Process thinking is a way of interpreting events in terms of the processes of change that create them. It focuses on the nonlinear dynamics of change over time that create certain patterns out of which events emerge. Process thinking involves considering phenomena dynamically, that is to say concerning their movement, activity, events, change and temporal evolution. Ludwig von Berzelanffy noted how systems theory related to Heraclitus' perception of Panta re, meaning everything flows. He wrote, from the Heraclitian and systems view structure is a result of function and the organism resembles a flame rather than a crystal. Such an approach to the understanding of phenomena draws its inspiration from process philosophy. Process philosophy is based on the premise that being is dynamic and that this dynamic nature of being should be the primary focus of any comprehensive account to how the world works. This paradigm draws on a tradition of thinkers from Heraclitus to 20th century process philosophers such as William James, Henry Bergson and Alfred North Whitehead and many more who all in various ways viewed reality in terms of ceaseless change, flux and transformation rather than a stable world of unchanging entities. Process thinking is a central part of the systems paradigm. Systems thinking is process orientated in nature where the world is perceived in terms of processes of change instead of static events. It adopts a more process based ontology meaning that within the systems paradigm objects are not seen to create change through direct cause and effect discrete interactions but instead processes are seen to have internal patterns that generate and condition individual events. This is an inversion of our traditional conception that sees objects as having precedence over processes of change. And thus process thinking can be contrasted with our more static way of thinking that sees events as generated by linear cause and effect relations between a systems component parts. Even though we experience the world as continuously changing, the modern analytical paradigm has long emphasised describing reality as an assembly of static events whose dynamic features are taken to be ontologically secondary and a derivative of the interactions between the elementary parts. The analytical process of reasoning that breaks systems down to understand their individual parts leads to a detailed description of a systems constituent components and a static understanding of its structural properties. Systems thinking is focused on open systems within the context of their environment. A key consideration is how systems change with respect to the changes within their environments. This leads to the idea of adaptation and evolution where changes in the environment feed back to affect the system which must then adapt to these changes. In this way the system can be continuously evolving to meet the changes within its environment. The analytical approach in contrast is focused on closed systems with limited regard for the system within its environment. A closed linear system can only change by generating different configurations of its internal parts. With a limited amount of interacting parts there is a finite number of possible future states. In a closed linear system there is limited possibility for emergence and thus the future can be said to resemble the past. The future can be modeled and understood as some permutation of the past. With a small number of interacting elements in a closed system sooner or later the system will have cycled through every possible permutation of its internal parts and then the future will involve revisiting previously experienced states. Linear thinking sees events happening through cause and effect interactions. One thing causes another within a discrete event. Nonlinear closed loop thinking skills leads one to see causation as an ongoing process rather than a one-time event. Events feed back on themselves meaning that the history of past events matter as they feed in to shape current and future events within overarching processes of change. These feedback loops over time form reoccurring patterns what are called systems archetypes. As such how things come to be constituted, reproduced, adapted and defined through ongoing processes is seen to be central. Issues are always seen to be relative to time and framed in terms of patterns of behavior over time. Events then are not seen simply as the product of discrete cause and effect interactions at any given time but are the product also of larger patterns, the archetypes that condition the context within which these interactions take place. Process thinking encourages people to use the historical trajectory for stimulating and guiding inquiry into understanding the relationships that produce events. The idea of synergies and nonlinearity makes possible a conception of emergence. The idea that interactions between the parts may create something new. Emergence describes a universal process of development whereby many parts interact in a nonlinear fashion to create something that is more than the sum of their parts. In fact it typically produces novel, unpredictable and unexpected phenomena. The internet revolution would be a good example. One cannot have fully understood how when we connected all these computers together we would get the emergence of social networking, the app economy, cloud computing and all the innovations that are still to be built on top of it. When we talk about emergence as a process it really describes the process of becoming. The emphasis within the systems paradigm is on the process through which new entities become formed rather than the analysis of the structure to what already exists. Linear systems such as the pendulum are not in a state of becoming. They have a finite amount of interacting components that cycle through a predetermined state of stages. By understanding its structure we can understand the states the system would exhibit in the future. However more complex nonlinear systems such as a bird go through a constant process of becoming whose end point is not determined yet but which sets the context for current events. The analytical paradigm is based on a substance metaphysics which goes back to the pre-Socratic Greek philosopher Parmedides. Substance metaphysicians claim that the primary unit of reality called substances must be static, they must be what they are at any instance in time. In contrast process philosophy sees becoming as well as ways of occurring as central to any inquiry.


