Live from the FIIA Barcelona Gran Vía Compensator in Barcelona, Spain, it's The Cube at HP Discover Barcelona 2014 brought to you by headline sponsor HP. Back to Barcelona everybody, this is HP Discover and this is The Cube, our live mobile coverage of HP Discover. We're here with Fish Mulsion and Lee Pendlow, Lee Pendlow is an IT practitioner at Sony and Fish, Cube alum, director of products at HP Storage, great to have you on, good to see you. Good to see you Dave. Lee I want to start with you, because you're new to The Cube, you've got an interesting background when we're talking about off air, but talk about your role at Sony and then I want to get in to share with our audience a little bit about how you got here today. Currently I'm senior director for production services at Sony Network Entertainment. Sony Network Entertainment is the entity inside Sony that offers PlayStation Network and Sony Entertainment Network, which is our online streaming videos, downloadable games, support of the game consoles like PS3 and PS4. Yeah I know it well, my kids know it well. The storage requirements there are interesting, but you came to this role through an interesting route. You started, we were talking in the 80s, developing optical storage, I was just breaking into the business at the time, and the whole buzz was how optical was going to replace hard drives, and so that's when you started as a developer of technology, talk about how you ended up here. Right, so in that time there were some really significant technological problems of actually trying to store data on optical disc, and it was through that technology that's basically solving those communications problems, which was really the same as network communications just in a small form. As far as putting data on the disc and recovering it was no different than putting it down to fiber. And in that time I moved on to actually digital broadcast, or direct broadcast satellite, direct TV, developing that, applying those same solutions to those problems, to making those products, and then from there moving actually into digital cable work in early digital cable, as well as early digital television, and of course then all the HDTV and the things that came from that. From 2006 onwards, as an outcome of that, I led a team with Sony that actually was the originator in large form, from what is now taken as de facto IPTV or streaming TV, all those early technologies working with early partners like Netflix and Amazon and others. As a consequence of doing all that work, which is really the merge of video and traditional IT, if you will, because it's through data centers and infrastructure, we had to build those kinds of facilities to do that kind of high capacity, mission critical, always on broadcast streaming, and out of that basically we moved into Sony Entertainment to handle also the commerce functions and the other things that go with it that weren't one of the IP streaming itself, but the back office that actually makes those kinds of businesses for supporting game consoles and things like that. Okay, and then so that we're going to come back and talk about the unique requirements that you have from a storage perspective, but I want to go to Vish and just, we last talked in the Cube in June, that used to be discovered in Las Vegas. You guys have been busy since, got a bunch of new announcers in the show last night. Take us through what's new since June. Sure. Since I was last on the day of June, we've seen a massive explosion in flash demand. All flash arrays very well received. Revenue for the year of 12 months, FY14, FY13, 6x growth in all flash revenues. So phenomenal reception from our customer base. Interestingly enough, the most frequent use case we see before I get to some of the announcements, Dave, is customers are sort of struggling with delivering a service level. They're burdened by complex large arrays, lots of spindles, and even after all that money and time and it's wet, still don't get the service levels that they need, right? And the flash is sort of just changing that for them, right? Reducing it down, consistent performance levels. We see that a lot. That's one of the primary use cases. So, at Discover this week here, Dave, we've announced three things, right? We've announced what we call the Converge Flash Array. We've announced Converge File, Block and Object Access in FreePower. We've also announced sort of flat backup from a FreePower Array snapshot to a StoreOnce device while we're looking at it. Okay, so give us a little more detail. Sure. On the Converge Flash Array, what's the interesting use case there, Dave, is one that we really didn't think about, but customers were asking us that, say they start off at the Flash Array, and after six months or seven months, the data ages, right? So, they're not doing tiering, they're not doing caching, they're doing all the flash, but the data ages. And what they want to do is instead of moving the data off to an archive device, they want to move it to spinning on that same array. So, we said, oh, interesting. So, is that like 50% flash, 50% spinning? They say yes. And so, the 7440 Converge Flash Array takes that into consideration now, where you can start off all flash, you've got the same performance, same features, same hardware specs. But then, if after six months you want to move a portion of your data to spinning, you have that choice. If you choose not to do it, that's fine. Leave it on all flash. How do I move it? There are ways, there are commands that you move data. You can schedule it. Now, there are also automated ways of moving data, and you get that into the realm of tearing them. Right? So, again, the customers that we talk to tend to today want to do it manually, maybe scheduled, and it's time-based more than anything else. Okay. Okay? The other one with the Converge File and Block. Basically, I think it raises the line between block and file. You can now run native file and object access protocols from the 3-poor array. Easier to manage, easier to monitor, and one-third the capacity, right? And then the last one is this notion of a flat backup. I think, Dave, for the first all-flash array now that gives you the ability to take a snapshot from a flash array, move it directly to a store-once device. And with that, you get 17x faster data movement. We only capture the differences of the snaps. When it gets to the store-once device, you can then recreate the entire full backup without having taken all that energy and time to do a full backup. So I seed the backup once, and then I'm taking the changes. Yes. And I'm creating an index. Correct. Correct. So I'm not taking zillions of copies. Correct. That's the beauty of flash. Correct. But then when I recover, I'm not recovering full backup and then applying incrementals on it. I can take the full backup. So it's a faster restore process. And the software that is doing those periodic changes is what? Yes. The software that moves the data is called Store-once, Recovery Manager Central. And then within Store-once is something called Express Protect that captures the snap diffs. And it's three-par snaps. It's three-par snaps. They're doing the continuous data protection, essentially. Correct. And it's also within vCenter, for example. The first version runs in VMware environments. So from within vCenter, you can click on a data store and set up VMs and say, hey, protect those VMs. And automatically makes the snaps VM-consistent, moves it automatically to this. And I can schedule the granularity of when I take the snaps. Yes. Every hour on the hour if you want. 15 minutes if I want. 15 minutes if you want. I mean, the array supports, I don't know, a max of 20,000 snaps. So plenty of snaps. OK. All right, Glee, I want to come back to you. And I know you're not supposed to endorse the products or anything like that. But based on what you just heard, I saw you sort of nodding about the tiering. And I want to get your reaction to sort of how you approach these things. But let's step back a bit. Talk about your unique storage requirements. You talk about PlayStation environment. Lots of users, lots of demand, gaming. Talk about that environment. And what's so critical to you? For us, the critical element is our commerce functions. People playing video games want instant gratification and being able to purchase from their machine. They don't want to go to another place or go to a PC. They want to do it while they're doing it to new calls by. So they want to be able to transact right then, right there, instantaneously. So that's a mission critical function. I may not get another chance to get that customer to come back. They think about it for a while. They may go and find some other entertainment opportunity. So for us, that was the basis of our business. We had a system that we put together back more than four years ago. Made investments in very, at that time, very high end, tiered storage. Three tiers of storage as our block storage for our commerce database system. And we were seeing that it was being forced into an economic end of life. Even though the system was still quite performant as a function. We're running out of capacity. We're running out of compute and we have been pouring money into it year over year. But we weren't really getting return on investment from that additional incremental investment because it was just running out of steam. With the introduction of PlayStation 4, our business went up so dramatically that time scale was advanced rapidly forward and we had to quickly come up with a new solution and do something bold and something different. As opposed to just buying another