BX257, welcome to Half the Battle. Everybody, put in Cobra Commander 788 here. I know. Joke stolen from Timmer. Cobra Commander 788 here, and Cobra Convergence is here! The Convergence will consist of three parts. Part one, this video, by me. Part two will be presented by Form BX257. Part three will be presented by Half the Battle, and to kick off Cobra Convergence, this review will look at one of the greatest Cobra vehicles of all time. A lot of people have requested this review, but I have been saving it for a special occasion. Is this special enough? HCC788 and Cobra Convergence Part 1 present, the 1985 Cobra Hydrofoil, More and the Driver Lamprey. This is the Cobra Hydrofoil, the More from 1985, and the Driver the Lamprey. The More was introduced in 1985 and was also available in 1986. It was discontinued for the year 1987. The closest replacement for it in 1987 would have been the Cobra Sea Ray. The Lamprey was also available in 1985 and 1986, boxed with the Hydrofoil. It was later available for mail order in 1989 without the vehicle. We will take a closer look at the Lamprey action figure later in this video, so I'm going to set him aside for now. The More was the successor to the 1984 Cobra Water Moccasin, Cobra's first water vehicle. The water moccasin was undersized and underpowered in comparison to GI Joe water vehicles at the time. And here are the GI Joe water vehicles that were available before the Cobra More. There was the 1984 Shark Flying Submarine and the 1984 Killer Whale Hovercraft, which as you can see is huge. Now the Shark is roughly the same size as the water moccasin, but the Shark had the added bonus that it was supposed to fly, and so it could attack from the air like a jet, which of course the water moccasin could not do. So the introduction of the Cobra More in 1985 helped sort of even the odds. The Hydrofoil is a type of boat that uses lifting surfaces to lift the boat's primary hull out of the water. This reduces drag and allows the boat to go faster. The More has retractable foils, and we will take a closer look at those later. The More name comes from the More eel, which is a sea creature that bears some resemblance to a snake with a long slender body, although it is not a snake. It looks like one, and Cobra does like to stick with snake themed names. The More was designed by Ron Ruddad, who was a toy designer at Hasbro, who normally designed action figures, not vehicles. When he did a couple vehicles, the More was one, another one was the Dreadnock Thunder Machine. Mr. Ruddad said his inspiration for the Hydrofoil was the cigarette boats on the television show Miami Vice. Let's take a look at the parts and features of the More, starting at the front as we usually do, and first of all we have this long hull with a pointed bow at a very acute angle, and on either side we have this racing Cobra image here, and I like this a lot. This is a nice alternative to the usual static Cobra emblem, which is not bad, that's a very nice image in itself, but this really adds to the impression of speed and power. There is a variant of the More, some of them had the deck held onto the hull with clips right at the very point of the bow right there, and that actually puts a lot of stress on the plastic there, and as you can see one of my clips is broken off. So if you can see this, the deck doesn't completely mesh perfectly with the hull, there's a little bit of a gap there, so at some point they added additional clips to keep that deck connected to the hull a little bit better. The deck is in red, and I would almost call this a maroon color, and it has some really excellent sculpted detail all over, it's very impressive, but none of that detail breaks up the aerodynamics of the boat, so it still looks like a really fast vehicle, but still has lots of nice detail all over it. About a third of the way back on the deck we have the missile box, and this missile box pops up automatically if you push down on this plunger. Now it doesn't always like to stay up, sometimes it'll pop right back down, but you gotta play with it a little bit and you can keep the missile box up. Now I like this feature because when you're not firing the missiles, you can lower the missile box and it doesn't break up the aerodynamics of the boat. The missile box holds four yellow missiles, I'll just pull one out, they are all identical, and they are small, but even though they're small they have to fit in the missile box at an angle because they're actually kind of too big for the missile box, they're hollow on the underside and actually look a little bit cheap. The blueprints for the Moray call these missiles HEJ-180 Jumpstart Air-to-Water missiles. Now I don't know why it's called air-to-water. An air-to-surface missile means that it's fired from an aircraft. Well maybe these are air-to-surface missiles that have been adapted for surface-to-surface so it would shoot them at another boat. Behind the missile box we have these slotted hatches that are hinged and they swing up like this. We have two of them, one on either side. Way down in the bottom there we have a cub down at the bottom of the hull and a foot peg so you can fit a figure in here. If you put a figure's foot on the foot peg, the figure stands up out of the hatch like this. I'm demonstrating using a couple Cobra Eels which were the Cobra Frogmen released the same year as the Moray. If you want to you can get the figure if you kind of bend his legs and bend his knees to get deeper down in there so you can close the hatch with the figure inside. The Cobra Eel can peer out of the slot looking for his opportunity to pop out and fire at the enemy. I imagine these hatches being used for rapid deployment of Cobra Frogmen to attack GI Joe divers who may be lurking below. Alongside the hatches we have two very large fixed forward-facing guns with some great detail. I can't express to you how impressed I am with these. The blueprints call these Port Slash Starbird Shore Assault 55mm Cannons. These look powerful, they look like they could take on any GI Joe watercraft. So use these when you're being attacked by the GI Joe Killer Whale or maybe the Devil Fish. Next we have the Pilot House with wind screens on both sides divided by this beam here and you can fit two action figures in there, one on the driver's side and one on the passenger's side. We have some instrument panel detail there, very nice with some stickers and we have the Pilot Steering Wheel which does turn. There are no back pegs in there so fitting the pilot in there is very simple, just sit him right down in there and there is enough room that he can keep his submachine guns slung across his body. Both the passenger and the driver can fit that way and he holds in there fairly securely although I think this is one case where a back peg may have helped secure those figures in there just a little bit better. Right in the middle we have this very small gun and the blueprints call this a remote targeting pilot operated 19 millimeter machine gun and it looks like it's supposed to be operated by the passenger. It has a little peg handle in there that sticks through and I guess the passenger could grip that and swing the gun around although it does swivel but really it can only either face forward or swing to the port side just a little bit. Not a great range of motion on that. Also on the passenger side we have the searchlight and this searchlight is what gives collectors nightmares not so much the searchlight but the searchlight lens. The searchlight itself is not really a rare part. You can usually get a more with the searchlight but it's that searchlight lens that is usually missing and can be very difficult and expensive sometimes to replace. There really isn't much to that searchlight lens. It's just a clear piece of plastic with a grid pattern on it but if you want a complete Cobra more with all of its parts that searchlight lens is going to be the hardest one to find. The searchlight has some nice detail on it and it has a handle that sticks out to the side here I guess so the passenger can use it to swing the searchlight around searching for enemy boats on the water. We have a couple more missiles yellow missiles on either side of the pilot house and these missiles peg in to the side using these pegs on the missiles. The blueprints call these HE07A air to ground low flight missiles and again I think these are misnamed. Calling them air to ground implies that they are fired from an aircraft. I can't say I'm a big fan of these missiles. I don't like the way they put the peg on the missiles. I think it would have been better to use the usual universal dumbbell slot on the missiles like most GI Joe missiles do. I think the peg breaks up the aerodynamic shape of the missiles and is not very aesthetically pleasing. On either side we have this sticker with a backward facing R and a 07 and I think this R is a signature of the designer of this toy Ron Rudat R Ron Rudat and I think it's backwards just to kind of make it sort of look Russian. Another vehicle designed by Ron Rudat the Thunder Machine also had a backward facing R. Directly above the pilot house we have what may be my favorite feature the turret and this turret can rotate 180 degrees all the way around although you do have to work with it just a little bit. The gun can elevate with a ratchet click. It can move pretty far up.  