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Archive for the ‘Self-Awareness’ Category

Jared Goff says Rams probably beat 49ers if he plays better – Rams Wire

Posted: October 21, 2020 at 2:55 am

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Jared Goff was a big reason for the Rams 4-1 start to the year, playing well in just about every game to open the season. He looked like a different quarterback than the one we saw last year, showing more confidence and better accuracy throwing to all levels of the field.

Then the Rams played the 49ers and the 2019 version of Goff showed up again. He missed open receivers, threw an interception in the end zone on fourth down and was making poor decisions with the football, resulting in a 50% completion rate and a 72.0 passer rating.

Goff wasnt the reason the Rams lost 24-16 on Sunday night, but he also didnt do enough to help them win. There were too many missed opportunities, and had he capitalized on those chances, the Rams are probably 5-1 right now.

His self-awareness after the loss was good to see, acknowledging that he has to be better in order to win games down the stretch.

We liked what we had all night and we had guys open, he said. We had good things out there and weve just got to execute better. Weve got to be a little bit better at execution. Again, I think if Im a little bit better tonight, we have a different result and unfortunately thats the way it goes, but Ill learn from it and be better.

Accuracy was Goffs biggest issue. He completed just 19 of his 38 passes, missing even on the simplest of checkdowns. According to Next Gen Stats, his expected completion percentage was 57.8, giving him a differential of 7.8% fifth-worst in the NFL this week.

Goff is fully aware of how accurate he usually is, but this was an uncharacteristically bad performance by the young quarterback.

Well clearly it wasnt my best, he said. It was just some uncharacteristic stuff for me, missing guys open there early. Its something that Ive never done in my life and dont expect to ever repeat. Ive just got to be a little bit better there at being a little bit more accurate. Thats probably what I do best is accuracy and I would have put us in a little better situation there and given us a chance to a better chance to win.

Goffs worst miss came on the Rams opening drive. He had Cooper Kupp wide open on a crossing route, but he overthrew him and didnt give his receiver a chance to make the play. It wouldve gotten the Rams on the fringe of field goal range, but they instead wound up punting a few plays later.

In the second half, Kupp broke free deep down the middle, but Goff led him too far to his left and the pass fell incomplete as the wideout twisted and turned in an attempt to locate the ball.

Those are two throws Goff would like to have back, and had he completed them, the score mightve been different.

Again, it starts with me and if Im accurate on a lot of those balls early on, were not even talking about this right now, he said. Its a good chance, like I heard Andrew [Whitworth] say for us to look in the mirror and get better and come back. Weve got another big game next Monday night. Theres a lot of stuff to work on, a lot of stuff to be better at.

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Jared Goff says Rams probably beat 49ers if he plays better - Rams Wire

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October 21st, 2020 at 2:55 am

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Intuit Automated Our Personal Finances. Now Its UX Team Is Bringing Human Helpers Back. – Built In

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Over the past decade, the F.I.R.E. movement has gained many vocal adherents. Popularized by financial bloggers like Mr. Money Mustache, a former tech worker who famously retired after just nine years in the workforce, along with websites like Financial Samurai, the movement is grounded in the belief that parsimony, a healthy lifestyle and close scrutiny of ones personal finances can lead to financial independence and early retirement.

F.I.R.E. stands for Financial Independence, Retire Early, and though it has many interpretations, a common thread, as described in a blog post on Dave Ramseys website, is to save and invest very aggressively somewhere between 50 and 75 percent of your income so you can retire sometime in your 30s or 40s.

For Mr. Money Mustache, now 46, whose real name is Peter Adeney, it means extreme frugality, aggressive retirement savings and stock investment and salads and barbells every day.

Andrew Firstenberger, who is a design strategist and leader at Intuit, said the company keeps a close watch on the movement, as a core goal of Intuits AI-powered financial suite, which includes TurboTax, QuickBooks and Mint, is to help consumers and small businesses save money by managing it with greater self-awareness and efficiency.

These toolsserve different ends, said James Helms, vice president of design and product. At the most basic level, TurboTax helps individuals prepare and file their taxes. QuickBooks helps small businesses manage payroll and billings and ensure financial compliance. Mint helps people track their personal spending and net worth. Yet theyre connected by a common thread of helping people, and businesses, manage their finances.

