Warning: SQLite3::querySingle(): Unable to prepare statement: 1, no such table: sites in /home/admin/web/local.example.com/public_html/index.php on line 46
 Zoom Rooms Camera Controls – Zoom Help Center

Zoom Rooms Camera Controls – Zoom Help Center

Resources for travel in Switzerland.

Not a single trip report, but more of a collection of experience and lessons from many trips. I don't think I have posted this here before, it might be useful in this very long planning period.
Most of my travel here as day or week long trips has been solo travel. This is probably as safe and easy a solo destination as you are going to get. People hiking or biking across the country by themselves is commonplace, eating isn't a group thing like in some countries, and other than maybe a few activities that require a booking with a minimal group size you won't find yourself excluded from anything. I have never had any problems (though as a white male it might be easier for me to avoid them, I can't speak for other demographics).
The only real factor for me regarding solo travel here has been that if you really want to meet other travelers then it will be much easier at a hostel in a more popular area (ie Interlaken/Luzern/Zermatt) than if you go off to other forms of accommodation in the lesser known regions. There are hostels all over the country, but many (especially the YHAs) tend to attract domestic Swiss tourists of various ages rather than an international scene.
The Swiss are not going to embrace you like a family member, but are friendly in their own way. I have never had a problem getting help (even without a mutual language), sharing tables at relaxed places like mountain restaurants is quite standard (once all the empty ones are partially occupied), and sometimes they will be very chatty in a way that still surprises me sometimes. Speaking the local language makes it much easier to get talking with people, but English often works everywhere (too well given that I still have issues getting people to talk to me in German sometimes).
Disclaimer:
My own guides
More travel related:
  • Travel in Switzerland in general in two posts: new (mostly specific thoughts on places), and old (more general information on the country as a whole).
  • Imgur album/info posts: This is the larger one which has detailed info/links and is still slowly evolving, and I also have this older one which is more basic and locked. This is a list of popular posts on social-media and what they actually are.
  • More detailed blogs on more major tourist spots: An overview of the tourist spots in general (link), and Jungfrau region (Lauterbrunnen/Grindelwald/Mürren/Wengen) (link), and Luzern/Rigi/Pilatus (link), and Gruyères (link), and the St Beatus caves (link), and Zermatt (link).
  • Cheap/affordable travel in Switzerland: link
  • When to visit/what conditions to expect: link
  • Transport in Switzerland: link.
  • Scenic train rides: link.
  • The most beautiful villages: link.
  • Hiking in Switzerland: link.
  • Cycling and mountain biking in Switzerland: link
  • Winter in the Alps for non-skiers: Link.
  • Visiting the UNESCO sites in Switzerland: Link.
  • The trip taken by JRR Tolkien that inspired parts of the Hobbit/LOTR: Link.
  • Unique/interesting Swiss festivals: link, with a sidepost on the surreal madness that is Fasnacht.
  • Swiss food and drink: link.
  • An idiots guide to buying a Swiss Watch: link.
Responses to often posted topics:
  • Are there any ugly places in Switzerland (yes): Link
  • Misc. points like why is the grass so perfectly mowed in photos and so on; link.
  • Lauterbrunnen FAQ: link.
  • Blausee: link.
  • Gelmerbahn, the “high-speed rollercoaster; link
  • Villa Vals, the underground “hobbit” house: link
More living related:
Misc tips:
  • Swiss vs European power plug adapters - not always compatible! If you have an EU plug it might not fit into a Swiss socket, but newer ones should do (roughly speaking when the two prongs are 4mm or less in diameter, and 14mm apart they should work in both the EU and Switzerland).
  • Cable cars typically stop running at around 5pm (but can be until 10pm or so if it is servicing a village like Mürren). This is especially deceptive in summer when it stays light until much later. Check when the last run is, the internet is full of stories of people who found themselves with a long walk down in the dark.
Internet - practical
Many of these also have a phone app version which is worth having.
General:
  • My Switzerland. The official and very extensive tourism website. Just about any information you could possibly need about anything is on here.
  • Wikivoyage. A bit hit and miss: the overview and coverage for places like Zürich is fantastic, but many places are lacking in useful or any info.
  • Local tourist areas all have their own websites. Usually in both summer and winter versions, giving you info on: conditions, what is open, ideas for what to do, etc:. Eg: Jungfrau region, Zermatt, Appenzell, and so on.
Transport:
  • You can get regional travel passes which cover all transport and cable cars in specific areas (Eg: the Jungfrau region, or the Tell pass around Luzern). Likewise there are endless passes for museums etc in each region.
  • SBB. The website (and also app) for the train network covering buses, boats, and cable cars too. Timetables, ticket info, and pass info. It is sometimes better to look up the timetable for seasonal things like cable cars and boats on their own websites (eg: BLS boats on Brienzersee, or cable cars in the Aletsch region) as when they don’t run the SBB just gives a vague “can’t find the connection” notice. They do various travel passes, though it is best to carefully calculate your planned routes or figure out if it is worth it It is worth looking for the off-peak “super saver” tickets which limit you to a certain train but can cut the price in half (and if you have the half-tax this cuts the price again, to as much as 75% off).
Accommodation
  • Official accommodation (which should include Airbnb) will offer a guest card in many tourist areas including free/discounted local transport and activities. Typically this is just in the town/village and places 10-20 minutes away (eg for Interlaken), but in the beautiful and underrated canton of Ticino it covers the entire canton.
  • Aside from the standard options for finding rooms you might also want to look into other options such as https://alp.holidaybooking.ch/?language=en, and https://www.rooms.ch/ . Many smaller independent options (especially farms and rural hotels) are not on Booking.com etc and you will have to find them by trawling around on google maps. This could help if you really want to stay in a certain area but everything is booked out, but many of them have a very basic setup so you might need to phone up or fill in a form on their website.
  • Another option that might be worth considering is the Swiss Hotel Card, a 99CHF per year subscription that offers half priced hotel rooms. This is limited to participating hotels and doesn’t apply during the high season, but could easily pay for itself with just a single night or weekend. I have yet to try this, but the range of locations looks like it could be quite good for domestic travellers.
  • For more rural hut and farm based accommodation: https://bnb.ch/ , and https://www.bauernhof-ferien.ch/ , and https://www.myfarm.ch/en/accommodation , and https://naturfreunde.ch/haeuse . Some like myfarm.ch offer the chance to sleep on straw in a barn.
  • Alpine huts are run by a few different organisations. The SAC website is the best starting point.
  • Camping. Standard campsites: www.tcs.ch , www.camping.ch , and www.sccv.ch. In addition there are a few websites where you can officially find a small patch to pitch up on a farm https://www.nomady.ch/ , and on myfarm.ch too.
  • Wild camping is complex. The best way to sum it up is "Prohibited but tolerated under conditions". This SAC page has the most official guidelines. There are some pointers for the ideal situation (the more you follow the better): above the treeline, with the community / landowner’s permission, not in a protected area, single tent, set up as the sun goes down and dismantle at dawn, no fire/noise/disturbance/litter. Wild camping has increased in popularity in recent years, iconic spots like Seealpsee are having problems with numbers, so try and pick a less known spot.
Weather:
Maps:
  • Switzerland Mobility. Detailed map showing all official routes for hiking/biking/skating…. With lots of short and long suggested routes. If you sign up for the (paid) Pro version then you can plan routes on the map with detailed height information and pretty good time estimates. for example.
  • map.geo.admin.ch (mobile app - Swisstopo). The official govt map is amazing. Quick to load and use on desktop or mobile. You can toggle useful overlays like hiking paths (in some ways better than Mobility above as the levels are shown and the contrast makes it much clearer), and just about anything else from geological features to ski runs, you can even switch to historic versions of the map going back to the mid 1800s and watch the country grow. It will even convert any section you like to PDF for easy saving and printing. All for free.
  • When actually out and about I tend to use Maps.me on my phone which has rather good coverage of the footpath system and addresses/businesses. That said it does have some big gaps in some areas. I wouldn’t use it for advanced routes, but to check my position and where a certain side path might take me it is mostly very useful. The directions feature sometimes gives good advice and sometimes decides that a perfectly good bit of path can’t be used and that you should take a 3 hour detour. The time calculator does not take height change into account, so do not trust that either.
Internet - culture
Books
  • Swiss Watching - Diccon Bewes (2010). Switzerland seen through British eyes. A very readable and enjoyable introduction to the history, people, politics and areas of the country by someone who has lived there for years. Ideal reading as a traveller. There are some over generalisations but given the scope and size it mostly does a good job. If you read anything about Switzerland make it this. He also has a Google-talk video which is basically a condensed version of the book
  • Slow train to Switzerland - Diccon Bewes (2013). The author retraces the first Thomas Cook tour of Switzerland and shows how much has changed since then and by the rise of trains and tourism. A very interesting read for the history and travel ideas.
  • Around Switzerland in 80 Maps - Diccon Bewes (2015).Yet another Diccon book, though this is much more history and culture than travel based. At a large 33x23cm it isn’t travel friendly either, but it is beautifully done with a range of well reproduced images and interesting information. It is accessible and interesting to everyone, but I would say this book is most enjoyable to those who already know the Swiss landscape, history and culture to some extent already. The TedX talk that he does on the subject is rather good.
  • The Bergli publisher, which Diccon is part of, have quite a few light hearted books about Swiss culture and Switzerland.
  • How the English Made the Alps - Jim Ring (2000). A history of how the development of tourism, climbing, and winter sports played a major role in the development of the Alps. Not just Switzerland, but it is a major focus of the book.
  • A Tramp Abroad - Mark Twain (1880). FREE EBOOK. Satirical and absurd account of his travels in Europe. The Swiss part is often hilarious. As above is interesting to see just how much the country has changed since then. Several places such as Weggis-Rigi and Zermatt-Riffelberg have Theme walks in the approximate places where he walked himself. A tramp in this sense is to walk, not the homeless person as most people other than the Kiwis might assume.
  • Sherlock Holmes - The Final Problem - Arthur Conan Doyle (1893). FREE EBOOK. A quick and easy read of Holmes' "final" adventure ending at the Reichenbach falls by Meiringen. He oversells the waterfall somewhat though I must say.
  • The Magic Mountain - Thomas Mann (1924). Inspired by and set in a Davos mountain health retreat. No comment as have yet to read it.
  • Heidi - Johanna Spyri (1881). FREE EBOOK. The classic kids book which seems to be something of cliché and sales-device these days (for a start you can visit a fake Heidi house in Heidi village). It is only partly happy alpine adventures, and often rather painfully moralistic. Read until she is put on a train to Frankfurt and that should be enough.
  • William Tell - Friedrich Schiller (1804). FREE EBOOK. Performed every year in Interlaken amongst other places. Frankly it is really blood boring - the whole thing can be summed up that the Swiss are good christian brothers, and the Austrians are utter wankers.
  • Bill Bryson passes through in his 1991 book “Neither here nor there”. While still mostly a good read, being almost 30 years old the info is rather outdated in parts. The country has become much more lively since then for a start.
  • La Place de la Concorde Suisse - John McPhee (1984). A very out-dated but in some ways interesting read looking at Swiss military thinking and culture back in the 80s. The attitudes and situation are very different now over 30 years later. This is only really worth it if you really want to learn about that bit of Swiss history. It also commits the cardinal sin of having numerous bits of French scattered about the book but with no translation provided, which is really bloody annoying.
If your German is good then:
  • Von Casanova bis Churchill - Barbara Piatti (2016). A series of articles about famous visitors to Switzerland.
  • The publisher Emons does local Krimis. If you like a nice murder or two to go with your hiking spots. The quality is good enough but the writing is not going to win any literature awards.
submitted by travel_ali to solotravel [link] [comments]

