-------------------------------------------
Jérôme Kaplan designs Jewels for Pacific Northwest Ballet - Duration: 1:55.
I'm always very happy when I receive a proposal, you know, a new one, it's always
ah yes, really excited, it's nice to do Jewels - and then after you
realize what it is, and after you say, why did I say yes, especially Jewels.
because I was afraid in a way, I was afraid because
famous for one of the best of Balanchine, danced everywhere with Karinska costumes.
In a way you need to be really respectful what is done by Karinska
by other people. What I decided is to be not too much realistic, too much
historical and to find a way to keep the general lines and to be timeless
as possible. It's always a bit an obsession with what I design because
you know when you design a ballet, the idea is to perform this ballet now, but
in five years, perhaps in ten years and in fifteen years so it's really different than
fashion world. Fashion world, you know, you are just doing things it could be
beautiful one week and six months after you see oh it's terrible you know
I don't want to wear it, but it's completely different, it's a little bit a
timeless world and also what is different with fashion, it is
really beautiful in detail when you are close to, really close, but when you do a
costume you need to push all the effects to see far away, so sometime the costume
for ballet or for stage, it's not so beautiful when you are close to because
you see everything, but you know the way it's done and it's a big, but far away it
gives an impression. We work with impression.
-------------------------------------------
Unity for Life Casino Night - Duration: 5:07.
For more infomation >> Unity for Life Casino Night - Duration: 5:07. -------------------------------------------
Red Cross prepares for Hurricane Irma - Duration: 0:57.
For more infomation >> Red Cross prepares for Hurricane Irma - Duration: 0:57. -------------------------------------------
Dump trucks for children videos playlist backhoe Garbage truck for kids | Children toys - Duration: 19:16.
Dump trucks for children videos playlist backhoe Garbage truck for kids | Children toys
-------------------------------------------
Regatta raises funds for hospice care - Duration: 0:35.
For more infomation >> Regatta raises funds for hospice care - Duration: 0:35. -------------------------------------------
Recovery Church Offers Fresh Start For Addicts - Duration: 3:01.
(Annie Hardison) Brown, for 7 months.
(Megan King) I see people that I used to use with coming
into the doors of church.
(Stephanie Young) It's really changed my life.
I have not been able to remain clean and sober but
nine months out of my whole adult life until now.
(Angelia Trimmer) Beyond this drug epidemic,
there's a spiritual crisis.
There's something that the church could do and should do.
I'm Angy Trimmer and I'm the pastor of Craft Memorial
United Methodist Church.
I'm also missional director of Fresh Start
in Columbia, Tennessee.
No matter where your church is, addiction is an issue
that faces your community.
The jails are packed, the morgues are full.
(Stephanie Young) I had this place inside where I was empty,
and I tried to fill it at first with alcohol,
then with meth, marijuana, cocaine, relationships,
but nothing could fill that hole.
Nothing but God.
(Angelia Trimmer) We don't just look at the person needs
to stop using drugs and that's the solution.
The solution is this person needs to be spiritually healed,
and they need to find community, and a place to belong
and a purpose that they are searching for.
And when they can't find it in the world,
they turn to a needle.
But maybe they could find it if they looked in the church,
and maybe if they don't find the church,
the church can find them.
(Derik Hayes) It's bringing Jesus to us and helping us
surrender our will and recovery in that way.
The longer I'm here, the more active I become in this church.
(Derik Hayes) I just feel like it's our job,
to go out and show people.
(Timothy McGowan) The program also gives me the ability
to talk to other people about attending a different
style of worship.
I'm working with a couple of people at work trying
to get them to come here.
(Stephanie Young) I'm involved in this church several days
a week and that's what's saving my life.
I have a relationship with my family now, with my children.
I'm working everyday and I wasn't able to do that.
(Angelia Trimmer) You know we're firmly convinced that this
solution is not going to from law enforcement, it's not going
to come from incarceration, or stricter laws.
And I believe that the church has the answers, and the
programs that are working are spiritually based.
As United Methodists if we pull together the strength of our
connection, every church can do something.
And if every community had a ministry, and all the churches
pitched in, it could change the world.
(Annie Hardison) Teal, for 4 months.