The complexity of modern financial systems and the nagging stressors of peoples everyday lives have presented a challenge for the company, however. Analysis of peoples behavior on TurboTax showed a significant percentage were opening up sessions and quitting before theyd finished, either coming up against the limits of their financial knowledge or getting derailed in the face of extreme life hardships.

And we started to realize that there were key things in somebodys life, Oh, my wife died this year, or I changed states, or something that was just weird enough, just challenging enough that they were, like, You know what, Im not going to be able to do this myself, Helms said.

The design team wanted to keep these customers from leaving, so it started experimenting with possible solutions. When the company created a brick-and-mortar storefront in San Diego, designers met with tax filersand preparersto better understand their in-person experiences. The team tested different methods of software-based document hand-off making it easier, for instance, for a filer to pass along a 1040 EZ to a tax preparer working remotely. The company launched Tada, a limited-run iOS application that allowed customers to speak to a tax preparer through an app or via a chat interface.

These early experiments culminated in the 2017 launch of TurboTax Live a somewhat radical about-face for a company that had built its reputation around the power of artificial intelligence to eliminate taxpayers need to seek outside professional help. But in the context of the companys design framework, rooted in the mantra design for delight, the move is far less surprising.

Traditionally, you could do your taxes on your own using TurboTax. Or, you could go work with a CPA or a tax advisor, but not both.

Diego Rodriguez is Intuits chief product and design officer and a former partner at IDEO where he worked on software and physical products for companies like Apple, Ferrari and Intel. He told me design for delight (as ironic as it sounds as a framework for tax preparation and bookkeeping software) is a natural outgrowth of design thinking. It relies on customer empathy, a broad lens for problem scoping, a strong bias for action, and prototype testing to simplify user interfaces and accelerate what he calls speed to benefit.

The approach also dovetails neatly with one of Intuits core aspirations: never enter data. This idea is so foundational to the companys ethos it is frequently referred to by the acronym NED.

Traditionally, you could do your taxes on your own using TurboTax. Or, you could go work with a CPA or a tax advisor, but not both, Rodriguez said. Its the classic example of design thinking looking at a problem that is seemingly framed a certain way like make better software or make a better CPA and saying, actually, there is a bigger solution out there.

For Intuit, that solution was to re-think the sovereignty of AI in itsproduct lines and design more personalized interfaces that complement automation with live professional support.

We spoke with several members of the companysdesign team to learn more.

More on Design ThinkingWhat Is Design Thinking? It Depends on Your Customers.

One feature of TurboTax Live is live chat support. The format will be familiar to anyone who has used the service to update or cancel a subscription, check on a service interruption, or vent their frustrations to a customer support agent when theyre caught in a seemingly insoluble bind.

Maybe this starts out as Can I help you with something? Or Ive got a question. And so youre going back and forth, Helms said.

Tax experts use the chat feature to help customers identify and upload documents, and wade through the obscurantism of IRS shorthand.

Firstenberger said the decision to offer live professional assistance on the platform was met with a fair amount of skepticism, at first.

One of the interesting, almost emotional journeys on that front, from a design point of view, is that, to some extent, bringing people into the equation can feel like moving backwards a little bit, because we spend all this time automating.

The idea of adding video chat was even more of an affront to the status quo. Yet, spending time with customers, particularly at the San Diego storefront, led to a new way of thinking.

One of the predecessors to Turbo Tax Lives video conferencing feature was a capability called Smart Look, a help button that launched a video feed much like Zooms, except unidirectional. Through it, the customer could see the customer support agent, but not vice versa.

To some extent, bringing people into the equation can feel like moving backwards a little bit, because we spend all this time automating.

And what we realized was that connecting with somebody over video was a huge experience upward for customers, Helms said. To know that there was a person back here.

The success of the release raised new questions: Could we do Smart Look inside our other programs? Is this actually universal? Helms wondered.

User research suggested, resoundingly, the answer was yes. The company began building a stable of tax professionals more than 2,000 as of fiscal year 2019 who could function similarly to customer support agents, but also provide specialized tax knowledge and, more importantly, peace of mind.

Customers didnt just want support gathering and distilling information, the research showed, they also sought the reassurance of trusted advisors who could validate their concerns. Were they really making the best financial choices? Were they staying above board when addressing the complicated, gray-area questions that inevitably arise when doing taxes?