array. Right, you know, just start racking and stacking more here. Basically, we were beyond that ability to do that economically. So we had to move to something else. Flash had reached a level of maturity as far as parity with cost parity in general with spindle that it was worth looking into that. So we started an activity, quite rapid activity to evaluate different vendors of all flash arrays to find if there was a solution that would work for us. And we came to three parts. Okay, so you essentially brought in a three-power all-flash array to replace a tier one system or multiple tier one system? Well, it was a three-tier system and had a small layer of incredibly expensive SSD because it was bought back in the day and then had both SATA and SAS drives. We spent a lot of time migrating things around to optimize storage on that system which was a huge labor cost and you always wound up with the data you seem to need most on the slowest elements here, constantly playing that shuffle that Vish was talking about. And that was a manual exercise or it was quasi-automated? Well, it was purely manual. You're constantly reevaluating, looking for hotspots, looking for stale and cold data and constantly reshuffling them. You're in the CLI bang in the way. Okay, basically, okay. And how much capacity are you talking about? Roughly. So that system was running about a half a petabyte? Half a petabyte. And you brought in an all-flash array of similar capacity here? Oh, much larger. So that was the whole point as we were looking at for a system that would provide us immediate additional capacity as well as performance, but also gave us room to grow because we didn't want to have to go through the same exercise in a year, in two years. We're growing exponentially right now. So what we were able to do is take, in our data center, the space of seven racks in our data center occupied by that product and replaced with just one rack of three bar. And in that one rack of three bar, it's only 25% occupied. So I've got tons of room to grow by just adding drives and expanding that capacity. Okay. And how long was that array? When did you... How old was it? Yeah. It was only three or almost four years old. Okay. But relatively... Yeah. It should have been performance from a service life, but the business was such... Business growth was such that we had outgrown that system and couldn't keep up and there's no further investment we could make into it. Okay. When I saw what they were doing right, it looked like they took... They had so much drives for the level of performance, right? To get that same level of performance completely correct me if I'm wrong, they reduced the footprint. But they said, look, I like to reduce footprint, but I still got capacity I need to grow to. Yeah. Okay. And so why three bar? You got a lot of choices out there. What's the deciding factor? We brought in a product from all the major manufacturers and we literally did a babe off side by side in our data center with real workloads and we were evaluating performance, scalability, resiliency, and total cost of ownership. Those were our criteria for evaluation. And, you know, quite honestly, all the different machines effectively stored data, right? We were able to access data on it. But when you started looking in detail on those four criteria, there was significant differentiation between the different brands and we found three bar basically hit all four of those points, hit the ball apart. So that's high level. Now, the one thing about three bar that I've always observed is most all flash arrays have a very immature stack, I'll call it, that hasn't been hard in over a decade. Three bar's got the stack. It didn't have the all flash array. Then you guys introduced the all flash array. That was an advantage. How much of the performance, scalability, resiliency, and total cost of ownership relates to the majority of the stack, if I can use that. Resiliency. So that whole idea of maturity, one of the things we did, because this is real world and a mission critical system, we'd actually go in as part of the test and break the system. Start pulling drives out, start pulling controllers out, start pulling cables out. A system that's not mature. We saw systems fail, fail catastrophically. We were actually informed by certain manufacturers, you can't take anything you want out of the system, well, not that one. Okay. We went to this three bar and we actually could remove things like a controller, which would be one of the most catastrophic failures you could have, but we actually saw no degradation of performance. So that's the other question I wanted to ask you. Relative to each other, were you able to discern a significant performance advantage for any of the systems that you tested? Yes. For just simple, you know, read, write, flashes, flash, and they in general would perform the same. But when you're starting to do lots of churn, where the flash, there's a lot of garbage collection going on in the background to rebalance the system, that's when we saw a big differences between systems. So when the thing filled up and you had to move things around, and did you see that with the three bar array? Well, we knew the three bar was in the background working, but we never were able to see that effect of performance where on other systems we actually saw the system perform out. The consistent performance is what you saw there. Correct. All right, I'm going to ask you about the migration. Because migration, we've studied this in the Bibi, migration can be very expensive, as you know, any array to any array. So what was the migration like from the tier one system, or the tier three tier system, the model of the system to the all flash array? Well, this is something that we were really concerned about because we did this right before Black Friday. Really? Yes. We didn't have time. So very recent? Yeah. Two weeks ago. Two weeks ago? Black Friday's two weeks ago, right? We completed it two weeks ago. And one of the things we were concerned about was that migration data. And the tool set that comes with the three bar array performed all that migration from that old system to the three bar array basically hands off. So one thing I can say very clearly is it was the most drama-free integration we've ever had. So there must have been a lot of concern about doing this just prior to... There was a lot of concern. Right? Why did you take that risk? Why didn't you wait? And what did you do to de-risk it? I couldn't wait. Again, we were out of space. So it was either do something now or, you know... Move business, right? Move business to holidays. Yeah, holidays.  We started the project in July and it took until October to get it done. So, yeah, it was... And your experience is what you expected, consistent performance, resiliency, processes that you've set up. It exceeded my expectations and our storage engineers were absolutely delighted with the experience. It's seldom that you see them smile and speak positively about vendors, but they're absolutely tickled to death. And what are you doing around quality of service to ensure quality of service? But how does that all sort of fit in here? Are you pinning quality of service to the app? So, for us, the quality of service is managed by the applications. And in that case, you know, we're trying to set a bar for quality of service and basically moderate the system around that. That's the floor of threshold. It is. And I was saying, in our current, our new system, the performance of that system is so much better. We're seeing a 5-10x increase in performance that actually we've been able to reduce our investments in application servers and application compute because the hidden choke point was storage. You've reduced your number of cores that are required. Correct. Well, we were actually planning to double the number of cores that we were running as part of this expansion for the holidays and we actually were able to defer that investment. We don't need it now. In fact, we can actually retire some of the nodes we're running now. What database? Oracle Rack. So, Oracle, of course, prices per core. So, your license and maintenance costs. Way down. That's awesome. Let's weigh down. Double digit percentages. 50% reduction in Oracle license and maintenance costs. We were going to have to double our investment. That's awesome. I love that story. You had that story, right? It's great to see customers, actually. When I was talking about the total cost of ownership, there's the initial acquisition cost of hardware, right? And, you know, 3-par was competitive in that area, but when you look at total cost of ownership, it's not just the checking right, it's the checks that you don't write. So, I didn't have to write checks for new licenses for database. I didn't have to write checks for additional servers. So, actually, you know, there was a net savings by going to that route. That's an awesome story. I'm getting the high side for about five minutes, but it's such a good story. I'll give you the last word, maybe summarize the... You must be very excited. Dave, you know, these great customer case studies that we are starting to see now, and I think the delivery of the service level, right? And David talked about it in his keynote, service-defined storage, right? I think that's so key. So many people are basically struggling with just getting that service delivery and seeing these stories very gratifying to see how we can help make a difference for these customers. All right, Lane, Vish, thanks very much for coming to Cube. Great to talk to you. Keep right there, everybody. John and I will be right back after this word.


