Podcasts about Outflow

CardioNerds (Dr. Jenna Skowronski [Heart Failure Council Chair], Dr. Shazli Khan, and Dr. Josh Longinow) are joined by renowned leaders in the field of AHFTC (Advanced Heart Failure and Transplant Cardiology) and mechanical circulatory support, Dr. Jeff Teuteberg and Dr. Mani Daneshmand to continue the discussion of advanced heart failure therapies by taking a deep dive into the world of durable LVADs (Left Ventricular Assist Devices). In this episode, we will review the history of ventricular assist devices, the basics of LVAD function, selection criteria for LVAD therapy, and surgical nuances of LVAD implantation. Audio Editing by CardioNerds intern, Joshua Khorsandi. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls There have been significant advances in the field of MCS/LVAD therapy since the first implanted LVAD in the 1960s, to the first FDA approved device in the early 2000's, to now the HM3 LVAD, with the most important change being a centrifugal flow/magnetically levitated design that led to minimized hemocompatibility-related adverse events (HRAE's) (MOMENTUM 3 trial comparing HM2 and HM3).  The REMATCH trial in 2001 was a pivotal trial for LVAD therapy, demonstrating that in a population of patients with advanced HF (70% IV inotrope dependent), LVAD therapy significantly improved survival at both 1 and 2 years as compared to medical therapy alone.    MOMENTUM 3 trial was a landmark trial for the HM3 device, showing that in a population of end stage HF patients (86% inotrope dependent, 32% INTERMACS 1-2, and 60% DT strategy), 5-year survival with HM3 was 58% and HM3 had lower HRAE's compared with HM2.  There are both patient-specific factors and surgical considerations when it comes to candidacy for LVAD therapy.  RV function prior to LVAD is a key determinant for success post-LVAD  Many patients being considered for LVAD may not have robust RV function, however, predicting RV failure after LVAD is exceedingly difficult.   In general, it doesn’t matter how bad the RV may look on imaging; we care more about the pre-LVAD hemodynamics (look at the PAPi and RA/wedge ratio).   What happens in the OR may be the most important determinant of how the RV will do with the LVAD!  Notes Notes drafted by Dr. Josh Longinow.  1. Historical background of heart pumps and LVADs  LVAD Evolution   FDA approval year  2001  2008  2012  2017  Pump  HeartMate XVE   HeartMate II  Heartware HVAD  HeartMate III  Flow/Design Features  Pulsatile Technology   Continuous flow Axial design  Continuous flow  Centrifugal design  Continuous flow   Full MagLev + Centrifugal design  The 1960's ushered in the first ‘LVADs', when the first air-powered ‘LVAD' was implanted. It kept the patient alive for four days before the patient expired.   The first generation of LVADs were pulsatile pumps   The first nationally recognized, FDA approved LVAD was the HeartMate XVE (late 1990s to early 2000s, REMATCH trial). The XVE pump used compressed air (pneumatically driven) to power the pump.   Prior to the XVE, OHT was the standard of care for patients with advanced, end-stage heart failure.   The second and third generations of LVADs were non-pulsatile, continuous flow devices and included the HVAD, HM2, and HM3 devices.   MOMENTUM 3 was a landmark trial for the HM3 device, showing that in a population of sick patients with end stage HF (86% inotrope dependent, 32% INTERMACS 1-2, and 60% DT strategy), 5-year survival with HM3 was 58% and HM3 had lower HRAE's compared with HM2.   The only pump that is currently FDA approved for implant is the HM3, although other pumps are in clinical trials (BrioVAD system, INNOVATE Trial).  2. What are LVADs, and how do they work?   In simplest terms, the LVAD is a heart pump comprised of several key mechanistic components:   Inflow cannula  Mechanical pump   Outflow cannula  Driveline  Controller/Power source  The HM3 differs from its predecessors (HM2 and HVAD) in several key ways;   HM3 is placed intrapericardial whereas the HM2 was placed pre-peritoneal.   Perhaps most importantly, the HM3 is a fully magnetically levitated, centrifugal flow pump, whereas the HM2 is an axial flow device.  Axial flow pumps are not magnetically levitated, leading to more friction produced between the ruby bearing's contact with the pump rotors, and higher rates of hemocompatibility related adverse events (HRAEs, i.e. pump thrombosis) and the HM2 was ultimately discontinued in favor of the HM3 (MOMENTUM 3 trial).  3. What do the terms ‘Destination Therapy' (DT) or ‘Bridge to Transplant' (BTT) mean when it comes to LVADs?   When LVADs first came on the stage, EVERYONE was a BTT; these early pumps weren't designed for long term use (I.e. REMATCH Trial, Heartmate XVE)  Destination therapy means the LVAD was placed in leu of transplant because there are contraindications to transplant   REMATCH trial brought about the concept of “Destination therapy”, comparing outcomes in patients (with contraindications for transplant) who received an LVAD vs optimal medical therapy  Bridge to transplant means we are placing the LVAD in a patient who may not be a transplant candidate at this moment in time (is too sick, or conversely, not sick enough), but may be down the line   Bridge to recovery is another term used when the LVAD is being placed for a patient we think may have a recoverable cardiomyopathy  4. What are some factors we should consider when assessing a patient’s candidacy for LVAD, in general, and from a surgical perspective?   