Hey guys, Aiden here with AlexFergus.com. Today, I'm going to talk about the M-Wing. When you talk about what this device does, you have to use a couple of science terms. In my experience, when you do that, a lot of people start tuning out right away. They think, OK, this is people who know these terms already. I'm just learning them for the first time. So it's not really for me. I want to make sure that I've addressed that up front. This device is something I would recommend to everybody. And when I say that, I mean, I would recommend it enthusiastically. I think the world could be a different place if everyone used this device for one month. We talk about the healthy habits that everybody should have in their daily lives. We usually say diet, exercise. A lot of times, we'll throw in meditation. I would actually say diet, exercise, M-Wave meditation. And the reason I would place it above meditation is it takes much less time and consistency to get really, really significant results with this thing. So it's accessible to a much wider range of people. It's also much easier to quantify the results, see the proof that you're producing in fact. And it's easier to know exactly what that effect is where with meditation, the benefits are usually so general that you can't really pinpoint this is what it does for you, so quite so easily. Okay, so it's clear that I think you should use the device.  If you have problems with stress, if you have issues with controlling anger or anxiety, I think everybody alive has issues with those three things, at least two of them. This device will have more impact on reducing those experiences than anything. I have a written review where I go into more detail on exactly what the device does, what it's measuring, how it measures it, how you can use a device and get the optimal results. You can read that in the description below. I also talk about how you can get these benefits, mostly without using a device for free. Comparing the M-Wave to the Interbalance Sensor, the M-Wave costs $199 and it doesn't have a removable battery. That's a significant cost. There's nothing here that you can take off, try to replace. So what happens with these is they reach a point where they still work, but they won't work when they are removed from a charging source. They'll only work when they're plugged in by USB C to a power outlet. Now if you get the Interbalance Sensor, that's $139 for the model that only works with iPhone. It's $159 for the wireless version that will work with Android or iPhone. So it's cheaper and you're not dependent on a battery that's gonna wear down over time. So unless you particularly like the way that the M-Wave is portraying the results for you, or you just want to be able to use it away from your phone or you don't have a model phone that will support the app for the Interbalance Sensor, the Interbalance Sensor is a better choice. So taking a look at the M-Wave, we have three displays showing lights and we have one button that has two bumps on it at the top and bottom. You turn the device on, press the button at the bottom in two seconds and then there is a infrared sensor that hooks to your ear lobe. You'll see the lights come on and calibrate for a moment and then to actually register your pulse, you'll need to make sure that you lay your thumb on that sensor. You don't press any of the buttons, you're just resting. As long as it's working, you will see this LED at the bottom pulse with your heartbeats. And that's where you can make sure the device is still working. There's a guided light here coming up and down. It's supposed to tell you when to breathe and I don't know how this part works because when I read the descriptions, it says that it's guiding you on how to breathe but it's also basing the rhythm on how you're currently breathing. So I don't know how that's supposed to work. As I go into detail on my written review, there is a specific range of breathing that works most effectively with this device and that shouldn't change very much based on how you're currently breathing. As you can hear, the device is beeping now and when your heart rate variability is medium, this light will turn blue and it'll create a high-pitched tone that's making now. When it's low, that light will turn red and the device will be silent, which is helpful because it's much easier to respond to positive feedback than allowed beeping noise telling you that you're doing it wrong. So I'm gonna take a minute to breathe properly and make this thing turn green and it'll make a lower-pitched tone. When you hear that sound, I spend extra time going all the way through a cycle with this to show you that every 10 seconds that you spend with a blue light, the higher-pitched thing tone, that gives you a dim bar of light that adds up here. You can see two of them now. And when you fill that all the way up to the top, that's when you get that reward sound and then you'll see a brighter bar of light fill up from the bottom. So if I kept going through those cycles, eventually this whole thing would fill up with those bright bars. But if any time you spend too long in the red, like I'm going red now, talking instead of breathing, then all of that progress resets. I'm not sure how long that takes because those two dim bars are staying right now. That might actually differ from model to model. When they were released, now I'm gonna go back green so it's not gonna show me. Anyway, I think you can see that I had pretty good control over the device there. It only took me a few seconds to go from red and blue to green and stay green for several, for the entire cycle, pretty much. And that's something that I've developed over time using the device. When I first got this thing, it would only go blue and make that high-pitched tone, which is the second to best moment you want. It's never so often, every several breaths. And I'm using it, I've developed the ability to basically have control over where it lands. So when you're using the device and this pulse sensor at the bottom is picking up your pulse, that's the main thing that it's measuring off of your body. Your finger is resting here on the pulse sensor and you have the infrared sensor clipped to your earlobe for the same reason. It's just measuring your pulse. And when it gets that data, there's a calculator. And the calculator is measuring changes in the amount of time in between your beats. That's how it picks up your heart rate variability. So the way to think about heart rate variability is if your heartbeat was being displayed on a sheet of music and you have that line in between the bars.  Whether your heartbeat is fast and it's going beep, beep, beep, beep, beep or it was slow and it's going beep, beep, beep. That's low heart rate variability. And whether your heart rate is fast or slow, that's a bad thing. Why is that a bad thing? For the most immediate purposes of using the M-Wave and getting the results that you can get from this device, it's a good thing, it's a bad thing. For the purposes of using the M-Wave and the results that you can most immediately get from using this device, the ones that you'll feel happening in your body. The reason it's a bad thing is because it tells you which side of your nervous system is operating. Most people know what a fight or flight reaction is. A bus is flying at you on the road and it's walking across.   What people don't realize is that fight or flight reaction is happening to varying degrees all day. So the technical term for the fight or flight system is a sympathetic nervous system. The other end of that is a parasympathetic nervous system. So where we call the fight or flight, so where we call the sympathetic nervous system, fight or flight, we refer to the parasympathetic usually with rest and digest. So at any given moment, you can be operating all the way over on your sympathetic side or you could be all the way over here or running your parasympathetic nervous system or you could be dead in the middle or you could be 50% of the way of shifting towards your sympathetic or you could be 50% of the way of shifting towards your parasympathetic nervous system. So you're operating the sympathetic nervous system and creates your fight or flight response all the time. Anxiety issues, anger issues, and most of the damage that comes from stress is not a direct reaction to the external stressor. Most of those harms come from you over-activating your sympathetic nervous system. That's what takes the toll on your body. That's what keeps you from digesting your food, sleeping well.


Ever thought how nice it would be to catch multiple versions of these version exclusives in your copy of Pokemon Sword and Shield? You've already caught Reggie Drago and you can't actually now catch Reggie Alecki and you won Spectreia but you've already caught Glastria and the list goes on and on. Well today friends don't worry about it because I've got all the steps needed for you to get an unlimited number of the version exclusives in your copy of Pokemon Sword and Shield. Hello friends and welcome back to today's episode. My name is Lee also known as Osiris and like I've just mentioned I'm going to show you all the steps in today's guide with how you can get an unlimited number of version exclusive Pokemon in your one copy of Pokemon Sword or Shield. So I did cover this previously with a Cubfu guide showing you how you can get multiple versions of Cubfu when the Isle of Armour came out. But obviously now with the Crown Tundra we've got a bunch of new Pokemon that we still can't get access to in just one game. When you pick Reggie Alecki or Reggie Drago you can't actually get the other one in your one copy of the game. The same goes for Glastria or Spectreia, the Glaring Birds if you've already caught them as well and you want maybe different versions of them the same goes for the Reggies. If you've found it out after you've caught them that you can actually shiny hunt these you miss your opportunity to do that because there's only one of those in the game and this goes for all of the legendaries as well with the Dynamax Adventures only allowing you to catch one legendary per game. If you've already caught a legendary and you were planning on shiny hunting these as well because shiny hunting in Dynamax Adventures is so easy you're now unable to do that if you've only got one copy but this method is very simple it's very straightforward it's not too taxing and it will allow you to get multiple copies of these Pokemon. They're a version exclusive you're only going to get one of these in your game and you'll be able to do this over and over and over again until your heart is content. How do we do this? Okay well we're sitting here now you need to be on your menu screen of your switch and this I will just reiterate does not mean you have to buy another game does not mean you need to buy another DLC pack if you've got a copy of the game and you've got a copy of the DLC pack you are fine you can use this method over and over and over again until your heart is content like I say you can use this so it's not gonna cost you anything more if you've got a copy of the game in the DLC pack you are good to go okay so when you're on the menu screen here you want to come down to system settings this is the first step you want to come down to users which is here and you want to go to add user okay so you want to create a new user you choose an icon any icon will do we'll go for big old Bowser and this one then you want to just give this new account a name well I haven't got an account with my actual name on it so we will go with that we'll go with Lee for this one how boring okay now this is the important step okay you've put your username in you'll come to this screen you can now link a Nintendo account to your user do not do this okay because this can mess things up you want to just say I'll do this later okay right now the account is added so you are all set it is that easy all you need to do now is come over to your copy of Pokemon Sword or Pokemon Shield and click onto it and then instead of going on your main account which would be the one that you've already been playing on which is in this case is my Osiris VGC you click on your new user account which is just Lee and whatever it is in your case and it will start the game up like you are starting it for the very first time and you will have the Crown Pass and you will have the Isle of Armor Pass they'll all be there in the game all you need to do is get to the wild area and then you can get to these areas but if you wanted to play through the game again in Sword and Shield and get another cup of Zamasense or Azassian then you can do that as well you're going to have access to everything in the game over again that you had in the original games meaning you can get multiple copies