So we've done this for maybe three-ish months now. It's, we've been able to experience a mod system that's intentional unlike last spring. So now that we have a little bit of experience with it, what would you say some keys are for success in navigating this new normal? What has been good tools for you, good resources for you in being successful this last semester? For me, I've had study groups and office hours those are the two things that really got me through the mods because I knew that I had to go to office hours to understand things since we were meeting on a daily basis. There was just so much information that I was taking in every day. So I found it really helpful to go to office hours and get my doubts cleared. So that way the next day, I don't have trouble understanding what's going on in class. And in terms of study groups, I know that usually we're all in-person and it's easier to communicate, but I felt like forming a study group was again really helpful because I was able to work with others on all of the homework and all the material. Yeah, I definitely agree. Like office hours were like life saving this mod semester thing. And I also think like staying on top of your words like your homework, your assignments because of how frequently we meet like some classes meet every day, just keeping up with the work because once you like miss an assignment or like miss any homework, it just piles up like so much because you're only having this course for like seven weeks and it goes by so fast. So just trying to keep up with little work, trying to do it like the day you get it. So you just get it out of your way and going to office hours. I'd say sort of like generally speaking to what everyone else has said, like finding a schedule really quickly. I think it was the main thing that helped me. Mod one, I like refused to adjust. And I think that was just like really bad, but mod two, I was like, okay, I'm just going to make my schedule. And it's constantly changing every seven weeks, which is annoying. But I think finding the schedule, like once you like practice just adjusting really quickly to whatever the times your classes are and responsibilities, yeah, it can be really easy. Just like having the breakdown is always nice for me. I think I had to like change my organizational style of how I do work and how I approach things for my classes completely this semester, but now that it's changed, I feel like more confident going into spring semester and the next two mods. Yeah, that makes a lot of sense. I had to like figure out a new way to take notes because it's just different. I didn't want to necessarily buy notebooks and do it by hand anymore, but then also typing while someone's talking can be hard. I was also really curious just because I'm interested in hearing about like other people's experiences, but I read all the articles about best situations for working from home, how to have like a good home work environment and all that kind of stuff. And I don't know, some of this stuff has been successful for me, but then other things weren't. Like for example, mod one, I set up in like another room in the house to be like my work zone. And it was not successful for me. I did not like it at all. I feel so much better in my own room with like all my decorations and stuff around me that's helped me focus, but that's not what the experts say to do. So I was wondering if any of you had any tips in terms of, I don't know, when studying remotely, like how to be more comfortable or how to be more successful or any of that type of stuff. I think having like, for me, it's always like having something to play with like in your hand. Like I have a Rubik's cube on my desk that I just like am constantly doing like throughout classes and meetings or something. And I think that's always just really helped me like stay focused. But I actually had like the opposite experience where in the first, in the last two months, I was working in my sister's bedroom because her college opened for the fall semester. So she left and I was working at her bedroom and said, and I think the like change of environment was really helpful for me personally because I think like this, I can like touch my bed here. And I think that's like unnerving to me when I'm doing classes. So I guess we had opposite experiences, but I think for me, that environment change was super helpful. You're doing what all the experts say to do. Yeah. So many hours. I just like have done, since so many hours doing homework in bed, which is like the biggest no-no. It's also a massive danger, whatever, but I'm comfy under my blankets. But yeah, does anyone else have any hot tips perhaps? I don't know if this would be very helpful, but I personally found it really easy to study from my bed, which I don't know if it's a good thing, but I could not leave the bed. I did all my work on the bed and especially because I was on campus. I don't think I've ever really sat on the desk to do any work. All my work was done on the bed, which is like I said again, I don't know if it's good or bad, but personally that really worked for me. I felt like if I was sitting on the bed, I was like in my zone, but yeah. I guess for me, when I was on campus, I literally had to move my desk far away from my bed, because in law two, I had like a three hour class like every single day. And sometimes when I just felt tired, I would just like wanna like turn on my video and just rest my head for a bit. And unfortunately I did that once and then I missed the rest of the class, which was quite unfortunate. So I really had to like move my desk far away from my bed and that helped me stay in class for like the whole three hours. But I also did try to like change environment, but I didn't have many options besides like my room, the common room and planche. And it also depends on what time the class was for me to be able to go to planche. So I really just had two options, but yeah, just anywhere away from my bed and my bed. My bed.


My daughter and I went and got matching tattoos of traffic lights. If you want to know the story, come into our Discord channel sometime and I'll I'll share. But we went and did that yesterday. The tattoo artist was, you know, let's say 30 something woman did a great job. Very nice. At the end, she took some pictures of our our the backs of our calves together so that we could see the tattoos before they started going through the healing process and they don't look quite as good. We asked my daughter asked, can you airdrop those to me? And the woman's like, sure. And clearly, she is used to training people how to airdrop and receive airdrop because she does this all the time. And she's like, yeah, I was just going to ask you to turn on your phone, wake up your phone so that I can airdrop these to you. And then she said, OK, I'm not seeing it. Please go into settings. And she walked her through going into airdrop settings in the settings app to change it from contacts only, like we talked about last week, to everyone because the tattoo artist and my daughter were not mutual contacts of each other so that she could receive these airdrops. And of course, that worked. And as she's doing that, I'm saying, you know, there's I think there's an easier way in control center. And and she sort of dismissed me because, you know, what 50 year old guy is going to know more about how to airdrop than some millennial. And I just happened to have my phone like sort of out where people could they could see my screen. And I'm like, I think so. And I am like you long press. She's like, no, I tried that. It doesn't work. And I'm like, I think so. And I go in and I open control center and I'm not going to skip over this because this is the quick tip. And I long press on the the group of four items that has like cell data, airplane mode, Wi-Fi and Bluetooth. It does not have airdrop there. But if you long press on that group of four, see, it expands into six. But that's not all, right? But wait, there's less. Wait, there's more. Yeah, that's right. Then you once that opens up, it adds two more of which airdrop is one. And that's why Pete had his odude moment.  And the woman in the tattoo shop, Sonya, our fantastic tattoo artist, was like, oh, my God, that's amazing. I had no idea. I was like, look at the fifth year old guy coming in teaching. Yeah, look at the old guy, possibly no more about technology. How is it possible? It's almost like you do a show about this.


