Podcasts about QT

Ain't that right, Lamarr? We have another new QT, this one is going in outside of Brittney Center at 21st and Woodlawn. Business news from Wichita Business Journal Editor Kirk Seminoff.

Welcome Ludwig and Lily back to the show! They talk about Ludwig's surprise gift for Michael after Tip 2 Tip, some toxic CS lobbies, and the nicest thing Lud ever did for QT. Also Ludwig addresses his inbreeding allegations... ✨ Bonus Content: https://patreon.com/wineaboutit

This show has been flagged as Clean by the host. 01 This is the fourth episode in a four part series on simple podcasting. 02 Introduction In this episode we will discuss alternatives to Audacity when it comes to analyzing audio spectrums to find the sources of unwanted noise. I previously promised some gratuitous hackery, and we will get into that in this episode. 03 Recall that with Audacity you first import the audio file, then select the part of the audio you wish to analyze (or ctrl-A for all), and then select analyze > plot spectrum. This is in fact the only feature of Audacity that I know how to use. I am definitely not an audio expert. I do however have some background in processing and analyzing other signals, so some of the basics are familiar to me. 04 We can accomplish the same thing that Audacity does in this instance provided we can do the following. First, we need to get the data out of the audio file and into a form which we can import into other software. Second, we need to perform certain mathematical operations on this data. Finally, we need to be able to plot the results of these calculations on a chart. -------------------- 05 Fourier Transforms First though, we need a bit of mathematical background. What Audacity is doing when it shows a plot of frequency versus amplitude is that it is showing the results of a Fourier Transform. A Fourier Transforms is a mathematical operation that converts the time domain into the frequency domain. Any complex signal, audio or otherwise, can be broken down into a collection of sine waves of various frequencies. For example, a simple square wave signal of say 100 hertz can be represented as a sine wave of frequency 100 hertz plus a collection of higher frequency sine waves which add together to give the sharp corners. 06 A Fourier Transform finds these sine waves and sorts them out into separate bins, with each bin representing an individual frequency or a collection of closely related frequencies, depending on how fine grained the sorting is. 07 This is exactly what we want when we are trying to figure out how to filter out noise. Recall that earlier in this series we had to solve a problem with a high pitched background noise which was originating in my cheap microphone. Analyzing this audio by frequency showed that it was a series of individual tones at 1 kHz intervals. We were then able to use filters targeted at those frequencies to get rid of that noise. 08 There are several optimized versions of the Fourier Transform algorithm. A very common one is the Fast Fourier Transform, common abbreviated to just "FFT". This is so common that the term "FFT" is often used to simply mean any Fourier Transform even though this is not technically correct. 09 Typical FFT algorithms require that the number of data samples is exactly a power of two. So the number of samples we need may be something like 4096, 8192, or 65536, to give a few random examples. When we transform from the time domain to the frequency domain, each sample becomes a single frequency "bin". So the more samples we have, the finer the resolution we get in terms of frequency. 10 If we assume we are dealing with flac files recorded at a 44.1 kHz sample rate, that is, 44100 samples per second, then if we have 32768 samples, each "bin" represents slightly more than 1 hertz. If we have 65536 samples, then each "bin" represents a fraction of a hertz. For our purposes we will pick 65536 samples. That means we need 1.48 seconds of data. For simplicity's sake we will record at least 2 seconds of data and then just discard the samples that we don't need. 11 There is a further complication here. Fourier Transforms normally work with complex numbers. Recall from your school days that as well as integers and real numbers there are complex numbers. Each complex number consists of two parts, a real component and an imaginary component. I won't go into the details of this, just accept that each sample needs to have two components. Fortunately, if we don't have complex number data we can just set the imaginary component to zero and use that. This is enough talking about the theory, let's get into the practical details. -------------------- 12 Extracting Data from Audio Files First we will look at how to extract the data from the audio files. Fortunately, one of the programs which we have already been using can do this. To do this we will use Sox. I am not aware of an equivalent feature in ffmpeg. 13 Sox calls itself "SoX - Sound eXchange, the Swiss Army knife of audio manipulation" Sox is free software and is licensed under the GPLV2 or later. In this case we want to use a feature which allows us to convert a binary audio signal file to a text data file. To convert the file to text data we just give the output file a ".dat" file extension and Sox will do this for us. 14 Here is a command example. sox inputfile.flac tdata.dat 15 This gives us a file in the following format, assuming this is a mono audio recording. ; Sample Rate 44100 ; Channels 1 0 0.045471191406 2.2675737e-05 0.055023193359 4.5351474e-05 0.048217773438 6.8027211e-05 0.053192138672 etc. The first line states the sample frequency The second line states that the data is for channel 1. The data starts on the third line. Column 1 is the time in seconds. Column 2 is the waveform data point. 16 To analyze the data we want a subset of these samples. When we convert from the time domain to the frequency domain, our resolution will be determined by the number of samples. We would like therefore to have at least as many samples as the sampling rate. We also want the samples size to be an even multiple of two. The number of points we want to have is equal to the next even multiple of two above our chosen sampling rate, 44,100 Hz. This number would be 65536. 