In this video, we'll discuss the role that you should play when participating in peer review. Students often feel unsure of what role they should perform as a peer reviewer. Here are some things to keep in mind. First, you are not the teacher. It's not your job to pass judgment on the merits or faults of the text. Similarly, you're not a proofreader. You're not merely looking for typos and other minor problems to fix. Most importantly, you are not the writer. You can make suggestions, but you should not try to revise the text yourself or explain how you would do it differently or otherwise make decisions for the writer who is ultimately in charge of what ends up on the page. Instead, you are first and foremost a reader. Readers are active participants who seek to understand, engage with the writer's ideas and genuinely respond to what the writer is trying to say. As a reader, you should empathize with the writer, even if you can't exactly relate to their experiences or don't share their perspective. When reviewing a peer's writing, you should consider yourself a friendly reader. Opening up to criticism can cause a great deal of anxiety, particularly for people who have had negative or limited experiences with writing in the past. If you only pay attention to problems in your feedback, you might discourage your peer and you'll likely overlook areas rich with potential. As a peer reviewer, you should provide both positive comments and critical comments. Critical comments highlight areas for improvement or ask clarifying questions. For example, I'm unclear about what you're trying to accomplish in this paragraph or how does this example connect back to your main argument? Positive comments, on the other hand, highlight strengths and offer reinforcement for what's working well. For example, your argument is coming through really clearly here or this description of your childhood home is so vivid, I can imagine being there. As a peer reviewer, you are on the writer's team. You are optimistic and encouraging, but you're not just telling them what they want to hear. Your goal is to help them improve. While you should definitely offer criticism where it's needed most, you should strive to provide at least as many positive comments as critical ones. As this video has shown, the primary role of a peer reviewer is to be a friendly reader. As a friendly reader, you can empathize with the writer's perspective, respond intellectually and emotionally to the writer's work, provide critical comments that identify areas in need of improvement, and balance these with positive comments to encourage and reinforce the writer's strengths.


Think tech away, civil engagement lives here. Okay, we're back, we're live in the one o'clock clock today with Warren Wong, MD, he's a geriatric doctor and he's retired, may I say that on the air? Yeah, retired and reworking myself, yeah. Reworking himself and he's got into technology, but before we get to the technology, I just want to ask Warren, as I told you I would, Warren. Can you, for our audience, define yourself? Can you tell them who you think you are? What kind of person is Warren Wong? Okay, I think I'd say that a big part of my life has been taking care of older people and I just really love taking care of older people and that's part of the reason why even when I retired from directly taking care of patients, I kept on thinking, well, what would I really want to do and got into more of the techie world and I'd like to say that I have love in my life and love people and I want to do something with that. That's great. So, and while you were practicing actively, you were getting gratification out of that and the Lord knows that a doctor can get lots of gratification out of helping people. It's all about helping people. But then, you know, you retire and you're not doing it anymore and you have to find a way, find a new chapter, find a new identity to make that work for you and to get gratification out of that. Yeah, I mean, I'd turn to your audience and say, you know, how many of you are retired and, you know, what are you doing? Are you excited with life? And when I retired, I actually was kind of anxious when I retired. I said, well, what's next?  And then the what's next is kind of not really well-defined if you've been busy, you know. I kind of went into this zone of what's next and had a while trying to figure it out. And then a lot of different things popped up that actually make my life now more interesting than ever. And that's about making enough money to bring home the bread and more about what makes you warm, what are the things that you always wanted to do that you never did and make it fun, make it exciting, and also, you know, have a little more time to do it.  It was a primary bucket list. So tell us about your life now, you know, how you're sculpting it, how you're making it into a next chapter that works for you, that realizes all the dreams, whether you had conscious or unconscious dreams, and what are the parameters of that? Well, I think, for one thing, you know, I have more fun time than I used to. So do more traveling. And I think it's important to have fun time.  Why don't you have some fun? On the flip side of that, I've talked with some people that say, oh, you know, after a while, just traveling, traveling, traveling, after a while I say, well, what else is there? So I do, you know, I do have more fun than I do. I spend more time reading than I do on non-medical things and everything. I have my own book club that I have a lot of fun with. But I also spend more time taking care of my body because it actually requires more time than it ever did. And I think that as I'm getting older, it's not always about being strong, you know, in terms of how much can I lift or whatever. It's a lot about coordination, balance, things that are, and flexibility that are, you know, things that really get people in the problems as they get older. But there's still a big sense of purpose in my life, you know. What am I good for in my years? And I've got three big projects we can talk about any one of those. Yeah, but you've got to have that. You've got to have a sense of purpose. And I think, correct me if you feel otherwise, but I think a sense of purpose also means that you're in a community of some kind, that there are people who appreciate your sense of purpose. They appreciate what you're doing. You're talking to them. They're talking to you. You have connections. You need to be connected. Yeah, and everybody's different that way, Jay. I think you're the kind of person that needs a lot of connections. But there's some people who just need a little bit of connection, you know. I need a certain amount of connection a day. I mean, I probably, 20 or 30 minutes of talking with people outside my immediate family is enough in a day. But everybody is a little bit different. But I have to tell you that during my career, a lot of retired women would complain about their husbands who, you know, they didn't go to work anymore, and they dropped out of their circle of friends, and they just stuck on to their wife, you know. So wherever the wife goes, you know, they want to be where the wife is. And, you know. You lose something if you do that. That's not good, you know. I mean, you need your tight relationships. But I think that, you know, we're social animals. We should be involved with other people to a greater or lesser extent. But, you know, we just can't be klingons. Like, they were just clinging on to their wives all the time. And women are much better. Women seem to be able to socialize a lot more. There's so many men, it's, oh, you know, they're with their wife, and they're watching TV, and, you know, it's not the best path. So you've been a geriatric doctor for a long time, and you've seen this. You've seen it in your patients. And you've learned all these lessons about the risks of, you know, going out there in retirement and not doing the right thing. And then, you know, it's part of what you're doing now to take those lessons and help people, not necessarily in a medical context, but help those people in a real-life context avoid those problems and have an identity, have a community, have a purpose in life. And for this, you're developing technology. I love it. It's the perfect, it's the perfect evolution. So tell us about, tell us about your projects, your technology projects. My company that I founded is called Memories Connect, and we have a first product that we launched in the Apple Store. It's only available right now, only if you have an iPad and you need to have your Apple password and your PIN and your name and yeah. You don't have to pay anything and you don't have to sign up for anything as long as you have an Apple password.  And it's free. And the whole concept behind it is that, you know, I did Alzheimer's and dementia evaluation throughout my career and, you know, the medicines that we have available are really not that powerful at this point. And people end up, I realize that people end up with a disability. They end up not being able to remember things and not just thinking of it as a disease but also as a disability. How does it impair you? You know, if everybody's talking about their family and friends and what they're doing and then your friends are talking about and then you have a hard time remembering who your friends and family are, well, that's kind of a big cognitive loss. I mean, you can feel pretty alone that way. So the app, it's one of the primary features is that there's pictures of people that are important to you and you're asked to identify those people and their name, their relationship to you. It's just a very basic product right now. But it's gamified so that, you know, if a person has difficulty, it makes it easier. And if it's too easy, then we make it a little harder because it has to feel like a game. And when you get people to do it over and over again, they start to, you know, it's a reinforcement of memory. It's not improving the brain per se, but it's improving, you know, just like if I see you every day, Jay, I'm going to know you a lot better than if I see you once every two or three years. What's his name? What's his name? Sure. So that's one of the features. Another feature is just a little bit of a chat feature in which we ask people about their lives and very just general things like what do you like to eat for breakfast? Therapy. Is it therapy? Well, it's kind of like just telling them, you know, whatever, whatever, when you like aloha shirts, that's great. That's part of Jay.   Right. And if I'm a human being, it's important that what I say to you or the app is important, it means I have a self-image. I have a place in the universe. I'm real.  Who am I?  Those are the kinds of feelings that creep up on people who start to have memory problems. Right. And I'm just guessing here, but isn't there, seems to me there must be a big connection between memory problems, isolation, and ultimately depression, which comes in that same continuum. Yeah. Depression is definitely more common in people who have Alzheimer's disease or the more generic term, you know, the broader term dementia. And they feed on each other, right? The isolation like people with memory problems are a little bit more hesitant to interact if they know that they can't remember things. They lose confidence. Yeah. They're afraid to have a conversation where they might be found to have forgotten things. Yeah. Yeah. Very interesting. I had an Italian teacher in my French class in junior high school. I can't tell you his name, but I can tell you what he taught me, okay, and it's this. It's not Italian and it's not French, it's Latin, and it means, it's funny how things stick with you. Yeah. You know, I can't remember what I had for lunch today, but I could remember things from 30 years ago, that kind of thing. This is more than 30 years ago. It means repetition is the mother of study. So it goes to what you were saying about trying to reinforce memory. If you find a way to reinforce it. If I can't remember a word or a person, and I make myself think of it and repeat it again and again and again, or if I see the person in the street, as you said, that will help me sort of build a structure around that symbol, that symbol will rise to the top of the stack, right? So we have a pretty basic product right now. It's free and we're just trying to build some awareness. And actually what we're really interested in is in people to download it and play with it and tell us what they love about it and what they hate about it. Because what I've learned is you have to get rid of things that people hate about it and you really have to work on the things that people love on it. So we need help actually, because whatever is in my head about what a good product is, we really need real users to help us with that. So what is it like? What is the user experience like? I go on it, I download it, I go on it, what does it say to me, what do I do with it? Well, I mean, so we've actually done a lot of what we call beta testing with older people and people with dementia and it is on a tablet, it's an iPad and a lot of people would say older people, especially people with dementia, are not going to be able to use this. And there's truth to it that there's a lot of fear around using it. We have some people that have no cognitive impairment at all who are actually afraid to touch an iPad or a tablet. But then when they showed how to use it, they actually saw it, they feel like they learned something, oh, no, I can use an iPad. Empowerment, yeah. And we found actually even people with moderately severe dementia that they can't interact. And really the original concept I developed with this was when I saw two and three-year-old children playing with the tablet, I said, you know, why can't we get these really important technical tools to