Mae raglun ymchwil ac arloesu fwyaf erioed yr yw'n deb euwrepiau, horizon i gain, i gain, a'r agor ac yn cynnig cyfleoedd i sefydliadau Cymru fod ar flaen y gard yn y byd ymchwil ac arloesu. Mae Crinodeb ystadegol diweddaraf y Cymusio'n Euwrepiau, sy'n rhoi sefydlu ar 31 o fau 2017. Yn dangos bod sefydliadau Cymru wedi llwyddo i sicrhau 76 miliwn euro o galed erbyn hyn. Dyma rai o rychaf fwyafiau. Mae cant 62 o sefydliadau ac unigolion o Gymru wedi cymryd rhan yn y horizon i gain i gain. Mae mwy na 1.600 o enghraifftiau o gydweithredu yr yngladol gan sefydliadau o Gymru yn horizon i gain i gain. Mae'r sector adesg ywch yn dal i fyneud yn dda ac wedi sicrhau pedwar 19 miliwn euro hyd yma. Mae'r sector private wedi denu bron i 1.600 miliwn euro ac mae nim yn un enghraifft o lwyddiant. Nim Biotech is a Life Sciences Organisation based in Abbottolary in Wales. Nim's prime focus is antimicrobial development and we're very proud to be about to be moving into our first clinical trial for a first in class anti-infective. Nim is the work programme leader of the first work programme which is quite specifically focused on the biorefining of active compounds and this is on the basis of Nim's extensive experience in extraction of high value chemicals from plants and plant waste and as well as our extensive experience in the development of antimicrobial compounds. We've been part of collaborative projects for many years and the reason why we do that and the reason why quite specifically collaborative projects across the European Union are so important to us is for us to develop relationships with the leading scientists and leading SMEs in our area that allow us to develop our resources and develop our staff and develop our capabilities. We see this as an opportunity for our organisation to have the right skills and the right partners to bring products to the market. Access to funds through collaborative projects has always been a way of us to be able to develop expertise and the fungus chain project in particular has allowed us to actually hire extra expertise into the organisation that we would not have been able to do prior to the project. It's also allowed us to expand our technical resources and hence beyond this project we now have skills and infrastructure that we can use for other things in the future. At the end of the project we hope to have achieved three outcomes. The first one is to have developed new extraction technologies which is what we've been doing for so many years and what we hope to protect with patents to have discovered new antimicrobials that we can put into our development pipeline for potential future drugs. But most importantly I think the outcome of this project needs to be the fact that we're aiming to use a waste product that's currently being used as a fertilizer that can add significant value to an entire industry.


Hey everyone, how's it going? Welcome back to Nintendo Prime. It's Monday, 11, 1, 2021, the beginning of November. Ho, ho, ho, November. Uh, this is a bit of a special month this month because it is the month of Thanksgiving. You have to see a Black Friday, all that stuff happening. And we are going to be having a very, very, very special giveaway going on here at the channel. You only need to be subscribed to enter. And what is this giveaway? Well, it's a special giveaway specifically to Thanksgiving. So here's what we're going to do. On Thanksgiving, we will announce a winner. What can you win? A couple of things. One, $100 will be donated in your name to a charity of your choice. So you can choose whatever charitable destination you want it to go to. We will need to verify that charity, of course, because I don't want it to be, I don't know, a scam charity where it's just going straight to your pocketbook. So we will do that behind the scenes, verify it, and obviously get the receipt and let you guys know publicly about all of that so you guys can see that the money actually went to a proper place. Believe it or not, there's a lot of scam charities out there. So you got to be careful. But we'll do our proper vetting on that behind the scenes. Now, that's obviously a really nice thing for us to do. Let's give $100 to a charity. But what about you guys? I mean, how does that benefit you? I could just go donate $100 to charity. I don't need your guys' permission for that. No, you're right. I don't. So not only will the winner get to choose where we are going to be sending $100 to, they also will get an opportunity to win their choice, of course, a Nintendo Switch OLED bundle. That's right, a bundle right here. Now that bundle is still being put together. So stay tuned for that. But the bundle will obviously include some games, possibly some accessories. We'll get into that bundle as it comes together. We'll kind of reveal more of that bundle every single week. But just know the winner gets $100. Don't need to a charity of their choice and a Nintendo Switch OLED bundle for the holidays. So even if you happen to already have a Switch OLED or a Nintendo Switch, you can gift it to a friend or a family member this holiday season. You can re-gift it. We've had people want to re-gift when they've won in the past to another user. We're here to just have a jolly good time for you. Thank you so much for all of your support. I'm really glad for that. For other people who are waiting on some of the other giveaways that we've already done in the past, know that it's still happening.  