17 To extract this data from the file we can do the following. tail tdata.dat -n+3 | head -n65536 | awk '{printf "%sn", $2}' > tdata.csv 18 We use tail to skip over the first three lines. We use head to take the next 65536 lines and discard the rest. We use awk to extract the second column which we will use as the real component. We now have this data as a csv file in one column. -------------------- 19 Analyzing the Data To analyze the data we need software which can calculate FFTs. I will now show two examples of this, a very simple case using Libre Office Calc, and a more complex but more complete one using GNU Octave. 20 Using Libre Office We can do fourier analysis and plot charts using Libre Office. Take the csv file of data that we previously created. For this example I used data from a recording of silence so that I could see what internal noise was being generated by the headset. Open the csv file and import it into Libre Office Calc. 21 Now select all 65536 rows of column A. The Fourier function will automatically fill the imaginary component with zeros if we don't provide an column of imaginary numbers, so we don't need to provide a column of zeros. Then select Data > Statistics > Fourier Analysis. 22 A window will open allowing you to select various parameters. For Results to:, enter "D1". Grouped by Columns. Select OK. 23 New data should now appear starting in cell D1. The first line will say " Fourier Transform" The second line will state the input range. The third line will state "Real" in column D, and "Imaginary" in column E. The data will start in row 4. 24 For our simple example we will ignore the imaginary data and just use the real data, which will form our Y component when we plot it on a chart. We now need to create the X axis data. 25 Each cell is a "bin" of frequencies. Each cell therefore represents (sample frequency) / (Number of samples) Hz. 26 To create the X axis data showing frequency, enter the following formula in to column C to the left of each D column number. =((44100/65536) * (ROW() - 4) 27 We can now create an XY chart showing the frequency analysis. You may need to exclude the first couple of dozen rows as very low frequency components which cannot be heard may otherwise overwhelm the data we are interested in. Also, you only need the first half of the chart. The FFT mirrors the data from the first half of the array into the second half. 28 Because characterizing a sine wave requires a minimum of 2 points, although we have a sample frequency of 44.1 kHz, we really only have sound waves up to a maximum of half that, or 22.05 kHz. Create the chart with lines only. If you followed the above instructions, you should see something resembling what we saw in Audacity, except with each bin more sharply defined. 29 In the data that I had from a recording of unfiltered headset noise, I could see a distinct noise spike every 1000 hertz. 30 However, we have taken several shortcuts. First, the imaginary component of the data was ignored. Second, the magnitude (that is, Y axis) has both positive and negative peaks. Third, the data is not scaled to dB sound units, so we just have a relative measure. However, that by itself is enough to tell us where the frequencies are that we need to construct filters to deal with. 31 We could refine this spreadsheet a bit more to deal with the above issues, but I think we have demonstrated the basic principle, and working with a spreadsheet can be a bit awkward. However, if working with a spreadsheet is what you want to do, then you can add more columns and more formulae to improve on it. -------------------- 32 Other Analysis Software I will go on to GNU Octave in a moment, but I want to get a few other alternatives out of the way first. I won't go into any detail on them other than to point them out to people who want to have a go at trying these themselves. 33 Grace There is math and plotting software called Grace. This is free software, released under the GPL V2. According to the documentation, it seems to have the features we need, including an FFT function. However, I could not get it to work properly on Ubuntu 24.04. I could not get it to load a data file and plot data. 34 The error messages were vague and unhelpful. The file navigation system didn't work. There was no obvious path to success, and if it isn't easy to use then there is no point to it. This is fairly old software, designed for X Window and Motif. I gave up on it as not suitable for this series as I am looking for some fairly low effort things for people to try themselves. If someone else can get it to work on their PC, perhaps they could do an HPR episode on this themselves. 35 Command Line FFT Packages There are several command line FFT packages. They will read data from std in or from a file and output the FFT. However, these are not packaged for Ubuntu and appear to be distributed as C source code which you would download and compile. You can experiment with those if you wish, but I felt they were a bit out of scope for discussion here as I am looking at common tools that are ready to use. 36 Here are two examples. One is Command-line Fast Fourier Transform utility https://github.com/gregfjohnson/fft Another is cli-fft https://github.com/jonolafur/cli-fft 37 I have not tried these and cannot say whether they are any good or not. Similarly, there are a number of FFT packages that are libraries for languages such as Python. If you want to take the time to write a short program to go with them, you can create a dedicated FFT command line program. However, I felt that this too was out of scope for what I was trying to do here. 38 Doing it the Hard Way Hypothetically, it may be possible to write an FFT function in bash bc, which is the arbitrary precision calculator language which is part of the standard shell package. I say hypothetically, because I have not tried it. I think it would be an interesting challenge, but I don't have the time at the moment to try it. If anyone feels motivated to give it a try, they're welcome to give it a go and then do a podcast episode on it. -------------------- 39 GNU Octave We have seen that as well as using features built into Audacity to analyze the audio spectrum to see the frequencies of undesired noises, we were able to do the same using a Libre Office spreadsheet. 