people who could really benefit from it in the older population? So I mean, actually eventually we're going to get away from the tablet concept. Where it goes, I don't know. It could be on a laptop. It could be on a desktop. It could be on your phone. It could be in Google Glasses. Or it could be in something like a robotic dog. Because the second generation product we were going to develop, my dream of developing, is more interactive, where it's not just a person interacting with you, but other people can interact with you. And let's just say that a person, like your mother or somebody, was really feeling lonely at any given moment. They could just say, oh, I'm feeling lonely now. And it instantly goes to your Instagram circle of friends and sons and daughters and loved ones, mom saying she's lonely now, let's have someone give her a call. I mean, that's... It's very sophisticated actually. Well, yeah, but it's certainly not out of the realm of easy to understand. That as a computer coding matter, it's not hard to code that. It takes time, it takes time. It's time, it's time. It's time for a break, actually. That's Warren Warren. I do remember his name. M.D. Jay, take my doll. Be right back after this break. Hey, loha. My name is Andrew Lanning. I'm the host of Security Matters Hawaii, airing every Wednesday here on Think Tech Hawaii, live from the studios. I'll bring you guests. I'll bring you information about the things in security that matter to keeping you safe, your co-workers safe, your family safe, to keep our community safe. We want to teach you about those things in our industry that may be a little outside of your experience. So please join me, because Security Matters. Aloha. Aloha, I want to invite all of you to talk story with John Wahee every other Monday here at Think Tech Hawaii. And we have special guests, like Professor Colin Moore from the University of Hawaii, who joins us from time to time to talk about the political happenings in this state. Please join us every other Monday. Aloha. OK, we're back with Warren Warren M.D., a geriatric doctor who retired and has found another chapter in life that fills his need and gratifies his lifelong desire to help people. So he's created this technology that it's not a psychological reaction like what was the name, Eliza, years ago. You typed on the DOS line, and you would say hello, and she would say to you, all automated. She would say to you, why are you asking me that? Whatever it was. Anyway, it's more like a friend. And with certain powers that could help you, even when you don't realize how it could help you, it comes up with stuff to help you. I mean, the possibilities are enormous because you can apply artificial intelligence to this.  You could make this your best friend. And I mean, that's one of the problems in the 21st century in the nuclear age. We don't have best friends so much like we used to have them, I think. So this could be the best friend for a lot of people who are in need of a best friend. Well, I'm a little hesitant, because I believe in real, live human beings. But it could be used to access, and then the whole thing about developing communities that are, some people have disabilities and can't get around. And how do they stay part of a community? There's a lot of tools out there now to connect people with people. And of course, there's all the concerns about privacy and things like that. And so distinguish it from social media, because social media, people want to have a community, and they can sign up and 10 minutes later be involved in a global community. That's not what you mean, though. It's something more personal than that, isn't it? Yeah, I think, well, in terms of the app that I'm, I think right now it's a very basic product. I think a second generation is interactive. And then the third generation, actually, like I was saying, a robotic dog or Google glasses might just help a person as a tool. Let's just say you have some memory problem and you're walking to the store, and then you can't quite remember what you wanted to get at the store. That tool could help you. Or if you're walking home and you get a little bit lost, that tool could help you say, this is the way home. So it would help promote some degree of independence, which is another important issue. There's the need for community, and a lot of people's need for feeling independence as well. Now, I have another aspect to this, and that's the conversation you were telling me about where the device, the program, will ask you questions about what's on your mind and how are you feeling today, and it's a conversational thing. Is this part of the basic memorisee? Yeah, it's right now at a basic level of development for those kinds of things. Obviously, you know, it can reach a time where it could be a little bit like an Alexa or a Siri, but even more sophisticated. Getting back to issues such as, Jay, you told me this yesterday, but you're saying something different now. How do you really feel about things? And developing a little bit of a conversation, but I'm actually very leery of developing relationships that are not human to human. Human to humanoid even is, I'm a little bit leery of that. I think that whatever we do, and this is kind of a difficult area is that when we use tools that actually help hold people together. But one very interesting aspect of it that I've been thinking about is, how do you communicate with a person who has memory problems, perhaps significant ones? And this is a very simple example. The simple example I have is that when people have memory problems, it's a common tendency to ask them, do you know who I am? Well, what if I didn't know who you are? That's not a very good way to lead a conversation, right? It's very intimidating. This could be a tool for learning, telling a person who's a caregiver how to communicate with a person who has memory problems and also learning to understand what a person with memory problems, what they're trying to communicate, the basic message that they're trying to communicate. And sometimes that requires a certain level of communication that's a little bit different from just normal conversation. So are you teaching the other person to the conversation something? Are you communicating with that person? Well, I think we're, you know, I mean, it took us a long time to get to where we are. I think, you know, knock on wood, if the product becomes a successful product, then we'd have a lot more infrastructure to develop. A lot of the different things that I think would be really useful. And I think the bottom line is technology is so useful for people who have no need of technology. I mean, all these people who are 18, 20 years old, they know how to do everything, but they don't really need the tool as much as the person who could really use this tool. But the person who could really use it doesn't know much about the tool, so he's not inclined to use it. We need to make it much simpler. Yeah. And there are things we've learned about older people, you know, reflection off glass, how they touch things. We've learned all those things, so. Yeah. Well, how about getting around sounds very important to me. Especially Alzheimer's, you get lost. Now, you forget where you are. And then you sort of lose the ability to navigate where you want to go or how to get back to where you were. Yeah, and just a real small side hint on that, Jay.  It turns out that people have a lower level of dementia, less dementia, less Alzheimer's, have an equal, if not higher chance of getting lost because they're trying more things. And so it's not the severity of the Alzheimer's that helps determine, so you have a person who's driving and all of a sudden, you know, there's a road service being done or whatever and they have to take a different route. That's kind of a formula for not being able to find your way back home. Because things change and they weren't quick enough to recognize it. And I mean, I would not be a problem if somebody else was in the car, I like the spouse. But if the person is alone in the car or driving it, it's a real risk on that one. So I suppose, you know, this would be useful in a car, useful on a phone or as you have it now on an iPad, useful in a device like an Echo I guess you can set this up to talk to you. So it's not just writing it, you know, typing out a message or looking at the screen, you can have a conversation with it.  So you've been a coder for a long time, but yeah, there's a lot of potential. Well, I just had a moment to talk about how things are working in geriatrics in general. When people are living longer, thank goodness for medical science. If they're aware of the possibilities of correcting medical problems as they get older, they can, in most cases, do that. And so they have a longer life. And it's no surprise to see somebody in the newspaper who died when he was 95 or 100 even. And so our lives are getting longer. But as our lives are getting longer, we can't do all that much about the brain because the brain gets old, right? Am I right about this? How do you keep your brain functioning even when it might not otherwise function so well? Yeah, so regardless of whether a person has, there's a distinct Alzheimer's and dementia, but even very people like Warren Buffett, I'm sure, their brains are changing. And of course, Warren Buffett, who's one of the richest people in the world, still gives advice. And he gives a lot of wisdom, basically, from his years and decades and decades of experience. I think older people actually, the brain may not be the same, but they share a lot of wisdom. And I actually think that older people have a lot to share in terms of wisdom. And how to say, I mean, a lot of older people have been through divorce, been through loss of loved ones. They know how that feels much more than a much younger person. And it's to develop a meaning and context around that I think older people are really, really important to kind of see the big picture. Yeah, they have wisdom, don't they? They may not remember what they had for lunch today, but they can remember a lifetime of experience and wisdom. They'll say it's not that important what I had for lunch. True, there's a priority thing going on inside. But you know, one of the things I've heard my whole life is that you have to keep your mind active. You have to read. You have to think. You have to be engaged with people and ideas.  So how important is that? And how can, maybe your app does some of this, how can a person who recognizes this risk keep his brain or her brain active to the point where he or she is making maximum use and minimizing the risk of losing it? It starts way, way earlier, I think. You know, I mean, HMSA has done a lot of work with the blue zones. And it does boils down to living a healthy style. There is a brain diet that you can eat now. It's greens and nuts and things like that. But I can tell you that things like supplements are not the answer.  And also, so there's the concern that connection with other people is really important and then staying physically active is very important. Just the usual things that people would say, what does it take to lead a healthy life that basically decreases, you know, there's clear evidence that decreases the probability of getting Alzheimer's. There's also a strong pathology that's very hard to get away from, but it does make a difference to exercise your brain earlier in life and stay connected. Warren, do you think there'll be drugs out to help people keep thinking straight as they get older, where otherwise they might not? Do you think there'll be drugs out that would, you know, deal with Alzheimer's? I think, yeah, eventually. I mean, there's like a lot of diseases that are major problems. The major problems are diabetes. That's common, but very common among seniors, aside from dementia, is Parkinson's disease. When you think about it, neither diabetes, nor Parkinson's, nor Alzheimer's, none of them have a cure. It's not like an infectious disease.  These are chronic diseases. Will there ever get a point where there's a cure? We've been working at Parkinson's disease for longer than my career. And really, it's still more treatments for approaches to, rather than cures. I think these challenges are really long-term challenges. In the world of cancer care, actually, cancer care has made incredible advances in the last 10 or 20 years. People are not nearly dying as quickly from cancer. But I do believe in progress, but I also, I guess I'm giving you a little bit of a mixed message. It's also very challenging. Yeah. Well, it's challenging for the person. Yeah. Because the person, you know, I mean, while the person's sentient, the person who wants to deal with age, it should come to the realization that age is an adventure, just the way teenage life is an adventure. And the risks are different, the challenges are different. Maybe they're more difficult challenges. But that doesn't mean you can't and shouldn't address them. Well, two things I've learned from this discussion. One is, I think you have a soft spot for Warren Buffett. And I think it's probably because you and Warren have the same first name. There's gotta be a relationship there. The other thing I've learned is to have a conversation with you, Warren, and to have this discussion, it sort of clears my head. It probably helps me in terms of my mental process. Thank you for that. Yeah, I wanna say something to your audience. You know, it's really not about me. It's about everybody being themselves and making the most out of it. I mean, there's no success in comparing yourself with anybody else. There's gotta be the person you are and make the most of it. And I do think that society, it doesn't do justice to older people that way. Yeah. Thank you, Warren Wang, MD. Really appreciate the discussion. Thanks. Aloha and happy new year. Happy new year.