of any Pokemon and this is really good like I say for the Dynamax adventures especially because you're going to be able to shiny hunt these and if you somehow messed up and caught a bunch of them already and you didn't shiny hunt them and then decided I really want to shiny hunt these but actually I've only I'm only able to get one copy of these in my game how am I going to do this then this is the answer for you you start a new game and unlike having to play through the Hall of Sword and Shield what you can do is just get to the early stages of the game where you can get to Wedger's Station and then you can travel to these areas so like I mentioned I'm going to play through this game so we know the exact point you need to get to to actually access the Crown Tundra it is the newest DLC version so we're doing that we're playing through the game as we would from the start on a brand new account new save file that we've just set up and I've showed you how to do and I'm just going to show you I'm just jumping in here because I want to show you a few things just to speed this up and I will time how long this actually does take me but the first thing you want to do once you've got your bag is obviously set your text of facts fast then turn battle effects off battle style you can switch center boxes automatic give nicknames don't and then that should auto saves off and that should be all the the settings that you'll need to do just to speed things up a little bit for yourself as I say I'm going to time this now until the point where I can get access to the Crown Tundra so we'll be back when I get through these early stages of the game okay so here we are I'm literally about I'm just under 30 minutes actually like 29 minutes to be exact I'm 30 minutes into the game it's taken me to get here so it doesn't take you long to get to this part of the game at all this is where you're going to need to get to go to access the Isle of Armour and then the Crown Tundra you will need to get to the wild area so you can then go back to Wedgerst on the train and then travel to these areas you'll also need the Dynamics band as well there is literally it's just a lot of formalities in the early parts of the game so once you've spoken to Sonja here you're going to be able to go back to Wedgerst like I'm about to show you and then all your passes will activate so once we get to to Wedgerst again it will now activate the train to the Isle of Armour so this is a cutscene that we would have seen when this released then the Slowpoke comes in the only thing is you need to catch the Slowpoke so you will need to catch this before you can move on so maybe a little tricky one of the more tricky parts of this depending on what you've been doing literally there's two NPC characters that you need to battle on your way to the wild area so I haven't really been doing any wild Pokemon I've literally just been mashing air running through this as quick as I can and just so you know as well when you go into the Isle of Armour and Crown Tundra at this early stage of the game you may be worrying about the level of the Pokemon that you go in against when you arrive in these new areas well everything is scaled depending on the gym badges that you have acquired already in your game so you're going to go in with something like Skull Bunny all the levels of every Pokemon in the Crown Tundra and the Isle of Armour are going to be scaled to those levels or at least to the Slowpoke here so once you've done that all you need to do is talk to this gentleman here or that's an armor pass with that pass you can go to the Isle of Armour you have a Crown Pass to you can also go to the Crown Tundra where would you like to go today so today we will go to the Crown Tundra and like I say when you enter the Crown Tundra for the first time with the Pokemon that you've got in your party it will scale the levels to the gym badges that you've got and because we've got no gym badges we're going to be bottoming out the the level scale in the Crown Tundra same goes for the Isle of Armour as well we'll be going in so none of the Pokemon are going to be super high levels except for Pione who will still have like level 70 Kapooraj or something like that his levels are the only ones that don't scale so if you go into it don't be too scared you don't need to win that battle to progress it's just kind of a formality and him introducing himself into the game so as you can see we are now in the Crown Tundra and it takes 30 minutes to get here literally 30 minutes of your time to access the Crown Tundra again to allow you the chance to catch all of these new Pokemon and now I'm going to show you a little trick with what you do once you've caught the Pokemon in your new copy of the game so you're able to then transfer them over to maybe a main copy and keep this one as a separate one where you can just kind of form these Pokemon as and when you want you're not using it as your main copy what we can do now we are in the Crown Tundra just save our game here and what we'll do is I will show you how you can then access and maybe make this a little easier for yourself so you want to come into Pokemon home you want to go into it on your main account okay when you're accessing Pokemon home all the time always go into it on your main account right and then you can change it when you're in Pokemon home to access your other other games and other user IDs so when you're on your main Pokemon home screen remember that you've logged in on your main user account that was originally linked to this Pokemon home you want to click on the Pokemon button here and then what in this screen which is showing your user account and the games that are linked with it under that user you want to go up to the user menu on the top which we have selected now you want to click on it and it says do you want to check a different user save data you say yes and you want to come down and click and select your new user that you've just set up and played through as you can see this is our new game Lee 36 minutes we've played you want to click into it now one of the things that I would say I've already mentioned the level scaling when you go to somewhere like the Crown Tundra the Isle of Armour at the moment we've got like a level 10 score bunny so that's not really going to be much used to us but because we've not got the gym badges we need to be quite mindful of the Pokemon that we're bringing across now you've got two options here you can bring over some level of hundreds or higher level Pokemon that are going to be a bit risky because there are a lot of the time they're not going to obey you or you can bring some Pokemon that are going to be between like 15 to 25 if you've got those sort of Pokemon and pad your team out that way and that should be enough to see you through and the majority of the game to allow you to get to the point where you can catch these new exclusive Pokemon and then trade them over to your main account so as you can see here I'm just picking a bunch of Pokemon like I've got some higher level ones but the majority of them are in the low to mid 20s so that should do us fine save the game now and what you do is well once you've caught the Pokemon in your new save file you can just do the same thing where you come into Pokemon on your main account change this to your user and if you want to go back to your once you've deposited the Pokemon from your new user account into Pokemon home you just click on your user details change appear and then go to your main account and then transfer them back across to your main account if that is what you want to do I hope you found this guide useful friends if you have please do drop a like on the video if you have found it useful and helpful and do hit the subscribe button if you're new to the channel you enjoyed this sort of content you want to see more content like this in the future and also let me know down in the comment section if you found this useful and this has been helpful for you to obtain maybe multiple copies of different Pokemon that are only exclusively available as a one-off in most games or if you've been able to just get those vision exclusives that you were locked out of by choosing the alternative option thank you so much for tuning in have a great rest of your day and I will catch you all for another episode very soon so until then take care and bye bye


One of the best ways to stay consistent with your workout and not get bored is to keep changing it and to keep trying new forms of workout. Hi guys, my name is Shatji and welcome to the December video series which will help you have a rocking 2018. If you are new here, thank you so much for stopping by and consider subscribing so that you don't miss out on any of the December video content. A lot of us tend to stick to the same type of workout but after some time your body gets used to that workout and stops giving you the result. Moreover, you tend to get bored and lose interest. So in this video I have put together three different workouts which you can try in 2018.  I gave all these workouts a try in 2017 and totally loved them and highly recommend them to you. So the first workout option which you can try in 2018 is boxing. Boxing is no longer restricted to just the professionals now but it is actually offered as a workout option in many fitness centers in India. I try and do at least one boxing class per week and it is a killer workout. It's a lot of cardio but at the same time your core is engaged so it's a very good ab workout as well. So in a typical class of about 50 to 60 minutes you spend 20 to 30 minutes on sparring which is actually practicing your punches and hooks with other people or rather on other people and the rest of the class is spent on increasing your strength and stamina. So overall it's a great workout and it's very different. In the description box below I will link few of the fitness centers in India which offer boxing classes so you can check that out. So the next workout option to try in 2018 is Zumba. So a lot of you would have tried an aerobics or a gollywood dance class but not a Zumba class and Zumba is a little different from the other two. It's much more higher in intensity and it is more Latin inspired so the music as well as the dance steps will be more Latin oriented. And I think Zumba is now very easy to find and there are a ton of Zumba classes that are being conducted everywhere. So do find a Zumba class near you and try it out in 2018. The next workout option is TRX and in TRX you basically have a band which is hooked on to the ceiling and the entire workout is done using this band. So it's a full body workout and you can shape and tone each and every muscle in your body using TRX. So even the basic exercises like squats, lunges, when done on the TRX band are much more effective and so much more tough. So it will take you about 4-5 classes to get used to TRX but it's totally worth it. I used to do TRX almost every week but unfortunately my gym discontinued it but I really miss my TRX classes. But I think there are still few gyms in India which offer TRX classes so I will leave a link for them in the description box below. You can check it out and do try TRX in 2018. So guys these were 3 workout options that you can try in 2018. Which one of them did you like the most and which one are you going to try in 2018. Comment down below and let me know. If you have more workout options add them to the list and let's help each other. If you like this video do give it a thumbs up and subscribe so that you don't miss out on any of the December video content. I will see you very soon in the next one. Till then take care and happy working out.


To build a great business strategy, we begin by asking questions. At the end of that process, we end up with answers. We point those answers at the future and we call it strategy. Case closed? Not quite. In a survey of leading global organizations, 9 of 10 respondents reported not achieving all of their strategic goals. That's a lot of missed marks, hundreds of millions of dollars worth. Perhaps strategies fail because when it comes time to execute, leaders aren't asking the right questions. Questions like, who is accountable for strategy execution? Are design and delivery siloed? Or are they intertwined? Does strategy delivery connect back to strategy design? Do the people tasked with bringing it to life understand and agree with it? Is our strategy simple, bold, and focused? Are we flexible? Can we adapt to change? Does our plan account for rapid feedback from customers and competitors alike? Is this working? And if the answer is no, are we failing? Or are we failing to learn fast enough? Is business strategy only about finding the right answers? Or is it also about asking the right questions every step of the way?