For all my life, as one customer said, when I had financial questions, I asked my dad. This is no different. I got to this point in my taxes this complicated 1099-DIV thing that I didnt understand. So I called my dad.

The team found that face-fo-face video connection could be an effective surrogate for such conversations, bringing humans back into the fold.

And the strategy appears to be working.

In an email shared with Built In, the company reported that TurboTax Live grew itscustomer base nearly 70 percent in fiscal year 2020. By providing new ways for users to access experts throughout the filing process, first-year retention and conversion rates also increased. Moreover, almost 70 percent of new TurboTax Live customers received tax preparation assistance in the prior year, a higher percentage than TurboTax Online, suggesting the offering may be reachinga new subset of customers.

With the live support model in place, QuickBooks Live launched in January of this year. Though Intuit saw a dip in demand for its small business and self-employed offerings when the pandemics shelter-in-place orders shut-down many small businesses, a spokesperson reported, the company isnow seeing recovering trends across the platform. Six hundred experts support QuickBooks Live, which has seen 10 percent of franchise customers upgrade to a paid live bookkeeping service.

TurboTax Live and QuickBooks Live are two-sided marketplaces. Tax experts hired by Intuit can leverage Live to find new leads, set up appointments, reach out to customers and sign and file tax returns. Without the need to carve out personal brands, they also can work withpotentially more diverse client bases, and do so on their own schedule.

How you are feeling about doing your taxes?is among the first questions TurboTax asks its customers.

On the flip side, Helms said, clients receive professional guidance. English and Spanish-speaking agents initiate the conversation, upload documents, and field questions directed at the specific circumstances of a customers financial profile.

This is a tennis match, right? It goes back and forth, Helms said.

Automation implicit in the UX design reduces friction, particularly at the document upload stage, by scraping data from documents and applying it to text fields in the tax return, he added. That not only relieves the tax professional of clerical work it supplies the software with information it needs to make high-confidence inferences that can be used to pre-fill much of the return.

But not everybody needs such high-touch care, and thats okay, said Firstenberger. In fact, its preferred. Some customers find the answers they seek in a FAQ or help tab. For those who need more guidance, there is a community support page, and if that doesnt suffice, options for automated chat or live-person chat.

Intuit uses AI to identify when a customer is getting stuck. If they are dwelling at length on an item, a button that asks if they need help and offers a few solutions, including an opportunity to connect to a TurboTax Live expert.

Its almost like a ramp, with graduating steps in terms of how much support a customer may need, he said. What will get them the help that they need as quickly as possible so they can get the job done. And probably go do something else besides bookkeeping or taxes.

Getting to the something else quickly, and, ideally, with the biggest return possible, is where the delight comes in, Rodriguez told me.

The Intuit Design System establishes standards for everything from the color palette, to the operation of buttons, to the way a user logs in and moves from screen to screen. Departments across the company use a one-page customer problem statement as a universal way to define a customers needs. And data integration among QuickBooks, TurboTax and Mint helps preserve customer financial information across platforms, while building loyalty in the parent brand.

But for all the consistency fostered through Intuits design thinking approach, it is personalization recognizing that each customer has unique needs and concerns that has steered the company toward products that balance automation with live support.

How you are feeling about doing your taxes?is among the first questions TurboTax asks its customers, said Firstenberger. Not your income, middle name orfiling status, but:How are you feeling? Its critically important.

More on Design Strategy9 Insights From Googles Material Design Guidelines

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Intuit Automated Our Personal Finances. Now Its UX Team Is Bringing Human Helpers Back. - Built In

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October 21st, 2020 at 2:55 am

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Isabelle Huppert Has Been Wearing The Same Thing On The Red Carpet For 20 Years – Grazia

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Image: Getty

Of all the topics that continue to fascinate fashion-obsessed women, the most enduring always come back to the French. What is thatthing that French women have? How do they look constantly, effortlessly chic? What are their secrets? The obsession with Parisienne style continues to spawn books, YouTube series, podcasts and dedicated Instagram accounts (the latest @parisiensinparis, is a personal favourite). But if youre looking for secrets to mastering the art of French dressing, all the answers you need reside in 67-year-old cinematic icon Isabelle Huppert.

