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What Is Application Of Psychology In The Field Of Education?
This is not a tale to be proud of. In the UK, the hyperlink among low socio-financial background and poor educational attainment is greater than in almost any other developed nation. As a field, educational technology emphasizes communication expertise and approaches to teaching and learning by way of the judicious use and integration of diverse media. In addition to conducting investigation on educational policies, you may well train and aid implement a plan. The Soros Foundation 37 provides many opportunities for students from central Asia and eastern Europe.
In order to maintain a populace that can apply newly-acquired information, there demands to be a public education technique that is designed for acquisition and application. The public education program can serve as the catalyst for a society that is in search of objective truths, uninfluenced and unbiased by political agendas or the need to cling to old paradigms.
It really is tough to realize the call's for patriotism by those who fail to see that the advantages of investing in a robust public education program is certainly patriotic possibly the most patriotic act a citizenry can undertake. Technology plays an increasingly significant role in enhancing access to education for men and women living in impoverished areas and establishing countries Charities like A single Laptop per Child are dedicated to offering infrastructures by way of which the disadvantaged might access educational materials.
As David Orr states, we do not need to have a lot more analysis to show us that we need to have to do one thing about the sustainability of our planet and species. Bottery, M. (2007) 'New Labour policy and school leadership in England: area for manouevre?', Cambridge Journal of Education, 37(two): 153-72. It supports some of the exact same goals as an educational leadership degree but with a far more inclusive approach.
The link between education and health has been well-established, as one's education level has an impact on their overall overall health It would stand to reason then, that investing in public education is also an investment in the all round health of our citizens. Southworth, G. (1993) 'School leadership and college development: reflections from research', School Organisation, 12(two): 73-87. At the doctoral level, you have alternatives when it comes to your preparation for leadership roles in education.…


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Hydroxychloroquine No Better Than Placebo for Hand OA
TUESDAY, Feb. 20, 2018 -- For patients with moderate-to-severe hand pain and radiographic osteoarthritis, hydroxychloroquine is no more effective than placebo for relieving pain, according to a study published online Feb. 20 in the Annals of Internal Medicine.
Sarah R. Kingsbury, Ph.D., from the University of Leeds in the United Kingdom, and colleagues conducted a randomized trial with 12-month follow-up to examine the effectiveness of hydroxychloroquine versus placebo as an analgesic treatment of hand osteoarthritis. A total of 248 participants with symptomatic and radiographic hand osteoarthritis were randomized to hydroxychloroquine or placebo for 12 months with ongoing usual care; 210 patients completed the six-month trial.
The researchers found that mean hand pain was 5.49 and 5.66 points in the placebo and hydroxychloroquine groups, respectively, at six months, with a treatment difference of −0.16 points (95 percent confidence interval, −0.73 to 0.40 points; P = 0.57). The results were consistent with adjustment for adherence, missing data, and use of rescue medications. There were no significant differences at three, six, or 12 months for any of the secondary outcomes. On grayscale ultrasonography and power Doppler, the percentage of participants with at least one joint with synovitis was 94 and 59 percent, respectively. Treatment response was not affected by baseline structural damage or synovitis.
"Hydroxychloroquine was no more effective than placebo for pain relief in patients with moderate-to-severe hand pain and radiographic osteoarthritis," the authors write.
Several authors disclosed financial ties to the pharmaceutical industry.
Abstract/Full Text (subscription or payment may be required)
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© 2020 HealthDay. All rights reserved.
Posted: February 2018
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subset: commoncrawl


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Serverless File Uploads for Webflow
Webflow allows building production-ready, responsive websites without any coding skills required. Webflow lets you accomplish most aspects of web development and website distribution via a visual editor providing pixel-to-pixel precision.
With a little help from Uploadcare, you can enable any Webflow site with serverless file uploads and allow its users to upload any media using a simple button.
Before we begin
Before proceeding with the integration, let's make sure everything is in place:
Once you create an Uploadcare account, navigate to your dashboard to create a new project or discover API keys for an existing one. You will need a public key: it defines a target project user uploads will go to.
If you plan uploading non-image content, add billing info to your account.
Step 1. Add scripts with Uploadcare File Uploader
Open your Webflow dashboard and hit "site settings."
Copy the following code snippet.
<script>UPLOADCARE_PUBLIC_KEY = 'YOUR_PUBLIC_KEY';</script>
<script src="https://ucarecdn.com/libs/widget/3.x/uploadcare.full.min.js" data-integration="Webflow"></script>
Go to the custom scripts tab, paste the script there, set your public key and hit "Save".
If you want to customize the look of your file uploader, you can add custom CSS here as well.
Step 2. Add an input field to your Webflow site
Open your website in the Webflow Designer and add a form block to the page where you want to add the upload button.
If you already have a form, open it in the designer and proceed to the next step.
Step 3. Bind Uploadcare File Uploader to a form input
Add a custom attribute to a new or existing text input which outputs as
role="uploadcare-uploader" to allow the file uploader to work in your form.
Hide that input by giving it a specific class, "hide," for instance. Then,
set it to
display none in the Webflow editor.
That's it! Feel free to ask any questions around the Webflow Forum.


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Tetsugoro Kusabi (クサビ テツゴロウ, Kusabi Tetsugorō) is a character in The Silver Case and Flower, Sun, and Rain. He is a detective, a founding member of the Heinous Crimes Unit, and the father of Toriko Kusabi.
Tetsugoro Kusabi generally talks rudely and coarsely, not giving much regard to what anybody else thinks about him; yet at the same time, he does this with a laid-back attitude that suggests that he isn't very serious about it. Despite his arrogance about his methods, he is a very accomplished detective. He has a soft side for his daughter Toriko, who he cares about deeply. He's also shown to be rather bad at handling money, as midway through the game he begins asking other members of the Unit to lend him 50,000 yen that he needs, which becomes somewhat of a running joke to the point that he's still asking for the money two years later in Flower, Sun, and Rain.
Kusabi is close friends with Sumio Kodai, to the point that Tokio Morishima believes Kusabi to be gay, despite being married. While the status of their relationship is unclear, Kusabi does go to great lengths to find Sumio in Flower, Sun, and Rain and speaks with him privately at several points in The Silver Case. Kusabi also takes a liking to Akira, giving him "Big Dick" as an affectionate nickname.
In 1979, Kusabi was involved in the event known as The Silver Case, in which Ginji Nakane, chairman of the TRO/CCO Confederation, was assassinated by Kamui Uehara in front of the TV Tower. Publicly, Kusabi arrested Kamui; however, as Kamui was actually killed, it is believed that Kusabi killed Kamui. Yet, Kusabi's personal version of the events maintain that Kusabi merely stood there and watched as Kamui was killed by members of the Confederation. Regardless of the truth, Kusabi was promoted to the Security Department where he remained until 1990, when he becomes one of the founding members of the Heinous Crimes Unit.
Four years later, he meets Sumio Kodai, a new recruit to the Unit. They become very close partners.
In case#0:lunatics, while driving through Area E3 late at night, Kusabi is attacked by Ryo Kazan. Kusabi and the Republic security force track Kazan down to the nearby Cauliflower building. The operation culminates in Kusabi shooting Kazan and his associate, Rumi Tohba, to death on the roof of the tower.
Two months on from the Cauliflower incident, Kusabi secretly meets his associate, Ryu Munakata, at the Harakiri Batting Center. Munakata warns him that Kamui is going to "make a move". This ends up being metaphorically true, as although Kamui himself remained an empty shell, Ayame Shimohira's actions reignited the idea of Kamui in the public eye of Ward 24.
Kusabi spends a while with Sumio doing a stakeout on Chairman Yukimura's house, which pays off when it explodes in case#3:parade. Kusabi investigates into the motives with Akira and discovers that Sumio headed the operation; Kusabi arrests him, but continues to regularly talk to him.
During case#5:lifecut, Kusabi seems to act based off of lots of unknown information that he either has obtained or has had the whole time. Speaking with Shinji Kotobuki on the roof of the precinct, they come to some agreement about how to proceed, after which Kusabi shoots him. Later on, Akira and Sakura Natsume encounter him in the IEDU Building, where he tells them that he plans on "disappearing for a while". After this, Morichika Nakategawa says that should anyone locate Kusabi, they can kill him on site, suggesting that Kusabi is on the run from the law.
Kusabi heads into the Ward 24's underground, in which he shoots and kills Kiyoshi Morikawa. He meets up with Akira at the Triangle Towers and explains lots of information about the Silver Case, Kamui and Ward 24. They journey together from the underground to the TV Tower and kill Nezu.
Despite Nakategawa's order, Kusabi is shown peacefully chatting at a public cafe in case#!:tamura and takes on more missions after the events of The Silver Case, suggesting that he peacefully integrated back into the Heinous Crimes Unit.
Peter Bocchwinkur
During the events of Flower, Sun, and Rain, Kusabi travels to Lospass Island where he disguises himself as a truck driver named Peter Bocchwinkur (ピーター・ポックウィンクル, Piitaa Pokkuuinkuru). Kusabi, as Bocchwinkur, acts as an agent sent by "The Commission" to meet with searcher Sumio Mondo and direct him to the Flower, Sun, and Rain hotel, where his services have been hired. Bocchwinkur takes some offense to being called a broker by Mondo, explaining, "I just... grease the wheels." The two agree on Bocchwinkur receiving 50,000 yen of Mondo's payment for his mediating, after which Bocchwinkur drives Mondo to the hotel and goes his own way.
In the final chapter of the game, Mondo boards an airplane to leave Lospass, where he encounters Bocchwinkur, the only other passenger on board. During the flight, Bocchwinkur recognizes Mondo as another incarnation of Sumio Kodai, who he had been searching for, prompting him to reveal his true identity as Tetsugoro Kusabi.
Official Silver Case website description
|A veteran agent who is partnered with Sumio, Tetsugoro may give off the impression of a dull-witted man past his prime, but when it comes to investigating crime he is able to act upon instinct and lead the case to its resolution. As a regional agent he headed the Silver Case 20 years ago, which was concluded with his arrest of the hit-man known as "Original Kamui", Uehara Kamui. His success was rewarded and he was reallocated to the Security Department, but in compliance with the wishes of his former boss Kotobuki, he was made an additional member of the Heinous Crimes Unit at its inauguration. there is also another side to him that is a regular father, scared of losing the affection of his daughter.[1].
The Silver Case
The 25th Ward
|Flower, Sun, and Rain characters
|Main Characters
|Sumio Mondo · Catherine · Toriko Kusabi · Christina · Remy Fawzil · Yoshimitsu Koshimizu · Sundance Shot
|Hotel Staff
|Edo Macalister · Sue Sding · Mati Sding · Stuart Rock
|Hotel Guests
|Sister Phantom · Yayoi Hanayama · El Crasher · Mr. Pirate · Maria Nicharesuk · Stephan Charbonie · Sonny Balboa · Tabs Balboa · Seiji Fujieda · Yuuri Otowaya · Shoutaro Kai · Daizaburo Kai · Gunzi Takaoka · Natsuko Akai · Tokio Morishima
|Ken Sakurapee · Step Sding · Sundance Ritz · Hana Kaburagi · Tetsugoro Kusabi · Sundance MIC · Forest Navigators · Fantasistas
|Dragon · Lumberjack Flowerstar · Alberto Ferrente · David Chapman · Igor Ishizakaski · Sayaka Baian · Kamui Uehara · Red · Sumio Kodai