Patient factors   Older age might push us towards thinking LVAD rather than transplant  In general, age > 70 is the cutoff for transplant, but this is not a hard cut off and varies institution to institution    In general, think about things that help predict recovery after a major surgery; Frailty and Nutritional status are important, we try to optimize these prior to LVAD implant   Right ventricular function remains the Achilles heel of LV support  We know that needing temporary RV support post LVAD puts you on a different survival curve than patients who don’t need RVAD support  Studies have not been able to successfully predict who will develop RV failure after LVAD implantation  What happens in the time between when the patient goes to the OR and when they get back to the ICU is an important determinant who might develop RV failure post LVAD   Surgical techniques such as implanting the HM3 in the intra-thoracic cavity, rather than intra-pericardial may help maintain LV/RV geometry to help optimize the RV post LVAD   Surgical considerations for LVAD candidacy  Small, hypertrophied LV: HM3 inflow cannula is small, but small hypertrophied ventricles tend towards chamber collapse during systole causing suction, needing to run slower with lower flow rates  Chest size/diameter: pumps have gotten so small now, that for adults, these have become less of a consideration  BMI: low BMI used to be more of a concern with the older pumps due to where they were placed, and the relative size of the pump itself, not so much now with the smaller HM 3 pumps  Calcified LV apex: would increase risk of stroke, bleeding   Driveline tunneling becomes a concern in the super obese population, higher risk for driveline infections (might tunnel these driveline's shorter, and to a less fatty region of the abdomen, could even tunnel out the thoracic cavity in the super obese to limit skin motion)    5. Is there a role for MCS (i.e. temporary LVAD such as Impella) in pre-habilitation of patients prior to LVAD surgery?   The theory of being able to improve systemic perfusion, decongest the organs, and make the patient feel better prior to surgery makes sense, but becomes problematic due to the lack of a hard end point/time for prehabilitation which might risk delays in surgery   More likely that it can lead to delay in the surgery, with less-than-optimal benefit; you don't want to prolong the wait for surgery and increase the risk for complications prior to surgery    An Impella 5.5 is currently FDA approved for 2 weeks of support, not 2 months so timing is important to keep in mind  It’s unlikely that you will take a patient and convert them from a malnourished, cachectic person in 2 weeks’ time   6. Is there a role for LVAD therapy in the younger patient population? Should we be thinking of LVAD up front for these patients, with the goal of transplanting down the line?   Recovery may be more likely in certain populations, particularly younger females with smaller LV's; in those populations, perhaps bridge to recovery should be the focus, optimizing them on GDMT etc.   The replacement of transplant, with MCS (LVAD) in young patients has become a topic of discussion, because these pumps have become better and better, with the thinking that an LVAD could bridge a patient for 10 years or so, and they could get a transplant later   It is still a big unknown, but several concerns exist  Patients who get LVADs might end up with complications that become contraindication to transplant down the line (stroke, sensitization etc)   Patients and providers are more hesitant because of the more recent iteration for the UNOS criteria for OHT listing which no longer gives patients with an uncomplicated LVAD higher priority, and therefore they could end up waiting a longer time for a heart after undergoing LVAD  References Rose EA, Gelijns AC, Moskowitz AJ, et al. Long-term use of a left ventricular assist device for end-stage heart failure. N Engl J Med. 2001;345(20):1435-1443. doi:10.1056/NEJMoa012175  Mehra MR, Uriel N, Naka Y, et al. A Fully Magnetically Levitated Left Ventricular Assist Device – Final Report. N Engl J Med. 2019;380(17):1618-1627. doi:10.1056/NEJMoa1900486  Mancini D, Colombo PC. Left Ventricular Assist Devices: A Rapidly Evolving Alternative to Transplant. J Am Coll Cardiol. 2015;65(23):2542-2555. doi:10.1016/j.jacc.2015.04.039  Mehra MR, Goldstein DJ, Cleveland JC, et al. Five-Year Outcomes in Patients With Fully Magnetically Levitated vs Axial-Flow Left Ventricular Assist Devices in the MOMENTUM 3 Randomized Trial. JAMA. 2022;328(12):1233-1242. doi:10.1001/jama.2022.16197  Rose EA, Moskowitz AJ, Packer M, et al. The REMATCH trial: rationale, design, and end points. Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure. Ann Thorac Surg. 1999;67(3):723-730. doi:10.1016/s0003-4975(99)00042-9  Kittleson MM, Shah P, Lala A, et al. INTERMACS profiles and outcomes of ambulatory advanced heart failure patients: A report from the REVIVAL Registry. J Heart Lung Transplant. 2020;39(1):16-26. doi:10.1016/j.healun.2019.08.017  Mehra MR, Netuka I, Uriel N, et al. Aspirin and Hemocompatibility Events With a Left Ventricular Assist Device in Advanced Heart Failure: The ARIES-HM3 Randomized Clinical Trial. JAMA. 2023;330(22):2171-2181. doi:10.1001/jama.2023.23204  Mehra MR, Nayak A, Morris AA, et al. Prediction of Survival After Implantation of a Fully Magnetically Levitated Left Ventricular Assist Device. JACC Heart Fail. 2022;10(12):948-959. doi:10.1016/j.jchf.2022.08.002  Bhardwaj A, Salas de Armas IA, Bergeron A, et al. Prehabilitation Maximizing Functional Mobility in Patients With Cardiogenic Shock Supported on Axillary Impella. ASAIO J. 2024;70(8):661-666. doi:10.1097/MAT.0000000000002170 