(congregation) clapping
♪ (music) ♪
-------------------------------------------
CTC Periodicity Schedule Updates for Clinics - Duration: 29:04.
thank you for joining us for this child
and teen checkups webinar on the
periodicity schedule updates to be
implemented October 1st 2017
the purpose of this webinar is to
overview all the clinical changes that
are part of that schedule if you have
questions about the new periodicity
schedule policy billing or coding
questions please contact the Department
of Human Services they're the Minnesota
state Medicaid agency the best email to
reach them as DHS child teen checkups at
state.mn.us the MHCP provider manual
child and teen checkup section has full
policy information for child and teen
checkups at the time of this recording
which is September 1st the policy
reflected there is our current policy
but changes for the October 1st
implementation date will be posted soon
the Minnesota Department of Health
provides clinical consultation and
training related to the screening and
preventive services requirements and
recommendations so if you have questions
about clinical aspects of the different
screening components or preventive
services you can first go to the
child and teen checkups website at
www.health.state.mn.us and there's information
there for each of the screening
components if you have additional
questions please go ahead and email at
health.childteencheckups@state.mn.us
so the updates to the new child and
teen checkups periodicity schedule as
always are based on the Bright Futures
guidelines from the American Academy of
Pediatrics and this is according to
federal EPSDT standards so the new
schedule from the AAP came out earlier
in 2017 and since then there's been a
process of reviewing those changes
connecting with the Minnesota Academies
of Pediatrics, Family Medicine and
Pediatric Nurse Practitioners and taking
a look at Minnesota specific health data
for the child and teen checkups eligible
population birth through 20 in our
state additionally we would take a look
at United States Preventive Services
Task Force recommendations CDC and other
national guidelines as well as making
sure to align with Minnesota community
measurement guidelines that providers
are required to report on for quality
this is an image of the draft of the
updated schedule if you take a look at
the draft it looks very similar to our
current schedule although it's longer
with a main change in formatting being
due to increasing from every two years
visits at six and older two yearly visits
at six and older as well as the addition
of the thirty month visit other than
that things appeared similar on the
schedule in terms of the symbols a dot
or bullet still means that it's a
required component an X means a
required risk assessment an R means a
recommended component and additionally
on this new schedule you'll see an
asterisk in the left column for each of
the components that have that are either
new to this schedule or have significant
changes and if you flip the schedule
over onto the back side each of those
items that has an asterisk will have
more information and links to resources
on the back also as before on this
updated schedule there's a hyperlink in
the upper left-hand corner if you look
at this schedule online you can click on
that and get to fact sheets that provide
more detailed information for every
component if you take a look at our most
recent data from the Centers for
Medicare and Medicaid Services for 2016
you can see that as always our rates for
infants are really quite high that
they've gotten at least one of the
recommended visits in their first year
but for young adults it's very low it
really drops off beginning at their
early elementary school age and one of
the main issues of confusion with our
current schedule with every two years
visits listed is providers weren't clear
whether they could provide annual visits
and indeed we do recommend it as it's
shown on the bright future schedule so the
new schedule spells that out explicitly
that children should be receiving more
frequent well visits in alignment
with the Bright Futures guidelines so
the new visits that are listed are the
30 month or two and a half year visit as
you all know this is a really important
birth through three is a really
important time we're actually prenatal
through three is a very important time
for brain development and there's a lot
of development that happens between two
and three years of age so this is an
important time to catch early any kind
of speech language social-emotional
gross motor fine motor any concerns that
might be emerging during that time it's
an extra opportunity to catch up on
missed screenings whether it's lead
developmental social-emotional or autism
screenings and an important time to provide
anticipatory guidance and intervention
if there are any nutritional concerns
for the ages of 6 through 20 instead of
every two years the schedule for
October first will show yearly visits
and this is especially important again
with early adolescents 10 through 25 or
so all those brain changes are happening
again there are new risks risks emerging
in terms of behavior patterns being
established that affect adult obesity
related conditions heart health and then
it's also an important time to catch
emerging mental health issues it's also
a good opportunity to help young people
establish independence and take charge
of their health and transition into
adult care on the back side of the
schedule there's just a mention about
the AAP recommendation for children and
youth in foster care to receive well
visits twice as often as listed on the
schedule and so providers are encouraged
to follow those recommendations for
children that are in out of