For this example, I'm going to be building a test suite for a Fibonacci function. Again, like the previous example, this is going to involve creating a number of function calls to both my Fibonacci function as well as to some of my test suite functions. So to start with, I have one test here where I'm just testing that Fibonacci of 0 is in fact a 0. So if I go ahead and run this 1, then I see that yes, my function is working correctly. It says that Fibonacci of 0 is 0. But to do more with this, I'm going to need to make a few more of these function calls. So for test number 2, I know that Fibonacci of 1 is 1. And the first thing I need to do for my test is to call my set saved registers function. This is going to help to make sure that my function isn't doing anything it's not supposed to. If it's using the saved registers, it knows to restore them before it returns. Next, I need to set up my function call to my Fibonacci function. It has one parameter that goes in A0, which is just the number. So Fibonacci of 1 this time. And then I can call my Fibonacci function. Once it returns, it should have put its results in V0. So I will copy those to A0 as the first parameter for my assertion function. Second parameter to my assertion function is the expected result, which in this case is 1. The third parameter is the test number. In this case, it's test number 2. And then for the fourth parameter, it expects some description of the test that I've just drawn. Once I've got that information, then I can call the assert equal integer function because I'm comparing two integers. And finally, I need to give it the actual description of this test. Now that I've saved that, I can go over here, load that up, and run it again. So I get that my Fibonacci function correctly calculated that Fibonacci of 1 is 1. But if I'm not completely convinced that my function is working correctly, then I probably want to generate a few more tests. I'm going to use my previous test as a form. And I'm really just going to worry about filling out all those parameters that I'm generating each time. So I'm going to run three more of these. Fibonacci of 3 will be the number 2, which is 1 plus 0, so that should also be 1. Test 4 will be Fibonacci 3, which is 1 plus 1, which is 2. Test 5 is Fibonacci of 4, which is 1 plus 2, which is 3. So now I just need to go through and fill in all the parameters for my functions. I'm calling Fibonacci of 4 here, and I expect that to be equal to 3. That's test number 5, and I'll fill in my description. Then I'll go do test 4, which is Fibonacci of 3. That should be 2. Test number 4. Then Fibonacci of 3 is equal to 2. Finally, for test number 3, Fibonacci of 2 should give me 1. Test number 3, Fibonacci of 2 is 1. Now I have five tests, lots of function calls. If I load this and I run it, then it runs my Fibonacci function five different times, five different parameters, and we get the results that we expected. If you're not quite convinced the function is in fact working and it's not just automatically accepting everything, we can put something else in for the expected result for, say, test number 2 there. Then if we run that, the test suite tells us that no, test number 2 is incorrectly expected to get 42, but the function actually returned 1. So all of our function calls are doing exactly what we expect. They're returning the results that we expect, but we really just have a number of function calls here. As before, for each of these function calls, we need to set up its parameters and then use the results in other ways as we need. So the set safe registers function doesn't have any parameters, it doesn't have any results, so we can just call it and get it to do its work. The Fibonacci function, though, takes one parameter, then we call the function, and then we can use its results. In this case, we copy them to A0 so that they can be the first parameter for the assert equal integer function. This is a function that takes four parameters and doesn't return any results. And to set this up, we're just putting all four parameters into A0 through A3 and then calling the function using jump and link.


I was struggling with myself every day and I was telling myself should I do it? Shouldn't I do it? I was finding excuses and then one night I had this absolutely amazing dream I found myself levitating over an Islamic city. I don't know which city this is But there were minarets everywhere minarets from the mosques and all of a sudden I'm flying I'm levitating and I hear the Adhan. I hear the Shahada, but it doesn't come from the mosques It comes from my heart And the wildest thing is it tried to come out of my heart through my mouth and I should have proclaimed it But in that dream I held my mouth shut. I didn't want to say it But it was so overwhelming That even though I was holding my mouth It burst it out through my heart and then you heard it over all the rooftops of that city La ilaha ilala, you know, it was resonating And then I woke up Yes And for me it was certain then and there. Okay. This is it.  This is what you are And therefore the shahada was simply the reaffirmation of that


Now we're going to hear a little bit about the lessons learned from the MSF experience of implementing NCDs in humanitarian settings. So Kiran Javanputra is the Deputy Director of the Manson Unit in OCA, also a family physician, and my colleague is an NCD advisor for MSF Holland. Okay, thank you very much, Philippa, for the introduction, and thanks for the invitation to speak, although I am one of the organizers, so it's cheating to say that, but yeah, I feel I should. Now I just want to acknowledge that following on from what Helen has talked about, about learning from HIV, we are starting to learn from our NCD programs as well. I mean, this is new in MSF to some extent, and we've been treating NCDs since the inception of MSF more than 40 years ago, but it's relatively new that we are actually trying to systematically focus on developing models of care that are, to some extent, evidence-based, and so that is just in the, I would say in the last few years. So we're starting to learn some lessons from these programs, and I actually want to say that I want to acknowledge that actually teams from South Sudan, DRC, Jordan, Lebanon have all contributed to this presentation. Just to start off, I think it's just good for us to remember that explicitly we will take a focus as a humanitarian actor on reducing suffering, death, and disability, and that will mean making choices, that will mean providing treatment, especially for people who are acutely unwell and secondary prevention, targeting symptomatic patients, but explicitly not focusing on primary prevention, at least that's not in our immediate priorities. And I think also, just at this point, just to remember that we do make this point often that I think very obvious to everyone here, but humanitarian settings are not the same as low-resource settings. We, like many actors, have a tendency to try to generalize, and because there is some guidance on low-resource settings, we try to do copy-paste and apply that in our context, and it doesn't always work. We need to be conscious of those differences, because they range from everything from the demography, the epidemiology, and the comorbidity, I think, just not to say more on that. I want to share a couple of examples of coming from programs from across the movement of MSF, so programs in conflict-affected rural settings such as South Sudan and DRC, where diabetes is being treated, and then comprehensive NCD care in Jordan and Lebanon, and looking at a few key lessons at the end. So firstly, taking an example from DRC, this is a context with chronic displacement, continued violence in eastern Congo, and a significant number of patients with diabetes, and what we see here again is an epidemic that we haven't fully characterized. There's very little data about this. Of course, we are seeing demographic transition, a lot of patients with classic type 2 diabetes, but we're also seeing lean, younger diabetics who are instant-dependent but never present in diabetic ketoacidosis, so the kind of malnutrition modulated or related diabetes. It's a system where there is funded largely by cost recovery, so out-of-pocket payments from patients, very few doctors, little knowledge of diabetes among staff, because the medical training tends to focus predominantly on infectious diseases, the kind of opposite problem we're facing when we deal with UK or European trained doctors who have very little experience of the communicable disease, of course. Patients are traveling from far, people don't have fridges, and there's constant interruption of access by fighting. So these considerations obviously influence how the model of care that we have developed in that setting. The care is free. Now that, of course, is one of the principles of MSF and many humanitarian actors, and that is what we use our money for, to be able to deliver free care. The care is nurse-led. A doctor is available for complex cases. A lot of emphasis on staff training and standard operating procedures, as Helen said, where possible, these are one-page charts on the wall of clinics, and a strong focus on treatment literacy because we are talking about chronic conditions which will require self-management, even though these are conditions that people may not have extensive knowledge of, we need to be focusing on empowering the patients, especially because people will be cut off from time to time. So there is a strong focus on treatment literacy. And then taking a lesson from HIV, expert clients, or expert patients, something that we found seems to work quite well in this setting in eastern Congo. People who've lived with diabetes, for example, for many years, and are actually very happy to share their experiences and the techniques they've used to manage their condition. And especially in a busy waiting room of patients who are waiting all day to go through the process of having their disease managed, it provides opportunity for presentations from other patients. Looking at ways of spacing out appointments, again, thanks to the gradual emerging evidence on thermostability of insulin, I think that increasingly we feel very confident not to insist that patients come to facilities, to have insulin given, that we can give insulin for at least a month to be kept outside the fridge. And of course, we then focus on teaching people how to do that. And then finally, the line at the bottom, runaway packs and buffer stocks, again, something we take from HIV programming in insecure settings, the importance of especially anticipating those interruptions and seeing what you can do in terms of prepositioning stocks of drugs. And just to maybe say a few words about what we found with this cohort, it's a small cohort, currently 107 patients, 19% lost to follow-up each year, which actually means 81% staying in care each year, which I actually think is a pretty positive finding, especially in a very insecure setting. And quite a young cohort, as you see, at median age 45, this is not an actually only 19 children, so this is not a diabetes epidemic affecting the 60-year-olds and 70-year-olds. You have a full age range, including some people developing