Hey there and welcome to capacity Middle East extra powered by JSA. That's right That's us JSA, and we are coming at you live. We are live. Did you know this? It's about time And we're coming at you live from the beautiful Grand Hyatt in Dubai And I am here with my new best friend miss Yannett Goldberg. Yannett is the as a managing partner at 11 stream. Yannett welcome to the broadcast. We're glad you're here. Thank you very much Dean for inviting me and I Welcome you all next year to capacity Middle East This is the place to be if you want to understand the ecosystem of the Communication Middle East is the artist place at the moment and I'm proud to be one of the influence person in this region I love it. I love it so much So far viewers that don't already know why don't you tell them a little bit about 11 stream? so I Founded My own consulting company 25 years ago. It was a business development specialized with network infrastructure where is my core expertise and 10 years ago or an Auman show join me and we Establish 11 stream today. We consider one of the leading Network infrastructure consultant according to Gartner. We are actually Number three in the region and according to the news. We consider one of the most in influential Consulting company that understand the vision the strategy not only, you know network infrastructure also data centers submarine cable fiber we work with many many many companies and we are Doing it with the real passion to what we know and what we love because at the end of the day connectivity That's the key. That's the bridge between people. Yeah, and this is where we are so okay So much to unpack with that, but really quickly You were just named Israel's top one of Israel's top 50 most influential women in business This is a great topic for us today because it is the International Women's Day. Thank you. Thank you Yeah, I so first of all happy woman day to all the women that are Walking in this industry. I inspire you to do more create more and be the anchor tenant for our industry So happy woman day to everybody Yes, this was one of the the best recognition to my artwork along the year You know for me being a woman and especially in Middle East. It's even extra tough Yeah, and and I'm doing what I do And I doesn't matter if you're a man or a woman you have to do what you do with full professional Be aligned with it to understand your business Read know meet with people and that's why you can have an impact and you if you have an impact Then you influence and if you influence as a woman You are an inspiration to young girls for the next generation and this is where I'm really proud of well I can tell you right now. You're one of the top 50 right now. You're my number one. Thank you That's wonderful, but for some other reasons as well before we started the broadcast today You looked at me and you said look around. This is peace. I agree. This is what peace looks like I agree. Why don't you tell our viewers what you meant by that? so as you all know there is a The Abram record the normalization agreement between Israel and the UAE and Bahrain and and and other countries are coming and Actually this agreement emphasize what's happening now today. We are here in one ecosystem in the Middle East Well, you have people from UAE you have people from Saudi from Bahrain from Israel Yeah, this is unbelievable achievement and and you know as I told you Connectivities between people we talk you talk network talk. Yeah, this is where the future is going You know network bring investment network bring social Activity network bring the cloud this win bring prosperity investment. This is the future as simple as this It feels like opportunity exactly it feels like opportunity and not opportunity for one part of the country or another part of the world But for everyone I agree and and and folks like you are helping make that happen This is this is a this is where I see myself not only as a professional Also as committed to the environment committed to the community committed to the Middle East because if we make it allow Then and happen then this is actually this is a piece and and this is why I'm so Excited to be and excited to be influencing this event and and I think that that we are only at the beginning because This agreement and this this ecosystem will create so much more We will see a lot of new submarine cable coming in from Europe to Asia via the middle east in the upcoming year We will see the cloud expansion in couple of region in the Middle East and and this is where they Establish and the prosperity of the Middle East will will be at his best. I Want you to just be in this chair for the rest of the day if we can make that happen that would be outstanding Unfortunately, that is it. That's our time. I wish we I feel like we could speak all afternoon, but yeah, thank you so much for joining us I appreciate everybody happy International Woman's Day, and thank you Dean for the opportunity Absolutely. Thank you for being here and thank you viewers for tuning in and watching this lovely interview That I just had with young it will see you soon


Good morning. Every year, the Bloomberg Library Committee presents an update for the library. All of us use the library every single day, almost. And we're very, very lucky that we get to partner with Eccles Health Sciences Library, which does just an phenomenal job, not only for our Bloomberg library, but also assisting us with the Moran Corps. And so today we're going to be giving an update kind of on what's new in the library and what's new in Moran Corps. This is the library committee. We have a great committee. It's the, I think it's one of the best committees to belong to at the Moran Eye Center. We meet every other month, and we're doing it now virtually at 7am and so anybody can attend from anywhere. And I want to thank all of the committee members for all the hard work that everybody puts in to make sure that we are giving you the service that you need to do your jobs. Christy Jarvis, who's on sabbatical right now is the Associate Director of Scholarly Communications at Eccles Health Sciences Library, and she does all the licensing. I meet with her. We go through all the journals. If there's