I'm doing this, I can, all right, we're going live now. And I can share the video. I'm gonna just make sure I'm doing this briefly, hold on. Okay, here we go. You guys wanna see the video? Yes, this is what the controls are. Yeah. Hello and welcome to the Chaisu Community end of year 2020 event, webinar meetup. I am Madgasum, the Chaisu Community Practice Coordinator with me presenting today. René, the developer advocate. Last month, we nominated helpful and active users to submit presentations about their activity and their experience in the Chaisu Community. So today we're happy to say that we have John from Afghanistan and Tuzo from Tanzania and John from Rwanda. They will be presenting about their experience in the Chaisu Community Practice. And after that, we are going to take a group picture with the Academy participants who finished the Chaisu fundamentals before 2022, the new four courses, four course series. So get ready please to take a group picture with the first participants to say congratulations. And then after that, please be ready to join us in a meetup where we will play mentee together and a challenge to win the COP activity banner batch. And just to say this year in 2022, it's been really great, more community members, the activity, the topics, the number of posts, as well as the daily engaged users increase. So this really invites us to start an orientation in the community practice. Usually an orientation takes about many minutes. So if we want a long one we can, so please sign up for that in the feedback form. But now, very briefly, I want to mention that in the community practice, we every month, we have a COP monthly where we highlight our important Chaisu topics and the top topics in the month as well as the top 10 active members in the community. In addition to that, we tag helpful members and feature finder and book hunters, feature finders and book hunters. We tag them also in a community practice map where we have people from all over the world. And as a reminder, this is a global and letting the Chaisu discussion forum that is open for all users. I'd like to share the screen very briefly, please. So in the community practice, there is a feature that has been open for new members who have spent some time and reached the basic level one and it's the invite users. So for example, if you want invite members to the community practice, after clicking on a topic, you'll be able to find a share button here at the end of the topic. And if you click there, then you can invite your friends. This has been closed only to members of level three, a trust level three, but now it has been open to level one. And the reason for opening that is because you don't need to spend a lot of time to decide that you want to your friends and colleagues to be in the community. So this has been open. The other thing that I wanted to quickly just review or show you is if you wanna reach a tag very quickly, remember this year in the tag. And the COPD monthly is one of these tags right here. Here we have the monthly highlights for the community practice. So I wanted to say thank you for attending. And I look forward to the presentations from the helpful community members as well as from Rene's presentation, the developer advocates. And I look forward to the meetup and we'll chat during the meetup. Thank you so much. And Rene. Yeah, I'll go ahead. I'll go share my screen. There we go. All right. I think you should be able to see my screen now. So I'm gonna talk about developer advocacy at the HIS. And the reason I will, I want to talk about this is I want to help everyone understand what it is I'm doing here and basically how you can benefit from that. And I wanna go too deep into everything.  So if there's any questions, just feel free to follow up with me anywhere. You can reach me on the COP. I'm on Slack. I'm on email. It says my name, Rene at vss2.org. So anywhere you can reach me, you can ask me any questions or in the meetup as well. So first, let me just talk a little bit about myself. My name is Rene. As I mentioned, I'm 34 years old and I live in the Netherlands. I've been born here. I have lived here most of my life. I've lived in the UK for a little bit. And in my free time, I play a lot of games, board games, but also on a PC, a lot of go hiking, even though that's impossible in the Netherlands because we don't have any elevation or any nature. But whenever I go somewhere, I prefer to do that and honestly, in my spare time, I do more software development. So I guess it's a lot that happens there. And I have a lot of professional experience and I listed some of that, but I've been doing developer relations, which is the encompassing terms of developer advocacy. Doing that for four and a half years at several companies. And I've been here for a half a year now. So it's been a fun ride so far. So what is developer relations? And it's in a name. So I guess it's easy to think of what can be part of this, this subject and what I am doing. And I am a developer advocate, which is like a subset of what developer relations is. Kasim here is officially not developer relations, but he is developer relations because he's doing community management, which can be one of those subject that can fall on their developer relations as well. But I am a developer advocate and a developer advocate is there to mediate between developers using the software and our internal developers and internal stakeholders. And that means that I try to help developers learn everything from the software. I help them improve the software. So not just use it, but also if they see something is broken, they should be able to fix it themselves and how to help others again with that, but also build on it. And we have a whole ecosystem in place to let developers build applications, to let developers interact with our APIs to consume data, but also send data back into it. And we are self-built applications too. So like I'm even internally, I can do part of this role. And a lot of that is just talking to people, observing, see what happens, feedback that comes in, but also actively engaging through means like academies, workshops. I mean, I'm here, that's also part of it. Writing blog posts or assisting in writing blog posts, even though that's coming up very soon, it'll be a next year, every year, every month, there's a meetup that I organize with different subjects where we share what's happening for developers like what's new or just engaging directly. And then I'm active on the COP and active on Slack as I said before. And I hope to do some one-on-ones as well with just developers that just wanna talk and or help them on board. And these are just, this is just a tip of the iceberg what I do, like it's all over the place. So here's some other things that I do or that I try to do. And recently I sent out a survey, for example, about the Academy for next year, which is something that I really wanna get going. And trying to engage there and communicate with people and there will be a lot of follow-up on that survey. So that will be fun to look into. But yeah, here's just a couple of things. I wouldn't go over them one by one. Let me see, what should I tell about like, like for example, the last one, improving developer experience. Part of the developer experience is like using the software that we develop internally and help them build applications on top of the dashboard, on top of an API that we offer. And if there's roadblocks or hiccups in that process, that it's something for me to know about, to learn about and then communicate that back to our internal developers and try to solve that problem. And sometimes I can solve the problem myself, but I'm not a full-time developer. I'm there to sort of mediate this problem. So whenever I see something like that pop up or someone approaches me, then I try to find the best solution there and see how we can prevent that in the future. So to improve developer experience, like if you report something as a developer using our tooling and you run into something and you report it to me and I get it solved and maybe for the next version that comes out, that problem won't exist anymore. And for the future, everyone else using it won't encounter that problem. And that's part of the task that I have. There we go. So how does that impact you?  And one of the things is you engage with applications on a daily basis on the platform that are to build by developers either internally or by other people. And you have an app hub where people can share applications they've built and you can use it in yours. And one of my tasks is that in the end to let those apps be better and by better, I mean, more user-friendly, performance is better not that when you click a button, you have to wait for half an hour, but preferably within a second or so. And every step along the way in improving that is part of where developers are involved and where I can hopefully make a difference. And so your experience will be smoother, but also if you are working somewhere you have your own developers working on applications, those developers will be happier and they will be able to produce more because it's just easier to do. And in the end, that's better for everyone to have better productivity, better for mental health, even for people that are not developers. And so, yeah, and in the end, I want to educate people. So I want to, if you don't know anything that you wanna know, you should be able to. And that's generally why I'm here. And so what I'm going to do next year for one, what I mentioned is the Developer Academy. And this is, I've sent out a survey about what do developers want in that academy? What are they interested in? When do they want it and where? Like, do you want it in person or online? And we have had a lot of good answers come in that at over 60 responses. And the formal conclusions need to wait for a bit, but it's very mixed in what people are interested in and what we are getting. So we'll get some announcements out soon when that is and what the structure for it will be. So that will be a very fun process for me as well, as I'm only here for six months so far. This is all new to me too. There will be monthly meetups starting again in January, second Thursday of the month. So if you know any developers that are not attending yet, keep an eye out for that announcement. There will be more blog posts and I hopefully can help write blog posts too, not just from internal people, but if you are interested in writing a blog post for focused on developers, please contact me and I can help you as much as possible to get that knowledge out there because knowledge sharing is great. But also I wanna get in touch with more developers as I mentioned before, one-on-ones just learn what's happening and just reach out to me if you have anything you wanna discuss. And that's me in short, 10 minutes. I can, as I said before, I can talk about this on ours, but I was asked to do it in 10 minutes. So here it is. Thank you so