What we're doing is recovering the world's oldest literatures and making it available for the modern world. Saaas is an extraordinary place. When I was 30, all I'd ever wanted was to become a lecturer at Saaas. I'd just finished my PhD and I was looking for a job at Saaas. All I'd ever wanted was to become a lecturer at Saaas. I'd just finished my PhD and I was looking around for a new research topic and someone suggested that I make a critical edition of Gilgamesh which hadn't been done for more than 50 years at that time and I've been doing Gilgamesh ever since. I used to spend a day and a half in the British Museum making drawings of cuneiform tablets. It took me seven years to finish the Gilgamesh tablets. But of course there's also archaeological work going on in the Middle East which brings to light more and more cuneiform tablets and so every so often excavations throw out more Gilgamesh. I think I'm the go-to person for Gilgamesh nowadays because I've been working on it for so long. I wrote a critical edition after visiting all the tablets in the different museums and collections and published that in 2003 but since then many, many new fragments have appeared. So by this time there were 90,000 tablets in the British Museum and two people who could read them. And it's still a bit like that. Assyriology is beset by two problems. Vast quantities of tablets, something like half a million in the museums of the world and a tiny number of people who can decipher them. So in this way we ensure that assyriology will last forever. Gilgamesh is of special value because not only is it the oldest long poem in human history, 4,000 years old, but also it's a piece of literature which modern readers can engage with. It's about what it is to be human.  It's something that catches the imagination of its readership. So for me one of the most rewarding things is when I get messages from people who've come across my work and say that it's inspired them to paint a painting or to make a piece of music or to write a poem. This seems to me the job of a person like me, a scholar like me as an assyriologist at SOAS. To communicate what I find in my field to the greater public and to those people who are fascinated by what it is to be human, what it is to be alive.


We are going to do free. We have to get to this money, no way. The pickup location is closed. We're picking up five items, driving two miles for a hot 40 shorty. And we are here at the drop-off location. Let's see what it comes to put these joints in. Well, it's going on the side of the house. Yes, sir. It's gonna be about to put these joints on the back of the house. About to run out of money and creep like a mouse. Remind me of them some one day. We came here to get the job done. Damn, we got to run. Y'all already know what time it is. Step back from this photo, your noodles. Mwah!


Welcome back. Remember it's entrepreneurship Tuesday. My name is Michelle and we have a conversation that is still ongoing And we are asking you how exactly are you working at home? You can find that question on our Facebook page that is at Y to 5 for channel right now. I'm Don't know if I should say I'm really really really happy or excited because I was looking forward to talk to you To our guests coming guests look at me here talking to you see for you already Introduce it to my guest. So you and I understand that the beauty industry in Kenya is the most most Lucrative when it comes to business. So it is valued over a hundred billion shillings in a in a very Less than a decade. So it's a business venture that every young person can get into it and Not really gambling but you can you can assure yourself that you're gonna get something out of it so a hundred billion estimation and Quite much more into that considering that We have people and young people who are very conscious on how they look team millennials all over so in social media handles Instagram wanting to look fly and on sports and to meet today We are talking about the makeup artistry by none other than Kevin Trevor. So Kevin. Yes, welcome. Thank you so much We waited for you. We've been here waiting for you. Oh, it's my pleasure. No worries. Yes So Kelvin you can take this time and introduce yourself properly if I've missed out on anything that Kevin Trevor does. Oh, okay My name is Kelvin Trevor. I'm a celebrity makeup artist and I'm currently based at Machakos, but I'm a freelance makeup artist Let me just start by this Just for the viewers who have been waiting for this All the way for Machakos. Yes. Yes. You're forgiven. You're forgiven. Thank you so much. It's much better So how did Kelvin get into the makeup industry? Well Kelvin started makeup Actually as a peer as a personal assistant at a beauty shop. I remember it was way back in 2018 After I was done with my high school studies in 2017 So I just walked into this beauty store. I didn't know anything about makeup at history Then I just requested for a job and that is how my makeup career began Okay, so for someone who seated at home and has interesting makeup a couple of us watch way too many YouTube tutorials on makeup So where did the love come from like as a young man? Where did the love for makeup come from? Actually, I can say that it started way back as First as I was a peer what I could do actually during the closing hours of the shop I would actually remain behind and start drawing my eyebrows That's how everything started out and that is all my interests growing more and more Until to a point that I was like Yes, this is something that I should be doing this something that I should take on so I decided to quit the job and begin my own brand which is Kelvin Trevor and Slowly by slowly that's how I grew actually because I actually started makeup by Rose Because I highly thank her because she took me in and gave me a one-month free Training sponsorship. Oh nice. So you moved from being a PA now you have moved to Actually seeking Professional other skills on things that you haven't missed out on how did they work to meet up with? What's her name again makeup by rose makeup by rose? Yes. Okay, so how does that come by? So actually I remember there's this point as I was still in my early stages of building my brand There's this time I posted at a group in enough in a Facebook account and The bashment and negativity was extremely real.  Yes, majorly because I was a guy and I had makeup on at that time and Majorly also because my skills are not yet developed that much So they're kind of negativity from people like the post within a few hours to driven a lot of traffic in their group Okay, so actually the group admin or moderate. I can't quite recall She connected me with makeup by rose and that is how makeup by rose took me in and gave me a one-month free Sponsorship training and that is I actually go to perfect my skills Yes, all right, so then there was bashing because they say no good bad bad good publicity bad good Publicity is still good. It's still publicity and showcasing whatever you have as a business person. So here you are At makeup by rose. Yes, and they're getting your skills and everything So do you feel like that's an opposition we build at your confidence to start something of your own? Actually, they can say yes cause at that time I came to realize there's a lot. I had not met land There's a lot I had actually to perfect on They were number one key thing was my confidence also in terms of approaching the customers because I Don't say that women are actually Complicated, but you might find some clients who are really really complicated And they don't give you a hard time just that they want perfection. Okay. Yes Speak about I don't I don't think like that would be the right word But in the aspect of if a client is not has their own vision of what they want their makeup to look like and being a positioner by it does not Come out as as I wanted because I've been in that situation By wanted a makeup in a certain way that you didn't occur the Like the way I've visioned it. So how do you how do you deal with that when a client client tell? Yes comes to you the vision of how they want to look in terms of their makeup and then Probably you didn't achieve their vision. How do you deal with that situation? So actually about that it's whereby like for example, you're my client today Yes, so you bring to me a photo and tell me aren't you look exactly like this lady on this photo So one thing I'll break it down to you like, okay at times For the eyeshadow, let's start from there from the eyeshadow some colors actually do not work so well on melanin skins right because Some eyeshadows really look great on Lighter skins, but for dark people it doesn't work well. So for example, if you bring me a shade of Eyeshadow probably Let's say a brighter gold of it and your skin is a bit too melanin for it I'll bring I'll break it down to you to tell you that this and this will not work well on you So probably you can try this and this Yes, I still on the eyeshadow Different occasions. So let's look at a young lady or just lady who's going out for dinner Yes, then we have like a daytime event. So what is the ideal? Makeup for you know during the day and if you're going out for dinner with a couple of friends or even your loved ones So actually during the day your makeup should actually be toned down That includes toned down eyes and toned down lips Because you don't want to bring that aspect of everyone. She's looking at you.  But what girl if I were attention, you know Like it's doing the day one day everyone to be looking at my eyes poppy, you know Okay, if you want attention during the day, just go for dramatic lashes that can work so well for you a word. Yes Because when you look at the glowing colors, they work so well at night Because you might be going to a dinner party or an event at a club and the lighting is a bit too dim The lighting is not that bright. So that's how you can go. Well, hmm Now I see your point. Nice. Remember you can follow us on our social media on our social handles That is as simple as I try to for channel at Michelle. I share is where you can reach out to me We have a question on Facebook and we are asking you how exactly are you finding the aspect of just working at home head to our Facebook page at right to for channel and leave your comment there. We love to have a conversation with you So now here we are as a client. How do you build? How do you build your clientele? Well at times is tricky cause Mostly might depend on referrals at times because Okay, social media these days Photos is too much editing. So by the time a client Actually believes that that is your work Others have a lot of doubts in it. All right. So when it comes to because if I'm going for a photo shoot if it's for magazine or Just for my social Media handles yes after I go for makeup and I'm going for a photo shoot. Of course, there's a bit of editing Yes, you feel like that that that affects your part of job because Because if I'm looking as a client, I'm looking at the work I'm seeing from a particular photo and I want exactly that but it's been I don't know if it affected yet. It's been affected during the editing of the videos of the pictures. So do you feel like that? interferes with Like a client wanting a specific Look from a picture and yet it was edited. I Can actually say that it's both positive and negative Okay, because on the positive side of it. It brings that full