diabetes in their 20s and 30s. The graph below just shows that the median blood sugar level in this cohort was sitting around 200, which is perhaps not ideal, but actually, again, I think we would feel that this is not so bad for a setting such as Eastern Congo, which is very difficult to maintain regular access. And where the graph goes a little crazy at the end, this was actually where the team had to evacuate. There was a security incident and the service had to be put on standby. And I think it just is a reminder, and there you can see that people are presenting acutely, so they've got very high blood sugar levels. It's a reminder of the difficulties of providing this care in those contexts. I think I will skip this slide, but it's just to say that we were able to do a qualitative study on the experience of patients and health workers. And I think it just brought home some of the challenges of this sort of program. I mean, the fact that the dietary advice we recommended was not affordable. Patients relied on a family member or a treatment supporter to some extent, and those that were isolated that didn't have that tended to struggle much more with adherence. So again, another lesson from HIV or TB, is there a role for including systematically a family member or a treatment supporter to help people manage their chronic illnesses in these settings? Just then comparing this to diabetes management in South Sudan, here MSF, this is the Paris branch MSF has set up a outpatient pediatric diabetes service because pediatric diabetes represented such a significant burden of, well, a proportion of acute admissions, and these were children presenting in DKA. So again, a project, an MSF intervention in a very unstable setting, which did not set out at the start to provide chronic disease management, but where they realized that actually they couldn't keep not responding to this patient group. A cohort of 49 cases, seven lost to follow-up over two years, so again, very good retention in care, and again, providing four weeks in insulin at a time. I think one of the challenges here is a context with marked food insecurity, very significant poverty, unreliable mealtimes because basically people don't have food and you can't tell people to eat three times a day, so the decision was made to only treat with long or medium acting insulin, not to give biphasic insulin, and so to try and manage type 1 diabetes with NPH insulin, and due to the risks of hypoglycemia associated with fast acting insulin, if you don't have reliable access to food, and of course that doesn't produce the best outcomes in terms of blood sugar control, and the project would see those children still coming back in with diabetic ketowacidosis, sometimes even with hypoglycemia, but again, this is a sort of trade-off we have to think about if we're working in these contexts. In addition, the patients are generally, the parents are generally illiterate, so you have to find new ways, well, different ways of providing treatment support and treatment support materials, and again, once again, the long distances to walk to reach the hospital, a clear access barrier, do we need to be looking at decentralization and the sort of more community models such as Helen presented? Now, I think just to have a look at now at a very different context, again, this is one we've talked about a lot, and I actually won't, I don't need to present the context at all, so there's a slide on Lebanon and Jordan there, I just want to draw attention to the fact that I think as was said earlier, these are health systems that have absorbed vast numbers of new arrivals, and I think that as MSF, we sometimes get frustrated at working in these countries when funding for NCDs is withdrawn by the Ministry of Health, at the same time, I think it was, as was pointed out by Quaker, I mean, let us actually see that in perspective, I mean, they have had an influx of up to 10% or more of the equivalent of the population, so NCDs were managed in secondary care generally in these contexts, and now the countries had to rapidly scale up NCD care at primary care level. General practitioners work at primary care level do not have that much experience of NCD management in these contexts. I think PCI and organization is here who's been involved in trying to work with the UNHCR to capacitate primary care physicians. I just put this slide up because it's just to show what a patient has to negotiate to get access to NCD care in Jordan. The system, of course, I said that the system is overwhelmed, there are plenty of actors, and so although there's a huge MSF logo on there, it's not to say that we are the only actor. There's actually hundreds and, of course, this is an attempt to sort of patch together a health system response. So looking at, I'll give an example, both from Lebanon and Jordan, this is the model of care that the MSF team set up together with the Ministry of Health in Lebanon. Again, you can see that it's a, we're trying to achieve a somehow simplistic and somehow simplified and sustainable model of care. There is joint consultation, the first visit as in a consultation with a doctor focusing on medical care and then a consultation with a nurse focusing on patient support and education. At the second visit, that's repeated. And if the patient is stable after three visits, then the care becomes nurse led and with referral to a doctor for complications. And then the doctor will see the patient every six months or so. And I think having an appointment system seems very obvious, but that was a critical innovation for this to work. And then SMS reminders or telephone reminders for patients before their appointments. And what we can see in Lebanon, 2,562 patients in 2015, a default rate of 30%, which looks very high. But when you actually look at what is happening there, a very large proportion of these patients are moving on, they're either moving back to Syria or they're moving elsewhere in Lebanon. So again, we have to think about that in these contexts, humanitarian contexts are metrics such as defaults, lost to follow up, we need to think about the context and actually what what is what are people's normal trajectory. When I'm looking at those doing some an analysis of the of these defaults, we do see that a proportion of them had difficult clinic access. And this makes us think about, again, should do we need to think about home visits if we want to reach those most vulnerable people. But the other thing that's clear as well is that a lot of people just stop taking medication. And I think we've had to had to acknowledge the significant efforts we need to put into patient support counseling, especially that first visit, as Philippa mentioned, people many, many, many people with NCDs coming from Syria are on 10 11 or 16 medications. They they're often the very latest, the latest branded medications. Sometimes we would have maybe difference to opinion about the evidence base, supporting the use of these medications. So that first visit is a critical negotiation with the patient. And if you want them to stay, you need to take the time to explain, we're going to change your medication. This is why. And I think that's very much borne out in our experience in Jordan as well. Very expensive care. Patients have fear. At first, at least patients describe had had fear of accessing services. I think that they'll we realize that I think there was a telephone survey conducted by some colleagues in the audience that many patients would be concerned that if they didn't have the Ministry of Interior card, and they went to a Ministry of Health facility, they could get in they could cause trouble. And and of course, patients, as I said, are used to a very specific type of medical practice coming from Syria. And as has been mentioned many times, significant burden of mental mental illness, and social issues in this patient group. So once again, these sort of factors in, you know, govern the type of model which we've developed in this setting. Again, it's very collaborative model with Ministry of Health, but also with other private providers to address that that potential fear of access to services. And again, this is all with the acknowledge with the blessing and the support of the Ministry of Health that we partner with some private providers as well. So that people are not afraid to access care. A significant accent on training staff in NCD care, again, SOPs looking at how we get the counseling session, as I mentioned at the first visit in this clinic in in Irbid, the team actually implemented a 30 minute counseling session with the nurse at the first visit, which sounds very luxurious. But I get I suspect in the long term, this is this pays off. So just looking at the few outcomes, the top one isn't a clinical outcome. But just to compare with the Lebanon situation, 4% were lost to follow up at 12 months of astonishingly small number. And so it's moving on on its own. But I realize I've run out of time. So but just to say again, maybe this is a more static population, but also does that intensified counseling at the first visit help. And I think just these are very preliminary data, but just showing that as patients came back on to their medication, you do see the expected improvements in clinical outcomes. We can't say that this is shown this is a this because these are actually three month outcomes. But it's just obviously when someone hasn't been taking their medication for while you start giving them medication again, you expect to expect the outcomes to improve. And that's what we saw. I said that a strong emphasis on training. This was our first regional training in Middle East in Amman with attended by MSF staff and some administrative health collaborators from throughout the region, including Lebanon, Iraq, even Ukraine and Uzbekistan, Swaziland, so a little bit outside the region as well, and facilitated by PCI. Now, I think just to round up then thinking about some of the lessons learned so far from these these models of care, again, I'm going to reiterate a couple of messages that have been raised already. We need to be thinking about improving our understanding of the needs. Our programs in Jordan and Lebanon have evolved significantly from our first assessments because I think actually it's only gradually that we're starting to understand not just the epidemiology, but who are the most vulnerable groups in that population and what barriers they're facing. A strong accent on patient literacy, integration of mental health, and again learning as what we can from HIV and a number of those lessons we've already tried and sometimes with success to implement in unstable context for NCD care. And as often been stated today, guidelines, tools, training are needed for primary care level. We have now, within MSF, we've started to develop some guidance on NCD specifically in humanitarian settings because I think as was said earlier, it's the national guidelines we use them when we can, but in the emergency phase of a response it's not always the national guidelines not always actually adapted to that emergency response phase. So thank you very much, everyone, and thank you also to the people from MSF and also colleagues at London School who contributed to this.