U.S. spot bitcoin ETFs saw $2.59 billion of outflows in November. BlackRock's spot bitcoin ETF, IBIT, has registered record outflows of $1.26 billion this month. This outflow is part of a broader trend affecting the market, with 11 spot Bitcoin ETFs collectively experiencing withdrawals totaling $2.59 billion. CoinDesk's Jennifer Sanasie hosts "CoinDesk Daily." - Break the cycle of exploitation. Break down the barriers to truth. Break into the next generation of privacy. Break Free. Free to scroll without being monetized. Free from censorship. Freedom without fear. We deserve more when it comes to privacy. Experience the next generation of blockchain that is private and inclusive by design. Break free with Midnight, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠midnight.network/break-free⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - Need liquidity without selling your crypto? Take out a ⁠Figure Crypto-Backed Loan⁠, allowing you to borrow against your BTC, ETH, or SOL with 12-month terms and no prepayment penalties. They have the lowest rates in the industry at 8.91%, allowing you to access instant cash or buy more Bitcoin without triggering a tax event. Unlock your crypto's potential today at Figure! ⁠https://figuremarkets.co/coindesk⁠ - Genius Group has partnered with CoinDesk for Bitcoin Treasury Month, launching the Genius x CoinDesk Quest. Participants can join the Bitcoin Academy, complete free microcourses from experts like Natalie Brunell and Saifedean Ammous, and enter to win 1,000,000 GEMs (worth 1 BTC) promoting bitcoin education and adoption.Learn more at:  ⁠⁠⁠⁠⁠⁠⁠geniusgroup.ai/coindesk-bitcoin-treasury-month/⁠⁠⁠⁠⁠⁠⁠ - This episode was hosted by Jennifer Sanasie. “CoinDesk Daily” is produced by Jennifer Sanasie and edited by Victor Chen.

Operating Out of Our Outflow - Genesis 4 - Stephen Watson

Send us a text "Feel, think, act, repeat."  Teresa and Tom explore how 'intellectual constipation,' is a sign of a lack of creative outflow.  In this episode, through personal examples of recent experiences, they share another angle around the difference between your true feelings, your intellect, and emotions.  They emphasize the importance of accepting one's true feelings rather than relying solely on the intellectual programming of emotional reactions. They describe how to regain enthusiasm by respecting yourself enough to tune into your true feelings, then discern and fact find, before moving into action.  We have been trained to look outside of ourselves first for direction and answers, which is backwards.  "Simplifying things is key."  The discussion touches on their experience and personal solutions around how they simplified areas such as health and spiritual information, while maintaining respecting others' journeys and choices.  "It's liberating."They advocate for recognizing and trusting one's own inner wisdom gained from lifetimes as a soul, along with your inner Guidance to clarify what is a  concept that no longer fits, and "programmed" emotions versus true feelings.  This is a path for organized purposeful action and accomplishment with fulfillment.Discover spiritual truths delivered in a practical way in these three e-books created by The Wayshowers College. Use discount code TNT2025 to receive 20% off the set. Ready to FEEL more FREEDOM within? Access the FREE video series created by The Wayshowers College here! Enjoy the first chapter of The Soul Quake Survival Guide here!Support the showHi! I'm Teresa. I have created this podcast to support "unseen" aspects of your life. You can call this the spiritual side. The podcast offers interviews of authors, healers, and thought leaders, for a positive higher spiritual perspective. Including ourselves! Our mission is to stimulate your inner wisdom, meaning, and enthusiasm for your unique journey. My husband Tom and I are also certified Spiritual Educators, and Consultants, who help make spirituality practical. We work spiritual awareness and sensitivity in all areas of our life for positive living. Through TNT ( Teresa n' Tom :) SpiritWorks, we can help you tap into your own Inner Guidance system on a daily basis, create a healthy balance between Thought and Feeling, and discover a stronger connection between you and your personal Spirit Guides through your Inner and Outer communication system: your Four Spiritual Gifts. Unlock ways to make the spiritual part of life practical. Connect with us at TNT SpiritWorks today! Follow us on:

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Noninvasive Estimation of Pulmonary Vascular Resistance Using Right Ventricular Outflow Doppler Analysis.