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We experienced about 8 hours of downtime today, the first time that we had a prolonged absence.
This will hopefully clear up any confusion, as we cannot answer all individual email inquires. Thanks for your great support.
Everything is back in order, enjoy streaming!
LaMule, one of the most respected and venerable directories for streaming, downloads, and torrent resources has listed us in the sport streaming section.
We now join a list of the most respected websites in the sport streaming landscape, such as Livetv.SX and Rojadirecta.
Please make sure to visit LaMule and check out their directory of useful resources and destinations.
A technical bug in our system caused Internet Explorer / Edge browsers to not open StreamSports internal links, and download them as .html files instead.
It has now been fixed. Thank you for reporting.
For the geeks: We mistakenly sent JSON headers instead of HTML Doctype, the cause was a rogue controller and Internet Explorer / Edge downloaded any link form StreamSports.IO instead of opening it in the browser.
On the move? On your mobile? No problem! Now you can enable stream reminders for your favorite teams from your profile, and get streams directly to your inbox 30 minutes before kickoff.
To enable, click the bell icon below your favorite team. To disable, click again.
Stream away!
Making sure that the stream listings provide useful, working streams is always our #1 priority. A lot of you asked us recently for a way to hide hosts that usually do not work for you, or that you simply do not like.
You asked for it, and now we are delivering! Now you can blacklist hosts (domains) in the stream listings and prevent them from showing up in your list.
In the stream listings, simply click the Red X near the stream, and all links from the host will be hidden.
To unhide, go to your profile and remove the host from the blacklisted providers.
Stream away!
Now you can follow your favorite teams and customise the look and feel of StreamSports by signing up for free and selecting your favorite teams or sports-persons.
Choosing a favorite team adds an extra table in the main page that includes the next 3 upcoming events for your team, and enables you to quickly have a glance on the upcoming games, or find streams with 1 click on matchday!
Stream away!
We have added extra stream filters on the top of stream listings to enable filtering, sorting and exclusion of streams to help you find the perfect stream every time.
Now you can sort by language, bitrate, provider, mobile compatibility and upvotes.
You can also search, filter and exclude hosts.
Furthermore, previously clicked streams for the event now remain highlighted to let you know which streams you already tried.
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Today we are rolling out two extra languages to StreamSports. Spanish and French are now supported, in addition to English and Arabic.
Changing your language settings does not require registration. Registration remains optional and only for extra functionality.
Stream away!
Our main page looks slightly different today, you might have noticed that huge text box, well now you should try it as well!
The Quickfind box allows you to find your desired game quickly by simply typing the name of the competing teams or persons.
Soon we will also add support for competitions and nations in the Quickfind box.
Stream away!
Welcome to streamSports.IO. We are a group of sport lovers and geeks, and we are bringing you this website as a free service to help you watch your favorite sports for free.
StreamSports is a live sport streams index with focus on user friendliness and trust. Our mission is to solve the problem of trust between the users and the websites that provide the streams, and to enable everyone to watch sports for free.
StreamSports is a new project, and may have technical glitches. Please do contact us if you encounter any shenanigans.
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Stream Sports is an index of free live sport streams.
You can find streams for your favorite events on StreamSports and watch them live, or catch the highlights later.
StreamSports.IO - No nonsense free live sports streaming - Coded with ♥
Press CTRL+D now to add us to your favorites.
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If you want to support us, you can send us bitcoin on this address: 361LciRo2bJrjRamSSRZQ3QQUbNBL7uwsi
<3 Douba


text:
The 24-carat Gold plated MacBook Pro is finally complete and the credit for this goes to the modders at Computer Chopper. Apart from being a high-end deluxe darling with every square-centimeter finished with Gold, it also has the opulence of a Diamond studded Apple logo. If you like your one to be designed according to your style, the work of plating, painting and etching work will cost you about $1200 to $1500 (Not much for a Mac Book over and done with Gold).
The Computer choppers must be blazing with pride after producing such a wonderful thing.


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Stacey Nolan
Director, Owner
423-401-8115 • Get Directions
We're a dance and yoga studio offering classes and workshops in yoga, bellydance, healing arts and more. We want our studio to be a place where you feel comfortable being exactly who you are, a place to feel confident moving and living in your body, a place where you can grow and transform. But most of all, a place where you can learn to love yourself!
Stacey Nolan and Tara Phillips met in 2005, while attending an educational Master's program. Tara was leaving the field of Social Work for Education, and Stacey had a background in Marketing. After realizing they went to the same high school, the two became fast friends. Stacey was a new Bellydance instructor at the time, and Tara an avid practitioner of yoga. They both taught in the public school system for several years before having their children. By the end of 2012, the two had left their teaching positions and Tara was just finishing up her 200 hour Yoga Certification. Stacey had been teaching bellydance for several years and had an established student troupe, of which Tara was a part. So one evening after dance class, the idea of opening a studio together came up. Stacey had wanted to for years, and Tara thought yoga and bellydance were a perfect match! So they joined forces and set out to find a space. Little did they know, they would come upon the perfect place in the heart of Red Bank just a couple weeks later. Too good to pass up, they signed a lease immediately and started renovating! And renovating! And MORE renovating, with the help and skills of Tara's father. It took an entire month to transform an old, musty, outdated, 50 year old storefront into a peaceful, welcoming movement studio. But the work wasn't over yet! Only 3 months after their grand opening, a deluge of rain brought in flood waters, ruining their brand new floors! And after a two-week closing, they were able to open their doors once more to offer movement classes to the community. And whileTara decided to leave the business in 2018, the pair are still dear friends who support each others in their independent endeavors.
"Through bellydance, I began to look at my body differently for the first time. Not as an ornament to please others, but as a powerful vehicle that helps to drive my purpose and intentions. And that is what I strive to teach others through this dance. Your body is strong, powerful and capable of doing amazing things!!! Learning to love your body and your self is the greatest gift you can give yourself."