aspect of Natural beauty and full aspect of the makeup on it. Okay on the negative side of it is we will believe that Despite not everyone has that clear-skinned not everyone has that Perfect flawless skin You understand me. So the moment that you bring to me a photo of someone in a very flawless skin and on your side Which okay, it's not a bad thing, but you have a bit of an acne. Okay, you understand me And you expect to look like exactly that person. So that's actually where the issue comes in Alright, I would like to ask the question like I've seen a comment here. So Someone is asking a question she's asking What in your opinion is the most important quality in a makeup artist? Most important quality, I would say is humility Because in this industry you meet so many people so many people of diverse cultures and diverse beliefs so What depends mostly is how you approach a client because even Humble enough as I approach you That is the same way that you'll still take me as a makeup artist But if I approach you rudely and if I don't make interact with you during the process Like I only tell you sit there relax now. Let me do the work for me I have the interaction with the client This is that interaction like after we we done in every step. Let's say is your first time doing makeup with me So as interact on every step like I take you through every step to see if you're comfortable with that For me cause on my side, there's the way like I like my eyebrows To be like conversing just to get the idea and look there, but your client ones Yes I would like to find out how you keep up with the trends because when it comes to makeup every single day on the YouTube Tutorials Instagram we see different At the street when it comes to makeup. How do you keep up with the trends? I would say makeup. It's all about playing around with it You don't have to be like somebody else. You don't have to do makeup like somebody else Just find that unique thing in you and do it as yourself Because the moment that you'll do it like somebody else To be like you've not yet created anything in your mind Like if I for example, there's makeup artist in Nairobi that I followed too much and I really look up to him Dennis Karuri I know Dennis. Dennis is all about flamboyant on the Yes, yes, so actually as I as I look through his Instagram page One thing that I actually say is okay. He tried this color of eyeshadow. Then why don't I try another color? Almost resembling to the same one Because the same the same time I'll do it the same way he has done it I won't have created anything in my mind So you just look at what someone else has done and bring out the creativity aspect of you and just incorporating what you saw Yes, okay. Let's head to your Instagram page and see what you got for us in terms of makeup So Instagram is Calvin underscore Trevor. You have Facebook page. Yes, Facebook page is makeup done by Kevo Makeup done by Kevo. So it's makeup by Kevo Makeup number Kevo actually the makeup by Kevo was actually taken by somebody else So I decided to input a glam in it. Oh, yes. So I see you there all glimpsed up. Thank you Okay, I love your eyebrows. So You as you talked about because you see your eyebrows are quite different from the ladies. Yes So what do we call this particular eyebrow the one that you've done and what she has on So for me, actually, I don't have like a particular name for every eyebrow.  Like they look the same. It's always a struggle So, how do you curve that? How do you ensure like That they look the same like your eyebrows. Um, actually eyebrows never look the same They're never sisters. They're actually distant cousins. They say so So what you actually do what I actually do is we perfect every eyebrow on its own Oh, I you understand me every eyebrow. I perfect it on its own Just that after I'm done with this eyebrow, I'm sure that it's perfected on its own And as I go to the next eyebrow, I perfect it on its own. Okay. Yes. So you do makeup for weddings What are some of the events that you have covered in terms of makeup? Actually, I've covered fashion runways. I've covered photo shoots weddings Yeah, we can see that we can see that. Yes. I've also I'm also a product review All right Yeah, I actually get products from different cosmetic shops and I do reviews. Oh, that means if a client Because you have different skin tones and we have the oily face and the dry face So you can actually offer Consultation of that. Yes. Yes, true. Okay. All right So is this part of uh, was this a set A film set because I see a lady there. No, actually she was going to a photo shoot All right So I was doing a makeup on set because I prefer makeup for photo shoot to be on set Just that it looks fresh. You understand me. Oh, yes So how does the prices vary do they vary like if I'm going for a photo shoot No, no this side like that because we talked earlier and you mentioned that you do film set film Um, makeup. Yes. So does it vary with the normal makeup? Yeah set film varies a bit because in a set film you're given You're given the actually the script on it. So you have to read through the script and understand the character Of the person So actually what I usually I usually use to To differentiate the different characters is actually the eyeshadow and the lipstick part Because if someone is that okay, let's let's say you're given a character of a simple girl who is not yet He's not yet that much into makeup or just Actually love to follow a certain a certain series on a certain television and actually And I love how the makeup is done because Different characters are different are given different looks to match with their personality. Definitely. Yes Okay, so Still looking at Looking at makeup by Kevu. Oh weddings. So still the weddings and bridles. So you have this Let's talk about weddings. Yes caught my eye. So if I'm You know the the girl the main girl and then her bridles and everything else. So Or what would you advise any lady who Is looking forward to the big day and in the in the makeup Because I feel as as ladies we tend to always want things to be perfect, you know With my girls my bridles. So what will be your advice before you? Make a date with your makeup artist What will be advice for that lady who's looking forward to a big day? And must everything to be perfect.  You never know So, uh book alias have a one-on-one conversation of what exactly you want. Yes, sure So I would like to find out any mistakes that you have done during your duties and how did you come that any mistakes have done? Wow I would say that many So actually In what perspective in terms of your work like in terms of makeup in terms of why yeah, let's look at a couple of mistakes A couple of mistakes. There's a time went to a wedding. Actually. It was last year And I was given actually I can't say it was my mistake must Personally, I can take it as a blame to myself because I was told the number of bridesmaids were actually five So in my head I'd actually carried five lashes Actually to reach on the wedding day and actually find that they were more than five. Oh, no So actually I can take it as a blame on myself because as a makeup artist you should always Carry something extra along the way because you didn't inquire No, I didn't inquire that was the mistake that I did too much. Yes All right So how do you ensure like your signature style is quite different from other makeup artists that creates a niche for you? Well for me, I've actually branded myself more with makeup applying makeup on myself That is how actually I can say that is how my brand actually started as I told you before on the Facebook post that I did So I can say that is the thing that has actually built my brand And actually Most of the occasions that I I do attend and most of the occasions that I do grace I actually attend them with full brand makeup on Yes, okay Let's wind up right and find out. How do you ensure that you stay focused in terms of The business side and the artistry like you ensure like even if it's at I'm making money out of this Well, one thing I love doing is I say that makeup artistry is about having fun But alongside having fun make sure that this is my Main hustle on it. So actually despite us having fun while we're doing the magic on it Also, be sure that when it comes to payment terms, that's why I prefer payments before Prior yeah prior to the To the day. Okay, because at that point I'll be sure like, okay. Yes I will go and do makeup on this land But actually she won't like tell me It's not I just looking at you So Yeah, so actually to avoid all that because actually And I went that at one time It was actually a client I need her makeup And then she was like, ah, I just looking at you And you go out because I I bro at Hannah Okay, you're not putting for half. So you understand So that's I I prefer payment prior even before I start my work Professionalism Yes, definitely. So then there is guys makeup by kevo. He's an amazing makeup artist So it's all matter of makeup artistry. So make sure you follow him across all his social media platform That is on instagram is at kelvin trevor. All right on facebook page is makeup glam by kevo Okay, thank you so much for coming through. Thank you so much There it is So guys make sure you stay tuned very moment I will be coming up to sample your comments on our facebook page You're asking how exactly are you finding? Uh, you know, that's a bit of just working at home at michelle ashira is where you can find me across all my social media platform Don't touch that doll. Uh, we'll be coming back


Hi everyone, Joe for jazzy's casewrakes.com coming at you with the 2021 Panini prism wwe break Hobby two hobby boxes and a random pack. So what we're gonna do is we're gonna pop open this case I'm just gonna grab two boxes right off the top and then we'll open the packs We'll number all the packs and we'll randomize your names Randomize the pack numbers and then we'll rip open your pack and we'll send you all the contents Hopefully it'll be some good stuff now. I know nothing of WWE so hopefully aside from some of the I guess the bigger names I guess but You'll have to help me out ultimately There's a good hit There we go right over here And I think you'll be able to find a lot of these on the personal breaks channel as well First box each prism box looking at two autographs for a box. I kind of know these two Roman Reigns and Becky Lynch. I think she was saw her in a Sports center commercial There's pack one This will be 13 through 24 and then we'll randomize names and numbers for you You're watching the replay of this you can obviously fast forward through this part Unless you feel like watching these ticker packs, that's fine, too. It's all good. There we go Now let's randomize names and packs and then I think I'm gonna go I Know a lot of people bought multiple packs. I think I'm gonna go in alphabetical order Just so you're all of your packs will be kind of gathered Gathered together all in one. So let's roll it randomized names and numbers four and a one five times one two three four and a one fifth and final time four and a one five times for the teams or the numbers two Three four and once more if the final time There we go We've got 22 down to nine All right, John with pack 22 Gary with 19 John with one Tyler with two Gary with 18 Jimmy with 15 John with 10 Chris with 24 Canard with six Tyler with four Jimmy with 14 Thomas with three Aaron with five Tyler with 11 Chris with 12 JC with seven Gary with 20 Tyler with 16 John with 8 and 23 Thomas with 21 Tyler with 13 and 17 and John with 9 So I think we'll probably do we'll do Aaron's first. He has pack 5 we're gonna do these alphabetically So let's sort by column a by your first name So Aaron you're up first pack 5 then Chris Gary JC Jimmy John Canard Thomas and Tyler But Aaron first Actually, let me print out these labels to so stand by you can fast-forward through this part to put it on the team bag And it can get right into the the queue for shipping. All right. Here we go. This is the order Aaron. You're up first With pack 5 just right over here. Good luck. It's kind of cool that there's triple H Like the the prism treatment for these guys here nice There you go, so no numbered cards or hits there, but it's all good. Thanks for getting in appreciate it. All right next up is Chris with pack 12 and 24 Gary you're up next 12 is down here Or is over here 24 and 12. Good luck Chris. Thank you. I'm a little terrifying as Brock Lesnar We got Seamus and we've got Cora jade Cora jade superstar auto rookie as well, and there's Bianca Belair. So you got an autograph Chris nice Here's your other box We get an indie indie heart well edge to 299 and To 10 prismatic entrances a sukkah. Alright, so nice couple packs Chris. He got some some low numbered cards You got an autograph edge To 299 great. All right next up is Gary Gary's got a few packs here, and then JC you're up after Gary So Gary is 18 19 and 20 18 down there 18 Because 18 20 and 19 is kind of the order good luck Gary The pack 19 is your last spot mojo pack. So let's set that right here.  