As for a real world weapon that this might be based on it's possible that it's based on the ZU 23S Sergei Soviet machine gun. It's similar but not identical. The turret fits one figure and I use my extra lamprey figure for it. He sits down in there. I turned the turret around to show this to you. I really like this feature. It has a foot rest and a foot peg and this foot peg really does help keep this figure secure in there if you put the foot on. It really holds the figure in there quite well. You do have to keep the figure's feet in pretty well because if the feet stick out very far they will obstruct the turning of the turret. The machine gun looks great. It looks like it means business and it would work great as an anti-aircraft gun so you can use this to take down GI Joe Jets if they attack the moray from the sky. Next we have a couple large torpedoes, one on each side, and they lock in connecting to this shroud and you take them off by pushing back and then pulling down. The blueprints call these angular launch surface swimming black ray torpedoes. These torpedoes are very large and I think they're very nicely done and I really like the yellow cobra stickers that kind of mirror the cobra image on the side of the boat and again we're using the image of the cobra this long image with the teeth out to imply speed and power. The torpedoes appear to be identical but the stickers are not. There is a left and a right sticker so when you attach the torpedo to the boat the sticker should be on the outside. It's these large torpedoes that you would fire at the USS flag and you could possibly sink that large vessel with a few well placed torpedoes fired from the moray. Behind the pilot house we have another section back here and we have an opening here that works kind of like a door and back there we can see even more impressive detail. I like the details here on the back wall it has like sculpted in tools and things like that just really nicely done. In this back section we have a central engine cover that is removable and if you take that off it reveals a very large very powerful looking engine and so if the rest of the boat didn't give you the impression that it is very fast it has this massive engine to drive home the point. It has a couple large exhaust pipes sticking out the back here and it's in two colors it's in dark gray and black and I think that's a nice touch it probably would have been easier to just stamp these out in all one color plastic but the two colors of plastic I think works very well for it. The engine cover itself doesn't have a lot of detail but it has this vent here. On the floor of this back bay here we have a couple floor coverings and they each have three foot pegs on them and they are removable if you take those out you have underneath them some looks like storage space there's not a lot of storage space down there it's pretty deep you're not going to store anything large you won't store any backpacks in there but you might store an assault rifle or two down there with a little bit of space. Since there are three foot pegs on each side that implies that you should be able to fit three action figures on each side of this back bay and that kind of makes some sense based on the armament that's back here it has a couple machine guns on each side and on each side it has a couple depth charge launchers that is a very narrow space back here though so if you put three action figures on each side that's going to be very crowded here's what it's going to look like if you try to crowd three cobra eels on one side it's very awkward it's very difficult to get the figure's feet on those foot pegs especially the rearmost figure there really just isn't enough room for his feet back there so really if you want to put cobra eels back here i would go with no more than two on each side we have four small machine guns pointed out to the side two on each side and these are very simple in design with a couple grips on each one the blueprints call these lateral 30 caliber machine guns but they look too small to be 30 caliber guns they each peg in on a very small single peg and that peg can break very easily so be careful about that these small machine guns are probably my least favorite feature on this vehicle i don't think the vehicle needs them and if you were to take them off and leave them off completely i think the boat would look just fine without them there are a couple details here on the back on either side there is a fuel port for refueling and this is a detail that started to crop up on a number of vehicles starting in 1985 and i really think they wanted to make this a new thing they wanted to make this a standard feature on vehicles almost like tow hooks were on ground vehicles but at the time there was only one way to use these fuel ports there was only one vehicle that has a fuel line and that came with the gi joe uss flag aircraft carrier the refueling trailer it had a couple of gas nozzles on it and that's all that you had so it looked kind of odd to have a gi joe fuel trailer refueling a cobra vehicle but if you wanted to use the fuel port that's what you had to do we have a couple depth charge launchers which are really pull out trays with two depth charges each you pull out the tray to launch the depth charges they should fall out the back like that and these depth charges are pretty basic minimal detail they have some stickers but other than that there's not a whole lot going on there they're really just basic cylinders the moray would use these depth charges to defend itself from underwater attack from the gi joe shark flying submarine in the very back we have some rear exhaust ports very nicely done but most importantly we have this pull tab which activates the extending hydrofoil when it's pulled out the hydrofoils are up but you push it in to extend the hydrofoils down let's look at that extending motion from a better angle push that tab in to extend the hydrofoils down there is minimal detail on those foils there's not a lot going on there the moray would extend the foils to gain extra speed the moray can rest on the foils so you can display it that way it will set on the foils just fine but those foils are a little bit delicate so you might worry about breaking them so i usually display the moray with the hydrofoils retracted let's look at how they retract by pulling the tab out and the foils pulled back up the moray looks great when it is loaded with cobra eels the eel action figure was released the same year as the moray and i don't think that was an accident it looks like these guys were intended to crew this boat and the eel action figure is a pretty good action figure all on its own so as if there wasn't already a good reason to army build these guys you can get a lot of cobra eels and they look really great displayed on your moray hydrofoil can it float yes it floats remarkably well and you would expect that it would it was advertised as being able to float now there is that gap between the hole and the deck on my moray and so if i were to splash this around a little bit it would take on water and it would probably sink but on its own it floats just fine with the hydrofoils extended it still floats just fine now let's look at the hydrofoil pilot the lamprey and this guy was an army builder meaning this figure didn't represent an individual personality you could get multiples of these and pretend that they're different guys and build up a whole army of them since the lamprey was available for mail order for a short time that would have been a good time to army build the lamprey without having to buy multiple much more expensive hydrofoils let's take a look at the lamprey's accessory he came with a submachine gun and he can hold this weapon in his hand but it has a strap which is nice since he is a vehicle driver he can sling the weapon over his shoulder when he's in the driver seat this is a really cool looking submachine gun and as far as a real world weapon that this might be based on it looks like it is a cross between a british sten submachine gun with its vented barrel here and the side loading magazine but it also looks like it borrows from the design of the m3 submachine gun the submachine gun is molded in silver plastic to match the color of the action figure and it has this very long strap and i like this a lot i don't typically display the lamprey outside of the moray hydrofoil so it's very important to me that he's able to stow his weapon so this strap is my favorite feature on it overall this is a very nice looking accessory and i like it overall i don't think vehicle drivers necessarily need these extra accessories like this but if you're going to have one you might as well have a nice one and this is a good one in fact i think this would have been a nice weapon for the cobra eels if it were molded in black let's take a look at the articulation on the lamprey he had the standard articulation for gi joe figures of 1985 that means he could turn his head from left to right and look up and down he could swing his arm up at the shoulder he could also swivel at the shoulder all the way around he had a hinge at the elbow so he could move at the elbow about 90 degrees he had a swivel at the bicep so he could swivel his arm all the way around