40 Now we'll look at another bit of software, GNU Octave. GNU Octave is free software, licensed under the GPL V3 or later. It is a mathematical scripting language, very similar to Matlab. People use it for mathematical, engineering, and scientific work. It can be found in most Linux distros and is available for some other operating systems as well. 41 Octave has two features built in that we need for our purposes. It does FFTs, and it has a plotting system built in to produce graphs. -------------------- 42 We will take the same audio test file that we used with Audacity and Libre Office and use it here as well. The bash script to convert the flac file to text data is essentially the same, with the exception that file extension on the output file as is ".txt" instead of ".csv". This latter change was an arbitrary decision on my part. 43 As a quick review, this bash script uses sox to convert a flac file to a text ".dat" file. Then it uses tail, head, and awk to extract the first 65536 rows of data, skipping over the header information and ignoring the first column of time data. This script will be in the show notes. -------------------- #!/bin/bash # This version is for use with the GNU Octave script. sox hsnoisemono.flac hsnoisemono.dat tail hsnoisemono.dat -n+3 | head -n65536 | awk '{printf "%sn", $2}' > hsnoisemono.txt -------------------- 44 We now have a 1.1 MB file containing 65536 samples of data in text format. Now the next thing we need to do is to create a short Octave script file. I will just give a brief overview of the script here, the full script will be in the show notes. 45 I put the script in a file called "octavespectrum.m". I have never used Octave before now, but the convention seems to be to give the script a ".m" ending. The "she-bang" line is "#!/usr/bin/env octave". If you make the file executable you can run it like any other script, or you can type "octave" and then the name of the script to run. 46 I won't read out the script in detail, as that would be too hard to following along in a podcast. However, I pass several arguments to the script including the name of the data file, and then two integers that I use to limit the display area in the Y and X axes so I can have the chart focus on the areas of interest that I want to see. I also pass a string containing the name of the graphic file that I want the chart exported to. This was an arbitrary decision on my part and you can just hard code these values in if that is what you want to do. 47 The arguments are accessed by calling the "args()" function, which returns an array of strings. Next, it reads in the specified file using the "dlmread()" function. This reads all of the data into an array. 48 Next, it performs a hamming windowing function on the data. I'll explain that briefly. It is standard practice when doing FFT signal processing to "window" the signal. Since the signal sample is of finite length, it will stop at each end of the array. 49 Unless you were lucky enough for this to happen exactly at a zero crossing, this would produced an abrupt transition in the data which looks like "noise" to the FFT. The solution is to taper the signal off gradually towards the ends so that when it gets cut off the signal is fairly small at that point anyway. There are a variety of different windowing functions, but "hamming" seems to be the most commonly used. 50 Next, it does an FFT using the "fft()" function. 51 This gives us real and imaginary outputs. These are combined by summing the squares of each corresponding real and imaginary element and then taking the square root of each and storing that in a new array. This gives a single array of the same length as the originals, but combining the two output components. If anyone wants to tell me that this isn't how things are done in the audio world, they're welcome to make an HPR episode telling us all the right way to do things. 52 Then it does some scaling and selection of subsets of data so we get the X axis in hertz and just the number of samples that we wish to look at. If you are looking at the script, the thing to keep in mind is that Octave will work on entire arrays of data in a single operation. You don't need to write explicit loops for this. The looping is handled implicitly as part of the syntax. 53 It also does various other things that make the chart easier to read. The comments in the script describe these in more detail. Since this is a script it's easier to add these sorts of refinements than is the case for a spreadsheet so I have made the effort to add them. Finally it calls the "plot()" function. If an output graphics file name was provided, it also creates a PNG file containing the same image using the "saveas" function. 54 We now see the chart, and it looks more or less as expected. However, this chart is interactive. You can zoom and pan the data, something that you can't do with either Audacity or Libre Office. The chart window doesn't have a function for exporting the resulting chart to a "png" file, it will only save to an ".ofig" file. The ofig file is not a standard graphics file, it is a serialization of the chart data that can only be looked at using the Octave chart viewer. 55 Alternatively, you can just take a screenshot of the chart after you have interactively zoomed and panned to a point of interest. At the bottom left of the chart window is a pair of x-y coordinates which tell you the current position of the mouse pointer in chart units. This is very handy as it can be used to get the exact (or close to exact) frequency of each noise spike. 56 The Y axis is not scaled in any particular units such as dB, as I'm not sure how to do that according to audio industry conventions. On the other hand, I'm not sure that it's really necessary, as I don't know what dB means in tangible terms anyway. It does show relative sizes, so it helps to determine whether you have one noise frequency or multiple frequencies to worry about. 