No worry, nothing's been canceled. We're just, you know, we got hacked. I don't know if you guys heard. So things are just still getting reorganized on the scene, but that's a very, very special giveaway. I've been planning this giveaway really for the last few months. So I'm really happy to announce it yet. If you want to win that special holiday bundle, plus $100 to a charity of your choice, let me know. All right, all you got to do is subscribe. Pretty cool. By the way, our October giveaway got extended due to the beginning hacked. So if you still want to enter for one of three copies of Metroid Dread, click any clack down in the description for that. All right, so we have a few stories to amend or add to our earlier video today, which was supposed to be yesterday. You know, that's why you get a twin pack today. The first story is that a game that was previously announced for Nintendo Switch, a third party game that people were excited for was only available as a cloud version because that is what they announced. They said we are going to get Dying Light 2 for Nintendo Switch as a cloud version. Well, a ratings board in Hong Kong has rated three different versions of Dying Light 2 for Nintendo Switch and those versions are the standard edition, the deluxe edition, and the cloud edition. Cloud edition being the one that you have to stream. This suggests that it's possible they are looking into or have hired a studio to do a port job of Dying Light 2. Now, they did release the first Dying Light game, the ultimate edition on Switch last month and that played natively and actually played quite well. And it's possible that while Dying Light 2 is more modern and obviously much more graphically intense, that they have discovered that, hey, just because it's more graphically intense, doesn't mean we can't get it to run at an acceptable rate locally on Switch and they might not have knew that 100% for sure at the time. So while Dying Light 2 does not come out till the next year for Nintendo Switch, it appears because rating boards things are like pretty super legit. They only rate things they actually get their hands on. It sounds like we might be actually getting a localized version of Dying Light 2 and that is always a bonus. Now, I'd rather have cloud versions of games than not have them at all but when an opportunity comes around to actually get it natively on the platform, I want that to exist as well. In fact, one of the sad things about Kingdom Hearts and all the Kingdom Hearts games we have coming, like, yeah, most of those games could easily run natively on Switch. They're just not doing it. For shame on you for that, by the way, you should just do it right the first time. Our second story actually is just to let you know a little bit of an update. If you guys need more pro controllers you're playing, Mario Party Superstars or whatever the case might be, it looks like they have got a temporary or potentially permanent. We'll see $10 price drop at GameStop and Amazon, potentially other retailers as well. We'll put an affiliate link for Amazon down in the description but you can just check it out. Usually when they get these $10 price drops they tend to sell out. So, you know, try to hop on this if you're interested and just want an extra pro controller or need a new one. Switch pro controllers are generally pretty good controllers. I've had my gripes with them in the past but in general they're pretty much the best of the best when it comes to Switch. So, yeah, they're there if you want it. Our last story is just, I feel like we make this story every year and I complain every single year. Nintendo has added something new. They have added something new to the holiday season. That's right, we have a new Nintendo Switch bundle. Woo, yeah baby! Bundle it up! Except we don't. It's the exact same bundle we've gotten before with three months of Nintendo Switch online put in. That's right, they are repackaging up Nintendo Switch OG with Mario Kart 8 Deluxe and three months of Nintendo Switch online. Exactly what they did last holiday. They've been packaging Mario Kart 8 Deluxe in since the very first holiday.  Another way to look at it is maybe they want to clear out stock of the Nintendo Switch base model so they don't have any more and they're just going to have the OLED moving forward for that model. I don't know. They do this every holiday. So I'm making any assumptions other than Nintendo's just doing what they always do is baffling. It's also weird that, hey, it feels like the right time for an Animal Crossing bundle. You just had new DLC come out. You know how much sales of DLC could increase if you bundled Animal Crossing in with new Switches this holiday? I'm just saying, it feels like a really, really intelligent idea which is exactly why Nintendo's not doing it. They're just, it feels weird. This is I think one of the first Nintendo systems that we're now like almost five years in and it's been the exact same holiday bundle. I can't remember another Nintendo platform that every holiday was the same official bundle. It's so weird. But, you know, whatever, what are you going to do? This is just Nintendo being Nintendo. Anyways, folks, thank you guys so much for tuning in.  I'm just really, I like the holiday season in general. October and when it comes to Halloween's actually my favorite holiday. My fiance's favorite holiday happens to be Christmas. I think my mom's favorite holiday is probably Thanksgiving. I think this whole entire holiday season October all the way through December, it's just nice. There's a lot of family time in there. A lot of good grub even though I shouldn't have any because I'm trying to lose weight. But it's just a lot of fun times and a lot of honest time. So thank you guys so much for tuning in. I will catch you guys tomorrow, I think. We might do a live stream still tonight. I don't want to promise anything. So you are getting this video so we'll see what happens. Thank you guys for tuning in and I will catch you in the next video.


Hi, I'm Andrew Fisher and I'm a JavaScript developer and core team member of the NodeBots project, which is bringing JavaScript to hardware. I'm really excited to be speaking at JS Fu about how web developers can start using web technologies such as JavaScript to control hardware in the physical world. This is because hardware and the web are becoming more and more entwined, and as web developers, now is the time for us to start considering some hardware understanding alongside our traditional web dev skills.  After the main conference, I'm thrilled that we're also going to be doing a full day workshop, which will be the first NodeBots event in India. This workshop is going to be really hands on, so if you come along, you'll get to play around with hardware all day, and you'll be able to build and program a robot similar to this, totally from scratch and be able to program it using JavaScript. As part of the workshop, we're going to end the day with a Sumo Battlebot competition to see which team can build the fastest, toughest, and most controllable robot over the course of the day. I can't wait to see the sorts of things that you make at the workshop and look forward to meeting many of you at JS Fu. See you there.