What's the word y'all now if you're anything like me you remind your own business Maybe watching the Bulls win against the Knicks maybe playing some video games, and you got a notification that said Memphis 152 okc 79 let me do the math for you okc just lost by 73 points in an NBA game these are the type of numbers you see in high school when teammate got eight players going D1 and Team B just picked up a basketball. You don't see stuff like this in the NBA ever This is the biggest win in the history. You know what? No, it's not it is the biggest loss in the history of basketball Because it's more of an indication of okc than it is in a Memphis Grizzlies 73 points Drey Montgomery made a tweet that was like somebody got to get fine for this Sam Presti got pick equity for 12 sixth graders right now But have current players that can't prevent them from losing by 70 plus Now okc was out of shakiest Alexander Josh giddy their favorites These are players that are rotation players for them, and they weren't here to help them. They're injured. They're just they're just not there But even with all that said if you call yourself an NBA organization, you should never lose by 73 like I like a lot of the players and okc man Shay is one of my favorite players in the league Lou Doherty has been a surprise to player But you can't lose by 73 and I get clown for So I am putting myself through torches today. Yeah, that's believe it This game is going on. So is the Bulls game. So I was watching the Bulls blow an 18-point lead, but close it out Shout out to them.  This is why I love the kidney for real channel though Because I can just do what I want three people might enjoy this video. I really care I just want to have some fun or maybe not watching a team lose by 73 probably won't be fun But I'm gonna I'm gonna try to make the best out of it. Leave a like subscribe and Let's just let's go watch a team lose by 73 points I'm just gonna say I'm risking a lot by doing this video and if the video gets taken down or the channel gets taken Down it was worth it for content I don't want to get too disrespectful in this one, right? Because I'm sure everybody on this okay seat on the team at play tonight or good guys But immediately when I start a star lineup, I kind of knew what the heck was going on Cuz the Grizzlies give up a lot of points not tonight. They not okay big Lou There it is Ludor has been hooping recently man He had a stretch he was putting up like 20 plus points on five or six games in a row We knew that he was gonna come out here hoop at least a little bit freeze-frame this way because this is the last time They about to be within one point. This is the last time they got to be even this close Go double screen for man to get open. All right. They re-screen. Oh step back trade man He almost air balled it. Hey for a game that ended up being a 73 point Like when Miffin's look driest ever in his first five minutes, bro A lot of miss shots some turnovers like if you were to watch this first six minutes You would not have thought this game ended up with the biggest blowout in the history of basketball Bro, Jaren Texas junior shot. It just reminds me of like a 10-year-old, bro It goes in so you can't complain about it obviously, but it don't look like he's a seven-foot dude Shooting a three. Is it like he looks like a kid sometimes So let's say I didn't watch a single game of basketball in my life And there's a contest going on that for these players are not NBA players and one of them is Lou Dordes the obvious player that looks like an NBA player the rest of these dudes now I'm sure they're gonna have good NBA careers once it's all said it done But based on this if this is my only sample size Lou Dordes the only person that looks like he belongs to be in the NBA like I guarantee if I went to 90% of NBA fans and showed them a picture of Gabriel deck and say who he play for they will not know or a picture of Paul Watson Junior, they would not know. Oh Who is that? I don't know the dude on Memphis. Who is the guy Aldema? Aldema, okay They just got three wide open looks at the rim and missed them all bro This is so hard to watch and I still got three more quarters after this I'm legit done like I don't even want to watch the rest They just had three wide open looks at the rim and bricked every single one of them now if they give her a bucket right here If they give a bucket right here, uh-huh Brandon Clark mid-range jump shot. He almost air ball. Jesus Christ I don't understand. You got to be better than that. I guess you don't got to be better than that We know that you won by 73 and he's air ball. Okay. We're going to the second quarter is bad Now I'm just very curious to hear what the commentators are saying once the lead is at like 45 50 Like what are you talking about at that point? You can't be talking about exit nose and giving play-by-play. There's no way There's nobody investing no more you got to be just having fun out there At least that's what the Bulls commentators used to do when we were down about 25 early in the game point Poco's kind of fun though. I give him that He's fine open times Roman and Tim doctor. Okay. Hey Poco should give one minutes Now he 100 pounds, but that was a fun possession. Oh My god the Anthony Melon just ended two people's lives. Okay, never mind forget Poco's dark the Anthony Melon just did that They started to run a zone Um and that might have been the worst thing they could have possibly done because cuz Memphis has shooters Yeah, they put that zone in and it's just been three after three after three They got to get out of that. Yep. They got shooters. They get the boys is just shooting them out the zone Coach Mark D. Who's name I still do not pronounce. I don't know why he thought that was a good idea Ain't no way. Yep. That's if I counted the right four straight possessions They ended in the three since they put that zone in and the game that looked bad But not terrible just quickly turned into almost a 30-point game in the first half. So this is Tor this is torture. This I don't know why I thought to myself You don't be a good video idea watch it to team lose by 73. You know Caruso steels coming over from the Lakers Leading the NBA steels with Chicago. Caruso love quite a surprise And so as the bulls team They're giving them different looks Xavier to me kick out open three for the Anthony Melton I kind of expected that to go in because that's So at first at first it was like a two three zone and then they were getting shot out from like the wings And that was a three two zone so they could stop the perimeter to shoot it and the Anthony Melton's like I don't care I'm still gonna find the one open and I got and hit the three Well, you go into a half like this down by 30 plus points all you ask for your team It's to try to make it respectable play with some heart Obviously we know the outcome in this game, but look at the score right now They doubled these boys points in the first half They're shooting twenty four percent at halftime twenty four percent from the field Jiren Jackson junior top of the key upside That that little kid jump shot. Oh he calling up on people. Oh man Like I said, once you're going to a half down by 30 the only thing you want from your team is To show some heart They ain't sure they sure none of that no way Jiren just pulled from the logo. That's somebody's big man. That's that's that's a that's a power for its center You know, it's nice to come almost seven foot He just pulled from the logo and just hit it like it was nothing what Taylor Jenkins noticed is that nobody on this team can shoot So he put in his own zone Why we need the overworking man if nobody can hit a jump shot anyway And look at that. They're just getting deflections. They doing everything ties Jones all defensive team give it to him The Anthony Melton top of the key. What you gonna do this is off to Stephen Adams for a easy layup Geez, we're almost at the 50-point mark Why am I here right now? Now I know y'all saw that video of that high school game where they would dappin each other up after the game I'm gonna do just hit him with a hook or something Somebody don't okay. See you got a fight, bro. I can't lose by 73 and just go out just go to the locker room I'm sorry.  