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A Brief Introduction to Film Poetry
Lucy English
Firstly, what are poetry films? One thing they are not (although they can be) is films of people reading or reciting poetry. Confused? Even the name of the genre is disputed. Poetry films appear under different guises as 'poetryfilms', 'filmpoems, 'video poems', 'multimedia poetry', 'e-poetry' and 'screen poetry'. Broadly speaking they are a combining of poetry/words, displayed as text or spoken, with accompanying images and viewed on a screen. They can be created by the poet but they are usually a collaboration between poet and film maker. This is not a new subject. Some of the earliest films, created by the Dadaists, were what we would now call 'poetry films'. In more recent years, with easier access to new media technology, more poetry films are being created and shown to audiences in festivals dedicated to this art form. Alastair Cook, who hosted the recent Filmpoem event in Dunbar, describes his interest as 'a bit like gardening'. This is a good analogy. The fervour and intensity of the audience and practitioners was indeed like those gardeners who devote their time to growing auriculars. Film poems are tiny, exquisite and mesmerising.
The largest gathering of this dedicated crew is the Zebra poetry film festival held bi-annually in Berlin. The next one will be in 2014.
More than a thousand poets/film makers send material to this festival which has three days of film screenings. It has an international cohort and accepts films in all languages and in all styles. Recently the winning selections have been high production.
Canada hosts a film poetry festival, Visible Verse, created by Heather Hayley and there is a long standing one in Argentina, Video Bardo.
In the UK there are new festivals emerging.
In Bristol, myself and Sarah Tremlett have created 'Liberated Words', which ran the first UK screening of film poetry at the MIX Conference in 2012 and this year will host a full day at the Bristol poetry festival with screenings and discussions and Alastair Cook's Filmpoem event will surely run again .
So what do you want to do if you want to create a poetry film? I would suggest that you investigate what is already out there. Theorists and practitioners have created manifestos and styles. As in any art form there is plenty of debate. Tom Konyves defined poetry films as having five 'categories'; kinetic text, sound text, visual text, performance and cin (e) poetry. He coined the term 'video poetry' in 1982. More about him here.
The Moving Poems site, created by Dave Bonta, hosts a huge collection of poetry films and information about world wide poetry film events.
Marc Neys displays his film poems on his site Swoon and these are shown frequently at poetry film festivals. There is a strong connection between Dave Bonta, Alastair Cook and Marc Neys and they encourage and influence each other. They use archive or found footage and create visually arresting films.
The South American film poets, such as Javier Robledo, are more experimental while practitioners such as Martha McCollough use animation.
When you have decided on a style and approach do you find a fellow film maker or do you go it alone? For me the most interesting aspect of poetry film is the collaborative process. As a poet it can be challenge to 'let go' of control of the final outcome. A good poetry film is not just an 'illustration' of a poem, it is the melding of word and image which creates a separate experience. Or you can attend workshops in filmmaking skills such as those run by Adle Myers in Manchester.
Poetry films need not be difficult to make. All you need is access to an i-phone and i-movie or movie-maker software. This year I asked my performance poetry class to create a poetry film in week. Here is what Anna Twizell came up with.
Poetry film makers share their work on Facebook, Youtube and Vimeo. It is a supportive and encouraging community. Liberated Words welcome members of their Facebook group to share and discuss each other's work.
Lucy English is a Reader in Creative writing with a specialism in performance poetry and digital media.
In 2003 she organised the Conference in Performance Poetry at Bath Spa University and the 'MIX' conference in transmedia and digital creativity at Corsham Court, Bath Spa University in 2012.
Liberated Words will be at the Bristol Poetry Festival on Oct 3rd. See the Poetry Festival Brochure for more details
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By the Numbers: October 2003By Baselinemag Print
A data bank for those who devise and implement I.T. strategy.
Tight Pocketbooks Find Room for E-Business
Big-ticket items include such traditional investments as server hardware and software and enterprise resource planning applications. Overall, e-business spending will increase 5.2% in 2003 from the year before, but the survey predicts a more cautious 2.5% hike in 2004.
Who's Hiring?
Bears won't be alone in hibernation this winter. Only 9% of CIOs will add staff in Q4 2003, according to a survey by Robert Half Technology. While 4% expect to trim staff, the remaining 87% plan no change. One bright spot: the East South Central region (Alabama, Kentucky, Mississippi and Tennessee), where 15% of CIOs expect to do some hiring.
Certifiably Lower
The median pay for individuals with technical certifications is 7.7% higher than for those lacking them, says Foote Partners LLC. But pay in many areas, such as networking and application development, is waning, even so.
Watch Your I.D.
An estimated 27.3 million Americans have been victimized by an identity theft incident in the past five years, including 9.9 million last year, according to a Federal Trade Commission survey. The cost: $5 billion for individuals and nearly $48 billion for businesses. Credit card misuse was the most common violation, affecting two-thirds of all victims.
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text:
Jump to navigation
Currently I am doing the second year of my PhD under the supervision of Jozsef Fiser. My research focuses on semi-supervised learning in humans with a special emphasis on the acquisition of concepts and categories. The goal of my research is do discover how unsupervised and supervised information are integrated by learners to achieve optimal learning performance, and how information processing is affected by statistical properties and pedagogical aspects of the data and the learning situation, respectively.


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(Logo: http://www.newscom.com/cgi-bin/prnh/20080625/LAW528LOGO)
The consents received exceeded the number required to approve the proposed amendments to the indenture under which the Notes were originally issued. Because the Consent Deadline has passed, Notes tendered and consents given may not be validly withdrawn or revoked whether tendered or given prior to or after the Consent Deadline. The terms of the tender offer and consent solicitation for the Notes are detailed in GeoEye's Offer to Purchase and Consent Solicitation Statement dated September 11, 2009 (the "Offer to Purchase").
Under the terms of the Offer to Purchase, holders who tendered their Notes on or prior to the Consent Deadline will receive $1,070 per $1,000 in principal amount of the Notes validly tendered. Holders who tender their Notes after the Consent Deadline will receive $1,040 per $1,000 in principal amount of the Notes validly tendered. The tender offer is scheduled to expire at midnight, New York City time on October 8, 2009. GeoEye intends to redeem any Notes that remain outstanding after the expiration date of the tender offer on January 22, 2010 and to exercise its rights under the indenture to satisfy and discharge the indenture governing the Notes.
Based on the consents received on the Consent Deadline, GeoEye and the trustee under the indenture have entered into a supplemental indenture that will, once operative, eliminate substantially all of the restrictive covenants and certain event of default provisions and modify certain other provisions of the indenture. The supplemental indenture will become operative upon payment for Notes tendered on or prior to the Consent Deadline and accepted for purchase by GeoEye pursuant to the tender offer, which payment is expected to occur on or about October 9, 2009.
The tender offer is conditioned upon the satisfaction or waiver by GeoEye of certain conditions set forth in the Offer to Purchase. If any of the conditions are not satisfied, GeoEye will not be obligated to accept for purchase, or to pay for, Notes tendered (and corresponding consents) and may delay the acceptance, for payment of, any tendered Notes, in each event, subject to applicable laws, and may terminate, extend or amend the tender offer and may postpone the acceptance for purchase of, and payment for, Notes so tendered.
This press release does not constitute an offer to sell or purchase, or a solicitation of an offer to sell or purchase, or the solicitation of tenders or consents with respect to, any security. No offer, solicitation, purchase or sale will be made in any jurisdiction in which such an offer, solicitation, purchase or sale would be unlawful. The tender offer is being made solely pursuant to the Offer to Purchase and related transmittal documents.
Requests for documents may be directed to IPREO, the Information Agent, at (877) 746-3583 or (201) 499-3500.
J.P. Morgan Securities Inc. has been engaged to act as Dealer Manager for the tender offer and Solicitation Agent for the consent solicitation. Questions regarding the tender offer and consent solicitation may be directed to J.P. Morgan Securities Inc. at (800) 245-8812.
Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995
This release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Without limitation, the words "anticipates," "believes," "estimates," "expects," "intends," "plans," "will" and similar expressions are intended to identify forward-looking statements. All statements that address operating performance, events or developments that we expect or anticipate will occur in the future, including statements relating to the tender offer and any financing related thereto, growth, expected levels of expenditures and statements expressing general optimism about future operating results, are forward-looking statements. Similarly, statements that describe our business strategy, outlook, objectives, plans, intentions or goals also are forward-looking statements. All such forward-looking statements and those presented elsewhere by our management from time to time are subject to certain risks and uncertainties that could cause actual results to differ materially from those in forward-looking statements. These risks and uncertainties include, but are not limited to, the satisfaction of conditions to the tender offer, the ability to obtain financing on terms satisfactory to GeoEye and resulting in the receipt by GeoEye of proceeds in an amount sufficient finance the tender offer, and those risks and uncertainties described in "Risk factors" included in our Annual Report on Form 10-K for the fiscal year ended Dec. 31, 2008, which we filed with the Securities and Exchange Commission ("SEC") on April 2, 2009, and our Quarterly Report on Form 10-Q for the period ended March 31, 2009 and June 30, 2009, which we filed with the SEC on May 12, 2009 and Aug. 10, 2009, respectively. A copy of all SEC filings may be obtained from the SEC's EDGAR web site, www.sec.gov, or by contacting: William L. Warren, Senior Vice President, General Counsel and Secretary, at (703) 480-7500.
SOURCE GeoEye, Inc.
Web site: http://www.geoeye.com/