Will there be a Nintendo Direct in January or will it be in February and what should we expect? Do we already know some things? Has stuff leaked out there? Is there information we have to lean on for expectations for this Nintendo Direct? And yeah, we gotta have this conversation for many many reasons because there's a lot of stuff out there. And when we talk about a Nintendo Direct it's obviously important to note hey why should we expect a Direct? Well here's a list of dates that were put up by Paul Gale Network going over most of the Directs whether it was a mini or a standard Direct for the last well decade right around the beginning of the year, generally going from like January all the way through March or April. And as you can see for the most part we've had about four February Directs in a row. We did have one January Direct back in 2018 but in general for the Switch's era February Directs have been kind of the be all end all that's when we should expect it right and I talked about on a recent live stream how I sort of expected to be somewhere between the 9th and the 16th so it's like the 9th the 14th and the 16th to me seem like the most likely dates at least based on the previous dates and that's really cool. There is one reason though to maybe think it could be sooner well two reasons in particular if we're completely honest one is that we know nothing about Tears of the Kingdom and we're having all these rumors that are probably fake and even the Tears of the Kingdom Switch OLED leak yeah that might be fake as well or maybe it's real and if it's real that just says well man we really should get this Direct coming soon but even if it's fake it's still one of those hey are we really gonna wait till three months before the game come out to start marketing that feels weird right it kind of feels like we should have started this marketing train last year and we still haven't really gotten it going so maybe they will start it in January and that wouldn't really be abnormal but what makes people think we might have one this month is really all about a supposed leaker with 100% track record over on reddit that said hey uh you know are you primed you should be primed and that made people think about Metroid Prime HD or Metroid Prime 4 and apparently this leaker additional information since that video that I made earlier last week this leaker apparently only releases information very close to when we're going to get it now we could get just a twitter drop Nintendo has been doing twitter drops like the bayonetta 3 release date was a twitter drop but we do seem to be backed into more of a traditional marketing spin in general over the last year and it's possible that this indicates a new direct is coming soon now we don't have any like Nate Drake's or any of the classic Emily Rogers and stuff out there telling us that one is coming soon they're kind of staying quiet for now although I believe uh Nate the hate studies got something coming around one of his upcoming podcast episodes we'll talk more about it but there's also things to talk about beyond the date like we could talk about how okay maybe it'll happen after Fire Emblem Engaged comes out we have an entire week there it could be Fire Emblem Engaged wraps on a Friday then the following Thursday it's still in January and we get a January direct it could also be up to the middle of February like I expect it to be but the date is less important to me than what's going to be in this direct and we talk a lot about tears of the kingdom right that's the one thing that we expect to be in this direct after Fire Emblem Engaged is sort of their next system selling game and there was an update to a patent that we saw back in 2021 you guys remember that patent that showed Link falling through the sky and shooting arrows and apparently having fighting you know combat and showing some of the other mechanics that we've seen in the trailers which is why we know that this is a tears of the kingdom patent well it had an update about a month ago and this update added something uh really interesting it detailed how the air combat works with shooting arrows and essentially it's just you move your camera in a certain direction with you're looking down looking forward looking left right behind up etc and then you select an action in this way it's probably drawing the bow and then it'll fixate in that area and then you can kind of do like this whole thing and shoot at a pre-selected target which kind of made me think of z targeting being involved possibly in this combat in some way but then to change like from from shooting this way to diving shooting down or shooting on your back and going up you would obviously you know put the bow away then move the camera then bring it back out and it sounded a little clunky just reading about it in a patent but this was an update to the patent that wasn't in the original one so yeah you see that update you start to get an idea of how this aerial combat could work and you go tears of the kingdom man we're going to be seeing some of this aerial combat soon this is going to be insane are we going to fight dragons midair i hope so what interests me is what else could be in this direct and there's been a couple other patents that well at least one other patent i think is worth bringing up there seems to be a patent for a rhythm game that involves the ring fit adventure ring and strap which makes you think it might just be a ring fit adventure two that could be a thing i'm a rift adventure so 15 million so expecting that i got to give credit to mike odyssey for finding that patent it actually was published on december 29th so it's quite recent but yeah so that could be a thing potentially to expect as a ring fit and i know some people are already expecting metroid or some sort of metroid stuff i don't know that i'm going to go that far but hey you know what if what this leaker was saying on reddit and he is credible then sure maybe that's a thing we also know that nature put out there at zero 2023 is going to be a year for f0 he didn't state if it was going to be remake remaster new game i'm assuming it'll be a remaster of f0 gx for gamecube because emily roger said we're going to get a bunch of gamecube remasters but look we don't know anything definitively there are some things that are probably safe to expect as an example we should expect the direct to happen by the end of february that's just tradition right that's that's the way it's been through most of the switches era all right not only should we expect it to happen by the end of february we should expect there to be something like splatoon 3 dlc there look splatoon 3 came out last year usually around this time they announced dlc so it would make sense for the dlc expansion pass to get announced to release later on this fall or winter around the holidays we could expect pokemon scarlet and violet dlc to be in here we could see fire emblem engage dlc which is already announced appear in here we could also see marikard 8 deluxe wave 4 now they have you know announced wave 1 at the february direct so it makes sense that they announced wave 4 in february and have it come out in april that puts them right on pace with the way they handled things last year so those are some base expectations that may be a ring fit or something but obviously what people want to know is where's the major games because we have that rumor out there that zelda is it it is the final major system seller i know pikmin 4 everyone i get it but pikmin 4 struggles to sell a million copies so i get why the people who said this don't consider pikmin 4 to be a big deal look i think that we are in for a treat i think we're going to see a bunch of big games revealed i think what did they pay attention to is do they still still throw the switch logo at the beginning of those reveals so say a new mario game is shown off is a switch logo at the start i don't know if it's not does that mean something i don't know but it definitely brings up the speculation on the hardware front and the reason i'm mentioning hardware isn't because i think it'll actually be revealed at this direct they generally don't do hardware reveals at direct like they'll do like special editions but they don't reveal