Thanks for getting in all right next up is JC Just one pack for JC Jimmy you're up next JC with pack seven Good luck win an autograph for you. Yes There you go one pack one auto Jordan Devlin Sensational signatures and there you go JC Jimmy with a couple packs you're up next Consecutive packs 14 and 15 and John you're up next 14 and 15 14 and 15. Good luck Have an Owens red wave not numbered.  Is that three autographs now? All right John with a lot of packs here John with twenty two one ten eight 23 and nine So there's twenty two One ten eight twenty three And nine twenty two One Ten Eight Twenty three and nine. Good luck John. Thank you. Oh is that four already? Are there two per box? So have you seen the auto all the others? Oh, yeah, Tyler saying okay So four so all the autos are out. So I guess we don't worry about autos I guess we're just looking for numbered cards now. It's still color blast opportunities One-of-one opportunities 299 brawnbreaker red wave AJ Styles I guess parallels Is what we're really looking for at this point these cracked ices are not numbered. We've got no Mdar to 199 It's Tyler some saying that brawnbreaker is a big car John waves are not numbered, but everything ships obviously cracked nice Natalia and We've got a 71 at 99 Josh Briggs Prismatic Stone Cold Sea of Austin, I remember him and Rampage Brown To 299 there you go John All right. Thanks John appreciate it. Let's get all your stuff tucked away and Canard you're coming up next with a pack. All right next up canard at six AC Kebler Montez Ford and Alexa Bliss prismatic entrances Logan what's up? So I guess Paul saying the autos are not good nobody from the main roster. All right, so that's that's the feedback I'm getting All right, Thomas a couple packs for you three and twenty one And then Tyler the rest are yours Did I say hi to Logan? Hi Logan Logan in the house We've got Harlan cracked ice Brock Lesnar. I've heard of him 172 out of 199 Prism blue Bianca Belair It's back there. All right. There you go, Thomas Hey, it's my Friday to Logan Everyone else is Thursday, but our Friday. I like it and Tyler the rest are yours. We've got four 11 16 13 17 and 2 La To right there. Hi Tyler. Good luck. I feel like I feel like I feel some color here. So let's see what we have There's Aliyah to 199 Dusty roads Sammy Uso and then there's Odyssey Jones 102 out of 199 blue parallel There's riddle 38 out of 149 and we've got it Pete Done do three out of 49 Lower number there some sort of aqua parallel and there's ZLE 174 out of 299 Bianca Belair fearless insert at the end There you go, Tyler. There you go, everybody. That was a two box random pack break of prism. WWE. I'm Joe I'll see you next time for the next break. Bye. Bye


Web Junction inspires me to be a life-on-learner and inspires me to be open to change. And whether that for me personally has been learning how to learn online, learning how to train online, learning how to facilitate meetings online, Web Junction has really inspired me to be open to those changes and understand the benefits and the impact that we'll have on my life and how I can support the library community. Our libraries and all of our communities are facing changes every day and the people in their communities are facing changes every day. And Web Junction inspires me to help support those library staff to meet the needs of their communities. And whether that's through new technologies, whether that's through helping individuals find new jobs, whether that's helping new parents to support their children in their early learning. Web Junction inspires me to continue that life-on learning in my learning, in library staff learning, and in the learning of their communities.


The long-awaited Samsung Galaxy S8 has arrived at Appalachian Wireless. Get yours for the introductory price of just $149.99 with a two-year service agreement, better service, bigger savings. That's today's Appalachian Wireless, an East Kentucky network company. The members of the Pike County fiscal court have apparently warmed up to the idea of giving the county's workforce a raise. In its regular meeting today, the court voted in favor of amending the proposed 2017-18 budget, which was set for first reading today, to include a 2% cost of living pay increase for county workers. The issue was first broached last week when Deputy Judge Executive Brian Morris told the court the county would enter the next fiscal year with a $300,000 budget surplus. Morris asked the court last week to consider including the raise in the budget, but got little support. Today, however, he got unanimous support when he asked the court to reconsider it. I'm full-table for a rainy day, I'm full-table for a rainy day also, but as I discussed in the last court meeting, county workers just took the blunt of these cuts here, and I think it would be well deserving and well appreciative towards our county workers if we can look at just that 2% cost of increased raise. They've been under the gun the last couple of years since I've been here. I mean, we've took, we've took, we've took. I think it would be really, to their benefit and everybody's benefit to give them that 2% raise, and we've got the money to do that with. I agree with Hillman on adding that extra ran, but I think it would be better for the employees to get the 2% raise than getting that extra ran on that road lot. I really do. The first reading of the budget was passed over until the proposed budget can be amended. Morris said he is happy the court had a change of heart on the raise. 2% isn't life changing, but a 2% increase is something. It's a thank you for your hard-working service here at the county. The court also approved including $28,000 in funding for a new vehicle for the Pike County Animal Shelter in the budget. The court will hold a special meeting Thursday morning to hold first reading of the 2017-18 budget. From the Pike County Courthouse, Chris Anderson, EKB News.


Those of you who follow this channel or Lloyd's Run For Adventure channel, or indeed the Trail and Error podcast with Jay and Triss, will be well aware of the archivatrician 100 mile race, a race which takes place in the dead of winter on the notorious southwest coast path in Cornwall. For the past few years, I've worked for the race organiser's mud crew to provide live streaming services and social media content for the race. But prior to that, I did actually run the race three times, between 2017 and 2019. Depending on how long it takes you to finish, there are different coloured buckles for completing the arch. If you can finish the race in under 24 hours, you get the coveted black buckle. Finally finish under 30 hours and you get the gold buckle, and completion in any other time under the cutoff of 36 hours gives you the silver buckle. Thankfully, I managed to finish all three times I entered and got the gold buckle each time. Now, it's fair to say when I first entered the race back in February 2017, I had absolutely no idea what I was letting myself in for. So it's Friday morning, I'm standing in Kovrak, which is on the southwest coast of the UK in Cornwall. I hadn't been down to Cornwall to recce the route, and I stood on the start line knowing only that the year before, there had been an attrition rate of 75%. So I knew it was going to be tough. If you'd like to watch my original archivatrician video, then that is linked up there. Suffice to say I was very relieved to finish just under the 30 hour mark and claim my gold buckle on the old finish line at the beach next to the blue bar in Porth Tauan. I trained specifically for my second attempt a year later and the training definitely paid off. The weather was changeable with some very warm sunshine for the time of year during the days, but then sideways hail, wind and rain overnight. My finish time was only marginally better than the year before, primarily because of diversions on the coast path. There were some significant alterations to the route, which added at least four miles to the course, which is already 104 miles long anyway. My 2018 gold buckle is arguably my best performance at the arch, coming in at 29 hours and 13 minutes for 108 miles. However my fastest time came a year later when the distance was back to its usual 104 miles. I wasn't quite as well trained as the year before, but I finished in 28 and a half hours and it would have been faster had it not been for a small navigational disaster which added two miles to my journey. I was very annoyed with myself because having done the course twice before, I should have known where I was going on that particular section. And if you do go wrong in a race, the recommended and the sensible thing to do is simply to turn round and retrace your steps back to the course. But I didn't, I decided to carry on and I convinced myself there would be a way back onto the coast path. It was a very bad decision. These days you are much less likely to go wrong on the route of the arch because there is a lot more information out there. The race organisers are a lot more particular about you doing the correct route and also the GPX file for your watch is far more accurate these days. I like to think that I could have finished in under 28 hours if I hadn't gone wrong that year, but I got my gold buckle for my third finish and I've been back at the arch of attrition race every year since because I love it so much. It's a superb course and superbly organised with a reputation now as one of the must do 100 miles in the UK alongside the Lakeland 100, the South Downsway 100 and the UTS Ultra Trail Snowdonia. If you would like to watch my Lakeland 100 2022 race then that is linked just there. Otherwise we will see you again for another Metal Monday next time. Thank you very much for watching, bye bye.