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The Orange County Convention Center is a proud leader in innovative urban agriculture. In partnership with Centerplate, the freshest vegetables and herbs are prepared daily for clients from their very own Center-to-Table Gardens. Located in the Westwood Lobby, the 2,000 sq. ft. aeroponic gardens yield edible greens grown on property in an all-natural, chemical-free environment.
In 2014 Orange County Government published the "Our Home for Life" sustainability plan. Community, Natural Resources, Mobility, Built Environment, Arts & Culture, Education, and Civic Engagement were singled out as focus areas for the coming years. The Orange County Convention Center presents their commitment to this plan, in plain view of the public and the visitors to their facility. Specifically, the gardens are a tangible example of the goal to improve access to healthy food choices, connect individuals with nature, and teach the value of the environment.
A total of 81 towers with 44 planting spots on each tower produce ingredients for many of the meals that are prepared at the Convention Center. Plants are grown in scheduled increments, allowing for harvest according to demand. Therefore, all 81 towers continuously grow plants at various stages.
Plants grown in the Center-to-Table Gardens include:
Kale, rainbow chard, basil, bok choy, celery, peppers, spinach, edible flowers, lettuce, herbs.
Read more about the future of urban farms, gardens, and urban planning in the Food Travel issue of Destinations Travel & Lifestyles – HERE!


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Here's the situation. Two weeks ago last Thursday, I went out to Senior Matias with a group of friends. Towards the end of the night, most of the group was getting ready to leave. As they were getting up, another buddy of mine called and said he was on the way. Since I had time to kill before work, I figured I'd hang out and wait for him, even though everyone else was leaving.
While I was waiting for him, our waitress came over and talked to me for a bit. Turns out her name is Angela, and as she was very cute, I didn't mind at all that she wanted to chat. (Hello, Angela, if you ever happen to read this. ;-)
After talking for a bit, we discovered that Angela actually works with my best friend's girlfriend. How's that for an amusing coincidence? Eventually, though, I had to head off for work.
The next week, I didn't see Angla (we go to Senior Matias almost every Thursday), but last Thursday, I did. I made it a point on my way out to talk to her, and while talking, I mentioned that me and some friends were going to be heading to Dundee Theater on Saturday, for their midnight movie (they were showing The Exorcist). She then gave me her phone number (she offered it, although I was about to ask for it) and asked me to give her a call about it.
Saturday came around, and I tried calling her. I ended up getting her voice mail, and I left a message. I didn't hear back from her before the movie. So, Monday, my next free day, I tried calling her again. Same result, I left her a voice mail. Yesterday, I tried again, and as before, I ended up leaving her a voicemail.
My question is, where to go from here? She gave me her phone number, so I can't help but think she's at least a little interested in me, but I've called her three times now, and I have yet to actually talk to her. Also, I've left my number twice, and she hasn't called me back.
I'm guessing I'll probably see her tomorrow at Senior Matias, but what then? Do I say anything about her apparent lack of interest? Should I wait for her to say something?
Why do women have to be so freakin' difficult? ;-p


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Earlier this morning, the cupolas were installed over the stairwells of St. Nicholas Greek Orthodox Church and National Shrine! Continuing on over the next few weeks, the dome will start to take shape. You can see in front of the church, the metal ring tension that will go on the Church next and will hold the dome. Go to Earthcam.com or download the app and watch yourself! #rebuildstnicholas #nyc #wtc #goarch
Once rebuilt, Saint Nicholas, like the Parthenon that graces the Acropolis, has the potential to inspire millions for generations to come. The parish will continue to function as a parish of the Archdiocese and it will also be a National Shrine on hallowed ground. It will shine as a spiritual beacon of hope and rebirth to cherish the memory of those who were lost that fateful day and to build a better future for generations yet to be born. Click here to learn more.
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This 501(c)3 is recognized as a leader in the Orthodox Media field and has sustained consistent growth over twenty years. OCN shares the timeless faith of Orthodoxy with the contemporary world through modern media. We are on a mission to inspire Orthodox Christians Worldwide. We have reached 5.7 Million People in One Week. Much like public radio, the Orthodox Christian Network relies on the support of our listeners, readers, and fans. If you are interested in supporting our work, you can send your gift by direct mail, over the phone, or on our website. Your gift will ensure that OCN may continue to offer free, high-quality, Orthodox media.
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A couple of new videos have been leaked for Star Wars: Battlefront, revealing the video game's alpha gameplay throughout Hoth and Tatooine. The survival mode goes on for a couple of waves and the other videos show the video game's basic multiplayer PvP in action.
All Games Beta has the videos loaded up ripe and all set for your watching pleasure. You can also inspect them out below.The videos are certainly outstanding as far as action and constant thrills go. There's constantly some type of hazard present for the player during the bout and you're not safe on any side of the map, which is quite cool.
Nevertheless, there's this sensation as if this is a shell of Star Wars: Battlefront and not actually a development on the video game series that amused numerous people a years back. It seems like the Star Wars: Battlefront 3 task that Free Radical was working on a few years ago really caught the Battlefront sensation then raised it to the next level. It felt like a real evolution of the series, particularly with the inclusion of the ground to space battles that were smooth throughout the battles.
Right here, the fights are certainly huge however they seem really consisted of and controlled. It does not rather showcase that unwieldy mayhem that some people may be made use of to from the older video games. Nevertheless, DICE is definitely ideal in their claim that this video game will certainly not be like Battlefield. Some very basic modifications like weapon cooldown instead of refilling some weapons and getting power-ups throughout the battle really add a various feel to the total combat. We truly get to see how different Battlefront is from Battlefield during the single-player survival objective where the player needs to use all their skills to stay alive. Inspect it out listed below.
Something I do truly like about this brand-new video game is the method the special effects are managed. The laser fire looks ideal and I like the method they trigger and smoke when they hit the rocks and other blockages within the environment. It looks almost identical to the method the laser fire searched in the initial motion pictures.
I do wonder the number of various weapons will be at the gamer's disposal? We've generally just seen the basic laser weapons and rocket launchers, however I do wonder if there will vary or special weapons offered also? I think we'll learn as the game nears its holiday release for the Xbox One, PS4 and PC.


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June 24, 2017
Pay What You Can
Red Circle Sponsors: Norman and Mirella Smith
The Studio@620 is throwing a birthday party and you're invited!
Each year we have a blow out celebration--and this year we're hoping you'll help us to blow out our candle and make our birthday wish come true! We're accepting gifts for our birthday this year--the gift of your support!
We're raising funds to make our 13th season the biggest yet and hope to reach our goal in time to celebrate at our annual birthday party! Be sure to join us for cake, music, and a fun party atmosphere!
RSVP now by making a gift of any size or pay what you can when you arrive. We're looking forward to seeing you!