much. Thank you. Looking forward even to all the work you're planning and for more engagement from community members to reach out and to speak up. And today, right now, we'll start with the presentations from the community members starting with John from Afghanistan who will present about his experience in the HSU community. We'll be sharing the presentation. And then John, please feel free to unmute and be ready. Thank you, Kasem. My voice is clear. Yes, we can hear you. Kasem, my voice is clear. Yes, thank you. Okay, thank you. Thank you, DHS2 community for practice, for giving me, for considering me the chance where I can express my experience. I am John Agastani, I belong to Afghanistan. I am graduated from Bachelor of Science in Computer Science, Christian University, Islamabad, Pakistan. I also did DIT diploma in Information Technology. I have been working with the Hellenic Transculture Psycho-Social Organization since September, 2020 on the post of Data Management Officer using DHS2 and Central Office, Kabul, Afghanistan. Next, please. It's been a long journey where I have joined a DHS2 community of practice. I have joined a community of practice 30th December, 2020. Next, please. I have got valued information from DHS2 community of practice. CAOP is full of insightful, professional, precise dealing, you'll get active topics, outstanding information. We can get further research, interactive guidance, low time consumption, prompt attention, and valuable direction we can get from the community of practice. I use a community of practice as my teacher whenever I have intense questions, it educates me, precious solutions. It is my pleasure to be the part of DHS2 community of practice. Next. My experience with the DHS2 community of practice, first of all, I would like to mention DHS2 Education Certificates. I have got DHS2 Fundamental Courts, 14th December, 2020. DHS2 Events Fundamentals, 10th January, 2021. Tracker Program Level 1, Digital Training, 24th January, to 8th February, 2022. LMI's Logistic Management Information System Academy Level 2, Digital Training, 10th to 14th October, 2022. And Data Quality Fundamentals, this course is ongoing. Next. My experience in the field of DHS2 is about two and a half years. In this duration, I have developed aggregate programs in DHS2 for Hellnet Transculture Psycho-Social Organization that are health sector response to GBV gender-based violation implemented in 11 provinces of Afghanistan, IKR System Integration, implemented in four provinces, EPHS and PPHS Health Project implemented in four provinces, Malaria Case Management and Prevention implemented in two provinces, Essential Life-Saving Trauma, Care and COVID-19 Response Services in two categories, Health and Protection implemented in three provinces, Urban Immunization implemented in one province that is Nengarhar Regional Hospital. Next. COVID-19 surveillance implemented in four provinces, Tabar Close is implemented in nine provinces, Emergency Nutrition Services implemented in three provinces, Humanitarian Emergency Responses implemented in two provinces, Provision of Essential Integrated Health Services to earthquake affected and Sparad district of host province when the earthquake jolted Sparad district and destroyed, implemented in host province and that is in one district level project. Next, please. We also have developed tracker programs that are non-medical and now we are planning for the LMI Logistic Management Information System. I use DHIS-2 to collect health facilities daily as well as monthly projects reports. I utilize DHIS-2 and drive application for the collection of daily or monthly projects reports via tablets. I help data entry assistance to solve tablets, pre-order issues, their face. I implemented mobile device management software to monitor tablets remotely. I have trained hundreds of DHIS-2 data entry clerks as well as data analysts for health and trans-culture psych social organizations. Either they are working with or are accompanied by any other organization, but they serve for the country. I give information and guidance of DHIS-2 courses importance to those who wants to get or brought their education in the field of DHIS-2. Next, please. I would like to mention a few challenges we are facing over here in our country that are lack of the knowledge in the field of DHIS-2 in remote areas. Majority of employees have been trained but still do not know what DHIS-2 is. Leaving of DHIS-2 thought employees when they find suitable opportunities in the country, internet connectivity issues in the catchment areas, security concerns, mis-focussions of budget for DHIS-2 database implementations. This is the big problem. This is the big challenge I can say. Next, please. DHIS-2 community of practice notifications that is a great service. Community of practice notification and emails are outstanding which remains as up to date regarding DHIS-2 documentations, DHIS-2 versions, Android application versions, major changes debugging in parts always connects us to visit the community of practice and other sites. Next, please. Recommendations and expectations, I would like to mention some of them. Upgradation of DHIS-2 application, DHIS-2 system application versions are recommended but the restrictions of DHIS-2 and tried application to DHIS-2 version is to understand we recently, we have upgraded our system and we face experience this problem when that previous application was working with the previous or DHIS-2 version but not working with the current or newer version. Changing DHIS-2 and right application aspects or removal from play store effects project field reporting process. When we have upgraded our system, we noticed that the DHIS-2 and right application was giving error, the error was lagging or wrong URL or updates some type like that then we decided to update the application but we noticed that the application we were using previously removed from the play store. I bring this issue to the notice of community of practice. It is cumbersome for us to switch from one Android application to another because as we are facing a lot of challenges, it creates training opportunities, training but we cannot afford with the same budget, many trainings within a year. So that is the recommendation as well as expectations from the DHIS-2 community of practice. Finally, I can say special thank to the event organizers and administrators to create or organize such a beautiful event where we can express our experience with the colleagues, with the community of members. So I can say special thanks to you all to your team for creating such a beautiful event. Thank you and have a nice event. Thank you, thank you, John. It's a pleasure to have you speak to the community and speak about your experience. And just to mention very quickly that this is the point of having a community practice. It's for everyone in the whole world to speak up, to talk about the challenges that they're facing and definitely when you write a post about any challenge, the core team is present, they're responding and also as a coordinator, to try as most of the things that I personally, for example, cannot respond to, but the core team is present, they're always trying to see what other people are facing and being challenged with. And most importantly, it's not just the core team, a software core team, but also community members from around the world. So if maybe the challenges that you are facing are faced by people from other countries, so some of these challenges have been solved and so they share. And this is a chance to say, we have Tuzo from Tanzania, who is from his Tanzania and we'll share about his experiences. You can also mention some of the challenges and just speak and speak your mind. Thank you very much, all the members. Hope you can hear me, I'll be sharing my screen. It's my hope that you can be able to see my presentation. By introduction, my name is Tuzo Englebet from Tanzania calling to the, holding a position of information system advisor from his Tanzania. Yeah, it's a long journey. After starting working with the DHS too, actually immediately after I graduated from the University of Udaleslam, I joined the project, which was currently being under University of Udaleslam for supporting the Ministry of Health and then it was 2014. And through that, of course, I get introduced with the Mycena that we are there by then of the, of Launchpad mailing list, where from that we used to get some notification or some even comments or even an announcement from the DHS to core team. As you can see through my PowerPoints, you can be able to see from then we were using the Launchpad. It was kind of emailing list where somebody could be able maybe to like something that seems to be a trouble to him when the anyone that you think that can be able to solve or to help can jump in and start solving that issue. So those are some of the examples that through that time of 2014 that I joined the DHS to community I was able to start even supporting some of the users that we are getting a problem or some challenges implementing the DHS to. But again, with this step of migrating to the community of practice, it was a breakthrough as you know, it provided more interactive environment of a conversation of one to one and then it even makes even easier for somebody to look for a certain solution that was maybe provided before compared to the previous where through email, you know, might have a couple of emailings and they probably sometimes deleted them and so retrieving them might be a challenge. So but with this platform gives you and it gives you more room for follow up and even the conversation become intuitive as you can see, these are some of them. Conversations they were how to look like when we migrated to the COP platform. But also my working experience with the DHS to, as I said, started a long way back since 2014. But through then the University of Jerusalem was already supporting the Ministry of Health, Tanzania through the use of the DHS to. So immediately after I joined there, I found there are some other ongoing project where I was also brought on board to support the DHS to. And then through different other projects that we are emerging, like we also got an opportunity of using the DHS to platform to create a system for the for the Ministry of Agriculture which by then was called the RADS. And we have been doing that for a couple of years and even now or currently they are actually using the DHS to platform. But then a lot of our project has been emerging in after they have seen the capabilities of the DHS to compare to the other softwares. And then you have supported it with these most vulnerable children or where we also use the DHS. And then it was 2015. And then from there, the government introduced a law where they wanted the data to be public. So through that, we also created a national health portal where those data that they are captured through the DHS to can it be also broadcasted publicly and be able accessible