It's time. It's time. It's time. For what? For the curious direction. Sit back and relax. We'll sing chat and laffo on the curious direction. Oh, you all have gotten so good at that song. She asked nicely, didn't she? What was that word she used? Yeah, so let's let her have a turn. What's your name? Hi. Thank you. And what's your name? Hi, Lauren. And what's your name? Hi, Ari. And what's your name? Joelle. Hi, Joelle. And what's your name? And what's your name? Julia. Hi, Julia. And what's your name? Emily. Hi, Emily. And you're Dorothy. Yeah. Hi, everybody. And today's a special day. And our friend Jackson Gilman is here. Let's see if we can call Jackson over. Jackson. Hi. When you walk down any street, wave hello to everyone you meet. Wave a pie to the birds that fly. Wave down low to the worms that go, oh, so slow. Walk down any street, high to the sun that shines. Wave down low to the grass that grows. Oh, so high to the stars that shine. Wave down low to the waves that go, oh. Thanks for saying hello to me like that. Well, I'm going to sing you a story now.  Asops turned it into a fable. And my friend Sandy Plisken turned it into this song. Oh, once there was a little mouse and his name was Andrew Cleese. He'd wander around the countryside and he'd go wherever he pleased. One day he climbed a golden mound. You know, nothing gave him pause until he found that mound was a sleeping lion. And he landed in his cause. Just at that moment, the lion awoke and he gave a mighty roar.  If you should choose to let me loose, I'd be grateful evermore. And someday I'll pay you back. You'll see that desperate rodent swarm. The lion looked at Andrew Cleese and he couldn't help but laugh. Don't you know that I'm king of all that could ever cross my path?  I just might change my mind. And don't pretend I'd ever need help from a pipsqueak of your kind. Well, the lion let him loose and his demise it was first-told. And Andrew Cleese made himself scarce, though we always did recall. The debt he owed when the lion bestowed upon him his release. How he'd pay that lion back be fuddled, our friend Andrew Cleese. A long time later, he was wondering how that mouse loved to explore. Until he heard a sound and his ears pricked up to a most familiar roar. Because upside down, way off the ground, trapped inside a net, was that very lion. He'd sworn to help and he never did forget. Well, brave Andrew Cleese said, Never fear for help is on his way. He jumped up and got away at that rope that held that lion at bay. Half the rope gave way and broke and the lion was set free. And that grateful lion thanked his stars that he'd spared little Andrew Cleese. So let this be a lesson to those currently in command. You might choose to show some mercy even though you have the upper hand. For the lion may roar with sharp claws gore while the mouse can only squeak. Till someday you might find it's the mouse who's mighty and the lion who is meek. I think that's a good story lesson for our times. And that was a story about a lion and a mouse. This is a song about a turtle. And turtles don't make very good pets for a very simple reason. It's because you can't make a turtle come out. And that's the name of the song by Malvina Reynolds.  And well, I pretend he's right there and I'll sing to him. I'll see if I can make him come out. You can't make a turtle come out. You can't make a turtle come out. You can coax him or call him or shake him or shout, hey, hey, hey. But you can't make a turtle come out, come out. You can't make a turtle come out if he wants to stay in a shell. If he wants to stay in a shell, you can knock on his door. But you can't ring the bell. I don't know how many bells. You can't make a turtle come out, come out. You can't make a turtle come out. Be kind to your four-legged friends. Be kind to your four-legged friends. A poke makes a turtle retreat at both ends. Be kind to your four-legged friends. You'll have to patiently wait. You'll have to patiently wait. And when he is ready, he'll open the gate. But you can't make a turtle come out, come out. You can't make a turtle come out. And when you forget that he's there.  But you can't make a turtle come out, come out. You can't make a turtle come out. Now, I'm going to show you how to make a turtle in sign language. If you take your hand with a thumb on top like that and cover it, pretend that's the shell, and stick the tip of your thumb out there on his head around, you've made a sign language turtle. Now pull it back, leave the shell there and see if you can learn this song and sing it to the shell. You can't make a turtle come out. You can't make a turtle come out. You can coax him or call him or shake him or shout, hey, hey, hey. But you can't make a turtle come out, come out. You can't make a turtle come out. If he wants to stay in his shell. If he wants to stay in his shell, you can knock on his door. But you can't ring the bell. You can't make a turtle come out, come out. You can't make a turtle come out. Be kind to your four-legged friends. Be kind to your four-legged friends. A poke makes a turtle retreat at both ends. Be kind to your four-legged friends. You'll have to patiently wait. You'll have to patiently wait. And when he is ready, he'll open the gate. Did he come out? No. You can't make a turtle come out, come out.  Did he come out? No You can't make a turtle come out come out.  I don't know if I can You can't make a turtle come out. You can't make a turtle come out You can coax them or call them or shake them or shout hey hey hey But you can't make a turtle come out come out You can't make a turtle come out if he wants to stay in a shell or she wants to stay in her shell You can knock on their doors, but you can't ring their bells. There's no bells a ring You can't make a turtle come out come out. You can't make a turtle come out Be kind to your four-legged friends be kind to your four-legged friends a poke makes a turtle retreat at both ends Be kind to your four-legged friends. You'll have to patiently wait.  You can't make a turtle come out a hand for the turtles I did a great job. I don't think I made him come out at all. All right, here's our song About being small Andrew Cleese was small, but he was mighty wasn't he? Well, I'm gonna pretend Let's see. We have a curious giraffe here. You know, I think those turtles were curious. They came out We have a curious giraffe and we had some curious turtles coming out to join the show and this song has a Line in about a giraffe. It's written by my friend Stuart Stotz And it's about the fact that everybody you just how you do sign language Everybody started out used to be small.   Just like you've been a great job If I were a tree In the middle of the woods Where the sun and the rain I'd feel real good Make some shade To cool my friends Here comes my part and I go buds and seeds and leaves on my branches and the birds on the scrolls and make home When the chances are good that I'd be happy right to the end Right to the end save some trees Say some trees for me, please Save some trees for when we grow up when we grow up if I were a fish Just swimming in a stream I have a lot of fun If you know what I mean, I'd say hi to a frog Looking for a fly And I'd hide in the weeds from that funny old muskrat stay away from worms on hooks because I know that I'd rather live Here in the stream till the day I die till the day Streams save some streams for me, please save some streams for When we grow up when we grow up if I were the beach By the beautiful sea Love to feel the waves Washing over me. I'd invite some kids To play in the sand My part and I'd build my own castles with dune grass upon them They'd keep back to see if no one stepped on them So save me from traffic and please keep your trash off me Keep your trash off me beach save some beach for me please Save some beach for when we grow up when we grow up If I were a cloud Just floating through the sky I'd have a nice time As I drift on by I'd float to the sea I'd float to the sea To fill with rain And I'd rain on the city and all the people in it I'd clean all the dirt from the air in a minute The sky'd be blue when the sun came out again Came out again air Save some air for me Please Save some air for When we grow up when we grow up If I were the sun Making daytime bright Looking down on the earth Spinning day and night Like a great big ball Blue and green Where the land and the sea and the sky come together And the wind and the clouds will around Making weather it's the prettiest dog on planet That I've ever seen That I've ever seen Save some world for me Please Save some world for When we grow up When we grow up Good job When I was talking about that ball of blue and green You know what I was really talking about, right? What? The earth? That's a nice place to live, don't you think? You know, if you go to school, you may start the school day with a pledge of allegiance And that's good to be, we want to be proud of our country And keep it on the right track Sometimes people get so enthusiastic and patriotic And zealous about this flag Sometimes they forget that there's other flags in the world And people who are really proud of their flags in their country But no matter who we are, where we live What our skin color is, what our religion is We all basically have the same home And that's this beautiful planet We have a good fortune of being on it for a little while So in addition to knowing one pledge of allegiance to a flag I thought it would be nice to add another one To our repertoire That takes a broader view of all that shares To playing it together And not just people from other cultures And we have to get along better with everybody But also the creatures who have just as much right to be here as we do So, I'm going to teach you a new pledge of allegiance And I need someone