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1957 Chronograph Watch - Mesh Band
About Vintage
In the year 1957 one of the most legendary chronograph watches was introduced. About Vintage salute the design by making a dial with oversized graphical lines and balanced details – naming it 1957. The watch has been carefully designed in Denmark, with quality materials and sapphire glass in a perfect 41mm case. A chronograph watch with a graphical and almost artistic expression. Each timepiece is made unique with its individual number engraved on the case back.
Dial: Pearl Black with stainless steel dots and hands
Glass: Sapphire Crystal, domed
Case; 316 High Precision Stainless steel, individually numbered
Size: 41 mm wide, 12 mm thick
Strap: 316 Stainless steel mesh, 20mm width
Movement: Miyota 6S11 Chronograph (Quartz)
Water Res: 5 ATM tested (Avoid use when diving)
Box: Custom made in beautiful walnut wood with engraved logo
Guarantee: 2 years against defects
Fitzrovia & Co. is an official About Vintage Retailer for Australia and New Zealand. All About Vintage watches are shipped express from Melbourne, and come with a full manufacturers warranty.


text: Live plants on a wreath, what a fun idea! Very spring-ish indeed. Steph from The Silly Pearl sent this to me and I knew I had to share it, what a unique idea. 🙂 Head over to see exactly how she did it — The Silly Pearl {Handmade}: Spring Wheat Grass Wreath.


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That's what Aaron Bruno's friends called him in high school. When the school day was over, most of his friends would walk out together and say goodbye to one another, as is the norm for students. Bruno, meanwhile, had this strange habit of just leaving. He didn't say goodbye or hug any of his friends and say, "See you tomorrow!" the way most students did. He just left, earning him a moniker that playfully poked fun at his odd behavior. Years later, he wears the label proudly, perhaps even flaunting it.
Last night, in front of a near sold-out crowd at Warehouse Live, Bruno showed up in full force. And yes, there was an encore. As far as we're concerned, that's the musical equivalent to saying goodbye.
It's still difficult to appropriately describe AWOLNATION, because doing so might pigeonhole their music, and it just refuses to be genre-specific. Instead, songs such as "Sail" are followed by the likes of "Knights of Shame," and oftentimes people in the crowd are forced to drastically change their groove to align themselves with the music. Not that anyone seemed to mind.
Bruno has honed AWOL's unique sound with the help of overly distorted and/or doubled vocal lines, which are intertwined with a assorted mix of rock, ranging from synthetic to alternative. He even incorporates indie rock. He also raps, but not in a faux-gangster way. Instead, his rap lyrics are an assault of words, often saved for live performances to further hype the crowd. Last night, during the end of "Sail," he "spit a few verses," as it were.
"Blame it on my ADD" isn't just a lyric from "Sail." It's an attitude by which Bruno creates music. One minute, it's listener-friendly, easily accessible and poppy enough that you can't help but to move your body in rhythm; the next, he's rapping or singing falsetto as he implores the crowd to dance as if the world is ending.
We are still awaiting AWOL's next album, which Bruno has been writing while on tour. has said that he doesn't have a favorite genre, so fans can expect a varied follow-up to the first full-length album.
Just six months ago, the last time AWOL was in Houston, they played the Warehouse Live ballroom. It was a solid performance, but the crowd wasn't nearly as big. In just six months, with the help of a simple yet catchy anthem, they've come quite a long way, and with a strong stage presence, we can only assume they'll stay where they are for quite some time.
It was hard to pay attention to everything that was happening, but we'll just blame it on our ADD, baby.
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Before AWOL came onstage, the Epilogues and Houston's own thelastplaceyoulook put on solid and well-received performances as well. The Epilogues had a futuristic Silversun Pickups vibe about them, as scratchy, whiny vocals soared above spacey key tones as radio-friendly rock was followed by more experimental tunes. Thelastplaceyoulook, too, probably weren't the kind of openers the crowd expected, but that didn't keep plenty of them from dancing along to their eclectic mix of heavy, melodic rock and roll done up with plenty of lyricism belted out over
Personal Bias: Having seen AWOL before, we knew they could put on a good show. The cherry on top was a Houston-based opening act.
Overheard in the Crowd: "'Sail'? That's my fucking stripper song, right there!"
Random Notebook Dump: They make "Blame it on my ADD" t-shirts?


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Product Dimensions: H30 x W26 x D31"
Frame: Ash
Filling: Foam with Fiber
Fabric: Belgian linen
Composition: 100% Linen
Care Instructions: Professional upholstery cleaning only
Product Dimensions: H30 x W26 x D31"
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For detailed information on delivery, please see our Delivery & Returns Page.
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Moraine Lake Lodge
1 Moraine Lake Rd, Lake Louise, Alberta, Canada
5 hour layover in Seattle? Perfect time for a blog post! We've been on the road for a week so far, and I've slipped back into travel life likea duck into a pond 🙂 We spent week 1 in Alberta, Canada, and I think I can pretty confidently say it's the most beautiful place in the world. I'll have a longer post coming on how to DIY road trip the Icefield Parkway so you won't have to join the hoards of buses doing the rounds, but for now, a quick look at our one night of fancy accommodation for the trip, at Moraine Lake Lodge!
I, like many others, had the dream of spending a night at the Fairmont Lake Louise, and was prepared to shell out a bit of money for the honour. Until I saw that the $800 or so for a lead in room type was one of the crappy out-the-back no view rooms, and we'd have to pay more for car parking and breakfast. Ummmm no. I started hunting for an alternative and found Moraine Lake, with the Moraine Lake Lodge coming in at the top of my searches for lake view cabins in the area. And as far as alternatives go, this was perfect.
Right on the lake. As in, any closer and you'd be in the water. Moraine Lake is completely breath taking, the most perfect shade of blue you could possibly imagine, and surrounded by mountains and trees. As you can see from the shot below, taken from our balcony…
We stayed in a Lodge Queen room, which was located on the second floor. No TVs in the rooms to encourage you to really switch off and relax, but there is free wifi available to guests if you get desperate. We also had a gorgeous antique gas fireplace, a nice big balcony, complimentary tea and coffee, and a nice big bathroom.
– Free parking in a private guest carpark, away from the day visitor lot
– Complimentary buffet breakfast
– Free wifi throughout
– Complimentary tea and coffee service in the Library each afternoon
– Guided hikes and canoe hire
It varies depending on time of year and room type, but we paid around AUD $475 for one night. We thought it was money well spent; the location was beyond anything I could have imagined, waking up and being able to walk straight up the top of the path to look out over thr lake with hardly anyone else around was priceless, and the service was so friendly and professional all at the same time – we even had a bottle of bubbles on ice and a happy anniversary card waiting in our room upon arrival 🙂
The Walter Wilcox Dining Room is the restaurant where breakfast is served to guests only, and dinner is open to anyone – but your best bet is to make a reservation, as it's a fairly small and intimate place. The menu is elegant, and takes full advantage of the local produce and specialties. Not a cheap feed, but a really memorable special occasion meal. Special mention to not only the chefs, but the servers – friendly, helpful and attentive service made a good meal a great one!


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Best of
the Twin Cities
Since 2011, Boneshaker Books has been a bright literary spot in the Seward neighborhood. Here you'll discover hard-to-find radical and progressive books and publications, a fun children's section, and great lit, all in a shop with a cozy neighborhood feel. The space is mostly volunteer-run and hosts a slew of happenings, including open work sessions and reading clubs like Cracked Walnut (short fiction) and the Twin Cities Queer Book Club. Another quirky (and practical) perk to this business: If you're local and you order a book online, it will be delivered via bike. The space is also home to the Women's Prison Book Project, which seeks to supply free reading materials for female/trans prison inmates.