a journal that we don't have that you want, please let me know because we are able to do that. And she also helps us with many tools for research and teaching and patient care. And unfortunately, she can't be here today, but we're glad that she's our librarian for Bloomberg. So Nancy Lombardo, I'm going to introduce her as well, is going to give Christy's update on the new ebooks. Okay, I'm Nancy Lombardo from the Eccles Library and Christy just wanted to point out that we have quite a number of new ebooks that are relevant to your discipline. And so here are some of the titles that we've obtained this past year so please go to the ebooks if you go to the Eccles Library website and the information tools there's an ebooks entry that will take you to all of the ebooks. We also have some new journals. We have the advances in ophthalmology and optometry, which is New England Journal of Medicine and New England Journal of Medicine evidence. So please go to the library and check out these new resources. If you need help, you can get a hold of people at the library you can call on the phone. There's an instant messaging right on the home page of the library's web page it says ask a librarian. If you just text right there somebody will get back to you and help you with the question. You can also email that EHSL-referenceatlist.utah.edu so you can get a hold of people, all of those ways. You can check our hours also on the website and then of course the Bloomberg Library is open 24 hours. You won't introduce yourself properly. Because I have to brag about Nancy. Nancy and I have been partners now for over 20 years, but she is really remarkable. She's the head of digital publishing at Eccles Library. She does a lot. She manages the novel library, the Neuroophthalmology Virtual Education Library, as well as a publication called the Nanos Illustrated Curriculum. And she also manages several online journals that the library is now publishing. She is our direct manager of the Moran Corps, Moran Clinical Ophthalmology Resources and Education, as well as all the digital projects that are going on at Eccles. She won the Nanos Merit Award in 2018 for all of her work for Nanos, and in 2017 she won the Medical Library Association's Louise Darling Medal for Distinguished Achievement in Collection Development. We're really, really lucky to have her and her compadre Brian Hall here with us today. So Nancy, I'm going to turn this over to you. Okay, yes, and I do want to point out that Brian Hall is my colleague and really does at least half of the work, if not more. So really grateful to have him on all of these projects. He works on all of these projects with me. So I was just going to introduce a little information about the growth of the Moran Corps project. And so here I have some usage statistics, and these are statistics from the use of the website. And you can see when we first started in 2015, we had very small usage, just over a thousand sessions, and then in 2021, we had close to 400,000 sessions with 500,000 page views, 320,000 users, and we're serving 217 countries. So we have had users from all around the globe. And these are our current statistics as of June. So we're on a good trend. These are our YouTube statistics. So in 2018, we decided to open the YouTube channel to the public until that time we had had it private and we could only get the videos on the website. But I think it was a really great change that we made because I think we draw a lot of attention from YouTube whenever we have, you can see we have 30,000 subscribers to the YouTube channel. So every time we post a new video, we get a lot of attention, we get a lot of views right away. So it's a really great way to draw people into the site. Every video on YouTube has a little bit of information about the title, the authors, the date, and a link to the Maria and core collection. So it's a great way to bring people into the website. These were the top 10 videos as of June of 2022. So you can see a lot of these are examinations. But we do keep track of who's who's getting the most views on the YouTube. These are YouTube statistics again. So, so you can see we're doing really well we have a lot of attention so the more attend the more new material that we post the more attention that we get and the more users that we get so I wanted to point out how you can submit information to the Maria and core. So this is the Maria and core website and down in the footer there's a link to guidelines for authors and so all the information that you need about submitting is there. You can have surgical videos case reports, narrated PowerPoints, any, you know, a great image, anything that you see that you're is very interesting or is a really great example, it would be an ideal thing to submit to the Maria and core things will get peer reviewed and it is considered a publication in an online educational platform. When you're submitting if you go to the guidelines for authors you'll see there's a Maria and core metadata template and it just asks you for all the information that we need. And then you can send it to this email address. And we will then post that if it's too large you can use the university's send it email. So just go to that guidelines for authors site for all the information about submitting. And the one thing I like to remind everyone is that we do have to comply with copyright laws. And there is information on the guidelines for authors site about the copyright regulations and what is fair use. The main thing we have to be careful of is images you cannot take an image from a journal article, or even a website. Without getting permission unless you get it from a public domain site, another place where we have had some trouble is music. So some people have added music to their PowerPoints and if it is copyrighted YouTube will identify it, and they will cut off access to that particular item so we did lose one item because there was Star Wars music in it. So do be careful about adding music and any questions about any of that. Yes, so the question was if you have a talk and you've used an image that you think is copyrighted. Is it possible to just remove that image and yes you can do that. And if possible, I mean the Moran. I center has a fantastic photograph collection so if you could find something adequate and similar you can just replace it and anytime you need images