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Views are being sought on ground-breaking proposals to help grow local economies and ensure more money stays in the hands of communities.
The Scottish Government is consulting the public on plans for new Community Wealth Building legislation - the first of its kind in the world - as part of its wider strategy to transform Scotland's economy.
- Read more about Transforming Local Economies Through Community Wealth Building
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World wetlands day on 2nd February.
Wetlands are areas which are either permanently or seasonally flooded, they can be coastal, inland, or manmade and support many different species all around the world. This can include ponds, lagoons, mangroves, salt pans, lakes, rivers and also peatlands.
- Read more about World Wetlands day 2nd February
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An agreement to invest £100 million in the future economic prosperity of Orkney, Shetland and the Outer Hebrides was signed today (20th January) in Orkney by UK and Scottish Government Ministers and the Council Leaders of the three island groups.
- Read more about Invest of £100 million in Orkney, Shetland and the Outer Hebrides announced
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A total of 680 rural businesses with projects that protect the environment and mitigate the impacts of climate change will share more than £14 million this year from the Agri-Environment Climate Scheme (AECS).
- Read more about £14 million investment in sustainable agriculture
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Regeneration projects in disadvantaged and rural communities across Scotland will receive a share of almost £27 million funding.
- Read more about Investment in Scotland's neighbourhoods
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Strategy to deliver a just transition for the energy sector published.
A route map to secure Scotland's fastest possible fair and just transition away from fossil fuels has been published.
The draft 'Energy Strategy and Just Transition Plan' sets out a plan for Scotland's renewables revolution to be accelerated as North Sea basin resources decline.
Energy strategy to shape next 25 years of energy production.
- Read more about Clean energy transition to be accelerated
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The Scottish Land Commission is driving a programme of land reform spanning both urban and rural land, to create a Scotland where land is owned and used in ways that are fair, responsible and productive.
- Read more about SLC launch second round of free online webinars
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Information on the Scottish Government Population Programme published.
The Population Programme is a cross-cutting programme of work which aims to deliver Scotland's Population Strategy, which articulates a vision for Scotland's population profile to provide a platform for economic success, prosperity and wellbeing across Scotland's communities.
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Small Landholdings Modernisation: Consultation Closes 14 Jan 2023
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subset: commoncrawl


text:
Everyone is hectic. Between work, hobbies, and Netflix queues, there is very little time to devote to internet dating. Not surprisingly, we think there's always space for love, even although you believe you're too hectic for a relationship.
Certain, balancing existence and internet dating tends to be tough. But it is maybe not impossible. It just takes somewhat time-management.
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All of our Advice for anybody also active for a Relationship
Plan a romantic date during your workday
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Get in touch with your own day throughout your tasks
Ensure that it stays everyday by connecting together with your date because're ticking off the to-do list.
Whether you're heading food shopping or having your pet for a walk, ask your crush as long as they'd choose to arrive.
Positive it could appear pretty vanilla, but if your schedules are full, this may be's an effective way to create matchmaking work.
Perhaps only prevent having this once the environment for a primary time. Rather, conserve it for prospective associates you really feel convenient with.
Integrate the internet dating and personal life
Creating time for pals doesn't need to supersede your own online dating existence. You need to integrate both?
If you already have an outing planned with buddies, like a birthday party or per night out bowling, pose a question to your crush to participate.
If you should be worried that they're going to feel overwhelmed, ensure all of them that they're welcome to bring alongside a buddy! Cluster dates is generally great ice breakers!
Be selective with whom gets time
Dating is generally time-consuming. If you're constantly taking place times that don't go anywhere, it may be emptying as well.
Our guidance? Do not view internet dating as a numbers video game. As an alternative, focus on quality over amount.
Just pursue connections that make you are feeling just like your best home. This way, you are productively using your time.
Remember, time is valuable.
Get online!
Online dating sites works. Seriously.
Though producing a profile, selecting a good profile picture, and chatting to suits may take getting used to. It really is something that you can boost on with practice.
Internet dating will be your BFF in the event that you feel as well hectic for a commitment. It provides the choice of only coordinating with singles exactly who express your expectations, saving you electricity and time.
In addition, there are no limitations on when or where you use it, indicating searching for love between group meetings.
Better yet? It really is among the best techniques to carry on internet dating while personal distancing.
Most Probably to fulfilling folks everywhere whenever
Yes, online dating sites is a great device to locate love. But using it doesn't mean you must give up on creating real-life contacts.
Start to see everywhere you decide to go as an opportunity to relate genuinely to somebody. Most probably to satisfying individuals at gym or even standing in line in the lender.
Provide your self as someone interested in meeting someone brand-new and you never know, maybe you will!
Create a romantic date and adhere to it
Busy people often cancel dates whenever their diary becomes swamped since they see all of them as changeable. However, if you need to suit internet dating into the busy schedule, then you've got to invest in times.
Often it takes something as simple as putting a date in the schedule to promise your self you cannot, or will not, break it.
If you think that you are also active for a connection but still like to go out, don't worry. Locating time for love is often feasible. No matter how chaotic your journal might-be.
But creating area for love means switching the mentality. By creating your self readily available, you are going to understand that internet dating with an active timetable is not just feasible, it's fun!


text:
January 03, 2019
ISLAMABAD – Senior sports journalist Abdul Mohi Shah of The News (Pakistan) has been named on the International Cricket Council (ICC) voting academy.
It will select the men's individual winners, teams (one-dayers and Test matches) for the ICC Awards 2018.
The winners in different categories will be announced this month.
Shah's extensive experience of spanning over three decades earned him this spot.
If my call is so important to them, why don't they answer it for 22 minutes?
How come when I want to, but something specific online is the only item out of stock.
When I get into a queue or lane going fast, the moment I get in, it becomes the slowest and refuses to budge.
Read more... | Archives


text:
Luck was not on East Union's side Thursday in its 3-2 loss at Kimball, which held on to complete a series sweep of the Lancers and extend its lead from atop the Valley Oak League baseball standings.
The difference was a throwing error that allowed Tio Villalobos to score from third in the bottom of the sixth inning. The Jaguars (6-0 VOL, 6-2 overall) earlier tied it at 2-2 on No. 9 hitter Dylan Vanderhave's two-run, bloop single in the second. All three of Kimball's runs were unearned.
East Union (4-2, 5-2) was able to square up the ball throughout the contest but could only manage three hits.
"There were about nine outs that were rockets right at them," East Union coach Carlos Herrera said. "If we had a few that were three feet to the left or right we're talking about six or seven runs. It was just that type of day."
The Lancers did all of their damage in the top of the second. Mateo Guevara led off with a single and later scored on a passed ball. Willie Segura drew a bases-loaded walk for the other run.
East Union threatened to tie it in the seventh inning but was thwarted by the Kimball defense. Evan Jeffery led off with a walk and was replaced on the bases by Ashton Heath. JP Perazzo was robbed of a looping single by the left fielder, who then forced out Heath at first for the double play. Willie Segura gave EU hope with a two-out single, but the Jaguars got out of it with a grounder to the pitcher.
Heath (two IP, L) and Jeffery (four IP, four Ks) pitched for the Lancers. Despite the loss, Herrera liked how his club bounced back from the 12-0 drubbing it took from Kimball on Tuesday.
"I honestly don't know who that team was on Tuesday," Herrera said. "On Wednesday, we worked on having better pitch selection and came out today and hit, we just had some loud outs. They were able to catch the breaks and we weren't."
East Union starts its two-game set with rival Manteca next Tuesday.
Manteca 12, Lathrop 1
The Buffaloes (4-0) had their season-starting shutout streak end when visiting Lathrop converted a penalty kick on Thursday, but the win was already well in hand.
Isabella Avila spearheaded the onslaught with three goals and an assist. Caitlynn Wong scored twice.
Cameron Silva, Jordyn Silva, Corrine Jones, Emily Murphy, Jenna Poncini, Tatiana Orozco and Isabella Pires contributed one goal apiece. Kaylee Gines, Sienna Jones and Olivilla Castillo each had an assist.


text:
In this episode, sports physical therapist specialist, Dr. Alli Gokeler, talks about motor learning.