the figure was held together with a rubber o-ring that looped around the inside that allowed him to move at the torso a bit he could move his legs apart about so far he could move his leg at the hip about 90 degrees and bend at the knee about 90 degrees let's take a look at the sculpt designing color of the lamprey starting with his head and his head is entirely covered by a helmet you can't see any of his face you have a blue face mask with looks like a a black maybe some kind of visor over the top of his head the blue continues around to the back he's got a lot of silver paint on here and the silver paint tends to wear off pretty easily so that's pretty worn on mine in fact it has a little spot where it has worn through the blue paint as well but otherwise you know his face is entirely covered so we're not looking at an individual here so that makes him really a good army builder and you could pretend that this helmet can be used for like some kind of scuba diving gear or something like that it looks like he's wearing a silver wetsuit with some light blue highlights on his chest he has a light blue life vest with a zipper that continues around to the back and other than the life vest the chest is pretty plain his arms are also silver and he has pockets on his upper arms on his wrists he has zippers for his wetsuit and he has some blue gloves slightly darker blue than the color on his life vest his left arm features this wicked skull patch which i have to assume is a unit insignia for the lamp rays on his waist piece he has a couple blue belts with gold belt buckles and that gold is really the only splash of color on this figure that isn't a silver or blue or black so that's a nice touch a nice little detail his legs continue the silver wetsuit and on his right thigh we have a blue pistol holster that has no pistol in it now this would make sense if the figure came with a pistol accessory but he didn't he came with a submachine gun so instead of a pistol we get a sculpted on empty pistol holster on his lower legs we have more zippers and on his left ankle we have a gold knife in a blue sheath and that's nice it's very well done his boots strike me as kind of funny because to me they don't look like boots they look like a pair of lace up a buster brown shoes and his toes are tilted up slightly when he's standing his toes actually don't touch the ground so to me that gives the impression that his shoes are too big for him so it looks like he's wearing clown shoes the colors on the lamprey contrast with the colors on the moray and hasbro often did this with cobra vehicle drivers giving them colors that contrast with the vehicles that they drive so you can see the figure when it's in the driver's seat let's take a look at the lamprey file card and this file card was not printed on the box for the moray it was an insert inside the box you could cut it out but this one is uncut it is plain on the other side it has its faction as cobra and it has a portrait of the lamprey here and this is from the artwork on the front of the moray box and this is not the best portrait that we've seen we have seen better as kind of minimalist it says he is the cobra hydrofoil pilot codename lamprey's it says file name unknown and since this is an army builder i would prefer that to say file name various that would be more accurate primary military specialty hydrofoil pilot secondary military specialty cobra frogmen in parentheses eels and it elaborates more on this below birthplace various countries that makes sense and his grade is o3 or equivalent and o3 would make him a captain this paragraph says lamprey's are the elite of the cobra sea arm to qualify for lamprey training a candidate must be a cobra trooper in top physical condition who has completed his eel training in parentheses eels are the frogmen underwater demolition specialists of the cobra lesion and has been operational as an eel for more than a year the training is highly selective and more than 50 percent of the applicants wash out before completing the course so the lamprey's come from the ranks of the cobra eels and that is not unique there were a lot of other cobra specialties that required eel training first i have notes what uh he has notes you'll sit there and enjoy it mister in the cobra organization eels are a step above the vipers which are the lowest tier of cobra soldier the eels then branch off into other naval and arctic specialties i've got a list here of all the file cards that mentioned the eels eel straining is required for lamprey's snow serpents sea slugs ice vipers hydro vipers and even bio vipers though i'm not sure you're really need much training to be turned into a monster thank you timber i i'm not done proceed oddly there's no mention of eels training for the sector viper the cobra bugs submarine driver eels may be the most influential army builder since they pop up in file cards throughout the vintage yajo toyline even in years when there was no eels on the retail pegs the lamprey's and snow serpents were the first branches of the eels tree hold on everybody i want to make sure he's done is he done okay moving on in gijo media the lamprey's were not animated for the cartoon series they didn't appear in any episodes of the tv show the moray however did appear but it was driven by other cobra troopers it was shown being driven by a viper in the episode raised the flag in the gijo comic book series the hydrofoil first appeared in issue number 36 but it was miscolored and it was not driven by the lamprey it was driven by cobra troopers some may feel that the blue coloring in the hydrofoil's first comic book appearance is more appropriate for a naval vessel the moray appears again in issue number 40 and this time it is toy accurate both in detail and coloring we also get our first look at the lamprey's as the hydrofoil pilots oddly when the moray pops up in that issue it does not appear to be driven by a lamprey it has some mystery trooper in the pilot seat issues feature my favorite sea battles in the entire marvel comics run the moray makes a couple other notable appearances in the comic book in issue number 47 snake eyes and storm shadow attempt to steal a moray to escape from cobra island that escape attempt fails for storm shadow and leads to his demise in issue number 77 following the cobra civil war fred seven a crimson guardsman disguised as cobra commander gives a hydrofoil to captain min captain min was an old fisherman who knew fred seven's real identity the boat was a bribe to get the captain off of cobra island and preserve a fred's secrets imagine being given your own real cobra moray looking at these toys overall both the vehicle and the figure are great but the vehicle is a little greater i think anyone would consider this to be a top tier vehicle the long sleek hull gives the impression of speed and the big engine and the weapons give the impression of power this vehicle may be even more intimidating than its rival the killer whale the extending hydrofoil feature is cool as is the pop-up missile box the missile box could have been engineered a bit better but i like the way it closes up for display so it doesn't break up the deck as cool as this vehicle is it does have a few problems primarily that search light lens which is very easily lost and can be very expensive to replace the missile box can come off the hinges and that's very frustrating the side missiles and the small guns can break off at the peg i don't even like those small machine guns i would do away with those all together the aft area around the engines is too small and gets very crowded if you put too many figures there it seems like if they just narrowed the engine just by a fraction of an inch they could have made that area much more usable not everybody loves the lamprey and i think it's because of that silver wet suit that he wears but i kind of like the silver suit those shiny metallic colors tended to be associated with special figures either figures that came with great vehicles or important characters that was the cobra moray and part one of cobra convergence proceed to part two presented by form bx257 and part three presented by half the battle thanks for watching this is hooded cobra commander remember only cobra is cobra talking about somebody


No-Ax are becoming more common among patients undergoing surgery, but there is limited guidance on how best to manage them during the perioperative period. This review provides recommendations for managing No-Ax in the perioperative setting, including when to stop taking them before surgery, when to perform neroxial procedures, and when to perform high-risk surgeries. It also discusses the use of specific reversal agents and prothrumbin complex concentrates as alternatives. This article was authored by Kwong Sub Kim, Jung Wook Sung, Sarah So, and others.


Because there's only three people in the history of the NBA to go from high school to the NBA in average double digit figures at 18 years old. Yeah. Do you know those three? Um, I want to you one of them. Come on. Yep. I want to say most of Malone. Nope. Brian one of them. Brian. No Kobe. Nope. No Kobe. No Tracy McGrady. No Jio. Nope. No Kwame Brown. No Darius Miles. Nope. Come on. Hold on. I don't know. Give it to me. Amari style. Amari style of my I forgot that he was a beast.