really strong to be my atlas Oh, Julia, here Why don't you take the globe here And put this on your head, balance it right there And everybody else can repeat after me Put your hand on your heart, can you repeat after me? I pledge allegiance I pledge allegiance To the web of life Of which we're each a strand Of which we're each a strand And to our planet Earth And to our planet Earth On which we stand One ecosystem Under the sun Interdependent With diversity And respect for all Amen, I have our atlas here, Julia did a great job And if anybody has a problem with those words You can just go find yourself another planet One way to keep our planet safer For future generations Is to figure out a better way to get our energy Because we need energy to heat our homes And fuel our cars And we've been relying on the stuff that's been in the ground For a long time, the fossil fuels The gas and the oil And there's only a certain amount And it's a no brainer to realize If there's a certain amount and we keep using it So let's be prepared For how we're going to fuel Our needs later on And we're going to go directly More directly to the source Where all the energy in our planet comes from It comes from one fuel source The sun, all the rest Directly comes from that So you make the sign for the sun Draw it with your hand there And then this is a sign for warm And what happens is the sun warms up The top layer of the earth And that heats the wear above it And where warm air goes up And when it goes up It leaves a vacuum, you can't have a vacuum in nature So other air is going to come in It could come in pretty fast In the form of wind So why don't we just figure out How to harness this wind energy And then we could have all the energy We wanted for a while Now, other song was by Dave Orleans This one's by Monty Harper And we're going to turn ourselves into wind turbines Let's end up for this And sign along with me And we'll see if we can turn ourselves Into a wind farm This is the sun Shining down on earth This is the warmth Of the sun Shining down on earth This is the Air rising up Through the warmth Of the sun Shining down on earth This is the wind Blowing in beneath the air Rising up through the warmth Of the sun Shining down on earth This is the Rotor spinning In the wind Blowing in beneath the air Rising up through the warmth Of the sun Shining down on earth This is the generator Running on the rotor Spinning in the wind Blowing in beneath the air Rising up through the warmth Of the sun Shining down on earth Two currents put them together This is electricity Flowing from the generator Running on the rotor Spinning in the wind Blowing in beneath the air Rising up through the warmth Of the sun Shining down on earth This is the light From the lamp I lit With electricity Flowing from the generator Running on the rotor Spinning in the wind Blowing in beneath the air Rising up through the warmth Of the sun Shining down on earth This is the book I'm reading In the light from the lamp I lit With electricity Flowing from the generator Running on the rotor Spinning in the wind Blowing in beneath the air Rising up through the warmth Of the sun Shining down on earth What is the title Of the book I'm reading In the light from the lamp I lit With electricity Flowing from the generator Running on the rotor Spinning in the wind Blowing in beneath the air Rising up through the warmth Of the sun Shining down on earth Here's the last verse. I think you know the words. You can say it with me. This is the sun Shining down on earth Is the title Of the book I'm reading In the light from the lamp I lit With electricity Flowing from the generator Running in beneath the air Rising up through the warmth Of the sun Shining down on earth You did a great job there. And I think it might be time for us to go. Let's wave again. Wave high. Wave low. Because it's time for me to go. Wave your fingers. Wave your toes.  Wave your nose. Small like this. With your lips. Joe Jackson, our goodbye song. Emily, can you take Jackson's hand? And Julien move over. And everybody join hands. You take my hand, Milo. And Lauren's hand. Back here. Here we go. And we sing. Keep singing. Keep looking up. Keep asking questions. And never give up.


So when I think of how it can be necessary and the right choice to start somebody on buprenorphine, who is currently opioid naive, I think of a patient that we had in our clinic who is with us actually for a number of years and he did great. When he was with us, he was on a stable dose of buprenorphine and he was working. But at one point, his sibling passed away. His sibling actually died of an overdose. And this caused our patient to really sort of spiral out of control and he really very much destabilized and stopped coming in and had recurrent substance use and he was arrested and incarcerated. And so after a few months of being in jail, he got out and he came back to us and he just really wanted to get back into care and get stable again. This was somebody who wasn't currently using. They had no opioid dependence. He hadn't used in months but we knew that the medicine worked really, really well for him and he had very strong recovery before so we talked it through. It made sense to restart him and so we did. He got stabilized again. It was the right choice. You know, he was back in treatment and we were happy to have him. The goals of treatment with buprenorphine include alleviating symptoms of opioid withdrawal and cravings and the provision of opioid blockade. In addiction treatment programs, healthcare providers often encounter patients who are opioid dependent, meaning that without opioids in their bodies, the patients do not feel normal and may experience painful and uncomfortable withdrawal syndrome. When these patients are treated with buprenorphine, the medication occupies opioid receptor sites, allowing the patient to feel and function normally. What happens when a person has a history of moderate to severe opioid use disorder but is not currently using or physically dependent on opioids? Are these patients candidates for buprenorphine treatment? Many patients who are not opioid dependent or not currently using opioids may benefit from starting or restarting buprenorphine and should be offered this treatment to avoid risk of relapse. Consider the following examples of individuals who are either not currently opioid dependent or not currently using opioids. Yet could benefit from starting or restarting buprenorphine. Example one, an individual with a severe opioid use disorder was being successfully treated with buprenorphine but is forced to stop using the medication while incarcerated. This individual is not currently using opioids and is at high risk of returning to opioid use upon his release from incarceration. Immediately following his release from incarceration this individual has a pronounced risk of fatal overdose. Example two, a person with an opioid use disorder has abstained from opioid use for a year. After the recent death of a friend this individual experiences extreme stress and begins to experience cravings for opioids to help her cope. Having lower tolerance to opioids after her prolonged period of abstinence this person is at increased risk of overdose. Example three, a person recently started using heroin. His use is becoming increasingly dangerous although he is not yet dependent on opioids. However, he is experiencing cravings and losing control of his use which is having negative consequences. He is feeling out of control. All of these cases describe individuals who may benefit from starting or restarting treatment with buprenorphine. Regular opioids such as oxycodone or methadone are full opioid agonists. Buprenorphine, conversely, is a partial opioid agonist meaning that at an appropriate dose there is a sealing effect. Increased amounts of the medication will not result in an increase in effects. This results in an improved safety profile compared to full opioid agonists and lowers the risk of respiratory depression. When buprenorphine is used to treat a patient who is opioid dependent the individual should start to feel and function normally by fulfilling his or her daily opioid requirement. For a person who is not currently dependent on or who is opioid naive buprenorphine can cause euphoria, sedation and increased side effects due to its opioid properties. What are the special considerations for those patients who are not currently opioid dependent? Which of these patients are good candidates to initiate buprenorphine treatment? Healthcare providers need to start with a lower dose of buprenorphine and to slowly titrate the dose upward to manage the symptoms of cravings and to block the effects of other opioids. Patients initiating buprenorphine treatment who are non-opioid dependent will often end up on similar maintenance doses of buprenorphine as their opioid dependent counterparts. While buprenorphine reduces withdrawal signs and symptoms at lower doses higher doses are often necessary to effectively manage opioid cravings and produce blockade. Typical maintenance doses of buprenorphine range from 8 to 24 mg daily. An example titration protocol for starting a patient on buprenorphine who is currently non-opioid dependent would be an induction dose of 2 mg. Buprenorphine would then be titrated upwards every 3 days in 2 mg increments until opioid cravings subside. If at any point during titration a patient experiences signs of overmedication such as sedation or euphoria then the provider should slow down or stop the upward titration and consider a dose decrease. When titrating a patient's dose it is important to remember the goals of treatment to alleviate opioid cravings and withdrawal to cause opioid blockade and to increase the patient's quality of life. Remember, start low, go slow.