Long Thesis - Progyny - 100% upside - High-growth, profitable company is the only differentiated provider in a large, growing, and underserved market. PGNY’s high-touch, seamless offering helps them stand out against large insurance carriers.

Link to my research report on PGNY
Summary
High-growth, profitable company is the only differentiated provider in a large, growing, and underserved market. PGNY’s high-touch, seamless offering helps them stand out against large insurance carriers. Covid-19 has shown the importance of benefits for employees and will continue to be the key differentiator for those thinking of changing jobs. According to RMANJ (Reproductive Medicine Associates of New Jersey), 68% of people would switch jobs for fertility benefits.
For employers, Progyny reduces costs by including the latest cutting-edge technology in one packaged price, thereby lowering the risk of multiples and increasing the likelihood of pregnancy, keeping employees happy with an integrated, data-driven, concierge service partnering with a selective group of fertility doctors.
Upside potential is 2x current price in the next 18 months.
Overview
Progyny Inc. (Nasdaq: PGNY), “PGNY” or the “Company”, based in New York, NY, is the leading independent fertility and family building benefits manager. Progyny serves as a value-add benefits manager sold to employers who want to improve their benefits coverage and retain and attract the best employees. Progyny offers a comprehensive solution and is truly disrupting the fertility industry.
There is no standard fertility cycle, but the below is a good approximation of possible workflows:

https://preview.redd.it/7aip8pna9zi51.png?width=941&format=png&auto=webp&s=7ef868a67eae10534bac254ab58fb3d4295aef37
  1. Patient is referred to fertility center for evaluation for Assisted Reproductive Technology (“ART”) procedures, including in-vitro fertilization (“IVF “) and intrauterine insemination (“IUI”). Both can be aided by pharmaceuticals that stimulate egg production in the female patient. IVF involves the fertilization of the egg and sperm in the lab, while IUI is direct injection of the sperm sample into the uterus. Often, IUI is done first as it is less expensive. As success rates of IVF have increased, IUI utilization will likely fall.
  2. Sperm washing is the separation of the sperm from the semen sample for embryo creation, and it enhances the freezing capacity of the sperm. Typically, a wash solution is added to the sample and then a centrifuge is used to undergo separation. This is done in both IUI and IVF.
  3. Some OB/GYN platforms are pursuing vertical integration and offering fertility services directly. The OB would need to be credentialed at the lab / procedure center.
  4. Specialty pharmacy arranges delivery of temperature sensitive Rx. Drug regimens include ovarian stimulation to increase the number of eggs or hormone manipulation to better time fertility cycles, among others.
  5. Oocyte retrieval / aspiration is done under deep-sedation anesthesia in a procedure room, typically in the attached IVF lab. Transfer cycle implantation is done using ultrasound guidance without anesthesia. (Anecdotally, we have been told that only REIs can perform an egg retrieval. We have not been able to validate this).
  6. Many clinics house frozen embryos on-site, while some clinics contract with 3rd parties to manage the process. During an IVF cycle, embryos are created from all available eggs. Single-embryo transfer (“SET”) is becoming the norm, which means that multiple embryos are then cryopreserved to use in the future. A fertility preservation cycle ends here with a female storing eggs for long-term usage (e.g. a woman in her young 20s deciding to freeze her eggs for starting a family later).
  7. Common nomenclature refers to an IVF cycle or an IVF cycle with Intracytoplasmic sperm injection (“ICSI”). From a technical perspective, ICSI and IVF are different forms of embryo fertilization within an ART cycle.
  8. ART clinics are frequently offering ancillary services such as embryo / egg adoption or surrogacy services. More frequently, there are independent companies that help with the adoption process and finding surrogates.
  9. ART procedures are broken into two different types of cycles: a banking cycle is the process by which eggs are gathered, embryos are created and then transferred to cryopreservation. A transfer cycle is typically the transfer of a thawed embryo to the female for potential pregnancy. If a pregnancy does not occur, another transfer cycle ensues. Many REIs are moving towards a banking cycle, freezing all embryos, then transfer cycles until embryos are exhausted or a birth occurs. If a birth occurs with the first embryo, patients can keep their embryos for future pregnancy attempts, donate the embryos to a donation center, or request the destruction of the embryos.
The Company started as Auxogen Biosciences, an egg-freezing provider before changing business models to focus on providing a full-range of fertility benefits. In 2016, they launched with their first 5 employer clients and 110,000 members. As of June 30, 2020, the Company provided benefits to 134 employers and ~2.2 million members, year over year growth of 63%. 134 employers is less than 2% of the total addressable market of “approximately 8,000 self-insured employers in the United States (excluding quasi-governmental entities, such as universities and school systems, and labor unions) who have a minimum of 1,000 employees and represent approximately 69 million potential covered lives in total. Our current member base of 2.1 million represents only 3% of our total market opportunity.”
The utilization rate for all Progyny members was less than 1% in 2019, offering significant leverageable upside as the topic of fertility becomes less taboo.
  1. https://www.wsj.com/articles/fertility-treatments-are-now-company-business-11597579200
  2. https://www.nytimes.com/2020/04/19/parenting/fertility/fertility-startups-kindbody.html
  3. https://www.theglobeandmail.com/opinion/article-covid-19-will-make-the-global-baby-bust-even-worse-but-canada-stands/
  4. https://www.wbal.com/article/469564/114/post-pandemic-baby-boom-and-fertility-consults-via-zoom-how-covid-19-is-affecting-pregnancy-plans
Fertility has historically been a process fraught one-sided knowledge, even more so than the typical physician procedure. Despite the increased availability of information on the internet, women who undergo fertility treatments have often described the experience as “byzantine” and “chaotic”. Outdated treatment models without the latest technology (or the latest tech offered as expensive a la carte options) continue to be the norm at traditional insurance providers as well as clinics that do not accept insurance. Progyny’s differentiated approach, including a high-touch concierge level of service for patients and data-driven decision making at the clinical level, has led to an NPS of 72 for fertility benefits and 80 for the integrated, optional pharmacy benefit.
Typically, fertility benefits offered by large insurance carriers are add-ons to existing coverage subject to a lifetime maximum while simultaneously requiring physicians to try IUI 3 – 6 times before authorizing IVF. The success rate of IUI, also known as artificial insemination, is typically less than 10%, even when performed with medication. As mentioned in Progyny’s IPO “A patient with mandated fertility step therapy protocol may be required to undergo three to six cycles of IUI, which has an average success rate range of 5% to 15%, takes place over three to six months and can cost up to $4,000 per cycle (or an aggregate of approximately $12,000 to $24,000), according to FertilityIQ. Multiple rounds of mandated IUI is likely to exhaust the patient's lifetime dollar maximum fertility benefits and waste valuable time before more effective IVF treatment can be begun.”
Success Rates for IVF
IVF success rates vary greatly by age but were 49% on average for women younger than 35. The graph below shows success rates by all clinics by age group for those that did at least 10 cycles in the specific age group. As an example, for those in the ages 35 – 37, out of 456 available clinics, 425 performed at least 10 cycles with a median success rate of 39.7%.