When the narcissist sees you're too strong They do this when the narcissist sees you're too strong They will begin to see you as a threat They will become envious and jealous of you and they will wish to harm you They will criticize you They will put you down, but they will also pretend to care about you So that they can remain in your proximity I've learned more about your goals and dreams They will give you their help and support To make you rely on them and trust them Just to then take it all away from you To betray you and leave you defenseless When they see you're too strong They will play the victim They will act dishonestly They will act as though you did something to them They will push and provoke you And to react into what they're doing They will say and do things that they know will irritate you Until you finally lash out at them They will be passive aggressive They will try and date you They will compare you to other people They will do things to try to make you jealous They will belittle you They will try to make you feel small They will do anything to get a reaction out of you To make you angry or upset But they will do it in a way where they cannot be incriminated They will make you act out in the same way that they do They want you to lash out when they attack you They're hoping that you will fight back Because it fuels them It makes them feel alive Because now you're acting crazy just like them It makes them feel like they're not alone You're in the same boat So you may see the narcissistic smirk Because they're satisfied with your response They got what they wanted from you They made you react to the abuse They've brought you down to their level Which makes them feel powerful and in control It gives them supply And now they can point the finger at you They can blame you for something you didn't do They can make you feel guilty Just by making you react to what they're doing Which is why although you may be strong You need to be aware of their tricks Because they will play the victim And you may end up apologizing You may end up trying to make things right And they will never let it go They like to bring up things from the past So they will keep it in their back pocket And they will use it to use at an elated date To show people that you have a history of destructive or violent behavior To label you as a criminal To discredit you and make you look bad When really it's all a lie They took advantage of your feelings They turned you against yourself They pushed and provoked you And then they sat back and observed your reaction They manipulated your emotions until you finally lashed out And then they made you feel guilty They made you feel bad about yourself While they played the victim Because that is how they drain your energy Which is why we need to control our emotions If we are not in control of our emotions Someone else's The narcissist may be manipulating us They may be lying to us They may be triangulating us with another person To try to get a reaction out of us So that they can use it against us while they're cheating on us and acting dishonestly But we need to be in control of our emotions Because only the narcissist benefits when we get mad It gives them the upper hand Thank you for watching I hope this video resonate with you Please like, comment, share and subscribe If you would like to donate My PayPal link is in the video description Coaching Inquiries You can email me at coaching at naksafiver.co.uk Thank you for watching and I'll talk to you soon


Hello, everyone. My name is Khushput Ekriwal. I'm a resident at St. GS Medical College and KEM Hospital. Here I will be presenting a case series of pseudo aneurysms which were detected on ultrasound. This is the case one of a 50 year old man who presented with complaints of unresolving hematuria for 10 days following PCNL. His b-mode ultrasonogram of fried kidney shows an anechoic round structure in the renal sinus near the lower pole and there was dynamic change in the shape of the lesion which shows the pulsatile nature of the lesion. The corresponding Doppler image, color Doppler image shows in Yangstein which is classical of pseudo aneurysm. Here is the corresponding axial CT image and corresponding coronal 3D vascular reconstruction image of the same patient which shows an lobulated pseudo aneurysm in the renal sinus with heterogeneous enhancement of the renal parenchyma and the content in the pelvis which suggests hematoma in the renal pelvis. These are the digital subtraction images of the pseudo aneurysm and which was successfully managed by coiling. Hence a diagnosis of itrogenic pseudo aneurysm arising from the posterior segmental branch of the right renal artery was made which was coiled successfully. Next case is of 40 year old man who presented with complaints of unresolving hematuria for 15 days following PCNL. The b-mode image did not show anything apart from the content in the urator and the bladder which was hematoma and there was DJ stent in C2 in the same kidney. So the color Doppler image of the right kidney showed an outpouching with in Yangstein arising from the inferior segmental branch. These are the coronal and sagittal sections of the arterial in the arterial phase of CT which shows contrast small contrast build up outpouching in the renal sinus at the lower pool of the right kidney. However, the diagnosis was difficult due to multiple calculate in both the kidneys. Hence a digital subtraction renal angiogram was performed, which showed a small pseudo aneurysm which was arising from the inferior segmental artery and successfully closed by coiling. Hence a diagnosis of itrogenic small pseudo aneurysm arising from the inferior segmental branch was made, which was successfully closed by coiling. This is the case three of a 26 year old man who presented with complaints of swelling in the left leg and serious discharge from the wound which was there on the sheen of the tibia. He had the history of stab injury two months back over the lateral aspect of the left leg. There were lesions which could be seen on examination. The B mode and the color Doppler image of the anterior tibial artery showed a suit outpouching which was arising from the anterior tibial artery and which showed Indian classical Indian sign. These are the images which showed the neck which shows the neck of the aneurysm and this is the corresponding B flow sonogram image of the pseudo aneurysm. This is the classical pulse Doppler ultra sonogram image which shows two and pro pattern of the waveform. Hence a diagnosis of traumatic pseudo aneurysm arising from anterior tibial artery was made. However, the patient did not follow up with us. This is the case four of a 30 year old man who presented with pain in abdomen for one and a half months and was advised sonography for the same. On sonographic image examination and outpouching was seen which was arising from the superior mizantric artery and which showed in young flow within it. These are the actual CT images in of the actual CT images of the in the arterial phase, which showed a bilobed sacular outpouching arising from the distal SMA distal to the origin of the I. There were, there were few branches, there were few branches which were arising from the aneurysm sac. These are the MIPS projection, MIPS maximum intensity projection, coronal reformatted images and the volume rendered image of the pseudo aneurysm. Here we can see the branches arising from the pseudo aneurysm. These are the selective SMA angiogram images which confirmed a bilobed pseudo aneurysm arising distal to the illocolic branch. The aneurysm pouch were closed using the, using the vascular plug and the coils. This is the check angiogram which showed the coils in position and there was no filling of the sacs. Hence a diagnosis of superior mizantric artery sonor aneurysm was made which was closed successfully by coiling and vascular plug. This is a case five of 50 year old man who presented with complaints of gradually progressive swelling over the chest wall since one month and he underwent CABG about one and a half months back. There was a boggy swelling on examination over the midline of the chest on local ultrasound there was a local hematoma which was there since the hematoma was progressive. Hence a suspicion for a possible leak from the, from the possible underlying aneurysm was made. This is the corresponding CT image societal, we say societal section which can, which shows a pseudo aneurysm, pseudo aneurysm pouch with extensive hematoma surrounding it and the hematoma was extending till the anterior wall. These are the pre treatment and the post treatment images actual section which shows successful closure of the pseudo aneurysm by corner device. This, here we can see the multifunctional occluder device. Hence a diagnosis of itrogenic pseudo aneurysm following CABG was made and it was successfully closed using corner multifunctional occluder device. So, here we can, as we could see, pseudo aneurysms are commonly encountered in day to day practice ultrasound plays an important role not only a diagnosis but also in the management of the superficial small narrow neck pseudo aneurysms which are managed by compression or USG guided thrombin injection. Small pseudo aneurysms arising from the renal artery can be missed on CT angiography, especially in the patients of with multiple renal cal, as we could see in the case two, then progressive swelling anywhere after the trauma or intervention should raise a suspicion for an underlying vascular pathology and should be thoroughly investigated as we could see in case three and five. Thank you.