without authentication to anyone who are interested in it. But also forgetting that there are different, we have, for example, in Tanzania we have a lot of systems. Where I find that in the same ministry we have more than 10 systems. So another law was to make sure that we make the DHS to be able to communicate with the other systems. So we are able to do some integration with the LMIS but also with the other system like the NSEMIS which deals with the national sanitation but also we used the DHS to develop the tracker for the TB but also for the nitrogen nutrition as you can see in my PowerPoint but also speaking of what happened for the pandemic that happened over like two years. We even added the functionality of the DHS to be able to create a different project that could help capturing data that we are relating to COVID-19. So as of now, even the generation of certificate for those who have been given a vaccination is done through the DHS. So with all of the projects that have been supporting and implementing, I have quite a deep experience working with the DHS too. And somehow I know the history of the, some of the previous evasion, the functionality that were there and some of the functionality that they are currently now are not found in this latest evasion of the DHS too. So again, without you forgetting some of the other country that we are supporting like Somalia, South Sudan and Eritrea but I would like to give some experience working with the Eritrea because in Eritrea the way how they are working with the DHS to see totally offline. So you might find that even in the installation of the DHS too is somehow cumbersome. You need to have everything prepared before visiting to the Eritrea because after reaching there, it will be totally disconnected. Sometimes I have been putting this experience through Slack and even at the meeting that have been joining that nowadays for example, for the server team, we might need also to find a way how you can be able to install DHS to totally offline and make all of the functionality working offline. Yes, achievement, there are a lot of achievements, personnel that have benefited working with the DHS too but also working with the community. For example, for example, working with the DCCOP to create awareness and freedom of interacting with the DHS to platform because even if you are new to a certain functionality you can easily ask them to get the help from other people who have already come across it. And also it gives the wide area of meeting with new people with the different skills as a community, as a global fund people that have been used DHS in different ways. So asking something and participating in the COP you get to know more people and you get to know the way how other things and you get also to benefit from skills from them. But also speaking out of the DHS to enable the achievement through those different, sorry, from different support that you have been getting but also you can also put some of the implementation that you are actually doing in your country or supporting some of the project. So the COP gives like a loom for you to put everything that you need. For example, we have been highlighting this user story of how the government or even the other stakeholders getting benefit through the use of the DHS. So with that the COP people get to know who thinks that are being done in different areas. But also it is easier to track initially reported through the COP and through the notification. You know, this one, the COP it's actually as my previous colleague has said through those notifications that are keep coming in you can't left behind because you will be notified of everything that is happening. So that's one of the advantage of having the COP. But also as you can see, being the member of the COP, you know, sometimes you wake up in the morning and then you finally have a notification of being rewarded. So the COP gives like a motivation of some will keep going there and the look and the helping that other because it's actually identify you and they also appreciate that you are also helping. So these are kind of the motivation and the achievement that through joining the COP you keep like keep attracting you to keep supporting user and also keep posting things for people to know what you are thinking and even maybe new skills that you may think that you are having and add that they don't have when they might need it to know from as you can see, these are some of the here just screenshot that some of the user story that I just posted with the project that we are doing here in Tanzania on COVID-19 vaccination. And then you find that the different budget that have already been rewarded through being the COP. So this actually motivates me to keep supporting and they keep doing it. Yeah, but without forgetting that with the achievement, also there are some challenges. My experience working in the DHS2 and through this DHS2 appuglate, when we get this release, a new version of the DHS2, you may find that some of the user functionalities that the user that we are benefiting somehow being removed. And one of the questions that I have been getting in the field that when you are talking about appuglating, how do you mean? Because you may find that that functionality that we are working, they are now being removed. And you have introduced maybe a new functionality which it's working, but it's not exactly the previous functionality. So that's also to me, look like a challenge. And when I get the time, I have been also communicating through the COP and even through the different meeting that like webinars to keep the core team who are actually developing the DHS2 somehow to keep engaging the user to the lower level because they might be not interested with the fancy thing that we are creating but the functionality itself, the functionality that was already embedded in the DHS2. So that is the most challenge that I have been experiencing through working with them with the DHS2. But through that, there is also an opportunity. As we all know that the DHS2 offers a full-fledged API. So we have sometimes been forced to create this custom application, taking the advantage of having the API and working with them and then finding that we still, still the user get the same feel of using the DHS. Although the co-functionality doesn't support that functionality, but you can be able to create the custom application that will still help the users to achieve what they wanted to achieve. But also it creates and attracts more users and because now we are growing and they find that even if the government has gained the trust, you find that everywhere that you go, they are talking that we need the DHS2 to be as our data warehouse. So that is because of a big community that is keep growing and the people are helping each year. So even if we face a challenge, it's easily to solve that challenge because you find that most of people are experienced and they are easy to provide a solution to the challenge maybe that you are facing. So that's all I can say with the opportunity that DHS2 has been offering. And I want to say thank you and they're welcome to Tanzania. Thank you and over to you. Thank you so much. Great presentation and really great to hear from you. And now we move this time. And I see, yes, there are some comments and we are going to move afterwards after the presentations, we're going to meet up where we can have a more open discussion as long as they're empty. One of the helpful members to send the presentation was nominated and sent the presentation was selected to present today. Has a supporting, is right now in a flight from Togo and was supporting the DHS2 project there. So because he cannot attend live and he's at the same time busy supporting the DHS2 project in Togo, we asked him to record his presentation and we are going to play some live stream his presentation. So Jean from Rwanda, he's also in his Rwanda. And Morris here is one of the member attendees in the webinar and we will also be present in the meetup to answer questions as well. If anyone else, thank you and over to John Nutari. Hi everyone, this is Jean-Paul Nutari from his Rwanda. I'm happy to present to you my experience with DHS2 comment of practice. My presentation will be about introduction, implementation domains of DHS2, why I joined the DHS2 comment of practice, my experience as a developer and recommendation for anyone else using or wishing to use DHS2. So as I said, my name is Jean-Paul Nutari, I have a Nike background. I'm currently working with his Rwanda where we support the implementation of DHS2 in different countries and GEOs working with DHS2 since 2014. So I joined the comment of practice when it was still an email list where we used to receive emails then with the introduction of this platform, the new one. Now you can see that I joined this in 2018. I've posted not so many topics for team and I've got solution or I helped other people to get solution from the platform. And this is my everyday sort of update or source of information about DHS2, what's going on with the platform in general. So why did I join the community? So I mainly looking for help when I have any issue with the platform. Also, I go there to check whether anyone else has any issues so that I can help as well. That's where I get information whether there is a new release, a new version of DHS2 or a new app or anything else, anything new related to DHS2. I get it from the committee. I also share or also hear stories of implementation because from those stories then we run what's possible with DHS2 and what other people are doing with the platform. So the main implementation domain of DHS2 of course is the health with the routine information system HMIS with immunization program with disease surveillance including COVID HIV TB malaria now with the NCDs, cancer hypertension and others and so many other health-related programs. DHS2 is correct information and do analysis for data health management. But there is also people using it for environmental protection. I know the people using the name for forestry here in Rwanda. Also the minister of agriculture use it for a many and social protection project which are using it for tracking beneficiaries of services and the other many related activities for social protection. But I'm sure there are so many other domains that DHS2 is used to. So my experience with the community, as I said I write whenever I have any challenge or any inquiry I want to ask about DHS2 broadly so I post it there and I got response, positive response. Also whenever there is some, when I have an issue I can get solution or I can help other people who have got solution to show them how they can solve because I have been through the same process. So the community for me is a time saver because whenever I have a challenge, whenever I have an issue, then I can quickly get the response whenever I'm unblocked. So I don't spend too much thinking about whether things are going to work or