Today, Alli tells us about the process of motor learning, how patient autonomy is advantageous to rehabilitation, and how to motivate patients. How does Alli measure motor learning outcomes? Alli elaborates on his on-field rehabilitation model, and the importance of incorporating cognition in ACL injury rehabilitation.
Alli talks about RTS from a motor learning perspective, how to continue motor learning on the field, and he gives his younger self some advice, all on today's episode of The Healthy, Wealthy & Smart Podcast.
Key Takeaways
"Providing autonomy during rehab enhances learning."
Suggested Keywords
Motor Learning, RTS, PDCA, ACL, Rehabilitation, Neurocognition, Therapy, Physiotherapy, PT, Training, Injuries, Sport, Wellness, Health, Recovery, Injury-Prevention,
More about Dr. Gokeler
Dr. Alli Gokeler has 28 years of experience as a sports physical therapist specialist.
In 1990, Alli graduated with a degree in Physical Therapy from the Rijkshogeschool Groningen. Following his graduation, he worked in both the US and Germany as a physical therapist. In 2003, he earned his Sports Physical Therapy Degree from the Utrecht University of Applied Science. In 2005, he started a PhD project at the University Medical Center Groningen, Center for Rehabilitation.
He is a researcher-clinician and a clinician-researcher with a passion for multidisciplinary injury prevention. He has over 40 peer-reviewed publications, and he regularly gives lectures worldwide. In his free time, he loves to do mountain biking.
To learn more, follow Alli at:
Facebook: Motor Learning Institute
Instagram: @motorlearninginstitute
Twitter: @Motor_Learning
YouTube: Motor Learning Institute
Website: https://www.motorlearninginstitute.com
ResearchGate: https://www.researchgate.net/profile/Alli_Gokeler
Subscribe to Healthy, Wealthy & Smart:
Website: https://podcast.healthywealthysmart.com
Apple Podcasts: https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264
Spotify: https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73
SoundCloud: https://soundcloud.com/healthywealthysmart
Stitcher: https://www.stitcher.com/show/healthy-wealthy-smart
iHeart Radio: https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927
Read the Full Transcript Here:
Speaker 1 (00:07):
Welcome to the healthy, wealthy, and smart podcast. Each week we interview the best and brightest in physical therapy, wellness, and entrepreneurship. We give you cutting edge information. You need to live your best life. Healthy, wealthy, and smart. The information in this podcast is for entertainment purposes only and should not be used as personalized medical advice. And now here's your host, Dr. Karen Litzy. Hey everybody.
Speaker 2 (00:37):
Welcome back to the podcast. I am your host, Karen Litzy and today's episode is brought to you by net health. So net health is hosting a three-part mini webinars series on Tuesday, March 9th, entitled from purpose to profits. How to elevate your practice in an uncertain economy after 2020. I think you're going to want to sign up for this. So you're going to hear from a panel of guests that have over 50 years of combined experience working in the PT industry sign up will begin tomorrow, which is Tuesday the 23rd, February 23rd for this mini webinars series. So head over to net health.com/litzy to sign up once again, that's net health.com forward slash L I T Z Y. So check it out and sign up now. Oh, and it's free. Okay. So this whole month we've been talking about ACL injury and rehab. So today's episode is with Dr. [inaudible].
Speaker 2 (01:41):
He has 28 years of experience as a sports physical therapist specialist. In 1990, he graduated with a degree in physical therapy from I'm not even going to pretend to try and pronounce this. So you can just go onto the podcast website to find out where he went to school. Cause I'm not even going to attempt it following his graduation. He worked in both the us and Germany as a physical therapist in 2003 here in does sports physical therapy degree from you trick university of applied science in 2005, he started a PhD project at the university university medical center, grown again, center for rehabilitation. He is a researcher, clinician, and a clinician researcher with a passion for multidisciplinary injury prevention. He has over 40 peer reviewed publications and he regularly gives lectures worldwide in his free time. He loves to mountain bike and you can check out more from him and his firstname.lastname@example.com.
Speaker 2 (02:46):
Okay. So today we talk about just that we talk about motor learning. So the process of motor learning, how patient autonomy is advantageous to rehab, how to motivate, how to measure low motor learning outcomes on field rehab models and the importance of cognition and ACL rehab. And we talk about Allie's brand new model for Mona motor learning, which will be out hopefully in a month or so. So a big thanks to Allie. And of course, thank you all for listening to this month on ACL injury and rehab. Hey, Alli, welcome back to the podcast. I am happy to have you on once again.
Speaker 3 (03:31):
Thank you for inviting me. Yeah. It's been awhile pleasure to be here today.
Speaker 2 (03:34):
Yes. And so, as people, if you've been listening to the podcast, you know, that this month has been all about ACL injury and rehab. And so what better person to have on the new to talk about kind of the rehab process after an ACL injury and your specialty, which sort of motor motor learning. So the first thing I want to ask you is can you define motor learning?
Speaker 3 (04:02):
Yeah, that's it, that's a very good question. And I I've taken three, I think important aspects of motor learning that I think are relevant for clinicians that listen to this podcast. The first one is in order to acquire motor learning, you need to practice. If you don't practice, you can't learn something and that may be pretty straight forward, but I still think it's important. The second one, and that's a little bit of a vague one, but the learning process itself cannot be measured directly. It's only been some been something that you can measure indirectly. And I I'll touch back on that a little bit later. What I mean by that? And the third point is what model learning should result in is that it should lead to relatively permanent improvement of motor skills. And last year I gave the example of writing how to ride a bicycle for this year.
Speaker 3 (05:03):
I thought, Hey, maybe skiing is a good example. And so if you've taking ski lessons as a teenager and you became quite proficient in skiing, it could be for many different reasons for job or any other reason that you haven't been going to the Rocky mountains, but at the age of, let's say 35, you have some time again, and you have some financial resources and you'd, Hey, let's spend the week again in Vermont or the Rockies and maybe a little bit of rusty at the beginning, but perhaps after a day or two, you get the hang of it again. So this is I think a great example of what motor learning means. It means that you acquire something and it sustains over time. Now that needs to be distinguished from performance. And this is, I think one of my key messages that I would like to point out to clinicians when you work with your patient in the clinic and you have your patient doing an exercise.
Speaker 3 (06:11):
And this relates to my second point is that motor learning is not directly observable. What you see in the here and now is performance. Now I get, I can give you two examples. So let's say you have a patient after an ACL injury six weeks post-op and you want to have your patient work on balance, not patient number one comes in and stands on one leg. And actually what you're seeing, you're very happy, very stable not any excessive movements is able to maintain balance for 30 seconds. Okay. You're you might be happy with that. Now, your second patient comes in from the same surgeon, also six weeks post-op and when you have this patient perform the same exercise, you see that a patient sometimes needs to take the hands of the hips or needs to hold onto something, or puts the other foot down to maintain balance.
Speaker 3 (07:16):
And from these two examples, you may draw the conclusion that the first patient has better motor skills and has better learning potential. And the second one has poor motor skills and is not such demonstrating good learning potential. We don't know. We only, we only know that performance in patient one is better for sure. Performance in patient B is not as good for sure, but that doesn't mean that the dis says anything about the learning potential. In fact, it may be that the learning potential in patient one is, or has already been reached because this is at the max of his abilities, various for the second patient with poor performance, there may be a large learning potential. So that that's that's I think very important. And what you need to consider as a clinician is be careful how you interpret this process, because what I know from my early days, and also when I teach courses, is that quite a few clinicians have a tendency to provide feedback because they would intuitive to literally try to correct patient too, because you see that it's not able to maintain balance.
Speaker 3 (08:40):
So we need to say something. So we will usually do that in with feedback. And we typically do this with corrective feedback. And my second take home message would be, be a little bit patient with your patient because learning takes time. So maybe unless you feel that there is an unsafe situation, but if that's not the case, let the patient practice and re evaluate in the week or in two weeks time. But don't interrupt the learning process too soon. Because when I go back to the skiing example, remember when you haven't been skiing for for like 15 years or when you started to ski, it, it, it was probably something like this first day, quite difficult. Second day, still difficult. You might even get frustrated third day, no improvement. However, on the fourth day snow not being able to ski ski lift is closed.