Wait a second, I'm going to introduce you Felicity and then unmute you. All right, so I'd like to have the pleasure of introducing Felicity Finn. She says that midwives are amazing at empowering women. And she's going to talk to us about that over the next half an hour or so. She has worked with women and children since 1995 and raised three children of her own to nearly adulthood. Felicity loves working in women-centered care and has completed her master's of midwifery since 2016. She has a very special interest in self-care for midwives and also in the promotion of well-being for women in general. Felicity plans to undertake future research in these areas as a PhD later in the future. Okay, so now we are going to find you. I did it already, Catherine, sorry. Oh, you did? Yeah, she's good. Okay, great. So take it away, Felicity. Okay, thank you very much for that, Catherine. I'm really honoured to be presenting here today with midwives primarily from all around the world. I'm absolutely rapt to see some students here. I work a lot with students in my role in continuity of care and I think they are absolutely the living, breathing future of our profession. And I'm really, really, really glad to have some of them here. Midwifery is such a popular and loved and respected profession.  What a wonderful job. You always get really beautiful comments made. Okay, so it really is important that we're able to value ourselves enough as midwives to understand how important self-care is for us and for the longevity of our careers. When I did my midwifery and that was around about 12 years ago, I did a grad dip after being a nurse for several years, as was the way back then. We had an amazing education on woman-centred care. Amazing, but in self-care it was pretty much non-existent. The main textbook that we used had about two pages in it, literally two pages around self-care and 900 pages about looking after women. So that shows you just how much of a blind spot it's been for us as a profession. It's really important that we understand this because we are charged with the responsibility of nurturing the women that are going to be nurturers of our next generation. And it's really important that we understand that that's got to come from the foundation of our own self-nurturing, of our own self-care. It's really important we can't give what we don't have, essentially. Why is this relevant? It could not possibly be more relevant. When I was preparing the background research for this presentation, it was noted the World Health Organization are predicting a 15% increase in non-communicable illness and disease. This is worldwide by 2025. That's what their prediction is. So there's going to be a huge demand on health services and that's going to impact on nurses and midwives enormously. And we work in essentially very similar environments. However, there are a lot of alarm bells being rung about the status of our own health, the status of our own well-being. You know, because we are overrepresented in stats, we definitely don't want to be represented. We have three-fifths of us in Australian research being found to have one or more chronic health condition, but yet we have a climbing retirement age. So the questions being asked, how are we going to take care of ourselves and our communities into the future? Because the strategies that are currently being used are not necessarily helping us. We have at the moment something known as a mental health day. This has actually been studied. They actually did research on this and found that in a study of over 5,000 Australian nurses and midwives, over half of us were averaging about two mental health six days a year, which is where, you know, the costs blow out. That costs $97 million and that's just in our country alone and that's just the ones that were reported. Now, this is a really interesting stat because often when people get to the point where they're taking a mental health day, which can be very valid, some workplaces you do need a break from, it's underlying the fact that behind all that, they've been working in a culture that's very destructive and non-supportive and they're not coping with what's going on at work. They're not coping with the behaviour they're seeing around them. They're not coping with the demands that are being made on them. But unfortunately, this just adds to the burdens and the problems because we have other staff turning up for work and the shift is less well staffed because of this thing. And also, it doesn't actually address the issues. It doesn't actually solve any problems, unfortunately. It tends to be a little bit of respite, but it's not getting to the key issues and it's not building true resilience. So it doesn't help us. Also, the interesting thing is that in 2017, there was a study done that found that health professionals, this includes doctors as well as nurses and midwives, reported greater sleeping problems and suffering more depression and burnout than when compared to the general population. And that's quite a concerning stat because we know that if we're not sleeping well, we're also, it tends to have knock-on effects in so many areas of our life. We tend to be more irritable. We make more mistakes. We tend to eat poorly. I could go on and on. But you get the idea. It's not just due to our shift work, but that doesn't help us. It's more due to the fact that we are carrying work home too much with us and living in this tension day in, day out. And that is not supporting us in our longevity in the profession. Our burnout rate in Australia from 2017 is estimated to be around about 15% a year. That means 15% of us are leaving the profession every single year. And those, those, those stuff have to be replaced. We also have an underlying problem of presenteeism, which is really interesting phenomenon. But it's very, very hard to measure. But it's basically people coming to work sick or they're coming to work well below capacity or they're coming to work and they're disengaged. They've given up. They don't care as much, all that sort of stuff. This is all playing out in our workplaces every day. Another strategy that, that isn't helping and it's, it's basically just a stopgap measure is the phenomenon of excess drinking. When they did research in 2018, Australian research from the University of Technology in Sydney, they found that nurses and midwives are overrepresented in terms of our drinking rates are much higher than the general population. And I've heard it countless times. I'm sure there's many others, others of us on this, on this call that can say, they've heard the expression, after a busy stressful shift, go home and have a few wines. Totally understand why that gets said and why it happens. But does it actually deal with workplace stress in a way that solves it, in a way that allows us to move on? It seems to be that it doesn't. It's ineffective with dealing with stresses and it just basically takes the edge of life that doesn't deal with that underlying unresolvedness that we, you know, that happens when we take on too much of what we're working in. And this is tragically playing out in terms of the stats. We are an increased risk of suicide just by our occupation alone. And the most recent stat I've got on that is 300 deaths in seven years in the UK, nurses and midwives due to, due to the job, basically what's happening to us, happening to us in the job. If you want to look at what our bodies are taking on, it's not a healthy stat either. We have about 60% of us current nurses and midwives in Australia are in the unhealthy weight range and half of that 60% are actually in the obese range. We have 10%, as I've just mentioned, having risky levels of alcohol use daily and 10% that smoke, 31% of us sleep poorly, 50% of us have musculoskeletal pain, 10% have serious mental health issues and nearly a quarter of us are planning to leave in six to 12 months. Yet we say that we self-care, so what's going on? Okay, when I did a Masters in Canberra in 2015, I conducted a literature review on self-care for nurses and midwives and I found a really interesting fact and that is that self-care is actually very broadly defined. So for some people, that may be, okay, I'm going to go out and have a few drinks. For some people, it may be, right, I'm going to go out for pizza. For some people, it might be a yoga retreat. For some people, it might be going for a job. It's different things to different people and although it's very valid that we most definitely have to approach self-care in our own way, it's really important to ask the question, what self-care actually supports us? What self-care is going to reduce the tension that we feel? What self-care is actually going to make a difference to us? And I remembered back to when I did my nursing undergraduate degree and where there was a nursing theorist, I'm sure some of you will have had to have written essays on way, way, way back and her name was Dorothy Aram. She was an American and she made a lot of observations about self-care but what she said was that self-neglect is actually the lack of self-care and if you stop and think about what that means, that's really, really profound because it basically says everything we do has an impact. Nothing is neutral. Every behaviour, every action, every choice either creates or detracts from self-care. Nothing is in fact neutral. And the way to know what is actually impacting us for the good or for the bad, so to speak, is how does our body feel? Okay, I might go out and have a few drinks because I've had a really crap week and that's just how I'm going to deal with it, but how's our body feeling at the end of that? Or I might go out and I might actually do some meditation. I might do some deep breathing. I might be extra careful with what I eat. I might be extra careful with what I drink. I might make sure I get some early nights. Do you know what I mean? Where's our body at as the end result of what we consider our self-care or our response to workplace stress? Those choices to be. Another interesting thing I found when I was researching as well was to look at a lot of information about mindfulness in the literature and one thing I found is that when people were becoming very aware of their body, they actually naturally incorporated mindfulness, like the mind comes with you essentially. I'll explain that a bit more down the track, but you don't need to do mindfulness if you're already aware of your body, basically. It encompasses it. And the other thing that emerged from the literature was that self-care does not have to be something that is added on, tacked on to the end of a day, to the end of a busy shift, as yet another thing nurses and midwives are expected to do. There are ways of incorporating self-care based on the body into every aspect of our shifts. Every single thing we do can be self-care because when I looked at the studies from around the world, from the UK, from America, from Australia, students, midwives, academics, no matter who was being researched in relation to stressors in midwifery, the same things kept on coming up. There's a lot of underlying exhaustion. There's a lot of difficulties with colleagues. That's in every institution that I could find. There's a lot of issues where we feel like we're selling our soul. And I remember for me, that was very much around working in a busy ward where I had so much paperwork to do, I actually didn't have time to look after the women in the way that I wanted to. I was far more forced into the paperwork. And that was really hard.  