not. Because when I ask, I'm sure that I will find someone who had a similar issue or have a similar solution to what I'm looking for. Those then also it leads to either the wider audience with different expertise as for me I'm from my 90 background, whenever there is an app or there is a bug, then I can meet other developers here who have the same issue with me and then we can solve the issue together. So with the developer community in DHS2, so I'm able to find whether what I'm seeing is a bug or not and then can be fixed. I can create a Gila ticket or I can propose a new feature through the community. And also when developing DHS2 apps to extend the functionality of DHS2, sometimes the documentation may find something that's not clear or not clear to you. So whenever I find that, then you can go to the community and ask more clarification on the API and communication for the DHS2. Or like whenever you want to develop a new app, there are some apps which are still in development but which are there and functional. But when you want to like develop in the new app from scratch, you'll go to the comment and ask, hey, do you have this app that can do this thing? And sometimes you may find that someone is already working when it's already finished, you can share with you and you can move from there. So the point is a great place for sharing experience and the sharing resources. So on recommendation to join the DHS2 community, I encourage anyone whether in data collection, in data analysis or software development who's collecting, who's having data in different domain that DHS2 currently can support, is welcome to gain knowledge, experience and join wider ideas so that they can be able to do their work or to have information in the DHS2. Thank you. Thank you. Thank you. I hope it's a safe flight from Tobacco to back to Rwanda. And like I said, like I said, Morris from his Rwanda, from John's team as well, this year to respond to questions during the meetup. And it's also nice to mention that John and Morris are in the DHS2 developer community as well and they're engaged in the developer community. With that, I would like to ask how many DHS2 Academy participants today, if you finished the four fundamental series, the new four courses in the DHS2 fundamentals, please raise your hand. All right, so our agenda today is that we will be taking a group picture with the Academy participants who finished the four series in the DHS fundamentals and join in a meetup where we will be answering questions together in the meetup and also some of the comments and questions that were received during the presentations from the community members. All right, so if you would like to take a group picture online or while we're recording or during the meetup where we will not be recording, so everyone can simply just openly talk and have the discussion. So if you want to de-ring the online, please raise your hand, otherwise we will be ending the live stream and moving to more of a offline live stream, not recording the meetup, okay? So yeah, so yeah, we need to see more hands raised otherwise we will be closing the live stream, at the end of the live stream. And with that, thank you so much. It's really great to have you here and to see the presentations from community members and we definitely want to encourage more people to share their challenges, their experiences, to share knowledge and this is all a community's part and it's been amazing and I wish you a happy 2022 end of year and happy 2023. So have a good day everyone and goodbye from here and we'll be moving to the meetup. Thank you. Thank you. Thank you.


Russia said on March 3 it would take measures to prevent new border incursions, a day after accusing Ukraine-backed nationalists of killing two people in a cross-border raid in southern Russia. President Vladimir Putin said on Thursday Russia had been hit by a terrorist attack in the southern Bryansk region bordering Ukraine and vowed to crush what he said was a Ukrainian sabotage group that had fired at civilians. A Ukrainian presidential adviser accused Russia of staging the incident as a false provocation to justify aggression against Ukraine. Kremlin spokesman Dmitry Peskov told reporters on Friday that additional measures were being taken to protect the border. Of course, yesterday's terrorist attack will be investigated and measures will be taken to prevent similar events in the future, he said. The FSB security service released video and photos of Thursday's incident showing two shot-up cars with their drivers slumped dead inside.


Dear students, in this module I am going to introduce to you the very exciting area of bioinformatics as well as provide some background to it. Bioinformatics is a relatively new development in the science as compared to physics, chemistry, mathematics and biology. It is at the intersection of several of these sciences that bioinformatics is born. The need for bioinformatics has arisen from the modern biology. The human genome project and several other similar projects have led us to realize that there are thousands of genes within the human cell. More so, if you look at these genes, then they have these products after their transcription at the transcriptome level. Moreover, these transcription products translate into proteins. At the protein level, there are hundreds of thousands of proteins as well. So there is this explosion of information from the genome level to the protein level. Additionally, if you look closely, then there are several organelles within a cell and the cell itself has certain properties. Several of these cells, they come together to form a tissue and the overall properties of the tissue are totally different. So given this bewildering complexity of information, how does one go about it? And modern day biology continues to produce data every day at a rapid pace and therefore the need for bioinformatics. The name bioinformatics is simple to understand bio for being biology and informatics for the information processing that we perform on the biological data. So therefore, bioinformatics is a discipline which pertains to the information processing of data that is coming out from biological experiments. If you look at the experimental protocols that are available in the biological wet labs, then you will see that a lot of new instruments are making their way. For instance, the next generation sequencers, the protein structure elicitation through nuclear magnetic resonance spectroscopy as well as high resolution mass spectrometry. So given these next generation equipments, these instruments, the data that is produced is absolutely huge. Now towards storing this data, towards processing this data and then later towards analyzing and understanding this data, you need fast computers. You need accompanying algorithms. You need the tools and techniques to mine this data and understand the output better. So in other words, biology has been digitalized. You have the data that comes to you in the form of images, in the form of text, in the form of numbers and we know it well that this kind of information can be dealt by a computer very nicely. The human memory is limited in storing this information but the computer is infinitely capable of recalling the information that is stored in it and we can leverage this towards bioinformatics. Another important point to note in the background to bioinformatics is that the data which is already there is simply not the problem. The problem arises when this data is expanding at a very fast rate. Call it an exponential rate. The databases with sequences, with genes, with proteins, with protein structures are simply exploding with the new reports. So the data that you already had was to be processed but what will happen after five years when your data will simply be several times of what it is today? So you need to develop software in order to process this data and better understand the meaning that is hidden within these experimental datasets. So in conclusion as I just mentioned that the human mind is limited in its ability to recall data but the computers that are now available with us can store terabytes of data and recall it at the command of our finger. So using this capability of the computers we can understand the biological information in a much better way. More so once we recall this information we can analyze this towards understanding the biology that is underlying all of this data, the disease that is given rise to and possibly the drug and therapeutic responses as well.


This is the VOA Special English Agriculture Report. Foreign investment in African land is growing. Countries like China, Saudi Arabia and South Korea are leasing or buying millions of hectares to grow food for their people. Research shows that many large land deals lack protections for small farmers. Contracts may guarantee leases for up to 99 years, leaving local people without land for generations. Better practices balance exports with local food needs and give farmers ways to enforce promises by investors. They also make clear what kinds of jobs and how many jobs will be created. Small holders can gain influence if they form cooperatives or unions or have the support of non-governmental organizations. There are different business models for cooperation between investors and local farmers. Lorenzo Kotula is a senior researcher at the International Institute for Environment and Development in London. One popular method, says Mr. Kotula, is contract farming. Contract farming has been around for a very long time and which essentially involves a company providing credit, inputs like seeds and fertilizers and training and all that, and then buying produce from the farmers at a fixed price when harvest time comes. Companies usually deduct the cost of the inputs from the final purchase price. He says contract farming represents up to 60% of tea and sugar farming in Kenya and 100% of cotton farming in Mozambique. Contract farming may give farmers more access to markets for high value crops. But Mr. Kotula found that contracts often go to wealthier farmers. Poor farmers often work as labor on the contracted farms. The price that companies pay to farmers may be low and companies might not honor purchase agreements when market conditions change. Also, growers may go into debt when the company deducts payments for inputs from the final purchase price. Another business model is a joint venture. Lorenzo Kotula says an equity stake or share of ownership in a business can give communities a voice in decision making. It can also provide income in the form of dividend payments. But a practice called transfer pricing can make those dividends disappear. Prices are inflated or deflated in deals with companies linked to the partner in the joint venture. This practice reduces profits for the joint venture company and dividends for smallholder partners. As a solution, contracts may require fair market prices for sales to partners. For VOA Special English, I'm Alex Villareal.