57 If anyone is familiar with how to scale the raw data from a flac file as exported by Sox into dB units according to audio industry convention, then they are welcome to create an HPR episode telling us how to do it. -------------------- 58 Comments on GNU Octave I had never used GNU Octave before this, although I had heard of it and it is quite a significant piece of software for a specific segment of users. 59 The syntax is a bit odd especially in how it deals with array operations, but I was able to google various examples and answers to eventually get this working. A few other peculiarities are that it uses the percent "%" character to denote a comment, and leaving out the semi-colon at the end of the line causes it to print the answer to the console after executing the statement. 60 The GNU Octave solution was harder to get working than the Libre Office method. However, once it was working it is easier to use repeatedly. If I were to want to automatically generate audio files with different filtering or other options and wanted to script the creation of a large number of images showing the results, this would be the way to do it. 61 When your run the Octave script you may get a warning which says something like "QSocketNotifier: Can only be used with threads started with QThread". This is apparently a routine warning message from the Qt graphics system which has no real significance in this context and can be ignored for our purposes. -------------------- 62 We now have a bash script which will use sox to extract the data from a flac file, and a GNU Octave script which can be used to display the resulting frequency spectrum. This does more or less the same thing as "Plot Spectrum" does in Audacity, but allows for zooming and panning to get a more detailed look at the data. 63 However it doesn't give you an absolute reading of the sound levels in dB, something that Audacity does provide. What I wanted it for though was to find the frequencies of the audible noise in the signal, something that it does quite well. -------------------- #!/usr/bin/env octave % Perform an FFT on the data in a file and plot the results. % ====================================================================== % The sampling frequency. This must be changed to accommodate the % actual sampling frequency if it was something else. samplefreq = 44100; % Thickness of line on plot. linewidth = 2; % ====================================================================== % The name of the data file is passed as a argument. args = argv(); if length(args) < 3 quit endif % File name. fname = args{1}; % Clip the peak values. peakclip = str2double(args{2}); % How much data to show, in kHz. rbound = str2double(args{3}) * 1000; % The optional file name to save a chart image to. if length(args) > 3 chartfile = args{4}; else chartfile = ""; endif % ====================================================================== % Read the data in from the file. sampledata = dlmread(fname); % Number of samples. samplecount = length(sampledata); % ====================================================================== % Window the data. This helps deal with the discontinuity of data at % each end of the array and the effects this has on introducing apparent % noise into the signal. windoweddata = (hamming(samplecount) .* sampledata); % ====================================================================== % Do the actual FFT. fftresults = fft(windoweddata); % Get real component. r = real(fftresults); % Get the imaginary component. i = imag(fftresults); % Combine the real and imaginary. In order to square each element of each % array, we must use the ".^" operator, not just "^". rfft = sqrt(r.^2 + i.^2); realfft = rfft(1:samplecount); % ====================================================================== % Scale factor for frequency. fscale = samplefreq / samplecount; % X axis scale, scaled to frequency. f = (0:samplefreq/2) * fscale; % Take a subset of the data if specified. rbound has to be re-scaled % from kHz to array increments. freq = f(1:min(rbound / fscale,length(f))); % y axis. We take the absolute value and then limit (clip) the peaks % so that a few large peaks don't obscure the smaller ones. mag = min(abs(realfft(1: length(freq))), peakclip); % Plot the results. figure; whandle = plot(freq, mag, 'LineWidth', linewidth); title(["Audio Spectrum of ", fname]); xlabel("Frequency (Hz)"); ylabel("Unscaled Magnitude"); grid on; % If the appropriate optional argument was specified, save the chart % to a file of that name. if length(chartfile) > 4 saveas(gcf, chartfile, "png"); endif % Need this so the plot window stays open. waitfor(whandle); % ====================================================================== -------------------- This is the shell script used with the above Octave script. The arguments are 1 - the file name for the input data file. 2 - The value to clip the peaks at. 3 - The upper frequency bound in kHz. 4 - The output graphics file name. #!/bin/bash octave octavespectrum.m hsnoisemono.txt 10 12 hsnoisemono.png -------------------- 64 Episode Conclusion In this episode we covered the following topics. What Fourier transforms are. Extracting data from audio files using Sox. Analyzing the data using Libre Office. Analyzing the data using GNU Octave. And, several alternative analysis methods. 65 Series Conclusion This is the end of a four part series on simple podcasting. In the first episode, we covered a simple podcast recording method. This first episode is all you really need to make a podcast. 66 In the second episode we covered basic filtering and a few other simple topics. The methods discussed in that episode provide basic improvements to your audio if you feel the need for it. 67 In the third episode we covered how to analyze audio noise problems using Audacity and additional filtering techniques to deal with specific problems that we may find. We also covered command line recording, playback, and getting information about an audio recording. 68 In the fourth episode we engaged in a bit of gratuitous hackery for the fun of it and showed how to use alternative software methods to analyze audio signals. 69 I hope that this series has been both useful and entertaining and that you will use the knowledge gained here to create and submit your own HPR podcast episodes. -------------------- -------------------- Provide feedback on this episode.