like the switch light or the switch OLED or you know whatever's next they don't reveal that stuff at directs they always do their own events but what i find interesting in thinking about that just for a moment is we know nintendo has something going on they told us back in 2021 when they announced that they have a billion dollar investment in game development research and development and hardware development a billion dollars which is the most in nintendo history and at that same event they literally said that nintendo accounts and all this were going to be forwards compatible to whatever the next hardware was they said this in 2021 and we're now in 2023 they weren't saying that in 2021 because they weren't making plans for what's next they already were making plans for what's next remember that was the oh they said we're in the middle of the lifecycle for being in the middle of the lifecycle they sure as heck were willing to talk about what's coming next and some of their future plans and bringing nintendo accounts and other things forward compatible so look i'm not saying it's going to be at this direct but if it is i don't know i'm just i i'm just throwing out that the nintendo sort of told us that we're sort of in the area to expect to hear something eventually of course could be till 2024 i have no idea nintendo switches at eight of the top 10 games in the uk last week they're still dominated in japan obviously we know playstation and xbox jumped ahead of switch during the holidays here but maybe now that we're in january fire moment gauges coming out of course playstation has a big game coming out too and forespoken but hey maybe switch ends up surging ahead this month i think switch could surge ahead obviously in may but again switch was the best-selling unit in the u.s last year despite not winning the holidays so there's a lot of reasons to keep switch going from a sales perspective there's also a lot of reasons to maybe get new harbor out there and keep the momentum going there's also a lot of reasons to expect a billion things at this direct because once once we're past zelda we know about pikmin 4 metroid prime 4 and that's it we don't know about anything else and we have no idea when metroid prime 4 is coming so i want all of your guys's comments on this down below i don't know definitively what's happening one way or another i can really only speak for myself but it just kind of feels like we're in that mode now where nintendo director's coming sometime in the next you know i don't know 50 days or so maybe less 45 days or less and we're gonna start seeing a lot of rumors and stuff start coming out about the dates and about this and that and we'll cover that stuff as it happens i also want to remind everyone that when we talk about rumors and leaks to remember that unless it's verified like if a leak is a verified leak and what does that mean a verified leak would be something that we can confirm definitively beyond a doubt to be an actual thing the gameboy stuff as an example leaking from nso last year that is literally something that can be proven and verified things like the tears of the kingdom switch OLED leak is unverifiable information so you should remain extremely skeptical and anything listed like that you should be skeptical about maybe even doubtful and anything called a rumor you should remain skeptical and doubtful for as well no matter how excited i and others might get always know in the back of my mind i'm not going to get disappointed over something not happening when it was never promised a rumor slash leak is not a promise it is not an announcement it is a possibility as long as we keep that and we keep that mentality for the rest of this year i think we're gonna have a lot to be excited about and a lot to be excited about so yeah and hey guys i i told you guys a little snippet on tears of the kingdom combat today that nintendo hasn't even shown us yet pretty cool huh and it came from nintendo kind of weird that i'm learning about how some gameplay works with this game from nintendo without nintendo actually show we know it's the gameplay yeah we're a little overdue to see tears of the kingdom nintendo come on now you just give me a give me a trailer on twitter i don't need a direct right guys i'll catch you in the next video


Welcome everyone to another edition of Crisis Conversations, live from the Better Life Lab. Here we gather to share stories and try to understand as the pandemic and now the widespread racial justice protests are unfolding across the country to try to understand what's happening, but also try to learn what's being exposed that isn't working, that we can learn from and emerge from this better, more equitable and stronger. So today we're going to be talking about the future of medicine and really looking at telemedicine. I'm so excited that we have this amazing panel today. We've got Amanda Williams, who is an OBGYN and the physician maternity director for Kaiser Permanente in Oakland. We've got Lucy McBride, she's a primary care physician who writes a daily newsletter on COVID and physical and mental health, which is excellent and I read it every day. And we've also got Minna Raj, she's an incoming assistant professor at the University of Illinois Urbana-Champaign who researchers family caregiving and health and information technology.  When I was first talking with Lucy and she said, we really should do something on telemedicine and the future of work, I thought, or the future of medicine. I just thought, well, we look at work and care issues. We look at family issues, gender equality, equity across race and class as well. What does telemedicine have to do with any of this? So let me turn it over to you, Amanda, and make the case. Why is this so critical for equity in work and care systems? Well, thanks so much for having me. This is a subject that is very near and dear to my heart. Both as someone who's committed to racial justice and in particular within the area of medicine and shrinking health disparities. And it's my body of work. So what I'm doing is trying to redesign prenatal care for Kaiser Permanente in Northern California, where we deliver 45,000 babies a year. So it's exciting. We try to have what are the cup half full moments in COVID. And I'd like to think of this as one of them, because we have to do more virtual care prenatal care in particular in women's health in general is a time when people come into the office a lot. And so we have to ask ourselves what can be done remotely, what can't be done remotely, and what are the factors that are impacting women's ability to have those appointments. So do they have broadband high speed internet at their house? Do they have smartphones? Do they have any place private to talk about their issues? We know that we're very concerned about family violence and child abuse in this era also. So there could be some risk associated with telemedicine. On the flip side, there can be huge benefit. People don't have to take time off of work. They don't have to come in and commute and park. They don't have to find childcare for their children, even though trying to work, take care of your children, see your doctor at the same time is tough. But we don't know which way this is going to go. So we have to be really conscious every step of the way is we're designing our care delivery in the telehealth space. What is the impact going to be on marginalized patients and across the race and ethnic divide?  I mean, is it still a fairly new kind of thing, right? So what do we know about how it impacts equity or patient care or work and family systems? Do we know much about it or is it still so new? We don't know a whole lot yet. Well, we don't know a whole lot yet. And in particular, we don't know much about the race and ethnicity side. Inside of Kaiser Permanente because we're a closed system, we will know a lot because we do have that demographic data about our patients. But we're still in the very early stage of interviewing patients and docs. And then in the maternal health space, we have no babies being born yet because this is all very new. So we don't know about our longer term outcomes. But the key is as we're doing this design, because COVID is not going away tomorrow, we're going to really have to think about these systems. We have to keep that consciousness around what is this going to do in terms of disparities. So well, thanks so much for that, Amanda. And let me turn to you, Lucy. So this is something that we've had really some very interesting discussions about. And you've also had some incredibly intense experiences around telehealth and telemedicine during the pandemic and not just around physical health, but also mental health. Can you talk a little bit more about that? Sure, Bridget. And thanks again for having me.  