Speaker 3 (09:55):
And on the fifth day means there was no one day without any skiing lessons on the fifth. There you go out again, Hey, and all of a sudden you feel like, Hey, I I'm, I'm better than I was on day three, although you haven't practiced in the day in between. So this is what I mean, learning is not only happening as you practice, but there's also some processing afterwards going on in your brain that helps to acquire those motor skills now. And if you interrupt that process like vote by providing a lot of corrective feedback you may actually, although with all good intentions, I don't want to disqualify that, but maybe it's better to leave the process happening and evolve and then provide feedback later on.
Speaker 2 (10:50):
Yeah. It kind of reminds me of have you ever heard the term helicopter parent? So it's the parent that's always hovering over the child, making the decisions, not allowing them any autonomy for themselves. And so it reminds me of that helicopter therapist who's on top like, Oh, I see that if you use the example of balance, Oh, I see that you struggled a lot with your balance. Why don't you try and do this? Well, why don't you do this, try this, try this, try this. And, and in that as the therapist, are you taking away the autonomy for the patient and what kind of, how can that affect the outcomes for that patient?
Speaker 3 (11:31):
Yeah, that's an excellent point. Karen C motor learning, as well as learning a language or learning math is a nonlinear process, which means how you learn how to ride a bicycle was probably different from how I learned it. So, but what we typically do as clinicians, we have this, this, this clinical guidebook in our, in our mind map that we think based on our experience or based on our beliefs, how we need to guide our patients from simple skills to more advanced skills from single task skills to do a test skill, whatever. However, we don't know how this patient is actively engaged in this process, actually, by example, that you were provided the, the patient is directed by the, by the parent or, or the child is directed by the parent and is actually a passenger. Now, I think one of the strong drivers of learning is intrinsic motivation.
Speaker 3 (12:41):
So what role do you give your patient if you direct them, where to go, what to do, and also you give them corrective feedback are these all strong drivers for self-organized learning? I'm putting a question Mark behind it. So people need to think about them for themselves. I can tell you what we do in, in, in our clinical situation. And that's based also on our research we provide our patients or in ACL injury prevention, we provide a significant amount of autonomy, which means an athlete or a patient gets a certain level, not complete control, but a certain level of control over the exercises. So they can choose, for example, out of 10 exercises, they can pick three exercises that they would like to do on that particular day, in an order they would like to do. And we know from a substantial body of research that providing autonomy during during rehab enhances enhances learning.
Speaker 3 (13:59):
And I can tell you this from a research point, but it can also give you a brief insight from a recent survey that we've done among patients that completed their rehab. And we sent them an open questionnaire about their experience in in the entire process of rehabilitation. And one thing that two things that really stood out were a positive environment, a positive environment with relatedness of the therapist towards the patient, and not as a patient, but as a person that's quite important. So it's not a ne it's not an ACL patient. No, it's, it's, it's a person with an ACL injury. That's quite, quite, quite an important distinction. And the second thing that stood out was and you, you touched on that before is the autonomy some self-control over the rehabilitation process. And this was a qualitative study that we did my PhD student while surveilling ran the study.
Speaker 3 (15:10):
So it's not something that I'm just saying as a scientist, but this is also what we get back from our patients. And when we ask them so going back to the clinical situation this is what we apply also by providing our patient with the opportunity, instead of me always providing the feedback I'm asking them, or I'm giving them the opportunity please let me know when you want me to give you feedback. That is a great example of of autonomy, the thing, easy question. Yeah. And, and, you know, what's, what's, what's what's quite important to understand is if w if we think how humans preferably like to receive feedback if we, if we, if we ask a healthy population and the same applies to to an injured population, it turns out that around 70% of the power of the people prefer to receive feedback after a good performance of an exercise, what happens in most clinical situations with all good intentions? I really don't want to question that, but we typically give corrective feedback, which typically means you didn't do something according to the standards of the therapist. That means that maybe seven out of the 10 people that you provide feedback to may not really like this, and this may affect their motivation. This may affect their learning potential because they like to receive feedback when something went well, they, they conversely they already know when something didn't go well and they don't need us to rub it in or to remind them they already know.
Speaker 2 (17:15):
So you, you touched on a word that I was just going to ask you about, and that is motivation. So why is motivation key in motor learning?
Speaker 3 (17:28):
If you look for example, at the brain activity of a person that is instructed to do something, or you look at the brain activity of a person who has some control over what they're going to do, you have completely different brain patterns. And I can tell you that the second one, the second example, when you give them some, and when they can choose, they are much more engaged, and this is a prerequisite in order to learn something.
Speaker 2 (17:59):
Yeah. And, and I think we can probably all look back on our own personal experiences of learning, whether that be academic learning, or learning a physical task. I think we all like to have a little bit of control over that versus just have stuff thrown at us without our IM without our input or without our thoughts on it. So I think that makes perfect sense. And now, so we spoke about how motor learning is, non-linear why motivation and autonomy is so important. Now let's talk about, we've got this patient with who had an ACL repair and they want to get back to sport. They, they are, they are ready mentally. So we'll put that to one side. They're ready mentally. So let's talk about the return to sport from a motor learning perspective.
Speaker 3 (19:02):
In my opinion, return to sports is we first need to define what we mean. And I think the 2016 consensus meeting gave us some leeway in that direction. And I think one of the most important things that stood out is that it's a continuum. It is not one moment in time. And I think what I read in the literature often is is that it's such a that coma to choice yes or no at at six months or nine months, whatever you're, you're, you're, you're believing in. I think what we need to understand is certainly in light of the high number of secondary ACL injuries, particularly in the young population, in, in, in pivoting type sports, that's number one. But also the second one is that, you know, only, I think a disappointed percentage of people reach their pre-injury level.
Speaker 3 (20:00):
So their performance is not up to par. So do those two factors. When we, when we look at that, I think it all starts prior to the surgery. So the rehabilitation, I think is one of the key factors that we need to, that we need to consider anything that's left. Unaddressed will show up even in higher magnitude, after the ACL reconstruction, which was the second trauma to the knee. And, and then in, during the entire rehabilitation process, something very simple. And I can't stress that enough if, if walking is not normal and how do, how do many clinicians assess a normal gait pattern? They usually ballpark it, but, you know, even a slight deficit of five degrees is clinically meaningful. And now, now just follow some logical sense. If you're walking is not normal, what do you think will happen with the running?
Speaker 3 (21:01):
W what do you think, what would you expect? How, how the squat will be executed by the patient and how will the single leg up will be done or a drop foot, a good jump. So that's why I think that all these elements from a motor learning perspective, and also we'll touch back on that a little bit later, of course, sound strengthening program, you know, no question about it, very important, but I think it is, it is very important to also incorporate the model learning process so that we make sure that the patient is learning or relearning those motor skills, but Mo and I can also stress enough. It's also important that we as clinicians really, really measure and boarding and, and I, we just completed and published a study among Flemish physiotherapist. And one of the things that came out of this study is that many don't use the evidence-based principles, meaning also they don't use two criteria as they don't assess and in order, and that's also coming down to model learning. If you want to a certain that learning has taken place, you need to measure, otherwise you can't, you can't be sure that the patient has learned something.
Speaker 2 (22:22):
And how do you, what are some examples that you can maybe give the listeners of how you measure these motor learning outcomes? Because I think that's important to let people kind of wrap their heads around that. And on that note, we're going to take a quick break to hear from our sponsor and be right back
Speaker 4 (22:41):
On Tuesday, March 9th, net health is putting on a three-part mini webinars series entitled from purpose to profits, how to elevate your practice in an uncertain economy after 2020, you're going to want to sign up for this. You're going to hear from a panel of experts that have over 50 years of combined experience working in the PT industry, signup will begin tomorrow for this mini webinars series. So head over to net health.com/litzy to sign up once again, that's net health.com forward slash L I T Z Y.
