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Customer Experience Summit - 2018
CIO and Technology Leadership Strategies for Creating Great Customer Experiences
According to Gartner, 89% of marketers expect customer experience to be their primary differentiator. Companies looking to drive growth are already learning how to create better customer journeys and enhance the relationship with their customers.
In this summit, we'll explore the four pillars that progressive CIOs, Chief Innovation & Digital Officer, and Senior Technology Executives are using help drive great customer experiences:
Pillar One - Leadership: Partnering with the CMO and Senior Marketing Executives to help the Company Understanding Customer Needs, and Roadmapping a Great & Unique Customer Experience
Pillar Two - Responsive Development: Dev Ops, Human Centered Design, Agile, and Rapid Experimentation combined to empower the company to create great customer experiences.
Pillar Three - Technology: Using your technology infrastructure, network, platforms and "mesh" to create the responsive path and connections necessary to drive the experience.
Pillar Four - Data: Building, Managing & accessing your data layer for predictive, responsive and intelligent use
Faculty & Agenda:
Check back for new Faculty and Sessions as they are added.
Kelly L. Coomer, Vice President – Divisional CIO Consumer Technology, Allstate Insurance Company
Gary C. Sarkesian, SVP, Customer Experience and Professional Service, Pearson
Qasim Khan, Head of Technology, Investment Services, U.S. Bank
Jennifer Faris Severns Chief Experience Officer American Marketing Association
Neil Goodrich, CIO, M. Holland Company
Alex Welch, Director Business Analytics, E*Trade
Ryan Duritsa, Group Creative Director, Digital, Walgreen Co.
Maureen Durack, Director Operations, Vedder Price
Anoop Verma, Director, Tech Products & Innovation/IT Applications, The Joint Commission
Adam Bowen, Strategic Advisor, Office of CTO, Delphix
Alois Reitbauer VP, Chief Technology Strategist, Dynatrace
Steve Rotter, CMO, OutSystems
Philene Molz, Strategist Principal, Solstice
Event Agenda
Session I. Stuck in the Mud? 5 Ways IT Struggles with Great Customer Experiences and Digital Transformation ... and What You Can Do About It.
Author, blogger, and evangelist, Steve Rotter has been focused on helping IT and business leaders create great customer experiences for over 20 years. At OutSystems, Steve leads the CX initiatives for one of the fastest growing B2B software companies in the world. Most recently, he was CMO of artificial intelligence software company Acrolinx and was co-founder of Q-Link Technologies, a BPM platform acquired by Adobe in 2004. Steve received his MBA from Northwestern University's Kellogg Graduate School of Management and has volunteered on advisory boards for several non-profit organizations including World Vision and A Child's Right.
Session II: Keynote Panel: CIO and Technology Leadership Strategies for Customer Experience
Kelly Coomer is vice president and divisional CIO of Consumer Technology where she is responsible for the engineering of mobile, iOT and web software products used by Allstate customers. Kelly also manages the software utilized in producing the insurance policy documents and leads the Online Analytics and Search Engine Optimization team which leverages insights from digital activity to improve the capabilities and discoverability of Allstate-wide digital assets.
Maureen is Director of Operations for Vedder Price P. C. Vedder Price is a 300 attorney law firm with 5 domestic and 2 international offices. Maureen received her Accountancy degree from the University of Illinois and is a Certified Public Accountant. Maureen's career began as an auditor with Ernst & Young evolving into full-time consulting position in Information Systems. Maureen has worked with Vedder Price for over 22 years starting as the Director of Management Information Services then promoted to Director of Operations in 2013 serving as a key member of the functional transition committee for the growing firm. Responsibilities include all aspects of General Office Management, eDiscovery, Strategic Projects, Facilities, Library and management of outsourced services.
Gary is currently serving as the Senior Vice President, Customer Experience and Professional Services at Pearson. In this role his teams are responsible/accountable for the successful outcomes of their customers, ensuring adoption of the Pearson Platform, operationalizing the digital pedagogy, bringing efficacy into our programs and managing how customers interact across all Pearson channels and their experiences. Additionally, my teams are driving transformation in the Education Industry from print to digital leveraging the Pearson Customer Success Value Chain (from Vision, to Metrics, to Adoption, through Technology and Architecture). Prior to Pearson he served as the VP, Worldwide Account Management for Cvent, Inc. Before Cvent, Inc., he served as Vice President, Customers For Life at Salesforce.com. Prior to Salesforce.com, he was the Vice President of Technology Services at CA Technologies. Gary has over 35 years of progressive experience in information technology and management, and over 12 years of military background. He recently self-published a book "Ghost Of Honor", a murder mystery novel, based in 1980s Chicago. Gary holds a B.S. in Business Administration from The Citadel, The Military College of South Carolina, and serves on the Board Of Directors of the Military Officers Association Of America.
Anoop Verma leads Technical Product Management and Enterprise Applications for a not for profit global leader in healthcare dedicated to patient safety and healthcare quality. Prior to this, he led strategy, planning, architecture and delivery function in companies ranging from startups to Fortune 100 companies. He has led as well as advised on major organizational transformations from Waterfall to Agile project portfolio delivery, from cost center to change catalyst, and tactical service provider to innovation partner. With over 20 years of technology and business leadership, Mr. Anoop Verma has the unique experience and practical insights on Organizational Agility and how a structured approach to customer experience is critical in achieving this. With Project Management, Lean, Six Sigma and Change Management experience, he has led organizations convert disruptions into opportunities to deliver sustainable value, in both large firms as well as high growth mid-size organizations. An inspirational leader, Mr. Verma graduated from Indian Institute of Technology (earlier called University of Roorkee), India before getting his Master's degree from Wayne State University, Detroit and M.B.A. from Kellogg School of Management at Northwestern University. He has spoken at university and conference sharing his insights on the strategic integration of strategy, planning and execution functions to achieve higher business value in a sustainable manner.
Moderator: Steve Rotter, CMO, OutSystems
Session III. The Role of Your Customer is Changing How You Lead, Manage, and Execute Your Business.
Philene, Digital Strategist at Solstice, will be share insight on how organizations should be addressing the changing role of the customer - including best practices, typical challenges, and lessons learned.
Philene Molz is a Strategist Principal at Solstice and has 15 years of experience in consulting. She has worked with more than 500 organizations, including Fortune 500 clients, on various business challenges including business transformation, product implementation, and executive alignment. Her passion is helping teams and organizations gain stronger alignment in order to achieve transformational change. In her free time, Philene enjoys traveling and attending football games at her alma mater, Texas Christian University
Session IV. Presentation: BizDevOps or why Digital Transformation is a multi-disciplinary effort
Digital Transformation is on top of your agenda. All of your teams are ensuring they do the best job possible and still it feels like you are moving not fast enough or even in the wrong direction. Learn how digital experience management gets all your stakeholders – business, technology and marketing speak the same language and achieve more. See state-of-the art user experience management in practice and learn how to manage the happiness of your users in hard numbers and find the spots where to tweak it. Also get your to-do list to learn where you are on your digital experience management journey.
Creativity and love of adventure are hallmarks of Dynatrace leadership and Alois is no exception. Whether bringing to market three of our market-leading performance solutions, participating in a cattle drive in Argentina or travelling the world in search of the perfect sushi, Alois is fearless and passionate. He's a tireless creative force and evangelist for Dynatrace technology, services and solutions. With Masters Degrees in both software and information engineering, he's equally at home addressing major international conferences or strategizing with Dynatrace architects, engineers and customers. Not surprisingly, his automobiles of choice are Porsche sports cars—always red and preferably convertible.
Session V. Presentation: Data Friction - What's killing your internal and external experience
Data Friction is the resistance encountered when constraints on data prevent people from meeting the ever-growing demands of the business. In this presentation, Adam will share customer experiences to explain the new concept of data friction, how to identify it, and how to start eliminating it from your organizations.
Adam is a technology leader with over 15 years of experience in technical, sales, and senior leadership roles. As the senior member of the Office of the CTO, Adam works with other thought leaders executives of the Global F100 to eliminate key business constraints through innovative new processes, offerings, and technologies. Adam serves as an evangelist on behalf of Delphix communicate our vision, values, and ideas with our customers.Adam's background is in DevOps, TDM, Cloud, Security, and Migration for the US Gov't and global financial powers.