As defined by law, cultural heritage refers to the totality of cultural property preserved and developed through time and passed on to posterity. Cultural property refers to all products of human creativity by which a people in a nation reveal their identity. These include churches, mosques, and other places of worship, schools, and natural history specimens and sites, whether public or privately owned, movable or immovable, and tangible or intangible. In the series of lectures, esteemed educators from our national university lend pertinent discussions, thus open academic discourses on Philippine cultural heritage relating to their respective fields of discipline and expertise. These can and may be used as resource materials for further learning and study. Public Intellectual Arnold Azurín, or Lakay to many, explains to us the making of Filipino identity and heritage through conversion, inversion, and subversion. He points out, through historical events, how locals accepted colonial culture and customized it becoming their own to eventually be used in opposing this foreign imposition. I was just recalling the times of Diego and Gabriela Silang when they tried to take over the capital of Locos in Vigan. But unfortunately, even Diego realized that his followers were more Catholic than rebellious, so that when his own friend was convinced by the bishop to just kill his friend Diego, it was an easy matter to undertake such assassination. And even the followers of Silang were not very keen in coming to his, let's say, socor. And so when Gabriela tried to make a comeback in order to cease the government reigns in Vigan, she also didn't succeed in her effort. And what we can say is that at that point in time, Vigan was the bastion of colonization and not only a bastion of political control, but also a religious center because it was the capital of the diocese of Nueva Segovia. So what we can say here is that the cultural conversion of the Ilocanos at that point was more persuasive part of their lifestyle. But it becomes a different matter when in 20 rather in 1807 when the Ilocanos started to wage another rebellion which is unfortunately called Basirebol, more popular when actually it should be called the alzamiento of Ambaristo. Alzamiento is just the uprising because that is what the scholars at the time and the friars called it. Besides, there is no semantic in the Spanish language called Basirebol. That is an Americanism and it was even noticed by the art historian, art critic Patrick Flores, that maybe the Basirebol's name is Misnomer and she said that because the way it labeled the struggle, the bloody struggle was that it would seem that the sole purpose of waging is to have more Basire in their glasses and this was not the case. In fact, the Basirebol label is very unfortunate because it didn't give much value to the struggle for freedom. But then it was not only the textbook authors but also veteran historians who were misquoted by the term Basirebol. For instance, even Renato Constantino, a preeminent historian, one time wrote in his column in Bulletin today that this, disparagingly, he said, the Locanos are sometimes waging rebellions only because they want to drink more Basire. Contrary to the legitimacy of the label Basirebol as causing the anger of the people to become an uproar, yes, because they are disgusted with the lack of Basire to drink for their self-indulgence, let me go to the observation of the Augustinian Provincial at that time. He said that the cause of the insurrection of 1807, which we should now call as it was properly called by historian Isabel de los Reyes, that it should be called Al Samiento de Ambaristo, the uprising of Ambaristo, the leader, the causes of which was traced by the Augustinian Provincial this wise. The Ilocano Indios at that time have become as thieving as those of other provinces. They steal cows, horses, and caravans from their fellow Indios, and those engaged in these businesses are ready to do bad things. It is not surprising that many of these are deserters who started the rebellion in the mountains of Pedig, others joined them after the fire broke out, some Spaniards were deserting their ranks, their role as protectors of vegan, and so this lack of Basire cannot be considered as the reason for the rebellion. And it should also be considered that other observers like Jesuit Father Vicente Aleman wrote in 1768 that is long before the breakout of the Al Samiento. He said that Jesuit Father Aleman said a third of the infantry in vegan, an Ilocos, was made up of poor exiles from Mexico. The Maestre de Campo was some official who could not be an Alperes, a lowly official, in the army. Generally, those who went to the Philippines at the time were the ones who were too lazy in America, called Pulizones, and had originally fled from Spain. They were criminals, they were exiled creoles, called Quachinangus in the Philippines. That is from Jesuit Father Aleman. So what we are saying here is that, unlike the Ilocanos and their leaders, or the Anderca Elianes, in the time of Jaguzilance Rebellion, those Ilocanos then, we showed them to be more religious and more believing in the power of the bishop and the priest. At this time, the people in Northern Luzon, even the Spaniards included, were described this way. I can assure you, Rott Father Aleman, that of all the Spaniards I met in Manila, there were only two or three who had gone legitimately. That is almost all were fugitives. For having been appointed by the court. All the rest were Pulizones and deserters and creoles from there that are called Quachinangus. It would be the greatest human comedy in the world if every resident of Manila were to play his own role because then we would see backs scarred with whip losses and other marks. Hardened soldiers and non-priests celebrating mass and hearing confessions who were punished in Mexico by the tribunal of the inquisition. Some found themselves coming weeks, others scratching beards and still others clutching felons or whipping them. All of these and more you will see in the Philippines. So the point is that at the time that the El Samiento de Ambaristo broke out, most of the people then were involved in anarchistic activities and according to some historians there were more people in the valleys, in the hinterlands that were seeking shelter from such extensive criminality. So we could now see that the people at the time were less religious and their desire to fight the monopolies in tobacco, in wine, in all the rest of the products that were consumed by the people in order to raise taxes for the government, the people were just not, they were not anymore the religious plaque that they were in the time of Diego Silang. In fact, Isabelo de los Reyes, a beginner, even wrote here in his book, in 1807 then people were not predisposed to anything good and in the month of July some recruits fled vegan and took refuge in the mountains of Pidig where they were joined by many discontented people. They tried to get the people of Sarat to rebel. When they failed, however, they returned to the mountains, taking with them the drums that were in the Bantayans, watchtowers of the cows. So I would, having emphasized that the name Basirebol is very much a misnomer, as also asserted by the art historian Patrick Flores, then we might as well make use of the real name used by the historians at that time, which was used the Al Samiento de Ambaristo even up to the American period, up to 1931, when Abentura Bello, another beginner historian, tried to make a recollection of the whole event. This Al Samiento was very important the way I looked at it in the sense that it was the first time that finally the rebels in northern Luzon made use of the term Pilipino, not as referring to this traditional meaning of Spanish born in the Islas Pilipinas. That used to be the regular meaning, but remember that I was showing that the Spaniards themselves were so much engaged in mud-slinging by name-calling because at that time the Spain and Mexico were also collapsing as centers of the empire overlooking or controlling the Islas Pilipinas. So what happened was that the term Pilipino became marginalized in the means of the name-calling of Guachinangus Polisones and whatever bad name the Spaniards can call each other so that the rebels in the Al Samiento finally grabbed the term Pilipino and used it on themselves as their nom de guerre, as their binding name for themselves. And so this was shown by the historians at the time when they said that the constant battle cry was the time of the rebels at the time when they were approaching the bastion of Bigan, the colonial bastion. Their battle cry was Avance Pilipino Puerra Españoles. So it was a surprising turn of events at the turn around in semantics because the term Pilipinos were reserved before the rebellion to the Spaniards born in the Philippines. But now this time the rebellion grabbed the product of conversion of the term Pilipino and then made it into their inverted meaning by calling themselves the real Pilipinos. Now, how sure are we that the inversion of the meaning of Pilipino repairing to the Spaniards born in the Philippines to refer instead to the rebels? It's very clear in two books written by historians we have let me... The two books re-evaluating the events and documents of the bulletile epoch suffice to supplant the devious propaganda of the colonial rulers and friars that it was merely a change of semantics but not the change of real, deeper meaning. The books that are relevant for this deeper change of meaning of Pilipino from the Spaniards to the rebels are the books, the events of 1872 National Glories by Manuel Ortigas y Cuerba and another book, Father Jose Burgos A Documentary History by Jan Schumacher. Together they debunk the traditional claim of Agoncillo that according to him there was no national history prior to 1872 because there are no Filipinos then or the Filipinos were not actually the inhabitants fighting for freedom. That is the claim of the idea that before 1872 said Agoncillo there was no national history prior to 1872 because the histories then were written by the friars about their own activities but what I am now trying to assert here the national identity and history was already born in the 1807 revolt and that was the birthing of the new meaning of Filipino to refer only to the Filipinos born to anybody born in the islas Filipinas so what I am saying to be clear what I am saying is that while Filipinos used to the Filipinos as a term used to refer to the name of the king of Spain this time the fighters in the asamiento of Ambaristo they are now referring the term Filipinos only to anyone born in islas Filipinas there is no more referencing to let's say the name of the king of Spain and how did it follow through that the term Filipino finally became our own identity today what happened was that when the term Filipino was first used as the battle cry to identify the rebels themselves as the real Filipinos while the Spanish had been identified by them to be the enemy to be removed from office at that time although there was a lot of bloodshed that led to the defeat of the asamiento of the rebels there that was already the infancy of would be rebel priest Padre Jose Burgos who was also from the north, exactly from Vigan and at that time he must have been absorbing in his consciousness many of the legends as well as the memories of that asamiento de Ambaristo so that when he was starting to debate argue with the friars about the