https://preview.redd.it/d2l5dtw89zi51.png?width=4990&format=png&auto=webp&s=5ff2ab9948b94419558a27ac861d4e498dce6713
Progyny’s Smart Cycle is the proprietary method the company has chosen as a “currency” for fertility benefits. As opposed to a traditional fee-for-service model with step-up methods, employers may choose to provide between 2 and unlimited Smart Cycles to employees. This enables employees to choose the provider’s best method. Included in the Smart Cycle, and another indicator of the Company’s forward-thinking methodology, are treatment options that deliver better outcomes (PGS, ICSI, multiple embryo freezing with future implantations).

https://preview.redd.it/np577a389zi51.png?width=734&format=png&auto=webp&s=c061a2b24c8515890ba204479b4677893dabf755
As detailed in the chart above, a patient could undergo an IVF cycle that freezes all embryos (3/4 of a Smart Cycle), then transfer 5 frozen embryos (1/4 cycle each; each transfer would occur at peak ovulation, which would take at least 5 months) and use only 2 Smart Cycles. Alternatively, if the patient froze all embryos and got pregnant on the first embryo transfer, they would only use one cycle.
Before advances in vitrification (freezing), patients could not be sure that an embryo created in the lab and frozen for later use would be viable, so using only one embryo at a time seemed wasteful. Now, as freezing technology has advanced, undergoing one pharmaceutical regime, one oocyte collection procedure, creating as many embryos as possible, and then transferring one embryo back into the uterus while freezing the rest provides the highest ROI. If the first transferred embryo fails to implant or otherwise does not lead to a baby, the patient can simply thaw the next embryo and try implantation again next month.
Included in each Smart Cycle is pre-implantation genetic sequencing (“PGS”) on all available embryos and intracytoplasmic sperm injection (“ICSI”). PGS uses next-generation sequencing technology to determine the viability and sex of the embryo while ICSI is a process whereby a sperm is directly inserted into the egg to start fertilization, rather than allowing the sperm to penetrate the egg naturally. ICSI has a slightly higher rate of successful fertilization (as opposed to simply leaving the egg and sperm in the petri dish).
Because Progyny’s experience is denominated in cycles of care, not simply dollars, patients and doctors can focus on what procedures offer the best return. 30% of the Company’s existing network of doctors do not accept insurance of any kind, other than Progyny, which speaks to the value that is provided to doctors and employers.
For patients not looking to get pregnant, Progyny offers egg freezing as well. Progyny started as an egg-freezing manager, which allows a woman to preserve her fertility and manage her biological clock. As mentioned previously, pregnancy outcomes vary significantly and align closely with the age of the egg. Egg freezing is designed to allow a woman to save her younger eggs until she is ready to start a family. From an employer’s perspective, keeping younger women in the work force for longer is a cost savings. Vitrification technology has improved significantly since “Freeze your eggs, Free Your Career” was the headline on Bloomberg Businesweek in 2014, but we still don’t yet know the pregnancy rates for women who froze their eggs 5 years ago, but early results are promising and on par with IVF rates for women of similar ages now.
From a female perspective, the egg freezing process is not an easy one. The patient is still required to inject themselves with stimulation drugs and the egg retrieval process is the same as in the IVF process (under sedation). The same number of days out of work are required. Using the SmartCycle benefit above as an example, the egg freezing process would require ½ of a Smart Cycle. The annual payment required to the clinic is typically included in the benefits package but may require out-of-pocket expenses covered by the employee.
Contrary to popular belief, IVF pregnancies do not have a higher rate of multiples (twins, triplets, etc.), rather in order to reduce out of pocket costs, REIs have transferred multiple embryos to the patient, in the hopes of achieving a pregnancy. If you have struggled for years to get pregnant, and the doctor is suggesting that transferring 3 embryos at once is your best chance at success, you are unlikely to complain, nor are you likely to selectively eliminate an implanted embryo because you now have twins. There are several factors that are making it more likely / acceptable to transfer one embryo at a time, enabling Progyny’s success.

https://preview.redd.it/48vk9gc69zi51.png?width=953&format=png&auto=webp&s=2c75a2771a1dd9a079074331b317451f076725ca
From the Company: “According to a study published in the American Journal of Obstetrics & Gynecology that analyzed the total costs of care over 400,000 deliveries between 2005 and 2010, as adjusted for inflation, the maternity and perinatal healthcare costs attributable to a set of twins are approximately $150,000 on average, more than four times the comparable costs attributable to singleton births of approximately $35,000, and often exceed this average. In the case of triplets, the costs escalate significantly and average $560,000, sometimes extending upwards of $1.0 million.”
“Progyny's selective network of high-quality fertility specialists consistently demonstrate a strong adherence to best practices with a substantially higher single embryo transfer rate. As a result, our members experience significantly fewer pregnancies with multiples (e.g., twins or triplets). Multiples are associated with a higher probability of adverse medical conditions for the mother and babies, and as a byproduct, significantly escalate the costs for employers. Our IVF multiples rate is 3.6% compared to the national average of 16.1%. A lower multiples rate is the primary means to achieving lower high-risk maternity and NICU expenses for our clients.”
An educated and supported patient leads to better outcomes. Each patient gets a patient care advocate who interacts with a patient, on average, 15x during their usage of fertility benefits - before treatment, during treatment and post-pregnancy. The Company provides phone-based clinical education and support seven days a week and the Company’s proprietary “UnPack It” call allows patients to speak to a licensed pharmacy clinician who describes the medications included in the package (which contains an average of 20 items per cycle), provides instruction on proper medication administration, and ensures that cycles start on time. The Company’s single medication authorization and delivery led to no missed or delayed cycles in 2018.
Previous conference calls have made note of the fact that the Company would like to purchase their own specialty pharmacy and own every aspect of that interaction, which should provide a lift to gross margins. This would allow PGNY to manage both the medication and the treatment, leading to decreased cost of fertility drugs. Under larger carrier programs, carriers manage access to treatment, but PBM manages access to medications, which can lead to a delay in cycle commencement.
Progyny Rx can only be added to the Progyny fertility benefits solution (not offered without subscription to base fertility benefits) and offers patients a potentially lower cost fertility drug benefit, while streamlining what is often a frustrating part of the consumer experience. The Progyny Rx solution reduces dispensing and delivery times and eliminates the possibility that a cycle does not start on time due to a specialty pharmacy not delivering medication. Progyny bills employers for fertility medication as it is dispensed in accordance with the individual Smart Cycle contract. Progyny Rx was introduced in 2018 and represented only 5% of total revenue in 2018. By June 30, 2020, Progyny Rx represented 28% of total revenue and increased 15% y/y. The growth rate should slow and move more in line with the fertility benefits solution as the existing customer base adds it to their package.
Progyny Rx can save employers 5% on spend for typical carrier fertility benefits or 21% of the drug spend. Prior authorization is not required, and the pre-screened network of specialty pharmacies can deliver within 48 hours. Additionally, PGNY has 1-year contracts, as opposed to 3 – 5 years like standard PBMs, but with guaranteed minimums, allowing them to purchase at discounts and pass part of the savings on to employers – another reason the attachment rate is so high.
Large, Underpenetrated Addressable Market
Total cycle counts are increasing (below, in 000s), including both freezing cycles and intended-pregnancy cycles. Acceleration in cycle volume is likely driven by a declining birth rate as women wait later in life to start a family, resulting in reduced fertility, as well as the number of non-traditional (LGBT and single parents). Conservatively, we believe cycles can double in the next 8 years, a 7% CAGR.