Yesterday, Huppert took to the red carpet at the Rome Film Festival for her upcoming film, Le Discours(which translates to The Speech), wearing a velvet black suit, white shirt and black pumps. The outfit was simple, beautifully tailored and, above all, familiar. Those well-acquainted with Hupperts style will have seen her in similar iterations multiple times. In fact, for the last 20 years, black suits have been the bread and butter of Hupperts red carpet wardrobe. Since the early Noughties, shes opted for evening suits over dresses time and time again.

Usually paired with a fresh face and simple hair, Hupperts red carpet appearances perfectly embody the je ne sais quoithat non-French women continue to fawn over. Whats the secret? Consistency and nonchalance. Hupperts decades-long commitment to outfit repeating speaks to the delicious paradox at the root of good style: You have to care, but you cant care too much.

Her clothes are always designer (usually Armani, occasionally Chanel) and always fit her like a dream, but she wears them with the indifference of a person who just threw any old thing on, oblivious to whether shes doing the school run or walking the red carpet at Cannes. French women seem to innately know what most women take decades to realisestyle is rarely about the clothes themselves, its about the attitude of the person wearing them. Attention to detail, self-awareness of what suits your own body and an appreciation for craftsmanship are simply accoutrements.

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Isabelle Huppert Has Been Wearing The Same Thing On The Red Carpet For 20 Years - Grazia

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October 21st, 2020 at 2:55 am

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A&E Council awards $115K in Arts and Healing grants – Missouri Foundation for Health partners in funding 13 organizations – St. Louis American

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The Arts and Education Council awarded 13 organizations a total of $115,000 in funding through the Arts and Healing Initiative, a new program, in partnership with Missouri Foundation for Health, aimed at increasing the capacity to heal through the arts.

Im thankful for the support of Missouri Foundation for Health, who made this initiative possible and for the additional support from Crawford Taylor Foundation, Missouri Arts Council, Marillac Mission Fund, Graybar and Church on the Rock, said Cynthia A. Prost, Arts and Education Council president and CEO.

In the Angel Band ProjectTelehealth Music Therapy for Survivors, board-certified music therapists with experience in trauma will conduct music therapy programs with survivors of sexual assault and intimate partner violence.

Arts as Healing FoundationCreative Outreach Programwill provide virtual and in-person art classes customized for two organizations in the St. Louis area: Pink Ribbon Girls, working with breast and gynecologic cancer patients, and the City of Ferguson, focusing on community residents with chronic illnesses.

A Call to ConscienceCelebration of Survival Projectwill use the arts, including theater, visual art and narrative storytelling, to provide information, resources, opportunity and access to restorative health.

Fathers and Families Support CenterYouth Leadership and Development Programprovides integrated services and activities that reduce high-risk behaviors and increased self-sufficiency of youth, specifically between the ages of 14-24 with assistance and guidance from mentors.

Girls Inc.Girls and Images of Healingwill use girl-generated photography inspired by what they see as relevant and healing about their homes, families and community. Girls in grades 8-12 will receive disposable cameras, learn photography techniques and be supported by experienced photographers.

Good Journey Development FoundationXpress U Thru Artwill allow young peopletoexplore trauma, oppression, emotions, resiliency, the ability to develop self-care, to develop community care, and ability to positively project internally and externally through the creation of art.

For the Jazz St. LouisBeat NF: A Jazz Music Motor Therapy Program for Toddlers with Special Needs,Washington University Neurofibromatosis (NF) Center has developed a one-of-a-kind jazz music motor therapy program that focuses on frequently delayed skills in young children with NF1, in partnership with Jazz St. Louis educational staff and St. Louis Childrens Hospital Therapy Services practitioners.

MindsEyePandemic Long-Distance Audio Description Network (PLAN)will build on the success of the Audio Description Program and the Arts and Culture Accessibility Cooperative in improving quality of life and community connection of people in our region with a visual disability. This initiative will translate aspects of these programs into in-home access to ensure that patrons with a visual disability have access to the power of the arts, even amid the COVID-19 pandemic.

Saint Louis UniversityRadical Forgiveness and Radical Imagination with the Justice Fleet isa mobile, social justice, pop up museum that fosters communal healing through art, dialogue, and play, expanding safe access to the arts and healing through interactive exhibits.

