So if you've been feeling down lately because you've been looking at your Facebook feed, this video is for you. Hey everyone, welcome to a new Psych2Go video. Today we're going to be talking about Facebook and how it's actually linked to depressive symptoms.  We constantly update our status on Facebook. We tweet a lot on Twitter. We post a lot on Instagram and reblog on Tumblr. Just, you know, scroll through Tumblr till it's like 3am and you're like... And we think nothing of it. We think it's just something that we do everyday.  But a new study has recently discovered that depressive symptoms are actually linked to social media. Well, specifically Facebook. What? According to Steers, we see our friends on Facebook post about their achievements, about fun activities that they're doing and it causes you to compare your lives to theirs thinking, oh, their lives are so much better because they're doing this, yada, yada, yada, and I'm not. Doing this can actually lead to depressive symptoms. But the study actually discovered that it doesn't matter how you compare. Like, they could be in a tropical island having a fun vacation or holiday and you could be at home looking at it or they could just be going about their daily lives and you'd still feel kind of sad about it. Even seeing your friends doing worse than you on Facebook can still lead to this instant feel of gratification because you feel like you're doing better than them. But it's only temporary because any positive feelings you get from seeing someone else doing worse than you is very superficial and extremely short lived so it's not even worth it. The study also found out that the more time you spend on Facebook, the more likely you are experiencing depressive symptoms. The more time you spend on Facebook, the more things you'll see and the more times you will compare your lives to theirs and it's not a good thing at all. Also, spending so much time on Facebook can cause you to be addicted to it which is not a good thing either. As much as this research is focused on Facebook, all of the results shouldn't be restricted to Facebook alone.  So if there's anything to take away from this video, this study and this article, it's really just to never compare yourselves to other people. Instead you should compare yourself to how you used to be at. Are you a better person than yesterday? Also, if you want to learn more about this study and you want to see the article that this video is based on, it's down below. And also, everything's like to go down there. So if you're really into psychology or you're taking up psychology, it's the best place to look online right now. So that is it for today's Psych2Go video. I hope you all enjoyed. Make sure you go click the thumbs up button and if you're not subscribed already, click that as well up there. Again, my name is Deanne and I'll see you next time. Bye! Thanks for your time.


Hi, I'm indeed delighted to be the jury chair for Maddie's 2021 the mobile marketing awards Mobile phone now have become ubiquitous. I think that has become the main media more than probably television And I think this last couple of years with with covid with the stress of covid I think one thing which has completely pivoted around is digital marketing a lot more has happened in this space a Lot of innovation a lot of creativity And I think we have me along with my jury team are really excited to go through the so many entries That that would be there to actually learn a lot From the great stuff that that the brands and and agencies will be presenting Needless to say I think the one clear thing that we would be looking for would be effectiveness Because in terms of what we have done and what results it has done for for the campaign objectives That would be a key area of focus for us Looking forward to some great time. Thank you very much and thank you for your participation


The BSU women's hockey team split with St. Cloud State last weekend, but we're unable to pull any closer to the Huskies in the WCHA standings. But the good news is the beavers still have one more chance to move into fifth place. Sitting four points back of fifth, BSU will need some help from Minnesota Duluth and North Dakota. But they know they still need to take care of their own business. It really is up to us. I mean, all we have to do is take care of our business and hopefully the other teams take care of theirs too. And hopefully it all works out as we hope. Big focus for us is going to be on Friday night. We can't do anything about those other series. We're at home, which is tremendous. Let's not think about anything other than Friday night. Let's go out and get those three points and we'll see what Saturday brings. It's a very important weekend. We're all preparing for it already. And that's all that's on our minds right now. And we need the points.  So it's very important and we know what we need to do. If you've enjoyed this segment of Lakeland News, please consider making a tax-deductible contribution to Lakeland Public Television.


Check it, check it, check it, it's a unique hustle, it's your boy, E-C-E-O, and I'm here with the lovely amazing official, Mr. Mako, what's going on, man, what's going on, look here man, hey man, listen man, hey man, sometimes you just run into things and you don't know how it happens man. This guy's here, man, walking like Jordan is in the building, man, what's going on, man? What's good?   Man, it's official. Thank you, man. Just like I saw on the internet. Hey man, hey man. It's so crazy, because so many people seen our platform be like, never knew we were in Texas, thought it was somewhere else. Yeah, they be saying everything. I tell you what, I done got hit up by a lot of interviews, a lot of bloggers, and I'm talking about just on this market, I've not done one interview. Really? No sir. Well, I'm glad you let us interview you, so thank you very much, man, while like Jordan is in the building, man. Besides BZTV, I did interview with BZTV. He seemed like a cool dude, I be seeing him with Terry Blue. Young, young, real humble guy. How long ago did he do that? Man, he was in LA, and he contacted me and was like, walk like Jordan. I was like, what you want to talk about? He gave me the dialogue and I'm like, let's do it. Really? About three and a half months ago. Three and a half months ago. How far is managing and just understanding the business? How did you end up getting into that role? In 2011, 2010, 2012, I pretty much established myself on the Fort Worth market as the biggest promoter in Fort Worth. Started out with team parties. It crossed over to 21 and up. Then I transitioned over to Dallas with J-Rock, the promoter, when Trillian Prince Mick, Prince Rick, Mr. Hit That Hell was taking off.  They ain't going through the DJs, they're not going to the DJs. They come in and walk like Jordan, because it's my dough, I'm paying everybody, it's my night scene. And when I saw the power I had to help artists that was independent, I'm like, let's do it. Man, you got to feel good to help people like that because, you know, a lot of times guys be trying to find a way and they can't, you know what I mean? Or they can't do everything. That's one of the big deals. I had two artists from my hood, my city by the name of Cadillac and Pee Weed. They had a song, Work the Middle, Fat Nappy, Leave It In, Walk Like Jordan was all from the same neighborhood. Okay. And I ended up managing them because I was in position. So that's where they come from. I left them out. I want them to name them. Man, but like I said, just the opportunity to be able to help others. That's what I look at in management. There's a lot of managers that haven't been on here. A lot of rainwater, low DZ, who else? It's been a few, man. Them two that, yeah, yeah, Supreme. It's been a bunch of them, man, like people who are DJ Jews, Sergeant B, a lot of them, man. And you have to have a special type of connection with people in order for them to respect you. And really you can help them too because a lot of times a lot of things have happened and transpired to where some have lost their lives. Some of the artists, you know, and so you got to have this special chemistry to be able to maneuver these guys, right? Am I right? Or am I just tripping? You got to have power with your artists. You got to have influence, a special influence. And that influence sometimes is bigger than they mama's. Yeah, yeah. And where does that come from? Because then, like, you have to carry yourself in a certain way. How do you get your artists to respect you to that level where they put their career in your hands, put their lives in your hand, you know, because they have to trust you 100%. Being able to relate to them, you have to be able to relate to your artist. I don't care if you got six. One of them going to be your main priority, the second one, the third, but you got to relate to all of them. People ask all the time, how did you get solo? We ain't, we've been doing business for 10 years, you know what I mean? And I handle and deal with solo a certain way because I understand him. And because he trusts me, you know what I'm saying? He relate to what I say. You see what I'm saying? It's just like being able to get him out here. I went through hell, but he was here. Yeah. Yeah. And that's... When we got here, what did I say? Light on that. You know what I mean? But that's what you have to do. You have to know your artists. You know, even when they say, I'm all right, I can't handle it. You can look at them in their eyes and know, no, you really can't.  