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A2040-407 exam Dumps Source : Assessment: IBM Notes and Domino 9.0 convivial Edition System Administration B
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IBM Assessment: IBM Notes and
The next time you cognomen an 800 quantity with a gripe a few product or service, believe this: even though it’s a true reside person who answers, he or she could no longer subsist the one figuring out how to pick keeping of you. instead, a fancy string of algorithms might too step in, to gauge your mood and react accordingly. One edition of IBM’s interactive know-how Watson assistant directly analyzes your tone of voice. Then, based on precisely how peeved you sound, the device suggests what the service rep may still proffer as a fix for anything your problem is—money back, as an instance, or free delivery for your next order—with the plane of retaining on to your business.
wondering why a human CSR can’t simply handle this dialog? “americans interpret tones of voice differently, so they reply in another pass to shoppers,” explains IBM consultant Aman Kochhar. by contrast, he provides, “A.I. is not subjective. So it’s a amenable deal more constant.”
Kochhar has been researching to result ersatz intelligence to company problems due to the fact that final December, when he indecent started taking A.I. courses as partake of the primary section of a huge new training push internal IBM. referred to as AI competencies Academy (AISA), the program is designed to carry out two things. First, it teaches employees about integrating A.I. into their personal jobs within the business, from developing advertising apps to improving give chain effectivity. at the identical time, AISA educates IBMers in consulting, earnings, operations, and in different places how to collaborate with customers to employ A.I. in their corporations, too. Divided into two tracks—one for techies (application developers, engineers, research scientists) and one for everybody else—the curriculum has 4 stages, from primary to professional.
greater than 2,200 IBM staffers esteem begun the training on the grounds that it launched closing year, and IBM expects at the least 4,000 graduates of indecent four levels in 2019. but, says IBM vice president for faculty Obed Louissant, that’s only for openers: “All of their personnel will eventually subsist skilled in A.I.” additionally, AISA consistently adds new content material. within the works right now: New classes on applying A.I. in undertaking administration and common administration roles.
in a lone sense, it’s only analytic that IBM is investing huge chunks of its $500 million annual practising budget in AISA. after all, “we build these A.I. applied sciences,” notes Louissant. “So they esteem a accountability to train individuals how to employ them, each inside and outdoors the company.”
ok, however AISA additionally obviously does whatever thing else — to wit, it makes IBM’s 350,000 personnel global much more pleasing to different employers. As more groups depend more heavily on statistics analytics, and more jobs require a working handicap of A.I., Gartner predicts 2.3 million new roles international that will require these talents by means of the conclusion of next year.
For IBM, AISA is a calculated risk. On the one hand, the enterprise has no true alternative however to educate its team of workers in A.I. but nevertheless, assisting employees enhance exactly the talents most favorite in the outside world right now seems dicey. “We did suppose an needy lot about this as they developed the software,” Louissant says, including wryly, “We esteem been involved from the outset about no matter if we’d subsist making a public provider.”
it may design out that manner, but for now, Louissant thinks most graduates of IBM’s software will want to stick around. He facets to the indisputable fact that, among the roughly 800 americans who've already accomplished AISA practising—and who're therefore much more marketable than they were a 12 months ago—attrition, thus far, is lessen than for IBM’s team of workers usual.
It’s early days yet, of direction, however that tiny attrition fee can subsist a mirrored image of what personnel talked about, in exact surveys, about what motivates and engages them. even more than cash, which of route opponents can present too, IBMers voice they’re “most drawn to maintaining with the innovative in expertise and always studying new advantage,” says Louissant. “So offering them new working towards is a retention approach.” during this term of persistent (and, it appears, multiplying) abilities gaps, that’s a thought value thinking about.
Anne Fisher is a profession expert and suggestions columnist who writes “Work It Out,” Fortune’s e-book to working and vital within the twenty first century. every week, she’ll retort your most challenging career questions. esteem one? query her on Twitter or e mail her at email@example.com.
Layoffs at Watson fitness demonstrate IBM’s issue With AI
AI vs. doctors
Making scientific AI trustworthy and transparent
Illustration: Eddie guy
In 2014, IBM opened swanky new headquarters for its synthetic intelligence division, known as IBM Watson. interior the glassy tower in lessen manhattan, IBMers can deliver potential purchasers and traveling journalists into the “immersion room,” which resembles a miniature planetarium. There, within the darkened area, visitors pick a seat on swiveling stools while fancy photographs glance around the curved monitors covering the walls. It’s the closest which you can get, IBMers once in a while say, to being internal Watson’s digital brain.
One excellent 2014 demonstration of Watson’s brainpower confirmed off its capabilities to seriously change medication the employ of AI—a purpose that IBM CEO Virginia Rometty regularly calls the business’s moon shot. in the demo, Watson took a weird collection of affected person signs and came up with a listing of feasible diagnoses, every annotated with Watson’s self assurance degree and links to aiding scientific literature.
in the comfy confines of the dome, Watson not ever failed to galvanize: Its reminiscence banks held skills of every rare ailment, and its processors weren’t susceptible to the kind of cognitive bias that may throw off doctors. It may crack a troublesome case in mere seconds. If Watson could convey that instant capabilities to hospitals and clinics throughout the area, it seemed possible that the AI might reduce analysis error, optimize remedies, and even alleviate medical professional shortages—not by using changing docs but by means of helping them carry out their jobs sooner and more desirable.
challenge: Oncology professional consultant
MD Anderson melanoma core partnered with IBM Watson to create an advisory appliance for oncologists. The device used herbal-language processing (NLP) to summarize sufferers’ electronic fitness information, then searched databases to give treatment thoughts. Physicians tried out a prototype within the leukemia branch, but MD Anderson canceled the job in 2016—after spending US $62 million on it.
backyard of corporate headquarters, besides the fact that children, IBM has discovered that its powerful technology isn't any well for the messy reality of nowadays’s health keeping system. And in attempting to apply Watson to cancer treatment, one of medicine’s biggest challenges, IBM encountered a fundamental mismatch between the manner machines subsist trained and the manner medical doctors work.