Session VI:Presentation: Case Study/ Blueprint - Customer Experience in light of disruptive innovations
Today's evolving and fast paced digital economies and expectations of immediacy are driving and shaping the future of investment fabric across industries. Artificial intelligence, machine learning, block chain, power of data, Fintechs and diversity of consumers are all dots that connects and influence future of customer experience. I am thrilled and look forward to sharing my thoughts and learnings around maximizing strategic investments with customer centric roadmaps.
Qasim Khan heads global technology delivery teams supporting multiple products across Investment Services at U.S. bank. Thought leader and a futurist, who is responsible to drive technology strategy to enable product growth, champion innovation and drive efficiencies. Over the years, he has been in strategic and operational roles supporting delivery of new products, mergers and acquisitions, development and architecture. Prior to joining U.S. Bank, he has been in various roles with Bank of America and LaSalle Bank. He received a Bachelor of Science in Mathematical Computer Science from University of Illinois at Chicago and his Master of Business Administration from DePaul University. Besides professional engagements, he is passionate about making a difference by helping others; he is a cricket enthusiast and loves to travel.
Session VII. Keynote Panel: Case Studies and lessons learned from Human Centered Design, Rapid Experimentation & Agile
As the Chief Experience Officer for the American Marketing Association, Jennifer is shaping the way marketers interact with the largest marketing association in the world. Under her leadership, design of the organization's customer experience is continually optimized, delivering value to marketers in search of concrete insight, career advice and a supportive community. Previously, Jennifer led creative strategy for large-scale experiences serving Fortune 500 brands such as Allstate, Mondelēz International, 20th Century, Fidelity Investments, Dell and Cisco. She built and led the creative and digital team for Omnicom's social media agency, Zócalo Group, and she spent nine years directing design strategy for Oprah.
As the technology leader at the M. Holland Company, Neil is responsible for not only setting the IT strategy but driving change within the organization. His multi-disciplinary background includes previous lives in accounting, project management, and investigation while his recent work has focused on building IT teams around cultures of creativity. He received his undergraduate degree in Criminal Justice from the University of Illinois at Chicago, and later returned there to earn his Masters in Business Administration.
Alex Welch is the Directory of Business Analytics at E*TRADE with 8 years of experience in analytics and data. His organization is responsible for almost the entire 'data' spectrum, ranging from reporting, architecture design, advanced analytics, and innovation. Having worked at both Fortune 500 and mid/early stage companies, Alex has successfully built teams and programs which have elevated the organization. He was part of the core team which drove the 2016 $725M acquisition of OptionsHouse by E*Trade. He also works closely with university data science programs to help them develop relevant curriculums and position their students for successful careers.
Ryan Duritsa is a digital Creative Director and design thinker who lives to solve the sticky problems where business, technology, and design meet. Spanning two decades, Ryan's career has covered client work from Rock n' Roll to retail both on the agency side and in-house. Ryan has spent the past 8 years in-house at Walgreens growing a digital design group from 6 to 60+, leading design and creative work across digital marketing, online features and functionality, digital/video content, and mobile. Ryan believes the power of collaboration, culture, and setting the bar high is the key to great leadership, and marrying great design and technology with brand is where the most successful customer experiences are found.
Moderator: Philene Molz, Strategist Principal, Solstice
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Factor analysis and evaluation of each item of the tinnitus handicap inventory
Satoko Wakabayashi1,2,
Naoki Oishi ORCID: orcid.org/0000-0001-8204-95181,
Seiichi Shinden1,3 &
Kaoru Ogawa1
Head & Face Medicine volume 16, Article number: 4 (2020) Cite this article
This study aims to examine the availability of subscales in the Tinnitus Handicap Inventory (THI) originally proposed by Newman and the possibility of other useful subscales. We also examine whether each item of the THI could be used to better understand the status of patients with tinnitus.
This study included 1332 patients who answered the THI on their first visit. Confirmatory factor analysis was conducted to the 25 items of the THI to confirm the usefulness of the emotional, functional, and catastrophic subscales. Exploratory factor analysis was performed to discover the availability of other suitable subscales in addition to the proposed subscales. The proportion of patients who chose "yes" in each item of the THI was also examined to understand the status of patients with tinnitus.
In the confirmatory factor analysis, the emotional, functional, and catastrophic subscales did not fit the model. In the exploratory factor analysis, data were extremely biased to one factor. Examination of each item of the THI showed the tendency of worsening of comorbid symptoms when tinnitus handicap became worse.
As a result of the factor analysis, only the total score, not any subscale, would be clinically useful in the THI. Examination of each item of the THI was helpful to understand the status of patients with tinnitus and comorbid symptoms of tinnitus. It is necessary to consider treatment by taking these comorbid symptoms into account.
Tinnitus Handicap Inventory (THI) is a reliable and valid questionnaire to evaluate tinnitus-related disability in patients with tinnitus [1]. Tinnitus Research Initiative (TRI), an international academic organization founded in 2006, recommended the use of THI for evaluation of tinnitus handicap and therapeutic effect [2].
The THI has been translated into many languages and used internationally. The translations include Italian [3], Brazilian Portuguese [4], Chinese (Chinese-Mandarin [5] and Chinese-Cantonese [6]), etc. Reliability and validity have been demonstrated for these translations. In Japan, the Japanese version of THI validated by Shinden et al. is used [7]. The used questionnaires to assess the construct validity differ among languages. In Italian version, the MOS (Medical Outcomes Study) 36-Item Short Form Health Survey (SF-36) [8] and the Hospital Anxiety and Depression Scale (HADS) [9] were used, while the Beck Depression Inventory (BDI) [10] was used in Brazilian Portuguese version. In Japanese version, the Self-Rating Depression Scale (SDS) [11] and the State-Trait Anxiety Inventory (STAI) [12] were used [13]. The TRI stated that differences in the culture, language, and health care system have a significant impact on tinnitus evaluation [2].
In daily medical practice, the total score of THI is mainly used, and the severity is divided based on the total score. There is a report concluded that the THI could only be discussed by the total score [14], whereas a recent report concluded that, by using factor analysis, the THI can be discussed by subscales originally indicated by Newman [15]. In Baguley's report, data were collected from 80 patients with tinnitus and 116 patients with vestibular schwannomas awaiting surgery. In Kleinstauber's report, data were collected from 373 patients with tinnitus who were recruited through the internet for different research.
In the present study, more than 1000 patients presented to a hospital with tinnitus were recruited, and this large amount of data were considered to be meaningful to evaluate the contradictory results. This study aims to examine the appropriateness of using the THI subscales indicated by Newman for discussion and to determine the possibility of other useful subscale apart from the total score. We also examine whether each item of the THI could be used to better understand the status of patients with tinnitus.
The present study included a total of 1332 patients with tinnitus, 696 men (52.2%) and 636 females (47.7%), who visited the department of otolaryngology in Keio University Hospital between 1 January 2004 and 31 December 2011 and answered the THI on their first visit. The average age of the subjects was 58.7 ± 13.8 years. We used the Japanese version of THI [7]. Patients who could not complete the Japanese version of THI due to their age or language were excluded. The THI consists of 25 items. Each question item of the Japanese version of THI is listed in Table 1. The original version of THI is listed in Table 2.
Table 1 The Japanese version of Tinnitus Handicap Inventory
Table 2 The original version of Tinnitus Handicap Inventory
In the THI, scores of 0, 2, or 4 are assigned to each answer, and thus the total score ranges from 0 to 100. Higher THI scores indicate a greater handicap from tinnitus, and five categories are used: (i) no handicap (0–16), (ii) mild handicap (18–36), (iii) moderate handicap (38–56), (iv) severe handicap (58–76), and (v) catastrophic handicap (78–100) [16]. The three subscales indicated by Newman: functional, emotional, and catastrophic were included. The distribution of each question to subscales is described in Tables 1 and 2.
Confirmatory factor analysis was conducted to the 25 items of the THI to confirm the usefulness of the three proposed subscales. Subsequently, exploratory factor analysis was performed to discover the availability of other suitable subscales in addition to the proposed subscales. Besides, the proportion of patients who chose "yes" (score 4) in each THI item was examined in each severity. We picked up items if the proportion of the patients who chose "yes" exceeded 10%, and examined the tendency of which items increased when tinnitus became severe.