Join us as we Fast and Pray Monday through Friday this week, September 15th-19th. We come together every night at 9pm CST for a Quick Fire Word!  This week's Focus theme: A Reservoir of Restoration Come in and let us JOURNEY TOGETHER! Night 5: The Outflow of Restoration Scripture: John 7:38 (NIV) - "Whoever believes in me, as the Scripture has said, ‘Out of his heart will flow rivers of living water.'" Teaching Points: From reservoir to river: The purpose of our restoration is not just for our own benefit, but so we can become a source for others. The "living water": Our restored life, joy, and peace become a testimony and a blessing to a thirsty world. Serving as a vessel: How we are called to be an outlet for God's love and power, ministering to others out of our abundance. The cycle of giving and receiving: As we pour out, the Reservoir of Restoration continues to fill us up. We are a Canvas - he has restored us as His masterpiece

Are you feeling overwhelmed by clutter and constantly stressed? You don't need endless time or motivation, you need the right strategy! In this of Palm Wine Central Podcast, Ashley Wynn share 10 essential tips to declutter faster, potentially speeding up your process by 20%, 50%, or even 80%!We also dive into the 5 harsh truths about decluttering that nobody talks about, addressing the root causes and challenging common myths that keep you stuck in the clutter cycle.In this video, you will learn:• How to stop the inflow of clutter (the critical 75% of the battle!)• The 80/20 Rule (Pareto Principle) for decluttering high-impact areas like flat surfaces and wardrobes for instant visual relief.• The life-changing secret of "Trash Bag Therapy" and quick trash sweeps.• Why you must be "ruthless" and understand that if it's not a clear yes, it's a no.• The financial and emotional danger of the "Endowment Effect", why your stuff isn't worth what you think.• Why decluttering alone is just a Band-Aid and what four pillars you need to master for a truly clutter-free home (Inflow, Outflow, Systems, Mindset).Find our guest online:Instagram: https://www.instagram.com/outstandingorganizers/Website: https://www.outstandingorganizers.com/blogEmail: info@outstandingorganizers.comPhone Number: 678.887.5757---If you appreciate real talk, LIKE this video and SUBSCRIBE for more episodes that go there: [https://www.youtube.com/@pwcpodcast]FOLLOW THE PODCAST:

Do we need to confess before we are forgiven? This sermon continues the series in Nehemiah with a focus on Chapter 9. We will look at why the Israelites are confessing, the characteristics of true confession, and offers clarification on questions and misconceptions about confession."The Confession"by Rev. Jason CoPreached: Sep 07, 2025Onsite: 3/F Main Sanctuary Malate, ManilaFull Stream: https://NMEC.Online/LivestreamingIf you wish to support the Lord's work through our church:https://NMEC.Online/GivingNMEC Sunday Worship 2025 wk 35 Sermon PodcastChapters:(00:00) The Power of True Confession(00:54) Understanding Sin and Forgiveness(03:00) The Role of God's Word in Confession(15:50) Characteristics of True Confession(21:07) Confession: A God-Centered Approach(25:43) Understanding True Confession(32:06) God's Goodness and Faithfulness(37:32) The New Covenant and Confession(41:06) The Focus of Our Confession(47:25) The Nature of True Confession(51:13) The Cost of Grace(55:06) Preparing for Communion

A transformed life naturally bears fruit. This episode explores the beautiful truth that good works are not a means to earn God's favor, but a natural outflow of a heart filled with grace. We're examining how our actions become a reflection of our faith, impacting others and glorifying God. Join us as we're encouraged to embrace the joy of living a life that overflows with love and service. https://youtu.be/mRG_5FC8u6o?si=JAHoc7HL34oqKI4X

Dr. Emily Schehlein interviews Dr. Ticiana De Francesco on the results of her case series evaluating the safety and efficacy of the scleral allograft–reinforced cyclodialysis in patients with primary open-angle glaucoma through 24 months of follow-up. From her recent Ophthalmology Science article, “Bio-interventional Uveoscleral Outflow Enhancement Surgery for Primary Open-Angle Glaucoma: 2-Year Results of Cyclodialysis with Scleral Allograft Reinforcement.” Bio-interventional Uveoscleral Outflow Enhancement Surgery for Primary Open-Angle Glaucoma: 2-Year Results of Cyclodialysis with Scleral Allograft Reinforcement. Calvo, Ernesto et al. Ophthalmology Science, Volume 5, Issue 4. Sign up for the next Ophthalmology Journal Virtual Club on August 27, 2025, at https://store.aao.org/ophthalmology-virtual-journal-club.html Do you want to get the best rates for registration to the largest ophthalmology meeting in the world? Then hurry to register for AAO 2025 in Orlando to get savings with Early Registration rates through August 6. Register now at aao.org/RegNow

In this episode of Daily Vet Life, Dr. Jesse Tyma describes a complex case involving a filly with multiple concurrent conditions, including pyloric outflow obstruction.Daily Vet Life is brought to you by Dechra.Daily Vet Life Podcast Host, Guest(s), and Links for Episode 62:Host: Alexandra Beckstett, Editorial Director of EquiManagement | Visit MyNewHorse.comGuest: Jesse Tyma, DVM, Dipl. ACVS of Rhinebeck EquinePodcast Website: Daily Vet LifeBrought to You By: Dechra Veterinary Products

Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net.Today on the emDOCs cast with Rachel Bridwell, MD, and Brit Long, MD (@long_brit), we cover left ventricular outflow tract obstruction, or LVOTO. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play

Commentary by Dr. Jian'an Wang.