So while he's getting set up, next up we have Dr. Kim, one of our cornea fellows, who will be joining faculty at UT Houston next year, and he was telling me he's excited to have his own fellow switch of roles. I know this is a project that Dr. Mifflin gave me before I started fellowship. Remember reading Dr. Smith who's here, his IRB over May of my third year. And something that I've done over the last year. This is my fourth iteration of this presentation. The first one everyone here has heard was at clinical faculty day. And there are some repeat slides, but about 80% of this is new. And it's kind of, I've been adding new things every few months that we do more things in clinics. So as I'm leaving here, I wanted to go over some of the things that I found that we can do with the confocal microscope, just so that everyone's familiar with its potential. And also to go over some of the results of the study that I introduced back in September and to show you the results of that. So these are our slides I've already presented. So they're basics. The confocal microscope basically gives you 3D histology in real time. The benefits are you don't need to take a biopsy, and you can image multiple areas without any trauma to the patient. There's three kind of confocals. Basically as the light gets more coherent, it goes from white to a single nanometer length color, basically the resolution becomes better. The first one there is not used anymore. The slit scanning we have in the NIDEC confocal 4, which we use to look at the endothelium. And the Rossock cornea module is the HRT that we use to look at the glaucoma nerve, but it's a cornea adapter to image the cornea with that and basically again the axial resolution. So not the left-right resolution, but the z-direction resolution improves as the light becomes better. What we have here and the things that I've done research with are the Rossock cornea module, HRT3. It basically has a 300 by 300 micron area resolution, and the axial resolution is 4 microns, which is much better than the other two, and that's basically the main difference between the confocals. It doesn't mean a lot to see it all in words, but if you look at the pictures here, the NIDEC is over to the left, which we have here, and the Rossock cornea module is over to the right. You can just see that every layer of the cornea is just a lot cleaner. You can see you start from the epithelium, the nerves, the stroma, and then the endothelium over there. So this is a sample patient of someone I've done recently, and this is the screen that you would see. The fear that everyone has is this is direct aplanation technology, and everyone goes, well, if you're looking at the eye and you're aplanating it directly, aren't you going to mess up the surface? Well, if you do it properly, you will require almost zero aplanation. It's supposed to barely touch. The gel is supposed to just lightly interface the surface of the eye, and you get these beautiful images. You basically zero the depth, so you know exactly how deep you are in the cornea, too, and you can kind of follow that along. And to compare and contrast, this is a picture of someone I did in July, and you can see that I am pushing much harder on the eye over here, and that is not the proper way to do it. So if you do it like that, you can cause epidefacts and other issues, but pressing it lightly, there's not too much of an issue. So larger pictures here, again, this is the surface epithelium. You can see that very nice kind of tile layer.  The anterior stroma is in a crisscross pattern for the anterior one-third, whereas in the posterior two-thirds, it's in a parallel lamellar pattern. So when you look at research studies using confocal microscopy, the results are everywhere. For Sjogren syndrome, some people say there's increased nerves. Some people say there's no change. Some people say there's less. For post-traumatic infection, some people say there's a decrease. Some people say there's an increase. And basically for every paper you find saying one thing, you can find another one saying the exact opposite. So whenever you have such a variation in results, you have to wonder why that is. To look into that, I think we need to think about the data in two different ways. There's quantitative data and qualitative data. When you look at qualitative data, you think about infectious keratitis. If you see one fungal element, or if you see 10 fungal elements, it's still fungal keratitis. It doesn't matter how much you see. And but for quantitative, it depends a lot on what cross-section you get. If you get two nerves versus three nerves, that's a big deal. And if you look at different parts of the cornea, you may have basically different amounts of sampling error. And when you look at the data, it seems to be more like that the qualitative data is reproducible, but the quantitative data is not. So we're going to start with some qualitative examples. So at Emory, we always used to harass the first year. So and I know all three of them are here today. We're going to start with Jim, because this is a patient I saw with him on Christmas Day. Is anyone surprised to see on Christmas Day with Jim Bell? And unfortunately, this is not the picture of the patient, because we didn't take a picture on Christmas Day. But I found a representative picture. And the cornea kind of looked like this, but the lesion was actually much smaller. Imagine something even smaller than that in the yellow circle. This is a 24-year-old contact lens user. Standard came in with really bad pain. Was started on Vigamux, got worse, and the optometrist called us in a panic. I started fortified, because I didn't really, I don't know, it's just what I do, I guess. If they were on Q1 hour Vigamux, and they got worse, what do you do? But it never really looked all that bad. And I remember scraping this patient with Jim on Christmas Day. So Jim, what do you think? Since you saw this person in real time too. Which one, right? Yeah. Yeah. Yeah, I mean, the eye didn't look all that bad. Yeah, I agree. The eye looked like this. It was quiet.  But if he drove in and didn't spend time with his family because he was such bad pain, you gotta think, well, there's something really going on over there. So I thought it was fun, low-caratide. It's more of that spicule look on the outside. But I wanted to make sure. So I brought him back on another day, and we did a confocal microscope test. And thank you for Randy for editing this, and slowing this down so people don't vomit, I guess. So this is the surface layer. You can see that the epithelium is intact, but you see some white cells on the surface. And as you go deeper with the confocal, you can kind of see the outline edges of the infiltrate. I mean, there's a distinct edge over there, even though the epi is still intact. And this is me kind of guiding the eye around with the side light, kind of like you have on the Yag or the argon. And if you go even deeper, wait for the picture here, you can see that there's all these spicule structures on the edges. And you see that there's this edematous edge of the infiltrate, and that necrotic center in the middle kind of looks like mush, and there's a lot of white cells in there. And it'll go one layer deeper in a second here. And I just wanted to show you that you can kind of pan across an entire ulcer from one end to the other. And you're going to the other side. So when you look at these individual slides, you get, each of these videos is about 100 photos. And I thought, well, what if I montage it together? And you get a picture of a corneal ulcer. Now this looks gigantic, and it kind of overflowed the confines of the PowerPoint. But really, this is only a half a millimeter ulcer. And if you don't believe me, basically, each of those squares, and I think I ruined the pointer here. There we go. Each of these squares is a 300 by 300 micron block. So if you look at the ulcer from edge to edge, it's really only about one and a half blocks.  So this patient never grew out fungus. I blame you, Jim, for the culture. But anyway, we started on that in my sin, and he got better. So it kind of looks like this, right? The outside edges are kind of spiculed, and it's kind of representative of fungal keratitis. So we're going to do a two-bed Akbar's knot here. We're going to do white dot syndromes now with the residents, but of the cornea. And we're going to go over it with confocal microscope. So Dan, what do you think? This is a similar story. 45-year-old contact lens user was treated with steroids and antibiotics for about two weeks before they got to us. And this is on day two after we started this patient on fortifieds. Yeah, yeah, just a standard stuff, right? I have one question for you. Do you think that's one infection or two infections? Okay. And so this is day three after treatment, and I noticed that there were two white blocks here initially, but this one got better, but this other one did not. And you can kind of see how this one's kind of fading out on the edges, whereas this one's still the solid block. And so again, decided, well, let's get a closer look. And I got to make sure. So I managed to get a video going from one ulcer to the other, right in between, going left to right. So this is a video going from one end to the other. So here you see kind of that soupy bacterial infiltrate that you saw before, and you pan to the other side, and it's very different, right? And you go back to the other one. So I don't know if you guys wanna see that again. You're going from one end, and you know, you don't need to know much about the cornea to know that those two things look kind of different. And that looks a lot like fungal hyphae. And so she has a cone infection. You know, you have a contact lens person who, we had a contact lens user who was on steroids for two weeks. So you have no idea what's going on. This happens to us all the time, like three weeks of treatment with everything under the sun. You come with this like necrotic mask that you have no idea what's going on. And basically she had the bacterial portion was getting better on the fortifies for two, three days, and the fungal portion was not. And you can see it's very distinct. The hyphae elements are on the order of 100 to 200 microns, and you can get very distinct images. So again, this patient we started on Natomycin and Fluconazole, and it ended up the mitre's dose, 200 milligrams BID, took five weeks, but she's finally better. And Leah, what do you think? This is another white dot. She's still like 2100, because it's in the middle. Eventually we're gonna let the scar fade and see how it turns out. And so Leah, so what do you think? This is another white dot, and this is a 45 year old, someone that had a trigeminal nerve decompression on the right. I don't exactly know why you do that. Well anyway, the trigeminal nerve got injured and she has loss of sensation in V1, V2, and V3. We've been treating her for neurotrophic keratitis and she walks in with pain and this kind of white fluffy area. So I don't know, what do you think? Yeah, you're kind of curious, right? And this picture looks so much worse, right? Yeah, it looks bad. And so, yeah, same person. Same picture, just under, sorry? Oh, different lighting, yeah. This is just some Lysclerotic Scatter. So, but this person is neurotrophic. You know, we had the thought, maybe this is Candida, maybe we wanna scrape, but you don't wanna scrape someone with a neurotrophic cornea, someone that we fought with end on end to try to repair their epithelium. And end up destroying the epithelium without knowing what's going on. So we thought, you know what? Let's take a look at what that white material is made of and we'll only scrape if we see any kind of weird elements. So you look and we never saw any kind of infectious element. We didn't even see white cells. You know all those little white dots that we saw everywhere? We did see what looked like very immature epithelium. You see the patient here is on the left and you see a normal patient's epithelium on the right and it's basically this nucleated epithelium in its early stages