SSM Health Cardinal Glennon Childrens FoundationDance Therapywill help patients improve self-esteem and body image, develop effective communication skills and relationships, expand their movement, gain insights into patterns of behavior and create new options for coping with problems.

St. Louis ArtWorksArt Therapywill be provided to participants in individual art therapy sessions at St. Louis Art Works. Their art therapist will meet with each participant at the start of every program to identify and address barriers and to engage with participants throughout the program to address issues identified by apprentices.

St. Louis Crisis NurseryHealing Heartsprovides critical art and expressive play interventions for children between the ages of 3-12 years whose families are facing challenges such as homelessness/transiency, domestic violence, extreme poverty, parental substance abuse, and significant parental health issues. Each participating child will receive their own art supply kit, delivered to their home or shelter and will be led through art and expressive play activities virtually.

Prison Performing ArtsThe Healing Power of Telling Your Storyallows individuals completing their sentences at the Transition Center of St. Louis, a community reentry facility in North City operated by the Missouri Department of Corrections, opportunities for self-paced, hands-on learning in their pursuit of self-awareness and healing.

We believe the arts have a critical role in improving an individuals health and social well-being, said Prost. This initiative was needed in our community even before the spread of COVID-19, but now more than ever people will look for ways to heal, emotionally and physically. As our arts community continues to find innovative ways to lift our community during the pandemic, we know that they will find innovative ways to heal through the arts.

For more information about the Arts and Education Council and the Arts and Healing Initiative,

A&E Council awards $115K in Arts and Healing grants - Missouri Foundation for Health partners in funding 13 organizations - St. Louis American

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October 21st, 2020 at 2:55 am

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The must-see movies still coming to cinemas in 2020 – GamesRadar+

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With everything from No Time to Die to Dune being delayed, it feels like every movie we were looking forward to has been pushed back due to the pandemic. But not all hope is lost theres a surprising number of highly anticipated cinema releases still lined up for the remainder of 2020. From psychological horror to Oscar frontrunners, it seems like theres something for everyone on the big screen this autumn and winter.

Below, weve put together a guide for the biggest releases still coming to cinemas in 2020, along with highlighting our top picks for the coming months. We have included UK and US cinema release. Happy watching!

This chilling psychological horror is the debut feature from British director and writer Rose Glass. The titular Maud, played by Morfydd Clark, is a nurse who turns to devout Christianity after experiencing a trauma. Working in a hospice, her faith soon turns to obsession as she convinces herself that she must save the soul of her patient from eternal damnation, no matter the cost.

Gods Own Country director Francis Lee brings us to Englands rugged south coast, where palaeontologist Mary Anning (Kate Winslet) is down on her luck. When a wealthy tourist offers her money to take in his wife Charlotte (Saoirse Ronan) while hes away, Mary cant afford to refuse. The film follows the ups and downs of the two womens relationship as they learn to overcome their conflicting personalities and social backgrounds.

Chlo Zhaos highly anticipated new feature takes place in the aftermath of the 2008 financial crash. Frances McDorman plays recently widowed and homeless Fern, who now travels from town to town in a van looking for work. The movie is based on the real-life experiences of modern-day American nomads, whose stories were documented by Jessica Bruder in her book of the same name.

This adventure-comedy stars Ryan Reynolds as Guy, a bank teller who discovers that he is actually an NPC in a violent video game. With his whole world turned upside down and life as he knows it changed forever, Guy decides to use his newfound self-awareness for good and save a few lives along the way, too. The all-star cast also includes Jodie Comer, Stranger Things Joe Keery, and Taika Waititi.

The DC sequel has been hit with delay after delay, but weve got our fingers crossed that well finally get to see Wonder Woman on our screens this Christmas. Gal Gadot returns as the titular superhero, joined by an all-star cast including Chris Pine, Pedro Pascal, Kristen Wiig, and Robin Wright. Set during the cold war, Diana Prince comes into conflict with villains Maxwell Lord and the Cheetah. Read all about Wonder Woman 1984 through that link.