necessity of advancing the rights of the secular priests into having more let's say cathedrals more churches for the secular priests the rebellious Padre Burgos started calling himself Filipino-Indiana so now we have a new semantic for the self-identification self-identification of the Padre Burgos and company by calling himself Filipino-Indiana meaning native born Filipino so that was very empathic and the next shift to deepening the meaning of Filipino to go deep into the consciousness of people at the time was when Jose Rizal remember very much influenced by Padre Burgos wrote a poem La Juventud Pilipino meaning to the young Pilipino to the youth of the Philippines he said you have no other motherland but Pilipinas so we have Padre Burgos influencing Rizal in redefining Pilipino and in fact this cannot be doubted the influence of Padre Burgos to Rizal because it was Rizal himself who said that if not for 1872 meaning the martyrdom of Burgos, Gomez, and Zamora if not for 1872 I might have not written my novels Rizal said I might have become instead a Jesuit so that is an assertion that he borrowed so much from Padre Burgos who was the first to make it documentary fact that the Pilipino is Indiana and that refers to the freedom fighting but of inhabitants and then what is the next shift of the term Pilipino was when the rebels themselves at the end of the 1800s meaning the Katipunan-led rebellion started calling themselves in their act as let's say La Pilipina, La Revolucion Pilipina that was very Apunaryumabini so when these freedom fighters went to Malolos in order to make their constitution they also called their end product the Malolos constitution but La Republica Pilipina so Pilipina has definitely been grabbed and this is the process of inversion that I was referring to the term Pilipina has now been grabbed by the freedom fighters that it has no longer any value to the ruling class especially to the Spaniards but it's not only even in this field of let's say political identity calling La Republica Pilipina they also called the branch of the church Aglipayan into Iglesia Pilipina Independiente so everything has been Pilipina since the time that it was first expressed as a battle cry in the Alcemiento, the Ambaristo way back in 1807 so now we know that there has already been a separation of the semantics of Pilipina from the name of the king of Spain so when in some of my lectures outside around Asia I usually was asked by some foreigners the question how come you are the only country that allows itself to be called by the name of the king and so I take the chance to explain what I am saying now that the term Pilipina has been uprooted from its former meaning as referring to the king of Spain it has been implanted uprooted there and then implanted to mean the Islas Pilipinas that the motherland is called Pilipinas and then it is already liberated by the revolutionary process that our freedom fighters went through starting from the starting from the Alcemiento de Ambaristo this is Arnold Molina Asurin a scholar who is called by the fellow professors of the country and I continue to continue to change our insights into our because I say that and everything thank you very much


Manchester, Tennessee. This is Jiffy Burger. Legendary spot that you have to hit. My first time. Brett Kern's first time. They have the Bonnaroo Burger. Here we go. Right off the highway. Let's roll. Let's go. Come on. I'm Mike. David nice to see you. Thank you. All right he's working. I'm gonna get out of here so you can see Brett Kern. We got a call in order for two hamburgers. I want to know how you got Brett Kern in the kitchen to work. He walks in the door and David told me.  He didn't ask. He told me. How did it become Jiffy Burger? In 63 it sold at auction and so these people bought it and they had a contest at the newspaper and so this lady come up with the name Jiffy Burger and they I don't know what they got her as a prize but she wants some kind of a prize. And of course she's been raised in it. My son Brian's been raised in it. The whole family's always been in the restaurant. Originally it was my mom and dad and then we bought the whole family and then after that we just kept growing and growing. Nancy are you allowed to talk? Or can you just not get a word in each one? It's hard to but these two. I just stand here big boy. But we all know that she's the boss. This is the Bonnaroo Burger. This is the same one. I didn't get cheese. You didn't get cheese? There's a really good chance that I flipped that hamburger. Okay so it's got an egg, onion ring, bacon, mayo, bacon, mayo, cheese and you get a free angioplasty with it right? Yeah that's an unbelievable service. How did the Bonnaroo burgers come to be? Give us the back store. Okay so that was Jiffy Quayar. Jiffy Quayar was one of the vice presidents of Bonnaroo. Of course we met him in 2002. So we had this relationship with Bonnaroo from the very beginning. He was talking about a burger one day. He said I'm gonna come up with a Bonnaroo burger. I think Nancy and Tracy had talked to him. He's got a like a metal pole bar in the middle of the building. It's 5,000 square foot that I told the pickers. We've got 5,000 square foot but we've got 20,000 square foot of stuff in a 5,000 square foot. Just on the front of the building there's 150 signs. We've got 65 gas all. So one of my favorite things is the old Coke refrigerator. So David Pennington has a lot of great memorabilia but we're gonna add something cool. A Game Warden Titans helmet to his collection to let him know that Jiffy Burger in Manchester is Brett Kern and Tennessee Titans approved.


And at this time I'd like to welcome back Don Mordecai to the stage, as well as Tony Beretta, our Senior Vice President. So as they're coming up, I'll just read you a little bit more about Tony. Again, Senior Vice President of Government Relations for Kaiser Foundation Health Plan in Oakland, California. He oversees development of Kaiser Permanente's public policy positions in collaboration with senior leadership. Are they fighting over there throughout the organization to ensure that Kaiser Permanente maintains a common voice in support of the interests of the organization, our members, and the communities we serve? So Don and Tony, I'll hand it over to you. Well, thank you, Sesse. So I have the, well, Tony and I have the unenviable task of trying to distill a pretty amazing day. These days always go by really fast for me, and it's like there's so much good stuff coming at us. So first of all, let me thank all of you for joining us here today and for being actively involved like I asked at the beginning of the day. I appreciate that. I want to thank the amazing group of speakers that we had that brought so many diverse perspectives and ideas, which was terrific. And I want to thank the IHP staff and the staff at the Center for Total Health for hosting us, welcoming us, making it move smoothly. Just terrific work, everybody. So thank you. So I sort of spent the day like scribbling things down on little pieces of paper. And then I sort of distilled those things and I just want to share with you my thoughts, basically, that came out of that. One was we started the day acknowledging that we have inadequate capacity, right? But that was too broad and we very quickly got down to a lot of nuances about that. And one couple that struck me is that we have inadequate capacity, but it's also poorly distributed. So it's a double problem. And I want to thank Dr. Muta for bringing that to our attention. I love the idea that we need to be thinking in terms of being driven by what people need, right? Not what our traditions are or what we want to give to them or what we were trained to give to them, but who people need. And that not everybody needs the same thing. We definitely need to train more people, but we need to train them in new ways to do different things in different settings. So evidence-based care came up a lot and I certainly appreciate Brad bringing that perspective and Brad's work with us at Kaiser Permanente to think differently about how to bring evidence-based care to our members and patients. I was very thankful that it was mentioned a couple of times what we're doing around measurement-based care, what we call feedback-informed care. And we are doing that across our program. That is a national initiative for us to bring measurement-based care to the field of mental health and addiction care, because we believe it's crucially important that we understand what are we doing, how is it working for people. I think it was Glenda who said, you know, it's really useful for when you're working with an individual to understand whether that individual is getting better. This is their symptoms going down, by the way. That's what that signal means. I think in terms of the graphs that we generate through doing this kind of thing. But we also use it in aggregate to help us understand how our systems are working and to identify bright spots where, you know, which of our regions is doing best at helping people with depression get better in the most efficient way possible, because that's what people want. They want to get better fast. They don't want to linger in care that they don't need. We talked about care in primary care and other non-traditional settings, and I think one theme that came through is how do we move care closer to where people are, right? That's what people want. Of course, we work, the 48% of us in the healthcare system work in this system, where traditionally it's like we build these wonderful temples and they're called hospitals, and you come to us because you love coming to us so much, you know? That's gone. People are living different kinds of lives now, and if we can get them care on the phone, email, you know, all the other ways, they appreciate that, because that allows them to live their lives in their communities instead of coming into our lives. We need culturally competent care, and we need to respect the fundamental dignity of people, as Dr. Ren said, which I appreciated. The panel on community and faith-based approaches talked about this idea of, can we focus on mental health, not mental illness, not mental disorders, but mental health, and the idea that mental health really resides not in hospitals or clinics but in communities. And what we're thinking, when I think about Kaiser Permanente's community health approach, we're thinking about how do we move upstream, right? And not just, oh, can we get people who are in our system but they're sort of preclinical, and that's an important group, but can we really move upstream? Can we look at what's going on in communities that drive adverse childhood experiences, which we know contribute to adverse health and mental health outcomes much later in life, right? That's the real upstream, right? How do we make our communities into places that are supportive and healing places and not traumatizing places, which too many of our communities are at this point? And I love the idea that we need each other to make this happen. And then I guess, and I'll wind up with this, which is a lot of what I got was a real sense of expanding the field of opportunities and solutions that we have. And that this was not just a, oh, yeah, we got it. We really got a pipeline problem. We really got to deal with it, but really thinking way beyond the traditional, right? So what can we do with peers? How can they contribute to mental health? What can we do with our faith-based communities and how can they contribute to mental health such that it's not just, oh, well, peers could really help the mental health, the mental health, mental illness care system in this way and they could fill in in this way. They can actually transform this, right, to be thinking again about mental health because we all have mental health. So I think finally I want to point to the next generations because as Linda alluded to, what I see in younger generations is much more openness about this conversation, much more expectation of like, hey, I need some help, so let's figure out how to get me help.  