I would encourage you to go to that axis collection of images that are collected by the photographers here because you guys have a fantastic collection of images that might work. So, okay, so the question was if you have a surgical video do you need to get patient permission to post it. And the answer is only if the patient is identifiable so if you cannot identify the patient, then we can use those videos and those are super popular I will say people love surgical videos. And so Dr petty has pointed out that some in some realms it is being suggested that both ethically and legally it's a good idea to get patient permission. If you're going to post their video so that might be something that needs to be decided on a policy level here at the Moran but it probably is a good idea but I'm sure we do have a few that probably don't have permission of official permission so any other questions. Griffin. So we're really lucky that we have editor in chief of the Moran core Griffin Jardin and he's just going to give a short introduction to the rest of this grand round with will really highlight the Moran. Thanks everybody it's fun to be with with all of you especially in July I feel like this is like the equivalent of the first day of school for like for a parent like the energy is so just kind of buzzing and fresh. I'll tell you just one kind of funny story about July. So my mom and dad when they were first Mary we're living in Washington DC, and their first baby was due June 9. And the doctor said this is the best time to have a baby in a teaching hospital. The interns and the residents and the fellows are at the peak of their training. And he said the worst time to have it is in July. And she went on to be 31 days late. Because they don't they didn't induce back then so she so they built this big this up like this is some big deal and she had a baby on July 10. And it went great in spite of you know all the, the new the new trainees and so. I was that was a funny story, but I think July does have it's great to have so many new residents that you do I to some medical students who are rotating with us we love having you and and are happy and excited to support you and and your kind of journey through this wonderful profession. A couple of things, the just reiterate that submission process that Moran core template is really important. Also, we want you to be as you know there's various types of submissions, we do have our medical students writing a lot of articles. As you go to the website you'll see there's a lot of hyperlinks in the outlines of under each topic and then there's a lot of things that don't have a hyperlink and know if any anybody here is looking to just add to the core identifying areas where we don't have content is wonderful and then using as many images and videos if possible. And that submitting those not as embedded in the files but as separate attachments of the high quality. I can't. I just can't tell you how wonderful the library committee and personally Nancy has been with this whole process they're so responsive they make this so easy for us we're just really incredibly fortunate to have them. We thought it would be wonderful to hear from our section editors on some of the work they're doing we've, we've, we've tried to be in the last year, we've tried to increasingly involve them in our meetings and, and our brainstorming discussions for the, for the core and they, you know, we're just, I've been we've Kathleen and all of us have been so impressed by by their wonderful contributions and we're so grateful for them to take on this additional role so thank you to those who are presenting. I was going to say, Rachel I don't know if you want to just take a second week, Rachel is just going to do a second just an update on a Duke Moran collaboration, you just a minute and then we'll turn the time over after that to some section editors as well for their kind of own section updates. Hi, good morning everyone. This is a very short update because so far, this idea is so really kind of just in the idea phase, but Lloyd Williams who I think a lot of you all know who was faculty here at Moran and it is now at Duke has been doing well he was here did a lot of work on core and now that he is at Duke actually wants to continue to do a lot of work on core. And we thought it was a great, great opportunity to collaborate our two institutions and really, you know the name of Moran will help elevate Duke from this unknown entity to you know, maybe a well respected institution ophthalmology to figured we'd be benevolent and allow them to collaborate with us. And the idea is that this will be kind of like an online surgical curriculum, where there's lectures and kind of stage lectures where we're saying for PG Y twos. These are really the lectures that you need to know at this stage of training to help you, you know, see patients in clinic understand what you need to be thinking about when you're signing patients up for surgery, understand what you need to be looking for at the very basic stages of surgery, all the way through to, you know, what a chief needs to know on the day they graduate to go out and feel ready to operate on their own. So that is the idea Lloyd and I have been kind of working just in the very early development stages. The idea was initially this would fall kind of someone under the, the mole category, due to like the didactic nature of a lot of these lectures. That's where the idea first came from. So right now it's falling under mole although probably ended up being more like a subset with a lot of other surgeons contributing hopefully so if we hit you up at certain points over the year for videos or lectures or recorded lectures anything like that. Please know that is where that's coming from and if there's anyone that's particularly excited to work on this, send me an email. I'm more than happy to share the burden. I think it's going to be, I think, one of the more exciting things hopefully for our core for this year. We've had so much success last couple of years with residents really involving themselves in some of these projects. So again, if there's any interest, please reach out to us. We'll start with Susan Trokov who Dr. Trokov will give us an update on her section who I think she just is a new section editor this year so. Good morning. So I was invited to give an update on the glaucoma