https://preview.redd.it/y6y7jb559zi51.png?width=943&format=png&auto=webp&s=6cc5cdde7c6583d8e943d2675ad3b6ae85f818de
Progyny believes its addressable market is the $6.7B spent on infertility treatments in 2017, but these numbers could easily understate the available market and potential patients as over 50% of people in the US who are diagnosed as infertile do not seek treatment. Additionally, according to the Company, 35% of its covered universe did not previously have fertility benefits in place previously, meaning there is a growing population of people who are now considering their fertility options. According to Willis Towers, Watson, ~ 55% of employers offered fertility benefits in 2018.
A quick review of CDC stats and FertilityIQ shows a significant disparity in outcomes and emotions for those who are seeking treatment. While technology in the embryo lab is improving rapidly and success rates between clinics should be converging, there continue to be significant outliers. Clinics that follow what are now generally accepted procedures (follicle stimulating hormones, a 5-day incubation period and PGS to determine embryo viability) have seen success rates of at least 40%. There continue to be several providers that offer a mini-IVF cycle or natural IVF cycle. Designed to appeal to cost conscious cash payors, the on average $5,000 costs, is simply IVF without prescription drugs or any add-ons such as PGS. However, the success rates are on par with IUI and there is an abundance of patients over 40 using the service, where the success rates are already low. Additionally, success stories at these clinics frequently align with what is perceived as the worst parts of the process:
One clinic offering a natural cycle IVF has a rating at FertilityIQ of ~8.0 with 60% of people strongly recommending it. This clinic performed 2,000 cycles in 2018 (the most recently available data from the CDC), making it one of the top 10 most active fertility center in the US. Their success rate for women under 35 was 23%, as opposed to the national average of 50% for all clinics. For women over 43, the average success rate for the most active 40 clinics in this demographic was 5.0% this clinics success rate was 0.4%. The lower success rate is likely due to the lack of pre-cycle drugs and PGS, but the success rate and the average rating is hard to understand. Part of this could be to the customer service provided by the clinic, or the perceived benefit of having to go into the office less often for check-ups when not doing a medication driven cycle.
.
Reviews from other clinics with high average customer ratings, but low success rates include:
- “start of a journey that consisted of multiple IUI’s with numerous medications, but they were not successful.”
- After an IVF retrieval, the couple had two viable embryos, both were transferred the next month”
- “The couple started with a series of IUI treatments, three in total that were not successful.”
- “After a fresh transfer of two embryos, again another unsuccessful cycle”.
- “He suggested transferring 2 due to higher implantation rates, but there is increased rate of twins “
Valuation
https://preview.redd.it/tqcykjm39zi51.png?width=6358&format=png&auto=webp&s=b63fd53c054ac5cbacaf9ccc734c7e73f0ea3c32
Progyny’s comps have typically been other high-growth companies that went public in the last two years: 1Life Healthcare (ONEM), Accolade (ACCD), Health Catalyst (HCAT), Health Equity (HQY), Livongo (LVGO), Phreesia (PHR), as well as Teladoc (TDOC). Despite revenue growth that outpaces these companies, PGNY’s revenue multiple of 4.4x 2021E revenue is a 40% discount to the peer group median. PNGY’s lower gross margin is likely limiting the multiple. However, Progyny is the one of the few profitable companies in this group and the only one with realistic EBTIDA margins. SG&A leverage is the most likely driver of increased EBITDA and can be achieved by utilizing data to improve clinical outcomes in the future, but primarily by increased productive of the sales reps, including larger employer wins and larger employee utilization.
Perhaps the best direct comp is Bright Horizons (BFAM). BFAM offers childcare as a healthcare benefit where employees can use pre-tax dollars to pay for childcare. BFAM offers both onsite childcare centers built to the employer’s specification (owned by the employer and operated by BFAM), as well as shared-site locations that are open to the public and back-up sitter services. Currently, PGNY is trading at 4.4x 2021E Revenue, in-line with BFAM’s 4.3x multiple. I would argue that PGNY should trade significantly higher given the asset-lite business model and higher ROIC.
Recent Results
Post Covid-19, fertility treatments came back faster than anticipated, combined with disciplined operations, PGNY drove revenue and EBITDA above 2Q2020 consensus estimates. Utilization is still below historical levels, but management’s visibility led to excellent FY21 revenue estimates (consensus is around $555M, a y/y increase of 62%.
2Q2020 revenue increased 15% to $64.6M, and EBITDA increased 18% to $6.5M, primarily driven by SBC as the 15% revenue was not enough to leverage the additional G&A people hired in the last 18 months. The end of the quarter as fertility docs opened their offices back up for remote visits saw better operating margin.
Despite the shutdown in fertility clinics during COVID-19, Progyny was able to successfully add several clients.
“The significant majority of the clinics in our network chose to adhere to ASRMs guidelines, and our volume of fertility treatments and dispensing of the related medications declined significantly over the latter part of the quarter. . . Through the end of March and into the first half of April, we saw significant reductions in the utilization of the benefit by our members down to as low as 15%, when compared to the early part of Q1 were 15% of what we consider to be normal levels. In April, the New York Department of Health declared that fertility is an essential health service and stated that clinics have the authority to treat their patients and perform procedures during the pandemic. Then on April 24, ASRM updated its guidelines which were reaffirmed on May 11, advising that practices could reopen for all procedures so long as it could be done in a measured way that is safe for patients and staff.”
Revenue increased by $33.8 million, 72% in 1Q2020. This increase is primarily due to a $19.0 million, or 47% increase, in revenue from fertility benefits. Additionally, the Company experienced a $14.8 million or 216% increase in revenue from specialty pharmacy. Revenue growth was due to the increase in the number of clients and covered lives. Progyny Rx revenue growth outpaced the fertility benefits revenue since Progyny Rx went live with only a select number of clients on January 1, 2018 and has continued to add both new and existing fertility benefit solution clients since its initial launch.
Competition
The only true competition is the large insurance companies, but, as mentioned previously, they are not delivering care the same way. WINFertility is the largest manager of fertility insurance benefits on behalf of Anthem, Aetna and Cigna and are not directly involved in the delivery of care. Carrot is a Silicon Valley startup that recently raised $24M in a Series B with several brand name customers (StitchFix, Slack) where they focus on negotiating discounts at fertility clinics for their customers, who then use after-tax dollars from their employers.
Risks to Thesis
Though there is risk a large carrier may switch to a model similar to Progyny’s, I believe it is unlikely given the established relationships with REIs at the clinic level, the difficulty of managing a more selective network of providers, and the lack of
interest shown previously in eliminating the IUI. It is more likely a carrier would acquire Progyny first.
submitted by dornstar18 to SecurityAnalysis [link] [comments]

[PART 1/5] 50+ things I have tried out to improve my channel , now getting over 3000 views and 10k watch time per day [12 month analysis conclusion]