In this episode, Ben, Brian, and Ted dive into the challenges of finding and maintaining hangar space, or not having one. From ratchet straps (BAD) and tornado warnings (ALSO BAD) to the joys of electricity and the sorrows of cold starts, the guys discuss how far they'd travel for a good hangar and why sometimes your plane becomes 'an outdoor pet.' Plus, updates on Ben's annual maintenance adventures and a reminder about the upcoming Big Texas Send meetup at T82.Mentioned on the show:* Big Texas Send: https://midlifepilotpodcast.com/rsvpt82* VPC - Cartersville Ga: https://www.airnav.com/airport/VPC* Tyler S's personal minimums tool: https://personal-minimums.web.app/* Example of Tyler's minimums: https://personal-minimums.web.app/profile/8DgOuxvxgxdfiZRpW2W8BMGUJO32* SISKIND - Life is what happens to you... (the plane that flipped): https://www.youtube.com/watch?v=2EejbxBWsfo* Gust front: https://en.wikipedia.org/wiki/Outflow_boundary* Wind gradient: https://en.wikipedia.org/wiki/Wind_gradient* Ted's ShockStrap tiedowns: https://www.aircraftspruce.com/catalog/pspages/shock13-20708.php* Switcheon remote power switch: https://switcheon.com/product/switcheon_remote_power_switch/* Zen and the art of Knolling: https://makezine.com/article/workshop/zen-and-the-art-of-knolling/

There is money everywhere.   It's been written about in the book Acres of Diamonds by Russell H. Conwell.  It's a great story based ona a family that sold their land in Pennsylvania during the gold rush and moved to California.    After years of digging, they exhausted their resources dying penniless and broke.     A few years later, the piece of land they sold became the richest piece of land in Pennsylvania hosting the largest oil reserve at that time.  (They would've been billionaires had they just looked where they were.    The same applies in life now.     There is ample opportunity everywhere. Technology and the diversification of A.I. has allowed us to mine different lifestyles and businesses much quicker than ever before in human history.    So, what does this require?    It requires you to increase your outlflow to increase your inflow.    You can't call a lead one time and think they'll call you back to buy what you're offering.    You need to call them 10-15 times.    Develop a relationship.    Gain trust.    Ask prospective problems about their problems and provide solutions.    If you're looking for the biggest chance to change the trajectory of your life starting this week, you're about to get billion-dollar advice.    Be sure to leave a comment on who you are and how I can help you.    A 5-star rating would be appreciated!    About the ReWire Podcast The ReWire Podcast with Ryan Stewman – Dive into powerful insights as Ryan Stewman, the HardCore Closer, breaks down mental barriers and shares actionable steps to rewire your thoughts. Each episode is a fast-paced journey designed to reshape your mindset, align your actions, and guide you toward becoming the best version of yourself. Join in for a daily dose of real talk that empowers you to embrace change and unlock your full potential.    Learn how you can become a member of a powerful community consistently rewiring itself for success at https://www.jointheapex.com/   Rise Above

01/26/2025 - Chris Randall - Unity: The Outflow of Our Identity in Christ (Philippians 2:1-4) by Faith Community Church of South Boston, VA

One wallet hodled from $0.06 to $90,000 - do you think it was easy?FEATURING:Dan Eve (https://twitter.com/cryptopoly)and Thomas Hunt (https://twitter.com/MadBitcoins)THIS WEEK:Trump could put billions into US Bitcoin reserve without Congress approvalhttps://cryptoslate.com/trump-could-put-billions-into-us-bitcoin-reserve-without-congress-approval/Senator Lummis' Proposal for BITCOIN Act - Sell Fed's Goldhttps://www.ccn.com/news/crypto/senator-lummis-proposal-for-bitcoin-act-sell-feds-gold-as-btc-overtakes-silver/Elon Musk Issues Surprise Crypto Endorsement Amid $3 Trillion Bitcoin And Dogecoin Price Boomhttps://www.forbes.com/sites/digital-assets/2024/11/14/elon-musk-issues-surprise-crypto-endorsement-amid-3-trillion-bitcoin-dogecoin-and-crypto-price-boom/US hacker sentenced over Bitcoin heist worth billionshttps://www.bbc.com/news/articles/c2dl70wed1loBitcoin ETFs See Third Highest Outflow Since Launch, the Other Two Times Was Just Before BTC Price Bottominghttps://www.coindesk.com/markets/2024/11/15/bitcoin-etfs-witness-third-highest-outflow-since-launch-the-other-two-times-foreshadowed-price-bottoms/Gary Gensler claims SEC helped crypto, takes credit for Bitcoin ETFs, dismisses altcoins and hints at resignationhttps://cryptoslate.com/gary-gensler-takes-credit-for-bitcoin-etfs-claims-sec-helped-crypto-dismisses-altcoins-and-hints-at-resignation/This OG Bitcoin (BTC) Investor Just Turned $120 Into $178Mhttps://www.coindesk.com/markets/2024/11/15/this-og-bitcoin-investor-just-turned-120-into-178m/________________________________________World Crypto Networkhttps://www.worldcryptonetwork.com/On This Day in World Crypto Network Historyhttps://www.worldcryptonetwork.com/onthisday/-----------------------------------------------------Please Subscribe to our Youtube Channelhttps://m.youtube.com/channel/UCR9gdpWisRwnk_k23GsHf