section of the Moran core. I just wanted to start with this quote that really resonated with me from Dr. Jane Durkin's distinguished alumni lecture on mentorship at our most recent resident research day. And it's from her mentor, Dr. Van Buskirk. From their roots in the ancient world physicians have always been called on both to heal and to teach the latter perhaps the most sacred of duties healing helps one at a time, but the passing of knowledge reaches millions for generations to come. And I really do think this is the mission of the Moran core is to provide an educational material that is easily accessible and that really showcases Moran's commitment to education on a global scale really. Since becoming the editor earlier this year, I worked with the librarians to create a more visually appealing web webpage for our glaucoma section. And I want to thank Jim Gilman for the beautiful optic disc photo there and the librarians for coming up with that format. Next, I worked on the outline which was originally populated from basically from the American Academy of Ophthalmology basic science series. I wanted to basically kind of expand on what was already there, make it more original and kind of more fresh. The library step helped to create. We spent a lot of time on how to create a really nice format with this bulleted, this bulleted format here is what we ended up using. I know this slide is busy. And it's only a portion of the actual outline. But I just wanted to show you that and basically the since then I've been working on filling in content and that's really our biggest challenge is to to make sure that we have fresh, accurate content. It's basically the content is usually either a written a written document, much like Nancy has already gone over, or a videotape lecture, or the surgical videos which I think really makes the site unique. And then I added some reference pages, so that people in the global community have access to what we think are important free or purchased references. Most of the these are through these hyperlinks which make it really easy to to access the information. Our challenges. Oh, this is just wanted to highlight this most recent submission by Dr. Nakatsuka. And it's just really beautiful submission. It gives the materials needed it gives the surgical steps and then it's a really great video. So thank you to Dr. Nakatsuka has been working hard on that. Our challenges continue to be getting the original content and submissions. Other things I've identified as challenges are getting one particular thing is getting help editing surgical videos our surgeons are so busy doing surgery that it's hard to really spend the time to edit them and get them really dialed in to be submitted. And then finally, I think the biggest challenge going forward is for me is going to be trying to keep the section updated things that are out of date get removed things that we need to, you know, make more accurate or remove things that are inaccurate. I think that probably needs to be looked at on a regular basis and that's one thing I'm working on myself. Most of our contributors are medical students, residents, fellows. We are inviting them and encouraging this year to make submissions but probably in future years it's going to be a requirement of our fellowship that there are some submissions made to the Marine Corps. And then our busy faculty, especially are helpful in providing those surgical videos. One thing that Dr. Dardin recommended and I think has been really helped proven to be helpful already is creating I've created a gap list for glaucoma. So I made a list of everything that's missing within our outline that's not inclusive, but things that I thought would be a good place to start. And then he or other people can give those to medical students who may be interested in submitting contributions. And then my little photographs didn't make it to learn. I wanted to just say thank you to the digital content librarian. So Nancy Lombardo and Brian and Smoot have been really helpful and really are the ones that take our ideas and our content and bring it to the public. So I just wanted to thank them and then Jim Gilman for photographs. If you do need help with photographic submissions, Jim, it's great. Ethan for bringing Ethan Peterson for helping us upload the content to the librarians. And then just Dr. Dr's degree for inspiration and Dr. Dardin for his real commitment and dedication to this project. So the next section editor is Dr. Megan C who is completely revamped the neuro ophthalmology section. Thank you Dr. degree I wouldn't say that I completely revamped it I did inherit it from you so it was already pretty stellar. So because of that I don't have a lot of updates this year. We did also kind of spruce up the appearance of it. So this is the homepage, and we divided out just right there into the broad categories that people can just click on right away and go to exactly what they want. In general our overall theme is trying to for the main topics develop an approach to type of learning item for that which is often didactic videos but it could be manuscripts. So you'll see kind of approach to optic nerve power so this is a like the first thing students resident or fellow would look at to just learn broadly about that topic. As you can see we have a gap there that there is no item so anyone wanting to create that we would love to have that. And then we have a lot of case presentations on really each important topic of neuro ophthalmology this is just a very short example of optic neuropathy section. So we when I say we I worked with Sravakunta and Amanda read for in a lot last year when they were fellows to really organize things the best that we thought was for learning sake. And what we want to do is develop more PowerPoint case presentations that a learner can go through a case and it has stopping points to where they can think about what they would do next. Management wise and treatment wise and then they move on into the PowerPoint and kind of learn our approach to that particular patient. Always looking to improve organization and as I said, still have some gaps that need material so all of you learners out there wanting to get some publications that you know, and that is it for neuro ophthalmology. So, one of the sections that residents have really requested is something on optics, and we're really