We entered this profession because we love and care for women. That's the basic reading. You ask any student about why they want to do midwifery. That is the sort of thing they will tell you. So not being able to complete our job in a way that gives us satisfaction. It is soul-destroying. And as a result, some feel they want to leave midwifery. We sometimes see care that is not okay, that we're not happy with, where we think that woman really did not have informed consent. That woman was not given respect. That woman was, you know, there are countless examples of that. There's also the work-life balance. I found this particularly interesting in working in a continuity model to work and to understand, you know, where you have to draw the line and where you have to say, no, I can't come in for that woman on my days off. Even if we, you know, we've already had the last four babies together. My own family needs me. Or whatever the issue is. Or no, I know they're short-staffed in birth suite, but I actually need to not go in for an extra shift because my family need me. But often there's a conflict for midwives. We're not happy about trying to juggle that. And also in midwifery, I don't know what it's like in the rest of the world. But in Australia, women have, there's a 20-year time in which women can actually take legal action over what they feel is a poor outcome from a birth where they feel they've suffered as a result. So you have that going, you know, you have that running with you at all times. You had, you know, concerns about that. You know, is that going to be me? Will this come back at me in 20 years from now? There's enormous pressures on us. And it should come as no surprise that we are also very well represented, sadly, in the Post Traumatic Stress Disorder numbers. There was Australian research done in 2017, which showed one in five midwives actually have a form of Post Traumatic Stress Disorder. And the interesting thing about this is that they've also found it essentially gets into our bodies. It actually gets down into our DNA. And that is really interesting because that then affects how our bodies work. Essentially, we embody experiences that have happened to us unless we really are skilled at not doing that, okay? So it's really important because we can see that the walking wounded can be found everywhere. I know, and I'm sure there's many of us on this call that will know the same thing. I know midwives who will never again care for twins or who will never again do a water birth, you know? And they pass it exactly, Sarah, I agree. They then pass this trauma on to the next generation. It propagates itself. There are some people that are absolutely terrified of working in birth sweat. And there's reasons for that. We all have areas that we are more suited to and that's perfectly acceptable. But often there's a background of trauma that is living with us that we have not been able to deal with. So that's why it's really, really important that we actually, as professionals, develop the ability to not take things on. It's really important, especially to observe and absorb what is going on, to actually observe and not absorb what is going on around us because this world that we're in is not perfect. It doesn't matter how many CTGs we put on women, how many doctors visits, how many skilled practitioners, we are always going to have adverse outcomes. We live in an imperfect world. The human body is not perfect. And as much as we care, no matter how much we read, we're always going to have adverse outcomes. We cannot ever escape that. So it's really important that we have a caring attitude towards ourselves. But in the event of an adverse outcome, that becomes even more important. But if we haven't got a foundation of this, how on earth do we bring it out of the box, so to speak, in the event of an adverse outcome? Which, like I shared in the previous slide, is creating a lot of the post-traumatic stress disorder that we see amongst our staff. How do we actually draw on this well of self-care and self-compassion if we aren't actually building it daily in everything we do? It's really, really hard. And as the Australian College of Nursing did a special journal in winter last year about self-care. And one of the points they made is learning from mistakes doesn't require yourself, doesn't require you to beat yourself up. But I've seen this, I've borne witness to this time and time again that that's exactly what happens. People do beat themselves up. If something goes wrong or if they think that a woman had an adverse outcome and you were involved in that care, there's an enormous amount of blaming. Exactly, Celine, I completely agree. But there's self-blame. So there's either scapegoating or we're being blamed externally. And that is the reality of an environment that we work in where we're surrounded by people that technically and culturally do not understand the self-compassion and so they're not likely to pass that on to other people. It's very, very sad. But it's important that we know that our self-worth is non-negotiable and it needs to come from knowing firstly who you are, rather than being linked just as wholly and solely what you do. And it's important that we realise that we're going to develop that from deep self-care. So in order to actually observe and not absorb, we've got to be able to maintain perspective. We're not what we do no matter how much we want to give to the profession, how much you want to give to the women. It's really important to know that not absorbing what is going on around us is absolutely crucial. And the beautiful thing about it is that when you do it, you're still providing just as much care and sensitivity and support for the woman in that room who needs you. You're not neglecting her, you're not being cold, you're not being, you know, impervious, but you are definitely not taking it on into your body, basically. You're not absorbing the whole emotion of what's going on. And we know it makes sense to us because when we're with women in labour and they're losing it and we know that they need our help and we know we've got to bring them back. We've got to help them get through this next point. One of the things that one of our main go-tos is we will actually focus them back on their breath. We will actually talk to them about how are you breathing. Come back to your nose breathing. I always say to women, just breathe in very, very gently because it's very, very calming and it gives them something very concrete to focus on. I've found 99% of the time that takes an enormous amount of the anxiety, stress and tension away and it makes an enormous difference, okay?  You know, notice the next time you go into a room where something's tragic happened, what happens to your body? What's going on? What are you taking on? Because us taking an on isn't going to help. Us being sensitive and responsive and understanding and supportive will help, however. And we can do that much better if we're not overwhelmed by it ourselves. One thing I really love about a couple of the comments that I've seen is that it would have been really amazing, Karen's saying, to have been taught to observe and not absorb skills early in my career. And I completely agree. I'm lucky enough to be able to go to universities and I do pass this on to students whenever I can. And one thing that I am also passing on very much is the idea that students bring an enormous amount with them right from their very first day as student midwives. They may look at me with a look of shocked surprise when I say that because they think, well, I don't know anything. I'm only a first year. It's not about that. A midwifery skills and knowledge and how to express yourself as a midwife, that will all develop. But that underlying ability to care about someone else, the willingness to listen, the willingness to understand what's going on. This is something that usually I'm finding all students have and they have it in abundance, the willingness to make it about the woman, the being free of workplace politics. This is all absolutely beautiful. This is what students bring with them. And I often will make a point of bringing that to their attention and saying, do you know you are streets ahead because you have none of these things impacting on you and you are here for the pure essence of what our job is actually about. And it's about caring for women. I know myself. I got very disillusioned years ago when I entered nursing because I felt like my days were all about surviving workplace politics rather than actually being there to care for the women. And I want to make it very clear to midwifery students, they don't have to be part of the stats that have been found in the UK where half are already headed for burnout. That is not absolutely inevitable. It's really important if they learn how to love themselves, how to develop self-compassion, how to develop self-care. They don't have to end up in the stats that they see around them. They don't have to end up bitter and twisted like some of the people they've seen in the workplace. Unfortunately, we all know they exist. They can still maintain their love and care for midwifery endlessly if they're able to develop their own self-care and their own perspective on what's going on and what they actually bring to the workplace. Another thing I find is that students often have a lot of trouble appreciating themselves and I just think they already have so much their offering. They already bring a lot and their willingness to work cohesively with the staff member that they're allocated with. That in itself is absolutely brilliant and needs to be encouraged and valued. And yes, I agree, Carrie-Ann. I totally understand the very resilient students are the ones that are at the moment surviving some pretty terrible behaviours but I wonder how we got that bad and how we got that damaged and so I'd say that those damaged midwives have never been taught or shown or inspired around the concept of self-care and I think it's about time that changed and I think this has been a huge passion for me. I've never ever given up. I've never ever let it go and I keep persevering. I've worked in many different workplaces. They've all got their issues. It doesn't matter to me what's going on around me so much as I know that it's important to keep going and to keep holding on to what you really believe in. Whether that's around birth choices women having a v-back, breastfeeding issues. It doesn't matter what it's about but it's important to really hold onto things that you know can make a difference. It's really important that we truly empower ourselves as midwives to say this stops with me, this toxic workplace culture stops with me. I'm not going to propagate it, I'm not going to enjoy it. I'm going to keep going. I know that a lot of students are excellent at sourcing mentors and I've made it a point that hey, I've got 12 years experience I'm still going to get mentors. I'm still going to talk to people about what's going on for me. I'm still going to ask a second opinion. I'm still going to put my head together with other midwives and share what I know. I'm still going to be a part of professional associations because the worst thing that can happen is when we disengage because then we really, we let go of so much and we're not there in the same way it would be not only for our women but for our profession and where this profession goes is up to every single one of us and every single choice we make. And another thing that gets, that comes up very, very strongly in the literature is very much around shift work. You know, people say that shift work takes the toll on the body. Absolutely, it's not ideal to be up through the night. We know that but hey, since the start of time babies have arrived all around the clock and the same in nursing, healthcare is needed in all different times of the day. So we're always going to have to work shift in nursing and midwifery. What I found really interesting though was that when you actually look at lifestyle choices within midwifery i.e. high