In this episode, Ray Sclafani discusses the critical strategies financial advisors must adopt to retain assets during wealth transitions to the next generation. He emphasizes the importance of building genuine connections with clients' heirs, adapting service models, enhancing technology, and integrating estate planning and philanthropy into advisory relationships. The episode also highlights the need for proactive engagement with younger clients and the significance of creating a clear succession plan to ensure long-term success in wealth management.Key TakeawaysMost advisors lose assets during wealth transfer.Building relationships with heirs is crucial.Younger clients prefer planning-focused relationships.Involve the next generation in financial planning.Succession planning is vital for retaining clients.Women will inherit a significant portion of wealth.For more information click here to visit The ClientWise Blog.Find Ray and the ClientWise Team on the ClientWise website or LinkedIn | Twitter | Instagram | Facebook | YouTubeTo join one of the largest digital communities of financial advisors, visit exchange.clientwise.com.

The Bible has always had science nailed down before the scientists and discoverers. In this message, we take a look at just a few major scientific discoveries and see how the Bible already told us about them well in advance as science is always catching up with the word of God!

24th Dec: Blockchain DXB Podcast

China's capital markets experienced a record net outflow of $45.7 billion in November, marking the largest monthly deficit in this category. Today's Stocks & Topics: LDOS - Leidos Holdings Inc., Market Wrap, CVE - Cenovus Energy Inc., TRIP - Tripadvisor Inc., China Sees Record $45.7 Billion Capital Outflow in November, IIPR - Innovative Industrial Properties Inc., Key Benchmark Numbers: Treasury Yields, Gold, Silver, Oil and Gasoline, Housing Cost, CCL - Carnival Corp., Consumer Spending, Short Selling vs. Put Options, 401k Withdrawal.Our Sponsors:* Check out Fabric: https://fabric.com/INVESTTALKAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

How Many Months of Outflow??!!! Macro, Micro News for Tuesday 3rd December 2024 MACRO Lord Mayor urges Starmer to ‘unleash the City' Deutsche Bank revises down its projections for the UK economy UK retailers report weakest sales since April MICRO Altitude Group #ALT Diales Plc #DIAL Ondo InsurTech #ONDO Oxford Metrics #OMG MindGym #MIND SysGroup #SYS System1 Group #SYS1 Vianet Group #VNET —---------------------------------------------------------------------- My book is now published!!! If you buy it and write a positive review you can get 50% off the SharePickers Investment Club. This is only available to the first 100 people! Search for, “How to Become a MicroCap Millionaire - A 3 Step Strategy for Stock Market Success” or visit. https://www.sharepickers.com/how-to-become-a-microcap-millionaire-3-step-strategy/ —---------------------------------------------------------------------- In this podcast I cover the Macro News relevant to the UK and monitor MicroCap Stocks to see if they're good enough to be added to the MicroCap League. The UK's first MicroCap League where 100's of small businesses are analysed and scored in relation to their growth, value, health, efficiency, momentum & potential. The company's that score the highest are added to the MicroCap League and possess the best risk / reward profile. —---------------------------------------------------------------------- IF YOU REGULARLY LISTEN TO THIS PODCAST AND ENJOY IT'S OUTPUT PLEASE CONSIDER GIVING IT A 5 STAR RATING AND REVIEW - THAT WAY MORE PEOPLE WILL FIND IT. THANK YOU

This winter, people who've been living rough will be seeking shelter out of the cold. And chances are, some may try to hold out for as long as they can because shelter life can be very difficult, too. Ben Appleby is Outflow's Director of Shelter and Housing they ran last year's operation in the north end faced some real challenges. 

When we are walking in the Spirit love flows in and must also flow out of us. Evangelist VanGeldren preaches from John 15.

*Pastor Byron Stewart - 2 Corinthians 9:1-15*"The Outflow of Joy from a Giving Church"

For Select 283, we have Cairene selector, vinyl collector and multifaceted artist Khaled Youssry. His deep passion for vinyl records led him to travel across the globe collecting records, building an extensive record collection that has become central to his work. Khaled's commitment to DJing transcends the booth; he is the co-founder of Laselky, a Cairo-bred platform and party series committed to celebrating the roots of Egypt's underground culture whilst embracing new sounds, and fostering a space for artists to connect and collaborate. He has done his rounds at famous local parties and venues, including Lazuli, Laselky, Cairo Jazz Club, Yellow Tape, Tap East and Cassette, and shared the decks with a slew of international artists like Velasco and Lamalice. “It's a raver's journey packaged into less than two hours, capturing the stages I love about the experience of a raving,” Youssry tells SceneNoise of his set, which was mastered by Saharty. “Starting with those warm inviting beats as you enter the club, transitioning to darker electro vibes through the night, then kicking into some high-energy funky rhythms at sunrise, before signing off with a smooth joyful finish that encapsulates the walk back from a rave.” The set features tracks by famous global artists such as Lorenzo Aribone, Gabriel Bel Abbas and Outflow.