grateful to David Meyer for taking up the ton for this section. So, Dr. Meyer, do you want to give us a tour, a bit of an older picture of me. One of my residents saw this picture and he goes, Hey, I saw you Dr. Meyer without a beard and you look really weird. I was like, Thanks, that's how I live most of my life. So I appreciate that. So, so yeah, we have the optics section and I realize, you know, if you're looking for Moran core that's not exactly the most exciting section probably you've ever heard of. I realize it's not quite as exciting as a lot of surgical and neuro ophthalmological and a lot of other sections but obviously I'm biased we feel like it's really really important. And for several reasons which I'll outline. You know, generally the goal here is and this is basically mirroring what what's on the Moran core website is to create an open source of education for students, residents health care workers and clinicians. And really, you know, I work with a couple of residents and then one thing I try to pound into their heads is, you know, we try to make this content very, very clinically applicable, just to kind of benefit our patients and benefit patients all over the world. And a lot of times I go to these Academy lectures and they're great and they're interesting but sometimes I kind of come back to clinic on Monday and I think, okay, what did I learn that I can apply today in clinic. And sometimes I can sometimes I can so with the Moran core we try to make it so it's something you can apply, you know, this week or today in clinic. I wanted to put a little blurb here this is that this was stated in 2021 under corrected refractive air remains the largest contributor to global moderate and severe visual impairment in adults aged 50 years and older with over 86 million individuals approximately 42% of the 206 million cases of global MSBI. So I mean, having kind of this baseline knowledge of optics, really is beneficial especially considering how much moderate severe visual impairment there is in the world. So, you know, this is our section we need to kind of work a little more on kind of making it look a little nicer but you know I'm not going to go through all this obviously but you know we have sections on geometric optics optics in the eye clinical refraction. And here we have you know some some videos, you know about going through a subjective refraction, you know, fitting a contact lens. We have a little section down here on contact lenses we go through a lot of things. You know just not just kind of routine but more specialty stuff optical instruments and low vision aids there are several lectures there and then finally the last section is physical optics. We don't have a lot there. We haven't really focused on that too much yet just because we're trying to make it so clinical that physical optics is something we'll kind of deal with a little bit later as time goes by. And just to kind of show you just a couple of examples like, you know, we have lectures where you know we're kind of up close and personal with proctor and saying you know this is what we're doing and this is what we're doing it. You know this is the kind of step by step thing that you want to look for when you when you're refracting or anything else. We have lectures that there's Dr. petty right there, you know he's talking about telescopes and this and so again we try to make it really really clinically applicable and, you know, like I said I've got a couple of residents that are helping me out with this. And I kind of said there was a section on contact lenses we even get things like you know a fake at contact ones fitting. We're trying to go through that and things to look for and then things that you know you want to be aware of and so you know we try to make it really general so that you know anyone can access it but also if you want to get into a little bit more specific things. We're trying to get plenty of content for that as well. And then finally just as our conclusion. Again, lots of clinically applicable content. We still have a lot to go as kind of been mentioned videos get the most views and kind of the. People really when they want to learn something they're very visual and they want to see it in the video so we're kind of working on adding more videos. And then in general if you go through the section if any of you have any thoughts on a future direction or a section you really want added. Please you know, don't hesitate let me know I'm happy to hear about it. I'm happy to help and you know don't hesitate to contact me. And so that's our section and I appreciate you spending some time. Thank you very much. One of the newest sections that's been added is the plastic section and I want to thank especially Dr Patel for leading the charge for the Moran core this year in kind of revamping this whole section so Dr Patel. Thank you for the chance to read that article I sent you I purpose to send you a 12 year old article written by 12 year old articles and written by Richard Smith who you may know he was the editor of the BMJ. And the BGO with a tool guy one day and a few others is regarded to be our modern thinkers in medicine and I always follow them to see what they're seeing about medicine and how we practice how it's changing how we can improve and so on. And those of you who got a chance to read that paper. I hope you shared my emotions I got scared when I read it. I was surprised when I read some of the statistics about how many of us actually read papers and keep up to date. And then I got concerned about if it was that busy 12 years ago, the statistics today are absolutely ghastly. Let me give you something I checked this morning. When Richard wrote this paper in 2010. He Googled information overload which was coined in 1970. And he came up with 960,000 hits just under a million.  