So yes, as you know, and I think many of your listeners know this is a mental health crisis as much as it is a physical health crisis. Americans are suffering collectively with grief and loss and trauma to varying degrees. And so because our mental health affects not only how we feel day to day, but it directly affects medical outcomes. There's no shortage of data to show that our emotional health and our behavioral health, and of course, layered on top of that is our social determinants of health, affects our medical outcomes in very real ways. It's essential that primary care doctors and doctors in general understand that intersection. And for many people in the pandemic, for my patients, telehealth has been a lifeline. As Dr. Williams said, it's not a panacea. I mean, not everyone has access to a smartphone or internet access, but for people who need support physically and mentally, it is offered a new avenue. I think it's going to be here to stay. I don't think it's ever going to replace individual one-on-one face-to-face care. And actually, as Dr. Williams and I know, the foundation of my work with patients is the relationship. The relationship between patient and doctor is crucial. And so, you know, that is not going to be replaced by virtual care. However, it's going to augment existing care. For example, I have a patient who lost her husband to COVID during the pandemic. I would not have been able to have the end-of-life conversation that I did with that family from their home pre-pandemic, because now we have these virtual platforms and insurance companies are loosing regulations to allow these visits to be paid for similar to what they would be in person. And then this patient of mine who is going through natural grief and trauma, losing her husband on top of the pandemic, is able to, for the first time, access a grief counselor remotely. And that is something that is not only important for her day-to-day feeling, but it's going to directly affect her medical outcomes. And that is what gives me hope for our future. What was that conversation like, you know, pre-COVID? How would that have gone? And how did that change? Or how was that different having to have such an intimate conversation over kind of a technology platform? Well, it is interesting. I mean, first of all, the patient who was at the end of his life could not have made it physically into my office. But I was able to have an hour-long conversation with him on a virtual platform and his family surrounded by his bedside and talk about very important, you know, decision-making that pre-pandemic wouldn't have been covered by his insurance. Now, I probably wouldn't have had that conversation anyway, but, you know, doctors need to get paid for their services and mental health providers need to get paid for their services. And pre-coronavirus, the regulations were such that insurance wouldn't reimburse for care that wasn't face-to-face. And particularly for mental health issues, you had to have a comorbidity. So in other words, if you had an addiction, like an alcohol addiction, your therapist would only get paid if you also had diabetes. So those things need to change and need to change, you know, here on out.  So that's interesting.  So has it really been an insurance issue that we haven't, that this hasn't really taken off before now? And what is changing as a result of the pandemic? Well, I will take a step back and say that I do work inside of Kaiser Permanente. And so our reimbursement models are different than in most of the fee-for-service world. But yes, part of the story is reimbursement and that it's also familiarity and comfort, both on the physician side and also on the patient side. As Dr. McBride and I have talked about, it's with existing patients, people who you know, people you have a relationship, the transition to virtual visits has been very smooth. But for new patients, it's a little harder to make that connection. I think that's why video is critically important because you get to see people's faces, you get to see their eyes, their expressions. I actually highly suspected pre-eclampsia, a severe implication of the end of pregnancy on a video visit because I saw that the patient's face was very swollen. Oh wow.  What is going on about this fluid retention? And so I brought her into the hospital for assessment when I was just doing a video visit at home. Wow. I think the video component really makes a difference and Medicare has recently just said that they will start now reimbursing for video visits.  And so I think that will help shift the perspective and then people are using it for their work. And so as folks are more comfortable using sort of distance work in general, they can then apply that with their health as well. Great. So, you know, let me let me turn over to you now, Minakshi Raj. You've been doing some really interesting research at looking at this intersection of telemedicine virtual care and family caregivers and aging populations. Can you tell us a little bit about your research and what you're finding particularly now in the pandemic? Sure. So, so my research is really driven by the fact that family caregivers are becoming more involved in a wider scope of activities and intensity of those responsibilities for caring, especially for older adults. They're increasingly involved in medication management, healthcare visits, making decisions with or on behalf of their older relatives. And so my questions that I ask in my research are, you know, related to how do we better involve family caregivers and integrate them into the healthcare setting so that we can alleviate what we've been calling a caregiver burden. I think we call it a burden and it's really something negative but I find in some of my other research asking caregivers, what does it mean to be a caregiver that they actually see it as an honor, they see it as love, they see it as the right thing to do. So, health information technology like telemedicine, like the health record, is a great opportunity to involve family caregivers. So, in my research I try to understand how do we make that happen what are some of the policies that we need to put in place and what are some of the practices that physicians and other clinicians may need to adapt to in order to, you know, to be a caregiver to a healthcare visit what does that look like, how would that work. And so, in the past few months I have fielded a survey statewide in Michigan to family caregivers of adults 60 and over. And just to learn more about some of their experiences as being a caregiver and then also their experiences with telemedicine. And so, you know, one story that stands out to me from a response and a message that I had back and forth with a caregiver was, you know, she she comes home from the grocery store is a caregiver for her partner, and wipes down the floor of the garage once she enters wipes down every item that she gets from the grocery store brings it in wipes down the entire house all the floors in order to keep her partner safe. And so, this is the experience of someone in the same household. I also hear experiences of caregivers from different households that haven't been able to see their care recipient or their older relative for months, and they have no idea what's going on. And for them being able to participate in healthcare visits would be comforting. And it would also help them help physicians and other practitioners to provide better care to their older relative. You know, I'm wondering, you know, you talk about the role of the family caregiver, you know, we've also explored home health and how that so much of, you know, in recent decades, there's been a movement trying to get sort of move away from some sort of nursing home care to be able to have more home care, which then, you know, then you do rely more on family caregivers or professional home caregivers. And so I'm wondering, you know, you talk about that caregiver burden, you know, once it moves into a virtual setting or a telemedicine setting, does that make things, you know, easier or better for, you know, for both the care of someone who needs like an elder person, an aging person, to make it easier to get that care if you don't have to, you know, as Amanda was saying, you know, kind of slip into the office.  