Hello everyone, I have been a part of NewTubers from almost a year now, and in that time I have picked up a lot of knowledge and ideas from here. These next five posts (this is part 1.) are going to be my new contribution to this community, and a way to give back some tried and tested tips, tricks and ideas about improving your channels.
This is going to be a very long post, and in five parts, so please take your time in reading it, save it for later and try to process it part by part so you can get the most use out of it.
This is my third post on this subject, with the previous two written at the 6th and 9th month of my year long journey of giving my channel my best try at success. I will post the links to those posts as I get to their appropriate place here.
The 50+ tips, tricks and ideas that you are going to read about here are not all mine, but I have tested them all in the last 12 months thoroughly. Some I found here, and other places online, some I saw in other creators videos and some I came up by myself, often while siting in the toilet.
I kid you not, some of the best ideas I have had in my life popped into my head in that little room. It must have something to do with leaving the worries of life at the door and just thinking freely about the nature of life. I bet there are science papers written about that strange effect of the toilet. But let's get back to the main point of this post.
To give you some context about my channel and the data I will be presenting:
  1. I am not a native English speaker, but all my videos are in English, viewers rate my accent 4/5
  2. I started back in 2011. but had numerous off times, lasting from a month to a year, last one being over a year long
  3. For the last 12 months I have made 200+ videos(one every 1.8 days)
  4. I have spent an average of 4 hours per day somehow working on my channel, my skills and understanding of my audience and YouTube's rules
  5. I have a gaming channel with the emphasis on tutorials, how to videos and guides. Add to that let's plays, previews and first look videos of new Indie games, performance benchmarks, and some gameplay/montage videos with minimal or no comments
  6. At the moment of writing this post I have 2,827 subscribers and 660+ videos
  7. My channel has been monetized since 11.05.2019.
Analytics for the last 28 days say:
I think that about covers it? If you have some other metric you would like to know, feel free to ask
Three months ago I wrote this post about my progress:
Best channel and video practices/tips, update from 3 months ago. For the first time my channel is getting +100 subs a month, and for the second time 100k minutes watched.
https://www.reddit.com/NewTubers/comments/f6tkr3/best_channel_and_video_practicestips_update_from/
Back then the 28 days analytics look like this:
While 6 months ago, I wrote:
31 things I tried out to improve my channel, getting 75% more views, 300% more likes and 450% more subs [6 month analysis conclusion]
https://www.reddit.com/NewTubers/comments/dsygyp/31_things_i_tried_out_to_improve_my_channel/
Back then the 28 days analytics look like this:
Now I will write down all the things I have tried in the last 12 months and I will talk about each one and it's effectiveness, and the ultimate results of it, for my channel, that I could see and analyze. This first part will explain 1-10.
This is a list of what I have tried out, bellow is a list with the explanations:
  1. Changed my thumbnail design
  2. Redid thumbnails for many of my old, but active videos, according to the new design
  3. Redid titles and tags and added very long descriptions to old videos, same as new videos
  4. Analyzed tags of videos which are on the same subject as mine but have more views
  5. Made many playlists, some videos ended up in as many as three playlists
  6. Paid a friend, professional designer, to create my new channel banner and logo
  7. I now try to show off the best parts of the video in the first 30 seconds
  8. Added a call to action, visual and voice over to almost every new video and picture of my channel logo
  9. Used the analytics to tailor my video release times to when most viewers where online (now YouTube analytics shows that data)
  10. Made new, updated versions of my already popular videos
  11. Collaborate with other content creators in form of script editing, idea sharing, video ideas brainstorming etc. [part 2. https://www.reddit.com/NewTubers/comments/gv6vr3/part_2550_things_i_have_tried_out_to_improve_my/ ]
  12. Started to record audio to separate files from video so I could edit only the audio
  13. Learned to use a more advanced video editor program, now I use more options
  14. Got a better microphone, but still dirt cheap, and added a sock onto it
  15. It was a really hard but I got the filler sounds "umm" and "err" out of my speech
  16. Used Google doc to be able to write scrips where ever I go and on the move
  17. Started to use the community page on my channel to let subscribers vote and to remind them of an already posted video
  18. Analyzed each of my most successful videos and took their framework to make new videos
  19. Created my own rules what to make and what not to make based on what worked in the past
  20. Set up a default END for every video with a black screen and a thank you/like/sub note
  21. Did my best to mention another of my videos in each new video and interconnect them
  22. Answered to comments with a welcome to my channel even if I saw that the person didn't subscribe [part 3. https://www.reddit.com/NewTubers/comments/gzmbspart_3550_things_i_have_tried_out_to_improve_my/ ]
  23. Answered 99% of viewers comments
  24. Created my own schedule, but not made it public
  25. Made 4 videos a week, then cut down to 3 a week
  26. Added a subscribe icon of my channel to the end screen, along with next video card, best for viewer card and a playlist card
  27. Added 3-5 video cards during each video
  28. Added my own comment on every new video and pined it to engage the viewers
  29. Added my channel logo as a watermark in my videos
  30. Asked for viewers submissions to feature them on my channel
  31. Engaged my viewers in multiple ways during a video
  32. Had an intro, removed it, made a new intro, removed that one too
  33. Started a blog on games and gaming industry in general and linked my YouTube videos to it [ part 4. https://www.reddit.com/NewTubers/comments/h9znkm/part_4550_things_i_have_tried_out_to_improve_my/ ]
  34. Turned my blog posts into scripts for videos
  35. Posted comments on other channels, with videos which are similar to my own
  36. Created multiple giveaways
  37. Join a number of subreddits both valuable vaults of knowledge and information, like this one
  38. Join a number of subreddits simply explained as "get more views" spam anthills
  39. Made a Facebook group for my channel
  40. Posted my videos on specific subreddits
  41. Posted my videos on my Twitter account
  42. Posted my videos in specific Facebook groups
  43. Posted my videos in specific Discord channels
  44. Posted my videos on specific forums and threads
  45. Posted screenshots or thumbnails on Imgur and Pinterest, + links to video when possible
  46. Posed on Steam client, game specific discussions
  47. Created game guides on Steam client, written long text into which I add screenshots and links to my videos [part 5. https://www.reddit.com/NewTubers/comments/hdqnb5/part_55_50_things_i_have_tried_out_to_improve_my/ ]
  48. Linked my videos to Steam game pages, asked my friends to like them so they would be placed at the top of the Most popular (week) page (which is the default page)
  49. Reposted my most successful and my best made but not successful videos on weekends and during specific events to all social media
  50. Read forums, discussions, subreddits, discord chat and other places where people ask about problems in games so I could get ideas for videos and link my own videos as answers
  51. Started making video lists of new games upcoming in 2020 and beyond
  52. Writing directly to Indie developers and getting in touch with them about getting press keys for games, interviews, news
  53. Joined programs to get free Indie and small studio's games, before or at release times, payed for AAA from my pocket
  54. Used Tubebuddy free version, and the most expensive version in the trial period to analyze my channel and videos
  55. Used free version of VidIQ to do the same things as with Tubebuddy
All right, time to go into more details, and see what benefits these 55 things had for my channel:
  1. The new thumbnail design.
I took making these far more seriously, installed GIMP (software) and learned many options by trial and error + guides).
Thumbnail design is something that keeps evolving but a few things have proven, over the course of two hundred videos, to be universal in increasing CTR:
a) 2-3 words max
b) text taking up 30% of thumbnail so it can be easily red on the mobile phone (you can test this by simply zooming out to 1/16 of your screen when making it in your software).
c) high contrast between the color of the letters and the background. Heavy use of shadow or second layer of black/white letters behind the original text offset by a few pixels.
d) every part of the thumbnail must be different size, if you have logo/text/character(face) set sizes to at least 50% difference, for example 1:2:3.
f) use large single objects as the main thumbnail picture, anything that has too much detail, and is made up of many tiny sections is hard to see and understand, especially on small screens
g) place your own channels logo on the thumbnail so that your content becomes recognizable. Especially if you make a lot of similar content. Because if at an end of a video, a viewer get's recommended 12 thumbnails and your logo is on 4,5,6 of them, you look to be the leader on that subject. People respect that and see you as an authority on that subject.
When I compare my most viewed videos, which gain most views from search hits, I can clearly see that now I have 12% CTR compared to the ~7% on the old videos, and these are both tutorial videos, so same type just different game. Here is a link to some of my latest thumbnails: https://drive.google.com/open?id=1qJQL9qwNlKW-s6sxzpdur1Qu6drShbKd
  1. This leads us directly to my second point, redoing thumbnails for many of my old, but active videos, using the new design.
I did this for dozens of videos, and EACH saw improvement in CTR. Some +1% others double the old CTR. Another great benefit of the higher CTR on older videos is that they already have many views, good watch time and with the improved CTR they get suggested more, to the right audience, and that improves the CTR even more which then gets your more watch time and views and so on, you get the loop. This is a great way to get a steady improvement on a good video and keep getting views. If you have many old videos, it's hard work, but it pays off.
  1. Another thing I changed is how I write titles, description and tags.
Here is an example of my older videos:
Title: Elder Scrolls Legends Introduction by Perafilozof.
Description: "A short introductory video about TES Legends by me with some details about more videos in the future".
Tags: Elder Scrolls, Elder Scrolls Legends, introduction, perafilozof, gameplay, short, game, cards, drops, type, release, new, beta, explain, 1080p.
The video is from 9th of March 2017. to this day it has 71 views. Dead for years. It's painfully obvious in retrospective that I didn't know anything about Titles, Descriptions, Tags, SEO...
Now let's look at another video. Compared to TES Legends this game is obscure, it's an Indie game with low polygon graphics that has tens of thousands of times fewer players then the previous one.
Title: How to play Legend of Keepers: Career of a Dungeon Master guide and monster tutorial | Indie game
Description: ... well it's so long that it's pointless to copy paste all 3998 characters in here. But these are it's parts: a) 40 word explanation of what is the video about and what will the viewer learn from it b) 30 word explanation of the game's content c) Links to 3 of my previous videos, about this game or similar games, which I mentioned to the viewer during this video d) a playlist of my other videos of this type and another playlist of similar content f) follow me on Twitter + link, Join my Facebook group + link g) another 400 worlds about the game and it's features, content, lore, characters h) hashtags specific to this game #LegendOfKeepers#Dungeons#roguelite
Tags: Legend of Keepers 10+ times, but ends differently every time. Example: Legend of Keepers how to play, Legend of Keepers tutorial, Legend of Keepers monster characters. With a few different tags like: Roguelite PC game, New Indie dungeons game ...
This video was posted on March 19th 2020. and it now has 813 views, last 28 days 60% of views are from YouTube Search, 31% from External, with ~70% of that from Google search + 10% YouTube. Less then 9% is from ALL other sources combined.
Now, these two are examples of using a very broad word in the title: "Introduction" and "How to play". If I want to get more views, title has to be more specific, but also about something a lot of people search for.
Here is how that looks like in another video:
Title: Not enough Goods, Buyers 2019. | How to fix and prevent tutorial for Cities: Skylines | Guide #2. This is a popular game but not exactly AAA, from 2015. It has a massive number of players around the world. Rough estimate 15+ million.
Description: very similar to the previous video, but a large part of the description is my actual script which I used to talk in the video.
Tags: again, similar to the previous video: Cities: Skylines 10+ times over with variations: Cities: Skylines Not enough goods, Cities: Skylines industry problem, Cities: Skylines not enough buyers...
This video was posted on Jun 16th 2019. and it now has ~48k views. Last 28 days 44% of views are from YouTube Search and External 45% with ~38% of that from Google search and 61% from Other ( I am guessing this is from Steam community guides, where this video is linked to a massive text guide. More on this in one of the later points.) 4.4% suggested, 2.3% browse features.
I know this was a really long example but I think it's quite clear to you now what makes a video searchable and how they must be presented to YouTube with titles, description and tags for them to be shown as search results and get hits. The more popular the game the more specific you have to be with the content you are presenting to the viewer and data you impute into YouTube. I will talk about how to find subjects for videos with high potential views in a later point.
  1. Analyzed tags of videos which are on the same subject as mine but have more views.
This one can be done using the free version of VidIQ or Tubebuddy. Find a video of yours that you think is one of your best ones, and which has search potential. Search YouTube (using an incognito mode of a web browser, so you preferences are not used for the search) and find videos which have more views then yours but are on the same subject. Read their tags. Compare to your videos tags and change yours to be more inline with the tags, tittle and description of the video what has most views on that subject.
What this achieves is that you are making your video more obvious to the YouTube's algorithm as an answer to that specific subject people search for and ask YouTube. The algorithm does it's best to match users question, or a whole group of similar questions, to a video in it's database. Once one video becomes a go to answer for a question it's really hard to dislodge it. But what you can do is get your video closer to it, and to the question itself, by letting YouTube know, through tags (and even description and title) that your video is a good match as an answer.
Important note here: DON'T look at tags from videos made by the most successful Channels which don't match the question with it's title or tags. This is because those channels get massive views just by having massive base, startup views, from subscribers and people linking their videos all over the internet. That is why those creators don't bother with correct titles, tags or descriptions.
They get their first mass views from faithful audiences and then the algorithm boosts them on the basis of "It has lot's of views already". The thing is that you will rarely see these videos as search results, because they have horrible tags and titles but you will see them ALL the time in the suggestions box and page and other places the algorithm recommends them.
In conclusion, when your are "small" you have to do all the hard to work for your videos to get noticed. When your are "big" YouTube does the work for you.
  1. Made many playlists, some videos ended up in as many as three playlists.
This one should be known to you by now. Playlists can create good amounts of extra views. BUT! each playlist has to have a hook, a video that makes it worth watching, starting to watch at least. For example, my playlist with videos of previews of new games gets almost no traffic. Because each video is about something different, a different game even though they are all the same genre.
But, a playlist of tutorials about many games of a single game franchise gets views all the times. Why? Because people play more then one game in a franchise. They find my tutorials playlist, searching for one game in that franchise, then they decide to take a look at the other games in that franchise and since they are already there on my playlist they can do that right there and on the plus side learn how to play it at the same time.
And, of course, playlists made up of numerous tutorials about the same game get even more views. What is interesting is that you can make custom playlists that are a mix of tutorials and Let's plays.
So for example, you play a game, show it off, and then the next video is a how to start tutorial before the second episode. Then after the 3rd episode you set up a video that is a tutorial about some aspect of the game that you had a hard time in episode 3. I get over 1000 playlist views a month and 2200+ video views in playlists a month with about 6%(12+k minutes) of total watch time being from playlists.
  1. Paid a friend, professional designer, to create my new channel banner and logo.
My previous 3 banners and logos where my own creations and very poor in quality. A few months ago I gave my friend some direction, a basic idea of what I want for a logo and banner and he came up with this amazing new logo made up of two elements I chose. The banner is beautiful but I have come to a realization that I might have limited it's looks by being to specific so I will change that a bit.
Good thing my designer is my friend, so I won't have to pay for the update. But it's a good lesson. Leave your banner design as open as possible so you can do more different content and the banner will still represent you fully.
My personal suggestion is that even if you do rebrand try to keep at least a bit of the old design and incorporate it somehow into the new one so that you can trace your origins and keep that feel of constantly evolving, improving rather then just burning down everything and starting from scratch each time. This way you won't alienate your current subscribers as much when you rebrand or update your banner and logo design.
  1. I now try to show off the best parts of the video in the first 30 seconds.
This is an advice you should be very familiar with and you will have probably noticed it in other peoples videos. It's simple and it works! A big problem with audience attention is that you can get a big drop off after the first 1-15 seconds if you don't show and tell to the viewer why they should keep watching. This is especially true if you are making searchable videos.
Example : I want to know about the new Intel processor. I search in Google or YouTube. Chose a video and click on it. Then the person talking starts like this:
*"Hello Youtube(guys, etc.) welcome to ... where you can get all the latest about... don't forget I do streams on... I want to say thank you to... my dreams have come true and this new Intel Processor is so powerful and I will show of to you right after... "*
And I just clicked off. Some of you probably clicked off at "don't forget I do streams on". Or you jumped 2 minutes in but you jumped over something and now you are out of context, and now you would have to go back 20 seconds... and that is a mess.
What the person in the above example should have done is this:
"Hello and welcome to my dream come true where I use the new most powerful Intel Processor to date. With X many Ghz and Y cores which gives it an amazing score of Z in this benchmark and 300 fps in this X game. Let's see what gives it some much power..."
And then later once you have captured your audiences attention can you talk about other things like who is your sponsor, when you do live streams, what other videos you made and so on. On my own videos I can see incredibly clearly what was my voice over AND video intro just by the viewer attention analytics.
A big drop off after 1st second? I had a channel intro in that video. A large drip in viewer attention post 5th second? I was saying hello and some other things not related to the content of the video. Now I open with something along the lines of :
"Hello and welcome to my Y tutorial on X game. Here you will learn about Y, Z and X. This video should help you do X faster and get you set up in Y much better so you can Z."
Along with the voice over you have to have video clips, you best parts to show off in the first 20-30 seconds. My latest videos no longer have those huge dips in viewer attention after the first few seconds because there is noting to skip.
A note here is that you can have large dips in the first few seconds for other reasons as well. Clickbate thumbnail and title, posting/promoting your video on places where many will click but most will not be interested or problems with audio quality.
  1. Added a call to action, visual and voice over to almost every new video and picture of my channel logo.
Calls to action at it's core is nothing else then: "Please subscribe, like and comment my video" to put it simply. Why do you NEED to do this? Because people are generally lethargic (sluggish and apathetic) when watching something on their screen. Even if they like your content there is a high chance they will not bother to like, leave a comment or subscribe. Three things every new channel desperately needs.
You can do a call to action with a voice over and with extra visual effects, pictures etc. Some add their logo to the video at that moment. It sounds simple enough but doing this right is everything but simple. I stared to do this a while back, but I did a lot of experimenting. Different places in the video. Different sentences and visual effects.
There are a few things that I could call obvious about this after experimentation and analysis :
a) People don't like it done right at the start, at least not before you have explain what they will see, hear or learn in the video
b) people don't like it long or if it detracts from watching the video, the more seamless it is the better it will go over with the viewer
c) doing it at the end of a video will not get you positive results. Very few people watch videos to the end and very few videos are worth watching to the end.
d) The optimal placement of a call to action is right before or right after you pass on, give, the most important information that your video has, to your viewer. Before in the event your main point is at the end of the video and later if it is at the middle. This is because you want the Call to action to be seen and heard and these two are the places where the people who are watching your video will be most interested and at the peek of their good will towards you as the creator. I would advice NOT having this in every video and NOT having it at the exact same place(minute/second) every time.
  1. Used the analytics to tailor my video release times to when most viewers where online (now YouTube analytics shows that data).
This one is really easy and simple, and YouTube made it even easier now with the additional analytics table showing this data. My viewers are 30+% from the US. Another 15% from other English speaking counties. And 90+% of them are 18-44 years old. This makes their ON time a bit wide but I aim to release a video a few hours BEFORE the time they are going back home from work/school or have already arrived there.
For me, where I live, in my time zone, that time is at 14:00h, and I expect them to watch it between 17h-23h. And the cool thing? I was right on target. When YouTube rolled out their addition to the analytics, which shows you when your viewers are online my viewers are mostly online from 12PM-12AM with the highest numbers between 16h-21h.
This is something that can really help you post videos on the time of the day that has the highest number of people available to watch your video. The more views you get in that time the more likely it is that your video will do even better in the long run.
  1. Made new, updated versions of my already popular videos.
This one is a really important one. I have a few videos that are popular on my channel and as I started to work on my channel more seriously I took at look at them and analyzed them. I also went online to see if the subjects of these video is still active online on forums, Reddit, facebook and so on.
So, I picked one of my most successful, oldest and most active videos. It was about a single game and about a single game mechanic that was really hard to understand and which created problems if you didn't know how to play with it properly. In essence, very specific, and something people would actively search for during many years. I watched my old video, played the game some more and tried to do an even better video.
The old one was named: Let's Talk Not enough Goods, Buyers, Products and Materials in Cities: Skylines. It was part of a series of videos, all named: Let's Talk... then some specific gameplay mechanic. The description was 2 sentences and tags where horrible. It was getting about 40 views a day in 2019., and it's views had been constantly increasing since 2015.(it was getting 1-5 a day back then) when it was released. It had ~26k views in jun 2019.
So, I made a new video on this subject and named it: Not enough Goods, Buyers 2019. | How to fix and prevent tutorial for Cities: Skylines | Guide #2. I added 2015. at the end of the name of the old video. This video had a huge description, half of it from my script from the video. It had good tags at first, then much better ones as I continuously analyzed the traffic tab of the analytics and changed tags to be more inline with how the search was hiring it.
Thumbnail wasn't, and still isn't perfect, but it is simple and to the point. A few too many words for my linking, but the subject of the video is complex so there was no helping it. I promoted this video in a few places where people will have the most use out if. It started with 40 views per day and "stole" 50% of views from the older video.
The views grew constantly, each month 20% more then last month. After 4 months even the old video on the same subject started to get more views. And then... I doubled down. I made a 3rd video about this subject, but 3 times shorter, and much more to the point and mostly only about a single solution of the problem. That one grew even faster, 30% each month.
And all three videos where getting more views now. It's name was: How to fix not enough Goods | Policies Solution tutorial Cities: Skylines Guide #3. Today, the oldest video has 44k views, 150 a day, second one, 48k views, 600 a day, third one 21k views, 360 a day. To be honest, it's a dirty tactic, but it works like a charm.
As I was writing these explanations I realized just how long they where, so writing all 50+ in one post seamed like a bad idea for multiple reasons. This is why I have decided to post this first part, which contains all the introduction about this post, all 50+ things I have tried over the last year and explanation to the first 10.
I will try and post at least one part of this post each week. And I will interconnect them all with links to each other.
Thank you for reading, feel free to comment and ask. Do remember that this is all from my experience, and even if my writing style seams like I am telling you what YOU should do, it's only what my advice, from my experience, for you would be. You don't have to use it, you don't even have to agree with it. And if you don't agree with it, I would love to read why, it will help others to hear more opinions and experiences.
Have a nice day!
submitted by spector111 to NewTubers [link] [comments]