Speaker 3 (23:16):
Yeah. So I use, then that's something from, from the business that you probably know that the PDCA cycle, the plan do check act and the P and the plan, which means you do a baseline test. So first you need to let's say balance. So there's the patient have a balance deficit yes or no. You can use the star balance says you can use th the balance error scoring system. That's your baseline test. Now, it's up for you as, as a physiotherapist with your clinical reasoning. Does the patient need an intervention to target a balance? Yes or no, or are we happy with, but let's assume now there is a balance deficit. Now we go to the do, which means what is my intervention? So my intervention could be, I'm planning to do balance training for four weeks, with two therapy sessions in the clinic, and four sessions at home consisting of those and those exercises.
Speaker 3 (24:21):
And then AF in between I'm doing an interim evaluation, is the patient going on track as I'm expecting or not? I can still find tune my my intervention program, a training program. And then I do a final assessment after, after two weeks and preferably even one little bit later on as well to make sure that the effects of the balanced training are really sustained over time. Remember what I said about riding a bike or skiing and that's a very simple procedure you can use. It doesn't take a lot of time but it's, it needs to be integrated in your daily practice because if you don't measure, you don't know.
Speaker 2 (25:09):
Yeah, absolutely. And I love that. I think people can get behind that PDCA cycle and cause, you know, PTs love things that are regimented and you know, things that sort of follow a plan. So I think this is a really easy, and I think people can get behind it. And I also think that it will keep your patient on track and keep you on track and organized versus just like throwing whatever up against the wall and seeing what sticks, if you measure it, you're, you know, you're, you kinda know where this patient is going and that makes all the difference.
Speaker 3 (25:51):
Yeah. Which, which th that's a good point that you I, I forgot to mention it actually in the, in the, in the planning cycle, I'm incorporating my patient. So I'm discussing the baseline tests and I'm asking in my patients, so you have a balanced deficit. What do you think is needed for you to improve your score? What do you think is could be if you score eight out of 10, so zero would be no balanced error. 10 would be the maximum errors that you can acquire. So you have an eight, what do you think is reasonable to achieve in two weeks time, for example, and then the patient could say, yeah, I think I'm I can reach a seven. Hey, that's the interesting information. Why, why are you so conservative? Why can't, why can't you challenge yourself from, from an eight to a four, for example?
Speaker 3 (26:42):
So I always creating this interaction with my patient. You know, I can in conjunction with, with, with me and my patient, I can set goals that, and that's quite important as well. That need to be challenging for the patient, because if you, if you already a good or something, you're not challenging and it's not challenging anymore, if it's too difficult, then you then it's overreaching. But it, it has to be something that the patient sees. Okay. I really got to put some effort into this is again, which is, again, something for important for learning.
Speaker 2 (27:22):
I was just going to say that I said from a motor learning standpoint, if you do nothing that gives a substantial challenge to your patient, are they really going to see the benefits of those exercise or of your plan? Exactly. Yeah, yeah. Yeah. That makes perfect sense. Okay.
Speaker 3 (27:45):
And also going back to to the first example where the two patients with the balance exercise, if, if I give my patient an exercise, it is usually an exercise that creates difficulty for them. So if I see a perfect demonstration, then I'm kind of thinking, yeah, what is the learning potential here? So I purposely make the exercise a little bit more difficult right away. And I explained that to them, I'm explaining to them, don't expect to, to master this exercise today or tomorrow. And I always give that example of, of riding a bike and, and a lot of patients like that because, Oh yeah, I remember that I fell down quite a few times and and that that's in ACL rehab. It's, it's more or less the same process.
Speaker 2 (28:37):
Yeah. And, and I also want to switch, well, this isn't really switching gears just moving forward. So yes, we know that return to sport is a continuum you've got returned to sport and returned to performance, different things. And one of the things that I spoke about with Nicole [inaudible] is the importance of on-field rehab. So I know that's something that you're also passionate about. So do you want to kind of tie that into what, what therapists can do on field to continue to foster this motor learning within their sport, whatever that sport may be?
Speaker 3 (29:20):
Yeah. I think that's, that's something that's underappreciated and, and maybe that's because we haven't really integrated the motor learning processes in our rehab. And one of the things that we have to consider is when you observe your patient in the clinic and you a certain motor behavior, that's all what it means. It stems down to the interaction between the environment. The task at hand could be a jumping exercise, could be a single lag, actually, whatever. And, and, and, and to behavior that you're seeing. So there is a task athlete, environmental interaction, which means the movement that you see from that interaction only is valid for that interaction. You cannot extrapolate a jump landing strategy from a box in a physiotherapy clinic. And imagine how this athlete would play lacrosse or American football or soccer. It's completely different game, completely different worlds.
Speaker 3 (30:37):
So I think that's where one of the main reasons why single leg hop test and accessed by, by, by Kate Webster and, and, and Tim, you, it were shown not to be valid predictors of secondary ACL injury, because a hop test is something completely different than how an athlete performs on the field. So, in, in, in that regards I think we need to take the patient to the field and to see how the patient is performing based on that interaction that I just refer to the tasks, the environment, and the athlete interaction. And then you get meaningful information where the, where that patient is is add, which for example also means that one-on-one training is not what's needed for a football player. They are team ball athletes. So you need to do something with the ball. You need to be on the turf and you need to do something with teammates
Speaker 2 (31:43):
That yes, when you're working with someone with a team sport, you have to have those other I don't want to say distractions, but you know, other people, a ball scanning a field versus just going one to one with you.
Speaker 3 (32:02):
Yeah. And we, we've just completed an analysis of 47 non-contact ACL injuries in Italian professional football. Just this work that I've done with Francisco Della Villa from the ISO kinetic group. And what we did is we, we looked at the injury mechanism through a different lens and what we the lens we use was a neurocognition lens. So we looked at the inciting events that happened before the ACL injury took place, because so far the literature is predominated by the dynamic valgus collapse. And I totally agree. I totally agree. However, it doesn't tell you what led to the injury. It just tells you what the end point is. That's dynamic velvets now. And what we've done now is what are now some typical events occurring during a match play in which a non-contact ACL injuries took place. And we took two neurocognitive factors. One is the selective attention. So are you able to maintain attention to the relevant information in this regard and filter out irrelevant information? And the other one is, did we see some impulsive behavior of defenders? And they were running into a situation in which basically the attacker waiting for them to approach. And then at the last moment, they made a deceiving action that the defender did not entail.
Speaker 2 (33:40):
And now in the very small timeframe,
Speaker 3 (33:43):
The defender had to change the movements in a timeframe that you don't have enough time to coordinate those movements well. So if you think about this as a framework, how injuries may happen, we also need to consider this framework, how we integrate that in our rehabilitation process. And this is what I do from day one. And certainly this is what I do re related back to your question for the on-field this framework we use for the on-field rehabilitation. And I've created a model for that.
Speaker 2 (34:19):
Yeah. So I was just going to say, I know that you've created a model and it's going to be published soon. So let's talk about what that model is. And if you can kind of walk us through that, that would be great.
Speaker 3 (34:31):
So the model is consists of three main pillars. The first one is neurocognition and neurocognition, you need to think about reaction time. Decision-Making selective attention, as I mentioned before, but also your ability to control impulsive behavior. That's called inhibition. Can you, can you change your intended movement? Yeah. That's something to control your impulses. Very important. Working memory is another aspect. So those are the neurocognitive components. Then we have the motor component, and I think that's where most physios will be quite familiar with. So we think about strength, range of motion endurance speed, things like that. Yeah. That that's, that's I think pretty straightforward. Then we have the sensory part. So in the sensory part, we can have the visual components so we can alter the visual input, maybe quite relevant for ACL rehab as Dustin grooms has already shown. And also my colleague and part of borne, Tim layman has demonstrated that with EEG, that the patient may have some visual reliance, but also things like, do you have your patient do training with shoes on is, are you playing on the hard surface, soft surface lighting conditions, auditory information.