Good afternoon, everyone. Good afternoon. All right. So are you able to see my screen in a presentation mode? Yes. All right. So, all right. Thank you. So as I did just say today, we'll talk about custom apps. So the idea is that we want you to appreciate various other ways where you can develop apps to fit various use cases that are of interest to you. So we'll look at custom tracker apps and also discuss a bit about how you can go about getting custom apps and then we'll also look at the contact tracing app. So we'll build a contact tracing map using the relationship tracing app and also see how to generate COVID-19 certificates using a COVID-19 certificate app. And then we'll also have a look at some other custom apps outside the healthcare domain because I know the setup here is that we're coming from different domains. Not everyone is in health. So I think just to also emphasize that we can apply tracker use cases in other domains and you can also develop custom apps for other domains. So we'll look at a couple of custom tracker apps. So more especially we'll look at this from the domain for an agricultural system. So if you may recall, last week when we were talking about the various use cases, we also had one use case from agriculture. So I'll also just show you one or two apps from there and explain the workings. So over the course of the academy, we've looked at different outputs. I think even like now in the recap with John Paul was talking about I think what we covered yesterday and we've looked at different visualizations, ways of presenting data, which are presented out of the box. So but then it may happen that in some cases you may want to process the tracker data in some ways that are not supported outside the box. I mean out of the box and you may want to either present data to feed a use case in a way that's not immediately supported. So in such cases where you want to handle the data differently, present the data differently, or do different types of manipulations, the DHS2 platform provides you with capabilities to develop your own apps and then install them on the DHS2 instance or you can host them outside the instance but connect the apps with the DHS2 instance that you're using. So as I've said, these custom apps can be done to medial various very specific context specific use cases as we'll see in a short while. So the key thing with developing custom apps and then linking them up with DHS2 is that you can be able to leverage the key features that we've gone through over the past week. So you can have customization meaning you don't have to develop everything from scratch. So you're able to leverage that power of DHS2 but then beyond that in using a custom app you extend the capabilities of DHS2 to fit various use cases. And the custom apps can be handled in different ways. So some country teams or organizations do have developers on their teams. So in such cases you can develop your own apps or where you're unable to you can link up with other DHS2 teams like the other Hisp nodes to get some assistance. But also even where you're able to develop your own apps it's best to first check whether they aren't any already existing apps that you can leverage because I think one key thing with custom apps is that if you use other custom apps that have already been developed and fit your use case then you'd be able to save development time. And I think in our case for the work that we've done we've benefited quite a lot from using custom apps from the community. So where you want to search for these custom apps on the DHS2 website is the DHS2 apps hub. So there you can see custom apps that others have developed and posted there. So in cases where you have capabilities but the apps are not readily available then you can go ahead and develop your own apps. So just go through a few custom apps from different country use cases to see how custom apps can help you to get functionality that you can't get out of the box when you're using your DHS2 tracker as you downloaded. So for example what you see currently on your screen are two vaccination certificates. So these are being generated from custom vaccination certificate apps. So the one on the left is from the Republic of Vanuatu. So it's a custom app as you can see it's presenting data in a way that we haven't seen when using the custom DHS2 apps. But in presenting this data so what the app is doing is to get data that's already been configured within the DHS2 COVID vaccine apps and then getting that data and rendering it in a custom way that's not already supported but still leveraging and building on the DHS2 tracker app. And on the right hand side you do have also that other certificate. So I think that's for the team in West Africa so they developed that app. And one thing that you can see here is that both of these apps are COVID-19 certificate apps but they have a different look and feel. So this is also the flexibility that developing custom apps allows you. But at the same time I think going forward it's also possible to leverage the various efforts into developing a more unified app that can serve medical context. So I think you also as I've said have a feel of the Uganda and Tanzania COVID certificate apps during the course of this afternoon. Another custom app that leverages DHS2 tracker is the COVID-19 relationships app. So it analyzes your relationships so for COVID-19 index cases and their contacts. So the app that you see on the screen I think it's developed using R and outside DHS2 but links with the DHS2 tracker to get the data and then do the analysis as required. Next we have this relationship mapping app. So this app is available on the DHS2 apps app and we'll look at it. I think you possibly have a feel during the course of the presentation. So what this app does as well is do map relationships based on your definition of those relationships based on what exactly it is that you're interested in. So on the app as you see you can let's click on the nodes. So the nodes represent entities that you're mapping and then you'd have a pop-up or further information about that entity and then you can also choose to open details of that particular entity in the tracker capture app. So and here we also have another custom app which is now doing contact mapping. So I think like from the presentation yesterday you saw that there was this layer and it was indicated as an experimental layer. So that functionality is building on from these sort of custom apps. So you can start with developing custom apps like in this case mapping cases on a map and then that functionality can eventually also make it into the mainstream DHS2 platform if it's seen as a beneficial, a wider set of people. So I think that's it. Now that is the case with this particular app. Okay. So in some cases you may also want dashboards that present data differently from the inbuilt DHS2 dashboards. So this is a dashboard from Lau. The presentation here does not represent the exact disease burden but it serves to show that you can implement your tracker programs in DHS2 as we've seen but then develop your own custom apps for the dashboard to present the information in a way that you'd want to present that particular information. So this is what we see here. So that's about it. So next to look at some of the custom apps. So I'll do a switch. Any questions so far? All right. So go ahead and look at the relationship mapping app. So I'll show on the screen. I think there's a link posted in the chat for the demo instance which you can follow. So as I said, you can get also some apps from the DHS2 app but this has already been installed on the instances that you will be using. So when you go to the instance, you'd have this relationship tracing app. All right. So when you open the app, there is a visualization already created. So it would show there. But if there's no visualization set, it will say no visualization and then you'd have to add new. But even when you have an existing visualization, you can also create new visualizations by creating a new visualization. So I'll first open this index case constants. I'm in context which I created earlier. So essentially the way the app works is that you create a mapping of relationships based on relationships defined on your system and then you select a period for environments that are supposed to be used in that visualization. So I think I'll go to edit to just show you the steps on the other side in terms of what can be done. So when you want to create a relationship mapping, there are a series of steps that you'd have to go through. So first you have to give your visualization an M. So like in this case, we're calling it index case contacts because we want to link index cases to contacts. And then next you have to select the relationship that you want to use. So on this instance, I think we only have this relationship has been in contact with defined. And next you add templates. So the templates would be used to define the mappings that you're seeing on the relationship mapping visualization. So at the very least, you need at least two templates. So to create each of these, you tap on like a template. So when you create a template, you have to give it a name. So in this case, we have this one called cases. And then you have to link it to a program. So we're saying we're linking it to the program case-based surveillance. But if we had wanted something different, we would have mapped it to any of the other programs. And then you can also tap on the same template to create the second template. So here we have the other template named contacts. So you can also change the colors used for the template in the visualization. And then you also map that. So you can see that for the contacts, we're mapping that to the COVID registration and follow up program. And then if you want to display some information about the track entities, you can enable this show node label. So for example, if I activate that, you see it activates this node label attributes. So then from there, you can pick whatever attributes you want to display in the visualizations. So in this case, I don't want to display anything. So I'll deactivate that. And then the fourth step is to map the relationships like from which track entity to which track entity do you want. So in this case, we want to map our cases. Yeah. So you can see here it says template flow and want to map our cases to contacts. So on the from side would have cases on the template to then we'll have the contacts. And on step five, you can choose on whether you want to use, I mean, to hide instances that have no relationships to show them. If you leave it blank like that, then it will also show the instances that have no relationships. Then you can also, if you want to use bidirectional arrows. So in this case, I'll leave it, let's say with that it should show even the instances that have no relationships. So you can save. And then the next step is for you to then choose the period that you want to use for the environment. So the start dates and the end date for the environment that have to be used in the visualization. So and then you can click update. So it's building the relationship graph, but it says the 1301 cases and a hundred and forty one contacts. But within the period that I've chosen, these are not mapped. So you can see that I think at the center of the visualization, it seems there's a red if I may call it that a red dot. So that's the only instance where we have the mapping. So instead of showing, let's say everything, if I were only interested in the