For statistical analysis, SPSS Statistics 24 (IBM, New York, NY, USA) was used for calculation of average value and exploratory factor analysis, and SPSS Amos 24 (IBM, New York, NY, USA) for confirmatory factor analysis. Statistical values were considered significant at 5% level.
The average THI total score on the first visit was 54.2 ± 26.0. The tinnitus severity distributions of the subjects were 8.9% with no handicap (n = 119), 19.9% with mild handicap (n = 265), 24.1% with moderate handicap (n = 321), 22.7% with severe handicap (n = 303), and 24.3% with catastrophic handicap (n = 324).
A three-factor model was set using the three subscales and confirmatory factor analysis was conducted. Results are shown in Fig. 1. Next, Good of Fit Index (GFI), Adjusted GFI (AGFI), Root Mean Square Error of Approximation (RMSEA), and Comparative Fit Index (CFI) were used as indicators of model fitness. GFI, AGFI, and CFI should be 0.95 or higher and RMSEA 0.06 or lower [17, 18]. As a result, in the three-factor model of THI, none of the criteria were met, i.e., GFI = 0.844, AGFI = 0.814, RMSEA = 0.080, CFI = 0.895. Besides, the correlation between the three factors was very high. These results suggested that the three subscales did not fit the model.
Path diagram of three-factor model of the THI. As indicators of model fitness, Good of Fit Index (GFI), Adjusted GFI (AGFI), Root Mean Square Error of Approximation (RMSEA), and Comparative Fit Index (CFI) are used. GFI, AGFI, and CFI should be 0.95 or higher and RMSEA 0.06 or lower
Exploratory factor analysis
For the 25 items of THI, we used maximum likelihood method and promax rotation method to perform exploratory factor analysis. The scree plot is shown in Fig. 2, and the factor matrix is shown in Table 3. The data were extremely biased to one factor, and there were only two factors of which eigenvalue exceeded one. The eigenvalues for the factors were 12.88 (Factor 1) and 1.45 (Factor 2), explaining 57.3% of the variance. Adding more factors contributed little variance, with Factor 3 adding 3.6% (eigenvalue = 0.91) and Factor 4 adding 3.4% (eigenvalue = 0.86). The correlation between Factor 1 and Factor 2 was very high (0.77), and in the goodness of fit test, the result suggested that the factors did not fit the model (Χ2 = 1660.89, df = 251, p = 0.000).
Scree plot of the exploratory factor analysis for 25 items of THI. The eigenvalues for the factors were 12.88 (factor 1) and 1.45 (factor 2), explaining 57.3% of the variance
Table 3 Factor loadings of exploratory factor analysis (loadings above 0.40 are presented)
These results indicated that only the total score, not any subscale, would be clinically useful.
Each item of the THI
Items being selected "yes" by more than 10% of the subjects were chosen for plotting a graph for each severity category of the THI (Fig. 3A, B, C, D). In the group of no handicap, there was no item whose proportion of being selected "yes" exceeded 10%. The item that was selected "yes" by the largest proportion in the group of no handicap was item 24: "Does your tinnitus get worse when you are under stress?," and the proportion was 9.2%.
Changes in the proportion of the patients who chose "yes" in each item. The graphs are divided according to the tinnitus handicap severity of which more than 10% of patients chose "yes". A: Five items were chosen as 'yes' by more than 10% of the 'mild handicap' patients. B: Twelve items were chosen as 'yes' by more than 10% of the 'moderate handicap' patients. C: Seven items were chosen as 'yes' by more than 10% of the 'severe handicap' patients. D: One item was chosen as 'yes' by more than 10% of the 'catastrophic handicap' patients
In the group of mild handicap, 5 items were selected "yes" by more than 10% of the subjects. They were as follows:
item 2: "Does the loudness of your tinnitus make it difficult for you to hear people?";
item 7: "Because of your tinnitus, do you have trouble falling to sleep at night?";
item 8: "Do you feel as though you cannot escape your tinnitus?";
item 19: "Do you feel that you have no control over your tinnitus?"; and
item 24: "Does your tinnitus get worse when you are under stress?,"
These indicate that these symptoms are observed in relatively mild cases. Figure 3A shows the change of the proportion of being selected "yes" in each tinnitus severity for these five items. Difficulty in listening, as suggested from item 2, was relatively high in mild handicap patients, whereas this symptom was relatively low in the catastrophic handicap patients.
In the group of moderate handicap, other 12 items were selected "yes" by more than 10% of the subjects. The items were as follows:
item 1: "Because of your tinnitus, is it difficult for you to concentrate?";
item 3: "Does your tinnitus make you angry?";
item 6: "Do you complain a great deal about your tinnitus?";
item 9: "Does your tinnitus interfere with your ability to enjoy your social activities?";
item 12: "Does your tinnitus make it difficult for you to enjoy life?";
item 14: "Because of your tinnitus, do you find that you are often irritable?";
item 18: "Do you find it difficult to focus your attention away from your tinnitus and on other things?";
item 20: "Because of your tinnitus, do you feel tired?";
item 21: "Because of your tinnitus, do you feel depressed?";
item 22: "Does your tinnitus make you feel anxious?";
item 23: "Do you feel that you can no longer cope with your tinnitus?"; and
item 25: "Does your tinnitus make you feel insecure?."
Figure 3-B shows the change of the proportion of being selected "yes" in each tinnitus severity for these 12 items. These results suggested that in moderate handicap patients, the influence of tinnitus on social activities, daily life, and work has increased. It is also suggested that the proportion of admitting psychological discontent, irritation, fatigue, depression, and anxiety has increased.
In the group of severe handicap, almost all of the remaining items were selected "yes" by more than 10% of the subjects. They were as follows:
item 4: "Does your tinnitus make you feel confused?";
item 5: "Because of your tinnitus, do you feel desperate?";
item 10: "Because of your tinnitus, do you feel frustrated?";
item 11: "Because of your tinnitus, do you feel that you have a terrible disease?";
item 13: "Does your tinnitus interfere with your job or household responsibilities?";
item 15: "Because of your tinnitus, is it difficult for you to read?"; and
item 17: "Do you feel that your tinnitus problem has placed stress on your relationships with members of your family and friends?."
Figure 3-C shows the change of the proportion of being selected "yes" in each tinnitus severity for these 7 items. In the group of severe handicap, the proportion of "yes" exceeded 50% in 12 items such as not being able to concentrate (item 1), getting angry (item 3), sleep disorder (item 7), and depression (item 21). It is suggested that in severe handicap patients, many patients feel frustrated and feel that they have serious illness and human relationship failure in their daily life.
In the group of catastrophic handicap, the proportion of patients who chose "yes" newly exceeded 10% in only one item. That was as follows:
item 16: "Does your tinnitus make you upset?".
There was no item whose proportion of being selected "yes" was 10% or less in the group of catastrophic handicap. The proportion of patients who select "yes" in item 16 rise drastically in the group of catastrophic handicap (52.2%) compared with in the group of severe handicap (8.3%). Figure 3-D shows the change in the proportion of being selected "yes" in each tinnitus severity for item 16. In the group of catastrophic handicap, the proportion of "yes" exceeded 50% in nearly all item. Only item 2: "Does the loudness of your tinnitus make it difficult for you to hear people?" showed a relatively low proportion, 38%.
As a result of factor analysis in this study, it was considered that evaluation based on the total score was the most appropriate for the THI, as indicated by Baguley [14]. By examining individual items of the THI, it was suggested that the tendency of how tinnitus became severe could be understood.
We examined the proportion of patients with tinnitus who selected "yes" in each item of THI on their first visit to our hospital and found the tendency of symptoms which patients experienced as their tinnitus became severe. The symptoms of sleep disorders and difficulty in hearing were often seen in relatively mild cases. Their work, social lives, and daily lives were disturbed by tinnitus in moderate cases. In a psychological aspect, the patients were not able to enjoy their lives and tended to feel fatigue, depression, and anxiety. As tinnitus became severe, many patients felt despair, frustration, and severe illness, and human relations also interfered.
Sleep disorders, depression, anxiety have been reported to be related to tinnitus [13, 19, 20]. In this study, it became clear that patients with tinnitus are often bothered with sleep disorders, even if the tinnitus handicap is relatively mild. This suggests that management of sleep problems is important at the early stages of tinnitus. In our previous study, sleep disorder was observed in 70% of all patients with tinnitus [21]. In the previous study, there was no clear relationship between the presence or absence of sleep disorder and severity of tinnitus, which is consistent with the results obtained from each THI item in this study.
As tinnitus handicap becomes moderate, more patients suffer from depressive symptoms and anxiety symptoms. Although the THI can easily evaluate severity in a convenient manner, using only THI is insufficient to grasp details of comorbid symptoms such as depressive and anxiety symptoms. In the TRI, for evaluation of the status of patients and the therapeutic effect, some questionnaires are mentioned such as the BDI (Beck Depression Inventory [10]), the STAI (State-Trait Anxiety Inventory [12]), the PSQI (Pittsburgh Sleep Quality Index [22]) [2]. The recommendation degree of these questionnaires is C: might be of interest, but considering that the proportion of patients with depression and anxiety symptoms is higher in patients with tinnitus of moderate or severe handicap, these questionnaires should be useful.