Speaker 3 (36:06):
Now those three factors, neurocognitive motor, and the sensory part. What I did in my model, I created like a gauge, so I can create an exercise combination in which I have a relatively simple motor skill. So not so demanding, standing on one leg, for example, but what happens now, if I, and more cognitive load, for example, by having them do math subtractions, or working on the synaptic sensory station by doing motion tracking. Now I can see what the influences is of an added neurocognitive load on my motor art, because those three shape my functional movement coordination. Likewise, I can turn back. My neurocognition lit and stay with the same exercise and do now something on the sensory part. And this is what we all do as clinicians. So we do a single leg balance exercise, and we have the patient stand on on the, on the foam surface, or we have them close their eyes.
Speaker 3 (37:14):
So we already doing this, but I think the model can help you. How do I plan my exercises within one rehab session? And I'm changing that from week two week. And why would this be important? Well, first of all, we all always need to consider that we have, we need cognition during our motor control. And if we only work on pre-planned activities that, that are often in happened, we miss something exactly what you pointed out already from the on-field situation. They have to perceive a lot of information. They have to process that information and then execute the movement. And here's where cognition comes in. And we do this by being aware of that, we can use these gauges. What we do is we actually create a rehab environment that we call in part a board. And we call that an enriched environment in which we constantly provide different stimuli to the patient.
Speaker 3 (38:22):
That means the rehab from week one to week two is not the same, which means variation, something new, something I haven't done before. Again, this could already motivation so significantly, and I can tell you from experience, patients love this. The second benefit would be since you're providing different stimuli, you actually confronting the brain every time with a new situation and the brain has to find solutions. And this is I think very important also from the motor learning perspective that we need to consider to enhance the neuroplasticity of the brain, because an ACL injury is not just a peripheral ligamentous injury. It is also a neurophysiological lesion and that's, I think, needs to be considered and rehab.
Speaker 2 (39:19):
I mean, I, I have to say for me, I really liked this model because it, it gives you a great way. Like you said, to plan out your session so you can maybe enlarge the motor component one day or take it back another day, do more, neurocognition move that back, do more sensory, do sensory motor, maybe not so much neuro do a little bit of all three. So it's sort of like, I just sort of see the Venn diagram, just expanding and contracting with all three of those bubbles, which I think is really great. And like you said, it gives you, it's almost from a therapist standpoint, a clinician standpoint, I feel like it gives me permission to play around and come up with some fun things and be a little more original.
Speaker 3 (40:06):
Yeah. And I think what it also does it, it, it may help you as a therapist to get a better understanding where some underlying deficits may be because we only, we T we typically like to measure the outcome. So let's say I'm doing an agility course, and I'm just looking at at the time. And then I see, Oh, the patient is not so fast. So I need to do more training. Well, what you could maybe do is try to untangle a little bit and to see if the patient from the motor perspective has all the necessary requirements in order to be fast. Maybe there's a deficit there, but let's assume it's not the case. So all, all the strength, all the rate of force development, all these parameters are satisfactory. That must mean that there's something else in the system that can't cope with the demands. And that could quite well be that there is an underlying neurocognitive deficit, and this may help you as a therapist to work more on those neurocognitive elements with the intended goal that the patient becomes faster, but maybe not so much, but we're doing more plyometrics and, and doing more speed now working on the neurocognitive aspect.
Speaker 2 (41:30):
Yeah. So it's, it's a, a treatment as well as an evaluative tool to kind of see where some deficits are and how you, you and your patient together can plan to move forward. Sounds great. When when will this be widely available?
Speaker 3 (41:49):
I hope we have it out in a month, the time from that pending on, on the, on the publication process, but please stay tuned.
Speaker 2 (41:58):
Okay, perfect. And we will let, we will let people know. I will put it on social media when that is out. So that sounds great. Well, I mean, thank you so much for coming on and talking about this, I've been taking copious notes. I think this was great. Before we get into where people can find you, I have one last question and I ask everyone this, and that's knowing where you are now in your life and in your career. What advice would you give to your, to your younger self?
Speaker 3 (42:23):
Good question. I think what would have helped me if I would have spent more time in the neurological field, I think in, in what I still see, or with colleagues that work with pediatric patients, I think some of the motor learning principles that they use could be very beneficial for us working with more orthopedic sports related injuries. That's something I did not understand back then, because my interests were solely in the, in the sports domain, but in retrospect, I should have spent more time in, in the neurological and pediatric field.
Speaker 2 (43:04):
Great advice and great advice for anyone who is maybe at that starting point in the sports or orthopedic rehab world and trying to figure out, Hey, what is there something I'm missing here? So I think that's great advice now, where can people find you and find all this great stuff, all your great info.
Speaker 3 (43:24):
All right. So we have a website from our company and our company's serves as the hopefully as the intermediary between academics and the clinical field. I, I work in both fields. I'm, I'm a clinician, I'm a researcher. And with our platform, actually our community model learning Institute, we want to create a bridge between the academic field and the clinical field, because I think we can all improve, but we need to find each other and we need to speak the same language and have respect mutual respect for one another. And if we engage in in such a culture by exploring, by facilitating one another, I think we can create a lot of new things and approaches with the overall purpose to help our patient. This website will be updated in a month from from now. So we will we will be offering completely new courses, which are also have the opportunity to get coaching from us. So it's not frontal education, but we offer for every course participant to receive life or written feedback on their progress during the course, because our premise is that we want to create a course in such a way that you can apply it into your setting after you've completed the course.
Speaker 2 (44:58):
That sounds amazing. And we will have links to to the website. We'll have also put the link up to your research gate profile so that if people want to look at some of the papers that you mentioned today, they can just go there and see all the papers that you have authored and co-authored do. I think it would be really helpful. And if people want to find you on social media, where's the best place to reach out to you there
Speaker 3 (45:26):
Would be Twitter, Instagram, or Facebook.
Speaker 2 (45:30):
Perfect. And what are the handles if you know them off hand motor learning Institute. Perfect. Perfect. Okay. So thank you so much. And like I said, I will have everything available up on the website at pod podcast at healthy, wealthy, smart.com. So Allie, thank you so much for coming on again. I really appreciate it.
Speaker 3 (45:55):
Thank you, Karen. And I really want to say, thank you so much for setting this up. I think this is exactly what we also stand for, that we create a platform in which we can exchange our ideas. We can ask one another question that that's the best way I think, to move forward. So really thankful for you to organize this and yeah.
Speaker 2 (46:16):
And so everyone, thank you so much for listening. Have a great couple. I have a great week and stay healthy, wealthy and smart. Well, a big thank you to Allie for coming on and sharing all this great information about motor learning as it relates to ACL injury and rehab. And of course thank you to our sponsor net health. So remember on Tuesday, March 9th, net health is putting on a three-part mini webinars series entitled from purpose to profits, how to elevate your practice in an uncertain economy. You're going to hear from a panel of guests that have over 50 years of combined experience working in the PT industry, signups will begin tomorrow, which is February 23rd for this mini webinars series. So head over to net health.com/ let's say to sign up once again, that's net help.com forward slash L I
Speaker 1 (47:04):
T Z Y. Thank you for listening and please subscribe to the podcast at podcast dot healthy, wealthy, smart.com. And don't forget to follow us on social media.


text: The Ortega R121L-3/4 Lefthand children's guitar is yet another member of the manufacturer's popular family entry-level series. Due to its shorter dimensions, it is perfectly suited for children aged 9 to 12 years. This classical guitar in 3/4 size is equipped with a flat mahogany neck, a walnut fingerboard and 6 nylon strings. Due to the short scale length of 590 mm and narrow nut width of 45 mm, the strings can be easily and comfortably gripped in all 18 frets. Despite the small size, the laminated spruce top and the mahogany body produce an astonishingly powerful and warm sound, which is particularly pronounced in the mid and high frequencies and, thanks to a thin finish, unfolds quickly and dynamically. The chromed tuners are a fundamental quality feature, ensuring uncomplicated and precise tuning. Thanks to their smooth-running knobs, even beginners can operate them with little effort. The Ortega R121L-3/4 Lefthand also comes with a padded Ortega bag equipped with sturdy backpack straps.


text:
Losing your iPhone can be a stressful experience, but Apple's Find My app provides a powerful tool to help you locate your device quickly. Whether you misplaced it at home, under the cushions, or left it somewhere outside, this guide will walk you through the steps to find your missing iPhone using the Find My app. Let's get started and find your iPhone!