That's why you know what? I'm going to take this moment and I'm going to say, I respect and I apply rainwater. Okay. You know, we aren't fans.  I don't think that will ever be seen again. Yeah. I can agree with that. From going acapella in his kitchen to rapping. You know what I mean? His sound like singing like gangster. Like he created something that I don't think we'll ever see again. That's no disrespect to nobody. That's just me being, that's my opinion. No, no, no, I get it. And I respect rainwater because I done dealt with Kenny B, Murda gang PB. Now solo luchi. Those artists have to respect you in order to listen to you in order to do what you tell them to do in order to be everywhere they need to be. We don't deal with artists that like these, these niggas move differently. Some managers will be scared in real life. No, I get it.  You know what I'm saying? And I just want to correct it because as I sit back and I look like I respect rainwater. Wow. That's B. A lot of times you have to, people don't know what another person goes through because you're not in their shoes. Right. And sometimes it's unimaginable to be in somebody else's shoes as much as we can say, well, I can imagine it. But can you really, you know what I mean? See day by day of what they go through. Because when I think about, yes, they have to respect you. But when you think about even your kids, your kids respect you. But sometimes you might be in a blowout argument as they get older as a teenager because these are grown people. Right. You know what I mean? Because, yes, you love them because you build a bond with the person. So you love them. You want them to be safe. You want them to be, you know, to succeed.  Right. And most people don't like to be fathered. You know what I mean? I get it. I agree with that 100%. When I look at just some of the things that you have to encounter, even in parenting, you have to step up. You know you failed in certain areas or you should have tightened up. Are those areas like that in management where you like, I did this this way this time, but I'm tightening up right here on this. You know what I mean? Scaling. I hate to say it, but management is meant like, I coached at Cal State. Okay. On the NCAA though. Okay. Play games on ESPN. Okay. When we deal with players, it's about mentoring. It's about creating a narrative with them that keeps them going in the correct directions. And a lot of the players that we deal with come from fucked up homes. Correct. Fucked up backgrounds. Single parent households. It's so relatable to the music industry.  Yeah. So they don't understand.  You know what I'm saying? 100. I'm dealing with Kenny B. If you know Kenny B, you know who his daddy is. Love Kenny B. Yeah. You know where he come from. If you deal him with solo luchi. Solo luchi was shot. That's right. And left for dead. Twice. That's not speaking against nobody, but he feel a certain way because of that. If you, if I've been dealing with murder game PB since he was a seventh grader.   So all he know is that you don't trust nobody. Man dope man. How do you get through to them though?   You got to stay down.  You got to do it because you understand them and you know what you're going to get. Because you know what you're going to get. You don't respond a certain way. You respond the way they work and they favor. Wow. But how, where do you learn that from? Is that something that you, you can learn? Because I think the coach is cool. Because I know because I went through. You went through it. Yeah. People don't know this about me. I played college ball. I played overseas. And sports, you learn discipline. That's right. You learn perseverance. You know what I'm saying? Patience. All the times don't last always.  My mama was an OG.  And my four other, three other sisters. So you are the guy in the family. I'm the oldest. I'm the oldest of 12 siblings. I met my daddy at 17 years old. Man. For the first time in my life. See, he telling you a story. And his story is dope because he telling you I've been through this stuff. And so now that I go through all of this and not only to go through it, but he was successful if you were playing ball all across. Right. Graduated with my master's. Graduated.  But there's a lot more to him than that. But why go into that business? If you graduated your master's, what was your major? My major was communications. Master's mass communication. So why did you end up in this career? Well, it's crazy because as a player I was into throwing parties. So we would play a game. I got 20 and 10 or 20 and 15 or 30 and 15.   Just Google my first and last name. After that game, if I scored the right amount of points, my coaches let me come back home. Saturdays I was exo, club mystique, club chrome. I'm leaving. Love party.  You know what I'm saying?  That's why I had to put up a stop to self-made TV. Wow. Because the NCAA was trying to violate me. Then the university, he got to get this down. Yeah, because you can't do both. You can't do both. Yeah, but his heart was over there. So I follow my heart. I follow my heart and that's how I ended up in this business. Man, I'm glad you ended up in this business because you bring another level to this business. Right. And that's what's dope. You know what I mean? How you bring another whole level to the business. You bring an essence to it where it's educated and it's respect. You see what I'm saying? That's an educated, respected move that you make in when it comes down to I've been educated. I got my masters and I'm managing solo luchi and I went and did these things overseas. I played ball. I've been everywhere and now. And that's why I know that we got some special. That's why I was asking solo earlier. There's a lane open, man. There's some here in Dallas where a person could put the right type of label together and make millions. Everybody keeps saying that. We've heard that so many times. Everybody say that. Why do you think so? Well, because... Why do they say that? No, I'm asking him. He's just said it. I'm going to tell you why. Because right now the voice that you have is becoming the biggest. Wow. In 2022, we created a new word. I heard this from Rick Ross years ago. Yeah. The biggest. Yeah. We're the biggest with everything we do. Man. This show, this platform is becoming the biggest. Wow. Now you're going to get people from all across the world. So they want a cross market. They can come here and express who they are. Yeah. So with the power that you have, you can reach out and say, hey, youngster, come over here. I can introduce you to these people. Come over here. Let me get this paperwork done for you. Oh, I don't got to manage you. Let me get on a conference call with that label you're talking to. I understand the business. They're going to respect you and listen to you because of your platform. Wow. And that's dope.  It's like I talked to everybody. I'm calling everybody. Oh, yeah, I do that. I can set that up with this. I already do that right now. Right. I'm not doing it on the level that I could be doing it on, but I definitely get what you're saying because I connect to everybody. You become a dot. It's true. I'm big on Sam. I'm the bridge from Fort Worth, not Dallas, from Fort Worth, Texas to California. So I connect the dots. And I get it. I get it. Man. So what's, what, what? Go ahead. I'll let you go. Once you get braced up like that. I know she want to ask something. She's like, I got to ask this. No, but how many artists do you have right now? Only? I have solo Luchi. I have Casey, who's an up and coming artist out of Fort Worth, Texas. I have Big A Welch out of Fort Worth, Texas. And I have Young Nut out of East Texas. Out of East Texas? Where in East Texas? How come she got somebody out of East Texas? Fort Worth, Fort Worth, Fort Worth, and then now East Texas? Big Nut out of East Texas. What part of East Texas? Young Nut. Young Nut. Well, it's, you know, one thing about me. I'm consistent with people's approach. And his approach for six months was, will you manage me? Oh. He came and found you. Like six, no, listen, I got 900 messages about management. You know what I'm saying? He was consistent for six months. Six months. Six months. Wow. That's dope. And he, at 19 years old, left college football like, bro, I need you. I need your help. Is he talented?   And I never knew it. Walk like Joy.  God led me to him. Walk like Joy. And when we sat down and talked and he told me, I was like, damn, like his mama was fighting pneumonia yesterday in the hospital. We had to show him forward, which is why we flew down her. He was supposed to be there. He couldn't.  But it's the reason she dealing with that. You know what I'm saying? Man, walk like Joy is special. You know, special and it's needed. You know what I'm saying? Very much. Yeah, it's needed.  