MAME 0.222

MAME 0.222

MAME 0.222, the product of our May/June development cycle, is ready today, and it’s a very exciting release. There are lots of bug fixes, including some long-standing issues with classics like Bosconian and Gaplus, and missing pan/zoom effects in games on Seta hardware. Two more Nintendo LCD games are supported: the Panorama Screen version of Popeye, and the two-player Donkey Kong 3 Micro Vs. System. New versions of supported games include a review copy of DonPachi that allows the game to be paused for photography, and a version of the adult Qix game Gals Panic for the Taiwanese market.
Other advancements on the arcade side include audio circuitry emulation for 280-ZZZAP, and protection microcontroller emulation for Kick and Run and Captain Silver.
The GRiD Compass series were possibly the first rugged computers in the clamshell form factor, possibly best known for their use on NASA space shuttle missions in the 1980s. The initial model, the Compass 1101, is now usable in MAME. There are lots of improvements to the Tandy Color Computer drivers in this release, with better cartridge support being a theme. Acorn BBC series drivers now support Solidisk file system ROMs. Writing to IMD floppy images (popular for CP/M computers) is now supported, and a critical bug affecting writes to HFE disk images has been fixed. Software list additions include a collection of CDs for the SGI MIPS workstations.
There are several updates to Apple II emulation this month, including support for several accelerators, a new IWM floppy controller core, and support for using two memory cards simultaneously on the CFFA2. As usual, we’ve added the latest original software dumps and clean cracks to the software lists, including lots of educational titles.
Finally, the memory system has been optimised, yielding performance improvements in all emulated systems, you no longer need to avoid non-ASCII characters in paths when using the chdman tool, and jedutil supports more devices.
There were too many HyperScan RFID cards added to the software list to itemise them all here. You can read about all the updates in the whatsnew.txt file, or get the source and 64-bit Windows binary packages from the download page.