On Monday, Bernie Sanders released 10 years' worth of his tax returns and, predictably, this did not silence his critics. Who would thunk it? Because what's happening now is we're seeing a lot of goalposts moving. The critique has just evolved. Because now, since he released his tax returns, they're no longer questioning where his tax returns are. They're now criticizing him because he's a millionaire. And the idea that they're trying to pitch to you is that since he's a millionaire, and he's previously railed against the greed of millionaires, that must make him inherently hypocritical. Now, the problem with this argument is that it's a straw man because Bernie Sanders, he never once said that wealth in and of itself is inherently bad or evil. He's always been very clear about the fact that he doesn't want millionaires to be greedy. He doesn't think it's appropriate for them to hoard their wealth. So, so long as he doesn't participate in that greed, then I don't see how you can possibly frame him as hypocritical, but nonetheless, this is exactly what media outlets are trying to do. Now, if you're genuinely interested in hearing what Bernie Sanders actually believes when it comes to wealth, I think he did a pretty good job explaining his position at the Fox News Town Hall. So if you have an open mind, then definitely check that out. But nevertheless, the media is using his newfangled status as a millionaire to harp away at his ostensible hypocrisy, which again, I challenge you to look up any video over the last 30 years. It doesn't matter, pick any random one. And when he talks about the millionaires and millionaires, he talks about their greed. He talks about them buying politicians and essentially rigging elections. He's not talking about them just existing. He's talking about a very specific issue he has with millionaires, their greed. But nonetheless, when he releases tax returns, just to kind of give you a little bit of a taste before I get to a really quintessential example of them shitting on him for this, this is what they chose to focus on when talking about his tax returns. New York Times, Bernie Sanders released his tax returns. He's part of the 1%. The Washington Post. Welcome to the 1% Club, Bernie Sanders BuzzFeed News. Bernie Sanders' last 10 years of tax returns shows he's now among the millionaires. Breitbart. Bernie Sanders releases 10 years of tax returns confirming millionaire status. So understand, the headlines aren't reading, Bernie Sanders released 10 years worth of tax returns as promised. Bernie Sanders sets a new standard ahead of 2020, releases tax returns before Donald Trump does. Those aren't the headlines. The headlines are, he is a millionaire. He's part of the 1%, therefore, you should probably think he's hypocritical. Now, I want to show you a clip from CNN. I believe the host's name was Aaron Burnett. And this serves as a quintessential example of a biased hit piece because she was so excited to attack Bernie Sanders for his newfound millionaire status that she literally stumbled over her own words in the process of doing so. Breaking news. 2020 presidential candidate Bernie Sanders has released his tax returns. I got very excited. I started getting ahead of myself. Bernie Sanders is a millionaire. Over the past three years, Sanders made nearly $3 million, which makes him, of course, one of the wealthy people that he himself targets on the campaign trail. We are going to ask the millionaires and billionaires of this country to start paying their fair share of taxes. Billionaires and millionaires have poured hundreds of millions of dollars into the political process supporting Republican candidates, and today is payback time for them. Okay. Sanders tonight, though, insists he is not out to make enemies out of the rich. It's not vilifying to say that people have a whole lot of money. In some cases, billions of dollars of wealth, they should pay their fair share of taxes. Okay. Rob Basterinos with me, member of President Trump's 2020 re-elect advisory council, and Jess McIntosh, former director of communications outreach for the Hillary Clinton campaign. Okay, Jess, so, look, as I have been saying, Sanders is so lucky to live in a capitalist society because he wrote a book about being a socialist, and people bought it, and so he got to make all this money, and he's now made, you know, a few million dollars over the past few years because of his book. What do you make of the numbers? Obviously, the past year, his numbers fell, half a million dollars, but, I mean, all in, he's making a lot of money. I actually don't see too much of a contradiction between being a millionaire and railing against a class that produces millionaires. Where I'm totally dumbfounded is that he has had two years to come up with these, so now I'm a millionaire message, and his message is capitalist. He's literally saying, I made a product that the market wanted, and I got rich off of it, and all of you can do that, too. That's not his message. I would have suggested that maybe this is a moment to talk about how the system is rigged for people like him. White male privileged with a platform and that he would want to work to make sure that the system works for everybody, but instead he just did this really defensive, it's not a crime to write a book, and I don't know where that's coming from or how that serves him. Well, okay, so Rob, he was just asked why he did not pay, because you know, this whole thing about fair share. Oh, yeah. Okay, so he was asked about, now he's a millionaire, and his fair share, and let me play the exchange. Your marginal tax rate was 26% because of President Trump's tax cuts, so why not say, you know, I'm leading this revolution, I'm not gonna take those? Come on. I am, I paid the taxes that I owe, and by the way, why don't you got Donald Trump up here and ask him how much he pays in taxes? Okay, the other guy's doing it, so I'm doing it too is not a good answer. Okay, I think we all can agree that was not a good answer. But he should have been ready for that. And by the way, I don't know how a millionaire's paying 26%, he's got a good accountant. What do you make of this response? Well, first of all, I was shocked that he actually combed his hair, which was great, that's a great start for a millionaire. Okay, that was not necessary. No, look, here's what he needs to do and what they need to do at the University of Vermont. They need to teach a course, and Bernie can be Professor Bernie again and talk about the virtues of the free market versus socialism, which he espouses, which has collapsed everywhere. Socialism destroys wealth. It destroys freedoms. Here he made, as Jess said, and it was a perfect example. He worked hard. I don't envy Bernie Sanders. I'm proud. I'm happy for him that he made $2 million on a book sale. But here's what I would suggest, with that $2 million. Now, here's what he should do because in Vermont, they pay the highest monthly premiums for health insurance. He wants to give away free health insurance. He could buy the free health insurance for 350 people in Vermont with that $2 million. So that's the thing, because he scoffs, I pay the taxes I owe. By the way, that's the rule.  I think that that clip speaks for itself. It's shameless. This is a supposedly objective, nonbiased news lady. And she literally just called him a hypocrite when she didn't fully demonstrate that he's hypocritical. Now, I love how they played clips of Bernie Sanders talking about the millionaires and millionaires, but what issues does he specifically raise when it comes to the wealthy in this country? He talks about them not paying their fair share. He talks about them buying elections. The same stuff I told you that he's been talking about. But yet, if you look at the CNN host's smug little face, you know after she played those clips she was thinking, got him.  Owned. I just destroyed you, Bernie Sanders.   He's been saying for decades. But she then brings on Trump and Hillary campaign alumni who already hate Bernie Sanders and then they proceed to attack him. I mean, you know exactly that she wasn't trying to aim for objectivity or even neutrality.  But here's what Aaron Burnett says.  Now she says that as if it's confirmation that the American dream is still alive. No, this doesn't prove anything because statistically if the average American wrote a book if they were even able to publish a book to begin with the chances of them making it on the best seller list is still basically non-existent. They're still statistically unlikely to be successful. And first and foremost they'd also need the education to be able to write a book. So by simply claiming here that this is proof that capitalism works and that this is proof that the American dream is alive and well and they didn't explicitly say that but it was heavily implied you're not making a very persuasive argument. Bernie Sanders is a United States senator who ran a very successful insurgent 2016 presidential campaign. The chances of somebody replicating that success is next to 0%. Maybe one or two other people in our lifetimes will be able to do that again. So the point is that capitalism is not working because the average American cannot do what Bernie Sanders managed to accomplish. He recognizes that. The CNN host does not. Now the Hillary Clinton alumni she claims that Bernie Sanders has a capitalist message. She just does because now he's saying that capitalism is good. If you want to be successful you can write a bestselling book too. But she says that he should be talking about unrigging the system so more people can be successful except what are you talking about? That's the crux of his message. Have you not been paying attention? I mean these people are so disingenuous it's like they're plugging their ears not listening to what Bernie Sanders is saying and then they're criticizing him and not saying things he's been saying throughout the course of his career. It's absurd and for the more of course he's a capitalist he's a social democrat that means he believes in a mixed economy. He's not saying that we should nationalize the entirety of the economy he's saying what we do is we socialize the sectors of the economy that provide us with basic necessities healthcare education and we simply leave industries that are not essential goods to the private market. That's what he's saying. That's been his philosophy throughout the course of his career. Now towards the end of that clip the Trump stand-in he basically you can tell he was biting his tongue because he was trying so hard not to say the words Venezuela. He really wanted to say Venezuela but he knows that if he said that we're gonna make