The hit was 170 million. I mean, a scale which is logarithmically higher. And if that's the case with just that phrase information overload. To get some of the medical terms, medical terms. The data is absolutely humongous. So we've got to bear that in mind as we address the Moran Corp. I have one quick question for Nancy. Do we have the Cochrane database and the up to date databases available to the university? Would you be kind enough to put those links somewhere where we can go back? I was trying to find them. It'd be really lovely. And if there are some other peer reviewed databases, which now commit information, sort of goes segues with what I'm talking about today. Thank you. So as far as plastics goes, I'll start off by saying, I'm not a big fan of just repeating things all the time. Your basic sciences book and the Academy books cover the basics of plastics very well. So one of us goes and puts down exactly ptosis or dermatoclases or blepharospasm verbatum. The same information from a book onto the website. It really helps nobody. So my feeling is we should really be adding to the information that we already have. I'm going to take you through just a little video I made to talk you through some of the things we're trying to develop. This phrase of infobicity or data obesity is becoming popular now. We have just so much stuff. If you are studying Ebola, you'll have to read for 50 years without sleeping just to keep up to date with information. That's one rare disease there. This I found fascinating. Our attention span is now less than that of a goldfish, which is why TikTok decided the best videos are less than eight seconds based upon this scientific study. So we have this massive look at the emails. I mean, I get 1400 emails a day. 10 years ago it was one seventh the number of emails. This is not even counting the two hours extra we do on EMR and patient calling and so on. So how much burden do we have 90% of all data online has been put on. The last two years. Another really scary statistic. So are we a moran or guilty of just copying and pasting stuff? Well, I hope we were not. And we should really be updating the information as Susan and others have said so that we're up to date. The power of video is demonstrated. I want to thank the neuro ophthalmology department for this. I looked up at the numbers and they're staggering. The best paper I ever wrote has been read by about 1000 people. These videos by neuro ophthalmology, you're now getting into the millions. And I'm absolutely fascinated about the power of the video. And I've always known that as I'll show you in a minute. But this is really sort of renewed my enthusiasm to put clinical information in video format. So here are the aims of the plastics division. We're going to contribute. We have been contributing original articles, which actually add information to what's already in the BCS books. We're using photographs and videos to really educate people. I'm using Nick Mamelis's amazing pathology slides to sort of correlate with the clinical things that we see. And we're concentrating on long form and short form videos. The orbital conference presentations go through a review process just like publication before they're published. Let me show you. You may get some vertigo, but I wanted to quickly show you how we're adding to common information that is not very well known. Lots of drawings, lots of illustrations. We are putting a vast array of clinical findings so that if you ever want to know what something looks like, I'm going to give you, we're going to give you 30, 40, 50 examples. You really never have to go anywhere else with clinical details. We're putting history. We're putting etymology, a price I pay for doing Greek and Latin for seven years at school. Might as well use it. We're putting rare conditions, common conditions, but we're putting information on top of what you already have. When I was a fellow in London, I made these videotapes with those videocameras, which are the south of our house. And I pulled them out the other day and they're actually very, very good. So I just need to bring them up to HD quality and re-tape them. But there were short videotapes that I made for the residents and other plastic surgeons. These days, our residents do not do internal medicine or surgery before they come to us. They're purely from medical school to ophthalmology. And I find they're lacking in basic skills like how do you handle instruments? How do you hold a needle? How do you suture? So I made these for medical students in those days, but I'm going to upgrade them for the sake of our residents and doctors all over the world, really. And we're talking about every little nitty gritty. Where do you hold the needle? How do you suture it? What is the best technique? How do you handle the suture itself when it comes to the wound? It may seem simplistic when you actually see the technique. And once you master it, it's almost like a symptom. I mean, it flows beautifully. So we're making simple videos to do with techniques. How do you identify an instrument? This Friday, we're taping, how do you scrub? I was observing some residents scrub last Friday. And I realized it was horrible. And any nursing officer would throw them out of the surgery theater. So we're going to videotape exactly how you scrub, put it step by step. And it'll be an amazing video because it's not out there. So we've started doing something more sophisticated. The boys and girls, the clinic and I did a little study. We went around the clinic one day and asked the other attendings and fellows and residents how you do a Sherma's test. And we asked about 22 people. Everybody got it wrong, including me. So a simple test, we just assume we should all know how to do. So we made a two minute video exactly how to do it. I'm sort of running through it quite quickly. But now it's up there. You know the steps. You know how to do it. There's no mistake. The technicians will have access to this as well. So these are what I call short form videos, instruments, techniques, how to identify. And then we're doing long form videos thanks to neurophomology and the power of video. So surgical videos are difficult to make because there's blood everywhere and we have to clean it up. Oh, my God. Editing takes me days to do. And then we put text and voiceover and considering the information overload and epic and emails. I don't know where we'll find the time. But my aim is to keep on adding with the help of my partners as many videos that are not out there. We're going to be choosing titles and topics that actually add to the educational process so that people will look them up for the individuality. And to finish off with Polsky, my resident currently, we finally gave in and we've joined TikTok. I never said I never thought I'd do that. But short form videos would give little tips on medical history, which is what I'm a big fan of or medical data