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BACKGROUND: Substantial morbidity and excessive care variation are seen with pediatric pneumonia. Accurate risk-stratification tools to guide clinical decision-making are needed.
METHODS: We developed risk models to predict severe pneumonia outcomes in children (<18 years) by using data from the Etiology of Pneumonia in the Community Study, a prospective study of community-acquired pneumonia hospitalizations conducted in 3 US cities from January 2010 to June 2012. In-hospital outcomes were organized into an ordinal severity scale encompassing severe (mechanical ventilation, shock, or death), moderate (intensive care admission only), and mild (non–intensive care hospitalization) outcomes. Twenty predictors, including patient, laboratory, and radiographic characteristics at presentation, were evaluated in 3 models: a full model included all 20 predictors, a reduced model included 10 predictors based on expert consensus, and an electronic health record (EHR) model included 9 predictors typically available as structured data within comprehensive EHRs. Ordinal regression was used for model development. Predictive accuracy was estimated by using discrimination (concordance index).
RESULTS: Among the 2319 included children, 21% had a moderate or severe outcome (14% moderate, 7% severe). Each of the models accurately identified risk for moderate or severe pneumonia (concordance index across models 0.78–0.81). Age, vital signs, chest indrawing, and radiologic infiltrate pattern were the strongest predictors of severity. The reduced and EHR models retained most of the strongest predictors and performed as well as the full model.
CONCLUSIONS: We created 3 risk models that accurately estimate risk for severe pneumonia in children. Their use holds the potential to improve care and outcomes.
- aOR —
- adjusted odds ratio
- c-index —
- concordance index
- emergency department
- Electronic Health Record
- EPIC Study —
- Etiology of Pneumonia in the Community Study
- interquartile range
- PF ratio —
- PaO2/FiO2 ratio
What's Known on This Subject:
Pneumonia is the most common serious infection in childhood. Accurately identifying risk for severe outcomes is critical to optimizing care and outcomes; however, risk-stratification tools to guide disposition and management decisions in children are lacking.
What This Study Adds:
We created 3 risk models that accurately estimate risk for severe pneumonia in US children. The application of risk-stratification tools using these models holds the potential to improve clinical care and outcomes.
Pneumonia is the most common serious infection in children, accounting for 1% to 4% of all pediatric emergency department (ED) visits in the United States.1 Although most children are treated as outpatients, 20% to 25% of pneumonia ED visits result in hospitalization.1,2 Consequently, pneumonia ranks among the top 3 reasons for pediatric hospitalization.3,4 However, the proportion of children presenting to the ED with pneumonia who are hospitalized varies widely,5,6 ranging from 19% to 69% among 35 US children's hospitals.6 This variation is largely independent of population differences or illness severity,5–7 suggesting a need for standardized methods to improve identification of children at risk for severe outcomes.
Predictive analytics uses statistical modeling to generate reliable and objective risk estimates that facilitate individual patient management decisions. The high incidence, morbidity, and substantial variation in care make pediatric pneumonia an excellent target for such studies. Several prognostic models are available for adults with pneumonia,8–10 and studies of these models indicate that they may reduce broad-spectrum antibiotic use and decrease hospitalization among low-risk individuals.11–14 However, no validated models exist to predict clinical outcomes among children with pneumonia in the developed world, a key research gap highlighted in national childhood pneumonia management guidelines.15 Using data from the Centers for Disease Control and Prevention Etiology of Pneumonia in the Community (EPIC) Study,16 we developed 3 prognostic models to accurately estimate risk of severe pneumonia outcomes in children.
Study Population
The EPIC study was a prospective, population-based surveillance study of community-acquired pneumonia hospitalizations among children <18 years of age conducted between January 1, 2010, and June 30, 2012, at 3 children's hospitals in Memphis, TN, Nashville, TN, and Salt Lake City, UT.16 Children were enrolled if they were hospitalized with signs or symptoms of acute infection (eg, fever) and acute respiratory illness (eg, cough), and radiographic evidence of pneumonia. Standardized radiographic interpretation was completed by a board-certified pediatric study radiologist at each study hospital. Children with recent hospitalization, severe immunosuppression, cystic fibrosis, tracheostomy, or a clear alternative diagnosis were excluded. The study was approved by the institutional review board at each participating institution and the Centers for Disease Control and Prevention. Additional details regarding the EPIC study population were published previously,16 and also are presented in the supplementary materials.
Our prognostic models focused on acute in-hospital outcomes, organized into a single ordinal severity scale with 3 levels: severe, moderate, and mild. Severe included children who died, required invasive mechanical ventilation, or developed shock requiring vasoactive medications (eg, dopamine, norepinephrine, vasopressin). Moderate included children admitted to the ICU who did not meet criteria for severe. The remaining children were classified as mild. Children were classified according to the most severe outcome that occurred during the hospitalization.
Predictor Variables
Predictors were identified a priori and informed by clinical expertise and literature review. We focused on the selection of objective variables with strong hypothesized associations with the outcome that also could be rapidly ascertained in the clinical setting. This resulted in a pool of 20 candidate predictors, encompassing demographics and comorbidities, as well as clinical, laboratory, and radiology variables (Table 1). Comorbidities were evaluated as a single composite variable (0, 1, 2, or 3+). Oxygenation was expressed as the PaO2/FiO2 (PF) ratio, derived from the SpO2/FiO2 ratio.17 All predictors were assessed at the time of admission.
Model Development
We evaluated 3 primary models. The first model included 20 predictor variables (full model). Next, we created a reduced model limited to the most clinically important predictors as judged by expert consensus. For this process, we surveyed 14 attending physicians from 10 US institutions with expertise in childhood pneumonia (including 5 EPIC study investigators), representing critical care, emergency medicine, hospital medicine, and infectious diseases. Respondents assessed the importance of each of the predictor variables on a 5-point Likert scale (1 = not important to 5 = very important). Variables with an average ranking of important or very important (median score of ≥4) were retained. This resulted in a reduced set of 10 predictors (reduced model), including age, comorbidities, chest indrawing, altered mental status, heart and respiratory rates, systolic blood pressure, PF ratio, infiltrate pattern, and pleural effusion. The third model included 9 predictors that are routinely available within comprehensive electronic health records (EHR model): age, sex, race, temperature, heart and respiratory rates, systolic blood pressure, PF ratio, and white blood cell count. A term for enrollment site was also included in each model.
Contribution of Microbiologic Etiology
To assess the contribution of microbiologic data to prognostic performance, we also evaluated each of the primary models by using etiology data from the EPIC study. Etiologic assessments included blood for bacterial culture, serology for 8 respiratory viruses, and pneumococcal and group A streptococcal polymerase chain reaction; and naso/oropharyngeal swabs for polymerase chain reaction for 13 respiratory viruses, Mycoplasma pneumoniae, and Chlamydophila pneumoniae.16 For this analysis, microbiologic data were summarized by using binary categorical variables for viruses, atypical bacteria (M pneumoniae or C pneumoniae), and other bacteria.
Our severity prediction models were created by using ordinal logistic regression.18,19 To allow for nonlinear associations, continuous predictors were modeled by using restricted cubic spline transformations. To account for known age-based differences in normal heart rate, respiratory rate, and blood pressure, interaction terms between each of these variables and age were included. The effect of individual predictors on severity outcomes were reported by using adjusted odds ratios (aORs). Partial effects plots for continuous predictors also were generated. To illustrate the importance of each predictor, we calculated, and graphically displayed, the fraction of explainable outcome variation contributed by each predictor based on their partial χ2 values.18
Between-model comparisons included assessments of fit (likelihood ratio χ2 statistic), quality (Akaike Information Criterion), and predictive accuracy (discrimination and calibration).18 We assessed the ability of our models to differentiate between children with and without each outcome (discrimination) using the concordance index (c-index), which is analogous to the commonly reported area under the receiver operating characteristic curve. A c-index of 1.0 indicates perfect concordance. Agreement between the predicted and observed outcome frequencies (calibration) was assessed graphically. First, predicted risk for moderate or severe pneumonia was transformed into 100 bins of equal size ranging from 0 to 1. Lowess fit curves were then generated corresponding to the observed proportion of children who experienced a severe, moderate, or mild outcome within each bin of predicted risk. Finally, we explored the potential performance of our models in future populations by using an internal bootstrap validation (500 replications with replacement).
We conducted secondary analyses to assess key assumptions. First, we examined whether our estimated risk for moderate or severe outcomes correlated with hospital length of stay, a commonly used surrogate for disease severity, by using Spearman's rank correlation. Second, because our predictive models may perform less well in children without evident severe disease at presentation, models were reassessed after excluding children triaged to the ICU on presentation. Analyses were conducted by using Stata 13.1 (StataCorp, College Station, TX) and R 3.2.3 (R Foundation for Statistical Computing, Vienna, Austria). Additional methodologic details are provided in the supplementary materials.
Study Population
Of the 2358 children enrolled in the EPIC study with radiographically confirmed pneumonia, 39 were excluded due to ≥1 immunocompromising comorbidity (Supplemental Fig 3). Median age of the 2319 included children was 28 months (interquartile range [IQR], 12–71); 55% were boys; 40% were non-Hispanic white, 33% were non-Hispanic black, and 19% were Hispanic; 49% of children had ≥1 comorbidity (Table 1). Seven percent of children had a severe outcome (range across sites 6%–10%); 14% had a moderate outcome (range across sites 9%–16%). One-third of children were hospitalized for <48 hours and almost 10% for <24 hours. Not all children had complete data for all considered predictors (Supplemental Fig 3); peripheral white blood cell count, in particular, was missing in 17% of children (n = 397); for all other variables, data were missing in <2% of observations.
Predictors of Pneumonia Severity
The aORs for each predictor are presented in Table 2; partial effects plots for continuous predictors are shown in Supplemental Fig 4. The presence of altered mental status, chest indrawing, and multilobar or nonlobar (eg, interstitial) infiltrates each predicted a more severe outcome (eg, in the full model, chest indrawing increased the odds of moderate or severe pneumonia 1.77 times). Similarly, among the continuous predictors, decreasing PF ratio, systolic blood pressure, and temperature; extremes of age; and increasing heart and respiratory rates were all associated with more severe pneumonia outcomes (eg, in the full model, the odds of a moderate or severe outcome was increased 1.22 times for a 1-year-old child compared with a 2-year-old). Combined, these 9 variables ranked as the strongest predictors of pneumonia severity, contributing 96% of the explainable outcome variation in the full model (Fig 1). The reduced model retained all but 1 of these predictors (temperature), whereas the EHR model retained 6 (omitting altered mental status, chest indrawing, and infiltrate pattern) (Table 2).