Oh, sorry. No, no, you go. So I see that you're here. You know, God put you in these people's life to be like a father figure to these people to show them understanding and so forth. But everybody needs a support system. Who is your support system? Who helps you? That man upstairs. Hey, you can't beat that. I'm a pram. I'm a blessing. I'm God friend. Let me say that first. I'm God friend. I'm God friend. I've been shocked and pronounced dead on the scene. Wayne, how long ago? July 15th. No, July. Was it July 12th? July 12th, 13th to 15th. One of them days. What year? I've been drinking. Yeah. What year? 2015. What happened? Can you talk about it? I just say I got popped. Okay. In front of a club. Okay. Okay. 44 shots with fire. How many did you get? I got hit once. Bullet went through me. Hit me in the back and went through my stomach. Wow. Okay. Yeah. You still here? Still here. Man, that's dope, man. So do you have family children, anything like that? I don't have biological kids, but I got two boys that I took in when they was in the seventh grade, put them through middle school and high school. Both of them now in college. Oh, that's awesome. That's very awesome, man. It's guys like you that I really love to interview you because people can see that black men stand up and do things in a consistent manner. They don't acknowledge us. They acknowledge the bad guys. That's right. They don't. I want to go back to, so when that happened to you, how did that change your life? Because a lot of times God put us through sometimes detrimental situations, especially when they see us going a certain way to be able to change our lives. Wait. You know, I'm going to be honest. I'm kind of like solo.  I'm not capping or nothing. I was laying on that ground. I didn't even know I was hit. I had on an all white shirt. I had just finished playing in the FedEx. I just came back from playing overseas. The FedEx is a $5,000 tournament. So you playing with dudes that play during the summer, everybody that come home that's hooping. I got hit. And it was like, Jordan, you hit. And I looked to the sky immediately and I'm like, God, I know damn well. Now straight like that, I swear to God, I came up in the church from pre-K, my grandmother and my grandfather, 87 years old today, my grandfather passed during COVID. They raised me in the church before I moved in with them. My mama had me in the church. So I'm looking up to the sky. I'm like, God, I know damn well this ain't it. It's like, no, it's much more to be done. Those words were spoken to me. Man. And I accepted that. I got in the ambulance. They got me in the ambulance. They was like, we're losing them. I remember to this day, we're losing them. I pulled my phone out of my pocket.  Call my God son. One of the ones I told you, hey son, tell your mama at the hospital, I just got shot. Call my right-hand man, Cedric Valentine.  Stop playing. He hung up the phone in my face. I call him back. Nigga, I just got shot. Meet me at JPS clip. Call my mama. Mama, I just got shot. She went that while I called her last. You know how mamas are. I already knew she wasn't going to be able to handle it. But the ambulance guy was like, do you realize you've been, a bullet went through you? I was like, yeah. Wow. And then I remember them closing my eyes. I went straight to OR. What is it? OR.  But that's great faith. Stop. That's what you got to understand. What you're expressing is, I have faith in what God just said to me. And that's heavy, bro. Because most people doubt. And fear. Fear is one of the things that strike you when you go through something, bro. But for you to just stay calm like that and be able to say, you know what I believe in what God said to me? If you met my granddaddy, you would understand. That's dope, man. Boy, that's a blessing. What you just said is heavy, man. Because most people panic. And that's what kill them a lot of times. Yeah, that fear. Yeah. Yeah. So that's dope, man. So let's talk about the brand.  And was there a podcast involved? It was just interviewing, blogging or what? How are we doing it? In 2014, there was nothing else I could do in Dallas forward. When you talk, man, you can call these people. But you was dealing with say cheese too? No. Okay. J-Rock the promoter, the biggest. Okay. I think to me, J-Rock the promoter is the biggest promoter to ever come through Dallas. Okay. Fort Worth. I had done parties with him and brought 300 people from Fort Worth to his club. Okay.  This walk like Jordan dude is crazy. I was in turn in 1997 on beat.  What year was that? That was 2011, 2012. As far as the party scene, I started self-made TV 2014. Yeah. I was just thinking about Ovid Media, Sean. He was over there. I think that was after you though. Who? Sean. Cotton? No, Ovid Media. He's a camera guy. He'd be with Vida Loka. Vida Loka hosted everything I did in Dallas forward. Okay. Everything. Her and J-Cruz together. J-Cruz. He's been on here.  I got both of them. I just talked to J-Cruz because he just got hired on at K-104. He told us that here, didn't he? He called me and said, walk like Jordan.  You know, I like 97 on the beat. Yeah, yeah, yeah. Now he told us. Because it's cheaper. But he definitely told us that night he was going to be on 104. There was nothing else I could do on this market. As far as 2,000 people in the club in one night, I did that. Real life. Allerton, Fort Worth, Dallas. There was nothing else I could do. So I said, you know what? I'm bringing all the celebrities. Why don't I interview them and create a TV show? I want to brand myself bigger than Dallas, Fort Worth. This is the route. I woke up a week later interviewing Paula Helen from Bad Girls Club. They was trying to put makeup on my face in the interview because I hired a real production team. They was like, oh, you got a spot right there. We need the code.  But I went with the flow.  Then I interviewed Mimi Fowles, Jocelyn Hernandez, Trina. You know what I'm saying? Just different individuals. And I was like, this is my way out of Dallas, Fort Worth. I need to cross over because my brand and my mouth is big. Should be proud. Boom. I got shot. But you still look at you now though. How did you, you still came back and you say you came back with J. Groves and V. Locanium kind of helping the prop, right? They did a party for me when I bounced back. Like they did my first party after being shot. Man. Yeah. And you stayed focused and you still continue to grow that brand.  Don't do that party. Bitch, you not really. But you should have jumped back into the podcasting though. Or the interview. You know, I took a teaching job at Polytechnic High School in Fort Worth, Texas. I taught for three years. And I coached basketball, track football the entire time I was doing it. And then I got a call from my college coach that I played for Cal State. Wow. And I took that job and that's what got me to California in 2018. You like California better than Texas? What? I ain't never moving back here. Why? What is it about them? Opportunity. That's it? It's opportunity on every corner. People want to help you. People want to teach you how to grow. People want to teach you how to be better. The only thing about moving to the West Coast is you need a little money because the cost of living. Yeah.  I can't stand the traffic. The traffic is like Dallas at five o'clock. It's a little worse, but the second thing is you're sitting still. Yeah. So, man, so top three artists of all time. They're never alive. I gotta get that. Because I'm gonna do a whole second on that. Number one.  My era? It can be old school, new school, any era. Any era. Whatever. Your top three entertainers. It can be country music. It can be anything. Number one. I'm going with Michael Jackson. Number one. Number two.  I'm gonna bet it right. I love you for that, bruh. Stop playing, man. Where you at with it? That's what I say. Don't I listen to a lot? Do I listen to a lot? That's what I listen to. That's me there.    And she had velvety shells, fried chicken, green beans, and some biscuits in the oven.  Bet it right. But then when you heard the lyrics and my mama was swaying into that shit, I was like, bet it right. All right. I'm nervous. I'm nervous. I'm like, tonight is the night. That's it. That's it. Number three. Number three. I said Michael Jackson, bet it right. Bet it right. Number three. Can you give me a help me? Give me give me six artists to choose from. This is your time. You know every artist. I do. But this. Come on now. Number three. Been a man. Bob Marley. Stops. I know. I'm not sure. Keep going. No, them good names. Keep going. I need help. Y'all want a third artist? R. Kelly. Nope. R. Kelly is one of the greatest of all time, but it ain't number three. I know. I'm just playing with all of those. I'd say something real, you know. Come on. No. Aretha Franklin, Luther Vendross. I was going to say Luther. You would have said I was a brother. I was a brother. I was a brother. Them boys go hard. That's hard. A lot of people say Tupac with all of that. Tupac. Tupac. I gotta give it to him. I'm glad you said that too. I'm going to ask you something tonight.  And then clicky claim. We're sobbing. We ride it.   I got to ask you a question, man. I don't know how that even took me so long. That's why I was asking for help. Check it, man. I need to know about PMC, man, and what he meant to the music when you listened to that. Mogul. It'll never be recreated again. What stuck out about PMC for you? The lyrics. The honesty. The generic. We will never see PMC again.  