fun of him relentlessly we're gonna meme him so he didn't say it but nonetheless he still attacked Bernie Sanders. And you know she claims since he's not donating more of his wealth to the IRS or to charities Gotcha. That's a really silly proposition because the point of wanting to pay higher taxes is to expect a return on that investment. I don't just want millionaires and billionaires to pay higher taxes because it's intrinsically good. No, it's a means to an end. When Bernie Sanders says that we should be implementing a 52% marginal tax rate which I think is too charitable. I think it should be higher. What he's expecting is a return on that investment. He's saying that we tax the rich to fund a social safety net but if we currently don't really have a strong social safety net then if you willingly give up that money to the IRS all you're doing is you're funding the war machine. You're giving that money to Donald Trump where he's then going to subsidize oil and gas companies. So it's pointless to do that now. Now you can make the case that he should be donating more of his money to charities but he already is donating 3%. You can say that he should donate more but I mean if he donated 10% you're still going to criticize him. There's no way he'll be able to adequately satisfy his critics here because you're just going to attack him no matter what and you'll keep moving that goalpost because the goal ultimately is to defeat Bernie Sanders so you're going to do that with whatever means necessary. Now this next clip I'm going to show you a short clip. One last clip where they're going to essentially tell you to not believe your lying eyes. Not believe what Bernie Sanders said because they're going to argue the Hillary alum will argue that he actually did in fact change his message. Now are we going to get a direct quote? Are we going to take a video footage? Nope. And then towards the end of this clip I'm going to show you, before I even show you a take a guess as to who they're going to try to compare him to. Just take a guess. Let's watch. When he spent the weekend attacking a liberal outlet for correctly citing that he has changed in his speeches railing against millionaires and billionaires to railing against multi-millionaires and billionaires the defensiveness just shows that it really defines the integrity of his message. And the integrity of his message was what Bernie Sanders had. So can I just play who he's starting to sound a lot like, right? I pay what I owe. By the way, Donald Trump says that and is completely unashamed. I pay what I owe and why would I pay a dollar more? Okay. That's right. Every American should hear. Here are Bernie Sanders and Donald Trump talking about their books. I don't apologize for writing a book that was number 300 York Times that read the five or six languages I wrote the art of the deal which is in all fairness I think the number one selling business book of all time. Sorry. I mean it is funny. It is funny. Well look why are these guys so alike? Oh look it's the old Bernie is the Trump of the left argument that all of a sudden every single journalist in that DC bubble is trotting out you know, it's almost as if there's this cabal of journalists that secretly meet to all agree on one message that they're going to use so that way when they attack Bernie Sanders they do so with a message that is uniform. That's what it seems like. Now it's probably just DC groupthink and you know since Dana Milbank of the Washington Post published a relatively popular article that was shared by elites they're all just parroting what they hear but for the most part if they don't want us to think that they're all meeting and agreeing on the way in which they want to specifically attack Bernie they need to do a better job at thinking for themselves and not just parroting what everyone else has to say because that's what it seems like you're comparing him to Donald Trump when he's literally the antithesis of Donald Trump. Now in case you were wondering what the Hillary Clinton campaign alumni went on to say about this she invoked identity politics instead of Bernie Sanders or she said if a woman said what Bernie Sanders and Donald Trump said they would be criticized Elizabeth Warren said what Bernie Sanders says here she would be criticized these people are one trick ponies they're one trick ponies if you are from Team Trump you're gonna fear monger about socialism and say Venezuela or come close to saying it you're from Hillary's team you're just going to weaponize identity politics to use that against the left in order to prove that you actually are liberal and you're not just a conservative economically speaking so this is obviously a hit piece it was really shameless and I think this is the quintessential example of modern media bias because they don't really even care how it looks they've really given up this notion that they're even trying to maintain the facade of objectivity or even neutrality I mean it's that brazen it's that shameless so obviously it's the case that Bernie Sanders being a millionaire does not prove that he's a hypocrite but nonetheless expect them to continuously try to convince you over the course of the next month or so it is in fact a hypocrite and they'll only move on from this attack and really this smear once they find something else that they think will actually land it's really downright disgusting and disingenuous but it's what we expect from the corporate news media who's trying to protect the status quo from a Bernie Sanders presidency that would destroy the status quo you could support the humanist report at patreon.com patreon.com slash humanist report but trust me I'd have way more supporters at patreon if that was my podcast sad


So we are getting ready to conclude with the summary session here. I just want to take the time to say thank you to everyone who's contributed whether you gave a talk or asked a question or are critically thinking about these issues with us. I think we heard a lot of really, really good insight from you guys. And our intent for this session is to summarize someone on a cursory basis, some of the recommendations we've heard from each topic, and then we'll have a longer moderated discussion to make sure that we captured everything that we heard and potentially visit some ideas that we didn't get to explore in depth. So I'm going to go through these, Carolyn and I will actually go through these fairly quickly. If you have additions or revisions, please hold them until the end. So starting with the first session on facilitating development of a shared evidence space for healthcare systems, the recommendations we heard were to develop rapid learning systems to capture phenotype and outcomes information. The other ideas there are being to learn from each encounter, continue to build the evidence linking genotypes to phenotypes and encourage sharing in widespread implementation. So we obviously need to learn from sequencing happening outside of CSER as well, facilitate recommendations in disease specific organizations, figure out how to engage families and then define and refine guidelines in populations and individuals, whether these individuals are phenotyped or not. And then the final recommendation from that session was to continue work on legal and regulatory frameworks. In the second session on interpreting variance and actionability, there was a little bit of discussion about how do we come back and improve standards for consistency and variant classification and really making sure that that's transparent in terms of the evidence used. So you can go in and see the justification for the annotation and be able to evaluate it rather than just having an assertion. Also there was a lot of discussion about the importance of really including the case level data in that as part of what needs to be this information as part of the transparency. And then obviously that this would all need to sort of be, databases would have to be improved in order to be able to facilitate all of this type of generation that would really allow this sort of rapid learning, which has sort of certainly come up throughout the day. Then there was also discussion about how this shouldn't be done in a vacuum and the importance of having both phenotypic and clinical context to help inform the evaluation and interpretation of variance and actionability. And really the discussion and Elaine and I were talking about this a little bit in the break of really having a dynamic process between the lab and the clinician and also an understanding between the lab and the clinician about what's going on. There was discussion and Dan had a slide which I've turned into, Dan Rodin had a nice slide he sent around which I've turned into one little two word thing of taking a Bayesian perspective and the importance of how we really are doing that, but maybe to formalize and think about that. And understanding in this context what should we be sequencing and is this, is how much of this is disease specific. And then also can we really think about and maybe this should be a separate bullet really coming into logical studies and sort of questions of how do we elucidinate penetrance. The last two things had to do with clarifying and improving the process for refenotyping and reinterpreting data and really coming up with guidelines in clear ways and clear understanding about how we're doing that. And then also refining the guidelines, addressing key gaps in guidelines and making sure that we move past just guidelines within the genomics community and really involve other communities as well. Okay we have two assessing clinical utility slides. So one recommendation we heard clearly was to improve how we measure clinical utility and specify what we mean by it. So two points there were to clarify what individual or societal benefit we measure because there was a distinction there. For example, what's the value of the diagnosis if it's not clinically actionable to an individual. And also there were a couple of examples of how sequencing can inform population screening. Second recommendation was to adopt multiple approaches to studying clinical utility, building on the diversity of approaches that we see in current CSER. So three ideas here were to encourage comparative effectiveness research. We heard a lot about doing CER including comparison with other approaches in clinical medicine. I think one idea that we heard was perhaps we're holding ourselves to a very high standard, too high of a standard and some of the CER research might help us kind of evaluate that. Second idea here was to deepen evaluation of the outcomes collection including collecting