sugar intake that sort of stuff you will actually find that you can't just blame it all on night shift because it makes a huge difference the choices you make within night shift. It really does and if we develop a ritual that actually brings us back to our body going back to body awareness regularly throughout the shift that can make a huge difference as well. It's really important not to overdo the sugar or caffeine because they can make us really, really racy but to actually make sure we're well hydrated. Prepare nourishing food that supports your work. Soups are excellent on night shift because they don't have to... they're easier for the body to digest and also make sure you're not eating really, really heavy meals if you're doing night shift and make sure you get some daylight sunshine or go out for a walk, do the two together. It's really important and it will make a difference to how your body handles night shift. In the UK they had a wonderful initiative I'm not exactly sure if it's still going but it's called caring for you and there are initiatives all around the country at all different hospitals and workplace environments all healthcare related for healthcare professionals and one of the things that came out of that is there was a study done in a large tertiary hospital in the UK it's unpublished so I can only say this is preliminary findings but basically they looked at self-care and they looked at implementing a program and this was voluntary the midwives involved they developed the questions they developed the way the research was to be conducted and it was for 12 weeks and for six weeks for six different themes in two week blocks so what they found with that is that food, hydration and basically taking a moment to actually just detach, reconnect see how your body is feeling these were all really simple really, really easy initiatives that could be done that could be integrated into the workplace really simply and it should come as no surprise that all the respondents in this confirmed the link between self-care and the quality of care provided and one thing that was really crucial and I think is the key to effective self-care is they actually the respondents found that they developed more self-awareness throughout the program so they're able to see gosh I am actually really tired I've never really noticed it before I usually just reach for a coffee at this point or oh no I can see that that's now my fourth chocolate biscuit for the day maybe I don't need that much sugar maybe I could make a healthier choice but the awareness that they got was absolutely critical to how they then felt about self-care because the more self-aware they became the more willing and interested they were to take self-care on and it was also really important that they noticed the impact of different foods and so when you're looking at taking a moment that's as simple as it sounds it really is it's just regular stop points through the day the most important thing is that you're actually getting a sense of how your body's feeling and it's done with no judgement you're not saying oh my god I'm tired again what's wrong with me you're actually saying okay I feel tired what could that be about is it because I had a late night is it because there's too much going on whatever the reason is and make adjustments as needed assess what our body needs eat, hydrate and stretch and actually have a rest it will be one of these things that you need to do and it's really important that we actually take the time to go this is going to support me in the workplace when it comes to food as Tammy has noted and I agree with you completely Tammy I notice a difference too if I eat not healthy foods I know I feel the difference straight away or if I eat really heavy foods I notice the difference straight away if I take the effort and the time to notice what I'm eating makes a difference it's everything it makes a difference between how I feel in my shift and what I'm able to bring to the women it makes an enormous difference and even in terms of how we are when we're eating do we make the time to actually sit down or do we think it's okay to try and stuff down a muesli bar while we're running off to some other place in the hospital like it's really important that we're actually looking at the quality of how we do it are we actually really honouring ourselves we're just giving our bodies a little bit of a break I know we work in busy workplace environments but wherever we can be far more aware of how we're doing all of this and also if you know you've got say a week of night shift coming up for example prepare work in advance that's actually going to support us and work out for yourself and for your own body what is going to support what is going to make that difference because it's no good someone else saying oh you should eat this this and this it's much more powerful if it comes from your experience of my god I had that week where I mainly ate soup for dinner and I found I slept so much better or I found I didn't get as tired when I was on night shift or whatever the awareness is that you come to be your own experiment on this and hydration isn't this a really simple but often a neglected thing how often that we are telling women you know you need to hydrate you know we always tell our pregnant women and our laboring women how important hydration is and of course our breastfeeding women as well but how often are we doing that and we haven't had a drink for hours and hours and hours and another thing is even if we are drinking well how often are we you know indulging that full bladder and just letting it sit there and not actually emptying our bladder when we really should be there's actually been a huge research paper done in Australia again 2019 it's only just been published but it's all about the phenomenon known as a nurses bladder where we hold on to a bladder much much longer than we should and how that affects us how we've got you know stressing continents amongst our nurses and midwives how we've got UTIs how we've got you know who knows what the impact is of ignoring the bladder sensation long term you know day after day year after year and not actually emptying it in a timely manner I know that sometimes you know in the middle of a cardiac arrest you can't go running off to the toilet of course you can't but we you know when we can please make the effort please acknowledge that okay I'm going to theatre with a woman I'm going to be there for a couple of hours I'm going to empty my bladder beforehand you know or you know you're going into the second stage for someone have a drink of water empty a bladder and then you know you're going to be in a much better place to look after her in second stage okay and also notice the colour of our urine that'll tell us I mean we know when a woman hands us a urine sample and we see the colour of it we know straight away it gives us a great picture of what's going on notice that within ourselves are we dehydrated are we are we needing to drink more are we well hydrated and you know really you know do something about it if you are dehydrated it's really easy to use bottled water you can just take that I don't think I've ever seen a laboring woman object to us bringing in our own bottled water to sip on when we're looking after her so it's easy to achieve I've even gone off to theatres with a bottle of water just tucked in the bottom of the the cop there somewhere there's a way you can do it you've got to make sure that you prioritise it because it does matter it really does matter in terms of sleep there's lots of research on what we're not doing around it but if I could make it really really simple and I know a lot of us work shift so it's really really important it's when we're not on shift you know let's just leave the iPhones and the computers and everything away from us for at least 30 minutes before sleep research recommends longer than that it's whatever you can do that works for you and in terms of sleep it's really important that we're winding down that we're actually not essentially going 100k's an hour and then stopping at a stop sign by slamming on the brakes your body actually would much rather be be winding down in order to actually go into a sleep much more naturally and to get more value out of our sleep before midnight are known to count enormously in terms of actually replenishing and refreshing the body so really important whatever we can get in terms of hours before midnight I mean I work on calls sometimes I'm calling at 10 at night there's nothing you can do but when you can do it please make it a priority to support yourself and on night shift if your workplace allows you know please do get a short nap is found to be very supportive if you can do it we don't all have that but if you can please utilize it and also exercise and stretching is really really important I know myself if I'm with a woman in second stage obviously we're facilitating the birth in whatever position works for that woman but sometimes let's face that we can end up in positions where we're really contorted and twisted ourselves okay so make sure that you're actually consciously doing some shoulder roles you know consciously actually acknowledging where there's tension in the body and actually letting it go and you know if we're one of those rare people that in nursing and midwifery that do a do an office job where we sit at a desk then get up and move around if you've been sitting still for a long period of time because you really really need it okay and body awareness which is what I was mentioning earlier is actually really important this is really valuable because it connects the body with the mind in really really simple ways again this can be integrated this is something that we can just do as part of any task we're performing we can feel our feet while we're walking along the corridors we can feel our fingers typing on the keyboard we can feel our hands opening the doors it's amazing just don't take my word for it just experiment and see for yourself how do you feel at the end of the shift if you've actually bought focus to that do you feel calmer do you feel more in control do you feel more centered then you'll have your answer if this works or not if it's worth persevering with or not I can definitely say the research supports it and it's naturally very calming because we are actually checking in with the body and valuing what it's saying and also at the same time taking stock of our breathing pattern it's really really important okay so I'd like to I'd like to hear from people on the webinar about how they think self-care can be supported in their workplace I've got a few mentions there up on the slide but I'd love to hear from you what you think will help you support self-care in the workplace for yourself or for your colleagues if anyone's got any comments to make I'd love to hear them I love the pajama idea in the chat box that's brilliant that's a good one I'll integrate that one myself yeah if anyone feels to share anything Lorraine they may have their microphones blocked by the look of things if they're wanting to share I'd love to hear from anyone okay I think some of the this is Catherine again I think some of the previous comments about a supportive environment all together in the workplace is really like Celine's comment earlier about tension between self-care for midwives and fragmented care is very key yeah because unless we support each other we're not going to we're going to be feeling if you do self-care but nobody else in the practice supports it or does it for themselves there's going to be conflict so a supportive environment all around and I don't know regular staff meetings, retreats that's kind of thing where the whole practice is involved yeah, yeah it's important to understand