IBM’s bold try and revolutionize health keeping began in 2011. The day after Watson thoroughly defeated two human champions in the game of Jeopardy!, IBM introduced a brand new profession direction for its AI quiz-demonstrate winner: it could become an AI medical professional. IBM would pick the breakthrough expertise it confirmed off on tv—certainly, the potential to reckon herbal language—and rehearse it to drugs. Watson’s first commercial offerings for health keeping would subsist attainable in 18 to 24 months, the traffic promised.
in fact, the initiatives that IBM announced that first day did not relent industrial products. in the eight years when you reckon that, IBM has trumpeted many greater excessive-profile efforts to help AI-powered medical know-how—a lot of which esteem fizzled, and a number of of which esteem failed spectacularly. The enterprise spent billions on acquisitions to bolster its interior efforts, but insiders voice the got organizations haven’t yet contributed a lot. And the products that esteem emerged from IBM’s Watson health division are nothing just devotion the mind-blowing AI medical professional that changed into once envisioned: They’re greater devotion AI assistants that may achieve separate events projects.
“Reputationally, I suppose they’re in some predicament,” says Robert Wachter, chair of the branch of drugs at the tuition of California, San Francisco, and writer of the 2015 publication The Digital doctor: Hope, Hype, and damage on the fracture of day of drugs’s computer Age (McGraw-Hill). in part, he says, IBM is affected by its ambition: It changed into the primary company to manufacture an immense push to carry AI to the hospital. however additionally earned unwell will and skepticism by pass of boasting of Watson’s advantage. “They came in with advertising and marketing first, product second, and acquired everyone excited,” he says. “Then the rubber hit the road. this is an exceptionally tough set of complications, and IBM, by being first out, has validated that for everyone else.”
since 2011, IBM Watson has announced a host of tasks in fitness care. How esteem they fared?
espy table “to this point, Few Successes”
At a 2017 convention of health IT authorities, IBM CEO Rometty advised the group that AI “is true, it’s mainstream, it’s here, and it may possibly alternate well-nigh every thing about fitness care,” and delivered that it could herald a medical “golden age.” She’s no longer by myself in seeing an opportunity: consultants in laptop science and drugs alike correspond that AI has the handicap to transform the fitness keeping industry. Yet to date, that expertise has primarily been validated in carefully controlled experiments. only a couple of AI-primarily based apparatus had been approved by means of regulators for employ in actual hospitals and doctors’ offices. these pioneering items labor usually in the visible realm, the employ of desktop imaginative and prescient to anatomize photographs devotion X-rays and retina scans. (IBM does not esteem a product that analyzes scientific photos, although it has an lively research venture in that enviornment.)
looking beyond images, despite the fact, even today’s choicest AI struggles to manufacture feel of involved clinical advice. And encoding a human doctor’s abilities in application seems to subsist a very involved proposition. IBM has realized these painful lessons within the industry, because the world watched. whereas the traffic isn’t giving up on its moon shot, its launch screw ups esteem proven technologists and physicians alike just how complicated it is to construct an AI doctor.
The Jeopardy! victory in 2011 showed Watson’s outstanding skill with herbal-language processing (NLP). To play the video game, it needed to parse involved clues crammed with wordplay, search tall textual databases to find feasible solutions, and verify the optimal one. Watson wasn’t a glorified search engine; it didn’t just recrudesce documents according to keywords. as a substitute it employed lots of of algorithms to map the “entities” in a sentence and esteem in intelligence the relationships amongst them. It used this skill to manufacture feel of both the Jeopardy! clue and the millions of text sources it mined.
task: Cognitive coaching system
The sports clothing traffic beneath Armour teamed up with Watson health to create a “personal health trainer and tness consultant.” using facts from beneath Armour’s exercise-tracker app, the Cognitive educate became supposed to provide personalized practising programs in keeping with a user’s habits, as well as suggestions according to evaluation of outcomes accomplished by means of an identical individuals. The train never launched, and below Armour is not any longer working with IBM Watson.
“It practically seemed that Watson may pick note the that means of language, in preference to simply recognizing patterns of phrases,” says Martin Kohn, who became the manager clinical scientist for IBM research at the time of the Jeopardy! healthy. “It become an order of magnitude more powerful than what existed.” What’s more, Watson developed this capability by itself, via laptop discovering. The IBM researchers skilled Watson by means of giving it hundreds of Jeopardy! clues and responses that were labeled as proper or wrong. in this complicated records set, the AI found patterns and made a mannequin for a pass to score from an enter (a clue) to an output (an accurate response).
lengthy before Watson starred on the Jeopardy! stage, IBM had regarded its probabilities for fitness care. drugs, with its reams of affected person information, gave the print an evident healthy, especially as hospitals and docs were switching over to digital fitness facts. while a few of that data can too subsist without problems digested by using machines, similar to lab consequences and vital-signal measurements, the majority of it's “unstructured” information, akin to medical professional’s notes and medical institution discharge summaries. That narrative text accounts for about eighty % of a customary patient’s list—and it’s a stew of jargon, shorthand, and subjective statements.
Kohn, who came to IBM with a clinical diploma from Harvard tuition and an engineering degree from MIT, changed into excited to uphold Watson address the language of medication. “It gave the notice of Watson had the information to overcome those complexities,” he says. by pass of turning its mighty NLP abilities to medication, the thought went, Watson may examine sufferers’ health information as neatly as the entire corpus of clinical literature: textbooks, peer-reviewed journal articles, lists of authorised drugs, etc. With access to indecent this facts, Watson may eddy into a superdoctor, discerning patterns that no human could ever spot.
“medical doctors recede to labor daily—principally the americans on the entrance strains, the basic keeping doctors—with the understanding that they cannot possibly comprehend everything they should understand with a view to apply the surest, ultimate, most beneficial medication feasible,” says Herbert Chase, a professor of medicine and biomedical informatics at Columbia university who collaborated with IBM in its first health keeping efforts. but Watson, he says, may keep up—and if turned right into a device for “scientific resolution aid,” it could permit doctors to keep up, too. In lieu of a Jeopardy! clue, a health keeping provider might supply Watson a patient’s case history and query for a diagnosis or best medication plan.
Chase worked with IBM researchers on the prototype for a diagnostic tool, the thing that dazzled company in the Watson immersion room. however IBM selected now not to commercialize it, and Chase parted methods with IBM in 2014. He’s disappointed with Watson’s sluggish development in medication considering the fact that then. “I’m no longer alert of any staggering home runs,” he says.