mapping, then I can go back to the edit and then say hide instances with no relationships. So and then serve and update. So in this case, then I would only have that mapping where we have the contact. So as I said, also when you tap on the contacts, the app brings you the further details about that contact and the program to which they enrolled. So if we look at the case, you see it's coming from the case based surveillance program. And should you wish you can also click on open in tracker capture to look at further details in relation to that particular tracked entity instance. Right. So I think that opens in a different window. So let me just check that. But that's essentially what the app does. It would open the details of that instance in a separate window. So you can also go ahead and try that. Oh, are there any questions? So you have any questions? All right. So next to also look at the, or I can give you a few minutes to have a feel of the app. So when you're done, just give me a thumbs up and then we can move on to look at the COVID certificate apps. All right. If we together just throw a thumbs up in the. Maybe a question. Yeah, sure. So when I did that, I can only see the two red templates. I'm not seeing the relationship between a red and a blue. Why is that? When I finish. Okay. So the likely thing is that in the period selected on that instance, the, there is no data on the relationship for, for the contacts that are mapped or alternatively you can, I think also check the mapping of the relationship template. To see that, let's say the one on the, the cases is being mapped to, to the case based surveillance and the one for the contacts is being mapped to the contact tracing and follow up instance. If possible, if possible, I can share the screen. Oh, possibly. Yeah, you, you can do that. Or we can. Yeah. Okay. Just, just check at this. Yes. So yeah. Okay. Well, possibly what we can do can go through the other apps because I think there's also some recap to be done. And then you can just post it on the, on the Slack and then I can follow up. Okay. Thank you. Thank you. Sure. So I think next to look at the, the COVID certificate apps. So to have prosper use either and prosper and the teaser team. Yes, we are here. Thank you for the presentation. And we can now hand it over to Walter Faustin from the minister of healthy. So that he could walk us through on different COVID apps that I've also been using. Over to Walter. Thank you. She introduced me. And then was Walter Mike on this hand. I'm looking at the government of course from many so far. And one of my very key responsibilities is to oversee the development and implementation. Of ICT initiatives. In the sector in the health sector. So let me, let me share my, my screen. Share screen. This one. I think all of you can see my screen, right? So in Tanzania, what we are doing so far. We are, we decide to use trucker into three different scenario because the main scenario is COVID. But in the COVID we decide to come up with like three customized application. So of course all of them, all of them we are using the same trucker. One is called the very famous years for the team of COVID. Of which anyone who want to travel outside the country. They must undergo COVID tests. So they are using these customized portal application. To book. For the date. And of course place. A facility where they want to go take this. COVID testing. Then after booking. I can demonstrate to you. Just feel after my, my, my, my. Narration of course. Once they book they receive. They receive control number. Of which year in Tanzania all government team payment. Is supposed to go through our government electronic payment gateway. So they receive a special control number. Which we are going to pay. After pay they are going to take tests. I mean to collect sample testing for the testing. Then track out of course. Our staff that are using trucker. They are using to clean the results. Then. Traveler will. Receive. His or our results via SMS. And email. Once they receive the results. Of course that's coming in. In a link way. So once they click the link. Certificate will pop up. And they can use that certificate for their travel. Papas. So then this certificate. What is the special QR code. Which contains special. I mean, which contains some details of. Of. That's a ticket. So. This is just a photo. Of special app that is customized. And it's going. I mean. Feeling of. Push data to track. But track. Green. Each and everything. So this is. And we have got. Booking tests. And that. So. And this is for public. So they just came there. Passport. This is that dummy. Passport number. Then they search. Why do we say to put such. Because if somebody is already. In the system. The system will. Pop up that. This is. The system will. Pop up that this. Booking is already there. So they select. Region. Of course. Hospital. And the debt. And they will. Feel. Other necessary information. Like. When do they expect to build this test. They are sitting. Of course, all the information. After feeling. Does this. This pattern. Which now is fainted because. I didn't feel some of the information. But one day from is already filled. This button. Will be. A minute. Blue. Click and information now. They will be pushed into. So let me go. To the manager portal. To the manager portal. So. So. So. So. So. So. So. So. The information. So. The information. To the manager portal to the trucker now. To the trucker now to the trucker to the manager portal. This one is called the copy. Booking. So. Sorry. Okay. So once anybody booked. Manager now. Through the trucker they can see the details. whatever they're supposed to do, for example. For this one, you can see if somebody is already paid, this one will be started as paid and they can continue with other actions, like take sample after they are putting results. But through here, they can even edit information, personal information, for example. If there's an enemy stick, they can edit the main, or other information, so-called. Then once they fill or inter-deserts, then trucker now will send the, or system will send the SMS to, SMS and email it to travel. Another one is called the Afiam Safiri, Afiam Safiri, this one. This one is now already mentioned, or of course it's already mentioned to all airlines. Now here, if you want to come to Tanzania, you will not be able to check in without filling this form. Before the surveillance form, but we decided to build on trucker, so there's a surveillance form. We are using almost the same way, you just key in your passport number, then the form will pop up. So traveler must fill this form, of course, with the mandatory fields, and the other fields which are not mandatory. After filling the form, they will get control number. For the country that is already declared, that it has got high, I mean, high infection, or of course, high probability of getting COVID, then they will pay it online, or they'll cover once in Tanzania, they will pay. And the same way as we did in, as I said before, in COVID, after taking some point, the results will be read, then there will be email and SMS. And let me concentrate to this one, it is called the Changio COVID, this is for vaccine. And I just want to stay here for some time, I think I don't know how many minutes you are in. Like five minutes, right? Yeah, five minutes. 10 minutes, there are very much. Let me concentrate with this one. Now, this is special for vaccine. Of course, it is written in Tanzania, I mean, in Israeli, Changio COVID, Changio means vaccine, vaccination. So this photo is for public, they just came there, we have got many kinds of, we have got many types of ID, IDs. They can use my passport to anyone, NID. And of course, we've got even the one called the other, because in Tanzania, some of our citizens don't have even ID. So we try to accommodate them also. So for example, passport and the key, let's say, fire number, then form will pop up, the key, the information. And this one is special for booking, for many for vaccination. So if you want to go and take your vaccine, you need to go to this portal, feed your information. I'll show you, like, yeah. Thanks. Rea to Zorio, please need to be at least. Most of the vaccinations of vaccine, they require people, person to be above 18. The foundation's name, gender man. So these are very common information that you need to fill. And you must fill the proper, the proper form number and email so that you can get the confirmation message. And once you already see your vaccine, vaccine, vaccination, then you will see your results, I mean your certificate via email and the SMS also. So this is the vaccination date today. And what we did so far, we, of course, we've got all the regions. So once you select the regions, it will pop up, the next field is going to be district, respectively to the selected region, the same way to facility. So after finishing filling this form, the client, you normally call them the client, they will receive SMS of, which is like booking, verification, booking directly, they'll be informed that you managed to book for vaccine on this date, this facility. I mean, this region, this facility, this is like a summary of the information. Then in DHS, now Tracker, we already have these customized applications. As I said before, there are three, we have got COVID booking for travelers who are traveling outside the country. We have got traveler booking that this is for travelers who are coming in the country. And now we have got change of booking for vaccination. So once, so we have got managers, who are many managers or health workers who are already defined, predefined that this one they are dealing with travelers or this one they are dealing with vaccine. For example, for this one, of course, because I'm there, because I'm a super user, I can see all of them. So this one is vaccination or vaccine manager. So health worker will see all the, I mean, all people, clients who booked for vaccine in respect to these facilities. For me, of course, I can see the entire country. So we can search, let's say, we can search for Walter tests. We can search via ID, reference called the, first name or surname, let me use test, let me test the, let me search your surname, just test. And now this is, you can see Walter, whatever is that my information. After clicking, they're coming this page which we have got two cards, we call them cards, no process. We need to do a clinical assessment. Then after clinical assessment, then we are going to do the actual vaccine, vaccination process in the system. But of course, after vaccination, after the physical thing is done, then they come to the system, right? So for this clinical, it's just simple because they are very pretty, they are non-pre-defined questions. They observe, of course, they can see the clientee. Let me do this one example. Then they are going to this page. We have got all types of vaccination in the country for this COVID. So for example, I can select JJ. And if you select any vaccination, any vaccine, there are some fields that are going to be predefined, pre-filming, pre-filming, okay? For example, Johnson, once you select Johnson, you mean if a manufacturer is Johnson? Those number one, batch number you selected. Then vaccination date, the system will give you, according to the book, it will check it, for example, you book it for today. So it means you're supposed to get vaccination today or tomorrow, because it's today, then you support it, it will pop up, it will give you the current date. For example, this one, then you save. Isn't