Your kids won't even know who PMC was. When they come into the world, they gon' hear about PMC. It's kind of like Michael Jackson. Y'all was talking about Michael Jackson and Chris Brown. You know why there's no comparison? Because generation after generation after generation will ever hear about Candyland and Michael Jackson.   Whoa. That's my opinion. Now, do I think Chris Brown is a growth? Go? Yes. And I know why Solar was saying that. Because he's no Chris.  He experienced Chris Brown in real life. So I respect that. But Michael Jackson, when you go look at the numbers. No way.  Go look on YouTube. It'll never be seen again. Wow. Definitely loved it, man. So is there anything we missed? We got to say that. Anything you want to get off your chest. Any new ventures coming up? Because I know that, you know, we know what you do. Everybody watching me right now. Yes, I am the biggest MC in the LA nightlife. Hey. I officially crossed over. Hey. My advice to anybody out there is don't be afraid to experience and explore new opportunities. Get outside of your market. Dallas Fort Worth is one thing, but the world is another. That's dope. I went to LA. I'm now the biggest MC.  What's it called? Slash Hollywood. Cheetahs. Hey. How long did it take you to get to where you- Started out six months. Okay. Wow. That's dope, man. Favor. It's favorable. It's favorable. So, man, thank you, man, for coming on the show, man. Yeah. Yeah, knowing the right people. I ain't know nobody. I just got on the mic. Boy, you know what? Y'all right. That's a lot. DJ saw me and was like, hey, bro, ain't you definition walk like Jordan? I was like, yeah. He was like, you got grace to mic for three seconds.  Boom. I got the house job. When you say definition, that's all in definition. DJs, right? Definition DJ Dallas drop. The inventor from Dallas. Definition DJ. Jack Frost. Jack Frost. Cause I hear about all of that. He be on the show. Legendary. Mm-hmm. Definition DJ. E-Rock. Mm-hmm. Uh, it's so many. It is. I've been drinking. How do people get into being a definition DJ? Don't be scared. Tell him you want to DJ. And be consistent. I told my one thing. See, they came to my club and they initiated me.  Oh, really, man? Hey, man. We definitely love you, brother. And anytime you're in the city, make sure you stop through and holler at us. Got you. Say, man, it's been another great segment of Boss Talk 101.


Live from the Austin Convention Center in Austin, Texas, it's theCUBE at Dell World 2014. Here are your hosts, Dave Vellante and Stu Miniman. Welcome back to Austin, Texas, everybody. Stu and I are really pleased to have Bob Wallace on as vice president in Nutanix. Nutanix is a company that we've been covering for some time at Wikibon and Silicon Angle and had on theCUBE many, many times. Bob, welcome to theCUBE, it's great to see you. Thank you, good to be here. So we were all really struck by the Dell-Nutanix deal. It was really interesting. We had Alan Atkinson on yesterday. He talked quite a bit about it as one of the catalysts for that deal. But let me start with Dell World. What do you think of Dell World? Is this your first time here? Yeah, it's actually, it is my first time here. It's great, we've been working with the Dell reps and teams for quite a while since we signed the OEM agreement. But this is the first real opportunity we've had to get in front of a lot of customers very close to launch. We're launching the product on Monday and sit down with customers and talk to them about it in depth. I have a lot of customers coming by the booth really digging into the XC series and a lot of Dell reps. So for us, it's been an ideal kind of venue to do the launch around. So, Stu, Alan talked yesterday about sort of how this deal came about. And one of the ways it came about, Bob, was that it hit the radar because Nutanix was so hot. It had so much momentum in the marketplace. Everybody was talking about it, for good reason, the architecture, the people, the customer proof points. I mean, all of that led to, hey, maybe we should be working with these guys. From your perspective, how did the deal sort of come about? I think it's kind of from what I understand, I was involved in the early parts of the deal, but our biz dev folks got a call from somebody on the product group at Dell who had really understands the storage market and was looking at what Nutanix had been doing and just started the conversation. I think it started out fairly informally. Dell and Nutanix throughout the subsequent agreements and negotiations and everything, we found there was a lot of synergy between the teams. The way that that team and the Dell team that we interacted with operate very kind of authentic group of folks. That's really how Nutanix culture is really very similar to that, where not a lot of big egos, but authentic, just trying to get things done. And so we moved really fast. I understand for Dell's pace and the way that they typically would execute on these agreements, the agreement with Nutanix happened in a matter of months very quickly. Wow, that's interesting. Well, of course Dell has some experience with large OEM deals and this is not quite as large as some of their previous ones, but the industry has matured somewhat, Stu, since then, so that's quite fascinating. Yeah, Bob, I want to talk to you a little bit about just kind of the changing model of IT. When I look at Nutanix, your founders of the company really came from some of the big companies, like it was Google and Facebook and a new way of doing IT. And if you look at what in the Google data centers, you're not going to find branded hardware. And when Nutanix first launched, as an analyst we kind of dig into the coverage like, oh, okay, wait, there's a super micro. And Nutanix actually tried out even Quanta for a little bit and then went back to super micro. One of the things Dave and I were talking about is if I'm Dell and we're seeing this growing, we're saying, hey, wait, we've got all these storage solutions that run on Dell platform. How can we have one that's growing so fast not use Dell hardware? So from that standpoint, I think they want to get involved. But can you talk about your customers? Most of them, it's not what server is inside the box. It's the new IT. So does adding Dell hardware change that message at all? How does that message come together? One of the key elements of web scale, which is really what Nutanix product does, is hyper-convergence. And so the hardware itself, the fact that the compute and storage and all the elements are in a single box, in a single appliance, is critical to web scale. And having the opportunity to work with Dell really makes that a big chunk of our value proposition when we do work with Dell, where before it was something that we, frankly, would downplay on the hardware side, now it becomes a strength. When our sales teams and Dell sales teams go out and they're selling the XC series, they can really take advantage of the fact that the Dell hardware brings real value to the table and the Dell support and pro services bring a lot of value to the table when we combine that with the Nutanix software and distributed file system. And my understanding is that it's a technology deal. Dell is going to be selling the product. You guys aren't selling the product to your channel. Dell didn't do business with you to get your channel. They got the massive channel, right? So you guys must have been excited about this. I mean, it's sort of serendipitous, opportunistic. You know, it happens because somebody took the initiative. Stuff like that happens, I guess, all the time, but interesting, Texas and the Valley getting together like that.  I haven't personally. I think to me it wasn't a surprise because, again, our company culture, our leader, our CEO, D-Ridge, is very, there's a philosophy that we could always be doing something better. We could always, we're always looking for a way to improve how we do things and how we go to market. And he's very, Siddish, who's our VP of Worldwide Sales is the same where we're always looking for an opportunity to do what we do but do it better. And this gives us that opportunity. We have our existing business and then build on top of that this business with Dell that really gives us the opportunity to take advantage of their product. But as you said, also gives us the opportunity to tap into their sales force and their channels and open up a whole new area where Nutanix wouldn't have been able to touch for a long time. So Bob, what have you seen in the marketplace? Because one of the questions we often have, we get from practitioners is Dell's got one of everything. I mean, there's so much stuff. But as Joe Tucci's fond of saying, it's better to have overlap than just have gaps. But were you running into, who do you run into in the marketplace?  