MAME Testers Bugs Fixed

New working machines

New working clones

Machines promoted to working

Clones promoted to working

New machines marked as NOT_WORKING

New clones marked as NOT_WORKING

New working software list additions

Software list items promoted to working

New NOT_WORKING software list additions

submitted by cuavas to emulation [link] [comments]

My review of online school

I'm just going to spoil the review right away: this shit sucks major ass. There are so many moving parts of this garbage tower that contributes to why online school should be the reverse gold standard for everything else that is fucking awful. First, it has the exact same fucking schedule as it normally would, but then you realize that means they had the option to not make you wake up at 6 AM just to do seven hours of zoom meetings, but they made that choice knowing damn well it could be avoided. Mentioning the zoom meetings, it's another flavor of diarrhea on this shit sundae. Basically the teachers again had to go with the worst possible way to do things, they can record their lectures, they can just leave the powerpoint, but no, they decided to do it live using software they don't even fucking understand how to use. That would be like if instead of reading a book in english I decided to buy both the Russian translation and a Russian-To-English dictionary. Aside from the proof that hell isn't a physical place but instead an online video call, there's also the assignments. Incase you can't notice a theme, the teachers are back at it again with their fraction IQ ideas on how to handle this shit. Instead of listing it off in one place or just telling you what to do in the lecture my teachers decided to make it their singular purpose in life to make finding everything as hard as it can possibly be. I didn't even realize this in the first week, and I thought all I had to do was on the front page, I was never more wrong about anything, goddamn flat earthers are closer to the truth than I was. There are fucking FOUR different places I have to look to find my assignments, sometimes even looking there isn't enough because a few times they're buried under a million links or it just might straight up not exist and I have to find a way to take a nonexistent quiz. Overall, online school is a revolution in ass, nothing else has ever came close to being as bad. I give it a 0/10, it really is impressive how bad this experience can be
submitted by NorthernSkitz to teenagers [link] [comments]

Have you found a fertility doctor’s age to impact their approach to treatment?

I haven’t had a period in almost 150 days. I saw my OB today who prescribed Provera but said she doesn’t prescribe Clomid/letrozole and that I’d need to go to a fertility specialist for that.
The closest one to me is 45 minutes away and is 72 years old. On some sites his reviews are great, on some they’re middle of the range.
I have a complex set of medical problems requiring 7 specialists, and during the time I have built my medical team, I’ve found that when the doctors are older (maybe 65+) they tend to have been practicing paternalistic medicine most of their career which shows in their approach. Also, many of them didn’t seem up to date - which can happen to any doctor regardless of age, but is more of a problem IMO when med school was 45 years ago.
That said, there is one older doctor I had who’s years of experience was a huge asset since it was combined with a patient centered approach and staying up to date.
So, I don’t intend to come off as ageist or like I am unfairly generalizing - I am just wondering if people have found any difference in approach in general of their older fertility specialists and youngemiddle age.
Edit: Thank you so much to everyone for sharing their experiences. After reading the FertilityIQ site, I decided to give this doctor a shot. I just called and they are getting me in next Thursday at 12:30 via a Zoom call where we will come up with a treatment option! I cannot believe I am getting in so quickly.
submitted by MyTFABAccount to TryingForABaby [link] [comments]

Resources for Switzerland (V2).

An updated version of a post I made sometime ago. People probably have quite a bit of time now for extensive planning of future trips.
This is mostly aimed at English speakers, those who speak the local languages will have far more options. I live in the German speaking area so I am very heavily biased to the sights and culture there just through my daily experience.
I am a little insufferable at always wanting to be different, so I tend to be a bit harsher on populafamous places than unknown ones. You should try and mentally correct for that.
A quick disclaimer…
I am in no way linked to, get paid by, or benefit from anything I do on here in any way whatsoever. This is purely for my own amusement. (Sadly nobody has even tried to bribe me with free luxury visits)
I will also try and update or correct posts as I or others spot mistakes, but there could still be errors and points that have since become outdated.
Internet - practical
General:
  • My Switzerland. The official and very extensive tourism website. Just about any information you could possibly need about anything is on here.
  • Wikivoyage. A bit hit and miss: the overview and coverage for places like Zürich is fantastic, but many places are lacking in useful or any info.
  • Local tourist areas all have their own websites. Usually in both summer and winter versions, giving you info on: conditions, what is open, ideas for what to do, etc:. Eg: Jungfrau region, Zermatt, Appenzell, and so on.
Transport:
  • You can get regional travel passes which cover all transport and cable cars in specific areas (Eg: the Jungfrau region, or the Tell pass around Luzern). Likewise there are endless passes for museums etc in each region.
  • SBB. The website (and also app) for the train network covering buses, boats, and cable cars too. Timetables, ticket info, and pass info. It is sometimes better to look up the timetable for seasonal things like cable cars and boats on their own websites (eg: BLS boats on Brienzersee, or cable cars in the Aletsch region) as when they don’t run the SBB just gives a vague “can’t find the connection” notice. They do various travel passes, though it is best to carefully calculate your planned routes or figure out if it is worth it It is worth looking for the off-peak “super saver” tickets which limit you to a certain train but can cut the price in half (and if you have the half-tax this cuts the price again, to as much as 75% off).
Accommodation
  • Official accommodation (which should include Airbnb) will offer a guest card in many tourist areas including free/discounted local transport and activities. Typically this is just in the town/village and places 10-20 minutes away (eg for Interlaken), but in the beautiful and underrated canton of Ticino it covers the entire canton.
  • Aside from the standard options for finding rooms you might also want to look into other options such as https://alp.holidaybooking.ch/?language=en, and https://www.rooms.ch/ . Many smaller independent options (especially farms and rural hotels) are not on Booking.com etc and you will have to find them by trawling around on google maps. This could help if you really want to stay in a certain area but everything is booked out, but many of them have a very basic setup so you might need to phone up or fill in a form on their website.
  • Another option that might be worth considering is the Swiss Hotel Card, a 99CHF per year subscription that offers half priced hotel rooms. This is limited to participating hotels and doesn’t apply during the high season, but could easily pay for itself with just a single night or weekend. I have yet to try this, but the range of locations looks like it could be quite good for domestic travellers.
  • For more rural hut and farm based accommodation: https://bnb.ch/ , and https://www.bauernhof-ferien.ch/ , and https://www.myfarm.ch/en/accommodation , and https://naturfreunde.ch/haeuse . Some like myfarm.ch offer the chance to sleep on straw in a barn.
  • Alpine huts are run by a few different organisations. The SAC website is the best starting point.
  • Camping. Standard campsites: www.tcs.ch , www.camping.ch , and www.sccv.ch. In addition there are a few websites where you can officially find a small patch to pitch up on a farm https://www.nomady.ch/ , and on myfarm.ch too.
  • Wild camping is complex. The best way to sum it up is "Prohibited but tolerated under conditions". This SAC page has the most official guidelines. There are some pointers for the ideal situation (the more you follow the better): above the treeline, with the community / landowner’s permission, not in a protected area, single tent, set up as the sun goes down and dismantle at dawn, no fire/noise/disturbance/litter. Wild camping has increased in popularity in recent years, iconic spots like Seealpsee are having problems with numbers, so try and pick a less known spot.
Weather:
Maps:
  • Switzerland Mobility. Detailed map showing all official routes for hiking/biking/skating…. With lots of short and long suggested routes. If you sign up for the (paid) Pro version then you can plan routes on the map with detailed height information and pretty good time estimates. for example.
  • map.geo.admin.ch. The official govt map is amazing. Quick to load and use on desktop or mobile. You can toggle useful overlays like hiking paths (in some ways better than Mobility above as the levels are shown and the contrast makes it much clearer), and just about anything else from geological features to ski runs, you can even switch to historic versions of the map going back to the mid 1800s and watch the country grow. It will even convert any section you like to PDF for easy saving and printing. All for free.
  • When actually out and about I tend to use Maps.me on my phone which has rather good coverage of the footpath system and addresses/businesses. That said it does have some big gaps in some areas. I wouldn’t use it for advanced routes, but to check my position and where a certain side path might take me it is mostly very useful. The directions feature sometimes gives good advice and sometimes decides that a perfectly good bit of path can’t be used and that you should take a 3 hour detour. The time calculator does not take height change into account, so do not trust that either.
Misc:
  • Swiss vs European power plug adapters - not always compatible! If you have an EU plug it might not fit into a Swiss socket, but newer ones should do (roughly speaking when the two prongs are 4mm or less in diameter, and 14mm apart they should work in both the EU and Switzerland).
  • Cable cars typically stop running at around 5pm (later if there is a village like Mürren). This is especially deceptive in summer when it stays light until much later. Check when the last run is, the internet is full of stories of people who found themselves with a long walk down in the dark.
My own guides
More travel related:
Responses to often posted topics:
  • Are there any ugly places in Switzerland (yes): Link
  • Misc. points like why is the grass so perfectly mowed in photos and so on; link.
  • Lauterbrunnen FAQ: link.
  • Blausee: link.
  • Gelmerbahn, the “high-speed rollercoaster; link
  • Villa Vals, the underground “hobbit” house: link
More living related:
Internet - culture
Books
  • Swiss Watching - Diccon Bewes (2010). Switzerland seen through British eyes. A very readable and enjoyable introduction to the history, people, politics and areas of the country by someone who has lived there for years. Ideal reading as a traveller. There are some over generalisations but given the scope and size it mostly does a good job. If you read anything about Switzerland make it this. He also has a Google-talk video which is basically a condensed version of the book
  • Slow train to Switzerland - Diccon Bewes (2013). The author retraces the first Thomas Cook tour of Switzerland and shows how much has changed since then and by the rise of trains and tourism. A very interesting read for the history and travel ideas.
  • Around Switzerland in 80 Maps - Diccon Bewes (2015).Yet another Diccon book, though this is much more history and culture than travel based. At a large 33x23cm it isn’t travel friendly either, but it is beautifully done with a range of well reproduced images and interesting information. It is accessible and interesting to everyone, but I would say this book is most enjoyable to those who already know the Swiss landscape, history and culture to some extent already. The TedX talk that he does on the subject is rather good.
  • The Bergli publisher, which Diccon is part of, have quite a few light hearted books about Swiss culture and Switzerland.
  • Beer Hiking Switzerland - Monika Saxer (2014). Also free at their website. Details of hikes that are public transport friendly and end up in, or visit, somewhere for a local/kraft beer. Though it must be said that it is hard to walk and not come across somewhere selling beer - if you stopped at every Gasthaus for a beer then most hikes in Switzerland would turn into crawls. So it really is not a must-have. But on the plus-side it is one of the Mittelland heavy hiking guides due to the obvious lack of breweries ontop of glaciers.
  • How the English Made the Alps - Jim Ring (2000). A history of how the development of tourism, climbing, and winter sports played a major role in the development of the Alps. Not just Switzerland, but it is a major focus of the book.
  • A Tramp Abroad - Mark Twain (1880). FREE EBOOK. Satirical and absurd account of his travels in Europe. The Swiss part is often hilarious. As above is interesting to see just how much the country has changed since then. Several places such as Weggis-Rigi and Zermatt-Riffelberg have Theme walks in the approximate places where he walked himself. A tramp in this sense is to walk, not the homeless person as most people other than the Kiwis might assume.
  • La Place de la Concorde Suisse - John McPhee (1984). A very out-dated but in some ways interesting read looking at Swiss military thinking and culture back in the 80s. The attitudes and situation are very different now over 30 years later. This is only really worth it if you really want to learn about that bit of Swiss history. It also commits the cardinal sin of having numerous bits of French scattered about the book but with no translation provided, which is really bloody annoying.
  • Sherlock Holmes - The Final Problem - Arthur Conan Doyle (1893). FREE EBOOK. A quick and easy read of Holmes' "final" adventure ending at the Reichenbach falls by Meiringen. He oversells the waterfall somewhat though I must say.
  • The Magic Mountain - Thomas Mann (1924). Inspired by and set in a Davos mountain health retreat. No comment as have yet to read it.
  • Heidi - Johanna Spyri (1881). FREE EBOOK. The classic kids book which seems to be something of cliché and sales-device these days (for a start you can visit a fake Heidi house in Heidi village). It is only partly happy alpine adventures, and often rather painfully moralistic. Read until she is put on a train to Frankfurt and that should be enough.
  • William Tell - Friedrich Schiller (1804). FREE EBOOK. Performed every year in Interlaken amongst other places. Frankly it is really blood boring - the whole thing can be summed up that the Swiss are good christian brothers, and the Austrians are utter wankers.
  • Bill Bryson passes through in his 1991 book “Neither here nor there”. While still mostly a good read, being almost 30 years old the info is rather outdated in parts. The country has become much more lively since then for a start.
If your German is good then:
  • Von Casanova bis Churchill - Barbara Piatti (2016). A series of articles about famous visitors to Switzerland.
  • The publisher Emons does local Krimis. If you like a nice murder or two to go with your hiking spots. The quality is good enough but the writing is not going to win any literature awards.
submitted by travel_ali to travel [link] [comments]