You know, the mobility is so restricted. So can you talk a little bit about kind of the opportunity then that being able to connect virtually, you know, what are the benefits then for people who are trying to have care at home and how could family caregivers be involved in that? Sure. So one of the biggest barriers to telemedicine that I'm seeing among family caregiver respondents in the survey is that their older relatives in a different household don't necessarily know how to use the technology. Or they're frustrated by the fact that they can't establish a relationship with their doctor in the same way that they would if they were able to go in person. And so I have a couple of caregivers in my survey who have driven 150 miles to get to their relative's house in order to set up the technology. Wow. And it's unclear after that. They said, you know, I wasn't really sure if I was invited to be a part of this healthcare visit. So I drove 150 miles and that's perfectly fine. But what next? I think caregivers are likely to have an extended period of concern about transmitting the virus to their older relatives. And I think they're likely to keep social or physical distancing from their older relatives in order to keep their relatives safe. So for that reason, this period of what we call the digital divide might persist even longer where older adults may not be able to access the technology, family caregivers are trying to be involved, but aren't necessarily able to be in person to assist in that way. So Amanda, you know, can you talk a little bit? I see you kind of shaking your head. Talk about the sort of this virtual experience in the prenatal space. So as you probably read in the news, there've been lots of restrictions around hospital visitor policies. And birth tends to be a time that's community, family engagement. And we've had to severely limit in New York actually for a while. There were no visitors at all, not even partners. That quickly went away. But we do now, even on my own hospital system only have one person allowed to be there. And so people often make that hard choice. Who do I want? My partner or my mother, my partner or my doula. And, you know, I'm not going to comment on right and wrong choices and who might actually be helpful. But that's tough. And that's not what we want. That is not ideal for birth, but being able to engage people through using different technologies, especially grandparents. My grandparents want to be there and they are the most at risk. And so trying to have, you know, zoom set up in a prenatal appointment or doing FaceTime at, you know, at the time of birth so that the grandparents can get there. I think it definitely helps, but it's not ideal. And for in the future, though, for long distance relatives, I think it's fantastic. We have the ability with our video visits to get a third person in. And so we use it for interpreters, but you can also use it for, you know, my mother who lives in New Jersey and be on at the same time as the pregnant patient partner. So it is a really nice opportunity for the future in terms of engagement far away family members. But it will be nice to be able to have folks back in the room. Absolutely. I can't imagine how lonely that's got to be for so many patients who've had to go through such incredible, you know, life transitions. Like you say, birth is so joyful or in Lucy's case death, which is, you know, again, an important time for families to come together. In a very painful kind of way, but so important to have that community.  Can you talk about what you mean by that? Sure. I mean, as you know, and it's nice to hear my fellow panelists agreeing that that healthcare reform, which, you know, held center stage before the pandemic is even more of an urgent issue. Now, I mean, we're seeing that the problems, the fragility and the fragmented nature of our healthcare system has been laid bare. And so, you know, of course, the wreckage on, you know, people's health and emotional health and the economy is huge, but we can also use this moment to re envision what healthcare should look like. And, you know, telemedicine offers a wonderful potentially it's not again not a panacea but it offers this opportunity to meet people where they are. I mean, part of the problem with primary care and OBGYN is primary care, paedric's primary care, which I am and paedric's are primary care. They are the first line of defense for outpatients or people who are not hospitalized. People come to me first for their, you know, everything from their heart disease, their diabetes and their depression. We need primary care to work for patients and patients need a medical home and a hub for problem solving and not just gatekeeping. And so if the home, the medical home and there's no shortage of research on, you know, numerous studies have shown that states with a higher ratio of primary care doctors tend to do better other countries that prioritize the integration of behavioralists, social workers and patients working together do better and save money. What I hope is that primary care in various, you know, areas of people's lives, whether it's gynecologic pediatric or internal medicine will be a place where families can be a part of the decision making where social workers can be a part of the decision making where geriatric care managers can be a part of the decision making. And then the telemedicine offers a way to integrate all those voices to best care for the patient. I mean, and this is our moment, this is the moment to think about change and to think about all the flaws and all the barriers for people who need care from, you know, access to payment but also, you know, just treating their whole person so many of my patients, by the time they're 80 have a doctor for everybody part and no one's talking. And my job is really to integrate right it's like you have a foot doctor and arm doctor toe fungus doctor cardiologist and my job is to integrate those people communicate with the patient communicate with a family, communicate with all the relevant, you know, stakeholders. And that's what care is.  We can augment care by looping in other other people in that person's life. I mean, we all have, you know, families and homes and lives and social determinants that very, very importantly inform our health and our health outcomes that need to be brought in. Amanda, you're saying that teams are essential. Yeah, I love that idea that we've kind of got a specialist for everybody part. You know, what, when we talk about the future of medicine, what what teams. What kind of role does that play. I mean, that's really the direction. I think we need to go and Lucy certainly alluding to it. So we need to have not just the physician but the physician then needs the associated health educator or social worker or behavioral medicine specialist. It's not just a gatekeeping to referrals. It's actually the ability to work as a collaborative team to see more of the whole patient so that you don't end up as she was saying a doctor for for everybody part. And I think reimagining not just taking our existing care and putting it into a virtual format, but actually rethinking how the care is delivered and what people need to be healthy. As opposed to what we need to fix their ailment really big mental framework shift, but this might be a moment, take advantage of where people are and shift our perspective. I love that idea. Let me ask a question Nina we've got a question from Heather, one of the participants she asked can you address how working family caregivers need different types of support from their own employers now. And as we move through