I have a chance every once in a while to speak to high school groups of kids in underprivileged areas around San Jose who are interested in the healthcare field. So that's great. I don't talk about psychiatry and thinking about how fun it would be to work in fields that think about the brain and things like that. But I'm struck at the kids who will stand up and say, well, Dr. Mordecai, I have OCD and I'm working with my doctor on it and I'm wondering about this, this and that. They're in front of 50 of their peers just right out with it and it just kind of warms my heart. So I think there's huge potential there. So I will wrap up with that and hand it over to Tony. You absolutely should. So thanks, Don. First, I want to thank all of you for giving us a full day and just extraordinary to be able to be part of these conversations. I do want to thank the Institute for Health Policy team, Sessie, Megan, Sam, Becky, Monique, Joy, whoever else I'm forgetting. I think that's most of the team who put this together. These forums that we've been having, we've had a couple of forums that have focused on mental health and they're really reflecting what we believe as a public policy and government relations team at Kaiser Permanente reflect the concerns of the organization as we look at the types of issues that need to be considered and particularly in the mental health space, trying to raise attention within our organization and with those with whom we work generally to try to see where we can go, because I think the last conversation helpfully touched on this. For many years this was a conversation about mental health parity. It was about lack of access to coverage and while there is still work to do in those spaces, absolutely, actually meeting the mental health needs of our population extends beyond that and involves developing new models of care, finding new resources, changing the types of resources that we have and I think that's what we've been talking about largely today. America, I have to thank you for changing the metaphor of going upstream to swimming in a lake with boulders coming down on it. I'm going to work that into my upstream dialogue from now on. Right now I will say the last couple of hours of listening to the solutions, which I was charged with trying to pull themes out of and some of my colleagues helped me with this, felt a little bit like drinking out of a fire hose and then having somebody throw rocks at you. So that was a little bit how it was. But I do think there are a few things that really come through very clear that help us with our next steps as we step away and frankly, a part of our purpose in holding this meeting is to help my colleagues and me, Julie Stoss, others on the government relations team figure out what do we need to take out of this meeting in order to synthesize policy internally to try to find ways that we can convert that into an actionable policy agenda in the states where we work, in the communities where we work and at the federal level so that we can bring Kaiser Permanente's voice more effectively to places where we haven't been as present as we want to be in the future. And it is the work of our colleagues who are actually, you know, those of you who are actually on the ground addressing mental health needs in our system, we're learning a lot there, and we learn an enormous amount from all of you when you come to meet with us in these sessions. So very, very briefly, I would point to a couple of things. It was loud and clear the lack of good data to inform the policy debate that exists. There's an old saw among budget policy people in Washington in particular, but everywhere, which is to say, in God we trust, all others must bring data. And particularly if your concern is, can we get appropriate financing to make things sustainable? Can we draw on other stakeholders in the community in a laying out the reasons why there should be a reallocation of resources? Without data, nothing will ever change. And so getting good data, the team at UCSF is really to be congratulated for stepping into this. The team at the University of Michigan, God bless them for starting to do this. And yet the data are incomplete. It's still very embryonic. And I think as a foundational point, we really need to work on that. It's out of that that I think we will be able to start executing on the financing questions. And then a piece of that, and this came out in the conversation, how much of it is to pay for the types of things that we're doing now? What type of payment flows are needed to help transformation in terms of training new models of delivery? I thought that presentation around integration and coordinated care and the fundamental disconnect between traditional payment models and what's necessary to enable that. We have seen very challenging effort in the medical care space to do very much the same thing. Clearly that road is still in front of us in the behavioral health space. And yet that is where we will create new capacity. That is where we'll be more effective in terms of models of care and telling the story of how that's working. And I thought that was wonderfully done today too from an advocacy standpoint, absolutely critical. Standardization of licensure across the country. I thought that was a very important point that is actionable at a national and state level. Just to point out, not only do we have the problems of non-state-cross-state licensure, you have different certificates and licenses from state to state. That really impairs the ability to leverage the entire national workforce in appropriate ways. And so that's something that I think I wouldn't have thought of, but had to come forward. There was an enormous theme today around rural access. Touch on telehealth around that. And I do think that, and this is something that state legislators we deal with or attuned to, is the problem of broadband access. And that needs to be characterized as a health problem, and health resources need to be available to help lean into that problem because it's not going to happen magically in some other way. There's been lots of efforts to do that. I think we heard in a number of different dimensions the need for better measurement, whether it's at the government level and how performance is happening. We've heard models of care and measurement and driving satisfaction for providers. So I think there's a policy conversation to be had around supporting how measurement should be happening and can we get to more common measures. And I have a long list of others. Probably the biggest one that I think came through here as well, which is a political problem as much as it's a policy problem, is virtually every speaker today reflected on the problem of silos, of the problem of the guilds, and the desire of people even practicing within those guilds to transcend the current definition to help people identify themselves as professionals, how they identify their systems and what they're providing, and everybody knows that somehow we have to move beyond that. And that's going to require flexibility and creativity. And policymakers can help in that regard. They can help to create a demand at a policy level to push on the stakeholders who typically are coming to them with the narrower concerns that they have around the traditions. Nobody wants to have their cheese moved in a policy discussion, but the current cheese isn't tasting very good and it's in the wrong places. So we need to be able to figure out how to come together as a community to be able to tell a better and different story to the policymakers. So, Ceci, I know that's more than enough and I do want to thank you all again. We will keep this conversation going in a variety of ways. You may say a little bit about that. And again, we really look forward to the continued engagement and continued input. So thank you.


I think that a lot of the staff in particular and I would extend that really to faculty and students who use our resources are sensitive to the news and the big cases and the fear mongering in a sense about not overstepping safe space. The code allows us to work with staff, with faculty, with students to educate them about what the principles of fair use really are. Not that it's a fine ironclad set of answers, but it's a set of guidelines to think about as they look at what do I put in my course. A library staff member who teaches and is using library resources, what are they safe in doing? And how do they provide the attribution and the recognition for scholarship and protect the rights of a copyright holder in that process? And I think that fair use haven, if you will, pushing the envelope a little bit, encouraging staff to think about risk, but also think about opportunity at the same time is really, really critical and why that code really helps in getting them to think more broadly about what their risk comfort levels are. It is about risk, but creating new knowledge and encouraging new thought is a risk in and of itself and that's what the academy is really all about is how do we use all of the resources and knowledge and ideas of the past to create new innovative thought and ideas in the future. So we've used the code in a couple of ways. First and foremost we did the orientation sessions and what I found interesting, for example, were the questions being raised by, say, the chair of our library committee on the faculty senate library committee in terms of, I didn't know you could do that. Is that really something that can be done? Do I really own those sorts of things? Am I really in control of my scholarship? All this set of questions that now we can talk about in new and different kinds of ways and that it's not about, here's the prescription and if you follow these 96 steps you can be assured because this isn't a game in which that works that way. Our council then has taken some of our enthusiasm, shared it across the system because we do work together and ultimately it is the council at the office of the president representing all of us together that is there and so she's helped us take that to a system-wide level that will look at how do we make this part of practice, not guidelines or policy, but practice within the whole university system. That helps us then get it out to where it's recognized by faculty in their execution of how to look at fair use. Code, the whole process, not just the final document, but the whole process of looking at these as important issues and how can libraries, how can research libraries take a firm stand against the principles of scholarship and of the academy and of, as I said, the creation of new knowledge. The whole essence of the Copyright Act was to promote arts and sciences. The academy forever has been about promoting the arts and the sciences and creating the next generation of scholars. We're going to have a good next generation of scholars. They have to be ready and able and willing to deal in this arena of fair use.