home placement or foster care there's
some really good clinical resources on
the healthy foster care America website
through the American Academy of Peds
and there's also a health information form that may be helpful for providers as they work
toward implementing those
recommendations it explains which pieces
in particular should be done at those
double frequent visits because obviously
not everything would need to be repeated
not every screening component would need
to be repeated at those visits those
additional visits are covered by
Medicaid and in fact it's important to
know that Medicaid for child and teen
checkups any any time a provider feels
that more frequent visits or additional
medical care is indicated that
care is covered by Medicaid as well so
here's a just a summary list of what the
major changes on the schedule are and
some of these you may be doing already
in your practice whereas others will be
a new thing to implement in your
processes so we'll cover weight for
length percentile the change from
recommended to required mental health
screening for age 12 to 20 years the
addition of HIV screening at least once
for all youth somewhere between 15 18
years of age dislipidemia risk
assessment some minor changes to vision
and hearing screening and moving from
recommended to required fluoride varnish
application from infancy through 5 years
of age so we'll go through each of these
one by one and give you a little bit
more information that will help make
things clearer in terms of what exactly
needs to be implemented weight for length
percentile has been on the bright future
schedule for a very long time it just
was not specified on the child and teen
checkup schedule so that's been added
and that should happen at child and
teen checkup visits from birth up to two
years of age and then beginning at two
years of age providers should do BMI
percentile instead so the procedure this
is very clinics and providers are very
familiar with this already involves
taking an accurate length and weight
measurement and calculating the
percentile plotting that on growth chart
interpreting what that means based on
the child's growth patterns
and then making sure that into
appropriate anticipatory guidance and
follow-up happens based on those results
fortunately most electronic health
records can automatically calculate the
wait for length percentile and plot it
on a growth chart if you're using paper
charts and need to use a paper growth
chart those are best obtained from the
CDC website where they have the World
Health Organization growth chart for
children birth up to two years of age
and that's the appropriate one that you
would use to document that all children
who are eligible for Medicaid should be
referred to WIC if they're not already
enrolled but particularly young children
who either exhibit wait
for length percentile or BMI that's too
high or too low should be referred to
WIC if they're not connected already
mental health screening has been on the
current child and teen checkups
schedule as a recommendation for every
visit beginning at actually infancy
through 20 years of age but now on the
new schedule for implementation on
October 1st it's required to provide
depression or mental health screening at
every visit beginning at 12 years of age
and this is in alignment with aap United
States Preventive Services Task Force
and Minnesota community measurement
standards so most clinics are doing this
already in fact over the last two to
three years our rate of screening for
adolescents at their well visits has
gone from unmeasured to forty percent to
70 percent so again most clinics are
doing this already but it's now a
requirement for child and teen checkups
you do need to be sure and use an
approved mental health screening
instrument and the list of those
instruments is available on the
Department of Human Services screening
website but the direct hyperlinks to
that list it sorry the hyperlinks are
listed here so when you download the
slides from the website you'll be able
to click on those links and get directly
to that
and there's also a table a comparison
table that offers more details about
each of the tools so you can compare
those tools and choose one if for
whatever reason your clinic has not yet
implemented mental health screening
referral options are also are obviously
an important consideration many clinics
have their own mental health providers
or local providers with whom they have a
relationship however there's a really
important resource available which is
school linked to mental health services
the Department of Human Services has
grants with mental health agencies all
around the state that provide in school
or schooling to mental health services
and so if you click on the map and list
of agencies that's indicated in the
second bullet there you'll be able to
see where those agencies are and there's
contact information for you as well HIV
screening is one that perhaps many
clinics are not doing yet this has been
recommended through Bright Futures for
several years already as it is
recommended by the CDC and the US
Preventive Services Task Force up until
this year Minnesota's HIV prevalence
rate did not reach that threshold of
indicating that we should be
implementing that recommendation here in
Minnesota however our current prevalence
data has surpassed the level at which
point we need to implement this
Universal screening so what it means is
that providers should offer a screening
HIV blood test at least once for all
youth who are child and teen checkups
eligible whether or not they're sexually
active at some point between 15 to 18
years of age and so in terms of what the
actual screening is and what the
follow-up and that would be the CDC is
the source for information on that they