Were you seeing Dell in the marketplace? Were you competing against them in some situations? Yeah, we did, yeah. I mean, they obviously, Dell's in a lot of places and their sales reps are out there talking to a lot of customers. So we did see Dell in a lot of the deals that we're working on and that we've closed in the past. We, I'd say we compete more with some of the other big legacy storage and compute vendors a little bit more than we have with Dell. That's rarely what we're seeing. The majority of our wins are displacing kind of legacy infrastructure with this, with a, you know, the web scale approach. It's a very different sale where we're talking to the customer about how the data center should look and what they expect to see in the data center in five years, as opposed to a, you know, what's the speed of this drive or adding flash into, as a band-aid into some kind of a storage system. So are they looking, but I mean all those guys, whether it's IBM, HP, you know, EMC slash VCE Cisco, they all have solutions that are converged that solve a problem that those legacy systems have, which is the labor intensity. Yep. Why are they jumping, you know, the checkerboard to Nutanix? I think the converged is a word that has in some, in some cases been overused. I mean, marketing people, you know, if they hear something they like and their customers respond to, they'll use it. A lot of the legacy systems aren't really converged. They're, that's why we use the term hyperconverged because realistically what they've done is they've skew converged products. They will sell you on a one skew, a whole bunch of products, but they all come separately and they have to come build them on site into one box or maybe they ship it on one box, but functionally that operates still is a bunch of separate units where Nutanix actually does true convergence. The compute, storage, flash, memory is all converged in one appliance and the other key piece is it needs to be software defined. So it's the software that does the, is the differentiator for Nutanix and bringing that all together. It's all software defined. So that's why the pairing of Nutanix and Dell is such a key thing because the hardware is a big part of it and then we have best-in-class hardware now with Dell overlaying best-in-class true converged software. So by implication you're driving more value. You're saying the other guy is essentially scratching the surface at the value proposition. You're taking it one step further. Yeah, I think. I'm going to put words in your mouth. That's what I'm inferring from what you said. It's not even that, I think. They're saying that it's converged in a way to fool customers to think that they're actually buying something that's different and what they're buying is just the same thing. They make it easier to order. They're not changing the way that anything happens. If we took that technology out five years, there is no true change that happens there. There's no innovation in that approach.  Well, that last part was quite interesting. Even Steve Mills himself said when IBM announced the integrated systems that there was evolutionary. You don't describe your technology, I presume, as evolutionary.  You've been following this stuff for a long time. What's your take on all of that? So I think we talked about the channel and all the other pieces. The other thing we haven't talked about yet is really the primary use case or application that we're going to see deployed first is VDI. And Nutanix really had a lot of VDI deployments. And Dave, when we first started the queue back in 2010, Dell was one of the only companies that really came with us with customers that had deployed multi-thousand node VDI. I remember that at VMworld 2010. Yeah, it was a brown shoe company at VMworld. So Dell has, if we look at the VDI marketplace, one of the biggest challenges were, there's so many pieces. Not only the hypervisor and the agents and the client piece and all of those different solutions. And even Dell bought Wise, which brought them some of the client pieces, but they had strong relationships on the virtualization side. And they had really a practice to help customers through that. And when it really, I've gotten to spend some time talking to both the Dell team and the Nutanix team. Dell has a group called the CCC that works on this type of application. And we actually just published some new research from Wikibon looking at this solution and how, even if you take a white box solution, not saying taking kind of legacy stuff, but even if I took a white box solution and spun my own VDI deployment and compared that against a fully integrated stack from Dell and Nutanix, that there's just, it's going to cost you less over that three-year period to do that. So I guess, Bob, talk a little bit about kind of the VDI solution and beyond. Where do you see the use cases for the... Yeah, I think VDI specifically, we've seen a lot of success there, not that we're uniquely tailored toward VDI, but we found that VDI, because of the way that we can scale IOPS as you scale, and everything scales out, as opposed to scaling up where you're pushing it through a legacy infrastructure with two storage controllers. Because of that, I've seen that the world is littered with half-baked VDI deployments, where there's a lot of companies who do their first piece of the deployment. They'll deploy to 100 users and they'll see it works fine. And then as they try and scale, the infrastructure cannot keep up with scale of VDI because of the way that it scales. So we've had a lot of success there simply because there's many situations where customers are in this half-deployed mode and they don't want to back out of it and call it dead. And when you put Nutanix into that equation, we actually bring true scalability to the table. You deploy one node and it can handle 100 VDI users, then you know you're going to get 100 VDI users out of every single node you deploy so you can scale in here. Bob, it's so true. I go back to about, almost four years ago, we actually did a bunch of research. We actually had Jason Langoni, who's now on your federal team before he was with Nutanix talking and said there are two reasons why VDI deploy and fail. Number one is performance. Usually it was a problem. We really underestimated how much resources we need and Flash in many ways solved that. So every single company that has Flash in their solution, whether it's just Chubbinsum in an old array, an all-flash array, Fusion IO, everybody that's got Flash is saying, oh my God, people are coming at me to do VDI, but the second piece, when I go from pilot to production and really start scaling and adding users, do I keep that performance and can it grow? And that's where you guys really shine because I can just, adding a node is so simple. It's literally, I plug it in and I'm done. Yeah, two clicks, you're done and it scales and you know it's going to work and you have that predictability. So that's what customers want. I've found with VDI, they want to be able to scale it predictably and not have these huge cost cliffs that they run into because they need to deploy additional infrastructure to try and keep up with the performance requirements. It hits right at the heart of Nutanix's scalability. So Bob, two things I want you to tell us about the deal. Number one is my understanding that there's no ownership stake from the Dell standpoint and two, can you talk about the channel because there are some that look at Dell's history in the storage world and is Dell going to pull everything direct or are they going to be channel friendly, what have you seen so far? Yeah, so it's two very different questions. So yeah, on the ownership stake, this is an OEM agreement, it's not an acquisition, it's not anything else beyond that. It's really two companies who, you know, Dell recognizes Nutanix can be a really big piece in their software defined approach and some bold steps that I see Dell making to really redefine and define their own future and differentiate in a big way and take advantage of their privatization to do something really decisive and bold. So that's really, there's a lot of synergy there between the two of us. On the channel piece, Nutanix as a company has been channel friendly since we started. We've never sold direct. We only sell through channel partners. So when we first started talking with Dell about OEM, their ESG organization is really at this time, has a big push to embrace the channel and expand their channel footprint and how much their business goes through channel partners. So in those early discussions that we did have, that was a big piece of it is, how do we make sure that we can leverage that channel and the Nutanix cultural kind of channel friendliness we've seen a lot of benefit from that. And we have a good number of channel partners that have been existing Nutanix channel partners that are Dell channel partners. And up until now they might be able to choose one solution or the other. And now they have the opportunity to work through the Dell's channel program and get the best of both worlds. So how about the customers? Obviously you guys haven't shipped anything yet but what's been the response from customers and what do you guys expect from kind of a sales ramp? Yeah, so a lot of my time over the last five months has been spent training and helping the Dell field team understand our value proposition and integrate it into their own. Huge, up until now that we don't launch the product until Monday, we