that was actually causing on that clouding. So we send it to Dr. Patel, send, got a tarsaur fee, patient's better. So a lot of information with the confocal, you get these lot of white dots and you don't really know what to do, but it gives you a better idea of what to do when you see all these white dots and a doctor degree will like this. So again, this is the left eye and this left eye is normal and the right eye, remember, had a trigeminal ganglion, basically injury after surgery. So this is a volume sack. It goes from the top and goes to the bottom. So it's going to go first through the epithelial layer, then through the nerve layer and then through the stroma. And you can see, you see all those lightning bolts there, right? Those are all the nerves. And again, this is a healthy eye over here. So I'm going to replay that one more time and you see all those nerves, right? When you look at the side that has had the longstanding trigeminal injury, there's nothing. I don't see anything over there. And it kind of verifies that she has a neurotrophic cornea and everything makes sense. So that's qualitative data. It gives you an example of why this is useful and why those studies are reproducible. But then you look at quantitative data. Again, how many nerve fibers you have? What are the branching patterns? How many fibers? How squiggly are they? And what's the total nerve density? You can also look at endothelial cell count. And one thing I've been looking at a lot is epithelial cell count. One of the things that we can't do very often is we don't know how to quantitatively grade the health of the ocular surface. I remember when I was interviewing for cornea fellowships, I always ask people, do you guys do limbo stem cell transplants? And I was greeted with laughter about half the time. I think Ed Holland and Dr. Mifflin are the only two people that said that they actually did limbo stem cell transplants. So let's see here. And these are slides that I went through in clinical faculty day. And I'm not gonna dwell on them. Basically, all four of these slides look very different, but they're really the same patient. They're the same actual stack, but they're only separated by one second. And you can see how different each of these pictures look. And if you didn't believe that they're the same person, you can see one common structure in every single photo. And it's just one a little to the left and one a little to the right. And you can see, because the branches have more empty space in between them, you can get a lot of sampling error when you look at quantitative data. And here's some of the reasons why. You know, the pictures that I showed you look beautiful, but they're screened. They're like looking at surgical videos. You know, they never show you the cruddy ones. They always show you the best case scenario one. So this is what an actual patient looks like. Someone that's kind of non-compliant. You can see that not only that you get the X, Y variation, you're getting variation along the Z axis too. This person's coming in and out of the slit lamp. They're moving their eye left and right.  It's actually not surprising when you start doing these that you get this mess of quantitative data because it's very difficult to keep it in one plane. And it's very difficult to go back to the same spot, more because you're aplanating the patient with this gigantic device. And it's just not the most comfortable thing. And patients have trouble sitting in the slit lamp as it is, let alone when you're touching their cornea with a gigantic cap. And even a patient that's really good, you notice that there's still a little, kind of what I call microsecades, but there's still always this little slight panning motion that you get even with all that. So those are some of the variables that kind of affect why the data may or may not be reproducible. The other trouble that I've had is as you go further and further away from the center of the cornea, your images, you start pressing at different, basically you start pressing at different pressures on different parts of the cornea. Again, the cornea's not flat. It is flatter on some parts of the periphery and it's steeper on others. So basically as you're pressing on the cornea, you'll press harder on other parts than others over here. And you can see that on solitary images as you get to the edges, you're in different layers depending on how hard you're pressing. So you see a lot of pictures published in the data and they go, hey look, there is neurotrophic cornea. But you look in the actual pictures in half the wrong layer.  And what I found out is Bowman's layer is not really a solitary layer. It has these undulations and these waves that kind of jut up into the epithelium.  You could basically get these corneal bands and they're basically these outpouchings of Bowman's layer. And Bowman's layer really is in that chain-link fence pattern over the entire epithelium. That's why sometimes when people come with very bad dry eye, you see this kind of tortoiseshell mosaic pattern on the epithelium and that's kind of the highlights of Bowman's layer kind of coming up into the epithelium.  So what I thought was before we did all these quantitative studies, we got to see if it's even reproducible. It's kind of funny. It's like Dr. Olson's study with the aberrometry. A lot of times when you see numbers, you have this illusion of objectivity. But just because you have numbers doesn't mean it's objective. There are things that are robust like the IOL master where people nitpick when we're off by like 0.01 millimeters and yet we publish hundreds of papers on something where no one's even done simple standard deviation and reproduction from visit to visit. So what I did was we got 10 quote unquote volunteers, 25 to 35, you can see that that's in the range of residents, PhD candidates, and fellows. And we visited, they're all healthy, no medical disease, no eye problems. And I measured them at two different points in time. You know, why are we looking at disease corneas? Why don't we look at normal corneas first at two different points? I made every attempt I could to yoke the eyes together and make sure you're getting to the same spot. That Amzler grid that you see over there is basically separated by two millimeters, five different points. And what I would do is cross cover the eyes and couple the left and the right eye so they're yoked together and use the non-aplanated eye to guide the eye into the positions I wanna be. And if anyone had a correction, I would correct it to have a residual four diopters of correction so that they would not accommodate. And I would keep the Amzler grid 25 centimeters away so that you can always have the eyes in a similar position without that crossing phenomenon as you converge and accommodate. And what I wanted to see was, is this even reproducible? What variable is reproducible? And is there an area on the cornea that's more reproducible than another area? And the way we did this study was, well, we wanted to make sure the images were of proper quality, because a lot of papers you'll see in the literature are not of proper quality. And our proper quality criteria was a 90% of the image was in the same layer. We looked at the nerve density, the fiber count, the branch count and the amount of tortuosity. There's a program that's like a paint function that we trace the nerves manually and they will look at this and basically get these coefficients and measurements. I don't exactly know how to do the tortuosity because the algorithm I'm not too familiar with, but anyway, it doesn't matter. We just want to see if it's reproducible or not. And again, we did it at the center and superotemporal, infrotemporal, superanazel and infranazel. And the reason why we made it in X instead of across was if you made it across, it would kind of get in the way of the actual microscope so we had to turn it 45 degrees so the patient can see all of these four points. All five images were compared individually and the averages of all five were compared. And when you look at an example of this at the nerve layer, you can see that, I mean, it's everywhere.  So depending on where you look at on the cornea, you can make, I can say whatever I want. You could just mix and match different pictures and go, it's the same, it's less, it's more, just mix and match and make whatever conclusion I feel like. And because you have all these pretty pictures, you're kind of enamored into trusting and believing those numbers without really looking at the reproducibility. And even when you look at two different images from one patient on first visit to second, the fibers are oriented in different directions. So you know you're in a different spot of the cornea. It is really hard. You have an area that you confuse around and you don't always get to the same spot even when you don't have any kind of for you on cross cover. And you have a range that you confuse and you can see that you're in different areas even when you're just trying to measure the center. A lot of the studies go, oh, the center's always reproducible. We'll go back to the center. But clearly from this picture, you can see that they're not in the same place. So when we look at our study, the single image data for all five variables kind of almost doesn't matter what they are because we're just seeing if they're reproducible or not are awful. The error range is 20% to 55%. And when you look at these, if a p-value's 5%, you could have that difference just from sheer variation in a normal person. And this is with every effort to go back to the same spot. Most studies just kind of go back to any spot. But when you average them, you see that all the numbers get better, but they're still pretty awful for the most part except for one. And that's the total narrow fiber density. And so from this study, one, I'm Dr. Mithila, I'm sorry, I'm still trying to write up and we'll get there in a little bit. Basically the only quantitative measure and you could even follow is total narrow fiber density. Because the rest of them, you don't know whether that difference is just from natural variation or from an actual difference. Unless you had such a significant difference and you use these numbers within the statistical calculation to compensate for all that. But a p-value of 0.05 is not really valid to show a difference. So again, we know that basically averaging images gives you more reproducible data but there's still a lot to be done. And really when you look at the literature, the only thing that you really should look at with significance is the total narrow fiber length or total narrow fiber density. So a couple other people do a lot of work with the confocal microscope. When you look at this, this group in New Zealand or Australia I think does a lot with this and this is a postmortem cornea. So you can see that, that's how they got so many images. The person was not really fighting you too much at this stage. And you notice that all the nerves kind of come in from the outside in and they meet at a confluence which they call the vortex. Now you think the vortex is in the center but it's really not. It's located inferior paracentral, right below the middle. And the vortex kind of looks like this. So that's part of the reason why I wanted to measure the center in four other different spots. Maybe you get a more reproducible area if you're going in this area of the vortex but as we saw, that's not really the case. And I really noticed that pattern and it looked really familiar to me. So I opened my cornea atlas and I found a couple other examples where I saw that pattern. And you see that in this Faberase disease patient and this amiodural worlds, you also see that kind of whirling pattern from the outside in meeting paracentrally. The actual disease does not matter. The disease itself is just staining the epithelium and you see the epithelium and how it grows in what pattern. And a lot of people think neurotrophic cornea is not because of the tearing, it's because the nerves are actually the train tracks in which the epithelium grow in. And this would kind of indicate