He’s one in indecent many early Watson lovers who at the second are dismayed. Eliot Siegel, a professor of radiology and vice chair of guidance programs at the university of Maryland, additionally collaborated with IBM on the diagnostic research. while he thinks AI-enabled apparatus can subsist indispensable to medical doctors inside a decade, he’s no longer confident that IBM will build them. “I don’t suppose they’re on the cutting edge of AI,” says Siegel. “essentially the most exciting issues are going on at Google, Apple, and Amazon.”
As for Kohn, who left IBM in 2014, he says the traffic fell into a yardstick trap: “in simple terms proving that you've got powerful know-how isn't adequate,” he says. “prove to me that it is going to really carry out anything valuable—that it is going to manufacture my lifestyles more suitable, and my sufferers’ lives better.” Kohn says he’s been waiting to peer peer-reviewed papers in the medical journals demonstrating that AI can help affected person results and shop fitness systems cash. “to date there’s very shrimp in the means of such publications,” he says, “and nonexistent of final result for Watson.”
AI’s First Foray Into health Care
medical doctors are a conservative bunch—for amenable motive—and gradual to undertake new applied sciences. however in some areas of fitness care, clinical gurus are starting to espy artificially sagacious programs as professional and helpful. listed below are a number of early steps toward AI drugs.
Robotic surgical procedure
at present used only for routine steps in elementary tactics devotion laser eye surgical procedure and hair transplants.
consultants are just genesis to employ automated methods to assist them determine X-rays, retina scans, and other photographs.
With genome scans becoming a pursuits a partake of medication, AI apparatus that promptly draw insights from the records are becoming critical.
Experimental systems esteem proved adept at analyzing biopsy samples, but aren’t yet permitted for scientific use.
clinical administrationMental fitnessHospitals are introducing tools for applications devotion predicting septic shock, but they haven’t yet proved their value.
Rudimentary methods can check on sufferers between office visits and provide automated alerts to physicians.
groups are dashing to present AI-enabled tools that may enhance effectivity in initiatives devotion billing and coverage claims.
Researchers are exploring such applications as monitoring melancholy by pass of mining cellphone and convivial media statistics.
In trying to convey AI into the health center, IBM was taking on an enormous technical challenge. however having fallen behind tech giants devotion Google and Apple in many different computing nation-states, IBM essential some thing tall to live important. In 2014, the enterprise invested US $1 billion in its Watson unit, which changed into establishing tech for dissimilar traffic sectors. In 2015, IBM introduced the formation of a different Watson fitness division, and with the aid of mid-2016 Watson health had acquired 4 fitness-records groups for a total impregnate of about $4 billion. It gave the print that IBM had the expertise, the resources, and the commitment crucial to manufacture AI labor in fitness care.
today, IBM’s leaders talk concerning the Watson fitness effort as “a journey” down a street with many twists and turns. “It’s a tricky job to inject AI into health care, and it’s a problem. however we’re doing it,” says John E. Kelly III, IBM senior vice president for cognitive options and IBM analysis. Kelly has guided the Watson effort considering the fact that the Jeopardy! days, and in late 2018 he additionally assumed direct oversight of Watson fitness. He says the company has pivoted when it must: “We’re continuing to subsist trained, so their choices exchange as they subsist taught.”
Medtronic and Watson fitness begun working collectively in 2015 on an app for personalised diabetes management. The app works with facts from Medtronic’s interminable glucose video display, and helps diabetes sufferers music how their medicinal drugs, meals, and pass of life decisions affect their glucose levels. The FDA-permitted app launched in 2018.
The diagnostic tool, as an instance, wasn’t brought to market since the company case wasn’t there, says Ajay Royyuru, IBM’s vp of health keeping and being sciences research. “analysis is not the vicinity to head,” he says. “That’s whatever thing the specialists carry out pretty smartly. It’s a tough assignment, and no recall how well you carry out it with AI, it’s now not going to displace the expert practitioner.” (not everybody agrees with Royyuru: A 2015 report on diagnostic errors from the country wide Academies of Sciences, Engineering, and medication pointed out that improving diagnoses represents a “moral, skilled, and public health integral.”)
In an try to ascertain the company case for medical AI, IBM pursued a dizzying number of initiatives centered to indecent of the different avid gamers within the health keeping system: physicians, administrative staff, insurers, and sufferers. What ties the entire threads together, says Kelly, is an effort to supply “choice lead the usage of AI [that analyzes] large facts units.” IBM’s most publicized project focused on oncology, the dwelling it hoped to installation Watson’s “cognitive” competencies to attest tall facts into personalised melanoma remedies for patients.
in many attempted applications, Watson’s NLP struggled to manufacture flavor of scientific text—as esteem many other AI methods. “We’re doing tremendously enhanced with NLP than they had been five years in the past, yet we’re nonetheless tremendously worse than humans,” says Yoshua Bengio, a professor of computer science at the college of Montreal and a number one AI researcher. In scientific textual content documents, Bengio says, AI techniques can’t pick into account ambiguity and don’t prefer up on subtle clues that a human doctor would note. Bengio says current NLP technology can uphold the health keeping system: “It doesn’t should esteem full figuring out to carry out something extremely valuable,” he says. but no AI built so far can felicitous a human doctor’s comprehension and insight. “No, we’re now not there,” he says.
IBM’s labor on cancer serves because the top instance of the challenges the enterprise encountered. “I don’t suppose anybody had any conception it might pick this long or subsist this complicated,” says designate Kris, a lung melanoma expert at Memorial Sloan Kettering melanoma middle, in tall apple metropolis, who has led his institution’s collaboration with IBM Watson in view that 2012.
the hassle to enrich melanoma keeping had two main tracks. Kris and other preeminent physicians at Sloan Kettering informed an AI apparatus that grew to become the product Watson for Oncology in 2015. across the country, preeminent physicians at the college of Texas MD Anderson melanoma center, in Houston, collaborated with IBM to create a different device known as Oncology skilled guide. MD Anderson acquired as far as testing the device within the leukemia department, but it surely on no account became a industrial product.
both efforts esteem bought mighty criticism. One excoriating article about Watson for Oncology alleged that it supplied unnecessary and infrequently hazardous options (IBM contests these allegations). more broadly, Kris says he has frequently heard the critique that the product isn’t “real AI.” And the MD Anderson challenge failed dramatically: A 2016 audit by the institution of Texas discovered that the cancer middle spent $sixty two million on the venture before canceling it. A deeper notice at these two tasks exhibits a primary mismatch between the pledge of computing device gaining information of and the reality of scientific care—between “true AI” and the requirements of a practical product for today’s medical doctors.