that we can do self-care in a way that other people might not even notice you're doing it you know what I mean it doesn't have to cause conflict but it can be like I was saying before about the body awareness or about making sure you're hydrated all that sort of stuff that should be taking place no matter what sort of environment you work in sometimes there can be I know having worked in continuity there can be a lot of pressure to do excessive hours it definitely happens and it's not necessarily supportive for self-care absolutely but what I want midwives in today to come away with is the understanding of their own empowerment around self-care in terms of you can do a lot of this regardless of what that workplace environment culture dictates so it's really really really important and supportive is that it's mentioned and it's raised and it's discussed I've seen self-care become much more awareness around it in lots of hospitals in Australia and particularly in my workplace but also I'm working with people that I'm reminding them about self-care constantly bringing it to their awareness saying look you've worked way too many hours do you need a drink do you need a break do you need someone to take over whatever it is constantly reminding other people people usually don't mind if you're self-caring on their behalf I found and it can be one of those things where we have to be really good at saying no we actually have to say look I can't take on that extra woman or I can't take on that extra shift or I can't cover that weekend for you because you know my needs are actually really important and I have to prioritize them and that's really really important that we make a commitment to self-care and like Deb's saying in the chat box the more that you self-care the more other people tend to consider it I've found that absolutely true I found that really really important and I think once midwives make the connection that the way we look after ourselves directly impacts how we look after the women I think that the tendency to embrace self-care will be pretty much guaranteed we're being asked to have management policies and initiatives and things like that to support self-care and absolutely we can do that we can get managers on board fantastic but when it comes down to the day to day living of self-care for ourselves we can only do that for ourselves we can never make self-care compulsory we can never make it something that people are in trouble for not doing it is actually listed in our Code of Conduct around looking after our health and well-being but I think it would only be an issue for the board if it was people who were in serious neglect of their health and well-being i.e. drug and alcohol abuse that sort of thing but having said that it is there in our Code of Conduct so technically we do have a commitment to self-care as a profession but I'd like to see this lived more I'd like to see this embodied more on awards I'd like to see more midwives understanding this and I'd like to see students supported to engage in self-care as well I'd like to see self-care being really deeply understood and yeah Felicity that is very inspiring I hate to cut you off we have to leave the room to get so that the next presenter can get ready but we really we really do appreciate all your thoughts and experience on this obviously very very important topic for us as individuals and as a as a profession yes absolutely it is an absolute pleasure to share with you all today and thank you very much for attending the webinar okay I am going to um what am I going to do I have to get my slides back Lorraine I gave them to you all you got to do is click okay Felicity's got some great great resources here too as well for you if you want to follow up on some of the studies that she mentioned


Or is someone impersonating you over the phone? The soft-spoken gentleman from James S.R. asked me. I closed my eyes. When I was six years old, I got affected by a severe fever that impacted my brain loss. Overnight, I got very high power in the eyes and began to lose my ability to hear. The hearing loss was so slow and gradual that no doctor could detect it. It was only when I was fifteen years old that the doctor diagnosed it as a sensory neural hearing loss and he told me I left free because I used to sit on the first bench in school and began to out of the breading on my own without even being aware of the damn breading. My eyes changed overnight. The next day I went to school with two hearing aids and the whole school principal and everyone stopped to look at me. But ironically, my grades began to get better after the onset of my disability and I got admission to undergraduate course in engineering on marriage. It's supposed to be fun. You learn, you fall in love, you make friends, call it for me or the nightmare. In the course of nearly 80 students, I struggled to read my professors. I couldn't follow what they spoke. And in my class, the first row was occupied by 13 girls. The second row was left blank out of modesty and then in the third row, me and Anna was sent. It was impossible to follow from the third row.  It wasn't a thing back then from being a rank holder in school to getting an F in a college subject. My life went down here.  As I sat crying in the college campus, holding my mark sheet, we can F. I hand tapped my soldier gently and there was a zit, a zit that read, sit next to me and copy notes from me. I looked behind to see my classmate. She was a university topper and she asked me to sit next to her. I was delighted but only for a fraction of a second because sitting next to her would mean I need to sit with the girls. So the next day in college, I went and sat in the middle of 13 girls. For four to minutes, the whole class left. The girl also left. One of those two minutes of laughter that I injured helped me to convert my F to an A. So the college, I passed through the first class, but who would give a job to a person who cannot listen a word on the phone from the western part of India where I grew up? I went all the way to the southern part of India in a different city, different culture, different language, different food habits. And there was a company that hired people with disabilities. The senior of that company was a wonderful human being. And so I began my career at high under a manager and whatever I am today, I owe it to him for the next three years. I learned a lot of programming languages. Under him, I learned the principles of software craftsmanship. And then it was time for me to go to a consulate. You see, for me, my first impressions are never good. And when I met the client for the first time, he was a Santa Claus-like man with a long flowing beard. I couldn't even see the lips, let alone read the lips. He was super frustrated. But I persisted. And in one week, he became a wonderful friend. And one month later, I delivered the project ahead of time. So for the next couple of years, I delivered to multiple client places, delivering value and excellence, high on confidence. And after six years, I felt an S that can I survive outside this company? So I made my profile and I put my mobile number. And whenever I got a call, I would go to my friend who talked on my behalf. I got multiple calls, but not a single chance to attend an interview. So I hit upon a plan. In my profile, I put my friend's mobile number and he pretended to be me. The hard work, the calls began to get scheduled. And one such call came from James Asha. Asha would call my friend who would pretend to be me, who would text me. The trick worked for a while until we were busted.  Or is someone impersonating you over the phone? And I said, I had to find a way around this non-inclusive hiring system. You show me a better way. Since then, it has been ten wonderful years for me in Gen, driving inclusion one cubicle at a time to become in a pride early to launch in an LGBTQ chapter, to finally launch in a community for people with disabilities and ensuring that they have a system of an inclusive education which has never got a chance to. I started contributing to open source, started speaking at meetups, technical meetups, and became an AWS community builder. So summing up, life isn't about how much you have fallen down. Life is about how you march back, how you raise yourself up. For life is both, you make it. Thank you.


I'm Nicola Buci. I'm the Department's Lecturer here in Oxford, a Lecturer in Sleep Medicine. There's a university department at the clinical sciences. I run an online programme here. It's the first fully online degree bearing award that Oxford have ever produced. I put this together with colleagues who are all academics as well. It's an academic-led online programme in sleep medicine.  Felly, mae'n gweithio'r gweithio'r gweithio ymgyrch o'r cwrs online. A'n dod bwynt i'r ddweud, mae'n i'n mynd i'n bod yn ymgyrch y traddwl o chrysiau, os bwysig o'r lefprif, i'r pwysig iawn i'r platform online. Felly, we have over 90 hours worth of recorded material and I know that some of you would think, oh God, that's far too much, and we're kind of questioning whether that's too much as well, so it'd be great to have discussions after some of the sessions today. So, typically we have the traditional lecture style format where we have hour-long lectures, but the students are really engaging with these, so even though some of the pedagogic literature is suggesting, you know, we should have short six-minute videos, we find that the hour-long lectures, the traditional style of teaching is actually working for our students. We do try to break up those lectures, so we have intermittent quizzes to get the students to interact with the material, they have to answer some of the choice questions at several times lots during the lecture and also complete little hundred-word assignments during those lectures as well. But we also have weekly online discussion groups, so we run these three times a day to capture students in different time zones across the world and these are an hour and a half each, so each student will engage in an hour and a half long online seminar where they interact with the tutor, they interact with other students and we use Zoom video conferencing software to do that, it's really effective and what we like to do is give the students a bit of preparation beforehand so that we can advance, they have to either find a paper, read a paper, create a presentation, work with other students on the course through their own video conferencing software and then they come back to the Zoom room and interact with the rest of the group and show those presentations. We use the breakout rooms where it transfers their video and microphone to a separate room, they can do small group discussions then come back to the main room to present it to the rest of the group and this method seems to work for our programme. And so our online lectures are recorded through Penocto and here's an example of the traditional look of Penocto, I think I'm out of time almost and so we've got the lecturer on screen, students can skip forward, slow down, speed up, they can add their notes on it, we can pay to get miscaptions but at the moment we haven't decided to do that and the students can see the PowerPoint slides on there as well. But we're playing around with green screen recordings, I'm hoping to get my hands on the rapid mook at some point to update some of our materials and so I've been playing around with the IT services, green screen and creating our videos like this and we've managed to find a way where we can record these nice looking videos also through Penocto so that we don't lose all of the functionality of skipping forwards, slowing down, taking notes etc. And so I'm over time here so that's everything that I wanted to talk to you about so thank you for listening.