actually have already gotten a couple orders for the XC series. So it was pretty impressive the amount of really demand that there is within Dell's customer base for this kind of a solution. We've had overwhelming interest from Dell's field sales organization because I think they see that it gives them an opportunity to go in with something different and a new message and it really can open doors and accounts that maybe have been not open to them in the past but also Dell's existing accounts and customers it gives them the opportunity to bring something new to the table and really show up with an innovative kind of message that lives up to the Dell's is making some of these bold moves towards changing the landscape. Bob at VMworld this year, there was a lot of buzz of course about Evo Rail, we have D Rajan and you said what anybody would say in his position, it's validation. Yeah. Steve Herrod came on and sort of hit one right down in the middle, said validation and interesting discussions with customers. What have, since that announcement, of course Dell was a big part of that, what kind of discussions have gone on with customers and what do you tell them when they ask you about Evo Rail, where's it fit, how's it relate? We do, I think Evo Rail comes up a lot in discussions and I think from a sales perspective, I haven't really, I have struggled to find a successful implementation so that's usually my approach as somebody who's talking to my customers about technology is find some of them that are using it and say hey, tell me a little bit about how it works, how's it working for you? So at this point, to me, V-SAN Rail has been a competitor in discussion, the competitor on paper, the competitor in shows like this where it gets talked about a lot but frankly, I haven't seen a lot of actual, where the rubber meets the road, action out of kind of V-SAN Rail. I think there's a challenge that any vendor who's offering that product is going to run into in their sales organization and that they're essentially guaranteeing themselves three competitors who offer the exact same product for the most part, in any deal they go into, they go in and say okay, I'm going to put this in front of my customer, now you've got all these guys coming out of the can that offer the same thing from a software perspective and it's going to be a race to who can discount the most. So you need more data before you can really comment on that, yeah, fair enough. All right, Bob, well listen, thanks very much for coming on theCUBE, we'll leave it there, really appreciate your time. Yep, thanks for having me. Keep right there, everybody, Michael Dell will be up very shortly. This is theCUBE, we're live from Dell World 2014, we're right back.


Kia ora, my name is Lisa and welcome to another episode of UOA Weekly here at O'Rourke Hall. I use sociable, approachable and overall awesome person. UniGuides are looking for enthusiastic volunteers for 2024. So head over to the website and apply today. Are you thinking about postgraduate studies? Join us at the Picky My Postgraduate webinars on Thursday 5th of October from 4pm to 7pm and listen to inspiring researchers and innovators. If you're interested in being the voice of students, the position for student representative for council is now open. Head over to the UOA website to submit your notice of candidacy. The Arts Faculty is holding the annual Arts Student of the Year award ceremony this Thursday 5th of October from 6pm to 8pm. Come along and celebrate! Join the Inter-Faculty Volleyball and Netball teams as they fight for first place this Friday 6th of October. Game start at 5pm at the Sports Centre. Join the UOA Volunteers Club at their next Working B event on Saturday 14th at 9.30am. For more information and to sign up, check out the UOA Volunteers page on Instagram. If you're passionate about innovation and entrepreneurship, UOA velocity applications for leadership positions are open now and they close October 31st. And that is all from us this week. For more information and to contribute to UOA weekly, check on the What's On page at the University of Auckland website. Good luck for your assignments!


Our next speaker is Dr. Jacob Labus. Dr. Labus is a cardiovascular anesthesiologist at Cologne University, where he works at the University Hospital and is part of the medical faculty there. Dr. Labus completed his medical training at the University of Cologne and University of Zurich and committed his residency in anesthesiology and intensive care medicine at the University Hospital of Düsseldorf in 2015. He's a member of the German Society of Anesthesiology and Intensive Care Medicine, the German Cardiac Anesthesia Scientific Working Group, and the European Association of Cardiothoracic Anesthesiology and Intensive Care, YAC-YAC, Sub-Specially Committee for ECHO, and is also a member of the ASC. Dr. Labus will be speaking to us about assessing fiber motion with strain. Dr. Labus. Thank you for the kind introduction. Can everyone hear me? Yes, we can hear you. Okay. Should I try to share my screen? Okay. So I go ahead. Okay. So once again, thank you for the kind introduction. Dear colleagues, dear ladies and gentlemen, first of all, I would like to thank the Arts and Committees for inviting me to Toronto Perioperative Echocymposium. It is my pleasure to talk today about left ventricle fiber motion and strain analysis. I have no disclosures to declare, and my presentation will contain the concept of myocardous strain analysis first, including some technical aspects and advantages and disadvantages of this technique. And I'll give a brief summary about myocardous fiber structure and especially in motion, since it's enormously important to understand in order to perform and interpret pyrrole per myocardous strain. After this, I'll show clinical examples of intraoperative strain analysis and show how results can be interpreted in this context. Since my time is limited to 25 minutes, this talk will focus on two-dimensional assessment since it's the most available technique at software at the moment. And I would like to begin with a question. What is myocardial strain? Strain is the dimensionless measurement described in a deformation of a structure, typically lengthening or shortening, between two time points, for example, and systole and end diastole. And this deformation is expressed in percent of initial length. In the early days of echocardiography strain analysis, color Doppler and T-C Doppler were used to measure myocardial velocity gradients along a scan line, which were then integrated to deformation values as displacement or strain, and this at an individual defined point of the myocardium. And this one-dimensional assessment has a very good temporal resolution, allows fast assessment and direct display of measured data. At a certain point, without regulatory algorithms over software, and therefore, there's no cosmetics of measured values. But mainly, this technique is not used today since it is extremely time-consuming because of dedicated image acquisition and has a lot of limitations as angle dependency and it is prone to artifacts. And therefore, difficult to interpret. Currently, speckle tracking echocardiography is used to measure myocardial strain. This technique has unique properties. It is a non-Doppler measurement assessing the regional and global deformation and it is nearly angle-independent. Moreover, this technique is less prone to artifacts compared to T-C Doppler imaging. But what is speckle tracking? Speckles are these bright and dark pixels in a usually 2 dB mode view and they are just acoustic reflections and their relations to each other is like a fingerprint of the myocardium. Speckles can be tracked in blocks through the complete cardiac cycle given an estimate of myocardial deformation in any direction. And this process is highly automated and highly reproducible by available software for all the great manufacturers of echocardiographic machines. So, to answer the question, what is myocardial strain? It is a change of myocardial length over time by measuring the movement of typical acoustic reflections of the myocardium, the so-called speckles, that can be tracked during the entire cardiac cycle. Therefore, the underlying technology for strain alers today is called speckle tracking echocardiography. And the assessment of myocardial strain is not restricted to a certain point in myocardium or part of the myocardium by this technique. The entire myocardial wall can be evaluated using different but similar 2 dB views. Similar in terms of configuration and heart rate since left ventricle movement is reconstructed from different loops by the analyzing software. But this technique has limitations too. Temporal and resolution is lower compared to tissue Doppler imaging. And it depends on good image quality. And there are differences between vendors. Moreover, there's some influence of post-processing on strain values. Last, not least, using two-dimensional evaluation, there's for sure out of plain motion of the speckles since left ventricle is not a two-dimensional but a three-dimensional structure. Speckle tracking echocardiography can be performed out of 3D full-volume data sets too and has the potential to overcome the