also have a lot of other tools and
guidance available in terms of providing
that as an opt-out service and
they provide some guidance around what
kind of information should be provided
to youth and families and then
following up in a confidential
manner with a young person the
next item is dyslipidemia risk
assessment so again this is an example
of something that clinics more likely
than not are already doing but it's just
being spelled out more clearly on the
new child and teen checkups schedule
previously lipids were mentioned under
other labs as medically indicated on
the child and teen checkup schedule but
due to the fact that the AAP
specifically recommends lipid blood
testing it was felt that this needed to
be addressed more specifically and
directly on the schedule so here's an
important distinction whereas the AAP
recommends an actual screening lipid
blood test on all children pre
puberty and post puberty the US
Preventive Services Task Force found
insufficient evidence for universal
screening and so their recommendation
for child and teen checkups is that
providers do dyslipidemia risk
assessment at the ages listed so that's
two four six and eight years and then
nine through twenty years periodically
it doesn't have to happen at every
single visit the way clinics are doing
this already is including this important
information on the family health history
the personal health history and then
paying attention to the child's
measurements at that visit in terms of
BMI blood pressure and also taking into
consideration tobacco use in terms of
specific questions that should be
included in the family history and the
personal health history refer to the
link on that first bullet point the
expert panel on integrated guidelines
for cardiovascular health and Risk
Reduction and check the children and
adolescents so when you click on that
link it will bring you directly to the
risk assessment section and then the
second bullet point summarizes the
evidence for and against lipid blood
testing and it offers kind of an
abbreviated version of the risk
assessment that can be done by age so
that should be helpful as well for
vision screening for over a year now
based on a review of national
recommendations and the convening of a
vision expert panel here in Minnesota
with representation from
ophthalmologists optometrists primary
care and screening programs the use of
plus lens screening to screen for near
visual acuity has been recommended what
wasn't clear to many clinics is whether
this must be done as a part of the
required vision screening or whether it
was just a recommended addition so this
is to clarify that the plus lens or near
vision screening component of vision
screening is a required part of vision
screening so in terms of age beginning
at 3 years as you know as has been for a
long time
visual acuity screening is required
however the plus lens for that involves
distance vision so screening at 10 feet
with a wall chart the plus lens
screening begins at 5 years of age and
is designed to catch children who may
have near vision problems that will
affect their performance in school so
for children 5 years of age and older
who pass their distance vision screening
and don't already have glasses or
haven't seen an eye doctor yet clinics
must go ahead and add that near visual
acuity screening by using the plus lens
so it sounds like a whole new component
it's actually pretty quick and easy so
while the child is still standing at the
10 feet line immediately after they pass
their distance vision screening with the
wall chart you just throw on a pair of
readers 2.50 plus lenses again that's 2.50
plus lenses and if they they look at the
the passing line if they can read that
that's a problem because you just put
reader glasses on them so they should
not it should look blurry to them
however if it's clear to them and they
can read that line then that's a refer
so they'll need to be evaluated for near
vision at that point so for clarity in
terms of the actual procedure you can
refer to the vision screening manual
which is available online
on the MDH website in terms of resources
the 2.50 plus lenses can be purchased at
a local drugstore or dollar store
doesn't require medical grade equipment
although some clinics or health systems
may want to look at ordering those in
bulk another resource for clinics for
training around this is the vision
screening e-learning module which is
available for free on the Minnesota
Department of Health website there is a
change for hearing screening as well
hearing screening continues to be
recommended at 3 years of age and
required beginning at four years of age
so the change to the new schedule is
adding noise induced hearing loss
screening which involves adding a
high-frequency screening level to the
routine pure-tone audiometry
beginning at 11 years of age this is
another example of this is actually a
new Bright Futures recommendation from
the American Academy of Pediatrics this
year however after a further review of
their recommendations we've revised that
recommendation instead of having the
test at 6,000 and 8,000 as the aap
recommends it's been determined that the
six thousand hertz level by itself will
be adequate and sensitive enough to pick
up kids who may have noise induced
hearing loss the 8,000 Hertz screening
level really does not appear to be
realistic in the community screening
setting where there's a lot of competing
noise so beginning at 11 years of age
whenever you do your routine required
hearing screening you want to just add
six thousand Hertz that high-frequency
screening levels to your routine pure
tone audiometry in order to catch those
kids who may have noise induced hearing
loss this information is available in a