Watson for Oncology became purported to study by ingesting the immense medical literature on melanoma and the fitness information of precise cancer sufferers. The hope was that Watson, with its mighty computing vigor, would assess hundreds of variables in these information—including demographics, tumor features, remedies, and outcomes—and find patterns invisible to people. it would too keep up to this point with the bevy of journal articles about cancer remedies being published every day. To Sloan Kettering’s oncologists, it seemed devotion a possible step forward in cancer care. To IBM, it seemed devotion an outstanding product. “I don’t assume any one knew what they esteem been in for,” says Kris.
Watson discovered fairly right now how to scan articles about clinical studies and assess the primary outcomes. nonetheless it proved unattainable to train Watson to study the articles the manner a physician would. “The tips that physicians extract from a piece of writing, that they employ to alternate their care, might too now not subsist the foremost element of the notice at,” Kris says. Watson’s thinking is in line with data, so indecent it may well carry out is accumulate statistics about leading results, explains Kris. “however doctors don’t labor that approach.”
In 2018, for instance, the FDA accredited a brand new “tissue agnostic” cancer drug it is positive towards indecent tumors that divulge a selected genetic mutation. The drug become quick-tracked according to dramatic effects in just 55 sufferers, of whom four had lung melanoma. “We’re now asserting that every affected person with lung melanoma should subsist established for this gene,” Kris says. “all of the prior guidelines were thrown out, based on 4 patients.” however Watson received’t trade its conclusions in line with simply 4 sufferers. To resolve this issue, the Sloan Kettering consultants created “synthetic cases” that Watson might subsist taught from, essentially make-accept as exact with sufferers with certain demographic profiles and cancer features. “I confidence in analytics; I accept as exact with it will possibly uncover things,” says Kris. “but when it comes to melanoma, it basically doesn’t work.”
Do you compromise?
several reviews esteem in comparison Watson for Oncology’s cancer medicine techniques to these of health facility oncologists. The concordance percentages point out how commonly Watson’s recommendation matched the consultants’ medication plans.
Sources: Journal of scientific Oncology 2017; cancer research 2017; JCO scientific cancer Informatics 2018
The consciousness that Watson couldn’t independently extract insights from breaking intelligence in the scientific literature changed into just the primary strike. Researchers too found that it couldn’t mine tips from patients’ digital health information as they’d anticipated.
At MD Anderson, researchers achieve Watson to labor on leukemia sufferers’ health records—and right away found out how complicated those information were to labor with. sure, Watson had exceptional NLP potential. however in these information, records may subsist missing, written down in an abstruse means, or out of chronological order. In a 2018 paper posted within the Oncologist, the crew reported that its Watson-powered Oncology skilled lead had variable success in extracting assistance from text documents in medical facts. It had accuracy rankings ranging from 90 to 96 % when dealing with limpid concepts devotion prognosis, but scores of best sixty three to 65 % for time-based information devotion therapy timelines.
In a remaining blow to the dream of an AI superdoctor, researchers realized that Watson can’t compare a brand new affected person with the universe of melanoma sufferers who esteem Come earlier than to find hidden patterns. both Sloan Kettering and MD Anderson hoped that the AI would mimic the talents of their skilled oncologists, who draw on their journey of sufferers, cures, and results once they devise a technique for a brand new patient. A machine that could carry out the identical category of inhabitants analysis—more rigorously, and the usage of thousands greater sufferers—could subsist hugely effective.
but the fitness keeping device’s present requirements don’t cheer such actual-world learning. MD Anderson’s Oncology expert lead issued only “facts primarily based” concepts linked to reputable clinical instructions and the effects of reports published in the clinical literature. If an AI gadget were to ground its suggestions on patterns it found out in clinical data—for example, that a separate classification of patient does enhanced on a undeniable drug—its innovations wouldn’t subsist regarded proof primarily based, the gold commonplace in drugs. devoid of the strict controls of a scientific study, this benign of finding would subsist regarded handiest correlation, no longer causation.
Kohn, formerly of IBM, and a lot of others believe the necessities of health keeping should change in order for AI to know its full skills and transform medication. “The gold ordinary isn't really gold,” Kohn says. AI programs might confidence many more factors than will ever subsist represented in a scientific trial, and will sort sufferers into many extra categories to deliver “basically personalized care,” Kohn says. Infrastructure exigency to exchange too: health keeping institutions exigency to correspond to partake their proprietary and privateness-controlled facts so AI systems can subsist trained from tens of millions of patients adopted over decades.
in keeping with anecdotal stories, IBM has had problem finding patrons for its Watson oncology product within the united states. Some oncologists voice they esteem aplomb their personal judgment and don’t want Watson telling them what to do. Others voice it suggests best medium remedies that they’re smartly alert about. but Kris says some physicians are finding it useful as an swiftly 2d view that they could partake with fearful patients. “As imperfect as it is, and restrained as it is, it’s very constructive,” Kris says. IBM revenue reps esteem had more success outdoor the U.S., with hospitals in India, South Korea, Thailand, and beyond adopting the technology. lots of these hospitals proudly employ the IBM Watson company in their marketing, telling sufferers that they’ll subsist getting AI-powered melanoma care.
Illustration: Eddie guy
in the past few years, these hospitals esteem begun publishing experiences about their experiences with Watson for Oncology. In India, physicians on the Manipal complete cancer middle evaluated Watson on 638 breast cancer instances and found a seventy three % concordance expense in medicine suggestions; its ranking became brought down by means of needy efficiency on metastatic breast cancer. Watson fared worse at Gachon university Gil medical core, in South Korea, the dwelling its proper thoughts for 656 colon cancer patients matched those of the consultants simplest 49 % of the time. docs stated that Watson did poorly with older sufferers, didn’t attest separate typical medicine, and had a worm that led to it to advocate surveillance as an alternative of aggressive treatment for separate sufferers with metastatic cancer.
These stories aimed to assess even if Watson for Oncology’s know-how performs as expected. however no study has yet proven that it advantages sufferers. Wachter of u.s. says that’s a growing issue for the enterprise: “IBM knew that the win on Jeopardy! and the partnership with Memorial Sloan Kettering would score them within the door. however they necessary to display, pretty instantly, an esteem an sequel on on complicated effects.” Wachter says IBM esteem to prevail hospitals that the gadget is value the monetary investment. “It’s really crucial that they arrive out with successes,” he says. “Success is an article within the New England Journal of medicine displaying that after they used Watson, patients did greater or they saved funds.” Wachter is still ready to notice such articles appear.