limitations of 2D assessment, like out of plain motion. It doesn't rely on geometric assumptions and is able to evaluate the complex left ventricle-contractive pattern from a single heartbeat. But 3D speckle tracking has specific limitations providing a wide application in the claim to practice at the moment. Among them, one of the main factors is the low spatial and temporal resolution as well as intervendor differences. Another aspect is that 3D analysis software is not available for trans-ozophial echocardiography for all manufacturers. And there's limited period operative data at the moment. So to summarize the advantage of strain analysis with speckle tracking echocardiography, I would like to say that there's a potential of this technique. It's a differentiated evaluation of the complete myocardium through the entire cardiac cycle. And it is highly reproducible and highly automated and perhaps even completely automated in the future. I will show you later. So to understand myocardial strain, which describes fiber motion, it is enormously important to understand myocardial fiber structure. And the myocardium of the left ventricle is not a homogenous mass, as often shown in schematic figures, for example, in this wall stress scheme. That's forced too short in describing the left ventricle. The left ventricle of myocardium has a complex shape with a differentiated fiber architecture converting a 10 to 50% shortening of the myocytes into a reduction of intracavitory volume of more than 50%, which is normal left ventricular ejection friction. And to summarize the complex structure briefly, since there's not a talk about left ventricle anatomy, but on fiber motion strain, I would like to first look at the cross-section of the left ventricle of myocardial wall. Endo and epicardial orientation of myocardial fibers is longitudinal, where fibers are oblique orientated in the middle wall. And there's a transmural continuum ranging from an angle of minus 60 degrees to plus 60 degrees. And this is because of the double helical structure of the left ventricle of myocardium. Let's have a look on the long axis of the left ventricle. Myocardial fibers begin in this basal subendocardium, descend to the apex, turn around, and descend as subepical fibers back to the base. Between both helices lies the oblique fiber layer in the middle wall. And that's a change from right-handed descending fibers in the subendocardium into a left-handed ascending helical geometry in a subepicalium. And therefore, left ventricle contraction is a complex sequence. And because of time, I'm not going too much into details, since we could talk about fiber orientation and motions for hours. But for clinically purpose, left ventricle contraction can be simplified in four dimensions of motion. First, there's a longitudinal shortening. And second, there's circumferential contraction during systole. And third aspect is a radial thickening of myocardium. And because of the helical structure of the left ventricle, the base rotates counterclockwise, while the apex rotates clockwise during systole, bringing the left ventricle like a towel. And this is the first component of contraction, the so-called left ventricle torsion or twist. And all of the components of contraction can be evaluated by strain analysts using speckled tracking echocardiography, since it's able to measure deformation in any direction. Moreover, while strain describes left ventricle contraction during the systole, strain and strain rate describes relaxation and filling during the diastole. In the next few slides, I will show how this is performed. And first of all, you have to acquire the software. And it depends on the manufacturer of an eco-machine. But irrespectively which vendor you use, or if you use vendor-independent software, mostly these applications need to be prepared separately. And be aware, values generated from different software solutions are not interchangeable. They are similar, but not the same. So as next step, you need the required loops. And for global longitudinal strain, these are the mid-as of a four-chamber, two-chamber and long-axis view. And for circumferential and regular strain, these are the transgustic short-ex views that can also be used for the evaluation of left ventricle rotation. Then the software reconstructs left-track movement from the different views. And the different loops need almost the same hard rate and configuration of left ventricle. You need high-quality images without greater artifacts and rhythm disturbances. And you need high frame rates, usually above 40 frames per second. But this depends on the software. So next, you have to open the software, whatever it is. You have to import the required views. You have to choose the patient and choose the loop. And I would recommend to start with a long-ex view first. After this, ANSYSTOL and ANT-DIOSSTOL needs to be defined. And this can be done based on ECGO by Valve events or both. Using software of our vendor in Cologne, these applications suggest ANSYSTOL and ANT-DIOSSTOL ECG-based. And you can adjust this by defining Valve events when you use the long-ex view first. As a next step, you have to define the region of interest. This is usually a semi-automated approach where the endocardial borders needs to be defined by the operator. And the software generates the region of interest, which can be adjusted manually. Here, I must be taken in to identify true myocardial borders, as, for example, inclusion of the pericardium would lower calculated strain values. Then further analysis of deformation is performed completely automated by the software. And it presents results of analysis. The software generates values for each segment evaluated, as well as averaged values, presenting the results in form of time-strain curve and as mean peak systolic strain. After this, you have to repeat for all the different views. So at the moment, it's a bit time-consuming and you need several minutes for each analysis by this approach. But as often in life, speed comes with repeated practice. And help is on its way regarding fully automated analysis, which are available, but to the best of my knowledge, not explored in the period-operative setting till now. So at the moment, you get values for each evaluated loop and the software averages them and presents results typically in a bullseye view for better orientation of the operator. All in all, it's quite a lot of work, which arise the question, is it worth the effort? So can strain aid in clinical decision-making and what's the evidence in cardiac surgery patients? Is it worth to spend all the time and all the money for additional software and have to say, at the moment, there are no published guidelines or recommendations for the period-operative strain analysis. And the application of this technique is still in its infancy in the period-operative setting, which is even more true for the intra-operative assessment. But there is some evidence and I would like to present you some clinical cases and a brief summary of existing literature. Most data on strain come from trans-traffic echocardiography in a wake and spontaneous breathing patients inside the operative setting in steady state of their disease and mainly global longitudinal strain was explored. There are recommendations for normal and abnormal values for the different strain measures, mainly for the evaluation of healthy individuals. But these are not the conditions of our patients. I think that all of us are faced with a different environment every day during echocardiography. The effects of general anesthesia, positive pressure ventilation, change of loading conditions, vasoplegia and different period-procedural aspects all having influence of more cordial function and therefore potentially on strain. All the strain is supposed to be less low dependent, which was mainly explored in animal studies. This is poorly understanding humans, which is even more true for the period-operative setting. So I come to my case presentation number one, which was a patient skater for isolated on pump cabbage surgery with three vessels disease with preoperative preserve left and right ventricle function without higher grade of diastolic dysfunction and without more than mild viral heart disease and without pulmonary hypertension. And you see the initial mid-asophageal loops of the patient after uncomplicated induction of anesthesia and ventilation without any vasoactive therapy or pacing. 