that the epithelium would kind of follow in its tracks a lot better and maybe you're just missing that highway for the epithelium to grow with that. And you can see that this pattern is very similar to that corneal nerve pattern on that postmortem cornea. And when you look at the epithelium, this is the edge of another, I imaged a lot of random patients, a lot of ulcers on top of that. This is at the edge of the ulcer. You can see healthy epithelium, sick epithelium and even sicker epithelium at the edge. And you notice that as the epithelium gets sicker or newer or it's turning over, I don't exactly know where it is in the timeframe because this is a snapshot. The epithelium gets bigger and it's a pattern that I noticed elsewhere too. So let's look at this. Again, these are the epithelium from the neurotrophic patient, one at the edge of the ulcer and one of a healthy patient. You notice that the epithelium goes from being nucleated to anucleated to smaller and denser. And it's something for the first year medical students here. This is why when you decide to specialize you should look into every other field because there's a lot of symmetry in medicine. You look at other cells that turn over a lot and this reminds me a lot of blood cells. They're bigger in the beginning, they're nucleated and they get smaller as they mature. They lose their nuclei and they become denser. And so can you look at the epithelium, see what stage it's in and have these other measure ends of the health of the ocular surface? Well, are these turning over? Are they dying? Are they very healthy? Are they medium healthy? And basically it's like looking at endothelium. You can see endothelial cell count. Are they pleomorphic? Is there polymegathism? You have all these other variables to basically gray the ocular surface instead of going one plus PDK, two plus PDK and doing your shirmers. That's different depending on how much prepare can you put in the eye to figure it out. This is a patient, and these are all real patients that I saw in clinic here this year. These are not out of papers or Google images. This is a patient I saw in Dr. Taven's clinic and Jeff Petty can attest to this. This patient treated in Idaho for an immune keratitis, again treated with steroid for a really long time and the epithelium just looked awful. You looked at it and it kind of looked like a canthamoeba when I looked at it so I decided to image it before I decided to scrape it. And you notice that these, a canthamoeba cysts over here look a lot like the ones you see on a pathologic slide on H&E. And again, this is 300 microns. Bacteria is one to two microns so you really can't see bacteria. And a canthamoeba cyst is 20 microns and fungal elements are 100 to 200 so you see the scale where you should and should not be able to see things. So we decided to do a complete epithelial scrape. We grew this in Pages. It grew floridly positive for a canthamoeba and the patient is now 2020 doing well, work home managing with people with Dr. Cannon in Idaho. And it expects to ask the question, well, how much can you really see with this? Immune cells are in the order of 10 microns. So I don't know if this is for real because people again say everything when you look in the literature or if this is just a Rorschach ink blot test for me where I'm just imagining things. But when you look, it kind of looks like, these are granulocytes and these are lymphocytes and these are maybe eosinophils and this is from the fungal keratitis examples where you see kind of this boomerang pattern of the nucleus. And I don't know if Dr. Mamelis wants to comment or say anything, I'm just imagining things or if this seems fairly legitimate. Okay, got it. And this is a patient I know, Dr. Mamelis is very familiar with. We've sent samples like five different times to, this is that patient with this scleral nodule that keeps on coming back that we've been re-imaging and imaging and imaging. So just like I do with other patients where we have no idea what's going on, I said, well, why don't I do the confocal image of the congenitiva and see what I get? And it's kind of like what Dr. Mamelis describes in a lot of his pathology reports. It's a dense chronic inflammatory infiltrate. But I saw one thing that was kind of interesting. When we've sent this patient's tissue to Seattle for PCR, I sent them back to Dr. Grossencloss in Emery for another analysis.  We have no idea what's going on. Maybe I should present that patient next time we have a grand rounds to get some thought. But I don't know, what do you think about this area over here?  Is this a granulomanus inflammation? I don't know. I don't know if I'm imagining things again or it kind of looks like that, but yeah. Again, just food for thought. And something very interesting. So this isn't a very inflamed eye. So as I was imaging her congenitiva, I was like, what is all that stuff moving in there?  And so here you have the first example. I'm sorry. This patient is in complete down gaze. So there's kind of like a nice stagmus kind of motion trying to go back to primary gaze here. So again, if you get a little motion stick, maybe not watch, and I'll play it a few times. You can see all that blood moving in there. And sorry about that. She's trying to keep on moving up and I'm going, please look down, please look down. And she's kind of shaking a little. And so that's a medium-sized blood vessel. But you can even see smaller ones too. And sorry, I kind of pan around a little to find the area. But you can see all that. All those cells kind of moving in there. So pretty neat. And there's a lot of stuff that you can actually do with this. The one thing it's not very good at is looking at the endothelium though. I've tried a lot. And there's something about the aplenation where you're just bending the cornea in a weird way. You never get it cleanly in a plane. And I think that this confocal with all its potential and with all its great resolution, it's a double-edged sword. The closer you look at something and the smaller your field of view, the more it is to have artifact from compression. And basically, when you have the night egg, you get an image that's about one and a half millimeters. This is 300 microns and I don't know. I've never been able to get a good image. So I don't know. I think that that's one of the limitations. It has beautiful surface images, but I could just never get good endothelium images. And I've tried a lot of times. And so I think that the night egg still has a place. I'm not saying that this is the end all be all for all confocal. And like everything else, everything has its purpose and its own usage. So again, confocal microscopy of the cornea is a very powerful technology, but still has its limitations, especially when you look at numbers. Image averaging is really essential to getting good reproducible data, but even then that's not perfect. And I really think that this is a tool to really look at the ocular surface and to really extend our knowledge. We have a paper on DSEC published about five times every single month, and there's things that are reproduced all the time. But there are things that we can't fix in cornea, like dry eye and neurotrophic cornea. We have no idea what to do with it. I think this has a lot of potential in the future and something that I am looking to concentrate on to try and figure out some of those answers and see what we get. So here are our references. Thank you for having me this year. It's been a wonderful year. Yeah, Dr. Olson. So, excellent presentation. It turns out in the research side we're more of a huge emphasis on... Yeah. I think you can. The problem is that this machine is bulky and you gotta keep that patient in that same position. If they can somehow, almost like a halter kind of, they could kind of shrink this and have it connected to certain spots or even smaller, like almost like a V scan so you can move it around and keep it somewhere. I think it has a lot of potential, but the way it is right now, it might be really hard to have the patient look in an extreme gaze in one direction or the other and center it. But I think as it becomes more portable and more mobile, you can think about doing more stuff like that. But yeah, tons of potential, but a lot of work to be done with it. Dr. Ambari. Really nice touch, Jim. No, it doesn't. I'm using the... That's why I tried to yoke the eyes together and you'd move the other eye, but... Yeah, I think that would be a great issue because you can always go to that same spot. I mean, obviously you have a parallax problem with that just like we do with the refractive lasers, but anything would be better than what we have right now. So there's a lot of ways to do that. I think that's a great idea for volume of the nerves. I have not tried. I had trouble just even doing these 2D images. So I think that's the next step with the image processing. And it seems easy enough to do because there's only four or five microns thick and you should be able to do that and again, actual nerve volume. And I think that's the next step. And I think I just have to... I think I need to compare up with a computer science person to really do something like that. Huh? Okay, that'd be great. Okay, yeah, that'd be awesome. I think that'd be a great next step.


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In line with its energy transition aspirations, the federal government has been urged to address the burdens faced by communities hit by the effect of greenhouse gases. This was the position of a group Spaces for Change at the presentation of research findings of a report on Nigeria's energy transition plan, Destiny-Momo reports. Nigeria is determined to use gas as its transition pathway to reduce emissions to achieve net zero by 2060 and drive economic growth. Given previous unsuccessful attempts to unlock gas, a realistic and deliberate approach is required to achieve those ends. Despite the setbacks of climate change in Nigeria, all hope is not lost. Victoria Ibezim O'Harei, as the Executive Director of Spaces for Change, shall speak on some of the emerging opportunities that offer prospects for accelerating the transition process. So for us, because fossil fuels produce a lot of carbon, so the emitting carbon into the high atmosphere which is responsible for climate change. So as you're seeing the country experiencing intense rainfall, heavy flooding, recently many states were submerged because of heavy flooding, we're seeing desertification, we're seeing droughts in the northern parts of the country, we're seeing headsmen moving southwards because of desertification going on in some parts of the country. So because of the radical changes in climatic conditions, Nigeria knows that it needs to take steps to reduce its emission levels. The group's research probes the alternatives placed before communities and non-state actors whose livelihoods are dependent on fossil fuel extraction and local refining against the backdrop of the global energy transition. Other speakers touch on some possible recommendations for change. Nigeria right now, one of our concerns with Natural Resource Governments Institute is saying that Nigeria wants transition, but how are we going to transition? How are we going to phase out gas, for instance? Nigeria had said that it wants to use gas as a transition fuel, but it has not yet resolved all the infrastructure challenges, the legacy issues. We now want to ramp up gas, but what's the effect of that going to be on people's livelihoods? How is it going to affect the environment? Nigeria already has a very high gas flaring quotation. We have been trying to commercialize gas to reduce that for very long time. There's the energy transition plan that spells out what governments want to do, and the way I look at that is that in this country we don't have issues with putting things on paper, but it's actually translating paper into action that is a problem.  The experts say the government needs to put in place safety needs to cushion the effect of transition-induced job losses in order to minimize diverse impacts. Destiny Momo plus TV News.