'll soon be out of a cast and then I can do a great deal more, I hope, even though it will still be stiff and sore.
AURORA — Ethan Lederer had the ball and then he didn't. Unfortunately for Evergreen that one miscue less than a minute into the second overtime proved to be the difference.
Howie Samuel's rocket shot from 30 yards out ricocheted off Lederer's hands and trickled into the back of net, sending host Smoky Hill to a 2-1 double overtime victory over Evergreen on Sept. 25 at Legacy Stadium.
LAKEWOOD — If the Evergreen Cougars, off to a 3-1 start in 2010, ever wanted to know where they stood then the 3A Metro South conference opener with Elizabeth would be a good measuring stick. The Sept. 23 game at Trailblazer Stadium, if nothing else, would let Evergreen know if its early-season success had any weight to it.
The numbers alone may have told the story. The Cougars had, as follows:
— 26 total yards.
— One first down.
— Four turnovers, all in the second quarter.
BROOMFIELD — Bryn Haebe knows that finishing her races is a work in progress. She has to do better, and, unfortunately for her, that was proven to be the case on Sept. 24 at the Broomfield Invitational.
LAKEWOOD — Evergreen dropped just four games total en route to its largest margin of victory this season, 7-0, at Alameda on Sept. 24.
The match was rescheduled from earlier in the week due to a lockdown at Alameda High School.
Evergreen's No. 2 singles player Stephen Hardy, No. 3 singles player Bryan Repko, top doubles team of Peter Hassinger and Steve Jensen and No. 3 doubles team of Cameron Sadler and Garrett Smith all scored 6-0, 6-0 victories.
Kelsey Valdez placed second overall, including taking first place in the vault with a score of 9.65, but Evergreen suffered a narrow defeat to defending 4A state champion Elizabeth, 175.45-175.325 on Sept. 16 in gymnastics action.
Valdez also took second on the balance beam, fourth on the floor exercise and fifth on the bars. Micala Mitchek placed fourth overall with a fourth-place finish on the beam and fifth on the floor. Jessica Himmelman was fifth overall which included a fourth-place finish on the bars.
Copyright © 2016
Canyon Courier is your source for local news, sports, events, and information in Evergreen, Colo, and the surrounding area.


text: For a batteries-included SBCL, why not have 1- a non-SBCL-specific library distribution mechanism, e.g. desire - or even Nix 2- as part of said non-SBCL-specific mechanism, a way to tag together a set of of versions of a subset of the above libraries 3- a non-SBCL-specific co-release of sets of such CL software, e.g. LibCL 4- as part of the SBCL release cycle, build big tarballs of the latest combo of SBCL and libraries that pass all the required tests. By factoring it this way, we may both minimize the pains for SBCL implementers and make things usable for CLers at large. [ François-René ÐVB Rideau | Reflection&Cybernethics | http://fare.tunes.org ] Due to circumstances beyond your control, you are master of your fate and captain of your soul.


text:
Politicians at Penn State 004
Frank Rosenhoover and his wife Ann, chair and vice chair of the Blair County Democratic Party, were part of the contingent of local officials who greeted Clinton.
Former President Bill Clinton, who was making a stump speech for his wife, Sen. Hillary Clinton, who is seeking the Democratic nod for presidential candidate, spoke at the Adler Athletic Complex at Penn State Altoona around 3 p.m. Thursday, April 3.
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We are looking for a few strong players to add to our roster either permanent or pick-up. We are looking for a pitcher & ultility players with strong bats. For more info e-mail: email@example.com or call 865-254-6990.
ACTIVE is the leader in online event registrations from 5k running races and marathons to softball leagues and local events. ACTIVE also makes it easy to learn and prepare for all the things you love to do with expert resources, training plans and fitness calculators.