Sloan Kettering’s Kris isn’t discouraged; he says the technology will best score more desirable. “As a device, Watson has incredible abilities,” he says. “I carry out hope that the americans who esteem the brainpower and desktop vim persist with it. It’s a protracted haul, nevertheless it’s value it.”
Some success experiences are rising from Watson health—in certain narrow and controlled functions, Watson appears to subsist adding price. Take, for instance, the Watson for Genomics product, which changed into developed in partnership with the university of North Carolina, Yale institution, and other institutions. The appliance is used through genetics labs that generate reviews for practicing oncologists: Watson takes within the file that lists a affected person’s genetic mutations, and in only a few minutes it could generate a document that describes the entire censorious drugs and medical trials. “We enable the labs to scale,” says Vanessa Michelini, an IBM unique Engineer who led the development and 2016 launch of the product.
Watson has a relatively convenient time with genetic suggestions, which is presented in structured info and has no ambiguity—both a mutation is there, or it’s now not. The device doesn’t manufacture employ of NLP to mine medical statistics, as a substitute using it most efficient to search textbooks, journal articles, drug approvals, and medical tribulation announcements, the dwelling it appears for extremely specific statements.
IBM’s partners at the school of North Carolina posted the primary paper in regards to the effectiveness of Watson for Genomics in 2017. For 32 percent of cancer patients enrolled in that notice at, Watson spotted doubtlessly essential mutations no longer identified via a human overview, which made these sufferers amenable candidates for a brand new drug or a just-opened medical trial. but there’s no indication, as of yet, that Watson for Genomics results in more suitable effects.
The U.S. branch of Veterans Affairs uses Watson for Genomics reviews in additional than 70 hospitals nationwide, says Michael Kelley, the VA’s country wide program director for oncology. The VA first tried the apparatus on lung cancer and now uses it for indecent solid tumors. “I carry out believe it improves affected person care,” Kelley says. When VA oncologists are determining a treatment plan, “it's a source of suggestions they could deliver to the discussion,” he says. however Kelley says he doesn’t assume of Watson as a robot medical professional. “I are likely to feel of it as a robot who's a grasp clinical librarian.”
Most medical doctors would probably subsist delighted to esteem an AI librarian at their beck and phone—and if that’s what IBM had at the start promised them, they might not subsist so disillusioned nowadays. The Watson fitness epic is a cautionary epic of hubris and hype. indecent and sundry likes ambition, every person likes moon shots, however no person wants to climb into a rocket that doesn’t work.
to date, Few Successes
IBM started its effort to convey Watson into the fitness keeping traffic in 2011. for the understanding that then, the traffic has made essentially 50 announcements about partnerships that were supposed to strengthen new AI-enabled tools for medicine. Some collaborations labored on tools for docs and institutions; some labored on client apps. while many of these alliances haven't yet led to industrial items, IBM says the analysis efforts had been effective, and that many relationships are ongoing. here’s a consultant pattern of projects.
this text appears within the April 2019 print topic as “IBM Watson, Heal Thyself.”
IBM sells its advertising and commerce utility systems to Centerbridge partners, a private equity company. IBM CEO Ginni Rometty continues to sell off growing musty property.
IBM has offered its marketing and commerce application platforms to Centerbridge partners, a personal equity enterprise. The deal continues IBM CEO Ginni Rometty’s approach to unload growing older traffic strains whereas attempting to pivot greater swiftly toward cloud, security, cognitive computing and different growth markets. economic terms of the deal were no longer disclosed.
The sale includes right here IBM advertising and commerce application choices:
advertising and marketing Assistant
customer journey Analytics
content material Hub
established conduct exchange
fee & merchandising Optimization
The deal, topic to regulatory approval, is expected to nigh in mid-2019. At that element, the property might subsist organized into a newly branded standalone company led via current IBM VP designate Simpson and other IBM veterans.
IBM has been promoting off quite a few slow-boom or contracting property in fresh quarters. Examples consist of:
IBM is expected to advertise its latest quarterly effects on April sixteen, 2019. youngsters the enterprise has made some development with cloud, AI and quantum computing, critics proceed to query yourself if the traffic can actually recrudesce to a growth organization. In its q4 of 2018, profits fell 3 % to $21.eight billion.
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A group of U.S. intelligence veterans urges President Trump to halt his administration’s deceptive claims about Iran being the leading state sponsor of terrorism when U.S. allies, such as Saudi Arabia, are clearly much guiltier.
MEMORANDUM FOR: The President
FROM: Veteran Intelligence Professionals for Sanity
SUBJECT: Is Iran the “World’s Leading Sponsor of Terrorism?”
We are concerned by recent strident and stark public statements from key members of your Administration that paint Iran in very alarmist terms. The medium American, without the benefit of history, could easily subsist persuaded that Iran poses an imminent threat and that there is no alternative for us but military conflict.
President Donald Trump addresses the nation about his Iran policy on Oct. 13, 2017. (Screenshot from Whitehouse.gov)
We find this uncomfortably chummy territory. Ten years ago former President George W. Bush was contemplating a war with Iran when, in November of 2007, intelligence analysts issued a formal National Intelligence assess (NIE) debunking the current conventional wisdom; namely, that Iran was on the verge of getting a nuclear weapon. The NIE concluded that Iran had stopped working on a nuclear weapon in 2003.
Recalling this second in his memoir, conclusion Points, President Bush eminent that the NIE’s “eye-popping” intelligence findings stayed his hand. He added this rhetorical question: “How could I possibly justify using the military to raze the nuclear facilities of a country the intelligence community said had no energetic nuclear weapons program?”
We believe that you are facing a similar situation today. But instead of an inaccurate pretense that Iran has nuclear weapons, the new canard to justify war with Iran is the pretense that Iran remains the “world’s leading state sponsor of terrorism.” This is incorrect, as they justify below.
* * *
One of the recurring tall bipartisan lies being pushed on the public with the enthusiastic back of a largely pliant media is that Iran is the prime sponsor of terrorism in the world today.