When the life of Christ is flowing into our lives by the Holy Spirit, our lives at home and everywhere else will bear the fruit.

Preached at Gospel Lighthouse in Bossier City, La. www.Churchlighthouse.com

What goes in must come out. --- Support this podcast: https://podcasters.spotify.com/pod/show/pastor-john-van-gorkom/support

Dr. Arthur sit describes his surprising research results on the effect of scleral buckle on ocular fluid dynamics. The discussed article: Lyons LJ, Kazemi A, Bakri SJ, Barkmeier AJ, Iezzi R, Olsen TW, Hodge DO, Sit AJ. The Effect of Scleral Buckle Surgery on Tonographic Outflow Facility, Positional Intraocular Pressure, and Ocular Biomechanics. Ophthalmol Glaucoma. 2024 Jan-Feb;7(1):1-7. doi: 10.1016/j.ogla.2023.07.007. Epub 2023 Jul 22. PMID: 37482122.

1. The Thirst of Man2. Outpouring of the Spirit 3. Outflow of Grace

1. The Thirst of Man-2. Outpouring of the Spirit -3. Outflow of Grace

📉 ¿Estamos cambiando de ciclo? Descubre cómo se mueve el mercado y planifica tus estrategias con inteligencia. 📊 Después del asombroso crecimiento de empresas tecnológicas como Super Micro Computer (SMCI), con un aumento de más del 340% en lo que va de 2024, el mercado ha presenciado el mayor outflow semanal en acciones de este sector, según el Bank of America (BAC). Este fenómeno, que implica una salida significativa de dinero, ha llevado a los inversionistas a explorar otras opciones, como bonos, efectivo y criptomonedas. 💰 **Outflow en Acciones Tecnológicas**: ¡US$4.400 millones! Este fue el monto registrado a principios de marzo de 2024, marcando un movimiento notable en el mercado. Mientras tanto, Bitcoin alcanzaba altos históricos cercanos a los US$73.500, mientras que acciones como las de Apple (AAPL) experimentaban una caída del 13% en 2024 debido a varios factores, incluida una disminución del 24% en las ventas de iPhone en China. ¿Dónde está yendo el dinero inteligente? Además de Bitcoin, el oro está atrayendo la atención de los inversionistas. El GLD, un ETF que sigue este metal precioso, ha experimentado un crecimiento del 8% desde principios de 2024, impulsado por las expectativas de recortes en las tasas de interés por parte de la Reserva Federal (FED). 💡 **Datos clave a tener en cuenta**: - El oro ha alcanzado un precio por onza troy de US$2.100 recientemente. - Los bonos y el efectivo también están en alza, con inflows significativos en marzo, especialmente en fondos equivalentes de efectivo. ¿Cómo interpretar el mercado en este contexto? ¡No te pierdas las herramientas clave! - Utiliza TradingView para monitorear el S&P 500 y las empresas tecnológicas. - Consulta Ycharts.com para evaluar el sentimiento del mercado y planificar tus estrategias de inversión. ¡No dejes que el mercado te tome por sorpresa! Únete a la comunidad de CDI y descubre lo que te ofrece la membresía STA para estar siempre un paso adelante en tus inversiones. 📈 ¡Planifica, analiza y actúa con inteligencia! ¡Únete hoy mismo a la comunidad de CDI! 🚀

Commentary by Dr. Valentin Fuster

Crypto Town Hall is a daily X Spaces hosted by Scott Melker, Ran Neuner & Mario Nawfal. Every day we discuss the latest news in crypto and bring the biggest names in the space to share their insight. ►►TRADING ALPHA READY TO TRADE LIKE THE PROS? THE BEST TRADERS IN CRYPTO ARE RELYING ON THESE INDICATORS TO MAKE TRADES. USE CODE ‘2MONTHSOFF' WHEN VISITING MY LINK. 

This week we review a recent report on the development of valvular obstruction due to intimal tissue ingrowth in the Harmony valve. How common is this problem? What factors may predispose a Harmony valve patient to develop this rare complication? Does the location of the valve implant matter in regards to this complication? How should Harmony valves be surveilled? There are amongst the questions posed to this week's guest, Assistant Professor of Medicine at U. Washington, Dr. Zachary Steinberg. doi: 10.1002/ccd.30901.Epub 2023 Nov 5.

On this special crypto episode of A Wiser Retirement Podcast™, Casey Smith is joined by Robert Swarthout, Founder, CEO, and Portfolio Manager of Teton Crypto Capital. They talk about the Bitcoin ETF launch, the SEC's X account getting hacked, VanEck delisting their ETF, Greyscale outflow, and Bitwise.Podcast Episodes Referenced:- Ep 197: Will financial advisors be using Bitcoin ETFs soon?- Ep 202: Bitcoin Halving and the Upcoming Bull RunYoutube Videos Referenced:- Bitcoin ETFs Have Been Approved - Here's What You Need to Know Other Links:- Contact Robert Swarthout: robert@tetoncryptocapital.com- Click here to download one of our free guides that covers financial planning topics like retirement, investing, taxes, divorce, and more! - Click here to schedule a consultation with one of our financial advisors.Connect With Wiser Wealth:- Wiser Wealth Management Website- YouTube- Facebook- LinkedIn- Instagram- Twitter- Podcast- Blog This podcast was produced by Wiser Wealth Management. Thanks for listening!