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The must-see movies still coming to cinemas in 2020 - GamesRadar+

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October 21st, 2020 at 2:55 am

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Kota The Friend Gives Advice To His Younger Self On ‘Dragon’ – UPROXX

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As far as independent rappers go, Brooklyns Kota The Friend has been having a decent year, all things considered. His May album Everything was well-received, thanks to features from Bas, Kyle, Joey Badass, and Tobi Lou, while his Trade Places With Them Jeans freestyle with Guapdad 4000 capped off the latters Falcon Fridays series and helped raise both raise their respective profiles among fans with way more time for music discovery on their hands due to the economic shutdown caused by COVID0-19. Kota also celebrated an improved credit score; it may seem simple, but for a rapper working without the backing of a major label, it means a lot.

But time marches on and its apparently time for Kota to get right back to work. To that end, hes returned to releasing music shortly after his 27th birthday with the release of Dragon, a spirited single in the same vein as his Lyrics To Go projects. Over a mellow beat, Kota imagines giving advice to his younger self, saying, If I could go back, I would say to him / Just focus on your spirit and youll make it, kid / And do right by the women that you make it with.'

Kota didnt say whether Dragon would be part of a larger release but he rarely does anything without a plan, so its probably a safe bet that more new music is on the way.

Listen to Dragon above.

Kota The Friend Gives Advice To His Younger Self On 'Dragon' - UPROXX

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October 21st, 2020 at 2:55 am

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Chinese Zodiac Signs: What is a Metal Rat and what year is it? – The Sun

Posted: September 28, 2020 at 11:56 pm

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WHEN it comes to horoscopes, you either love them or hate them - but what happens when it comes to your Chinese zodiac sign?

Repeating every 12 years, the animal cycle includes the Rat, the Ox, the Tiger, the Rabbit, the Dragon, the Snake, the Horse, the Goat, the Monkey, the Rooster, the Dog and the Pig.



Each of those can then be split into five elements - Earth, Wood, Fire, Metal and Water.

So what exactly is the 'Metal Rat' zodiac sign and what does it represent?

The Rat is the first of the repeating 12-year cycle of animals which appear in the Chinese zodiac, constituting part of the Chinese calendar system.

The Rat more generally is associated with the midnight hours and therefore represents the beginning of a new day.


However, if you were born between January 28, 1960, and February 14, 1961, you are specifically a Metal Rat.

Similarly, you're a Metal Rat if born between January 25, 2020, and February 11, 2021.

People born within these date ranges can be said to have been born in the 'Year of the Rat' more generally however: 1924, 1936, 1948, 1960, 1972, 1984, 1996, 2008, and 2020.



Celebrities that fall into the 'Rat' category more generally include Cameron Diaz, Eminem and Hugh Grant.

In Chinese culture, rats were seen as a sign of wealth and surplus, and, because of their reproduction rate, married couples also prayed to them for children.

Metal rats are absolute hard-nosed grafters, they just want to work and make money. Theyre also feisty, sensitive, very strong and equally single-minded.

They are extremely forthright and are imbued with a wondrous (albeit occasionally deluded) self-belief and possess a work ethic that would put any number of "alleged" workaholics to shame.


The Metal Rat is so convinced of his convictions it takes a shift in the earth's atmosphere to convince him otherwise.

But all these traits pale when compared to one other - their blind single-mindedness.

When that single-mindedness goes awry however, disaster strikes - so there'll be an equal number of paupers among the millionaires.

Each zodiac sign is associated with one of the five elements: Wood, Fire, Earth, Metal and Water.

Metal Rat: Smart, talented, hot-tempered, jealous, with a strong sense of self-awareness.

Water Rat: Talkative, shrewd, conservative, and wise.

Wood Rat: Independent, self-confident, virtuous and talented, with a strong sense of teamwork.


Fire Rat: Energetic, brave, quiet, cordial and friendly to their friends, but very strict with themselves.

Earth Rat: Amiable, honest, flexible, modest, serious, with a strong sense of self-esteem.

The Rat is said to be most compatible with the Ox, the Dragon and the Monkey.


According to the Chinese New Year site, the Rat and the Ox "complement and help one another in both work and life".

Meanwhile, couples that include a Rat and a Dragon are thought to enjoy success together, largely due to them understanding each other well.

Rats are said to be least compatible with the horse, the Goat and the Rabbit.