Prognostic Model Performance
Each of the models accurately identified risk for moderate or severe pneumonia (c-index range across models 0.78–0.81, Table 3). Differences in model fit and quality were considered negligible, and results from the internal bootstrap validation were comparable to the primary models (c-index range across models 0.76–0.79). Given similar model performance, the simplified EHR model was selected for illustrative purposes. For this model, the median predicted risk for moderate or severe pneumonia was 18% (IQR 9%–32%) and for severe pneumonia 5% (3%–11%). As demonstrated in Fig 2, among those with a 10% predicted risk of a moderate or severe outcome, 12% actually experienced these outcomes, indicating good agreement between observed and expected outcomes.
In secondary analyses, a positive correlation was noted between hospital length of stay and the predicted risk for moderate or severe pneumonia estimated from the EHR model (ρ = 0.33, P < .01). Twenty-four percent of children with hospital length of stay <24 hours had a <5% predicted risk of moderate or severe pneumonia, compared with 12% of those hospitalized for 24 to 47 hours and 7% of those hospitalized for ≥48 hours (P < .001). Results for the full and reduced models were similar (data not shown). Further, after excluding those initially triaged to the ICU (n = 336), the discriminatory power of the 3 models (c-index range across models 0.76–0.79) was similar to the primary models. Importantly, those with delayed ICU transfer had significantly higher median predicted risk for moderate or severe (25% in EHR model) and severe pneumonia (8%) compared with those not admitted to the ICU (14%, 4%; P < .001 for both).
Contribution of Microbiologic Etiology
Viruses were detected in 72% of children and atypical bacteria in 9%; detection of these pathogens was less common in children with moderate or severe pneumonia (viruses detected in 21% of children with moderate or severe pneumonia [aOR 0.74 in EHR model] and atypical bacteria detected in 11% [aOR 0.35], Supplemental Table 4). Typical bacteria were detected in 6% of children, including Streptococcus pneumoniae in 4%, and both Staphylococcus aureus and Streptococcus pyogenes in 1%.16 Detection of these bacterial pathogens was strongly associated with pneumonia severity (aOR 3.76); 30% of children with S pneumoniae detected had moderate or severe pneumonia, whereas 83% of those with S aureus and 75% with S pyogenes had moderate or severe pneumonia. Nonetheless, the addition of etiology data had a negligible impact on each of the 3 primary models' discriminatory power (c-index range across models 0.79–0.83, Supplemental Table 5).
Using prospective data from >2300 children hospitalized with pneumonia, we developed and internally validated 3 novel prognostic models to estimate risk for severe in-hospital outcomes. Each model accurately identified risk for moderate (ICU admission) and severe (invasive mechanical ventilation, shock, or death) outcomes. Risk-stratification tools based on these models could be used in emergency care settings to help identify children at low risk for severe outcomes who could be safely discharged, as well as those who may benefit from more intensive management. A simple EHR-based model that included 9 predictors demonstrated similar predictive accuracy to the 2 more-complex models and offers the greatest practical utility. Although predictive models must be externally validated, the use of risk-stratification tools based on these models holds the potential to standardize care and improve outcomes for children with pneumonia.
Variation in disposition decisions is evident among children with pneumonia,5–7 with potential for avoidable harm related to unnecessary hospitalizations as well as delayed triage to higher levels of care. To inform care decisions and optimize outcomes, the 2011 Pediatric Infectious Diseases Society/Infectious Diseases Society of America childhood pneumonia management guidelines emphasized the need for objective risk-stratification tools.15 Reed et al19 previously developed a simple tool to predict in-hospital pneumonia mortality in young South African children, although its utility in settings in which pediatric pneumonia mortality is rare has not been evaluated. Our prognostic models focused on in-hospital outcomes and evaluated an expanded set of predictors routinely collected for clinical care. Each of our models demonstrated potential to improve risk stratification for US children with pneumonia.
Given similar predictive accuracy of the 3 primary models, we anticipate the EHR model could be most readily adopted into clinical settings. Each of the predictors included in this model is routinely available within comprehensive EHRs and easily queried in real time for children presenting for emergency care. Most of these predictors represent physiologic parameters and many are included in existing severity scores for children admitted to intensive care and adult pneumonia severity scores.8,10,22–24 The full model also included several weak or nonsignificant predictors. Comorbidities failed to demonstrate strong associations with pneumonia severity, although we postulate this is due to the wide heterogeneity of chronic comorbidities in children. Of note, functional status and medical complexity were not assessed, a limitation that requires further study.
In our models, peripheral white blood cell count was not associated with severe outcomes. These data were missing for nearly 20% of children. Our observations are consistent with national guidelines that indicate that routine measurement of complete blood counts may be unnecessary except in those with critical illness (eg, sepsis).15 Interestingly, the inclusion of etiologic data also had a negligible effect on our models. However, the detection of viruses and atypical bacteria was associated with a reduced odds of severe outcomes, whereas detection of typical bacteria was associated with an increased odds of severe outcomes. Results of bacterial studies are not available at the initial triage assessment and their sensitivity remains questionable, limiting the utility of such testing to inform initial management decisions. It will be important to reevaluate our findings as new strategies to rapidly diagnose bacteria emerge.
A third of the children in our study were hospitalized for <48 hours and nearly 10% for <24 hours.16 A quarter of children with length of stay <24 hours had a <5% estimated risk of moderate or severe outcome. Hospitalization may be unnecessary in some of these children. In others, factors unrelated to pneumonia severity may influence the hospitalization decision. However, studies in adults with pneumonia indicate that site of care decisions vary considerably by provider and that risk for severe outcomes is often overestimated.25–27 Appropriate use of prognostic models in adults is associated with reduced hospitalizations for low-risk patients and improved guideline-concordant management.12,13,28–30 Thus, although prognostic models do not replace clinician judgment, these studies demonstrate that accurate risk stratification can improve decision-making. Risk-stratification tools based on our models could be used in emergency care settings to help identify children at low risk for severe outcomes and potentially facilitate rapid triage and safe discharge with minimal testing or intervention.15 Conversely, the rapid identification of children at high risk for deterioration could signal the need for closer monitoring and/or more intensive therapy. In either scenario, decision-making informed by an accurate understanding of risk is likely to lead to better care and outcomes.
An important challenge for prognostic models is clinical implementation. Despite the availability of risk-stratification tools with documented clinical utility for adults with pneumonia,11–14 studies indicate these tools are infrequently used or sometimes used inappropriately.26,31–33 Complex score calculations can deter adoption, but the availability of Web-based or mobile device applications may improve accessibility. Clinical decision support using prognostic models embedded within the EHR offer distinct advantages over other electronic applications, chief among these is computational efficiency and seamless workflow integration.34 With EHR-based tools, risk predictions can be obtained in real time at the point of care without requiring providers to input additional data. Risk estimates also can be linked to tailored care recommendations and order sets to ensure that each patient receives the most appropriate level of care.11,35 Although several published studies demonstrate the usefulness of well-designed EHR-based decision support applications,11,35,36 additional study is needed.
As with all prognostic studies, our models may perform less well among other populations; however, this study was nested within a very large, prospective, population-based cohort of children hospitalized with clinical and radiographic pneumonia in 3 US cities. Importantly, although the populations served by these 3 hospitals may not be representative of the US population, characteristics of the study population, including age, sex, race/ethnicity, and frequency of comorbidities, were similar to a previous study of pneumonia hospitalizations conducted within a national sample of 43 US children's hospitals.37 Although results from our internal validation are very encouraging, external validation in expanded populations is essential before widespread adoption. In particular, inclusion of children discharged from the ED without hospitalization will be important. Prospective validation also allows for model updating and the evaluation of novel predictors. New approaches to predict pneumonia etiology and outcomes, including point-of-care testing by using biomarkers (eg, procalcitonin),38 may further our ability to precisely estimate risk for severe outcomes. Continued evaluations are needed to rigorously evaluate implementation, as well as the clinical utility, of these promising models.
We developed 3 prognostic models that accurately identified risk for severe outcomes in children hospitalized with pneumonia. A simplified model using inputs derived exclusively from data available in the EHR performed similarly to more-complex models. Use of this simpler model to implement risk-stratification tools within comprehensive EHR systems could lead to safer and more effective care that is tailored to each patient's risk for severe pneumonia outcomes.
- Accepted July 20, 2016.
- Address correspondence to Derek J. Williams, MD, MPH, CCC-5324 Medical Center North,Vanderbilt University Medical Center, 1161 21st Ave S., Nashville, TN 37212. E-mail: derek.williams{at}vanderbilt.edu
FINANCIAL DISCLOSURE: Dr Self has received payment for consulting and advisory board services from Abbott Point of Care, BioFire Diagnostics, and Venaxis. Dr Anderson has received payment for consulting from AbbVie and research funding from MedImmune/AstraZeneca. Dr Ampofo has received research funding from GlaxoSmithKline, Cubist Pharmaceuticals, and Janssen Pharmaceuticals. The other authors have indicated they have no financial relationships relevant to this article to disclose.
FUNDING: Supported by the National Institutes of Health under award number K23AI104779 to Dr Williams and award number K23GM110469 to Dr Self; by the Agency for Healthcare Research and Quality under award number 1R03HS022342 to Dr Grijalva; and by CTSA award numbers UL1TR000445 and KL2TR000446 from the National Center for Advancing Translational Sciences. The Etiology of Pneumonia in the Community Study was supported by the Influenza Division in the National Center for Immunizations and Respiratory Diseases at the Centers for Disease Control and Prevention through cooperative agreements with each study site and was based on a competitive research funding opportunity. The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the National Institutes of Health, the Agency for Healthcare Research and Quality, or the Centers for Disease Control and Prevention. Funded by the National Institutes of Health (NIH).
POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.
- Copyright © 2016 by the American Academy of Pediatrics