this, no, it can't be there. Yeah, you can see it from your screen, right? I think everybody can see my screen, right? Yes, we can see. Yes, we can see. So after completing this vaccination process, immediately, a client or somebody who is vaccinated, he or she will receive SMS of the SMS which contain link of his or her certificate. And certificate is like this one. So they will see link, what they click, that link via whatever design device, with mobile phone or computer, it will pop up, once they click this link, the certificate will pop up. So this certificate is, they can print or they can save it anywhere, they have PDF or whatever, for their user, it depends, they use it, of course. Some of countries right now base, they want to get this certificate to verify if you're already vaccinated, if you already received your vaccine. Then, if there's something wrong with the network, the system also, if a client does not receive SMS, there is this button for the sender, they can send this link also. For example, he or she lost her phone or whatever, in any hour, we can change the phone number, we can edit and we can send the link. So, but this is all that we are doing all this in trucker. So many, the trucker doing all this work. So far, we already customized according to the needs of what we want to do. My colleague here, she tells me that I've got three minutes, I think I can end it right now. Maybe, I don't know, if there's time for questions and discussions, I'll be around. Thank you very much. Yes, thank you very much for the presentation. So I think that emphasizes, you know, that you can do a lot with trucker through the use of custom apps. And I think from this presentation, we've seen examples of apps sitting out on a DHS2 instance, but linking up with the instance and using trucker data, or apps installed on a particular instance and directly connecting to the trucker. So I think we can take one question in the interest of time and then I'll just show an app from the an agriculture use case and then we'll move on to the rest of the agenda for the day. So, yeah, so thanks, Water. You may end the screen share. All right. Sorry to won't get it. Yeah, sure. Before we move into agriculture, if we can give Prosper very few minutes to walk us through on the COVID path from Uganda, it's not going to take much of the time. Then once we can proceed with the agriculture path. Yeah, that's great. Prosper. Okay, yeah, thank you very much. Yeah, thank you very much to Ong and the Minister of Health and for sharing this. Yeah, but what I'm going to share is related to what the previous presenter shared. And again, Aditya, if you can make me a co-host, then I should be able to share my screen on there. Okay, good, good. Okay, so I want to take a lot of focus through the process of data entry. So this is a public portal. I'm just sharing a public portal that is used by any vaccinated garden to be able to access their certificate. And this will depend on, of course, the vaccine if you're going for a one dose vaccine. So it will be very worth your thinking into your first dose, day and day. If you are for the two doses, then you have to wait until you do your second dose. And after the second dose again, it will give you 14 days before you can be able to access it. So what the public is looking at every day is in the streets of the screen. Yeah, so I'm going to take an example of a person who is registered. And quickly just show you, we just also basically collect the best information in your vaccination card number, who you are, your registration number and your phone number. So what is very key is that the number you provide during your vaccination and your phone number should be your key to getting your certificate. And again, we will see that for those who will be able to be eligible for the certificate, they will go to this public portal. This is a demo site here. So public portal and then what you'll be asked to do is loading, of course, read the information which we rarely read, but you'll be requested to supply your registration ID that you did vaccinate with. And also the last six begins for your phone number to be able to generate your certificate. So I'm going to take an example of say somebody just come in here and say my registration number is that, and then my phone number is one, two, three, one, two, three, and then try to generate a certificate. And so what this is doing is checking into the registration, the vaccination registry to see if you exist. And then for example, that particular number was not there and you'll not be able to get your certificate. But we have this refilled form that you can be able to provide information for the central customer care team to look at your detail and see if you have challenges with your certificate. But let me quickly just to show you how you can be able to generate a certificate that already exists. So meaning that this person will either receive that certificate and after 18, after a couple of weeks, he was able to receive the second dose and after 14 days is coming out to receive their certificate. So you just have to input your ID the way it is captured. It doesn't tell that it's your upcase or outcase. Then you put the first, the last six digits of your phone number that you used at your destination. So this is the particular person. Then we also have this, at some point you may generate a certificate or you may generate a certificate and you see your date of birth is not collected because that has to match really with your passport because the certificate is used along with the passport. So you can be able to update your vital information by yourself, again, self-service. But let me generate a certificate. Now what string is trying to go and query the tracker that has been entered and then we'll be able to produce for you a certificate. So this is our certificate. You will see it has a unique identifier that is assigned to the system. Then it has the card, which is the paper that you go with. Your names should be appearing here and your identification number should be there, your date of birth. And then clearly I show in the two doses that you have received and from where and from what batch, what vaccine, the manufacturer and also the facility or the place where you received it and in the display. So for both those one and those two and this will only be generated for if you have the two doses. Then we have a QR code that of course has information about yourself, very limited information that when scanned again, we are able to verify from the system again if this is a genuine certificate. Should you find that your date of birth was long-term which happens in some times because the entrance could have estimated the date of birth by putting in the year. You can be able to come here and be able to change it to specify your date of birth properly. Then you submit and the system will get updated and then you can be able to regenerate your certificate. So basically this is as simple as that and this you can read same on your phone and then you will be able to scan this certificate QR code and then the QR code will be able to link with the national registry and verify whether your record exists and now bring more information to the verification point of entry. Thank you very much. This is basically again promotional data used for the tracker. Here we can see that we are even going beyond and bypassing the logins and so on and be able to have the public be able to serve themselves with the certificates. Thank you very much. That's all from the quick demo around the certificate in Uganda. Thank you. Thanks a lot, Prosper. That was quite insane as well. Please go ahead, Aditya. Okay, please proceed forward. All right, sorry. Okay, yeah. So saying that also just emphasise quite well how using custom apps we can fit particular requirements for different countries. So I think I'll go ahead and just show one simple app to from the agriculture sector and then we'll move on with the rest of the agenda for the day. Okay, so like the agriculture use case as I say to think in the webinar is that each year, at least for Malawi, you have what are called agriculture production estimate salaries. So where the country across all districts and levels of service delivery would look at what farmers are producing to determine whether the country is going to have enough food or not. So for this, this is a sample-based survey. So when you look at, let's say the functionality out of the box with the data is too, you can't get a sampling out of the box. So for that purpose, we developed some apps to facilitate the sampling. So like on this instance, we have like what's called the district block sampling app. So the blocks are organisation units like in agriculture. So the lowest level would be a block and then we also have a household sampling app for sampling households. So I've got to be district block sampling app. So at the moment, this is attached to a particular district. So like for use by a district level manager. So what you have here, like on the left is the organisational hierarchy below the district. So the EPA is an extension planning area. So the next immediate lower level after a district. And then EPAs are subdivided into sections, which are then subdivided into blocks. So at the lowest level, typically each section has eight blocks. So normally with the sampling, the sampling about 25% of the blocks in a section. So to lessen the manual work that we did at this app. So at the moment it's tied to this, but it can be easily made customisable. So that for example, one you can pick the sample, the interval and the starting point. So a quick generate to generate, let's say a sample that then frontline workers can use to get their work. So someone sitting at the district level would generate that and send this list of sampled blocks to the frontline workers to guide their work in terms of where exactly they're going to collect their data. So what you see here is that for each section, there are two blocks that are sampled. So from the stats says we have total of 836 blocks and the sample is 209. So it's using an interval of four and the starting point of two. So the starting point is sort of like a wild card to say from which serial number, like here, are you going to start with the sampling? So then from that you'd apply an interval of four to select the next block and so on and so forth to generate that. So from that you get this list on the left. So the names and also the system IDs. So for that list, one can then download that as a CSV file so which you can open in Excel. And yeah, like that. Mato, please mute your mic. Yeah, so one other thing that you can do with this app, you have this assigned button. So for Tracker, when you've developed the programs, you have to assign them to the organization units that you'd want data to be collected for. So with this app, we have maybe 20 something forms for this gradual production estimate service. So instead of people manually assigning those forms because you'd only want to assign the forms to only the sample blocks, not just for data quality, so that people who are not supposed to run the sample are not entering the data. So also clicking on this assign will then automatically assign required forms to these sampled blocks. So that way it means only the forms will only be available to these blocks that are going to participate in that sampling activity within this particular year. Okay. Yeah, so, you know, so I think I'll stop there in the interest of time, but there are also other apps. So