or information which needs to be out there, which we've been doing through Twitter, which is pretty boring. We're going to start doing that as well. So exciting times ahead. I wanted to thank Nancy for helping us. She has allowed me to create a template for many of these presentations. We're working on a video template so that we'll have a similar sequence. And I know I send you these emboluses and I know it takes you time. I didn't realize how much work you do by the way. I'm embarrassed at how much stuff I send you put up there. And if there's anything we can do to make life easier, we can upload it for you. Please let us know. Happy to take any questions and Kathleen. Thank you very much. Overload. We're all overloaded. Thank you for bringing that to our attention, but we all feel it every day. This project would never, ever, ever happen if we didn't have Eccles Health Sciences Library and the geniuses and experts that we have with Nancy Lombardo, Brian Hall, Carmen smooth, and, and a whole team of other people that are there as well. We're really lucky that we partnered with them early on to make this happen, because this can't happen a vacuum. And it also can't happen without Ethan Peterson, who's been just a yeoman of getting those videos of lectures up and running. And also, Jim Gilman, who manages all the photography is really incredible. And it can't happen with all of us. So one of the messages that we, we and our committee have is we want you to be involved. This is our educational resource, we can use it for the core of just having it out there for the world, but we can use it for our cultural lectures. I mean, this is an educational resource that is open to the world. And it's one of the things that I think sets Moran Eye Center apart from all the other eye centers in that we have developed these wonderful resources and education to promote education. We wanted to leave a few minutes of time for all of you to give any ideas or thoughts about what you'd like to see happen, or any other comments that you have. Yes, Dr. Petty. Well, when you build it, they will come. I mean, that's one thing. Anybody who pre who submit something can use it for other purposes to you own your own copyright when you submit. So that's the kind of cool thing about this is, if you own your own copyright, you can use it again. And, and I would urge everybody when you write a paper or submitted to a publisher. Fine, they get the content but always keep the copyright to your images, then you can reuse your images whenever you want to however you want to. And you never have to ask yourself, or the publisher for permission or pay to get your images back, which is the most egregious thing that you know here you work so hard and then you have to pay to get your own stuff back it's just crazy. But anyway that I think that's really important to remember. Nancy and Brian, do you have any other comments about that. And if you do come on up here. No. Okay, any other questions or comments. Yes, Dr. Del. Yes, to make up all the attendings and residents. So we've also started a an image database. So we have plastic surgery images from. Or common things. Of course I have literally more than a million images but I'd like you when you're doing clinics and stuff if you see something interesting, take your iPhone photograph, email it to me with a little bit of the history and I will edit it down and with your name. Help help add these images to our video database. Whenever you search on the internet, it's amazing how many of our images show up. First page in Google, when you submitted through the moran call the moran core has become. I don't know who does the SEO who does the SEO for moran. Who does the site optimization, whoever's doing it is doing an amazing job because we're always number one or two on a Google page with 10 million hits so please send those images in so we can get our database going. Thank you. Ryan, help from our. Oh my God, I'm like, okay, I haven't had enough coffee this morning. So, we have been very lucky and that we've had in our library team and I guess I found out that I didn't get the updated list here. Brian Jones, at the top here is been an amazing resource for the core, because he has done web vision, but he also has helped us understand how to optimize our, our whole website. And you were really instrumental and getting us right into the, you know, changing up to a YouTube format, so that we would increase our stats but Brian why don't you tell us a little bit about how this all ends up being kind of a structured increase right by Google. It's, it's pretty straightforward. They just the way that things were structured and WordPress and the way that we've taken advantage of metadata and this is this is all the library that helps add in the metadata. And when you submit content. And if you could include appropriate metadata that you would like associated with that, especially your names, if your authors or creators of the content. This is really important. Google structures search engines. So search at Google is entirely algorithmic. There's search basically comes down to literally like 12 people at Google. The math algorithms that they use are basically completely automated. And so the idea is, you want to help Google help you by structuring the data and, and presenting the right data that you want the world to see. So, all the metadata tags. There are absolutely critical for that. And the other really important thing for this particularly for content creators is that this, this is a shockingly good way to get your name out in the community and represent you as experts. So, when people go to study section, if you put a grant in, or if people are looking for, you know, to organize meetings, they go to Google. And if they're looking for particular content and your name or your content keeps showing up. This can only be good for your career. So, yeah, this is. It's actually a remarkable set of contributions from people that have helped to create an incredible resource and the YouTube stuff because Google owns YouTube is an amplifier for all of this. And so, I haven't looked at the stats. I was a few minutes late. Did you cover stats? Yeah. So, it's, it's shocking how, I mean, so, so web vision, we figured web vision was around a million visits a year. We're, we're way beyond that core now. So, yeah, no, no, this is exciting.