So the fourth of our beta sprints to be presented John Butler and Wendy lugee will describe government publications Enhanced access and discovery through open linked data and crowd sourcing I don't know if it's possible for one of the presenters at some point to give us a sentence or two on open link data It's been represented many times through the course of the day, but I don't know Wendy Is that something else is being set up you'd be willing to do? Okay, I was kind of Well, we're going to move to more of a conceptual model here Very targeted in the area of government publications from content and services point of view This is a project a collaborative project that is being put forth by University of Minnesota by the Hathi trust and we have represented some Hathi trust here in the audience and By the committee on institutional cooperation the CIC and We have Mark Sandler the executive director of the CIC with us and my colleague Wendy lugee So this I said it's a flatter presentation particularly following the Harvard presentation great job guys So the idea here is to create a critical mass of content valued and in demand by the user community and build context sensitive and needed services around it And we do this by proposing innovative and scalable approaches using Hathi trust is a real life at scale test bed as The larger largest publisher of information in the world As the largest publisher of information in the world the federal government provides key information resources that encompass all aspects of you at us History and culture and the development of better access and discovery processes Enhance how citizens work with their government Because the information resides primarily in the realm of the public domain. We see obvious Opportunities for exploiting this information We anticipate that government information will be a significant part of the DPLA So I'm gonna start here with content the amassing of large-scale content We have Since 2009 it's a comprehensive approach to amassing these documents using a framework of digitization facilitated by Google and others the accessing and archiving of this content by Hathi trust and corresponding print management strategies Bringing together for regional Depositories and just to note that we have the opportunity through the Google work here to share these digital files the status of this is that we're seeking a Potential digitization target of these print documents of 1.5 to 2 million documents and thus far we have we think in Existence 300,000 are in Hathi trust digitized by CIC and additional 200,000 plus by other Google partners we recognize the challenges here of accurate identification of these government publications the sourcing of the documents and their corresponding metadata and The enhancing of this digital corpus by useful services, and that's largely what this project is about I want to note too that the Hathi trust held its first constitutional convention this past weekend or the weekend before and one of the ballots that passed was the To initiate a planning process here for a business model and operational plans for the creation of a complete corpus of Government publications and new forms of access so that fits really quite well with this proposal So moving on to these services contextualized services around government publications we've been working with a Community of government publication librarians to identify what would be the most valued services, and they really fall into two areas One is to deal with the problem of us government Department and agency name changes as users encounter that confusion and chaos in their Searching and navigation and the second really is to make provide some sense-making in terms of Legislative histories that is how do we link these documents together in some kind of genealogical fashion So we propose to use concepts of link data To deal with both but primarily with the name agency changes in this example You see some of the variants of the u.s. Coast Guard including the life-saving service a Preceding name and the reverse cutter service and onward so when a user searches for us Coast Guard Are they aware of these variant changes over time? Probably not and so we're seeking to use link data and RDF triples that really move us away from our metadata record-based Concept in terms of soul search and retrieval to identifying and leveraging the relationships between one data store of bibliographic data and existing external or internal data stores where name authority changes can be That are managed and so there are a growing number of data aware stores out there Including the Library of Congress name authority file the virtual inner virtual international International authority file and so forth world cat identities These are just waiting to be tapped in order to create on-the-fly relationships between documents that and Information objects that reside in one place and that of another and here's a little bit of flow how we might imagine this working with the Hathi trust Moving from a catalog heading using an RDF triple that tries that relates One entity object in Hathi trust or an information point to that where it exists in another data store and returning a related name a related Piece of information Based on the request it could be presented back to the user on the fly It could also be used to enhance records or enhance queries that the user would be Conducting within the search engine And here's an example of how that might might actually play out in a user interface searching for US Coast Guard a touch to these other data-aware services that deal with the variant names preceding and following names and Either by explicit or implicit inclusion of these alternate names could be embedded in the search without the user having awareness of those variations The other object of our project is to make sense out of legislative histories here And this is probably the least ugliest slide that I could find We hear a lot about sausage make sausage making with legislative histories, and it really is the case here This is a daunting challenge here as we look at the relationships again And the key to this project is building relationships between information objects documents and such How do we do that with legislative histories? And here's a simplified version of that Hard to read here But again this we see this as a combination of algorithmic approaches clustering of documents based on legislative history Public law numbers and so forth and interventions by the professional government publications community as well as Possibly end users under certain editorial controls And those are the interventions there by tagging or perhaps even the creation of these RDF triples by users And the keyword search that would help us stack these documents up in some kind of related history So just to wrap up here again We're talking about the continue amassing of government publications content on which we can create build interesting and useful services and Finally again, this is the front slide here our Proposal was submitted as a short video and the URL is is there I don't know if it's up on the blog site John I know we put it up on the wiki site as well. So that's another source for that Thank you. Excellent John. Thank you I have a hunch that my friend Carl Malamud would like to say something. So I'm just gonna send the mic in his direction. I Have a question a wonderful beta sprint. You say you're authorized to share those government documents with With the government with the FTCS government printing office. So two questions one is GPO at all interested in Getting access and can you share those documents with other groups such as public resource or internet archive or? You know commercial operations or whatever an office that's been expressed To that second question And Google's willingness to share with other parties Really the discussion we had with Google was was specific to GPO and You know, I guess we could you know always go back and And talk about that. I think it would just be you know, what what's the nature of the vision? that that someone wants to For which someone wants to use these documents. So, you know, I wouldn't foreclose it but our specific discussion with them was about GPO Okay, other comments on this. Yes, sir As the mic goes along, I would say that the GPO would be a wonderful partner in this effort overall as well I'm not sure if there is someone from the GPO here, but we certainly welcome participation My name is Augustin Holtz. I'm a retired vice president of Redex digital company and my responsibility was in government documents, but I just want to comment a little bit on the difficulties that that that mark and his colleagues have alluded to if you Consider that congressional committees are either standing committees or special committees The standing committees are fairly long-term and seldom more than a hundred of them They're not eternal even though some senators would like to think they are But the special committees are a completely different thing either special select committees or special committees There have been over 6000 of them in American history so far and The names of these special or select committees often do not appear on the reports or documents themselves They'll all they'll have some kind of a name but it'll be a Purifices like the committee of that part of the president's message of the third instant now the real name is is Locatable in the House or Senate journal for that session, but it doesn't appear in the document itself So it's not something that ever could be extracted by full search requires research either through cataloging or some other form of Intense research to get it straight. So all of this is by way of saying perhaps too long that it can't be a very very complicated Thank you acknowledged awesome. I think we're gonna Move on but any response to this or do we just say yes? I think we we recognize the complexity of these problems and in fact, that's what's inspiring us to try to do chip away at it with some scalable Methodologies here, but fully acknowledged. These are very complex Information structures if they exist at all Fantastic team. Thank you so much


Item Number – SCP-499 Object Class – Euclid Special Containment Procedures SCP-499 is to be contained within a circular containment unit measuring 60 meters in diameter with a shallow trench measuring 110 centimeters around the perimeter to contain SCP-499-2. The chamber is not to be entered during daylight hours, except in cases of extreme emergency. If the chamber must be entered, personnel are to wear a grade C heat hazard suit and appropriate eye protection. Food, water, and medication are to be supplied in appropriate amounts during nighttime hours. All loose items in the chamber are to be removed before sunrise. Under no circumstances is SCP-499's daytime behavior to be interrupted. Description SCP-499 is a human male of indeterminate race standing, 1.75 meters tall and of at least 80 years of age. There is heavy burn scarring present on the subject's body, primarily on the face, hands, arms, and chest. SCP-499's eyes are severely damaged by light over exposure and its respiratory system by smoke inhalation, rendering it effectively blind and mute. SCP-499 will remain passive to any direct interaction. As appropriate for its age, SCP-499 displays typical physical effects of aging, including a weak heart, poor eyesight, and moderate to severe arthritis. In addition, X-ray analysis has shown no less than 21 healed bone breaks and hairline fractures, most located in the ribs and left leg. Of note is SCP-499's abnormal resistance to heat. It is capable of resisting temperatures above boiling point for hours. SCP-499-2 is a metallic sphere measuring 1.1 meters in diameter, consisting primarily of nickel-iron alloy. The surface is engraved with abstract designs across the entirety of its surface. The item is incredibly dense and weighs approximately 5,900 kilograms. Despite this weight, SCP-499-2 may be moved by human beings, though with severe difficulty. At sunrise, local time, SCP-499-2 will begin to emit light of approximately 100,000 lumens and heat of approximately 120 degrees Celsius. SCP-499 will then begin to push SCP-499-2 in a wide circle, with SCP-499-2's position relative to the diameter of the circle when aligned to geographic north, correlating with the relative angle of the sun above the horizon in the local time zone. At sunset, local time, SCP-499-2 will return to its inactive metallic state. Each complete circle will take approximately 48 hours. Addendum 1 At 2.33pm, date expunged, SCP-499 collapsed for unknown reasons. The medical staff on hand managed to resuscitate the subject after 28 minutes, at which point SCP-499 continued its circuit. During the 28 minutes of inactivity, the sun was seen to remain at the same angle respective to the horizon without change. When SCP-499 resumed usual behavior, the sun returned to its appropriate position in movement. Appropriate cover-up measures in the affected area were taken immediately afterwards. Addendum 2 At 2.22pm, a message written by SCP-499 using its feces was discovered by staff cleaning the containment chamber. As best as can be determined, the message was as follows. Where is my sun? Where are the others? Where? Eligible. Lesson complete. If you missed the previous orientation, go watch SCP-498, 11 minute snooze, right now. Or for the complete course, watch this playlist.