for example, one thing that we've seen in the configuration of Jesus to trucker is some tasks are repeatable, but they take a lot of time. So like you can develop custom apps for that. Like we have an app for generating program rule variables. So you can generate maybe all the program variables at the click of a button. Yeah. So I think I'll stop there for the day and then thank you. Yeah. So are there any questions? We can take a question. Otherwise I'll hand over to Hadija to continue with the rest of the program. Maybe to engage. Yes. I have put the question on the slack, but I can also try for my using. So my question is, are this the sampling frame that you showed us and the list I mean the sampling hierarchy and the organizational hierarchy and the instance are they aligned? Oh, sorry. I was muted. So speaking was muted. Sorry. Yeah. So the something up just follows the hierarchy. So you can change to say, let's say what hierarchy level you want to use for the sampling. So for the specific app where I showed you, the work is performed at the lowest level. That's the block level. So that's why we're doing the sampling at the block level, but it will follow through from the district and then show you the block level. So it follows the actual hierarchy. I don't know whether that answers your question. Yes, that answers. And the other question I have is if you have like, for example, we have a group organizational group and you want to take a different sample from the two groups. Does does up or do that? For example, they are in your in your example, for example, there are certain units where you have separate investment or intervention. And the other group, that type of study, you need a proportional sample from the two groups. Can we do that? Okay. So in its current form, the app doesn't do that, but that's possible to do. So you can pretty much with these custom apps, you can work with all the kinds of metadata that you have within the HHS too. So for example, I think one other app that we didn't mention, which we have is like just managing, let's say like user accounts. And like assigning forms to users based on groups. So there we utilize user groups. So it's possible in short to sort of like tweak the app so that you can use groups and provide some criteria that you're interested in. Yeah. Thank you. Okay. Okay. So that's the way of today, the last day of the academy. And once you're through with submitting the day's attendance, please go to the feedback and also provide the final feedback of the academy. Please make sure you provide your feedback because due to your feedback, it's when we can see how best we can improve these course trainings and of course plan beta in accounting trainings. So make sure that you provide your feedback. We have five minutes for that before we move into the last part of today's session. We really appreciate. I know we started as a big number right from the registration. We started almost to a tune of 200 people expressing interest to be able to participate in this academy but as a leader we'll give you the statistics of all that were accepted. I think we were able to come down to almost 80 or 70. But because of the challenges with work and program connectivity and commitments, we've seen quite a number of people dropping down but we do really appreciate. First of all to the Kisput and Anian team for organizing, coordinating this academy. Special thanks to Alija who has been behind you, responding to all your emails. Ever since we started planning this academy, we do appreciate that. Again to the Kisput and Anian management, one of the Kisput groups within the South and Eastern Africa who as we all know during our rotation or academy hosting did accept to host this academy and will deliver it. Special thanks also to the Kisput groups that have come both physically in the Al-Assalam as you can see in the room to be able to see how to facilitate this academy but also move on collaboration and coordinating and planning for the next academies we shall have in the 2022. So you need to look out for our upcoming academies especially in the region so that you can be able to participate in the areas where you would love to further build and enhance your skills in the DHS to use. So special thanks to the Kisput Uganda team that is here and back in Uganda that has been for a week. Special thanks to the Kisput Uganda team that both were physically here and also back home. Special thanks to our other Kisput groups Kisput Kenya and Kisput Malawi who have already been online all the time and most of you may not be even aware that this academy was not running for the three hours that you've been on so the team starts early and sleeps late trying to really review your comments and also planning these academies. Approaches will be given by our host team and here we're looking at his plan here for all the things that will not go well I will leave that up to us. I want to congratulate all of you I know by the fact that you've been able to go through the five days it's been a great achievement both on your side and also on our side we really want to appreciate all of you especially the ones that are still with us the 50 plus and the still nine for all the dedication, the time you put in this and I do hope that what you've been able to learn during this academy will be utilized. Again as a DHHIS2 community we don't want to stop at academies I would really encourage you that you go ahead and sign up to the community practice and we could be able to keep interacting and chatting with you in case you experience any challenges as you use DHHIS2 I do encourage and urge all of you to really join the community practice so that we can continue from here I also encourage you to follow up on the social medias on the DHHIS2 very active Facebook page it gives a lot of information that talks about what is being done with DHHIS2 and how you can be able to use it differently and lastly I also encourage you to subscribe to our monthly newsletters that do bring us some of the work and the presentation that are going around in the countries but most importantly on the enhancements and the improvements in the DHHIS2 you will be able to see that every time DHHIS2 is released they are quite good functionality for some of you have not watched the space 2.37 is out with great features especially in the data use so take time to look at that with those few many words allow me to really stop here and thank our facilitators the course materials has been all behind we may be seeing a small group here but behind all this it's been many man hours of trying to bring this academy together so all the best in using the e-draising and using the information that you have learnt and also please keep giving the feedback in terms of what improvements you want to see so that they can be considered in the next DHHIS2 development otherwise to the team in Tanzania San Desana and we hope and wish to commit that we will keep working as the DHHIS2 community in East and Southern Africa to deliver the best of what we know and what we implemented thank you very much and I will pass it over to our host Dr Wilfred Senyoni to also give the remarks and officially close the academy thank you very much Dr Prosper Dehumbeza for those nice words you have covered most I would say all of our issues which are necessary on this closing stage but nevertheless let me also thank everyone, especially our participants who have been very active throughout the five days of the academy but also the two days of webinars which we had last week we started with a big number but at least I have seen that at least 50 participants had attended the exam so that's a good number which I would like to take an opportunity to thank you all to attend I see other participants actually either on the lab or in the office right now attending this particular academy while you are doing other work so that shows the energy the level of effort which you have put through attending this academy so we thank you for that energy and level of effort and also as Prosper said we hope that the knowledge which you have generated or gathered here you are going to use it in your own organizations in your own implementations and whenever you need support the HIST community is there for you or you are welcome to share your experience but also your questions to the community and the community the large community of HIST will see how it can help you out so that's one but two I would like also to thank this team of facilitators here who have traveled some have traveled the whole night to be here in Tanzania and the Muslim even during this pandemic times but we have seen that this is an important event where we can meet around you know lock some heads and also provide you know provide this academy to you all guys so I would like to thank all the facilitators who are here physically from his Uganda but also I would like also to thank our facilitators who have been you know facilitating virtually and they have been our quality checks control in terms of what is going on here so team HIST Malawi and also HIST Kenya and the facilitators from his Uganda who are remaining in Kampala so that's one thing I wanted to add so we would also like to thank some of the members from University of Oslo who have been part and parcel of this facilitation process the first day we had a couple of team members from University of Oslo but throughout this whole academy we have been collaborating with University of Oslo to make sure that we deliver quality training so we would like to take this opportunity to thank them to to be with us and also to collaborate with us in organizing this academy and delivering this academy in this way so we would like to take that opportunity otherwise I think the time has gone by we would like to say that we are not really closing this academy yet to the next one and please keep tabs to the our DHS2 Academy page there will be a lot of academies from next year where the team will be planning so please keep your sights on this particular DHS2 webpage where you will see what we have planned for East, Southern and Africa in general so with that I would like to say thank you very much and we let me first of all welcome Adija before we close officially officially close but Adija is our academy coordinator if she has any final words before we finally close the academy Thank you Wilfred and thank you everyone for joining us for all the days we are scheduled for you to be with us so that we could have the training I would just have to let you know that for those who did not manage to take the exam today due to any of the reasons please kindly drop an email to us and we can see how best we can accommodate you so that you could also take your final assessment Thank you Adija our fearless academy coordinator yes we would like to thank Adija for coordinating this and putting this together she really has worked hard to make sure this academy becomes a reality so thank you Adija for that effort you have put in so without further ado please let me do you want to hear one final word participant before we close do we yeah I see Freddie Luema clapping do you want to say anything Freddie before we close yes Freddie I just want to say thank you for organizing this training and I was wondering when do you plan to arrange for the configuration academy the one for track yeah so that we could be somehow complete when it comes to track and knowledge thank you thank you Fred the regional team is going to sit around in the couple of next coming weeks they will deliberate on the coming academies for 2022 and these academies will be posted on the DHS2 web so we encourage you to visit that particular page you know and get the information for the latest academy especially that DHS2 track configuration because we also see that there's a high demand of this particular academy so we look forward to post this information soon in our DHS2 Academy page also we might also communicate this to our participants if that is possible through our academy coordinator so please keep in touch on our DHS2 academy web page just a little bit of prolonging maybe just one facilitator from virtually if they can say one final word before we close we have Tiwonga from Hisp Malawi yeah thanks everyone thanks the Hisp teams in DAA thanks for the hard work you've put into this and also for the participants I think thanks for the hard work I've loved being part of this for this week also learning from the various experiences I've also picked a few nice new things and also made some new contacts as well so let's keep in touch and looking forward to more fruitful collaboration going forward so thanks everyone thanks Dr Tiwonga thank you everyone and this is from us here in the Breslam saying bye bye bye bye thank you guys thank you thank you you can unmute you can do it yourself it is now open we're with you thank you bye thank you thank you