text:
Chesapeake Energy (NYSE:CHK) has been in the process of transitioning from a pure-play natural gas company to a more diversified oil and gas company, as the price of natural gas has been on a downward trend for a couple of years and is currently in the cellar at around $3 per MMBtu. As a result of low natural gas prices, the company has been struggling to make a profit, but the price of oil has remained at the $100 level for the last year or so, so the company is in the process of transitioning to producing more profitable oil. Chesapeake plans to have completed the transition from a pure-play natural gas company to an oil and gas company by the end of 2013. Chesapeake expects the price of natural gas to recover in the future, but until it does, the company plans on focusing on the oil segment of the business.
As noted in Chesapeake's Q1 2012 earnings call held on May 2, 2012, the company has gone from producing 30,000 barrels of liquid per day at the end of 2009 to producing 114,000 barrels of liquid per day. The company estimates future oil production at 150,000 barrels per day in 2013, 200,000 barrels per day in 2014 and 250,000 barrels per day in 2015.
The transition from a natural gas company to an oil and gas company has been rocky, as the company has been quickly ramping up oil drilling rigs, while slowly ramping down gas drilling rigs. The ramping/un-ramping process has created a cash flow burn for the company, as the company reported an Earnings-per-Share (EPS) of $0.18 in Q1, which was considerably below the expected EPS of $0.29.
Also contributing to the low EPS results were non-cash losses associated with equity investments in Frac Tech and Chaparral, as well as a Marcellus impact fee passed by the state of Pennsylvania, which was assessed, retroactively on all operators.
Chesapeake expects to be cash flow positive in years 2014 and beyond and has no plans of expanding its operations outside of the U.S., as the company is going to take advantage of its very high-quality asset base located in the U.S. The company's strategy going forward is to transition Chesapeake from an aggressive identifier/leasehold acquirer into a very high-quality manufacturing company focused on achieving exceptional returns on capital on assets already owned. Additionally, in an effort to shore up its balance sheet, Chesapeake has been selling some assets and has taken out a term loan for $4 billion with Goldman Sachs Bank USA (NYSE:GS) and Jefferies Group (JEF).
The company's stock price has dropped significantly over the last year as a result of the pummeling of natural gas prices as shown below:
At this point, the stock price appears to have put in a bottom and is transitioning to a bullish sentiment.
With the low price for clean burning natural gas, companies such as United Parcel Service (NYSE:UPS) and FedEx (NYSE:FDX) have been transitioning their truck fleet to operate on natural gas instead of diesel. The conversion of trucks to natural gas, combined with the natural gas industry's pullback in activity will eventually result in a recovery in the price of natural gas, which could be very lucrative for Chesapeake. The long-term prospects for Chesapeake look bright, however, in the short term, the company has a lot of work to do in order to transition to an oil and gas company and to make good on its plans to convert to a high-quality manufacturing company.
With Chesapeake's upcoming Q2 2012 earnings release scheduled for August 7, 2012, an investor might consider protecting an investment in the company, just in case the company has some bad news to report. A protective strategy to consider is a protected covered call or collar, as the strategy provides positioning for a potential profit, even if the stock price remains unchanged, while protecting against a large drop in stock price. The protective covered call may be entered by selling a call option against a stock and using some of the proceeds to purchase a protective put option for protection or "insurance."
Using PowerOptions tools, a variety of protected covered call positions are available as shown below:
(click to enlarge)Click to enlarge
The top position looks attractive as it has a potential return of 2.3% (47% annualized) with a maximum potential loss of 7.4%, so even if the stock price plummets to zero, the maximum loss which can be sustained is 7.4%. The specific call option to sell is the 2012 Aug 19 at $0.87 and the put option to purchase is the 2012 Aug 17 at $0.45.
Protected Covered Call/Collar Trade
- CHK stock (existing or purchased)
- Sell CHK 2012 Aug 19 Call at $0.87
- Buy CHK 2012 Aug 17 Put at $0.45
A profit/loss graph for one contract of the Chesapeake protected covered call is shown below:
As a bonus, if the price of the stock is greater than the $19 strike price of the call option at expiration, the position will return 3.5% (71% annualized). Additionally, for a stock price below the $17 strike price of the put option, the value of the protected covered call remains unchanged. And, if the price of the stock increased to around $21, the position can most likely be rolled in order to realize additional potential return.
As an alternative to the protected covered call, an investor might consider a married put strategy for the company. The married put strategy provides for unlimited upside while providing for limited downside. The married put may be entered by purchasing a protective put option against the stock. In order to reduce the insurance cost per day, the put option is selected far out-in-time.
Using PowerOptions, a variety of married put positions are available for Chesapeake for January of 2013 as shown below:
The married put using the 2013 Jan 21 put option looks attractive with a maximum potential loss of 8.5%. However, when considering expected dividend payments during the holding time, the maximum potential loss is reduced to 7.7%. The specific put option to purchase is the 2013 Jan 21 at $4.20.
Married Put Trade
- CHK stock (existing or purchased)
- Buy CHK 2013 Jan 31 Put at $4.20
A profit/loss graph for one contract of the Chesapeake married put, including dividend payments, is shown below:
If the price of the stock increases to above the $21 strike price of the put option, then income methods as described by RadioActiveTrading.com may be applied in order to receive income and reduce risk.
Disclosure: I have no positions in any stocks mentioned, and no plans to initiate any positions within the next 72 hours.