hearing screening procedures manual
which is available again from the MDH
website and there's also a hearing
screening e-learning training that's
available for free online fluoride
varnish application again is not new to
any of us had spent recommended by the
AAP and US Preventive Services Task
Force and is currently listed as a
recommended component for child and teen
checkups but as of october 1st 2017
fluoride varnish application will be
required beginning at the eruption of
the first tooth at six to twelve months
through five years of age and this is
for several reasons Medicaid eligible
children are automatically considered
high-risk for dental caries and that has
to do with income access to dental care
and a number of other risk categories so
the fluoride varnish application is now
required most clinic systems around the
state are already doing it so it won't
be a change for them but in terms of the
actual procedure there's no change so
you still need to make sure that each
staff person who applies the fluoride
varnish whether it's a nurse or medical
assistant or whoever's providing that
they need to do a brief online training
that's about twenty minutes long the
consent requirement hasn't been changed
so you can either you can have the
family do a written consent but it's
also fine to just do a verbal consent
where you briefly cover the benefits and
risks and document that you've discussed
that verbally with the family the actual
fluoride varnish application process
itself is the same and documentation and
coding and billing are the same so one
question that clinics and providers will
have about this is what if the child got
fluoride varnish previously so the
because of the huge benefit of fluoride
varnish application and protecting the
teeth and then actually remineralizing
the enamel of the teeth where early
decay has started it's recommended to go
ahead and apply the fluoride varnish at
every visit you do not need to document
any previous dates of application but
also obviously for example if the child
has gone to that dentist gone into the
dentist earlier that day
and applied fluoride varnish there's no
need to apply that again at the clinic
at that on that day the fluoride varnish
application should be applied whether or
not the child already has caries or
decay even if they already have fluoride
in the water that they're drinking they
should go ahead and get fluoride varnish
the fluoride varnish application
actually sticks to the teeth
it is not absorbed systemically directly
by the child at the fluoride varnish
comes off in microscopic little pieces
so they're absorbing it very very very
slowly over a period of weeks and months
and that's why it works so well to
protect their teeth the child may also
need fluoride oral fluoride
supplementation with the drops and so if
you're not sure which of these
additional forms of fluoride that your
patient needs you can refer to the
American Academy of Pediatrics oral
health risk assessment tool and that
helps you determine which children also
need oral fluoride supplementation
drops and which children should receive
an active referral to the dentist
due to dental decay versus a more
passive verbal referral the child and
teen checkups MDH website already has
all the information that you need on
fluoride varnish so if you click on that
link you'll be guided to training
resources and other resources that will
help you implement fluoride varnish in
your setting providers should continue
as always to provide a verbal referral
to a dentist or dental provider at every
child and teen checkups visit this
verbal referral is just to encourage
them to go in for preventive care and so
when you are choosing a referral code if
you're just providing that routine
verbal referral to the dentist for
preventive care you do not you just
use the NU unless there are other
referrals that need to be made however
if the child
has active dental decay and needs to see
a dentist for for treatment purposes
that would be an actual active referral
and you would use the ST or S2 to code
for that for more information on
referral codes you can refer to the DHS
Minnesota health care programs or MHCP
provider manual child and teen checkup
section and you had the link to that on
the second slide just a quick look at
dental preventive dental care in
Minnesota so of all children of all
young children Minnesota who are
eligible for Medicaid and child and teen
checkups the rate of actually receiving
preventive dental services is very low
children should be in initiating care
for preventive services with a dentist
when the first tooth emerges currently a
Minnesota less than 1% of children are
getting any preventive services under a
year of age from 1 to 2 years of age
it's approximately 10% of Medicaid
eligible children that have had any
preventive dental services and for age 3 to 5
it's a less than 40 percent so dental
access is an issue that we continue to
work at from many different angles so
again the important piece for primary
care providers is that preventive role
so the application of fluoride varnish
as a kind of a passive preventive
service that is well documented to be
effective and beneficial to the child is
an important piece of their care so
those are the major clinical changes to
the schedule here are some additional
caveats that you may notice as you go
through the schedule under health
history social determinants of health
has been added as something to include
and again this is likely something not
new to you as a clinic or a provider
it's just that children who are eligible
for Medicaid are in sort of
extraordinarily affected by some of
these social determinants of health so
it's important to assess for nutrition