In patients with severe and catastrophic handicap, there are many patients who feel despair, frustration, and severe illness, requiring both physical and mental care. These results suggest that in the treatments of patients with severe and catastrophic tinnitus handicap who show symptoms of despair, frustration, and severe illness, it is important to cooperate with psychiatrists or psychologists proactively.
Also, the percentage of patients who selected "yes" to item 2: "Does the loudness of your tinnitus make it difficult for you to hear people?" was more than 10% in mild handicap patients, whereas it did not exceed 40% in catastrophic handicap patients. In the catastrophic handicap patients, the proportion of patients who selected "yes" in this item 2 was overwhelmingly low compared with the other question items. As a treatment of tinnitus, the use of a hearing aid is recommended when hearing loss is accompanied, and its effectiveness has been reported [23, 24]. However, based on our results, the use of hearing aids alone might not be efficient to treat patients with catastrophic tinnitus, and hence psychiatric treatment should be considered.
Our results show that evaluation based on the total score is appropriate for THI, which differs from the report by Kleinstauber [15]. In Kleinstauber's study, patients with tinnitus were part of those participating in their cognitive behavior therapy recruited through the Internet. The average total score of THI was lower than our research (41.3 in the Kleinstauber's study; and 54.2 in this study). In our study, the participants were the patients who visited us for treatment as chief complaints of tinnitus. As shown in the path diagram (Fig. 1), the correlation between factors is very strong, which is higher than that reported by Kleinstauber. By item, the path coefficients of item 8 (Do you feel as though you cannot escape your tinnitus?) and item 19 (Do you feel that you have no control over your tinnitus?) was significantly different from Kleinstauber's report. These items are included in the catastrophic subscale proposed by Newman, but in our study, these items were selected "yes" by relatively high proportion of patients with mild tinnitus handicap. Differences in these results may be related to different backgrounds including cultural difference.
In this study, we collected data from as many as 1332 patients. We found that symptoms such as sleep disorder and difficulty in hearing are relatively frequently seen in mild tinnitus handicap patients. When tinnitus handicap becomes moderate, the proportion of patients who feel tired, depression, anxiety, difficulty in enjoying life, and so on, increased. As tinnitus handicap becomes severe, many patients feel desperate, frustrated, severe illness, and human relations are disturbed. These changes are important in grasping the patient's condition and choosing treatment.
As a result of the factor analysis, the THI can be used as a unifactorial measurement of tinnitus handicap, and it is most appropriate to evaluate based on the total score.
By examining each item of the THI, we could observe which comorbid symptoms will frequently appear when tinnitus handicap becomes severe. It is necessary to choose treatment by considering that these comorbid symptoms emerge when tinnitus handicap becomes severe.
AGFI:
Adjusted Good of Fit Index
BDI:
Beck Depression Inventory
CFI:
Comparative Fit Index
GFI:
Good of Fit Index
HADS:
Hospital Anxiety and Depression Scale
Medical Outcomes Study
PSQI:
Pittsburgh Sleep Quality Index
RMSEA:
Root Mean Square Error of Approximation
Self-Rating Depression Scale
SF-36:
36-Item Short Form Health Survey
STAI:
State-Trait Anxiety Inventory
THI:
Tinnitus Handicap Inventory
Tinnitus Research Initiative
Newman CW, Jacobson GP, Spitzer JB. Development of the tinnitus handicap inventory. Arch Otolaryngol. 1996;122:143–8. https://doi.org/10.1001/archotol.1996.01890140029007.
Langguth B, Goodey R, Azevedo A, Cacace A, Crocetti A, et al. Consensus for tinnitus patient assessment and treatment outcome measurement: tinnitus research initiative meeting, Regensburg, July 2006. Prog Brain Res. 2007;166:525–36 https://doi.org/10.1016/S0079-6123(07)66050-6.
Monzani D, Genovese E, Marrara A, Gherpelli C, Pingani L, et al. Validity of the Italian adaptation of the tinnitus handicap inventory: focus on quality of life and psychological distress in tinnitus-sufferers. Acta Otorhinolaryngol Ital. 2008;28(3):126–34. 18646574.
PubMed PubMed Central CAS Google Scholar
Schmidt LP, Teixeira VN, Dall'lgna C, Dallagnol D, Smith MM. Brazilian Portuguese language version of the "tinnitus handicap inventory": validity and reproducibility. Braz J Otorhinolaryngol. 2006;72(6):808–10 https://doi.org/10.1016/S1808-8694(15)31048-X.
Meng Z, Zheng Y, Liu S, Wang K, Kong X, et al. Reliability and validity of the Chinese (mandarin) tinnitus handicap inventory. Clin Exp Otorhinolaryngol. 2012;5(1):10–6 https://doi.org/10.3342/ceo.2012.5.1.10.
Kam AC, Cheung AP, Chan PY, Leung EK, Wong TK, et al. Psychometric properties of the Chinese (Cantonese) tinnitus handicap inventory. Clin Otolaryngol. 2009;34(4):309–15 https://doi.org/10.1111/j.1749-4486.2009.01946.x.
Shinden S, Ogawa K, Inoue Y, Tazoe M, Asano K. Tinnitus annoyance and difficulty in activities of daily life evaluated by the tinnitus handicap inventory (THI). Audiology Japan. 2002;45:685–91 https://doi.org/10.4295/audiology.45.685.
McHorney CA, Ware JE, Raczek AE. The MOS 36-item short form health survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care. 1993;31:247–63 https://www.jstor.org/stable/3765819.
Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361–70 https://doi.org/10.1111/j.1600-0447.1983.tb09716.x.
Beck AT, Steer RA. International consistencies of the original and revised beck depression inventory. J Clin Psychol. 1984;40:1365–7 https://doi.org/10.1002/1097-4679(198411)40:63.0.CO;2-D.
Zung WW. A self-rating depression scale. Arch Gen Psychiatry. 1965;112:63–70 https://doi.org/10.1001/archpsyc.1965.01720310065008.
Spielberger CD. State-trait anxiety inventory: a comprehensive bibliography. Palo Alto: Consulting Psychologists Press; 1984.
Oishi N, Shinden S, Kanzaki S, Saito H, Inoue Y, et al. Influence of depressive symptoms, state anxiety, and pure-tone thresholds on the tinnitus handicap inventory in Japan. Int J Audiol. 2011;50:491–5 https://doi.org/10.3109/14992027.2011.560904.
Baguley DM, Andersson G. Factor analysis of the tinnitus handicap inventory. Am J Audiol. 2003;12:31–4 https://doi.org/10.1044/1059-0889(2003/007).
Kleinstauber M, Frank I, Weise C. A confirmatory factor analytic validation of the tinnitus handicap inventory. J Psychosom Res. 2015;78:277–84 https://doi.org/10.1016/j.jpsychores.2014.12.001.
McCombe A, Baguley D, Coles R, McKenna L, McKinney C, et al. Guidelines for the grading of tinnitus severity: the results of a working group commissioned by the British Association of Otolaryngologists, head and neck surgeons, 1999. Clin Otolaryngol Allied Sci. 2001;26:388–93 https://doi.org/10.1046/j.1365-2273.2001.00490.x.
Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6:1–55 https://doi.org/10.1080/10705519909540118.
Haebara T. On the relevance of goodness of model fit to the purpose of research – should we keep the number of indicator variables small? Japanese J Behaviormetrics. 2002;29:160–6 https://doi.org/10.2333/jbhmk.29.160.
Cronlein T, Langguth B, Geisler P, Hajak G. Tinnitus and insomnia. Prog Brain Res. 2007;166:227–33 https://doi.org/10.1016/S0079-6123(07)66021-X.
Zöger S, Svedlund J, Holgers KM. Relationship between tinnitus severity and psychiatric disorders. Psychosomatics. 2006;47:282–8 https://doi.org/10.1176/appi.psy.47.4.282.
Wakabayashi S, Saito H, Oishi N, et al. Effects of tinnitus treatments on sleep disorders in patients with tinnitus. Int J Audiol. 2018;57:110–4 https://doi.org/10.1080/14992027.2017.1374565.
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193–213 https://doi.org/10.1016/0165-1781(89)90047-4.
Tunkel DE, Bauer CA, Sun GH, et al. Clinical practice guideline: Tinnitus. Otolaryngol Head Neck Surg. 2014;151:S1–S40 https://doi.org/10.1177/0194599814545325.
Shekhawat GS, Searchfield GD, Stinear CM. Role of hearing AIDS in tinnitus intervention: a scoping review. J Am Acad Audiol. 2013;24:747–62 https://doi.org/10.3766/jaaa.24.8.11.
The authors would like to thank Enago (www.enago.jp) for the English language review.
Department of Otorhinolaryngology-Head and Neck Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan
Satoko Wakabayashi, Naoki Oishi, Seiichi Shinden & Kaoru Ogawa
Department of Otorhinolaryngology, Tokyo Metropolitan Hospital Ohtsuka, 2-8-1 Minamiohtsuka, Toshima-ku, Tokyo, 170-8476, Japan
Satoko Wakabayashi
Department of Otorhinolaryngology, Saiseikai Utsunomiya Hospital, 911-1 Takebayashicho, Utsunomiya-shi, Tochigi, 321-0974, Japan
Seiichi Shinden
Naoki Oishi
Kaoru Ogawa
All authors are involved in patient data collection. SW and NO analyzed and interpreted patient data. All authors have read and approved the manuscript.
Correspondence to Naoki Oishi.
The study was approved by the ethics committee of the Keio University School of Medicine (JPRN-UMIN000008901) and conducted in accordance with the Declaration of Helsinki. No animals are involved.
Detail of this clinical research was displayed at a consultation room and oral consent was collected from all participants. We notified the research subjects, or made public information concerning the research including the purpose of collection and utilization of research information, and that there is an opportunity to refuse participation or remove their data from the study after commencement. This information was also documented in each patient's chart. For all participants who were under 20 years of age, we received consent from the parents or legal gardians. All patients consented to use of their data for future studies. Data were anonymized at the time of collection.
Wakabayashi, S., Oishi, N., Shinden, S. et al. Factor analysis and evaluation of each item of the tinnitus handicap inventory. Head Face Med 16, 4 (2020). https://doi.org/10.1186/s13005-020-00217-3
THI (tinnitus handicap inventory)
Subscales
Comorbid symptoms