This guide is for Apple's version iOS16.
Firstly: Ensure Find My iPhone is enabled. Before your iPhone goes missing, it's essential to have Find My iPhone enabled on your device. This feature allows you to find your iPhone remotely. To check if it's enabled, follow these four steps:
- Open the Settings app on your iPhone.
- Tap on your Apple ID banner at the top.
- Select "Find My" from the list.
- Make sure the "Find My iPhone" toggle is switched on. If not, tap the toggle to enable it.
Secondly: Locating your device with Find My app. If you have access to another iOS device , eg a Mac or MacBook, with the Find My app installed, follow these steps to find my iPhone:
- Open the Find My app on the other iOS device.
- Tap on the "Devices" tab at the bottom.
- You should see a list of devices associated with your Apple ID. Look for your missing iPhone in the list.
- If the device is online, its location will be displayed on the map. You can zoom in or out to get a better view.
- To help you find your iPhone, tap on the device's name in the list. You'll see options like Play Sound, Directions, and Mark As Lost.
- Tap on "Play Sound" to make your iPhone play a loud sound, even if it's on silent or vibrate mode. This feature is helpful when you misplaced your iPhone nearby and need an audible clue to locate it.
- Step 3: Locating your device on iCloud.com: If you don't have access to another iOS device with the Find My app, you can use iCloud.com to locate your iPhone:
- Open a web browser on any device and visit iCloud.com.
- Sign in with your Apple ID and password.
- Click on "Find iPhone" from the iCloud web apps.
- You'll see a map displaying the locations of your Apple devices.
- Locate your missing iPhone on the map. If it's online, you'll see its location.
- Click on the device's icon to access a menu with various options.
- From the menu, you can choose to play a sound on your iPhone, enable Lost Mode to protect your data, or erase your device remotely if necessary.
- Note: If your iPhone is offline, its last known location will be displayed. You can still enable Lost Mode or request a notification when your device comes online.
Additional Tips
- To make it easier to locate your Apple tech, ensure "Precise Location" is turned on in the Find My app's settings.
- Apple AirPods and supported Beats headphones can be located when they are near your device and connected via Bluetooth.
- For supported AirPods, you can still see their location through the Find My network for up to 24 hours after they were last connected to your iPhone, even if they are not nearby.
- If you have an iPhone Wallet with MagSafe and Find My support, you can see its location when it's attached to your iPhone and its last known location if it detaches from your iPhone.
Find my iPhone on a map
To locate your device and see its current or last known location on a map, follow these steps using the Find My app:
- Open the Find My app on your iPhone.
- Tap on the "Devices" tab at the bottom of the screen.
- From the list of devices, tap on the name of the device you want to locate.
- If the device can be located, its location will appear on the map. You can zoom in or out to get a better view of the location.
Note: If the device cannot be located, you will see "No location found" below the device's name. In this case, you can turn on the "Notify When Found" option below the "Notifications" section. This way, you will receive a notification as soon as the device is located.
Important: Ensure that you have allowed notifications for the Find My app. You can manage notification settings for the app in your iPhone's settings. To do this, go to Settings > Notifications > Find My.
If you encounter any issues with Find My not working or being offline, you can refer to the Apple Support article titled "If Find My is offline or not working" for troubleshooting steps.
Playing a Sound
If you believe your device is nearby but you're having trouble locating it visually, you can play a sound on your device using the Find My app. Here's how:
- Open the Find My app on your iPhone.
- Tap on the "Devices" tab at the bottom of the screen.
- Choose the name of the device you want to play a sound on.
- Tap on "Play Sound."
If the device is online, a sound will begin playing after a short delay. The volume gradually increases, and the sound plays for about two minutes. On the device's screen, you may also see a Find My [device] alert if applicable.
A confirmation email will be sent to your Apple ID email-address.
If the device is offline, you will see "Sound Pending" on the screen. The sound will play the next time the device connects to a Wi-Fi or cellular network. For AirPods and Beats headphones, you will recieve a notification when your device comes within range of your iPhone or iPad.
Stopping the Sound
If you find your device and want to stop the sound before it stops automatically, you can do the following:
- For an iPhone, iPad, or IPod touch: Press the power button, a volume button, or flip the Ring/Silent switch. If the device is locked, you can unlock it or swipe to dismiss the Find My [device] alert. If the device is unlocked, you can tap OK in the Find My [device] alert.
- For an Apple Watch: Tap Dismiss in the Find My Watch alert or press the Digital Crown or side button.
- For a Mac: Click OK in the Find My Mac alert.
- For AirPods or Beats headphones: Tap Stop in the Find My app.
Getting Directions to your iPhone
If you see your device's location on the map and need turn-by-turn directions to reach it, you can follow these steps:
- Open the Find My app on your iPhone.
- Tap on the "Devices" tab at the bottom of the screen.
- Select the name of the device you want to get directions to.
- Tap on "Directions" to open the Maps app, where you can view and follow the directions to your device.
If you are near your supported AirPods, tapping "Find" will provide you with additional directions. For more information, refer to the "Locate AirPods in Find My" section in the AirPods.
Lastly. Losing your iPhone can be a frustrating experience, but with Apple's Find My app, you have a powerful tool to help you locate it quickly. By enabling Find My iPhone on your device and following the steps outlined above in this guide, you can increase your chances of finding your missing iPhone.
You may be interested in buying an Apple gift card.


text:
All initiates who start the path of becoming a Dragon Tamer are given a special weapon. If an initiate completes the Path alive, this weapon is given a name by the Elders. |
Loot Bag | |
Drops From | Pyyr the Crimson Dragon Ivory Wyvern Mighty Quest Chest |
Obtained Through | Mystery Boxes |
In game animation:
Part of the Dragon Tamer set.
This weapon boasts the third highest average damage per shot in the game (575), behind the Blade of Ages (1000) and Void Blade (650). It was also the first sword to pierce enemies, a few years before the addition of Divinity.
Despite the ridiculous damage per shot and piercing ability, its terrible fire rate means its DPS is very low against single targets. Like other slow-firing weapons such as the Doom Bow, it is more effective on enemies with high defense. In fact, its average damage and fire rate are almost exactly the same as the Doom Bow, which is quite weak for a sword. Rushing Abyss of Demons with this sword is very similar to using the Doom Bow, as most enemies will die in just one attack, making it quite safe.
Oryx's Greatsword will always outdamage this sword against one target, despite the Greatsword lacking piercing and having a 3.5 tile range. The Arcane Rapier also beats this sword at lower levels of DEF, while retaining piercing and range, while generally being easier to obtain (as it is tradable).
When the entire Dragon Tamer set is equipped, the weapon projectile changes to:
This item used to drop in a white bag before the addition of orange bags in Patch X.18.0 (Oct 2017).
In Patch X.31.8.0 (July 2019), the stats of this item were changed. The damage was originally 566-650 (608 average), with a range of 3.5 tiles, a projectile speed of 7 t/s, a rate of fire of 25%, and -10 DEF on equip.
Before Exalt Version 18.104.22.168 (Mar 2022), this item had the following sprite:
Before Exalt Version 184.108.40.206 (Mar 2023), this item had 525–575 (average: 550) damage and 4 tiles range.
"Indomptable" is the French word for "indomitable" (pronounced "on-doom-tawb-le"), meaning "impossible to subdue/defeat".
Swords | ||
| ||
Limited Edition Swords | ||


text:
The Hike In Alabama That Takes You To Not One, But TWO Insanely Beautiful Waterfalls
It's no secret Alabama is a hiker's dream! Hikers come from all over the world to explore our scenic trails. While some of these trails are quite easy, others are much more challenging. Luckily, most all of Alabama's hiking trails feature an abundance of beautiful natural scenery, including the Chinnabee Silent Trail. To learn all about this scenic trail, including two of its most beautiful features, take a look below:
Have you ever hiked the lovely Chinnabee Silent Trail? If so, please share your experience with us in the comments; we love hearing your tales of adventure (or relaxation). Also, share with us your favorite hiking destination! Maybe you'll see yours covered someday.