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The ABS sensor is part of your vehicle's anti-lock braking system. It's located on the tires and monitors wheel speed. This sensor works with the electronic control module to keep your wheels from locking up when you brake.
Ask your service advisor to check the ABS wheel sensor during a routine brake service. If your ABS warning light comes on, have the sensors checked right away. If the ABS sensor is not working correctly, your anti-lock braking system will not protect you in an emergency. Ignoring a faulty ABS sensor will lead to bigger problems with the electronic control module, and the entire system might need to be replaced.
From a safety standpoint, a broken ABS sensor will decrease your ability to stop in an emergency. There is no environmental impact from an ABS wheel sensor replacement.
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Note: This is one of many diary entries of Octave Bruso, a member of the 50th New York Engineers who participated in the Petersburg Campaign.
Monday, February 29, 18641
Foggy day, but warmer. Mustered in for pay. Went to the theatre in the Eve. Called on Nettie Beaman and took dinner. Wrote to my wife.
- "1864 Diary of Private Octave Bruso, 50th NY Engineers, Company E" edited by Tom Bauerle, Buffalo, NY, 2010. ↩
What are your Top 10 Gettysburg Books? See what a panel of bloggers said recently.


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Dated: 29 November, 2010
By Phillip Smith, November 23, 2010, 08:25pm
The marijuana industry is growing up. On Tuesday, the National Cannabis Industry Association (NCIA) officially came into being to represent the interests of the marijuana industry and its consumers. The group aims to influence policy in Washington, DC; just the same way any other industry does – by lobbying the federal government to protect the interests of its members.
"We've seen such tremendous growth in this industry in the last five years," said NCIA executive director Aaron Smith. "It seems like the industry is not just surviving in the midst of economic decline, but booming. But it wasn't represented in Washington, DC, like all sorts of other industries are. I just started talking to some of the major industry players, and just about everybody was really enthusiastic about jumping on board. This thing just blossomed."
The makeup of the NCIA's board of directors, with about one third of its 23 members from California, one third from Colorado, and one third from the rest of the country, correlates roughly with where the cannabis business action currently is. Most of the board members represent dispensaries or associated businesses, but there's also Kush magazine, Weedmaps.com, a pipe-market, an insurance company, and a hemp-seller.


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Como publicar as suas próprias traduções (ou material original)
Course summary
Esta oficina virtual apresentará alternativas para a publicação independente dos livros que você tenha escrito ou traduzido, indicando como é feita a edição tanto de cópias finais para livro impresso como também para livro digital. Falaremos sobre quais materiais você pode traduzir e publicar por conta própria, além de sugestões para entrar em contato com autores independentes para formar parcerias e oferecer livros para o público-alvo que fala a sua língua.
Some feedback from others on this course's trainer:
"Rafa is very knowledgeable about the topic and is very clear and objective. It was easy and interesting to follow her presentation."
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"Engaging content, very friendly. I sent a question after the webinar. It was answered promptly and completely."
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Target audience
Tradutores interessados em publicar os livros que escreveram ou traduziram, dos quais detêm os direitos autorais, e que queiram saber mais sobre o processo de autopublicação.
Learning objectives
Seleção do material a ser publicado
Dicas de formatação para formatos diferentes
Canais de distribuição para disponibilizar o livro para os leitores
Não há pré-requisitos para esta oficina virtual. Tradutores iniciantes e experientes são bem-vindos.
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1. O que pode ser autopublicado
a) Seleção do conteúdo
2. Como autopublicar
a) Impressão sob demanda
b) Livros eletrônicos
c) Audiolivros
3. Onde autopublicar
4. Como promover o seu trabalho
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I've read on the MS site that Virtual PC won't work with either XP Home or Vista Premium yet other forums seem to think there's no problem.
I was thinking of installing XP Home on the first partition, then Vista on the next partition, then setting up a virtual PC on another partition but wasn't sure whether to run this from XP Home or Vista.
Any guidance/experience would be gratefully received.


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It is known that for a Hausdorff locally compact etale groupoid, the reduced C*-algebra is simple iff the groupoid is minimal (meaning the orbit of each unit is dense) and topologically principal (meaning the set of units with trivial isotropy is dense).
If one considers the case where only the unit space is Hausdorff, then it is known the above two conditions are not sufficient.
Question: Are there simple to state necessary and sufficient conditions for simplicity of the reduced C*-algebra in the non-Hausdorff setting?
I suspect something can be extracted from the Khoshkam-Skandalis paper in Crelle's journal on regular representations of non-Hausdorff groupoids but I am not an operator theorist by trade.
Edit: I omitted the hypothesis that the groupoid be amenable. This should be added to both the background and the question.


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Since 2014 we've made it our mission to help businesses collect user generated content from their customers. Part of that mission is coming up with exciting and fun ways to incentive users to want to leave a review.
Research has shown that by simply offering a coupon or even doing some sort of random giveaway can increase response rates as high as double digit additional responses.
With TrustSpot we currently have our iPad Mini Giveaway, and it's pretty sweet. This document walks you through how it works and what to be aware of.
Every month TrustSpot will automatically select 5 random reviewers and send them an email to collect their information to send out a iPad Mini. The 5 random reviewers are selected from all customers that leave reviews for TrustSpot for that month.
- This is for the iPad Mini 4 (128GB - WiFi) version
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There are no limitations on how you can advertise this giveaway to your customers, except for the following:
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We recommend adding a notice to your subject lines, example: "Tells us what you thought about X product and win a iPad Mini", in addition to text within the body of your emails.
If customers have any questions regarding shipping and/or delivery we recommend they contact the shipping carrier directly (USPS or Fedex).
Please free to contact our support team at = firstname.lastname@example.com