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Thomas Strohm (1846–1929) was fire chief of the city of Los Angeles for three separate terms between 1887 and 1905 as well as a Los Angeles City Council member during 1892–94. He was denied a city pension although he had been injured on the job. Strohm also began a company that later became the Shasta Water Company.

Personal

Strohm was born on November 5, 1846, near Ulm, Wurtemberg, Germany, to Matthew Strohm and Anna Barbara Jauch, both of that city. The family emigrated to America in 1852, crossing from Le Havre, France, to New Orleans and thence by river boat to Cincinnati, Ohio, where his father, a master mason and contractor went into business. Young Thomas attended public schools in Cincinnati, then learned to be a machinist and a gym instructor. He moved to Kansas City, Missouri, in 1868, then to California, near San Francisco (or in Sacramento), in 1872 or 1874, and he briefly worked in the San Francisco Mint. In 1876 he moved to Wilmington, California, at that time a separate city, and to Los Angeles two years later.

He was married to Emily Schubnell of Oregon; their children were Louis Robert (or Low), Walter Thomas, Benjamin Clarence and Anna Barbara (Mrs. George O'Donnell). A son, Tommie, died at the age of 9 months in July 1890. Emily died on December 24, 1917.

Strohm was "a leader in affairs concerning the Germania Turn-Verein[,] around which centered much of the civic, social and recreational, and municipal activity of pioneer Los Angeles." He was an instructor in a boys' class of gymnastics for the organization in 1878, and he was noted as "one of the most graceful and thorough acrobats we have ever seen." By 1906 he had become known for his "florid face and gold-rimmed goggles" shining "through the smoke and flame."

At the time of his death on March 22, 1929, he was the oldest Knight Templar in Los Angeles, and he had also been past master of Masonic Lodge No. 42. He had been an Elk and a member of the Ancient Order of United Workmen.

Strohm died at age 82 in the home of his daughter, 1341 Mariposa Street, in today's East Hollywood neighborhood, His body lay in state in a Venice Boulevard funeral home, and a burial service was at Inglewood Park Cemetery.

Vocation

City Council

Strohm was elected to the Los Angeles City Council from the 7th Ward in December 1892 and served until December 1894.

Private business

Strohm worked as a machinist (above), but after moving to Los Angeles he ran a grocery business at First Street near Alameda Avenue for about seven years; then he went into the business of manufacturing ice and soda water, at 323 Towne Avenue. The company later became the Head Excelsior Water Bottling Company and then the Shasta Water Company. Strohm turned the business over to his son, C.B. Strohm, in October 1904.

Public employment

Strohm volunteered as a fireman on March 20, 1876, and in 1904 he recalled that

At that time there were two engine companies, a volunteer service, and only the driver and engineer paid. The city rented its buildings, and that was all the fire department there was. Now we have twelve engine companies in service and one in reserve, five hose companies and two chemical companies, making nineteen houses in all. and there are 128 men on the pay roll. We have eighty-five horses instead of the four we had in 1876, for at that time the hose reels were hauled by hand.

He was injured on the job on December 9, 1901, when he was climbing an 18-foot ladder during a fire at 310 Omar Avenue, just behind his own home. He suffered a fractured foot, and his symptoms included nausea and sleeplessness, as well as a deafness in his left ear, the side opposite the injury to his head, He resumed work after about six weeks, and "in a few days met with another accident, in which the muscles in his right arm were torn from their fastenings."

During his illness the big Hayden & Lewis fire occurred and the chief's presence was deemed necessary. He was taken out of bed and driven to the scene of the blaze and, though unable to stand, directed the movements of his department from the wagon in which he had been carried to the fire.

Strohm was Los Angeles city fire chief, or chief engineer, on three occasions—in 1887–88, 1889–91 and 1900–05.

Strohm lost his fire chief job for the last time in February 1905 after newly elected Mayor Owen McAleer had said in advance that "there were "certain irregularities that Chief Strohm knows all about, and which he and I have discussed, as well as personal habits to which I take exception." Strohm was then "quietly fired," as the Los Angeles Times put it, by the Board of Fire Commissioners and Walter Lips, an engineer with the department, installed in his place.

In June 1905, the Board of Fire Commissioners denied Strohm's application for a pension after he had been examined by five doctors, "three of whom declared he was physically incapacitated and the other two agreeing he was in ill health." The Los Angeles Herald stated:

Thus the city of Los Angeles, through its officials, has refused to reward one of the oldest, and if the records of the underwriters prove anything, ablest fire fighters in the country. The law provides for the pensioning of firemen at half pay when they have served a certain length of time or are disabled in the service.

In 1906 Strohm was serving as a deputy sheriff in Los Angeles Superior Court, and the next year he was a city meat inspector. He was also a deputy United States marshal.

Strohm was employed as a storekeeper on the Los Angeles Aqueduct project in 1909, which was being built to bring water to Los Angeles from the Owens River Valley. In June of that year he was injured when he attempted to stop a rail car filled with cement which had broken away on a downgrade. He "climbed upon the car to set the brakes, but was thrown off and his left leg was broken above the knee."

References and notes

1846 births
1929 deaths
Los Angeles City Council members
Burials at Inglewood Park Cemetery
American fire chiefs

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BCSD Adult Education graduates makes the best of second chance
Published Thursday, June 21, 2018
BCSD Adult Education graduate Rayana Meadows speaks at the 2018 commencement ceremony held at Cane Bay High School. (BCSD photo) MORE PHOTOS
"Thankful" - As they stood in a hall outside the auditorium of Cane Bay High School, some were nervous and others wore smiles accentuated by bright light beaming through windows and bouncing off polished floors. They all could be heard speaking about why they were "thankful."
Those making up the group of graduates, were all connected by what they had in common. In most cases it wasn't a football title, memories shared of senior prom or triumphant academic performances.
Many shared hearts tormented by adversity, minds fueled by opportunity to readjust and bodies warmed by the gratification of knowing they would soon mark a milestone in life that they thought, at least once, would never be possible.
Wednesday evening brought a night of celebrating second chances, and in some cases, last chances for those recognized at the commencement ceremony of Berkeley County School District's Adult Education Class of 2018.
Such was the story of Shantrell Heyward who described the evening as a "blessing." I really didn't think I was going to make it this far," she said.
Shantrell dropped out at Berkeley High School in February of this year. She admitted keeping focus in the classroom was a struggle. She also admitted her behavior wasn't always the best, and had she not dropped out, she would have likely been expelled. She had about given up when BHS Principal Steven Steele pointed her in the direction of the adult education program.
"They actually wanted to see me do good," she said. "They said, 'you got the mindset.' So, I did it."
Feelings of depression, anger and conflict are swapped for happiness and feelings of accomplishment as she plans to enter the Job Corps program and learn a trade to make a career.
"The message to send is that these students gave themselves another chance," said BCSD Director of Adult and Community Education Dr. Lillie Caldwell. "Because they have done that, they can take the next great step towards a successful future."
For graduate Cesar Serban, the evening was about celebrating what some believed he would never do. He also got into trouble in school and dropped out several years ago as a sophomore. He got into so much trouble that he and his father decided it might be best for him to just get a fulltime job.
"I thought school wasn't for me, but I quickly learned I needed to further my education for any chance at a better job," Cesar said.
A friend at church put him in touch with Dr. Monica Dixon-Houston at the Fishburne Educational Center, and he began the program. Now, he plans to pursue an associate degree in electrical technology.
"This is the biggest accomplishment in my life," Cesar said.
The student speaker for the night was 26-year-old graduate Rayana Meadows. As a mother of three she realized the importance of obtaining a diploma to set an example for her children. She spoke with emotion – tears and laughter – as she addressed the graduates and their supporters.
"I haven't always made the best decisions," she said. "…How can I preach to my son about the importance of an education when I don't have one myself. How can I stay on him about what's expected of him when I am not happy with my own life."
Rayana dedicated herself, studied hard and passed every test she took. She proudly shared her story with those at the ceremony, and after, she was met with tears and hugs from Dr. Caldwell and Dr. Dixon-Houston.
"Life has gotten into the way of many of these individuals," Dr. Dixon-Houston said. "It has been an absolute struggle. They had to work very hard to be here, they wanted to be here. They understand the importance of education and that it is the great equalizer from disparities of life."
"…It makes me be proud to be an educator."
Brian Troutman
troutmanb@bcsdschools.net
101 Gearing Street
Goose Creek, SC 29445