For a list of nine incredible hiking trails in Alabama that are under five miles in length, click here.
OnlyInYourState may earn compensation through affiliate links in this article. As an Amazon Associate, we earn from qualifying purchases.
More to Explore
Waterfalls Near Me
What are some of the best hiking trails in Alabama?
Alabama is home to more than 800 awe-inspiring hiking trails weaving through the state like veins. There's something for everyone here, from the earliest of beginner hikers to expert hikers that prefer a near-death experience to a paved path (okay, maybe not that extreme, but still). Some of the best hiking trails in Alabama tend to be the ones most often trekked; those trails include the Walls of Jericho Trail, in Estillfork. It's rated as hard, and it's eight miles of challenging trail, but the payoff is beautiful and quite worth it. It's very scenic, and you'll fall in love with Alabama all over again once you take it. Then, tucked within the Talladega National Forest, there's a hike that's quite a bit easier (though not totally easy) called the Cave Creek Trail. You begin at the Cheaha Trailhead and follow a map (which is easier to read as the trail can be poorly marked in places) to end up at an epic overlook unlike most in this state. So, what if you don't feel like hiking but want to check in with some of Alabama's waterfalls? No worries – check out this list of easy-access waterfalls in Alabama!
How many hiking trails are there at Cheaha State Park in Alabama?
At the time of this writing, there are 12 hiking trails to choose from at Cheaha State Park. The most popular one is the Hernandez Peak/McDill Point Trail, a 4.9-mile trek through beautiful woodlands that leads to awe-inspiring views of what seems like the whole park. If you need something more kid-friendly, check out the Pulpit Rock Trail, which is just 0.6 miles long and quite easy (though there are some parts that can get a little rocky, so do be aware of that). Want a challenge? Check out the long and epically challenging Cheaha Wilderness 30-Mile Loop, which is actually 28.9 miles and is a multi-day endeavor to be taken by serious hikers. There are more, obviously, but those ones are the ones we would begin with if we were planning a trip.


text:
All for One or One for All? My fears before ETP
1. How competitive would my cohort be?
Coming from a small undergraduate school and taking some time off between college and ETP, I wasn't sure what to except from my fellow cohort. Would everyone in the program be a brainiac?
After all, Columbia is known for its academic prestige. But would my cohort collaborate and help one another, since we're all going through the "ETP-gauntlet" together? Or would it be mano a mano?
Thankfully, I chose a career that emphasizes compassion, empathy, and altruistic qualities. From sharing helpful tutorial videos, to voting for one another in scholarship competitions, my cohort has been extremely supportive of one another.
2. Being from California, How would I handle the concrete jungle?
I'm originally from San Francisco, where the weather doesn't get above 75, and no colder than 50. Also, I have never purchased "winter boots". However, weather wasn't the only issue, what about the NYC stigmas? Would I be forced to walk faster, smile less, and how would I adjust to all the bright lights?!
I knew I was in for a bit of a shock, when I was taking the subway to visiting day. I decided to let another person enter the train before me, and then suddenly, the doors abruptly closed before I could get on. "Welcome to New York!" It was quite the introduction.
Living in New York for almost 8 months has definitely added additional layers to my epidermis. I purchased my first pair of winter boots and I walk considerably faster. However, I still smile at my cashier and tell them to have a great day, even though they routinely smirk at me. The key for me was to find my happy medium between that California sunshine kid and the gunner attitude of NYC.
3. Am I the only one afraid of the rigors of an accelerated nursing program?
The ETP office does a great job during orientation week scheduling social mixers to get to know your cohort. I'm glad they did, since the people I met felt the same way. Throughout my ETP year the professors, TAs, and alumni have always offered support and guidance. Additionally, Columbia Nursing and CUMC also offer great outlets to de-stress like yoga, dog (petting) therapy, and weekly spin classes in the gym at Bard Hall. Overall, I would compare ETP to New York City in the sense that there are a lot of people who share your same emotions, but you may not know it until you ask.
—Maxwell Tom


text:
Jahan and Yasmine Yousaf, the sisterly duo that comprises the band Krewella, have finally announced their next album! Krewella's sophomore album will be titled Zer0 and has a release date of January 31st. After several EP's and a plethora of singles over the years, this will be their first full-length album since Get Wet in 2013.
Also to be noted is that this will be their first album since the original third member of the group, Kris Trindl (a.k.a. Rain Man), left Krewella in 2014.
The announcement comes alongside the release of a new single called Good On You with production from Indian producer Nucleya. Good On You plays on the middle-eastern styles that the sisters of Pakistani heritage have been leaning on lately. It's a bouncy moombahton house beat that's been showcased to those lucky enough to catch their overseas live shows as of late.
Two other confirmed album singles that have already been released are Ghost and Mana. Both songs continue the hip-hop and trap-influenced production that the sisters have favored on more than a few previous releases. See the full tracklisting for Zer0 below!
Krewella is an act that you need to see live to understand their passion. Unfortunately, they don't currently have any North American shows in the pipeline. However, with the announcement of this new album we should expect to see an album tour announced in the near future, so stay tuned!
Are you excited for the next chapter of Krewella? Let us know by commenting below or on Facebook and Twitter!
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The average household will be £1,200-a-year worse off because of seven major changes on the way in 2022, according to a thinktank
Millions of families across the UK face a 'cost-of-living catastrophe' as energy bills, taxes and inflation all soar.
The Resolution Foundation predicts next year will be the 'the year of the squeeze' with the average energy bill set to rise by a staggering £600 a year in April.
This comes hot on the heels of a £139-per-year price cap rise in October and would bring gas and electricity fees to 12 per cent of the entire budget for Britain's poorest households - up from 8.5 per cent last year.
READ MORE: Millions in line for £125 HMRC cash boost but you'll have to act fast
The Resolution Foundation (RF) has told our colleagues at The Mirror 2022 is more likely to be defined by a cost of living crunch than by the Omicron Covid wave.
Rises in National Insurance Contributions (NICs) are happening 'at exactly the same time as a new coronavirus wave, falling real wages and huge energy price rises', the RF warned.
At the same time rising inflation is forecast to peak at a 30-year high of six per cent, leaving real wages stagnating and no higher next Christmas than they are this year.
Chief executive Torsten Bell said the 'squeeze' on living standards is likely to be so severe that Chancellor Rishi Sunak could have to act with new measures.
Here we assess the seven financial juggernauts heading towards your family.
1. Energy bills
The price cap on household energy bills shot up by £139 in October, and £151 for those on pre-payment meters - who are often the poorest families.
But all that could be left in the dust by the next price cap rise in April 2022.
Wholesale gas prices have skyrocketed from 54p to £4.50 per therm since September, leading to the failure of 28 suppliers. The price cap will have to rise further to save remaining firms from collapse.
On current estimates the next hike could add a £500 rise to the typical household bill, the RF said. Another £100 could come on top to recover the costs caused by energy firms collapsing.
Put together, that would hike the standard household's annual energy bill from £1,277 to around £1,877.
Ovo chief executive Stephen Fitzpatrick has suggested the effect could be even worse, with some families paying double what they did 12 months ago.
A £600 hike would mean for the poorest tenth of households, gas and electricity bills take up 12 per cent of all their spending - a rise from 8.5 per cent.
Not only do the poorest households have the least cash to pay, they can also have higher bills due to larger families, outdated boilers or poor insulation.
By comparison, the richest tenth of households will only commit around 4% of their spending on energy bills.
2. Inflation
After years of low rates CPI inflation hit 5.1 per cent in November, driven by price hikes in transport, recreation and culture.
Now the RF warns inflation is set to peak at six per cent in Spring 2022 - a 30-year high.
That will mean many people's pay rises are cancelled out by rising prices in the shops - even the much-trumped 6.6 per cent rise in the minimum wage.
Pay rises for 5.4m public workers like teachers, nurses and police officers have not yet been confirmed.
They are likely to be subject to a fierce battle as Tory ministers face calls to offer a rise at least as high as the inflation rate.
Overall the RF predicts real-terms wages are on course to be just 0.1 per cent higher going into Christmas 2022 then they are now.