In this episode, CardioNerds Dr. Colin Blumenthal, Dr. Kelly Arps, and Dr. Yong Hao Yeo are joined by electrophysiology expert Dr. Bradley Knight to discuss atrial fibrillation (AF) management in challenging clinical scenarios. We explore arrhythmias in patients with pre-excitation syndromes, particularly Wolff-Parkinson-White (WPW) syndrome, and strategies for rhythm control. We also discuss AF management in pregnancy, adult congenital heart disease, and patients with tachycardia-bradycardia (tach-brady) syndrome. This episode provides essential insights into nuanced decision-making for the care of patients with complex arrhythmia profiles. Audio editing by CardioNerds academy intern, Grace Qiu. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Atrial Fibrillation PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! PEARLS AF in WPW is a true emergency—AV nodal blocking agents can be deadly. In patients with WPW syndrome, AF can rapidly conduct through the accessory pathway, risking ventricular fibrillation and sudden death. Avoid AV nodal blockers like beta-blockers and calcium channel blockers. Catheter ablation is the first-line rhythm control strategy in WPW. Catheter ablation carries a Class I recommendation and offers >90% success. If antiarrhythmic drugs are needed, sodium channel blockers like flecainide or propafenone are preferred in patients without structural heart disease. In pregnancy, protecting the mother is protecting the fetus. An unstable mother means an unstable fetus. Rate control is the first step in AF with rapid ventricular responses and electrical cardioversion is safe when needed. Multidisciplinary care is essential. AF in congenital heart disease is often outside the pulmonary veins. Surgical scars and chamber remodeling in ACHD patients often lead to AF from non-pulmonary vein foci. Electrogram-based mapping and targeted ablation strategies are essential to increase success rate of durable rhythm control. Tachy-brady syndrome may require pacing to unlock therapy. AF may cause atrial myopathy and sinus node dysfunction. These patients often require permanent pacing to allow safe use of rate-controlling medications like beta-blockers and to prevent syncope or chronotropic incompetence. Notes: Notes drafted by Dr. Yong Hao Yeo Why is atrial tachycardia in patients with WPW syndrome dangerous? Patients with WPW commonly present with supraventricular tachycardia (SVT) due to atrioventricular reentrant circuits, either orthodromic or antidromic. This SVT can degenerate into AF. In the absence of AV nodal as the governor between the atrium and ventricles, the accessory pathway may conduct impulses rapidly and frequently. This can lead to dangerously high ventricular rates, predisposing patients to ventricular fibrillation and sudden cardiac arrest. What are some strategies for rhythm control in patients with WPW and atrial tachycardia? Catheter ablation is the first-line therapy (Class I recommendation), with a success rate of over 90%. Ablation reduces the risk of sudden cardiac arrest, though some patients may remain prone to AF. If ablation is not feasible/ contraindicated, sodium channel blockers such as flecainide and propafenone are good options in patients without ischemia or structural heart disease (Class IIa recommendation). Amiodarone should be avoided because it has a long half-life, can accumulate in the system, and may delay definitive treatment with catheter ablation. AV nodal blocking agents like beta blockers and calcium channel blockers should be avoided, as they are less effective at controlling ventricular rate in WPW and can increase conduction over the accessory pathway. These agents can also exacerbate the risk of rapid ventricular rates during AF and worsen left ventricular function. What are some special considerations in managing AF in pregnant patients? The primary goal in managing cardiovascular disease during pregnancy is to protect the mother, as fetal outcomes depend on maternal well-being. Therefore, while caution is necessary, we should avoid undertreating pregnant patients with AF. In cases of AF with rapid ventricular response (RVR), rate control is usually the first-line strategy, with beta blockers preferred over digoxin or non-dihydropyridine calcium channel blockers. It is then reasonable to initially observe for spontaneous conversion in stable patients. Antiarrhythmic drugs (AADs) are generally avoided during the first trimester, but clinical judgment on a case-by-case basis is essential. Evidence for the safety of AADs in pregnancy is limited, often derived from their use in other conditions such as fetal SVT. Flecainide and sotalol are reasonable options for rhythm control (Class IIa recommendation). Electrical cardioversion is considered safe in pregnancy and should be utilized when indicated (Do not forget!). There is no pregnancy-specific thromboembolic risk stratification tool. CHA₂DS₂-VASc scoring and the presence of risk factors like mitral stenosis can help guide anticoagulation decisions, though the magnitude of thromboembolic risk during pregnancy remains unclear. Rate control agents are typically continued during delivery due to the increased physiologic stress of labor and delivery. Multidisciplinary care is crucial and should involve obstetrics, maternal-fetal medicine, cardiology, and electrophysiology specialists. What are some key considerations for AF management in patients with adult congenital heart disease (ACHD)? Patients with repaired congenital heart disease are at increased risk for arrhythmias due to two main factors: surgical scars that create arrhythmogenic foci and mechanical remodeling of the atria or ventricles resulting from the underlying disease. In these