Hi, I'm Brian Bailey. If you're watching this video, you've been invited to the single greatest live networking and technology event of its kind, System Dynamics. System Dynamics is running in 36 markets this year, and we're coming to your area. In attendance will be local real estate agents, loan originators, insurance agents, home inspectors, title reps, and many more. And there are three reasons why you'll want to be there. Number one is to gain new referral partners. Out of the training is going to be how to create your own online marketing team. Really understanding how real estate and mortgage professionals can work together to create a system that finds buyers and sellers online, which brings us to benefit number two. System Dynamics will teach you how to do this for your own business. Look, 89% of all transactions in the real estate industry begin online. Let's face it, buying leads from lead aggregators is expensive and it hasn't worked for too many people. At System Dynamics, you're going to learn step by step what the top agents and mortgage professionals do online to generate their own leads. Imagine your own system where the leads come directly to you. Learn how to rank number one on Google, Bing, and Yahoo. Learn why most real estate and mortgage websites yield no results and how to use online sales funnels to capture buyer and seller leads. I can't stress enough how incredible and significant this piece is, and I will be the one showing you how to do all of this. Now you may be asking, how do we win? Well, we've already won as a company because we've partnered with some of the greatest financial planning and title companies in the country to grow their brand recognition nationally by bringing this incredible knowledge to you. So as a result of this structure, your ticket to System Dynamics is completely paid for. Yes, it's free to attend. Now value number three is simply this, push button workflow automation. What does that mean? It means you'll learn how the top 1% in your industry set up their lead follow-up, their lead conversion, and their lead pipeline management system by simply pushing buttons. This is called push button automation, which means no more creating every email, every letter, every reminder, every task associated with getting you paid. You'll learn a process that has been specifically designed to automate everything administrative in your business. And the end result is more time selling and less time doing things that really don't pay you. So come out and join us. Simply click the link to register for your free ticket. I look forward to seeing you at System Dynamics.


Hello everyone, this is Amit Dan of amitdan.com. Today I'll have another episode of unboxing and review video And I'll be opening the 80 power the stowaway 25 liter backpack which I have it right here So if this is your first time I repeat visit. Thank you for your support on this channel I'm always trying even different ideas. If that is something you're interested in please visit for more if you're only interested in Review videos, there will be links in the description box below So I picked up the 80 power stowaway 25 liter backpack yesterday from my local 80 power And I wanted to show you, you know how it holds up and how it looks So some of the features is this is made of 200 danier ripestock fabric and which supposed to be very durable and then It has a moisture Coated shedding which is a strong repel WR finish and then there should be a front pocket and zip mesh And then it should have lightly padded shoulder which you can see here and then it's 17 by 12 by 6 inch and the weight is 11 inch but when you fold it then it becomes 8 by 8 by 2.5 inch So you can see that it's a very compact Size and it's very lightweight to just 11 ounce.  So that way you don't have to carry a separate bag Which is you know I'm going to take up space in your luggage because this is a very like you can pack it And then that's why it's called packable backpack. So it comes Just like this and you can see some of the information Right here. So this is just one size and you can see here a stowaway 25 liter And then this is a 50 dollars Canadian But usually they go on sale for about, you know, 50% off So if you're looking to buy it just wait for the sale and I paid 25 plus tax So it makes sense, you know, I wouldn't buy this just paying the full price Which is $50 Canadian or $54 US so in order to unzip it you're just going to take this here and so basically This is falling into its own pocket. So this Whole thing here is going to be another pocket when you make the bag. So let's just you know remove everything out of its pocket and This is very bright blue color. It looks very good. It's although a little bit like you know eye-catching, but that's okay It's not a big deal So you can see that I unfolded the whole thing and then this is you're just going to kind of put it inside and Here we have the Eddie Bauer 25 liter or stowaway packable backpack So I have very limited space for that reason. I may not be able to see show you the whole thing But that's how it looks like. So let's look at the pocket first. So the front pocket is a mesh Pocket and you can see what you're putting in here. So you can just like you know put in stuff here, which you need it right away and That way you don't have to open the main compartment. Then let's zip it back and then here you can put in more stuff and Here actually you have a like, you know key chain holder or you can actually hold on to some other stuff, too and here's a good amount of size and this is going to be our main compartment and You can see that, you know, it has a very Considerable amount room inside you can fit in a lot of stuff in here and this is actually another pocket and This is where? The bag falls into so this becomes another pocket and you can actually you know even zip it So this is kind of you can Keep things you want to keep separate it from the main compartment. So I'm just going to Put some random stuff in here and see how it looks but before that So the shoulder is lightly padded and it feels comfortable in hand And this is going to be the back which is going to be attached to your attached to your back and The material feels very durable one thing I would like to mention about this bag is that the bottle Container or like, you know the water bottle pocket. It's not made of mesh It's made of fabric and I like that feature because what happens When you have fab mesh Which is like this then after a A few months or few years it might get like you know damaged and there might be tear on it, but having a fabric, you know Bottle pocket Should be more durable Than having a mesh mesh pocket So I like that feature and actually I bought this bag specifically for that feature that this is made of fabric not mesh so Here I have a Hoodie so I'm just going to put it in Here and then here I have a mini tripod and Then here I have a gimbal with a cold mount attached So I'm just going to put it in and then here I have a kind of like, you know cushion For traveling or which you know allows you to sit anywhere. So I'm just going to put it in and Then I'm going to put it in a small Bag which has like in a power bank. So you can see that I put it all this stuff and still There's a lot of room Inside so we can just put like, you know a lot more inside. So 25 liter is really a Lot of space and you shouldn't have any problem using this as your Daypack because looks like the amount of stuff you can put in it's really a lot So I would say my bag is about one third full and you have more space for lots of stuff So this is very, you know, handy. So I'm just going to try to show you the back from the front I'm going to go on the other side to give you a better idea. So just give me a second So that is how it looks like and here we have the Eddie Bauer 25 liter just a way Packable backpack So this is not an affiliated or paid review. I don't I do not provide any affiliated links I didn't take money from anyone. I purchased this with my own money. So that way you get totally honest and unbased review and I haven't actually used it to go on actual travel because I just bought it but so far I like it. I like everything and you know the fabric and the zipper and everything looks very durable and I don't think actually These are why cake a zipper. I don't see any even even any name or anything, but they looks okay to me There should be, you know, they should hold up. So They're like different sizes 20 liter 30 liter, but 25 seems to be the balanced in the middle and This is something You know, you can carry whenever you're going somewhere for on a day to day basis or you can just like it on your traveling So this is Eddie Bauer stowa 25 liter packable backpack Thank you for watching this video. There'll be more videos coming up. So I'll see you shortly. Thank you


Calcium phosphate ceramics are widely used in orthopedics, dentistry, and maxillofacial surgeries as bone replacements and regenerations. The success of these treatments depends on the ability of the ceramics to degrade and resorb over time, allowing for the formation of new bone tissues. Factors such as cellular activity, cytokines, and pH levels can influence this process. Cells such as macrophages, fibroblasts, and osteoblasts can all contribute to the degradation of the ceramic material either directly or indirectly through the release of cytokines and other growth factors. Additionally, changes in pH levels can cause demineralization of the ceramic material, leading to its eventual resorption by osteoclasts. This article was authored by Zishan Sheikh, Mohamed Nur Abdullah, Ahmed Abdallah Hanafi, and others.