morbidity and mortality measures and then aggregating these measures and then to acknowledge the contributions that RCTs can make. Second set of recommendations, consider protocols for refenotyping. This is a theme that we heard in a couple sessions. What should we be measuring and how do we improve the standards and common elements across studies? We need to develop effective and efficient methods for integrating functional genomic studies with the clinical phenotype data we have. Consider functional research as an important component of the virtuous cycle that's been mentioned a couple of times. And then facilitate feedback between individual patients and high-thrubit functional assays to elucidate the deleteriousness or pathogenicity of a variant. Last recommendation was to improve sequencing of indels, structural variants, and other non-SNV variation. So this will help us identify, improve clinical utility by identifying the current holes and how to fill them. And then the last idea here was to consider what we mean by the clinically meaningful variation. Okay, this one is mine, too. All right, so from the Patient-Centered Research Group, we also had two slides here of recommendations. The first one is, I think we did hear a very clear consensus to incorporate patient-centered and family-centered approaches. I think we had some very compelling anecdotes as well as experience from people with N-cesar and external diseases that this is really critical for us to think about, and we'll do so going forward. Acknowledge the value of having a diagnosis as a patient-centered outcome. Acknowledge differences and the meaning of actionable to the patients and their families versus the physician. And then leverage resources to connect patients with researchers and foster a community. So I think this is something that we think of more generally in terms of outreach, but in terms of what you all are discussing today, it sounded a bit more like outreach on steroids. So we need to really leverage the Internet, for example, and make sure that we connect with the disease communities and so forth. And then for patients who are not comfortable with sharing their data on the Internet, identify alternative approaches for building this community. The second slide for the patient-centered research group was included recommendations to continue to study the impact of diagnosis and subsequent outcomes. Pay attention how we package results to patients, especially variants of uncertain significance. So this is something that we are exploring in C-Zar-1, but heard a call to do more critically from a patient-centered perspective and research going forward, and then use flexible approaches to the patient-centered, I think we maybe could have worded this better, be flexible in considering patient-centered approaches that can change as technology changes, and then the number of populations and ethnic groups increases. So then in the session of increasing ancestral socioeconomic and clinical diversity, which as Pilar mentioned really focused on the first of those more than the three, I think the things that came about first was to really focus into these communities, you have to implement targeted methodologies and approaches, and you need to do this work both to recruit and to sustain people and sort of thinking about how we come in and do that. There was a great discussion about the focus on trust and how some of that can also be facilitated through making inroads in community based institutions. And as we come in and do this to be sensitive to the barriers, some of the ones that were highlighted in particular were loss of work, transportation costs, et cetera. There was also a discussion about the scientific value, and the social justice, I didn't put that on the slide, but under there and thinking about making sure that the studies that we design achieve our scientific goals, you know, and in terms of the sufficient sample size it may not just be proportional or it may not be proportional to what's in an area, and you may need to actually over sample or over represent in order to have the numbers you need. And then I thought there was also a really good discussion and a really good recommendation about how including more diversity is going to both enhance and improve work in LC areas. Then there was also the discussion that even though there are other concerns in terms of the major health concerns in some of these populations, we need to make sure that the gains in genomic medicine are equitably distributed, and we need to make sure that where there is value it's being made equitable to everyone. And then I think there was also, Janita brought up the very good recommendation about integrating social determinants with the sequencing enterprise and not considering them as two separate things or in a vacuum. Finally, there was a lot of discussion that's caught up in the spellet of broadening all aspects of diversity, both in again talking about socio-anomic and clinical diversity in addition to ancestral, raising that we need to think about, you know, Asian populations for example that may not be considered under, represented by NIH standards, but certainly need to be, are understudied in terms of genomic medicine. And then Debbie will be glad to see, as am I, that the increase the diversity of our workforce recommendation is on this slide as well. So the final session on healthcare utilization, economics and value was a really, really rich discussion. So we tried to distill it down into a few points so you can give us some feedback as to whether we missed anything. So the first recommendation we clearly heard was to involve payers, for example, establishing a payer advisory board. Second, invest not only in methods for better tools, but also methods for better healthcare delivery. The third to be cognizant of regulatory issues as work in this area goes forward. And then fourth to study the cascade effects, and we discussed sort of two cascade effects, one stemming from the consequences of having secondary findings identified, and then one in terms of having the diagnostic odyssey ended and sort of truncating the cascade. So I think at this point we will turn it over to Bob and Lucila. Bob Nassbaum and Lucila Ono Machado, who are our council members, are going to be moderating this final discussion. I think for the next, for the rest of our time today, it would be helpful for you guys to imagine yourselves as our sort of thought partners in terms of figuring out how best to take advantage of all the feedback that we've heard today. I think we encourage, I think, prioritization and sort of clear consensus where there is clear consensus in terms of the feedback that you provide. So I will turn it over to Bob and Lucila.


with us on the WB Mason post game Bob Lorenz, John Flaherty, Jack Curry and Michael K with you game one of the ALCS in the books and the Astros win it four to two. This certainly felt like a game the Yankees could win tied at one going into the bottom of the six. Yeah you had this game even with Justin Verlander and you'd have to say Tyone was not great in this game but he did a good enough job to keep the Yankees in it when Clark Schmidt comes in the game in the fifth inning and gets that double play. I'm thinking the Yankees have something going here but like we talked on the pregame show the manager's decision in an ALCS in seven games with the bullpen they're going to be talked about a lot sending Schmidt out for the sixth inning is going to be a conversation. I think the Yankees are going to lament this game because of all of what the two of you just said this was a winnable game and for the Yankees to win this series we've already talked about it on paper the Astros are a better team so you've got to figure out a way to steal a game Verlander was tremendous tonight 11 strikeouts through six innings but you are even with him through five and a half once Schmidt gets through that situation in the fifth and gets the big double play a tie game is a situation for your best relievers the Yankees if you ask them would say they really like Clark Schmidt this year he would not qualify as one of their best relievers it would be Trevino, Peralta, Holmes, Loisiga those are the arms I think you would expect to see in a tie situation Schmidt's left in there Michael he gives up two home runs and the game gets away from the Yankees well you use the key word there steal a game and it seemed like they wanted to steal this game without using their big high leverage relievers they had a five game set against the guardians they played last night Wandy Peralta was using all five games all their big guys were used a lot and I think let's try to get through this but I think when it's the sixth inning and it's 1-1 you've got to recalibrate your plan and you've got to say listen we got to bring in the big dogs all of a sudden Frankie Montas shows up and that home run he gave up was really big it's a big home run I was just going to bring up Montas we haven't seen this guy all of a sudden he's pitching in a game gives up a home run a solo shot no big deal it ends up being a two-run game at the end because Rizzo goes deep Domingo Herman is he on this roster he didn't pitch it all against the guardians and we didn't see him tonight Castro got in the game and was able to give the Yankees an inning but the manager's decisions with the bullpen especially the middle guys are going to be a key to this series yeah we're going to talk a lot about the bull pens on the rest of the show what we should also mention just the futility at the plate from the Yankees they struck out 17 times in this game the Astros struck out twice and there was a moment in the third inning where Josh Donaldson had the ability with an out with a productive out to put the Yankees ahead in the game and he struck out and his at bats look absolutely vacant right now I was a proponent of playing Matt Carpenter his at bats just as vacant so the Yankee offense did not acquit itself at all and they did what they do I mean they did do when you had two home runs one by Rizzo one by Bader so you know you need some guys on they couldn't do that and the interesting part is is that the the Astros have the better bullpen the Yankees actually got to Montero they had an opportunity there but then the guy who struggled against them Ryan Presley strikes out three in a row and then gets a ground ball for the final out so he was money and that nailed down the win well we'll have full game highlights coming up and let's focus on what happened in the fifth