text:
Solar System|lupus Systems NEWS & REVIEWS I Am an Autistic Black Man: Why I Am Autistic and Why I Need Help
I Am an Autistic Black Man: Why I Am Autistic and Why I Need Help
When I was 12 years old, my mother had an incident that shocked me.
She had a fight with her boyfriend and he knocked her to the ground.
He took off his clothes and he threw her on the floor.
I remember looking down at my mom's body and feeling ashamed and that's why I didn't tell anyone.
I wanted to hide and hide, to not talk about what happened, because that's how I felt.
She was a very good mother to me, but I was afraid that if I told anyone I might lose her.
It took me years to get out of my shell.
It was like a big black hole.
In my mid-20s, I was diagnosed with Asperger syndrome.
I was in my early 30s and I was very introverted and I didn�t interact with other people.
I thought it was weird because I thought I was different.
It seemed like everybody who knew me was different, but then they started talking to me.
At the time, I wasn�t really that interested in people, but it was so different, I thought, Oh, that�s it.
When I came out as autistic, it was very scary because I was so confused.
It felt like I had this invisible person who was following me everywhere.
It wasn�ts like I was living in some bubble.
When you have this condition, it can be difficult to understand why you feel like you are different.
I am still not clear why I feel that way, but there are many people who have it and I feel like I should talk about it because I feel the stigma.
At a conference in September, I had to explain to my parents that I had Aspergers and it wasn�tt all right to do that.
I think it was the first time in my life that they understood the severity of the disorder and I just wanted to be like everyone else and not have to explain why it happened.
When they finally understood, they were like, You are not doing this on purpose.
You need to have a conversation with your family about it.
If they don�t understand, it could affect their whole family and it can cause emotional distress and they need to know that.
The person who I am with now has Aspergarten, and they have told me that I am different.
When my mother asked me why I felt the way I did, I didn��t know what to say.
I just knew that I didn���t fit into her normal life.
I had never really thought about what the world looked like to be autistic.
I felt like, What am I?
I didn?t want to be different.
As I got older, I started to ask questions.
I started talking about my feelings with other autistic people, and I noticed that people seemed to be more open to the idea of people who are different in a way that I wasn?t.
When people were around me, they weren?t like, Are you autistic?
I had no idea what it was like to have someone like that around me.
I also started to think about what it meant to be black, to be disabled, to have autistic traits.
I got more and more frustrated with the way society treated people with Aspies.
There were people who had Aspied names, but when you had to use those names, you didn?ll be recognized.
You can find people with those names in a museum or at a restaurant, but people of color aren?t recognized.
I used to be very confused when I was walking to the bus stop, so I was a little anxious about how I would be treated by the police.
I would ask people, What is the worst thing that can happen to me?
I used that experience as an excuse to get off the bus and go to a bus station to meet people who I had talked to online.
It helped me understand that this is not something that you have to be ashamed of, that it doesn?t matter if you have a disability or not.
If you want to make the most out of life, you can do things to help people, even though you may be different from them.
For instance, you know, if you are gay, you don?t have to tell your friends and family that you are asexual.
That doesn?re the same for someone who has Aspying.
I didn??t feel comfortable with that, and then I started thinking about it more and was like, OK, I am not that person.
I know that people are looking for someone like me.
They are looking to help me.
When a person comes to me for help, I want them to understand that I want to help them.
When we were talking about Aspia, I asked, How do I talk to other Aspys?
When I heard that I was going to be speaking at the conference
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Statement of Basis and Purpose of Final Rule
Under section 2101 of the New York City Charter, the Commission is authorized to regulate the trade waste industry and ensure businesses are able to operate in an honest and competitive environment free from the influences of organized crime and criminality. BIC is also authorized under sections 16-504(b) and (i) and 16-519 of the Administrative Code to set by rule the maximum rates by weight and by volume that trade waste haulers can charge for the removal of putrescible and recyclable commercial waste. Rates were last adjusted in 2013.
In accordance with section 16-519 of the Administrative Code, any change that BIC proposes to the maximum rates must be based upon a fair and reasonable return to the licensees who provide waste removal services to commercial establishments in New York City while also protecting those using these services from excessive or unreasonable charges. To achieve this balance, BIC established an administrative procedure that provides more transparency, standardization and regularity in the rate-setting process. Pursuant to 17 RCNY § 5-02(f), BIC held a hearing on October 30, 2015, relating to the maximum rates charged by a licensee for the collection, removal, disposal, or recycling of trade waste. The hearing was attended by representatives of the trade waste industry and other interested parties, some of whom testified at the hearing and submitted written testimony.
The Commission has carefully evaluated the evidence provided throughout the process including the oral statements made at the October 30, 2015 and March 21, 2016 hearings and the written statements provided both prior to and at those hearings. Having reviewed the Producer Price Index, as well as the other factors enumerated in 17 RCNY § 5-02(g), BIC will increase the current maximum rate allowed to be charged by the trade waste haulers by 3.3%. The new maximum rates are:
•$18.87 per cubic yard
•$12.38 per 100 pounds
Read more about Amendment of Maximum Rates for Trade Waste Removal
Business Integrity Commission
In accordance with section 16-519 of the Administrative Code, any change that BIC proposes to the maximum rates must be based upon a fair and reasonable return to the licensees who provide waste removal services to commercial establishments in New York City while also protecting those using these services from excessive or unreasonable charges. To achieve this balance, BIC established an administrative procedure that provides more transparency, standardization and regularity in the rate-setting process. Pursuant to Title 17, Chapter 1, § 5-02 (f) of the New York City Rules and Regulations ("NYCRR"), BIC held a hearing on October 30, 2015, relating to the maximum rates charged by a licensee for the collection, removal, disposal, or recycling of trade waste. The hearing was attended by representatives of the trade waste industry and other interested parties, some of whom testified at the hearing and submitted written testimony.
The Commission has carefully evaluated the evidence provided throughout the process including the oral statements made at the October 30, 2015 hearing and the written statements provided both prior to and after the hearing. Having reviewed the Producer Price Index as well as the other factors enumerated in NYCRR Title 17, Chapter 1, § 5-02(g), BIC proposes an increase to the current maximum rate allowed to be charged by the trade waste haulers of 3.3%. This increase would result in maximum rates of:
$18.87 per cubic yard
$12.38 per 100 pounds
"Shall" and "must" denote mandatory requirements and may be used interchangeably in the text below, unless otherwise specified or unless the context clearly indicates otherwise.
New text is underlined; deleted text is in [ ] brackets.
Section 1. Subdivision (a) of section 5-02 of subchapter E of Chapter 1 of Title 17 of the Rules of the City of New York is amended to read as follows:
(a) A trade waste removal business shall not demand, charge, exact, or accept rates for the collection, removal, disposal, or recycling of trade waste greater than the following maximum rates:
(1) [$18.27] $18.87 per cubic yard.
(2) [$11.98] $12.38 per 100 pounds.
(3) Exempt Waste. This subdivision shall not apply to the removal of construction and demolition debris, infectious medical waste, covered electronic equipment as defined in § 421 of chapter 16 of the Code, waste from grease interceptors as defined in § 19-119(a) of title 15 of the Rules of the City of New York and paper that is collected for the purpose of shredding or destruction by the licensee.
BIC Amendment of Maximum Rates for Trade Waste Removal
100 Church Street 2nd Floor, conference room number 2-160C
sarrona@bic.nyc.gov
bic_proposed_rule_governing_maximum_rates_with_certifications_2-17-16.pdf
Read more about BIC Amendment of Maximum Rates for Trade Waste Removal
Local Law 59 of 2012 amended sections 20-254 and 20-260 of subchapter nine of chapter two of Title 20 of the Administrative Code of the City of New York to modify the information concerning rates on signs that must be posted on a pedicab when it is available for transporting a passenger for a fare, to require a pedicab driver to provide a completed Pedicab Information Card to each passenger paying a fare, and to require that fares charged for pedicab rides be determined according to the time of the ride. Sections 20-104(b) and 20-265(a) of the Administrative Code of the City of New York grant the Commissioner authority to promulgate rules and require forms necessary to carry out the provisions of subchapter nine of chapter two of Title 20 of the Administrative Code.
Section 1 amends section 2-415 of subchapter GG of chapter 2 of Title 6 of the Rules of the City of New York to define the terms "clear view of passengers."
Section 2 amends section 2-425 of subchapter GG of chapter 2 of Title 6 of the Rules of the City of New York to describe the requirements for the signage that must be posted on both exterior sides of a pedicab and on the rear of the pedicab bicycle seat pursuant to paragraph 14 of subdivision a of section 20-254 of the Administrative Code.
Section 3 adds a new section 2-429 to subchapter GG of chapter 2 of Title 6 of the Rules of the City of New York to describe the requirements for the Pedicab Information Card that must be provided to passengers in accordance with paragraph 3 of subdivision c of section 20-260 of the Administrative Code. The rule also requires that a pedicab driver keep sufficient quantities of the Department's Pedicab Information Card in the pedicab to ensure that it can distribute a card to each paying customer.
Section 4 adds a new section 2-430 to subchapter GG of chapter 2 of Title 6 of the Rules of the City of New York to describe the requirements of the timing device a pedicab driver must use for the purpose of calculating a fare for a ride.
Read more about Pedicab Rates and Timers
Click here (.pdf) for the complete text of the adopted rule.
Read more about Towing and Storage Rates for non consensual tows
Section 1 amends section 2-415 of subchapter GG of chapter 2 of Title 6 of the Rules of the City of New York to define the terms "clear view of passengers" and "exterior panels".
Section 2 amends section 2-425 of subchapter GG of chapter 2 of Title 6 of the Rules of the City of New York to describe the requirements for the signage that must be posted on the exterior panels of a pedicab and on the rear of the pedicab bicycle seat pursuant to paragraph 14 of subdivision a of section 20-254 of the Administrative Code.
Pedicab Rules regarding signage and timing devices for pedicabs.
66 John Street 11th Floor Hearing Room
Fran Freedman
Deputy Commissioner for External Affairs
42 Broadway 8th floor New York, N.Y. 10004
P_DCA_04_26_13_A.pdf