Covid has 'scarred pay packets across Britain', the RF warned, with real wages set to be £740 a year lower by 2024 than if pre-pandemic growth had continued.
3. Tax hikes
On April 6 the Tories' manifesto-busting hike to National Insurance Contributions (NICs) will hit almost all British workers.
Staff will pay 13.25 per cent on what they earn above a £797-a-month threshold - up from 12 per cent now - in a bid to raise £12bn a year for the NHS and social care.
At the same time, April will see the start of a four-year freeze on income tax thresholds. The 20p band will start at £12,570 and 40p band at £50,270.
Combined, the RF says these measures will leave the average household £600 a year worse off, or 1.4 per cent of their disposable income, in 2022/23.
Unlike energy bills, these tax hikes will hit wealthier households harder - cutting more than £2,500 from the richest twentieth, compared to less than £300 cut from the poorest quarter.
But other hikes will hit poorer households, such as the end of the VAT cut on restaurants and tourism businesses from April 1.
The rate had been five per cent until September 30 and is now 12.5 per cent, but will return to 20 per cent, pushing up the costs of an evening out.
Poorer families are typically hit harder by VAT, because they spend a higher proportion of their cash on goods and services and have little left to save.
4. Council tax
Millions of families will be hit with a council tax hike of at least three per cent in April as town halls scramble to plug spending black holes.
Most councils responsible for social care will be allowed to raise bills by at least three per cent - one per cent for care and two per cent for general funds.
A three per cent rise would add £57 to the average Band D council tax bill, which is currently £1,898 a year - and has already risen from £1,439 in 2010/11.
As many as a third of England's councils will be allowed to raise tax by even more than three per cent.
Town halls that did not use up all of a three per cent allowance last year will be able to carry it over - meaning some bills could technically rise by four or even five per cent.
Individual Council Tax bills will be decided in February and March next year.
5. Interest rates
Weeks ago the Bank of England raised the base rate of interest to 0.25 per cent, up from 0.1 per cent and the first interest rate rise in three years.
Officials were forced to act to tackle soaring inflation that is sending living costs surging and raising prices in the supermarket.
Another rise could be imposed at the Bank's next decision on February 3.
While higher interest rates could mean slightly better returns for savers, they are unlikely to make much difference unless you have very large sums sitting in the bank.
By comparison, any rise makes variable-rate and tracker mortgages more expensive for homeowners and makes it harder for firms to borrow to invest.
December's rise is said to have added £15 a month to the typical tracker mortgage payment, and £10 to the typical standard variable rate mortgage holder.
Those with more capital to pay off will be harder hit, though.
Martijn van der Heijden, at mortgage broker Habito, has said some homeowners 'could see their repayments go up by potentially hundreds of pounds a year'.
6. Rail fares
Rail fares will rise by 3.8 per cent in March next year, the government announced just before Christmas.
Ministers confirmed firms will be allowed to hike fares by the eye-watering sum as railways creak under the financial impact of Covid.
Because inflation is soaring, the increase will in fact be well below the current Retail Price Index measure which stands at 7.1 per cent.
Last year, fares had risen by RPI plus one per cent. Next year's rise will also be pushed back to a later date, from January to March.
Rail minister Chris Heaton-Harris said: "Capping rail fares in line with inflation while tying it to the July RPI strikes a fair balance."
But Labour warned the average commuter faces paying £3,263 a year for their season ticket - £1,069, or 49 per cent, more than in 2010.
7. Pensions triple lock axed
The state pension is rising in April but it is based on September's 3.1 per cent inflation figure - which is already out of date.
That means if inflation remains as high as it is now, which many predict, the £5.50-a-week pension rise will be outstripped by living costs.
Normally pensions rise by either 2.5 per cent, inflation, or average earnings - whichever is highest.
But the Tories scrapped this 'triple lock' for the 2022 rise after average earnings fell during May-July 2020 due to Covid, then bounced back.
Keeping the triple lock could have handed pensioners a rise of 8.3 per cent, essentially benefiting from a wage bounce-back while not also suffering the fall.
But former pensions minister Ros Altmann led a revolt in the Lords, saying the government knew price rises were 'coming down the track'. Meanwhile Universal Credit and other benefit rates will also only rise by 3.1 per cent - the highest for years, but less than inflation.
The standard monthly allowance for a single person over 25 on Universal Credit will rise just £10.07, to £334.91.
Pensioners face a winter of 'shivering in the cold' or 'going without hot meals' as the cost of living crisis mounts, Labour said.
Shadow Work and Pensions Secretary Jonathan Ashworth told Sky News: "People are going to be paying hundreds and hundreds of pounds extra in energy bills.
"Boris Johnson is nowhere to be seen. He's not getting a grip of this crisis. He could take VAT off the energy bills - that would cushion this for many, many families."
What does the government say?
A Government spokesperson said: "We know people are facing pressure with the cost of living - which is why we're taking £4.2billion of decisive action to help.
"This includes reducing the Universal Credit taper - a tax cut worth over £2bn - supporting households with their bills through the Energy Price Cap, Warm Home Discount Scheme, Winter Fuel Payments, Cold Weather Payments and Household Support Fund, as well as freezing alcohol and fuel duty."
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Launceston's First Mona Foma Has Revealed Its Impressive and Eclectic 2019 Lineup
It has everything from real human body parts to onesie exhibitions to Courtney Barnett — and free tickets for the local Amish community.
If there's one thing that you can count on at MONA's arts festivals, it's that they never deliver the exact same experience twice. That's doubly true of next year's Mona Foma, which is making the huge move to Launceston — and doing so with a seriously noteworthy lineup.
After hosting part of the 2018 event, the entirety of 2019's Mona Foma will take place across the Tasmanian city, shifting from its previous home of Hobart. Arriving in town from January 13–20, it'll bring everything from music legends to thumping beats to new Aussie heroes to the stage. Attendees can also expect a sensory blend of music, theatre and art, an exhibition that combines creativity with scientific specimens, and oh-so-many onesies. Of course, the list goes on.
Headlining this year's bill are Swedish star Neneh Cherry and Welsh electronic music icons Underworld, so prepare to get in a buffalo stance and get born slippy. They'll be joined by Mona Foma's big Aussie premiere and exclusive: a four-part performance by producer and composer Oneohtrix Point Never and the MYRIAD ensemble. Also called Myriad, it's framed from the perspective of an alien intelligence that has absorbed earth's entire history, and mixes the seemingly unlikely combination of medieval folk, dance music, R&B, and sci-fi imagery.
Music-wise, Mona Foma-goers can also catch Courtney Barnett on her return to Tassie, as well as Mulatu Astatke and the Black Jesus Experience as they blend Ethiopian music with jazz and Afro-Latin. Or, there's Finland's Satu Vänskä playing her 292-year-old violin with the Tasmanian Symphony Orchestra, Aussie stoner rockers Bansheeland doing their psychedelic grunge thing and Central Niger's all-female Les Filles de Illighadad with their inimitable brand psychedelic Saharan desert rock.
On the arts side of things, Art of the Body: Health, Beauty and Desire brings together a heap of artists to respond to medical body part specimens — and the actual body parts will be on display as well. Then there's Onesie World 2.0, a new iteration of Adele Varcoe and Self-Assembly's onesie extravaganza, with the designer and label whipping up 2000 DIY all-in-ones.
Other highlights include morning meditation sessions in Cataract Gorge, endurance performance artist Ben Landau's 24-hour attempt to keep humming non-stop, as well as a rather curious inclusion from British composer artist Nick Ryan: a machine that tracks the position of 27,000 pieces of space junk, then transforms them into sound as they pass overhead.
And, with Mona Foma committed to inviting a new audience to experience the festival each year, they're focusing on the Amish of Lancaster County for 2019 — which means putting up a bunch of billboards around Pennsylvania and letting the local Amish into the festival for free. For everyone else, tickets go on sale from midday on Monday, October 15.
Mona Foma runs from January 13–20, 2019, in Launceston, Tasmania. For more information or to grab tickets from midday on Monday, October 15, head to mofo.net.au
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