patients with structural heart disease, sodium channel blockers may not be ideal antiarrhythmic options. When selecting an antiarrhythmic drug, clinicians must consider the nature of structural or surgical impairments, such as right bundle branch block or prolonged QT interval. It is also essential to assess renal and hepatic function (often impaired in patients with ACHD) to ensure appropriate metabolism and clearance of antiarrhythmic medications. Electrogram-based ablation strategies (those leveraging artificial intelligence are developing!) may help identify effective ablation targets, which are often outside the pulmonary veins in patients with ACHD. These individualized approaches can improve ablation success rates in this complex patient population. What makes tachycardia-bradycardia (tach-brady) syndrome a unique challenge in arrhythmia management? Patients who present with both AF and bradycardia, especially with syncope, require a thoughtful diagnostic approach to identify the underlying rhythm disturbance. Extended cardiac monitoring, including event monitors or implantable loop recorders, can help capture intermittent arrhythmias and correlate them with symptoms. AF may lead to atrial myopathy, and since the sinus node resides within the atrium, this can result in sinus node dysfunction—a hallmark of tachy-brady syndrome. Following spontaneous conversion from AF to sinus rhythm, sinus node dysfunction may persist, leading to prolonged pauses or chronotropic incompetence. Management becomes more complex when beta-blockers are needed for AF with RVR, as they can exacerbate bradycardia. Permanent pacemaker implantation is often the next step to consider. Permanent pacemaker implantation is often considered to facilitate safe rate control in these cases. In younger patients, aggressive AF burden reduction may prevent atrial remodeling and the development of true atrial myopathy, potentially avoiding pacemaker implantation. References Joglar JA, Chung MK, Armbruster AL, et al. 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2023;149(1). doi:https://doi.org/10.1161/CIR.0000000000001193 ‌ Van IC, Rienstra M, Bunting KV, et al. 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). European Heart Journal. 2024;45(36). doi:https://doi.org/10.1093/eurheartj/ehae176 ‌ Joglar JA, Kapa S, Saarel EV, et al. 2023 HRS expert consensus statement on the management of arrhythmias during pregnancy. Heart Rhythm. Published online May 1, 2023. doi:https://doi.org/10.1016/j.hrthm.2023.05.017 ‌ Stout KK, Daniels CJ, Aboulhosn JA, et al. 2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: Executive Summary. Journal of the American College of Cardiology. 2019;73(12):1494-1563. doi:https://doi.org/10.1016/j.jacc.2018.08.1028 ‌

Lauren Spierer, a 20-year-old sophomore studying textiles merchandising at Indiana University, disappeared in the early morning hours of June 3, 2011, in Bloomington, Indiana. The night before, she had been out drinking heavily with friends using a fake ID; after leaving Kilroy's Sports Bar barefoot and without her phone or shoes around 2:27 a.m., she walked with Corey Rossman back to the Smallwood Plaza area, got into a brief altercation outside, then spent time in Rossman's apartment (where his roommate Michael Beth tried to keep her safe) before moving to neighbor Jay Rosenbaum's townhome. She was last confirmed seen by Rosenbaum around 4:30 a.m., walking alone and intoxicated along College Avenue toward her own apartment. Lauren had a rare heart condition called long QT syndrome that made her especially vulnerable to fatal arrhythmias when combined with alcohol or drugs (trace cocaine was later found in her room, and Rosenbaum reported she had also used cocaine and crushed Klonopin that night). Despite massive searches, landfill excavations, cadaver-dog alerts, and thousands of tips, no trace of her has ever been found; her boyfriend Jesse Wolff and the three friends were named persons of interest but cooperated fully, passed private and FBI polygraphs, and were never named suspects. Civil negligence suits filed by her family against the friends were dismissed in federal court. As of May 2026 the case remains active and unsolved with the Bloomington and IU police departments.   Branch of Hope: Caroline's Rainbow Foundation is a UK-registered charity founded in 2002 by the family of Caroline Ann Stuttle, a young British traveler who tragically lost her life while on a gap year in Australia. For more than twenty years, the organization has focused on promoting safer independent travel for young people and backpackers. It offers free educational resources, safety workshops, school presentations, and practical guides that help gap-year students and first-time adventurers prepare responsibly and stay safe on the road. While the foundation now serves primarily as a lasting information archive, its materials remain freely available and continue to support thousands of young travelers each year. Sources: The search for Lauren Spierer. (n.d.). The Search for Lauren Spierer. https://findlauren.com/index.html Runevitch, J. (2024, May 29). Investigative journalist releases new book about Lauren Spierer's disappearance nearly 13 years since she went missing. wthr.com. https://www.wthr.com/article/news/local/investigative-journalist-releases-new-book-about-lauren-spierer-disappearance-indiana-university/531-16e65e8c-110e-4e09-9ca6-2bfc27843de4 Ratliff, M. (2025, June 3). WAVE Extra: 14 years later, Lauren Spierer's loved ones still hold on to hopes of finding the truth. https://www.wave3.com. https://www.wave3.com/2025/06/03/wave-extra-14-years-later-lauren-spierers-loved-ones-still-hold-hopes-finding-truth/   Join The Dark Oak Discussion: Patreon The Dark Oak Podcast Website Facebook Instagram Twitter TikTok Youtube This episode of The Dark Oak was created, researched, written, recorded, hosted, edited, published, and marketed by Cynthia and Stefanie of Just Us Gals Productions with artwork by Justyse Himes and Music by Ryan Creep