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Chinese Zodiac Signs: What is a Metal Rat and what year is it? - The Sun

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September 28th, 2020 at 11:56 pm

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Self-Reported Awareness of Retinopathy Severity in Diabetic Patients | OPTH – Dove Medical Press

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Yaqoob Qaseem,1 Sahej Samra,1 Olga German,1 Elizabeth Gray,2 Manjot K Gill1

1Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; 2Biostatistics Collaboration Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

Correspondence: Manjot K Gill Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Suite 440, 645 N Michigan Avenue, Chicago, IL 60611, USA Tel +1 312-908-8152 Email

Background: Diabetic retinopathy (DR) may be asymptomatic in both mild and advanced stages. A patients accurate perception of their DR severity may therefore be critical for effective self-management behaviors and understanding the need for timely intervention and follow-up. Purpose: To evaluate the relationship between self-reported and actual retinopathy severity in diabetic patients. Methods: This study was a single-center cross-sectional survey. Diabetic patients identified by enterprise data warehouse were sent an online questionnaire where they were asked to self-assess for presence of DR and grade their severity. Actual DR grading was determined via chart review. The primary outcome measures were patient-assessed DR severity and agreement with actual DR severity. Results: Of 3208 invitations sent, 324 (10%) patients responded and 319 responses were analyzed. The data showed that 39 of 253 (15%) with no DR, 26 of 40 (65%) with mild/moderate DR, and 24 of 26 (92%) with severe DR believed they had DR (p< 0.001). Of those with no DR, 214 of 253 (85%) accurately assessed absence of DR. Of those with mild/moderate DR, 25 of 40 (63%) accurately assessed their severity, 14 of 40 (35%) believed they had no DR, and 1 of 40 (3%) believed they had severe DR. In patients with severe DR, 9 of 26 (35%) correctly assessed their severity, 15 of 26 (58%) believed they had mild/moderate DR, and 2 of 26 (8%) believed they had no DR. Conclusion: Patients with severe DR were the most likely to report presence of DR, but often underestimated their disease severity. Many with mild/moderate DR did not realize they had DR. This consistent underestimation of severity across all a significant barrier to timely follow-up and treatment necessary to prevent future visual impairment.

Keywords: diabetic retinopathy, diabetes, survey, severity, perception, awareness, understanding, anti-VEGF, barriers, screening, accuracy, self-report

This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

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Self-Reported Awareness of Retinopathy Severity in Diabetic Patients | OPTH - Dove Medical Press

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September 28th, 2020 at 11:56 pm

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Joe Biden compared Trump to Joseph Goebbels. Where is the ADL’s condemnation? – Washington Examiner

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In a Saturday interview with MSNBCs Stephanie Ruhle, Joe Bidens remarks were short on self-awareness and long on hypocrisy. But nothing drew more hyperpartisan discussion than when Biden likened President Trump to virulently anti-Semitic Nazi propaganda minister Joseph Goebbels.

After decrying the presidents propensity for using personal attacks and lies against his opponents, Biden engaged in the basest form of personal attack, saying Trump is sort of like Goebbels. You say the lie long enough, keep repeating, repeating, repeating it it becomes common knowledge.

Responses to Bidens clumsy and inaccurate allusion were split, mostly along party lines. Many displayed appropriate disgust with the insinuation that the president has anything in common with a man who, as the Daily Callers David Hookstead tweeted, helped carry out the systematic murder of more than six million Jewish people. The Republican Jewish Coalition issued a call for Biden to apologize for his egregious comment. Even former Democratic New York Assemblyman Dov Hikind expressed outrage, saying Biden desecrated the memory of six million Jews who were murdered.

Many Democrats, on the other hand, applauded Bidens jab for its alleged accuracy. Twitter account BetoMedia agreed with the characterization but lamented how former Democratic presidential candidate Beto ORourke had been denounced for using similar terminology earlier in the election cycle. In a factually incorrect and particularly despicable tweet from notorious Trump-hater Judd Apatow, the filmmaker took Bidens remarks further, stating Trump is murdering his countrymen and letting everyone die for personal gain.

The Democratic Party playbook of comparing Trump to various Nazi figureheads continues to be employed because it works thanks to ignorance of Nazi atrocities. On September 16, a study by the Conference on Jewish Material Claims Against Germany showed that most millennials and members of Generation Z are unaware of the extent of the Nazis genocide. Couple this with our entrenchment in our respective political camps, and it is no surprise that people are willing to believe that members of opposition political parties are like, literally Nazis. And so, fueled by the same kind of hate that motivated the Third Reich, Nazi analogies thrive.