COVID and what would you ask of employers to support their employees who are caregivers. Sure, so I think that's a great question. I think the in terms of caregivers who are employees I think an important thing for employers to recognize is that we rely on a lot of data that assumes that caregivers identify as being caregivers. So, I think Rosalind Carter said we're all some sort of a caregiver at some point we receive care and at some point we care for someone else. And employers I think can begin to recognize that caregiving looks different depending on who you are or where you are, you might be advocating for your relative or you might be helping with language. If you're older relative or any adult relative receives a recommendation that they don't really understand because of a language barrier. You might be the person that's helping them follow that recommendation. And so I think first, we need a wider recognition of what caregivers are doing, and that many more people may be caregivers and what we realize. And the other thing is to recognize that caregiver health is intertwined with care recipient health. So, many of these family caregivers are so are stressed physically mentally emotionally. And we need to realize that their responsibilities as a caregiver ultimately have implications for their own health. So in order to support employee wellness, we need to also make sure we have policies in place that help caregivers support their their relatives. Absolutely. Well, we're coming down on time. So I want to go to some closing thoughts. But as I ask each of you for kind of closing thoughts on the way forward, I want to keep a couple things in mind. Lucy, you had talked about we've, you know, this is a real opportunity and Amanda, you as well that this is an opportunity to really redesign, rethink, not only how we think about care, but medicine and medical systems. And I think we can't possibly talk about the future of work without talking about the fact that tens of millions of Americans have now lost their jobs or furloughed their unemployed, they're out of work. And as such, because of our system tying healthcare to jobs now are out of health insurance and do not have the access to get care to get, you know, this wonderful holistic, you know, teen care rather than a doctor for everybody part. They don't even have access to something like that. So how can we, how can we move forward really redesigning health and medicine top to bottom. And the other question we've got from Josiah St. Julian, who is our wonderful program assistant. It's like, you know, what role can telemedicine play in addressing health, racial health disparities. And how can address some of the structural and social determinants and barriers that affect racial disparities and health outcomes. So I know that's a, that's a lot for closing thought, but you know, we try to cram a lot into these half hour conversations. So, you know, Amanda, I see you laughing, you've got all the answers. So tell us where we go from here. Um, so I could talk about that for about half a day. That's a little, a little troubling, but I would say this one, when designing any kind of program or policy, or even a healthcare delivery vehicle, every single time, ask yourself, and that's a collective view. Am I going to worsen health disparities across racial and ethnic side. We know that they exist. Everything you do keep that in mind. Next, to think about how telemedicine might be helpful. So to be help patients get set up if they don't have broadband internet, let them know where there is free wifi. Do you want to lend somebody an iPad for their pregnancy to get through their appointments if they don't have it. You want to provide blood pressure as opposed to hoping that they'll go by the pharmacy. So to think about what do we need to help facilitate. And then lastly, I hope that we all keep working on these racial justice issues, even when they stop trending on Twitter. So we work terribly hard in this country to control diabetes to control high blood pressure to get early prenatal care because we know that it's associated with real health outcome. This injustice is not just a political issue or social issue. This is a public health crisis that kills people. If our job as caretakers and as physicians is to save lives, we must address this and keep using that public health lens as we advocate that this is not talking politics at work. This is helping people live their best lives, which is what we're supposed to be playing. Mina, what are your thoughts and how do we move forward? I actually had exactly the same thoughts as Dr. Williams not so eloquently said, but I think first definitely healthcare and public health will need to do a lot more outreach to figure out where patients are and how we can meet them there. And I think the other side of it is also, you know, we really need to understand what these inequities look like and where they're coming from and the upstream solutions to them. We need to think of public health and healthcare as being hand in hand and complimentary. And so I think that will be helpful going forward. Awesome. So Lucy, since this this episode was brought on by by our conversation initially, I'm going to give you the last word. Okay. Oh, wow, that's so nice. My husband would love to hear someone else say that. So, so I agree with what my other two panelists have said, I think that as Amanda said, the disparities along racial lines and along gender lines in the pandemic are atrocious. And this is yet this is not a new issue.  And the fact that they have the higher tendency to have the diabetes high blood pressure and heart disease that make them even higher at a higher risk for negative outcomes from COVID. So then you add on the trauma they're experiencing have experienced, you know, again, not just since this was trending on Twitter but for for the since the beginning of time unfortunately. And so my message is really and my hope for the future of medicine is that mental health is treated co-equal with physical health, that we address the very real trauma that the black community is feeling right now that people are feeling in general, particularly the black community of course right now, and that we weave that conversation about trauma, acute and chronic, because it affects the very underlying conditions that put people at higher risk for COVID. So, you know, we have a lot of work to do. We have a lot of, you know, peeling away the layers of the onion to get at root causes and we need to address people in a holistic way. And that's my hope for the future of primary care and medicine in general and we'll see how it goes. All right. Well, we'll leave it there. There are lots more to talk about, lots more to fix. But thank you so much to Lucy McBride, Amanda Williams, Meena Raj. Thank you so much for coming and being on, being part of this discussion today. I want to thank all of the participants. Thank you for sharing your stories and asking questions. Also want to thank the New America Events Team, the Better Life Lab team, David Schulman, our producer. So we're going to take a break next week and then we'll be back with more episodes of crisis conversations where we're going to be exploring pregnancy discrimination, much more about childcare, much more about how the next bailout should really focus on women and communities of color. So thank you so much for tuning in, for being part of this conversation. Wash your hands, stay safe and we'll see you in two weeks.


My new book, How Not to Age, is now available for pre-order. If you plan on buying a copy, please do me the favor of pre-ordering. All pre-orders count towards the first week sales, which factor into the New York Times best-sellers list calculation. So the more pre-orders How Not to Age receives, the more likely it'll make the list, which will help expose millions to the message of healthy eating. In fact, the book lands on December 5th. Perfect timing for holiday gifts for everyone in your life who you want to live long, healthy lives. Please consider getting some of your holiday shopping done early by pre-ordering a whole stack. And of course, as always, all the proceeds I receive from all my books are donated directly to charity.