A bi-weekly news show informing you on the latest in Bitcoin, privacy and open source tech hosted by Ungovernables, Max and Q. AOBAll aboard the vibe trainFTF with Max TQ got some holidays coming upKeonne appealNEWSBisq v1 trade protocol exploit: 11.59 BTC drained, fully reimbursed, hardening shipped in 1.10.0 (bisq.community PSA, Bisq on X, reimbursement plan on GitHub)Disclosed: 2026-05-01Bisq's v1 trade protocol had a missing validation check on taker-side input. Because maker and taker were supposed to use the same miner fee, a malicious taker could push a bad fee value through the transaction math and shrink the multisig output to 0.001 BTC while sweeping the rest into the taker's change. Attacker drained 11.59 BTC from 10 users, all on altcoin trades. Maintainer Henrik Jannsen filed a reimbursement plan on GitHub on May 3, payouts in BTC (with BSQ as optional), DAO vote scheduled around May 25. The hotfix landed as Bisq 1.10.0 on 2026-05-16 with broader hardening: trade protocol checks, network message validation, release verification, supply-chain hardening. The Bisq team explicitly flagged the incident as a likely AI-assisted exploit, though they did not detail how AI was used.Sterlingov Appeal: The Criminalization of Privacy (therage.co)Published: 2026-05-12The appellate court reviewing Roman Sterlingov's Bitcoin Fog conviction openly suggested that mixers remain "legal in theory but not practice" once criminals use them. Judges questioned whether running an internationally accessible service forces compliance with every jurisdiction's licensing regime.Pro-law-enforcement CLARITY Act advances out of Senate Banking (therage.co)Published: 2026-05-15The Digital Asset Market Clarity Act passed committee with expanded surveillance provisions: Bank Secrecy Act integration sixteen times over, new PATRIOT Act special measures. Privacy advocates flagged the breadth of data collection on Americans who haven't done anything.CVE-2024-52911 disclosed in Bitcoin Optech #405, fix has been in Bitcoin Core 29.0+ since release (https://bitcoinops.org/en/newsletters/2026/05/15/)Published: 2026-05-05Use-after-free in parallel script validation between Bitcoin Core 0.14.0 and 28.x. Required attacker-supplied proof-of-work, so practical attack window was narrow, but the bug sat unannounced across many versions.Bitcoin Knots 29.3 enables BIP-110, fork-off countdown started (release notes) + Lopp's countdownPublished: 2026-05-09 (release)Knots 29.3 ships RDTS soft-fork enforcement on by default. Nodes running Knots with this flag set will fork off the network in August unless they change behaviour. Lopp set up a countdown.Bybit exploit post-mortem (Blockstream): enterprise multisig + hardware wallets did not save them (blog.blockstream.com)Published: 2026-05 (week of 5-12)$1.5B drained despite multisig and hardware. Failure was process, not key custody, a UI / signing-flow compromise.Poland passes EU MiCA-aligned crypto bill while Zondacrypto fraud probe deepens (bitcoinmagazine.com)Published: 2026-05-15Polish lawmakers ratified the MiCA framework ahead of the July EU deadline. The vote landed alongside an investigation into Zondacrypto's collapse, roughly $96M of user losses, with Prime Minister Tusk floating possible foreign-influence angles.Claude helps retrieve lost 5BTCX user 'CPRKRN' has Claude check over whole file system and match a wallet file to an old passwordSpiral and Block ship Loupe, an AI-powered vulnerability scanner for open-source Bitcoin (spiralbtc.substack.com)Published: 2026-05-12Uses LLMS to surface security weaknesses in code repositories and requires demonstrable test cases for any vulnerability report so false positives are minimised. Spiral and Block are funding scans themselves; reports go to maintainers confidentially before any public disclosure.RELEASESBitcoin Core 31.0 (release index entry) — 2026-05-12Operator review required before production rollout. Major version landing.Bitcoin Knots v29.3.knots20260508 — 2026-05-09RDTS soft-fork enforcement on by default, fork-off risk in August. New configuration changes, bug fixes.Core Lightning v26.06rc1 — 2026-05-12Adds graceful command for clean shutdown, new sendamount RPC, BOLT12 payer-proof support, plus 211 commits since v26.04.Bitkey App 2026.9.1 — 2026-05-15Security patch from Block.Trezor Suite v26.5.1 — 2026-05-15Legacy labeling migration, WalletConnect insufficient-balance warnings, side-by-side trade comparisons, new DeFi Tokens section.BitBoxApp v4.51.0 — 2026-05-12Bundles BitBox02 firmware v9.26.1, address formatting in 4-char groups, iOS haptic feedback on charts, account-summary perf.Ledger Live Desktop 4.4.0 — 2026-05-13Hardens Live App handling of external-protocol URLs (itms-apps:, ms-word:, file:, etc.) across Chromium navigation vectors.Ledger Live Mobile 4.4.0 — 2026-05-13Adds an addresses section to asset detail screens, device-card management menus with removal confirmations.Bull Bitcoin Mobile v6.10.1 — 2026-05-18Onboarding redirect fix on wallet creation failure.Bull Bitcoin Mobile v6.10.0 — 2026-05-11Major release: Ledger hardware-wallet integration, FSS hybrid storage strategy, real-time WebSocket notifications, new onboarding wizard, Payjoin privacy enhancements, 11 new translations.Bull Bitcoin Mobile v6.9.101-Internal-Release (display name v6.9.108-Internal) — 2026-05-09Pre-6.10.0 testing build, Android migration / startup wizard / secure storage fixes.Bitcoin Safe 2.0.0rc0 — 