I am seeing Republican presidential candidate Vivek Ramaswamy building a lot of credibility in some anti-war circles, which is ridiculous because he's clearly just another disgusting warmonger. He is not meaningfully different from all the other warmongers in the DC swamp. I say this not because I'm some kind of purity police zealot who lets the perfect become the enemy of the good, nor because I don't understand Ramaswamy's appeal among those who oppose war and militarism. I totally get why it would look sparkly and interesting to see someone on the debate stage decrying neocons and wishing professional warmonger Nikki Haley the best of luck on the boards of Lockheed and Raytheon, and on the surface his support for a negotiated settlement in Ukraine looks admirable. In reality, however, Ramaswamy is just one side of the dynamic we were discussing recently, in which the populace is artificially manipulated into a power-serving debate over whether we should support warmongering against Russia or warmongering against China, thereby duping the public into arguing over how warmongering should occur rather than if it should. Ramaswamy is a virulent China hawk whose extreme militarism would greatly increase the risk of war with China if he became president, and the only reason he wants to end the war in Ukraine is to hamstring the PRC while rapidly increasing aggressions against Beijing. Ramaswamy supports using Ukraine as a negotiating chip to pull Moscow away from Beijing, favorably comparing this approach to the way Richard Nixon exploited the Sino-Soviet split in negotiating to pull Beijing away from Moscow during the last Cold War. Ramaswamy says he would negotiate to let the Russian Federation keep the Ukrainian territories it already controls and guarantee no future NATO membership for Ukraine in exchange for Moscow ending its military partnership with China.  The reason Ramaswamy is so eager to uncouple Moscow from Beijing is because he wants to focus the US Empire's firepower on aggressively confronting China, which he ominously refers to as Communist China as often as opportunity presents. He wants to rapidly increase the US Empire's encirclement of China, endorsing an AUKUS-style deal with India, calling for an increased military presence in the Pacific by France and the UK, and pushing allies surrounding China like Japan, Australia and the Philippines to increase their military budgets and preparations for war. Ramaswamy has stated that he supports officially ending the policy of strategic ambiguity on whether or not the US military would defend Taiwan from an attack by the PRC, and committing to greatly enhancing Taiwan's defenses, quote, while running at least one destroyer warship through the Taiwan Strait each week. While he'd previously given the impression that Taiwan would be left to fend for itself by 2028 after the US no longer needed it for semiconductor manufacturing, Ramaswamy has since walked back that less hawkish position and now says in 2028 the US would simply revert to the status quo of strategic ambiguity. Ramaswamy frames all this in terms of deterrence, with the idea being that China will be so cowed by this dazzling display of military force on its borders that it will play nice and act peaceful. But if Ukraine has taught us anything, it's that such escalations make war more likely, not less. As Jeffrey Roberts has competently argued in the Journal of Military and Strategic Studies, the West's mad rush to turn Ukraine into a NATO asset likely caused Putin to make the calculation that it was better to fight a war now before a heavily armed superproxy, potentially with nuclear weapons, could form on Russia's doorstep. History shows us that great powers just don't take kindly to their rivals amassing military threats on their borders. As we discussed recently, the last time a credible military threat appeared near the border of the United States, the US responded so aggressively that it nearly ended the world. The reason the foreign policy realists have proved so accurate in their predictions about Ukraine is that they understood that no great power would put up with the things the West was doing in Russia's immediate surroundings. There's no reason to believe China would be any different. Ramaswami constantly portrays China as a threat to the United States, not just to US interests abroad but to the actual country and its people. He babbles jingoistically about Chinese spy balloons and spy bases in Cuba, claiming that China is waging a modern opium war against the United States of America by deliberately funneling fentanyl into the US with the help of Mexican drug cartels in order to hurt Americans. In response to this supposed assault from a hostile foreign enemy, Ramaswami pledges to reinvigorate the Monroe Doctrine, a 200 year old colonialist doctrine which asserts that Latin America is essentially the property of the United States and is off limits to foreign competitors. This doctrine never really left. The US has been intervening in Latin American affairs at will to advance its geopolitical interests in some of the most depraved ways you can possibly imagine. But Ramaswami's vision is so hawkish and aggressive that he's been openly pledging to invade Mexico to attack the cartels using US military force. He also decries the way waves of leftism have roiled Latin America and created economic instability, the implication being that the US should increase its efforts to install and maintain rightist regimes south of the border. So while Ramaswami may posture as an anti-war populist who hates neocons, in reality he's just focused on advancing a specific aspect of the US warmongering agenda. An aspect which, as Michael Parenti explained in his book Superpatriotism back in 2004, just happens to be the one agenda that the neocons are most eager to advance. Here's a quote. The PNAC plan envisions a strategic confrontation with China and a still greater permanent military presence in every corner of the world. The objective is not just power for its own sake, but power to control the world's natural resources and markets, power to privatize and deregulate the economies of every nation in the world, and power to hoist upon the backs of peoples everywhere, including North America, the blessings of an untrammeled global free market. The end goal is to ensure not merely the supremacy of global capitalism as such, but the supremacy of American global capitalism by preventing the emergence of any other potentially competing superpower." PNAC here refers to the Project for the New American Century, a profoundly influential neoconservative think tank which helped pave the way for the surge in military expansionism and interventionism seen in the Middle East during the Bush administration. Already back in 2004, Parenti could see that the ultimate target in the neoconservative unipolarist ideology was not Iraq, nor Iran, nor even Russia, but China. After the fall of the Soviet Union, the US war machine established the Wolfowitz Doctrine, which was a policy of ensuring that no rival superpowers emerge that could compete with the United States. Empire managers have long understood that this policy would eventually entail a forceful confrontation with China, because when the goal is unipolar planetary hegemony, there can only be one king. China has always been the ultimate target in all the major geostrategic maneuverings of the Empire in recent years, including Ukraine. Someone who says they want to de-escalate with Russia in order to escalate against China is just another shitty warmonger like everyone else, because it's the same agenda. In today's world, China is the ultimate target of all US warmongering. Some might object, OK, but Ukraine is the problem now, and we should support anyone who wants to end that war first and foremost, but I have no respect for that argument. The time to start fighting against the Empire's war plans for China is right now, because it's on its way. The less we oppose it now, the easier it will be for the bastards to manufacture consent for that horrifying conflict when the time comes. This is exponentially more true of someone who is explicitly admitting that they only want to de-escalate against Russia to go after China. Stop buying into this bogus song and dance. Stop buying into this shtick where opportunistic faux populists play into widespread anti-war sentiment while slyly advancing the agendas of the war machine. People bought into it with Trump for four years, and they're buying into it with Vivek Ramaswamy again. Are people not tired of having their intelligence insulted?


A common marketing method is doing free webinars. And you may have experienced this as a consumer when you've seen the announcements about free trainings and you show up to that free training on a webinar and it turns out to be a third of it is a sales pitch for their service or their program. So as an attendee of such free webinars, you know that it's not the most pleasant experience because it's a bit of a bait and switch. They told you it's a free training, but they didn't tell you how much of it was going to be selling something more. For the business owner actually, the person doing it, I don't think it's the smartest business strategy anyway. Let me give you an alternative method. So instead of a free webinar, do a paid webinar, a low price paid webinar, something between let's say $10 at the low end to $50 on the high end. A paid webinar on a topic that you really believe in, that you really believe is going to be beneficial for your audience and that they are buying it because they believe it's beneficial for them. Now how do you know, now the difference between a paid webinar and a free webinar is that a paid webinar is where you're really delivering value rather than trying to sell them on working with you. Now even in a paid webinar, you can spend maybe 5 to 10% of that webinar time talking about your service to say, hey, if you, thanks for joining this webinar, I hope you benefit from it. And if you want to go deeper on this topic, you can work with me one to one or you can join my coaching program or you can buy this additional webinar to learn more. And because they've already paid for it, they've already qualified themselves. The people who show up are, of course, more qualified and likely to say yes to paying more for additional services or additional training, you see. So the expectation is going to be more aligned between them and you. So there's no feeling of bait and switch. So that's why it's so much more helpful. But one of the key ideas here to make this work is to know what topic to do a paid webinar on. And this is where doing additional free content on a consistent basis is so helpful. This is why I talk about the importance of free content doing that all the time. And my dog just was running around here. I'll show you, I'll show you him later if you can get into the view. So the paid webinar comes out of your free content that you do on a consistent basis because in your free content you get to test what topics your audience find the most interesting. You get to see what they like the most, what they comment on the most, what they tend to share and then based on what they're interested in, you can then create a paid, a low-cost paid webinar on that. Like I said, during the paid webinar, you can spend maybe five to 10% of the time. So let's say it was a one-hour paid webinar. It's totally fine to spend about five to 10 minutes saying, hey, if you want to go deeper, here are my services or here are my products or programs or additional trainings. Versus typically what people do on a free webinar is they spend 25 to 33% on a 60-minute webinar, they'll spend something like 20 to 30 minutes or 15 to 30 minutes selling you on their thing, which is unpleasant for both the seller because they know it's bait and switch and for the attendee because that was not expected. So anyway, long story short, I'll have more thoughts in the notes of the video, but let's stop doing free webinars and instead switch to consistent free content to test what topics people like and then the topics they like the most. Let's do a low-cost paid webinar and at the very end, spend a few minutes talking about going deeper and working with you instead in addition to the paid webinar. I hope this is helpful. I'm always open to your questions and let me know how it goes as you try the strategy.