text:
For anyone who has actually been in the ring share a personal true story!!
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Re: For anyone who has actually been in the ring share a personal true story!!
Originally Posted by
I returned to the gym the day after winning my quarter final in the ABA's the night before. I only turned up to do a light session and get rid of some stiffness. Only one of my coaches was in (not our head coach). Our head coach had organised another gym to come down sparring with some of our lads (not me). The other gym brought one boxer down, however, none of our lads turned up. It just happened that I was the same weight as this lad. I agreed to have a light sparring session with him so that it wasn't a wasted journey for themselves.
Basically I was ****ed from the night before because it was a tough bout, and I was lethargic as ****. I can happily admit he got the better of me in a lengthy spar, I didn't really care to be honest...I was in the national semi-finals of the ABA's. Anyway, I got out the ring after the spar and his coach came up to me and said something along the lines of,
"Don't feel discouraged that our lad is better than you, you will learn, take it as experience and you will improve. Sparring better boxers will help you learn."
took it on the chin
(with a smile on my face).
I asked our head coach the next day to get this same boxer down for sparring next week, he said ok.
The boxer turns up for sparring the next week. They look confident that the same thing is going to happen, their lad is going to have too much for me. Anyway, I beat the **** out of him for a lengthy sparring session (well, it's sparring, so it wasn't 100%). Although he got the better of me the week earlier, I still had success in the first spar. But this time around, he literally couldn't touch me, you could see the frustration on his face, and the shock on his coaches face. I completely outclassed the poor lad.
I stepped out the ring this time around, his coach comes over to me and says something along the lines of,
"You've improved haven't you?"
I just smiled and walked off.
Dont think i ever got the better of anyone in sparring,just never ****d,most of them i knew and if i hit them i apologised, i loved it though, still do.
I had to b in the right frame of mind to box, and with sparring i never could, mind you after a hour or so of cardio i used to b ****ed anyhow
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text:
Lonely Road by PajunenWatch
©2012-2016 Pajunen
I can hear the snow falling off the trees and feel the cold!
Awesome photo...I can feel the atmosphere from it..
Damn dude...your B/W'S are epic!!
film or digital?
film or digital?
Thanks! I use digital camera, Canon EOS 550D, but this one is a mobile phone photo with Nokia E7. I didn't have my camera with me then.
Stunning capture
Beautiful... I dread the cold...
Nice one
Noooo not snow it will soon be winter lol. Great shot though
Mahrava taivas, tulee mieleen lappi. Tätä vuodenaikaa taas odotellessa..
Very nice.
I want some snow ! Soon
Great shot ... as always ...
Great shot ... as always ...
wow... that's very beautiful and mysterious and sad. roads always seem lonely in winter. very nice photo! your pics are so awesome! keep going!
..of things to come!
Beautiful. This looks like our road right at the end of our driveway in winter.
I get the impression that It's a sad and lonely atmosphere
Definitely lonely (except for that dude in the distance!) but beautiful.
This is an awesome photo!
Amazingly Beautiful!!!!!


text:
Whole-Body Vibration continued...
What the Experts Say: While the experts who spoke with WebMD all agreed that WBV does offer some benefits, all cautioned that the level is nowhere near the claims being made.
"I've seen some remarkable results in terms of bone density -- working better than conventional exercise -- plus good effects on circulation and muscle stimulation for those who can't do conventional exercise," says Quist. "But I don't think it can help you lose weight or impact cellulite. There is really no solid medical evidence backing up these or other health claims."
Cedric Bryant, PhD, chief science officer of the American Council on Exercise, says while whole body vibration has potential, more research is clearly needed.
"Right now, the marketing and hype is greatly outpacing the research and the scientific evidence -- but that said, from a conceptual standpoint, it could presumably improve muscle strength and stability, and an increase in bone density," says Bryant.
Indeed, in one study of 90 postmenopausal women published in the Journal of Bone and Mineral Research in 2004, a group of Belgian researchers found almost a 1% increase in hip bone density among users of the Power Plate form of WBV, along with measurable increase in muscle strength. The study participants used the machine for a total of 30 minutes three times a week for six months.
In another study, published in the Journal of the American Geriatric Society, researchers found that elderly people who were not able to participate in traditional exercise saw muscle strengthening and speed-of-movement benefits from using the Power Plate.
And in a study published in Proceedings of the National Academy of Sciences, mice that were placed on a low-vibration platform for 15 minutes, five days weekly, for 15 weeks ended up with smaller torsos than a group of mice who were put on a platform that didn't vibrate -- even though all the mice ate the same amount of food.
Still, Gerard Varlotta, DO, remains unconvinced that whole-body vibration can replace conventional exercise.
"We know that walking 2 miles a day is an effective way to build bone -- and I think it's OK to use this equipment as an adjunct to your normal exercise routines -- but to rely on it solely, we're not there yet," says Varlotta, director of physical therapy at the Rusk Rehabilitation Center at New York University Medical Center.