Whether you like him or not, Trump is no Goebbels. Charged with control over film, radio, theater, and the press, the propaganda minister shaped the social environment in which all threatening ideas were purged from German society as Hitler consolidated power and prepared for war. Subjected to a constant diet of Goebbels propaganda, the vast majority of Germans would stand idly by as their Jewish and other undesirable neighbors were rounded up and shipped to ghettos or forced labor and extermination camps. Under Goebbels propaganda apparatus, 6 million Jews and multiple millions of non-Jews died by the time World War II ended.

Likening Trump to Goebbels trivializes a history of horrific, calculated genocide. It supports the environment we find ourselves in today, where the Holocaust is the butt of horrible anti-Semitic jokes, like the discovery by Stop Antisemitism that a Google search for Jewish baby stroller turns up images of grills.

Especially in the midst of this contentious election cycle, as hatred and anti-Semitism rage around us, the country needs a strong, nonpartisan voice to condemn Bidens harmful rhetoric. As a respected organization fighting anti-Semitism and hatred around the country, this task absolutely falls to the Anti-Defamation League. Unfortunately, the ADL, which issues frequent condemnations of Trump, has made no comment about Bidens remarks. Its lack of denunciation is tacit approval of Bidens words.

Condemning the misuse of Holocaust terminology and history is an issue that transcends political allegiance. Anyone utilizing the Holocaust to make irrelevant political points has both minimized a terrible atrocity and failed to truly understand how and why hatred was weaponized by the Nazis. Regardless of our politics, we should demand more of our leaders, particularly at this time of incredible tension. Most importantly, we should all recall one of the most important lessons of the Holocaust, that it is vital for us to remember the humanity in our opponents and allies alike, no matter the circumstances.

Beth Bailey (@BWBailey85) is a freelance writer from the Detroit area who frequently covers Holocaust history and anti-Semitism.

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Joe Biden compared Trump to Joseph Goebbels. Where is the ADL's condemnation? - Washington Examiner

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September 28th, 2020 at 11:56 pm

Posted in Self-Awareness

Chef Kia Damon’s Concern for Her Community Will Feed Your Spirit – GQ Magazine

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With her platform, Damon stands against the homophobia, racism, and misogyny that she sees in work and life. A just world, to me, looks like people with power, money, and access taking actual risks--not black squares, not lazy hiring just for diversity with no action plan of how to really change culture. Hard life lessons have taught her how we can be better to each other and given her purpose, and motivated her to share her success with others by acting as a driver for change in the industry. Thats what Courvoisier means by honoring your code, its all about taking the life lessons that ones learned through their own experiences and sharing that success with others. Damon knows she cant single handedly overhaul the culinary worlds moral failings or feed everyone whos hungry, but she can press forward on that path.

What else does a more just world look like to you?

My motto right now has been "Listen, if we can't do it right, don't do it." A just world is asking that question all the time. Can we do this without hurting people? Without people being without the funds to live? Can we do this without demeaning people? Without compromising our integrity? We can't keep operating out of this place where we see people as numbers, property, or liability. Damn near everything that was unchangeable has been changed. I would be enslaved, we wouldn't know how to read, and ain't nobody voting if things just had to be the way they were.

What advice would you give someone looking to break into your industry?

I've been very naive at times about who is and is not for me. I would say to find people that inspire you. You don't necessarily have to reach out to them, but find genuine people who inspire you, so that when you falter, you can look to them to get on the right track again, almost like a guiding light.

Food is a part of all of our lives and for many people, its easy to take for granted. What are some things we can do or ways we can think to value what we eat?

Right now, either [food] places are shut down, or people are putting their lives at risk because you want to get your favorite foods. It's a difficult time because you want to patronize and support people because you don't want their businesses to be gone. Then, also, you want to care about people's well being. In between that uncomfortable place, that rock and hard place, is thoughtfulness. We just have to practice a whole lot more thoughtfulness.

How do you honor your code?

I cultivate self-awareness. You can't honor your code if you don't know who you are. I remain true to myself.

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Chef Kia Damon's Concern for Her Community Will Feed Your Spirit - GQ Magazine

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September 28th, 2020 at 11:56 pm

Posted in Self-Awareness

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