There's the 50 piece We might have already been there and I'm just bad at math. This is easy 50 I can do this mathematics right here. That is a 50-point lead at the moment And I'm still here. I'm gonna say I told y'all watch it every single minute of this game You know, I already know what's gonna happen and I'm seeing the worst basketball of my life He just hit all backboard on the open three. Yeah. Oh, yeah, this is what I'm here for They're done this game is over and the commentators are talking about ducks right now a flight out It's a lot to ask to watch the ducks Well, you gotta you gotta you gotta go to the sacks museum You gotta be interested you you gotta do something because obviously the people at home that is still chugging in and watching this game All three of them still want to be entertained in one way or another and talking about ducks Is that the museum actually is the hotel They basically the spot where Martin Luther King was assassinated at the Lorraine is now The actual museum structure itself the original. Oh, that's kind of cool They turned it into a museum Didn't know I didn't know that Tiger Rome is really out there trying And I respect that him Mike Muscala are the only people at least of this group of five They look like they're actually giving effort on both sides. Did you ever go after a guy? Did I ever a little payback? intentionally Will you hold this against me? I got my earmuffs on okay. Yeah. Yeah, I'm just talking. I don't know who the commentators are for okay See, but they're making this a okay experience. Um, it's like I said, it's Michael cage. I had no idea I had no idea Michael cage was the commentator here, you know That makes sense because he played for the supersonics who are now the thunder Oh my god is coming together Michael case by the way One of the greatest heads of hair back in his heyday We talk about a jerry curl editor's world and he was getting hella rebounds while flicking Flicking jerry curl juice on his opponents like he was doing that back in the day This is the moment that made me want to make this video Right now they're showing on the screen The player of the game when you lose by 73, there is no player of the game I'm sorry. There's no silver linings. There's no oh this player might have looked nice You lose by 73. It's a wrap, bro That ad don't have to wait till next game run that ad two times next game You don't get one tonight shot to Memphis for being um Good Samaritans they ran up the shot clock the last couple possessions Because they saw what it was that and it was like we don't want to We don't want to make it even worse. All right, that's um That was the worst basketball viewing experience of my life I've watched a ton of basketball in these 25 years. That was the worst experience I've ever had um silver lighting Michael cage and his other commentator whose name I don't know made it somewhat, you know Viable with their commentary, but it's just the basketball side was godawful Why did I do this because of content content is king And I just went through 48 minutes of the worst basketball performance in the history of basketball But even after all of that said I'm gonna tell you once again to enjoy basketball y'all


This is stock number 10958, we are here at Summit Automotive in Fond du Lac, Wisconsin, you're new and used heavy-duty truck, headquarters today we are checking out the Super Clean 2015 Chevy Silverado 2500 Crew Cab Short Box High Country. This truck has the 6.6 liter Duramax diesel with the LML motor. It has been fully-safetyed and inspected by our service shop as a fresh oil and filter change. All the fluids have been checked and topped off and this truck is 100% ready to go. Black clear coat is the color we shoot all of our videos in 1080p, 60 frames per second, so if you have HD capabilities on your computer, tablet, or smartphone device, turn them on right now because it is definitely your best way to check out the quality and condition of the truck before seeing it in person. If you'd like to check out more HD videos or more pictures of this truck, I should say, in the upper right-hand part of your screen is a link right to our website, then check us out there. This one comes with Cooper Discover ATP tires. These are LT275 65R20s and they come with 20-inch black Rhino hard alloy gray rims, look really good. And these tires have probably about 60 to 70% of the tread left on them, frame and underbodies in really nice shape. Front fender, didn't see any dents or dings on that. It does come with the HID projector lamp headlamps, has LED fog lamps. Front bumper is in nice shape, comes with a very nice grille guard as well. Chrome trimmed grille, the hood is in nice condition as well. No dents or dings on that. Passengers side front fender is in nice condition too. On the passenger side rim, no scuffs or scrapes on there. As you go down this side of the truck, take note of how clean the body is, how reflective and mirror-like that paint is. We take these HD videos, so if you are far away, or even if you're close by and just cannot make the trip down, you can still see the truck here, the truck, and of confidence in the vehicle that you're looking at before you even get here. So that when you get here, there's no surprises, the box looks pretty good, cab looks good as well. That's why we offer the Summit Auto Fastpass option in the upper right-hand party of the screen. I link right to our website where you can apply for financing, get pre-approved, see a payment quote, even appraise the trade off from the company on home. Frame and underbody looks pretty good on this truck, has all the remaining factory exhaust, hasn't been altered in any way, lower rockers all look really good, and it does come with some nice chrome step bars. Back tires have just as much tread as the front tires, maybe even a hair bit more. Backroom is in nice shape, you can see the frame and underbody back here, all looks really good. Now it does have an R.B.P exhaust tip on there. Rear bumper is in nice shape, has the backup parking sensors, rear bumper steps. Only thing I know is it's got one little ding right there, but it is a used truck, comes with a full towing package, which includes a receiver hitch 4 pin and 7 pin wiring. Tailgates in pretty nice shape, does have a locking tailgate, and a shock down assist tailgate, spray and bed liner, LED bed lighting, pretty nice back here, and it comes with a joe box, tool box. Tailgate shuts nice and solidly, and as we come down this side of the truck, just as clean as that passenger side, no dents or dings on this side, the rockers all look really good. And for full disclosure, this back rim, no scuffs or scrapes on there. As you go down the rest of this side of the truck, looks really good, get the high country badge on there, power mirrors with built in directional signals, those are heated as well. Inside the high country package gives you the brown leather interior, you get the white piping on there, you get high country stitched into the headrests, no rips, no tears, no scuffs, really nice condition, both these seats are heated and cooled, factory all weather floor mats, power windows, power locks, power mirrors, power folding mirrors, I always like showing that both sides are working good. Bose sound system and memory driver seat, you get turned out four wheel drive auto headlamps and factory brake controller, tilt, telescopic steering wheel, and as we hop inside the truck, let's see if I can get the information on here, gotta go up to info, there you go, says that this one has 52,090 miles, instrument cluster is very nice and clean, you got a whole bunch of different stuff that you can see there including a digital speedometer, comes with the heated leather wrap steering wheel, bluetooth and information center controls on the right, cruise controls, heated steering wheel and forward collision warning controls on the left, and then you get audio controls on the back of the steering wheel, comes with the allison six speed transmission with the optional tap shift, the Chevy my link system, AM FM and Sirius XM radio capabilities, this is also where your backup camera shows up, and of course the factory nav, you get a CD player, down here you get dual climate control, heated and cooled seats, you also have your power pedals, stability control, cargo lamps, parking sensors, lane departure warning and factory exhaust brake, you get three USBs, two 12 volt power points and then a 110 volt, 150 watt plug-in, cell phone holder, you get the dual glove boxes on the passenger side, got that nice leather wrap dash, all-weather format and passenger side seat are in excellent condition, smells very clean inside this truck, you do get that DVD player back there, up here you can see you got your map lights, you get the, this one does have the snow plow prep package, it's got that button, it's got the snow plow prep and then it's got SOS and on-star capabilities in the review mirror, we'll take a quick look at the back seats and then we'll check out under the hood, back seats are just as clean as the front seats, no rips or tears back here, it does have the latch child safety system, for any child car seats these back seats are in really nice shape, you do get storage underneath there, all-weather floor mats back here, got some hookups for that DVD player right there, and it's really nice shape, we'll take a quick look under the hood, I would personally like to thank you for checking out the video today and hopefully from this HD video you will have been able to tell just how clean this truck is all the way around inside, no, under the hood we have the 6.6 liter Duramax diesel with the LML motor, 397 horsepower engine base very clean, runs very smooth, and to see more pictures of this truck or one of our other 450 new and used trucks, cars, SUVs, you know what we got, go to our website www.summitauto.com full pictures and descriptions of every single vehicle from two locations, all at summitauto.com and if you'd like to check out more HD videos you can go to youtube.com slash summitauto, remember to like, subscribe, and share on this video and all the videos that you see there, in fact in a second you will see a link to subscribe to our YouTube channel on your left, a link to more heavy-duty truck videos like this one on right, if you have not been to our website on the bottom link to this vehicle on our website click those check us out and we really look forward to helping with super clean 2015 Chevy Silverado 2500 crew cab short box high country and black clear coat, thanks again.