Well, hello and welcome to Jonathan from the heart. I'm Jonathan Astley of Jonathan Astley.com And I'm so excited to be shooting this short video for you today. Our topic do this When he stressed out how to melt his heart melt his heart melt his heart All right really quickly if you're new to my YouTube channel, please hit the subscribe button Hit the bell so you can be notified of new content and these are my weekend videos I shoot out on my balcony very similar to the videos I shoot my private group called midlife love mastery This is a group where you can ask me questions directly on a regular basis and I shoot videos Based on your questions just for you. So check out the link below in the description my VIP group called midlife love mastery All right, let's talk about what to do when a man is stressed out and I want to share a story something that happened to me some years ago is actually on a second date It was on a second date And we she wanted to go to Disneyland She was from out of town. So she had asked if we could go to Disneyland. I'm like, that sounds great. That'd be fun Now one thing you need to know about me is I am very I'm hyper sensitive in the particularly in the area of Waiting I have an issue about waiting Not everybody is sensitive like this to me, but I am hyper sensitive I just I'm a slightly impatient person. So let me tell you what happens. We get to Disneyland and When we get to the park, there's at least a 20 minute line Just to park the car and you know, I'm just you're waiting you're waiting waiting I'm trying to suck it up But inside I'm like already starting to get agitated and then when we park the car We had to walk like a mile what seemed like a mile to get to the tram and it took 15 minutes just to get to the tram to Then take us to the park. Okay. So then that's another 20 minutes and 15 minutes And then we get to the park and we walk this long distance to get to the ticket aisle Oh my god, and it took like it took 45 minutes to get a ticket. It was Ridiculously insane. I was just so and I was starting to bubble up on the inside I was really getting stressed out and Now I'm gonna own this is all my own shit This is my you know, not everybody operates this way And I don't know what happened to my childhood that caused me to become this way It just is and she could see I was visibly I'm like the steam was growing up My you know the steam was percolating from the inside out and and by the way when what is Disneyland? Disneyland is a place where you get on to rides and you wait first off You have to wait in line to get a ride So like what's the worst place for me to be is a place like this? so she could see I was visibly getting anxious upset everything and What she did when we entered the park blew me away And that's what I want to lean into today Because rather than judge me rather than see this as a red flag per se and Red flag actually just simply means ask questions Let me read from that rather than see that as a deal-breaker because some people could see that is like hey He's impatient. He's got issues blah blah blah blah blah and to some degree. It's true I am impatient and I have issues But what she did was she leaned into me and I'll never forget she put her hand on my arm as we were walking the park She said Jonathan all is good. We're gonna have a great time today. I Don't want to be stressed out. We're gonna have a lot of fun She just she just just simply by putting her hand on my arm Now many of you know the book the five love languages and one of the love languages is physical touch So as she put her hand on my arm and then whispered in my ear basically it wasn't a whispered per se But it was just gently saying in my ear reaffirming everything It actually brought my level of energy down because she didn't see me as a problem She just noticed that I was feeling a little agitated and what I appreciate about what she did is because she operated from a place of Love and this is what happens.  In fact, what does my mug say do all things from love do all things with love. Oh By the way, do you recognize my t-shirt? It's from a Saturday morning cartoon If anyone can guess which Saturday morning cartoon, please post a comment below So what makes this unique At least it felt unique to me is she came from a place of compassion care and kindness from a place of understanding rather than judgment and oftentimes we can lean into judgment and by the way We have very good reasons why to lean into Judgements or perceptions about people because they often prove us to to be a problematic person Here's the here's an opportunity. And by the way, we ended up we ended up dating for a while Unfortunately, and I made a big mistake. It was a long-distance relationship. I'm so you know, and it had some problems because of that But but this second date went great and by the way when we were in line for all those rides It was a great opportunity to talk to one another I actually found myself going oh, I want to be in longer lines and longer Longer lines because I was enjoying talking to her because she was kind Compassionate loving and caring and it was just fun to be with her. This is why I highly recommend checking out the book Making love all the time by Barbara DeAngelo's making love all the time by Barbara DeAngelo's and why I want you to check out this book is It literally is a recipe Or how to connect with a person's heart? So I think I believe men and women both should be reading this and if it's not the man reading this ladies I encourage you to read this book read this book So you can lean into how we can connect with another human's being's heart because that's what this is really all about Listen, I know the dating process sucks. I know there's a lot of frustration I know there's a lot of men who ghosts disappear emotionally unavailable By the way, there's women who ghosts disappear and who are emotionally unavailable There are people that are thirsty for connection thirsty for connection and at the same time They really have weak emotional skills to be in relationship I get it and if you're following me in my channel, you know, I recommend a lot of different books like my own book To shore up the inside out because ultimately what I appreciate most about her She was in her total sovereignty and her confidence and because she was in her sovereignty and her confidence I don't know why I did that across she was in her sovereignty and her confidence She could lean into what was happening for me and because of that She actually made a stressful situation for me a lot calmer and I appreciate that All right, I think you get the gist of where I'm going. I'd like to hear your thoughts on this once again If you know where this Cartoon this is from post a comment below if you have a question if you have a comment post it below I'd like to hear your thoughts on this.  I'm gonna reach into the camera and give you a hug of love If that's okay I'm gonna ask you to turn to someone or a pet or a teddy bear a pillow and give it or Up teddy bear and give it or them a hug of love because hugs are a great source of love and let's face it We can use more love in our lives. Thanks a bunch. Bye. Bye now. Bye. Bye


All right, you've probably just opened your new HP and You've booted up First thing you want to do. Well on your screen Probably two programs are going to appear one is called Jing J-I-N-G That's a screen casting program. It's a pretty good program. It's freeware The only problem is you can only do a five-minute screen cast, so I've actually Uninstalled it from this particular machine I did that by clicking in the red square reds cancel cancel getting out of the program and then I just went to file control panel Uninstall a program and I scrolled my way down until I got to Jing J-I-N-G Uninstalled it and now it knows no longer going to open whenever you start up your machine I find programs that open at startup irritating so I try and avoid them whenever possible Second program you can uninstall is called cam studio I initially recommended to the district that this be the program that we use. It's also freeware However, I found one since then that I think works a little better So if you want to uninstall cam studio C-A-M-S-T-U-D-I-O-R That's S-T-D-O-R. You can as well Most of you also then you're probably having a screen that looks something like this Open up I think That thing up there again. I hate stuff that opens at the beginning of my startup menu So what I did right away was I carefully went and you'll see kind of a little Wrench thing sitting right there. I left-clicked on it and I turned off the launch HP Advisor Automatically on startup because I don't want stuff taking up memory that I don't know about and that not that I'm not going to use So I would encourage you to do that as well Then you'll have a bit more memory There's lots of other icons on here. What I would do now is I would right-click and I would go new Folder I would call it desktop and Most of this stuff I'm going to drag to the desktop Mozilla Firefox I installed Firefox. So that was the first program I installed I opened up Internet Explorer googled the word Firefox and I installed that Strongly encourage you to go to Firefox over Internet Explorer, but I'm going to drag that into there So it's out of the way.  I'm going to right-click and hit delete We've paid for Microsoft Office. I don't need the shortcut to the 60-day trial My HP games. I'll drag that into that folder comic life. I'll drag that into that folder eBay I'm going to get rid of that because I'm not planning on selling stuff on eBay on a school computer Filezilla nice little program going to get rid of that Geogebra very powerful geometry program if you're teaching math eight or nine this year with the new geometry stuff or the old math 11 Play around with it do a Google for Geogebra tutorials, and you'll go holy smokes. I can't believe this is free It's basically Geometer sketchpad, but for free that's going to go there Gimp is like a Photoshop program. Oh, by the way, you may be noticing my icons scroll up as I get rid of them That's because I went on the blank area of the screen right-click View and I turned on auto arrange. I Don't like big gaps in my icons. It's a personal preference Gimp, this is a freeware Photoshop equivalent Gonna go there Google Earth lovely program also going to go in there Google Sketchup This is basically a free CAD cam program for architecture If you're doing volume and measurement with your great eights or nines You could really do some neat stuff do a tutorial for Google Sketchup Google that you'll find some incredible stuff HP help and support it's gonna go there HP media smart. I guess that's the media thing.  