3D volumetry supports the diagnosis of normal left ventricle action friction, which was calculated to be about 55%. But I think having a closer look on the contractile pattern, only seeing both loops, you can see by eyeballing the impairment of longitudinal function, which becomes obvious assessing longitudinal strain in both loops, which is reduced. By completing strain analysis by mid-asophageal long-access views, the systolic global long-distance strain was calculated to be about minus 14%, which is reduced when compared to normal values of healthy individuals. But it is also impaired for cabbage surgery patients and it's a patient at risk for unfavorable outcome. So what do we know about strain in our patients? First, I would like to present you a study from Tenaclan colleagues from 2013, and they analyzed retrospectively more than 400 patients scaled for different cardiac surgery procedures, among them 155 having cabbage surgery, and all of the patients had normal left ventricle action friction assessed preoperatively by transtherapeutic echocardiography. And they found that 40% of their patients had impaired global longitudinal strain. And in these patients, rate of postoperative heart failure, needs for inotropes and mortality was increased, with the ISF facts observed in cabbage surgery patients with a cutoff of minus 16%. Another recent published study from Korea confirmed their results, including almost 1000 patients scaled for cabbage surgery with preserved left ventricle action action friction using also preoperative transtherapeutic echocardiography. They found that in their patient, impaired global longitudinal strain increased long-term mortality with a cutoff of minus 50.5%. And there's far less data for interoperative trans esophageal assessed strain. But I would like to present you the study by Amabilian colleagues who found impaired global longitudinal strain to increase the risk of post bypass low cardiac output with a cutoff of minus 17% in a retrospective trial, including almost 300 patients were scaled for different cardiac surgery procedures. Although there was concern about correlation between preoperative transtherapeutic assessed strain and interoperative trans esophageal assessed strain in the past, we could not find a difference in our own data, which was a study performed by my dear friend Jens Fassel in Dresden, Germany, in cabbage surgery patients with preserved left ventricle action friction without any of us active therapy or pacing. Global longitudinal strain remained unchanged between pre and post anaesthesia induction. So in our opinion, preoperative global longitudinal strain values are comparable to interoperative pre bypass values in patients with uncomplicated course, at least in cabbage surgery patients. So to summarize case presentation number one, I think this patient is at risk for needs for inotropes after bypass for postoperative heart failure. And he has increased risk to die after bypass in the immediate postoperative period or in the long run, even though left ventricle action friction is preserved. And second case, I would like to present you another patient. It's a patient's schedule for isolated surgical orting valve replacement, having severe orting stenosis. And again, with preserved left and right ventricle function and without more than mild other valvular heart disease and without coronary artery disease. And again, you see the initial mid is equal to four or five chamber view and two chamber view of the patient after uncomplicated induction of anesthesia. Without any vasoactive therapy performing three volumetry of the left ventricle, left ventricle action friction was calculated this time to be above 60%. And looking again for longitudinal contraction, I think you see it by eyeballing. It seems to be reduced, which is confirmed by long to strain analysis in both loops and completing whole analysis. Systolic global long to strain was calculated to be slightly above minus 16%. So it's impaired for orting valve replacement patients and it's this patient at risk, periodically, regarding the myocardial function. And again, I show you data from tenacone colleagues from 2013, this time regarding orting valve replacement patients and among them, there were 150. And more than half of the patients with normal left ventricle action friction had impaired global long to strain. And also these patients had increased rate of heart failure, irotropes and increased possible mortality after bypass. And although the highest effects were observed in cabbage surgery patient, this was also significant for patients having aortic stenosis scheduled for orting valve replacement. And the results of tenacone colleagues were confirmed by a prospective single-bladed study from Baleras-Munus, I hope I pronounced it the right way. And they showed that long to strain was related to 30 days post-operative mortality and to low cardiac output. With low cardiac output patients having a mean global long to strain of about minus 14% and patients without low cardiac output of about minus 17% with almost the same standard deviation all measured by trans-terrific echocardiography. And these results are supported by a study from Cleveland assessing strain intraoperatively by trans esophageal echocardiography including almost 90 patients in a secondary analysis or randomized controlled trial showing global long to strain to predict post-bypass onotropic support with an odds ratio of about 1.8 per unit worsening in global long to strain. Interestingly, global long to strain predicted isotropic support where global circumferential and radial strain did not. So to summarize the case two, in my opinion, this patient has a reduced global long to strain as compared to healthy individuals but it's not an additional period of risk regarding his myocardial function. But coming back to the data of sang and colleagues who found that global long to strain predicted post-bypass onotropic support where circumferential and radial strain did not in their population. This is in contrast to the data of Howard Higiana from 2017 and the authors found that impaired strain predicted short and long term outcome including maze needs for onotropes and one year event free survival. And the strongest predictor for outcome was or for worse outcome was impairment of global long to run and circumferential strain. I have to emphasize that they use 3D strain and I'm sorry for this presenting 3D data although I told you I would like to focus on 2D strain but at the moment there's no good 2D strain for this. So there seems to be more than global long to strain predicted outcome in our patients which is not surprising as left vertical contraction encloses much more than just long to normal deformation. This observation supported by a recent study published only a few months ago in a non-surgic cardiac population from Budapest and others included about 350 patients and found that global circumferential strain impairment increased long term mortality even if global long to strain was preserved and again worse outcome at patients with a combination of impairment of circumferential and rate and longitudinal strain. So looking again at case number one with preserved global left ventricle function but impaired longitudinal function which writes the question which is the compensatory mechanism of preventing global function in this patient and changes of left ventricle contraction pattern through change of long standing loading conditions this is not new. This has been already described almost 15 years ago in diastolic heart failure patients as well in patients with severe aortic stenosis but to the best of my knowledge Tsang and colleagues were the first to describe a long internal circumferential and radial strain intraoperatively in anesthesized and ventilated patients scheduled for cardiac surgery but the patients had only small impairment of the different strain measures compared to normal values and healthy subjects. Regarding our own data from Cologne in anesthesized and ventilated patients scheduled for isolated on pump carriage surgery with preserved left and right ventricle function without ionotropic support or pacing global longitudinal strain was impaired while circumferential and radial strain was preserved and left ventricle rotation and twist was even increased and there was further impairment of global longitudinal strain after bypass what was expected while circumferential strain and rotation and twist improved after bypass maintaining left ventricle fracture on the other hand global radial strain remained unchanged during the same period if this observation is related to patients outcome is subject of current investigation at our department so I would like to summarize my talk and would like to say that T transassocal SS strain is feasible it is highly reproducible and automated with unique properties allowing for assessment of left ventricle deformation in any direction it allows to evaluate the entire left ventricle volume through the complete cardiac cycle and you have to be aware there are software solutions for almost every vendor of echocardial machines but there are differences between the values global longitudinal strain is the most explored strain measure today but there is more than just longitudinal deformation and I would like to leave you with future perspective since artificial intelligence is involving all parts of science and society this is also true for echocardial geography and the potential of this technique is increasingly recognized and to be honest the future has already begun fully automated global longitudinal strain analysis was described as feasible, efficient and independently associated with mortality in chronic auto regurgitation patients which is already less DNJs and for me the most important fact regarding the study it was performed with a commercially available software thank you for your attention and I'm looking forward to your questions thank you very much Dr. Levis for that excellent discussion that was quite complex topic