In the recent presentation of your administration’s National Security Strategy for 2018, the point is made that:
“Iran, the world’s leading state sponsor of terrorism, has taken handicap of instability to expand its influence through partners and proxies, weapon proliferation, and funding. . . . Iran continues to perpetuate the cycle of violence in the region, causing grievous harm to civilian populations.”
Those sentiments are echoed by several other countries of the Middle East. Saudi Arabia’s exotic Minister, Adel al-Jubeir, for example, declared in October 2015 that: Iran “is the biggest sponsor of terrorism in the world, and it is working on destabilizing the region.”
The Saudi exotic minister conveniently declined to mention that 15 of the 19 terrorists who hijacked planes and attacked America on 11 September 2001 were Saudis, not Iranians. And, while Iran was an energetic promoter of terrorism two decades ago, it is no longer in the forefront of global terrorism. Ironically, that dubious distinction now goes to Iran’s accusers — first and foremost, Saudi Arabia.
The depiction of Iran as “the world’s leading state sponsor of terrorism” is not supported by the facts. While Iran is guilty of having used terrorism as a national policy tool, the Iran of 2017 is not the Iran of 1981. In the early days of the Islamic Republic, Iranian operatives routinely carried out car bombings, kidnappings and assassinations of dissidents and of American citizens. That has not been the case for many years. Despite frequent claims by U.S. officials that Iran is engaged in terrorism, they simply note that the incidents recorded annually in the U.S. Department of State’s Patterns of Global Terrorism rarely identifies a terrorist incident as an act by or on behalf of Iran.
Iran’s relationship with Hezbollah too has evolved radically. In the early years of the Islamic Republic, Hezbollah was often a proxy and sub-contractor for Iran. But during the final 20 years Hezbollah has become an entity and political force in its own right. It fought Israel to a standstill in 2006 in southern Lebanon, which was a watershed second in establishing Hezbollah’s transformation into a conventional army. In the intervening years, Hezbollah, which is now partake of the Lebanese government, too has turned away from the radical, devout driven violence that is the hallmark of the Sunni extremists, devotion ISIS.
Iran’s Asymmetrical Response
After Iran fell under the rule of the Ayatollah in 1979 terrorism, its role in high profile terrorist attacks, such as the taking of U.S. hostages and the bombings of the U.S. Embassy and the Marine barracks in Lebanon, fed understandable U.S. animosity towards Iran. But Iran’s actions were not driven primarily by blind hatred or radical devout views. For Iran terrorism was a pass to punch back against more powerful foes, principally the United States, which was providing military and intelligence uphold to Iran’s neighbor and enemy, Iraq.
Portrait of the late Ruhollah Khomeini by Mohammad Sayyid
The Iranians were too pragmatic and had direct dealings with Israel. During the early days of the Iranian revolution the Mullahs, despite publicly denouncing Israel, happily accepted surreptitious military uphold from the Israelis. Israel was equally pragmatic. The Israeli leaders ignored the Mullahs and gave the uphold as a means of helping counter the threat posed by Iraqi President Saddam Hussein. A classic case of the enemy of my enemy is my friend.
The public image of Iran as a hotbed of fanatical terrorists has been usurped since the August 1998 bombings of the U.S. Embassies in east Africa by Al Qaeda and other radical Sunni entities. The U.S. Government’s own list of terrorist attacks since 2001 shows a dramatic drop in the violence carried out by Iran and an accompanying surge in horrific acts by radical Sunni Muslims who are not aligned with Iran. The latest edition of the Global Terrorism Index, a project of the U.S. Department of Homeland Security, shows that four groups accounted for 74 percent of indecent fatalities from terrorism in 2015 — Boko Haram, Al-Qaeda, the Taliban and ISIS.
Thirteen of the 14 Muslim Groups identified by the U.S. intelligence community as actively hostile to the US are Sunni, not Shia, and are not supported by Iran:
– ISIS (Sunni)
– The Al-Nusra Front (Sunni)
– Al-Qa’ida Central (Sunni)
– Al-Qa’ida in Magheb (Sunni)
– Al-Qa’ida in Arabian Peninsula (Sunni)
– Boku Haram (Sunni)
– Al-Shabbab (Sunni)
– Khorassan Group (Sunni)
– Society of the Muslim Brothers (Sunni)
– Sayyaf Group in the Philippines (Sunni)
– Taliban in Pakistan and Afghanistan (Sunni)
– Lashgar i Taiba (Sunni)
– Jemaa Islamiya (Sunni)
– Houthis (Shia)
The final major terrorist assail causing casualties that is linked to Iran was the July 2012 bombing of a bus with Israeli tourists in Bulgaria. That departure from Iran’s more recent policy on terrorism was retaliation for what Iran perceived to subsist Israel’s role in assassinating five Iranian scientists involved with Iran’s Nuclear program, between January 2010 and January 2012 (the dates and names of those attacked are appended).
One can easily imagine the outrage and lust for revenge that would sweep the U.S., if Americans believed a exotic country sent operatives into the United States who in eddy murdered engineers and scientists working on sensitive U.S. defense projects.
There esteem been other terrorist attacks inside Iran mien the handprint of uphold from the United States. Author Sean Naylor, Relentless Strike, which details the history of operations carried out by U.S. Joint Special Operations Command (JSOC) over the past 30 years, sheds light on this uncomfortable truth:
The late Al-Qaeda leader Osama bin Laden.
“JSOC personnel too worked with the Mujahideen-e-Khalq (MEK), a militant Iranian exile group that had based itself in Iraq after falling afoul of the ayatollahs’ regime in Tehran. The state Department had placed the MEK on its list of designated terrorist organizations, but that didn’t halt JSOC from taking an attitude of “the enemy of my enemy is my friend” toward the group. “They were a group of folks that could transit the border, and they were willing to back us out on what they wanted to carry out with Iran,” said a special operations officer.”
The MEK were classified as a terrorist group, until the United States decided that as long as the MEK would back slay Iranians rather than Americans, that they were no longer terrorists. The MEK’s history of terrorism is quite clear. Among more than a dozen examples over the final four decades these four are illustrative:
During the 1970s, the MEK killed U.S. military personnel and U.S. civilians working on defense projects in Tehran and supported the takeover in 1979 of the U.S. Embassy in Tehran.
In 1981, the MEK detonated bombs in the head office of the Islamic Republic Party and the Premier’s office, killing some 70 high-ranking Iranian officials, including Iran’s President, Premier, and Chief Justice.