Melanie says, hello all, I have a question about Teams. I just downloaded it as a free version. All right, this begs the question, is this the old three Teams or is this the brand new? Okay, this question is a January question. So yeah, I think it's the new version of Teams Free. I have added people to talk to who have a professional version, but we do not succeed to video call or just call. The icons are in gray. Can you help to find out why and how to fix it? Because I keep looking online, I don't find any solution. Yeah, I'm just going to throw out some initial thoughts here. FYI, Teams, chat, scheduling meetings, blah blahs free with your tenant, period. If you're adding telephony services on two Teams, voicemail, 800 numbers, whatever numbers are like there's an additional fee, but out of the box like other than God, it's all free. So what are they calling? So I'd like another differentiation between free and professional version. Well, the new Teams Free version, so go ahead. I was going to say, professional version, if we're talking if it's an enterprise or something like that, it may not have been given permission for them to be able to communicate with the free version in the first place, because you've actually got to say, can you actually deal with external, are you federated, are you all sorts of things like that? Professional to free, it's not necessarily there unless the professional, if it is professional as in some kind of an enterprise or a government license or something like that, it needs to be specifically put in as a permission in the back-end administration to communicate with the free. So what you're saying is, so incorrectly if I'm wrong, but what you're differentiating between free and not free, professional is just the settings that are already behind the scenes that you turn on and off. So it's already there. No, I'm saying that you've got your free version that you can just download, and then you've got an enterprise purchases their enterprise license, and the enterprise license has back-end administration settings to actually go, can you speak with those that are outside the organization number one, or can you even communicate and connect with those free versions to be able to talk with anyone in the world? So if it's not turned on for external federation or external communication, they're not going to be able to communicate with each other. Okay. So you're not talking about teams, the application which is free to everybody always. You're talking about the level of configuration from one standpoint to the other, and yes, I'm playing this out. You all get that, right? So the point where there, when the configuration becomes free to where you can do more extensive configuration within your environment. Correct, Christy? Yeah. So it's hard to know what their class thing is free to professional, but if it was a small business, today you get your small business version to your free version, it's still a paid, it's still got administration stuff in the back-end. But the team's free is completely free. The team's free because when we talk about team's free, we're talking about the non-work related emails, so you can sign up via Gmail, Hotmail, whatever it is that's out there. I mean, I've got it on my phone. I mean, I've got the issues here. Yeah. So it's essentially like Skype. Yeah. It works the same way, and to the point is that, so right now, I mean, this is a bad example of this, but I've got it in here. I have actually connected to another of my own profiles, so I can actually share things and between my two profiles, and I'm testing out different features. But the video and the phone icons are grayed out and nothing's there. But part of the reason is because my other counterpart, my other me, is offline. So that may be one reason why that feature set's not there. But I mean, I have had just in the chat capabilities of Teams Free, so the new which is available on iOS. I believe it's only iOS still right now. I've had chat capabilities and video capabilities. We've used those features. So I mean, there could be a number of reasons why it's off. The person could be offline. They could have, in fact, it even says at the top of this. So my other profile, Krisha Buckley is part of an organization. Message-related policies might apply, learn more. So reasons why some features might be turned off. So there's a lot of policies in Teams. So you have the free version, but you may or may not be seeing what you think you should be seeing just because of the policies that your corporation has set. So that's always question one. What have they set, right? It may have nothing to do with free version versus what they call professional. Just maybe the settings that they have done inside the tenant itself. Yeah. The first question I would always say to Melanie is because this is one of those where it'd be great to be able to ask questions around this. But are there other people within your organization or this community that you're setting up that also have the free version of Teams and yet they're able to use the icons? If you have somebody that has a paid version, are they able to and are you able to see each other in the chat and do the text-based chat and just not use the other features? Can they initiate? That's the first thing I would try is, can they initiate a video chat to your free version? Because that may open it up. You're going to be able to see as you troubleshoot this whether it's, is it you? Is it them? Is it the policies and then go from there? Yes. If you can mind, there's multiple different policies too. Even comparing to someone else, still depends on the policy that that person has to adhere to versus you. Those factors, you got to ask a lot of questions. I really wish, Christian, you'd get that button made that says, it depends. Yeah. It depends. I have more questions for the question. Then it just works, but when you hit it, it depends, but then it just somehow works. Works? Yeah. There's a lot of unknowns in that scenario. Yes, maybe. No. Okay. It depends. Kind of sort of. Kind of sort of. Thank you, Hal. That's the one I'm looking for. Kind of sort of. Kind of sort of depends. Right. There you go. I wish there was a straight answer for some of those types of things, but unfortunately, in this world, there's just not with the different type of policies and whatnot that you can. It's a troubleshooting thing. Yeah. You've just got to try different things. Yeah. You may have it, but the person next to you may not.  After all, it is teams. Yeah. It is teams. It is teams. Yeah. It is teams. It is permissions. It is policies. Yeah. It really is. And in whatever those meetings, policies in your admin center for teams, you know, it looks like, you know, there's a whole heap of different ones under the sort of the general global policies and what does it look like under your meeting settings and what have you turned on or off there? Can anonymous even come in? Can you do this? Can you do that? Can you? There's a ton of different settings. So a great example is I have an organization where they have one of those open office scenarios. Right. So, you know, people that have nothing to do with each other can sit right next to each other, right? And just so happen that I got a request and like, hey, this individual is, you know, they're contacting sales and their IT and whatnot within the organization. They have no problem chatting with them. They can share files. They can do this. They can do that. But this person put in a ticket and says, hey, this person can do all these great things, but I can't do them. Their role is dealing with external clients. And it's important that it's on. Right. So they have a whole new different set of policies and things that they can and can't do. There's certain things that can't cross for obvious reasons. And so it just really depends on who you are, what your role is and what you need to accomplish within your organization.


or 100 other excuses that I have heard as to why running their inventory is such a difficult situation.  Well, that we are spending too much money on frame inventory. The other optician says our frame turnover should be at 3. But we're not even close. I run inventory and look at what was sold. But I would like to know where I should be focusing when it comes to frame buying and reordering. Inventory. Doing an inventory count is only giving you a snapshot of what you have in your inventory at that moment. It is giving you zero information as far as being able to make decisions based upon your inventory. Sales numbers are great to tell you what has sold, but only looking at sales numbers does not give you the performance of the investment overall. So when you run a frame turn, think of calculating your frame turn as calculating the ROI of your inventory. That is what calculating your frame turnover does. It shows you the value of what you have invested in. The other thing is your turnover on frames is not going to be the same in all opticals. And furthermore, running your turn on all of your frames really is not giving you a lot of direction either. As far as having the ability to make decisions, you need to be looking at your turn of individual brands. We actually break that down in a free mini lesson that we have on Spexy. So we'll make sure and throw that up on there. Okay. It will help you start looking at the proper data to start taking steps in the right direction to being able to properly manage your optical. What advice do you have for opticals that claim not to fit the typical like the other opticals? Oh, like, we live in a small town or we're right across the street from a Costco or 100 other excuses that I have heard as to why running their inventory is such a difficult situation.  For any optical that says that they are different and throw out an excuse that tells me you're running your optical on emotion. For example, you happen to get all excited about the new releases of this certain brand and order 20 extra frames because they were so cute. Emotion. Yep. Those brands that don't really sell, but George is such a sweet rap and he brings candy in motion. So true. Now, your optical is different than other opticals.  As a creator of frame turn, I will tell you that we have hundreds of opticals that we've been able to help them calculate their numbers. We point out their opportunities. We even coach them on buying decisions of frames that have proven to work and similar independent opticals. It is amazing the amount of guidance we can give you from the analytics alone. Pair that with logic and oh, you are on your way to success. If you are running your optical numbers on anything other than analytics and logic, then you are running your business based on emotion. Silly, completely silly way to run a business.