I'm gonna leave on the desktop temporarily Pekasa. This is the freeware Google Photoshop photo program really nice gonna go there. I'm a big Google fan if you have included already Scribius. I have no idea what that is. I think it's a drawing program songbird. I think it's a music program Blender, I think it's a multimedia program VLC media player. This is the end all be all the media player in that it'll play almost anything I'm actually gonna install a couple of other media players that play Almost anything and have a little nicer interface, but I always leave VLC It's my last resort if someone gives me a file and I can't play it Usually I'll open it in VLC and then it will play. However, that's gonna go right there Winplot, this is a lovely windows graphing program if you Google win plot tutorials You'll find a series of video tutorials and within about 20 minutes You can be making piecewise functions with hollow circles on one end and shaded circles on the other end very powerful And let's you just paste them right into a word document. I'm gonna leave that on the desktop ABG free. This is our antivirus program. I'm gonna leave that on the desktop See cleaner I installed this this was the second program I installed if you Google see cleaner This is a computer cleanup program.  Believe it or not. It's freeware. It's great It really streamlines things. I run this every month or so it clears out your internet cache finds any Leftover strings of files clear those clears those out. It's also got a registry cleaner Which also speeds up your machines. I encourage you do a Google search for see cleaner and install it Google Chrome. This is an alternate browser. I find Google Chrome has a wicked fast Java engine. I use it for Isis as opposed to Firefox. This is a provincial exam. I'm gonna use for a sample program This is Adobe Reader, which I just ran and had to update about six times Okay So there's what my desktop is gonna look like now what I'm going to show you in this video is how to configure the Send-to-one note feature which does not exist for Microsoft Office 2007 one note 64-bit edition. We have found a free workaround and It's basically using this PDF creator printer driver and Convincing the computer that it's the send-to-one note printer driver However, I think I'm going to do that in another podcast now because I don't want this podcast to be too long


To the 21th Convention of Tampa, Florida, up next, returning alumni speaker of the 21th Convention, Bill Day-Simon. He is the author of Momentarum Exercise and Congruent Exercise, which I have called the Greatest Exercise Manual in History. And I actually maintain that, even though it's a really huge, grand oise statement. The books you've written are really influential to my life, and I think there are, as I've said, some of the greatest books, including, and especially Congruent Exercise, the best manuals and exercises I've written. So please let me welcome to the stage Bill Day-Simon. Thank you. All right, so let me just lower the expectation a little bit. Speakers today, PhD, PhD later, PhD, two days ago, PhD, personal trainer, certified personal trainer. But I do have a niche, which has become what I'm calling joint-friendly fitness. So my talk today, and my work in general, is all about avoiding injuries from your workout, which for many years I thought was kind of unnecessary to say, because what would be more counterproductive than getting hurt exercising, right? Theoretically, you're exercising to benefit your body, so to me getting hurt exercising completely defeats the purpose. So here's the first tip, write this down. If you want to know what's going to be successful in the future, ask me and bet the other way, because now the most popular exercise fed around that I won't name for the same reason that James didn't name them. The most popular exercise fed around not only dismisses the risk of exercise, but it glorifies the injuries. So in the last year, especially, there have been these reports of these really catastrophic injuries coming about from this activity. And not from bloggers looking to be provocative, but from actual news organizations, right? So this first link is from Outside Magazine Online, and they have a series of articles over the last year, both pro and con, and they take great delight in the reaction they get from this group whenever they run a con article. This next, the next one from Time, last January, they did a, in a print edition, they did a multi-page article also on the pros and cons, very fair. And most recently, Outside the Lines, the ESPN show, did an investigative story also with the pros and cons. And that's particularly interesting because ESPN also broadcasts the Reebok CrossFit Championships. So they were really, you know, risking biting the hand that feeds them.  And he's attempting to do 40 repetitions with the instructor right next to him, egging him on. Rep 30, he lets go of the bar with his feet up at the bar, literally bashes his head in on a concrete floor, to the point where he gets last rights and looks like it's over and he somehow manages to recover. And his response was, well, it almost killed me, but since I was in such good shape from it, it also saved my life. I can't wait to get back. Okay. Now just to be fair though, all right, in 2011, very first page of congruent exercise, I discussed five examples of catastrophic injuries that came out of conventional weight training and bodybuilding. So the first one, I saw this in the early 70s, guy chokes to death in his basement after missing a barbell bench press. Bar rolls to his throat, chokes to death. The next one from Flex Magazine, a bodybuilder named John Pierre Fox, because that's what he was, taking barbell squat pictures for a photo shoot, put 600 something pounds, 600 and 75 pounds on, doesn't warm up, goes under the bar, breaks his knees and evulces both quats, putting his ability to walk at serious risk. 2003 club industry, guy doing a Smith machine squat, no bottom stops. I got it, I got it, I don't got it, but it's not funny because he ended up being a quadriplegic. 2007, college football player doing barbell step ups, loses it either putting the bar back or coming off the bench, damages his spine, again risks his ability to walk. And then 2009, college football player bench pressing, strength couch right above him, 275 pounds, goes to put the bar back, misses, lands on his jaw, life saving surgeries, lawsuits, etc. So it's not just one activity, okay, it's not just CrossFit, it's not just bodybuilding or, you know, conventional weight training. So now what happens when these type of accidents happen is, the apologists or the defenders they immediately say, well accidents happen, or they say, well the person did something wrong or they had some kind of pre-existing condition, and all of that can be true, but there's a lot of other things that come into play here leading to these injuries, okay. So one is, and I'll let Eric decide what the real proper term for this is, this all or nothing type thinking, all right. One of the biggest barriers to training is injury. If I sat on a couch I wouldn't have injuries but I'd probably be a candidate for diabetes or heart disease who happens to be a CrossFit age group champion, okay. Now first of all notice, he doesn't say the biggest barrier to winning is injury, the biggest barrier to competition, competing is injury, to training. He's not even near the competition, okay, so if you want to justify getting injured in a competition because you're caught up in trying to win, that's one thing, but he's not even, he didn't even get to that with that statement. So and again with my amateurish logic, that's a false choice.  There's a whole middle range of things that maybe you won't be a champion but you'll certainly benefit from, you don't have to decide shrivel up and die or cripple myself. And again to be fair, that's not new, okay. The guy, Dr. name Merkin, wrote one of the first pop sports medicine books in the 1970s and this idea was picked up by his other Dr. Goldman who pursued it in the 80s and 90s, which is if I gave you a pill and it would guarantee you'd be a champion but it would kill you, would you take it? And methodology aside and whatever the quibbles people had aside, a lot of people said yes. So that type of thinking, it's not just CrossFit, it's been around for a while. Ultimately, like that's a false choice, ultimately you have to decide that. In the 70s I had the opportunity to get involved with steroids on a personal level. And one of the scare tactics they were using at the time was that steroids didn't give you cancer and at the time I had this opportunity my father was in the hospital with cancer. So it didn't seem to be a smart move on my part. Okay, and since then, I may or may not have had the potential to make some noise in bodybuilding, given genetics and whatever, but again proving, getting back to what I said, if you want to know what's going to be successful in the future, I said well what I'm going to do is for a plastic trophy, who cares? Of course, 10 years after that, big money professional athletes were using steroids, actors were using steroids, singers and performers were using steroids so that knowledge would have come in handy.  But where the work I'm doing comes in is in this part. So what I call disconnect between exercise and biomechanics, which has been like a 100 year old argument, all of the exercises involved in those really catastrophic injuries, they're revered, the barbell squat, the deadlift, the bench press. But even the most fundamental biomechanics would tell you how risky they are to actually do them, which is not the same as saying don't do them, but my thing is you should at least know what the issues are. All right, so my story, briefly, I started lifting weights in the 70s. Most of the information you could get was from the Muscle Magazines. I read all of them. Mike Menser was the guy I really hung on. His writing led to Ellington Darden's work, who is here today. And frankly, if I had stayed with what was in print from Mike Menser and Ellington Darden and just stayed there, I probably would have been all right. The best manuals and exercises are written. So please let me welcome to the stage Bill Desimone.  Would you take it? And methodology aside and whatever the Equibles people had aside, a lot of people said yes. So that type of thinking, it's not just CrossFit. It's been around for a while, a boxer, a tennis player. The reason why you don't twist is the disc is between the vertebrae. If you twist the vertebrae, it's like ringing out a dish towel. And again, it allows it, but it's not the best thing for it over time. In office, our certain height. You can pretty much do it with all hip and quad action and not make it more complicated. Also from the 2000 NSCA textbook. Same exercise, different parts of the book. Okay? And neither part of the book identified one of these as the wrong way to do it or a risky way to do it. Perfect, but if you aim for perfect, then the natural, if you fall short, you still have a lot of margin of error.