In April 1992, the MEK conducted near-simultaneous attacks on Iranian embassies and installations in 13 countries, demonstrating the group’s faculty to mount large-scale operations overseas.
In April 1999, the MEK targeted key military officers and assassinated the deputy chief of the Iranian Armed Forces generic Staff.
Despite this history, a bipartisan parade of prominent U.S. political and military leaders has lobbied on behalf of MEK and has been well compensated in return.
Benighted Policy So Far
In the ultimate ironic turn, the U.S.-led 2003 war in Iraq played a censorious role in Iran’s resurgence as a regional power. Saddam Hussein was replaced by Shia muslims who had received sanctuary in Iran for many years and Baathist institutions, including the Army, were taken over by Iraqis sympathetic to Tehran.
Iran has Come out ahead in Iraq and, with the 2015 nuclear agreement in place, Iran’s commercial and other ties esteem improved with key NATO allies and the other major world players—Russia and China in particular.
Official pronouncements on censorious national security matters exigency to subsist based on facts. Hyperbole in describing Iran’s terrorist activities can subsist counterproductive. For this reason, they summon attention to Ambassador Nikki Haley’s recent statement that it is difficult to find a “terrorist group in the Middle East that does not esteem Iran’s fingerprints indecent over it.” The veracity is quite different. The majority of terrorist groups in the region are neither creatures nor puppets of Iran. ISIS, Al-Qaeda and Al-Nusra are three of the more prominent that Come to mind.
You esteem presented yourself as someone willing to talk difficult truths in the puss of establishment pressure and not to accept the status quo. You spoke out during the crusade against the 2003 U.S. invasion of Iraq as a historic mistake of epic proportions. You too correctly captured the mood of many Americans fatigued from constant war in far away lands. Yet the torrent of warnings from Washington about the dangers supposedly posed by Iran and the exigency to confront them are being widely perceived as steps toward reversing your pledge not to score embroiled in new wars.
We cheer you to reflect on the warning they raised with President George W. Bush almost 15 years ago, at a similar historic juncture:
“after watching Secretary Powell today, they are convinced that you would subsist well served if you widened the discussion … beyond the coterie of those advisers clearly bent on a war for which they espy no compelling understanding and from which they believe the unintended consequences are likely to subsist catastrophic.”
Iran’s President Hassan Rouhani celebrates the completion of an interim deal on Iran’s nuclear program on Nov. 24, 2013, by kissing the head of the daughter of an assassinated Iranian nuclear engineer. (Iranian government photo)
LIST OF IRANIAN SCIENTISTS ASSASSINATED IN IRAN
January 12, 2010: Masoud Alimohammadi, Iranian Physicist:
Killed by a car bomb. The perpetrator reportedly confessed to having been recruited by Israeli intelligence to carry out the assassination.
November 29, 2010: Majid Shahriari, Iranian nuclear scientist:
Killed by a car bomb. According to German media, Israel was the sponsor.
November 29, 2010: Assassination attempt on Fereydoon Abbasi Iranian nuclear scientist:
Wounded by a car bomb.
July 23, 2011: Darioush Rezaeinejad, Iranian electrical engineer, unclear scientist
Killed by unknown gunmen on motorcycle. Specialist on high-voltage switches — a key component of nuclear warheads. Assassinated by Israeli intelligence, according to the German press.
January 11, 2012: Mostafa Ahmadi-Roshan, Iranian nuclear scientist
Killed at Natanz uranium enrichment facility by a magnetic bomb of the identical benign used in earlier assassinations of Iranian scientists.
Richard Beske, CIA, Operations Officer (ret.)
William Binney, former NSA Technical Director for World Geopolitical & Military Analysis; Co-founder of NSA’s Signals Intelligence Automation Research Center
Marshall Carter-Tripp, exotic Service Officer (ret.) and Division Director, state Department Bureau of Intelligence and Research
Bogdan Dzakovic, Former Team Leader of Federal Air Marshals and Red Team, FAA Security, (ret.) (associate VIPS)
Philip Giraldi, CIA, Operations Officer (ret.)
Larry C. Johnson, former CIA and state Department Counter Terrorism officer
Michael S. Kearns, Captain, USAF (Ret.); ex-Master SERE Instructor for Strategic Reconnaissance Operations (NSA/DIA) and Special Mission Units (JSOC)
John Kiriakou, Former CIA Counterterrorism Officer and former senior investigator, Senate exotic Relations Committee
Karen Kwiatkowski, former Lt. Col., US Air force (ret.), at Office of Secretary of Defense watching the manufacture of lies on Iraq, 2001-2003
Edward Loomis, NSA, Cryptologic Computer Scientist (ret.)
David MacMichael, National Intelligence Council (ret.)
Ray McGovern, former US Army infantry/intelligence officer & CIA analyst (ret.)
Elizabeth Murray, Deputy National Intelligence Officer for Near East, CIA and National Intelligence Council (ret.)
Torin Nelson, former Intelligence Officer/Interrogator (GG-12) HQ, Department of the Army
Todd E. Pierce, MAJ, US Army referee Advocate (ret.)
Coleen Rowley, FBI Special Agent and former Minneapolis Division Legal Counsel (ret.)
Greg Thielmann — Former director of the Strategic, Proliferation, and Military Affairs Office of the state Department’s intelligence bureau (INR) and former senior staffer on the Senate Intelligence Committee
Kirk Wiebe — former Senior Analyst, SIGINT Automation Research Center, NSA
Lawrence Wilkerson, Colonel (USA, ret.), Distinguished Visiting Professor, College of William and Mary (associate VIPS)
Sarah G. Wilton, CDR, USNR, (Retired)/DIA, (Retired)
Robert Wing — former exotic Service Officer (associate VIPS)
Ann Wright, Col., US Army (ret.); exotic Service Officer (who resigned in opposition to the war on Iraq)
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Cheers and Jeers for Friday, October 20, 2006
Note: Coming soon to a Congress near you: New, Improved (we hope) Democrats! "Apply directly to the problem." Also available in softgels.