Join me today for Episode 848 of Bitcoin And . . . Topics for today: - GBTC: Where Are We Today? - Hong Kong to Get Spot BTC ETFs - The Inverse Cramer ETF Shuts Down - Do Not Sleep on FSOC: Backdoor Threat #Bitcoin #BitcoinAnd $boost Circle P: npub1zaza8djf4usave5w2jc2374ymytcgk63cddju3fwe8t787h395ususgvvm nostr handle: @​Oak Grove Product: Black Soldier Fly Larvae Location: DFW area Articles: https://cointelegraph.com/news/18-us-senators-support-crypto-coinbase-stand-with-crypto https://bitcoinmagazine.com/markets/gbtc-outflows-forecasting-total-bitcoin-selling-pressure-market-impact- https://cointelegraph.com/news/hong-kong-sfc-receives-first-spot-bitcoin-etf-application https://www.coindesk.com/markets/2024/01/29/bitcoin-whales-boosted-coin-stash-by-3b-in-january-data-show/ https://www.nobsbitcoin.com/senator-calls-for-u-s-intelligence-to-purge-all-personal-data-about-americans-acquired-via-illegal-data-sales/ - https://www.cnbc.com/futures-and-commodities/ - https://www.cnbc.com/bonds/ - https://www.cnbc.com/quotes/%20.DXY - https://bitinfocharts.com/ - https://dashboard.clarkmoody.com/ - https://mempool.space/ - https://fountain.fm/charts https://cointelegraph.com/news/jim-cramer-inverse-etf-shuts-down-10-months-after-launch https://www.coindesk.com/policy/2024/01/29/a-backdoor-regulatory-option-haunts-us-crypto/ Twitter @DavidB84568 Find me on nostr npub1vwymuey3u7mf860ndrkw3r7dz30s0srg6tqmhtjzg7umtm6rn5eq2qzugd (npub) 6389be6491e7b693e9f368ece88fcd145f07c068d2c1bbae4247b9b5ef439d32 (Hex) StackerNews: stacker.news/NunyaBidness Podcasting 2.0: fountain.fm/show/eK5XaSb3UaLRavU3lYrI Apple Podcasts: tinyurl.com/unm35bjh Instagram: instagram.com/bitcoin_and Mastodon: noagendasocial.com/@NunyaBidness Support Bitcoin And . . . on Patreon: patreon.com/BitcoinAndPodcast Find Lightning Network Channel partners here: https://t.me/+bj-7w_ePsANlOGEx (Nodestrich) https://t.me/plebnet (Plebnet) Music by: Flutey Funk Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License creativecommons.org/licenses/by/3.0/

A regular rhythm of connecting with Christ is integral to the mission that God is calling his church into.

Dr. Jay and Brad sit down on this week's TechTalk episode to interview a father and son duo, Dr. Stu Hoffman, DC and Mr. Eric Hoffman. Dr. Stu Hoffman, a philosophically aligned risk management entrepreneur, has served the profession as a chiropractor for 30+ years and as a business owner of ChiroSecure, a chiropractic malpractice insurance company, for 25+ years. Dr. Hoffman is a graduate of Life University, where he received his Doctor of Chiropractic degree, and he continues to give to the profession alongside his children, Dr. Jordan Hoffman, Brandon Hoffman, and Eric Hoffman. Eric Hoffman, a graduate of Arizona State University, has an entrepreneurial spirit and leader mentality with experience as the Executive Director of ChiroSecure, CEO and Founder of Hoffman Ventures, LLC, and Founder of Chiro Jobs. Born into a family of devoted chiropractors, Eric's early years were filled with industry conferences and events, which laid the foundation for his unwavering commitment to the field. Eric has now spent over 12 years as a steadfast protector of chiropractors from lawsuits with ChiroSecure and isn't planning on stopping anytime soon! ChiroSecure provides a superior malpractice coverage with many unique insurance features and long-term solid protection. ChiroSecure's philosophy of combining discerning chiropractic underwriting practices, competitive insurance premiums and aggressive malpractice claim management is designed to protect you and your future. Your career is important to ChiroSecure, and that starts with protecting you when it matters most. ChiroSecure puts you and your practice first and is dedicated to supporting you throughout your chiropractic career. Contact Eric and Stuart at: https://www.chirosecure.com/ Stu@chirosecure.com  Eric@chirosecure.com  Eric@chirojobs.com

Are you waiting for God to move without understanding the power He's already given you? Watch Discovering the Jewish Jesus as Rabbi Schneider shares how power comes from dependence on God, how to balance believing and receiving, and that belief and confession work together so that real faith expresses itself in action. You can move mountains by declaring your faith. Learn how today.   Visit our website at DiscoveringTheJewishJesus.com