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Home / top 10 / Top 10 Westerns / top 25 / Top 25 Westerns / Westerns / Top 10 Westerns: Part 1
Top 10 Westerns: Part 1
cstriketuts 5:18 AM top 10, Top 10 Westerns, top 25, Top 25 Westerns, Westerns
Westerns, a genre of film that is now long forgotten in the depths of cinema history. Back the 40s, 50s, and 60s, westerns were big money makes; essentially the equivalent of summer blockbusters. Today, however, you are lucky if one western is released a year, and ever since the Lone Ranger bombed, it seems that there is little hope for the genre's revival. Thankfully, we will always have the classics, and today I rank the Top 10 Westerns that you need to see. Even if you are not a fan of westerns, maybe I can convince you to check out a few of these classics.
Today's post is the first of three Western themed posts for Emma, Plain and Tall's "Legends of Western Cinema Week" on her blog A Lantern in Her Hand & Meanwhile, in the River....
10: Tombstone
What Tombstone lacks in historical accuracy, it makes up for in being fun to watch. Not only does it contain one of the best shootouts in cinema, it is full of memorable quotes and an entertaining quest for revenge. Val Kilmer is the real star of the film as the always entertaining Doc Holliday. He is what makes the film so much fun to watch.
9: Rio Bravo
Director, Howard Hawks, teams up with legendary actors, John Wayne, Dean Martin, Ricky Nelson, and Walter Brennan to create one of the finest westerns of the era! It tells the tale of a sheriff arresting the brother of a powerful rancher, so the sheriff and other characters band together to defend the town. Some say that Rio Bravo is a direct response to High Noon, because the story mirrors the events with townsfolk abandoning the sheriff in time of need instead of helping. Rio Bravo's more optimistic outlook on humanity is my favorite of the two.
8: The Man Who Shot Liberty Valance
Starring two of the best actors of the era, James Stewart and John Wayne, The Man Who Shot Liberty Valance is the first film where you can see both legends in a film together. The film is a departure from the typical Shoot 'Em Up westerns, and the result makes it one of the best. James Stewart gives his reliably superb and likable performance as as Ransom "Ranse" Stoddard, and John Wayne plays off him well with yet another classic performance.
7: True Grit (1969)
Some may prefer the 2011 Coen Brothers remake, but for me, John Wayne's original will always be my favorite. Sure, the remake is more accurate to the book and contained better performances, but you cannot top the classic charm of the original.
6: The Searchers
John Wayne is known for playing the typical straight-laced "good-guy," but not in The Searchers! Wayne plays a darker, more troubled character on a quest to find his niece, who was kidnapped by Indians. Even if you don't like old movies or westerns, if you love movies, The Searchers is a must-watch, as Wayne gives his finest performance of his career.
What do you think of the list? Are these some of your favorite westerns? Please comment below, and check back in the following days for more Western themed posts.
If you want to contact us or have any questions please send an e-mail to johnstarslayer@gmail.com.
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You are here » Home » Companies » Company Overview » Anjani Synthetics Ltd
Anjani Synthetics Ltd.
BSE: 531223 Sector: Industrials
NSE: N.A. ISIN Code: INE364D01032
BSE 00:00 | 18 Jan 19.15 -0.30
NSE 05:30 | 01 Jan Anjani Synthetics Ltd
52-Week high 21.40
Mkt Cap.(Rs cr) 28
Buy Qty 1.00
Sell Qty 451.00
Mkt Cap.(Rs cr) 28.25
Anjani Synthetics Ltd. (ANJANISYNTH) - Auditors Report
To the Members of
M/S. ANJANI SYNTHETICS LIMITED
Report on the Standalone Financial Statements
I have audited the accompanying standalone financial statements of M/S. ANJANISYNTHETICS LTD. ("the Company") which comprises the Balance Sheet as atMarch 31 2019 the Statement of Profit and Loss (including Other Comprehensive Income)the statement of Changes in Equity and Cash Flow Statement for the year ended on thatdate and a summary of significant accounting policies and other explanatory information.
In my opinion and to the best of my information and according to the explanations givento me the aforesaid standalone financial statements give the information required by theCompanies Act 2013 in the manner so required and give a true and fair view in conformitywith the Indian accounting Standards prescribed under section 133 of the Act read with thecompanies (Indian Accounting standards)Rule 2015 as amended ("Ind AS") andother accounting principles generally accepted in India of the state of affairs of theCompany as at 31st March 2019 and its profit & total Comprehensive IncomeChanges in equity and its cash flows for the year ended on that date.
Basis for Opinion
I conducted my audit in accordance with the Standards on Auditing (SAs) specified undersection 143(10) of the Companies Act 2013. My responsibilities under those Standards arefurther described in the Auditor's Responsibilities for the Audit of the FinancialStatements section of my report. I am independent of the Company in accordance with theCode of Ethics issued by the Institute of Chartered Accountants of India together with theethical requirements that are relevant to my audit of the financial statements under theprovisions of the Companies Act 2013 and the Rules thereunder and I have fulfilled myother ethical responsibilities in accordance with these requirements and the Code ofEthics. I believe that the audit evidence I have obtained is sufficient and appropriate toprovide a basis for my opinion.
Key Audit Matters are those matters that in my professional judgment were of mostsignificance in my audit of the financial statements of the current period. These matterswere addressed in the context of my audit of the financial statements as a whole and informing my opinion thereon and I do not provide separate opinion on these matters.
Responsibility of Management for Standalone Financial Statements
The Company's Board of Directors is responsible for the matters stated in Section134(5) of the Companies Act. 2013 ("the Act") with respect to the preparationand presentation of these standalone financial statements that give a true and fair viewof the financial position financial performance and cash flows of the Company inaccordance with the accounting principles generally accepted in Indiaincluding theAccounting Standards specified under Section 133 of the Act read with Rule 7 of theCompanies (Accounts) Rules 2014. This responsibility also includes maintenance ofadequate accounting records in accordance with the provisions of Act for safeguarding theassets of the Company and for preventing and detecting frauds and other irregularitiesselection and application of appropriate accounting policies; making judgements andestimates that are responsible and prudent; and design implementation and maintenance ofadequate internal financial controls that were operating effectively for ensuring theaccuracy and completeness of the accounting records relevant to the preparation andpresentation of the financial statements that give a true and fair view and are free frommaterial misstatement whether due to fraud or error.
In preparing the financial statements management is responsible for assessing theCompany's ability to continue as a going concern disclosing as applicable mattersrelated to going concern and using the going concern basis of accounting unless managementeither intends to liquidate the Company or to cease operations or has no realisticalternative but to do so.
Those Board of Directors are also responsible for overseeing the company's financialreporting process.
Auditor's Responsibilities for the Audit of the Standalone Financial Statement
My objectives are to obtain reasonable assurance about whether the financial statementsas a whole are free from material misstatement whether due to fraud or error and toissue an auditor's report that includes my opinion. Reasonable assurance is a high levelof assurance but is not a guarantee that an audit conducted in accordance with SAs willalways detect a material misstatement when it exists. Misstatements can arise from fraudor error and are considered material if individually or in the aggregate they couldreasonably be expected to influence the economic decisions of users taken on the basis ofthese financial statements.
A further description of the auditor's responsibilities for the audit of the financialstatements is included in Annexure A. This description forms part of my auditor's report.
Report on Other Legal and Regulatory Requirements
1. As required by the Companies (Auditor's Report) Order 2016 ("the Order")issued by the Central Government of
India in terms of sub-section (11) of section 143 of the Act I give in the Annexure Bstatement on the matters
specified in paragraphs 3 and 4 of the Order to the extent applicable.
2. As required by section 143(3) of the Act I report that:
a) I have sought and obtained all the information and explanations which to the best ofmy knowledge and belief were necessary for the purpose of my audit.
b) In my opinion proper books of account as required by law have been kept by theCompany so far as appears from my examination of those books;
c) The balance sheet the statement of profit and loss including Other ComprehensiveIncome statement of changes in equity and the cash flow Statement dealt with by thisReport are in agreement with the books of account;
d) In my opinion the aforesaid standalone financial statements comply with theAccounting Standards specified under Section 133 of the Act read with Rule 7 of thecompanies (Accounts) Rules 2014;
e) On the basis of written representations received from the directors as on March312019 taken on record by the Board of Directors none of the directors is disqualifiedas on March 312019 from being appointed as a director in terms of Section 164 (2) of theAct; and
f) With respect to the adequacy of the internal financial controls over financialreporting of the Company and the operating effectiveness of such controls refer to myseparate Report in "Annexure C". My report expresses an unmodified opinion onthe adequacy and operating effectiveness of the Company's internal financial controls overfinancial reporting.
g) With respect to the other matters to be included in the Auditor's Report inaccordance with Rule 11 of the Companies (Audit and Auditors) Rules 2014 in my opinionand to the best of my information and according to the explanations given to me:
i) The Company does not have any pending litigations for which provision have not beenmade which would impact its financial position.
ii) The Company has made provision as required under the applicable law or accountingstandards for material foreseeable losses if any.
iii) The Provisions of transfer of funds to Investor Education and Protection Fund notapplicable to the Company.
As per my Report of Even Date
For and on Behalf of
For ABHISHEK KUMAR & ASSOCIATES
PLACE : AHMEDABAD FRN: 130052W
DATE : 30.05.2019 [CA ABHISHEK AGARWAL]
M. No.: 132305
Annexure "A" to the Independent Auditor's Report Responsibilities for Auditof Financial Statement
As part of an audit in accordance with SAs I exercise professional judgment andmaintain professional skepticism throughout the audit. I also:
• Identify and assess the risks of material misstatement of the financialstatements whether due to fraud or error design and perform audit procedures responsiveto those risks and obtain audit evidence that is sufficient and appropriate to provide abasis for my opinion. The risk of not detecting a material misstatement resulting fromfraud is higher than for one resulting from error as fraud may involve collusionforgery intentional omissions misrepresentations or the override of internal control.
• Obtain an understanding of internal control relevant to the audit in order todesign audit procedures that are appropriate in the circumstances. Under section 143(3)(i)of the Companies Act 2013 I am also responsible for expressing my opinion on whether thecompany has internal financial controls with reference to Financial Statements in placeand the operating effectiveness of such controls.
• Evaluate the appropriateness of accounting policies used and the reasonablenessof accounting estimates and related disclosures made by management.
• Conclude on the appropriateness of management's use of the going concern basisof accounting and based on the audit evidence obtained whether a material uncertaintyexists related to events or conditions that may cast significant doubt on the Company'sability to continue as a going concern. If I conclude that a material uncertainty existsI am required to draw attention in my auditor's report to the related disclosures in thefinancial statements or if such disclosures are inadequate to modify my opinion. Myconclusions are based on the audit evidence obtained up to the date of my auditor'sreport. However future events or conditions may cause the Company to cease to continue asa going concern.
• Evaluate the overall presentation structure and content of the financialstatements including the disclosures and whether the financial statements represent theunderlying transactions and events in a manner that achieves fair presentation.
I communicate with those charged with governance regarding among other matters theplanned scope and timing of the audit and significant audit findings including anysignificant deficiencies in internal control that I identify during my audit.
I also provide those charged with governance with a statement that I have complied withrelevant ethical requirements regarding independence and to communicate with them allrelationships and other matters that may reasonably be thought to bear on my independenceand where applicable related safeguards.
FRN: 130052W
PLACE : AHMEDABAD [CA ABHISHEK AGARWAL]
DATE : 30.05.2019 PROPRIETOR
Quick Links for Anjani Synthetics:


The main objective of the programme is to upgrade the expertise and capabilities of the faculty members of the degree-level engineering institutions, National Institutes of Technology (NITs) and the National Institutes of Technical Teachers Training and Research (NITTTR) in the country. The programme launched by the Government of India in the year 1970, is now being implemented and monitored by the National QIP Coordination Committee, funded through the AICTE. The eight major QIP centres at IITs and IISc undertake the various activities. Admissions to Ph.D. programmes are also offered in selected areas in institutions recognized as Minor QIP centers. A large number of faculty members from engineering institutions from all over the country have pursued Master and Ph.D. degree programmes under this scheme. These are aimed at improving the standard and quality of technical education through improvement of the qualifications of the faculty members in the various engineering institutions.
(i)Providing opportunities to faculty members of the degree-level engineering institutions to improve their qualifications by offering admissions to Ph.D. degree programmes.
(ii)Organizing Short Term Courses at the QIP Centres for serving teachers.
(iii)Curriculum Development Cell activities which help to improve class room teaching and learning.


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Home/Computers/Facial Verification Technology 'Behind The Curtain'
Facial Verification Technology 'Behind The Curtain'
smithclark124 Send an email September 20, 2019
Face recognition technology has been used widely in many ways whether it was a tool to solve a crime or open doors, it has always been there in fictional worlds and Sci-Fi movies. It's verily the fastest biometric technology with the purpose of identification of human faces. Face recognition software online perform analysis of the characteristics of a person's face images that were taken with a digital video camera. It's the least intrusive method that provides no delays and leaves the subjects entirely unaware of the process.
How Does Face Recognition Technology Works?
The mathematical algorithms of biometric facial recognition follow several stages of image processing which are:
Capture:
The first step is for the system to collect a sample of physical or behavioural conditions during a given period of time.
Extraction:
After this, all the gathered data should be extracted from the samples to create templates based on them.
After the extraction, the collected data is compared with the existing templates.
Matching:
The last step of face detection technology is to make a decision based on whether the facial features of a new sample are matching with the one from a facial database or not. It usually takes just seconds.
Facial Recognition Technology & Related Privacy Concerns
There have already been privacy concerns related to face verification technology. In recent news, according to new laws, the Victorian Government has banned the schools from using facial recognition software in classrooms until or unless they have permission from parents, students and the Department of Education.
A German minister has Seek Facial Recognition for Airports and Railway Stations. The instalment of such cameras and technology has raised a lot of backlash from lawyers and some groups who feel that this so-called innovative technology for securities will compromise the privacy of individuals. However, Interior Minister of Germany Thomas de Mightier has strongly defended this innovation and stated that the security of public places can't be compromised under any circumstance.
Also Read Error [pii_email_019b690b20082ef76df5] Fixed
Face Verification- Pros & Cons:
Technologies are not always accepted and welcomed so is the case of face recognition technology. The use of facial recognition technology has already given birth to a heated debate on whether it is a necessary tool to combat crime or an unlawful breach of privacy. People on one side enjoy how this technology has eased their lives in many ways, on the other hand, they have concerns about their data being misused.
Pros Of Face Verification Technology:
Although with face verification people have privacy concerns but it has also bought a lot of ease in the lives of people. Some of the promising benefits of this technology are:
Thanks to the assistance of 3D facial recognition technologies the process of identification happens to be incredibly accurate and showing great results. It's possible but difficult to fool such a system. Accuracy promises that there will not be any misunderstandings that come from bad face recognition software. You'd be sure that the right person will be recognized at the right time giving high accuracy.
No Contact Required
Face recognition is now lodged over fingerprint scanning because it does not require any contact process. People don't have to worry about the potential drawbacks related to fingerprint identification technology, such as dirty hands.
Robust and Fast
With the ever-increasing demand for speed and the growing number of cyberattacks, having fast and accurate technology is key. Facial recognition technology provides verification that is quick and convenient.
Facial recognition tech automates the identification process and ensures its errorless every time. You won't even need an employee to monitor the cameras 24/7. This ends up the cost and time both. Automation means convenience and reduces the expenses too.
Also Read Best Blu-ray Ripper Software You Must Know
Cons of Face Verification Technology:
As with pros come cons, some of the cones of face verification include:
High Costs Required:
It requires top-quality cameras and advanced software which obviously are expensive. However, there are predictions that technological advancements are likely to reduce the prices of facial recognition systems in the future.
Huge Data Storage:
This technique requires video and high-quality images that take up a significant amount of storage. This leads organizations to use numerous computers to process everything and to do it quickly, which is not very convenient.
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