MAME 0.222

MAME 0.222

MAME 0.222, the product of our May/June development cycle, is ready today, and it’s a very exciting release. There are lots of bug fixes, including some long-standing issues with classics like Bosconian and Gaplus, and missing pan/zoom effects in games on Seta hardware. Two more Nintendo LCD games are supported: the Panorama Screen version of Popeye, and the two-player Donkey Kong 3 Micro Vs. System. New versions of supported games include a review copy of DonPachi that allows the game to be paused for photography, and a version of the adult Qix game Gals Panic for the Taiwanese market.
Other advancements on the arcade side include audio circuitry emulation for 280-ZZZAP, and protection microcontroller emulation for Kick and Run and Captain Silver.
The GRiD Compass series were possibly the first rugged computers in the clamshell form factor, possibly best known for their use on NASA space shuttle missions in the 1980s. The initial model, the Compass 1101, is now usable in MAME. There are lots of improvements to the Tandy Color Computer drivers in this release, with better cartridge support being a theme. Acorn BBC series drivers now support Solidisk file system ROMs. Writing to IMD floppy images (popular for CP/M computers) is now supported, and a critical bug affecting writes to HFE disk images has been fixed. Software list additions include a collection of CDs for the SGI MIPS workstations.
There are several updates to Apple II emulation this month, including support for several accelerators, a new IWM floppy controller core, and support for using two memory cards simultaneously on the CFFA2. As usual, we’ve added the latest original software dumps and clean cracks to the software lists, including lots of educational titles.
Finally, the memory system has been optimised, yielding performance improvements in all emulated systems, you no longer need to avoid non-ASCII characters in paths when using the chdman tool, and jedutil supports more devices.
There were too many HyperScan RFID cards added to the software list to itemise them all here. You can read about all the updates in the whatsnew.txt file, or get the source and 64-bit Windows binary packages from the download page.

MAME Testers Bugs Fixed

New working machines

New working clones

Machines promoted to working

Clones promoted to working

New machines marked as NOT_WORKING

New clones marked as NOT_WORKING

New working software list additions

Software list items promoted to working

New NOT_WORKING software list additions

submitted by cuavas to MAME [link] [comments]

IQ Option - how to use - YouTube ZOOM AO VIVO ANALISANDO O MERCADO IQ OPTION - YouTube Iq Option Ultimate Candlestick Patterns - Powerful ... COMO TIRAR LAG DA IQOPTION IQ Option --- Part 1  somviral - YouTube

If you are using a PanaCast v3 or Huddly IQ, you can use the Intelligent Zoom (or Auto-Framing) feature for that camera. Tap the Camera Control icon, and then enable the Intelligent Zoom option. The camera automatically adjusts to show the optimal view based on the location of people in the room. Controlling a Remote Camera IQ Option Mobile App. Ever since its launch in 2013, IQ Option has undoubtedly been one of the most innovative binary options brokers. With every new technology launched, IQ Option pushes binary options trading to the next level. And IQ Option’s mobile apps are not an exception. If you have never tried a binary options trading app before ... Zoom Video Communications Inc (ZM) ????? ????? - ????? ?????: ????? ????? ????? ???? $10 000, ????? ????? $10 ... Interview of Daria Glazko from IQ Option - July 20, 2016; IQoption Adds New Deposit Feature and Forms New Partnership - July 5, 2016; How Binary Options Changed My Life and Got Me Out of Debt - June 7, 2016 Zoom is the leader in modern enterprise video communications, with an easy, reliable cloud platform for video and audio conferencing, chat, and webinars across mobile, desktop, and room systems. Zoom Rooms is the original software-based conference room solution used around the world in board, conference, huddle, and training rooms, as well as executive offices and classrooms. Founded in 2011 ...

[index] [351] [1747] [1959] [4206] [1317] [5043] [1111] [46] [595] [4197]

IQ Option - how to use - YouTube

Casharkii labad ee aan kugu bari doona IQ option oo dhamaystiran IQ OPTION link : https://iqoption.com Our info : our public telagram : https://t.me/MacamarV... Iq Option Ultimate Candlestick Patterns Powerful Analysis 99% WORK iq option strategy 2019 olymp trade strategy 2019 IQ OPTION AUTO TRADING http://bit.ly/2K9... se inscreva-se e ative o sininho tamo junto rapaziada. Learn how to start trading with IQ Option from scratch. Start trading: https://iqoption.com/?aff=97688&afftrack=en_tuts_trading&external=1 Welcome to the official IQ Option YouTube channel. Here you will find our video tutorials, webinars, news digests, and a lot of other useful information abou...

#