Hi, thank you all for coming here. This is very very exciting to have something so early you have so many people and so much interest I'm very very excited We are planning another one of these probably in October probably ten times the size so we'll see hey Just doing intro. Don't worry about it Okay, so like I said, thank you so much for coming first the most important thing back. I'll yow back out Yeah, that's how you say it. It's like a why ish thing in the middle there. It's not an L It's Portuguese the reason it's called the way it is is because we came up with the idea for cod compute over data In Portugal or that that was this project obviously the computer where data has been thought of it for a long time And here we are okay So over the course of the day you're gonna hear a ton of stuff It has been planned out the overall agenda has been planned out I am a hundred percent sure at some point in the day You're gonna have a question like wait, what about partners or I don't understand the technology here What the hell's going on we have attempted to resolve all these questions that said it is supposed to very much be an interactive session Don't expect us to be like a deeply packed day. There's lots of content You should feel free to step up, but we really have tried to answer most questions You have people from all over the world here who couldn't make it so they'll be streaming in as well Just FYI nothing we are recording this but like we're not necessarily publishing it So feel free to have them, you know open mic and so on some work. The other things are we have dinner tonight That is Carolyn and this is in this building or okay? So dinner's in this building So again, you can chill here and use the space We also have dinners the next two nights as well. So please hang around There are two things that I want you thinking about as well though over the course of the day Right, obviously we want everything with notes and all that kind of good stuff So everyone cool any questions before we get going? All right, man of the hour one. Would you like to come up and give us a little history?


Hi everyone, Megan Cox here, and today we will be exploring how you can use your iPad to create small screen recordings for students. These screen recordings could serve as quick tutorials or demonstrations for both parents and students, or it could work to show small lessons to share with families. To use your iPad as a recording device, you will first want to access the settings app on your iPad. Once you get here, you need to find the setting options for your control center. The easiest way to start a screen recording is to customize your controls. Here you will have several options that you can add to your quick access or control center. Notice mindset screen recording is already included. If yours does not, you will just simply scroll down until you find that and tap the plus sign to add it to the functions above. Once you have done that, you can exit out of your settings. Depending on your iOS version, your control center will either be swiped up from the bottom center or for newer versions from the top right hand corner of your screen. Here you will see all of the things you have activated. Notice because I am recording, I have a red circle blinking. Normally you would just have an icon for a circle. To record, you simply tap that circle and it will count down three seconds and begin recording. To stop, you go back to your control center and tap that same button. One thing to note is if you want the ability to turn on your microphone and use audio, you will have to force hold or press the circle before you start and turn on the function for your microphone. When I force hold, I can turn on and off my microphone or because I am already recording, I can stop my recording. Thanks for tuning in to this video and don't forget to follow, subscribe and like us on our social media platforms.


Hi, welcome to another 12pm tutorial. Today's tutorial is going to teach you how to use Skype, a popular instant messaging and voice over IP program, along with G-Pass in order to access the internet securely. G-Pass is a free tool that will use a SOX tunnel through Skype in order to protect your identity while you browse information online and also allow you to access content that might normally be blocked in your area. The installation of G-Pass is pretty easy. All you have to do is download it. Let's do that now. Open up a web browser and go to www.gpass1.com. Take a look around the G-Pass site if you want and when you're ready to continue, click the button that says download. On the downloads page, select the green link after G-Pass 4.1.0 that says exe file and save that file to your computer. Now we need to get Skype. If you don't already have Skype, go to www.skype.com. Run your mouse over get Skype and then select windows. Scroll down this page a little bit and click on the button that says download now. If you don't have a Skype account already, fill in this information and click I agree continue at the bottom. If you do have an account, click the sign in tab and sign into your account. I'm going to do that now. A download window will pop up on the next page and allow you to save the install file to your computer. Now I'm going to close these windows and go to where my file is downloaded. First I'm going to move the G-Pass file onto my desktop and then I'm going to double-click the Skype setup file to start the installation process. Here you can choose your language and then select I agree install and continue the installation. Follow along with what you see me doing in order to complete the installation. Now that Skype is finished installing, it is going to ask me to sign in. I'm going to enter my user information and click sign in. This is Skype's user interface but we don't have to worry about that for the tutorial so I'm going to minimize it. Now double-click the G-Pass icon to launch the program. This is the G-Pass user interface. Under tunnel status you will see that all the options are grayed out. Reports from the web indicate that G-Pass servers have not worked for people since 2008 so it will not connect no matter how long you wait. But that's okay because G-Pass built in other ways for you to use the program in order to access the web securely. Click on options. Under the general options I'm going to check these two boxes for added security. Now click on the tunnels tab. Here you will see options for G-Pass, Skype, Tor and Sox 5. Click on the options for Skype and read the information that pops up. This will tell you that you have to allow G-Pass to use Skype. However you don't have to do anything with the newest version of Skype because it will pop up a window and ask you to allow G-Pass to use Skype. Here's that window. Go ahead and click allow access. Under tunnel status you should now see the words encrypt channel via Skype. Once the gray bar below that says ready then you can securely access the internet through G-Pass. Double click the browser you want to use and it will open up and automatically connect to internetfreedom.org. While this page loads I'm going to show you something. First I'm going to open up an unencrypted web browser. Now I'm going to go to www.checkip.org. The number you see here is my unencrypted IP address. That means that I am viewing the web through an unsecured browser and anybody can see what I'm looking at. Now I'm going to close that window and go back to the encrypted browser. I'm going to go back to www.checkip.org. The number you see here is different than the last one. This is my encrypted IP address meaning that nobody will know that it is me looking at information on the web. Okay I'm going to minimize this window. I minimize G-Pass but I want to bring it back up. In the lower right hand corner of your screen you'll see a miniature version of the G-Pass icon. Click on this icon and it will open a menu. Click on Show G-Pass window to bring the user interface back up. That menu will also allow you to launch the applications and also exit G-Pass. To exit G-Pass simply click the exit button. Now you know how to use G-Pass with Skype.