Welcome to ToffeeTV, it's the Everton News daily pre-season continues. Marco Silva is on the grass with a beautiful pair of Copper Mundiales. That's what I like to see, bit of class with Copper Mundiales. Best boots, best boots you can get, best boots, I'll have no arguments over that. Yeah, out there today in the sunshine, putting the players through the paces with only, well, what is it, five, six weeks to go to the springly season start, a couple of weeks till we play our first pre-season game against Berry. Great to see them out there, great to see him out there with the lads. Anyway, in the news today, Quirantini, it's been reported by the data record up in Scotland that Quirantini has agreed terms with Everton over a contract. Now, of course, this is just paper talk, but it is coming from Scotland, it is from, obviously, from up there, so it gives it a little bit more credence. There are a few well-placed sources saying that this deal could be moving closer and, you know, what if this deal happens? I think it'd be an absolute amazing deal for Everton football club, but the Celtic fans, they don't believe he'll leave, they believe he'll stay till the 10 in a row is done, but we'll have to wait and see. Me and Baz have done a video on this, make sure you check that out for some of the reasons that we feel Celtic could be persuaded to sell the youngster, but let's hope it gets done, because he's a brilliant player, fantastic left-back, exactly what we need, and let's hope Everton, Everton are going for this, that they can conclude pretty quick before other teams like Spares, even the likes of Man United, that they get involved and try to persuade the player to go and sign for those clubs, but Everton, I'm sure, will be telling the player that they can offer him first-team football in Newluck, Marcos Silver team, and hopefully pushing for European football next season, and hopefully push his, push on with his career path, so sources are saying that, but we, you know, that's all we know at the moment. Mason Hallgate, rumours last week, Daddy, Everton could listen to offers for the player, reports today saying that he is seen as having a key role in Everton's first team for next season, which will be, I think, which is what the fans want to hear, as far as I'm concerned, a huge talent, I think, with a big future if he's stayed in the right way. Yes, he's had his off moment, but you know what young defenders don't, and I think it's down to Marcos Silver to turn him into a top player, a top defender, hopefully it's centre-back. Now, a lot of questions will be asked, you know, would he start the season him and Keane at centre-back? Would that be too young? Is there a little bit of inexperience in there? But, you know, Keane's played, you know, what, two, three seasons now in the Premier League, Mason Hallgate as well, maybe, okay, none as a regular, but he's played alongside Ashley Williams, and I think, defensively, he was part of our best unit last season when some holidays came in, him and Ashley Williams. Now, of course, he had the experience of Ashley Williams next to him. Can he become a leader? Can he become the senior centre-back in terms of taking on that responsibility? That's up to the manager to get out of him. So, we'll wait and see. But it's great news, hopefully, that he's staying at Everton, because I think, as I said, all fans will want him to stay and want him to kick on next season. Wayne Rooney last night, we just missed this in the Everton Newsday last night. He did his press conference for announcer DC United, and he looked a little bit annoyed. He was asked the question, first of all, by a British journalist, regarding, would he be disappointed if England won the World Cup, which he got quite angry about, to be honest, but he was moved on to the question about Everton, and he said, you'll have to ask Everton. So, clearly, didn't want to reveal too much of why he's left Everton, didn't want to sour the occasion by saying, you know, by saying he didn't want to leave Everton, and basically said, well, you're going to have that speak to Everton about that. So, he didn't say too much, but that was a bit of a sore point, and it's clear that he wanted to stay at Everton Football Club, but it wasn't a being, he's moved to DC United, and we wish him well, because I think he's got a lot to offer. And you know what? It wouldn't surprise me if he became the manager of DC United, not too far in the future, because I think he said in the press comments as well that he was already giving players, younger players, a bit of a grief regarding how hard they were working in the same session. So, it wouldn't surprise me if he became a coach at DC United in the near future. That's about it for today on the Everton News Daily. Don't forget, if you haven't already, please subscribe, click the bell for alerts, and if you want more videos, join us on Patreon. I'll see you later.


It's been five years since the Sunflower Movement. The campaign had a huge impact on all aspects of the political and social landscape in Taiwan. Things have really changed since then. In the course of 23 days of occupying the parliament, the movement generated a massive amount of texts, of images and recordings. For the sake of the collective memory of the people in Taiwan's future, they had to be digitized and preserved. As for the actual objects of the campaign, they too have been collected by the Institute of History and Philology in Academia Seneca. They were then digitized into an online collection by the Institute of Information Science in Academia Seneca. Now they are archived at the National Museum of Taiwan History. The end of May this year, with the assistance of the Academia Seneca and many civil society organizations, the museum will hold a special exhibition of the post-war social movements in Taiwan to document related developments since the 1940s. And this will inspire us to reflect on the right to free speech and vote, which appear to have been taken for granted now, but in fact they were obtained through courageous sacrifices and struggles of many people at the grassroots level. In addition to thanking Yao Ren Duo, the former Deputy Secretary General of the President's Office, Zheng Li Jun, the Minister of Cocha, I would also like to thank Wang Changhua, the former curator, Xie Shi Yuan, the former Vice President of the Museum, and Lin Chongxi, the current curator, and also Zhuang Ting Rui from Academia Seneca. For your efforts, this special exhibition would not exist. Of course, all those who participated, supported, and reported on the Sunflower Movement, thank you too. You are the protagonists in a great story of Taiwan. I hope everyone can set aside some time for the exhibition, and I'll see you in Southern Taiwan's Tainan City in May.