access to healthy food stable housing
exposures to neighborhood violence or
other adverse childhood experiences and
that sort of thing to help guide the
child's care and support the family
as needed
there's nothing prescriptive about how
to do that so there are not specific
questions that you have to ask as a part
of that but just to include that as a
part of the family and health history
and respond to those needs as
appropriate the new health history fact
sheet available in the MDH website will
spell out some of those recommendations
in a in a bit more detail for tobacco
alcohol and substance use risk
assessment that is the same or similar
process it's just new wording previously
on the child and teen checkups
schedule it was just listed as substance
use risk assessment so the new wording
aligns better with Bright Futures and is
more inclusive of tobacco and alcohol as
additional things to pay attention to so
a revised child and teen checkups fact
sheet for that component will also be
available which updates some newer
resources that are available to clinics
and providers the HIPAA compliant
referral code continues to be required
to indicate that a complete child
and teen checkup visit has occurred so
this is just to ensure that when we've
done all these screenings if we find
something that is concerning that the
child is actually being referred for
services and so information about how to
choose a referral code is available
currently in the MHCP provider manual
however a new fact sheet will soon be
coming to explain in a little bit more
detail why those codes are necessary
how to choose a code and then what
happens with the code for example when
you apply that referral code if a child
has been referred local public health
staff follow up with the family to
ensure that they were able to get to
that follow-up appointment and finally
especially after conversations with the
Minnesota Health Professions academies
it became apparent that it would be
helpful to provide more supportive
information for parents and families so
parent fact sheets will be coming soon
after implementation of the schedule
so thank you again for tuning in for the
webinar for more information about the
new schedule being implemented on
October 1st 2017 if you have questions
or would like clarifications about this
new schedule or any policy billing or
coding questions please contact the
Department of Human Services and their
email is listed there DHS.childteen
checkups@state.mn.us if you'd like
some more support or you have questions
about the clinical aspects of the
screening of preventive services first
refer to the child and teen checkups mdh
website WWw.health.state.mn.us many of
those clinical resources are already
available online but if you don't find
what you need or you just want to talk
to a person to find out more information
please feel free to email us at health.
childteencheckups@state.mn.us
-------------------------------------------
Rap Opera for Kids - Linwood Holton Jr. demo song - Duration: 1:29.
Abner, Linwood, Holton, Jr. I was governor of Virginia
Helped integrate schools Virginia's first leader to move
To support what the court ruled The end of separate but equal
Some say I was ahead of my time Switched up on my party to do what is righteous
Many of them didn't like it But I took the right risk
I keep it equal for all of the people I give every person a seat at the table
When we work together we win as a people Learn from the example of James and the General
My people My people, my people, my people
My people, my people, my people Represented the women and the black Americans
Appointed them to more positions in government Massive resistance it needed to go
Discrimination you know that's a no I led by example to end segregation
Took all of my children to black schools in Richmond
So I was the difference
Resistance is out
I keep it equal for all of the people
I give every person a seat at the table When we work together we win as a people
Learn from the example of James and the General My people
My people, my people, my people My people, my people, my people
-------------------------------------------
Ciekawe - podstawa do frezarki/specjal jig for a router/铣床/fresadora - Duration: 6:19.
Welcome
Today I will show you jig that I designed may years ago.
I not use it every day but in the past I use to use it very often.
That two pieces of Plexiglas bond together.
first jig like this I've made from plywood.
You can bolt base from any router. Whatever you have that will work.
What is it for
You can trim top of the added wooden edge piece .
You can use a router but if your hand twitch just a little.That be visible on the edge.
You can use a router but if your hand twitch just a little.That be visible on the edge.
That can ruin your whole work.
Necessity is the mother of invention so...I've made it
that is pads from my planer
I attached it by screws
You can use any router...
That small jig for small router.(I can use one hand)
This is for big router and large cutter.
that 3/4"
about 20 mm
set it up that way the bit is almost even with the bottom of the jig.
Then you can cut out the surplus
if is necessary make couple pass.
If the set up is correct .The tool should cut just a little bit above the surface.
This is from plexiglas because that was my scrap
Because the plexiglas is transparent I can see what I am doing .Therefore I like this jig.
that the small one
there are counter sink for screws...
you can use it in many cases not only on the edge.
...For cutting out inserts...
I hope you can use that idea in your projects...
I tell again not matter what kind of router you have got.For everyone will be fine.
If you like it share it and hit the thumb up.
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