By the Numbers:Days `til the New Hampshire Primary: 459Days `til Borat: 14Number of 9/11 hijackers still on the federal No flit list for in-flight misbehavior: 14(Source: 60 Minutes via The Week magazine)Smell receptors on the human nose, enough to fill a postage stamp: 5 millionReceptors in a dog's nose, enough to fill a handkerchief: 220 million(Source: Parade magazine)Receptors in a Kossack's right-wing bullshit detector, enough to fill a stadium: 2.5 BillionNumber of letters in "St. Louis Wins the Pennant!": 21
And from the Department of Hopeless Security:
Days the color-coded federal terror alert system has been in place: 1,677Days spent at terror alert plane Blue or Green: 0
Your Puppy Pic of the Day: Bodyguard: "Ya still wanna summon me a wussy, ya tall bully???"
CHEERS to transparency. A federal referee says records of who visited Dick Cheney's house and office must subsist released. I can't wait to espy who they tow out of this snake's nest. Pop some Redenbacher, tow up a chair and esteem the show.
JEERS to stupid human tricks. Um, about that "plot" by "evildoers" to bomb NFL stadiums... Turns out it was a couple goofballs trying to top each other's craaazy! antics on the internets, fueled by the ready fire plane media and the Department of Hopeless Security (what a shocker). We now recrudesce you to your regularly scheduled tailgate party.
JEERS to stupid crusade tricks. Tsk Tsk---The GOP is getting slipshod in their musty age. In southern California, Hispanic residents got notices in the mail aphorism they could subsist thrown in prison if they tried to vote November 7th. Fortunately, the bastards got caught. Y'know, why doesn't their side ever assume to carry out stuff devotion that to the gullible GOoPers? Oh yeah...dammit...we wear the white hats.
CHEERS to the next generation. In Wednesday's C&J, Sobermom said she got an engrossing question from her kidlet:
The shrimp guy asked me yesterday to justify the torture bill to him. When I did he said, "that's a terrible law! Why would anyone want that law. Everyone knows you aren't supposed to twinge other people. I assume George Bush is being a bully." Um yeah, esteem to correspond with the 9 year musty on that one.
Let us know what you disclose him when he asks why the Emperor has no clothes.
JEERS to the smoking gun that could've ended up as a mushroom cloud...like, fer real! On tomorrow's date in 1962, President Kennedy informed the world that satellite photos revealed the Soviet Union was building surreptitious missile bases in Cuba. He then announced he was ordering a naval blockade of Castro's country. Don't ya miss the amenable musty days when their Commander-In-Chief relied on true evidence?
CHEERS to irrational exuberance. WHOOPIE!!! The Dow Industrials closed ABOVE 12,000 for the first time yesterday!!! Only 2,093 points to recede until it catches up with inflation. But, at least for tonight, achieve away the cat food, Pa...we're splurgin' on mac and cheese!
JEERS to losin' it. Although he will never halt saying, "We did thuh raht thang," it's now limpid that, having lost the Battle of Baghdad, the Commander-in-Chief has utterly, completely failed in Iraq:
It is a vexing quandary that military experts voice they doubt that any study group---even the blue-ribbon group assembled under former Secretary of state James A. Baker III and former Representative Lee H. Hamilton of Indiana---can gash its pass through. [...] "We are not able to project sufficient coalition and Iraqi forces to properly execute the strategy" of clearing, holding and rebuilding Baghdad and other areas of insurgents and hostile militias, said...retired Gen. Jack Keane, a former Army vice chief of staff. [...]
"The Iraq situation is not winnable in any true sense of the word `winnable,' " Richard N. Haass, the former chief of the policy planning operations in the state Department during Mr. Bush's first term, told reporters on Thursday. Privately, Pentagon strategists and some administration officials note that President Bush has talked often in recent months of changing his tactics, but not his strategy.
Translation: Start pulling the troops out...but continue blaming Democrats for the mess.
CHEERS to 86 amenable years---and 4 that sucked. Herbert "Please, summon Me Herb" Hoover had more amenable qualities in his pinky than President Bush ever will. He was a distinguished humanitarian before his disastrous term as president...and he was a distinguished humanitarian for 30 years after. He died on this date in 1964 at the age of 90. Pay your respects here. And pray that Dubya spends his post-preznidency days quietly playing shuffleboard in Crawford.
PRAISE subsist to modern tithes. A church in Georgia has installed a "Giving Kiosk," where the faithful can manufacture donations by swiping their credit cards. Pastor Marty Baker says it's "truly devotion an ATM for Jesus." Expected haul for the year: up to a quarter-million dollars. Divinity school, here I come!
CHEERS to mid-term fever. Hate to admit it, but this is the first mid-term election I've ever paid much attention to. And I esteem to say...it rocks. Watching their team fight theirs is devotion watching Jed Clampett pick on Mr. Drysdale: honesty and common sense look to subsist carrying the day. And I couldn't pay Barnum and Bailey enough to achieve on a better freak attest than the one we're watchin' with headliners devotion Katherine Harris, George Allen, Conrad Burns, Dennis Hastert, designate Foley (his name's still on the ballot, y'know), Rick Santorum, Joe Lieberman, Curt Weldon, Vernon Robinson, and whoever that write-in guy is in Tom DeLay's musty district. Meanwhile they tumble in esteem with Republican Alan "Seven Percent" Schlesinger. All they exigency now is Osama to pop up in a video for the grand finale (take the poll). Wheeee!
P.S.: Democrat Ben Cardin gets a ringing endorsement today from The Washington Post. And the hits just keep on comin'...
CHEERS to the Birthday Bab. Today is Birth of the Bab day, honoring the founder of the Babi religion, forerunner to Baha'u'llah and the Baha'i faith. According to tradition, no labor is to subsist done on this day. Well, okay...if you insist.
One Year Ago in C&J: October 20, 2005...
CHEERS to the sweetest words from on high. Please climb and associate the congregation in the reading of the Gospel according to KWTX-TV:
LORD, THEY THANK THEE FOR BLESSING US WITH THY DIVINE HEADLINE: "ARREST WARRANT ISSUED FOR TOM DELAY." IT SHALL subsist POSTED ON THEIR REFRIGERATOR...FOR EVER AND EVER. AMEN.
Please associate us for coffee and doughnuts in the rectory.
And just one more...
CHEERS to Ed Wood. The `50s horror schlockmeister's movies must subsist seen to subsist believed, and there's no better time than late October to revisit his flying pie tins. And remember: "Future events such as these will affect you in the future!"
P.S. pleased Birthday to diagram 9 From Outer Space star Bela Lugosi. "Pull da string! tow da string!"
Have a distinguished weekend. But I want you BACK in this HOUSE by 10! Floor's open...What are you cheering and jeering about today?