2026-05-17Comprehensive redesign of the wallet setup wizard, added support for Coldcard mk5 and Trezor 7, plugin architecture via external repos, fiat-balance category column.Sparrow Frigate 1.5.0 — 2026-05-14Low-latency mempool ingestion via Bitcoin Core's ZMQ sequence publisher, auto-discovers the bitcoind ZMQ endpoint when unconfigured. Useful for operators running Sparrow Frigate alongside Core.Blockstream Green iOS release_5.4.0 — 2026-05-11Aggregate fiat balance across all wallet assets, updated Send flow for Lightning, migrates Lightning backend from Breez to Greenlight (Blockstream's own LSP).Blockstream Green Android release_5.4.0 — 2026-05-08Same redesign as iOS: aggregate fiat balance, redesigned Send flow (recipient → asset → account), transaction pagination, also the Breez-to-Greenlight migration.Blockstream Green Desktop 3.3.0 — 2026-05-06Total fiat balance in wallet header, AMP ID exposed in settings, GDK 0.77.3, Qt 6.11.0, Wayland fixes.Peach Bitcoin 0.69.0 (build 346) — 2026-05-06Signature validation for backed-up payment details, encrypts custom refund addresses, removes invalid backed-up data.Peach Bitcoin 0.69.0 (build 345) — 2026-05-05Percentage filtering on offers, encrypted server backup syncing for payment methods, advanced offer-creation options, GrapheneOS camera-permission fix, Buy Offer creation restricted to experienced users.ZEUS v13.0.2-rc3 — 2026-05-18Third RC for 13.0.2. New RGS server at rgs.zeusln.com providing graph updates every 15 minutes instead of every three hours. Clipboard and NFC UX improvements.ZEUS v13.0.1 — 2026-05-07Stable release: fixes recovering Embedded LND wallets from seed (was stalling out), payment retry logic, false-positive offline detection. Cashu token sweeping to self-custody continues to land.Alby Hub v1.22.2 "Marc Horowitz" — 2026-05-11Adds Core Lightning support (their most-requested feature), new AI & Agents page, integrated on-chain wallet mode, custom transaction labels, redesigned settings, improved budget selection for app connections.Boltz Backend 3.13.0 — 2026-05-08Full Arkade swap support, EVM commitment-swap lockup flow, multi-LND support in backend and sidecar.Boltz Client 2.12.0 — 2026-05-12Final removal of the GDK wallet library.Arkade arkd v0.9.5 — 2026-05-11Client-lib wallet interface updates, breaking-changes documentation, single-key wallet signing fixes.Arkade TS SDK v0.4.25 — 2026-05-07Maintenance bump for the Arkade JavaScript SDK.NodeGuard 0.24.2 — 2026-05-14Fixes invoice-expiry calculation in rebalance flows. Check logs if rebalance operations have been timing out.ThunderHub v0.18.3 — 2026-05-15Bug-fix release in the 0.18.x line. (Subsequent 0.18.1-0.18.3 are CI/docker polish after the headline 0.18.0.)ThunderHub v0.18.0 — 2026-05-05Adds Taproot Assets support to the dashboard. The actual show story for ThunderHub this fortnight.Blink Mobile 2.4.44 — 2026-05-06Upgrades protobufjs (CVE-2026-41242 mitigation). Security patch.Fedimint SDK canary release — 2026-05-14React Native transport fix, persistent callback, RPC payload flattening. Canary channel.umbrelOS 1.7.3 — 2026-05-12DirtyFrag security patches: CVE-2026-43284 + CVE-2026-43500 in the Linux kernel. Mandatory.umbrelOS 1.7.2 — 2026-05-05CopyFail patch: CVE-2026-31431 in the Linux kernel. Mandatory.Tails 7.7.3 — 2026-05-12Emergency release: critical Linux kernel CVE fix (kernel 6.12.86 ships the Dirty Frag fix), plus Tor Browser and Tor client security fixes.Whirlpool Observer…

Today, we are joined by David Beckworth, Senior Research Fellow at the Mercatus Center and host of Macro Musings, for a deep dive into the biggest macro questions shaping markets right now. David explains why central banks struggle to respond to supply shocks, why inflation expectations are more fragile than policymakers admit, and how frameworks like nominal GDP targeting could offer a more robust path forward. We explore the collision between geopolitical shocks and AI-driven productivity, the hidden consequences of quantitative easing, and the growing tension between monetary policy and fiscal sustainability. From stablecoins and the future of the dollar to the Fed's balance sheet and financial system plumbing, this episode unpacks the forces quietly reshaping the global economy, and why policymakers may be less in control than we think.-----50 YEARS OF TREND FOLLOWING BOOK AND BEHIND-THE-SCENES VIDEO FOR ACCREDITED INVESTORS - CLICK HERE-----Follow Niels on Twitter, LinkedIn, YouTube or via the TTU website.IT's TRUE ? – most CIO's read 50+ books each year – get your FREE copy of the Ultimate Guide to the Best Investment Books ever written here.And you can get a free copy of my latest book “Ten Reasons to Add Trend Following to Your Portfolio” here.Learn more about the Trend Barometer here.Send your questions to info@toptradersunplugged.comAnd please share this episode with a like-minded friend and leave an honest Rating & Review on iTunes or Spotify so more people can discover the podcast.Follow Alan on LinkedIn.Follow David on X.Episode TimeStamps: 00:00 - Stablecoins, financial stability, and uncertain impact01:00 - David Beckworth's path into macroeconomics05:43 - How central banks should respond to supply shocks08:56 - Why policymakers struggle to separate supply vs demand11:58 - Inflation expectations and post-COVID sensitivity14:46 - Are central banks over-reliant on flawed inflation models?18:49 - AI as a positive supply shock: hype vs reality22:00 - Productivity booms, deflation, and policy challenges25:11 - Kevin Warsh, AI optimism, and the Fed's future direction29:33 - QE, QT, and the long-term impact on financial markets33:28 - The “ratchet effect” and why the Fed can't shrink easily37:59 - Liquidity: abundant or an illusion?41:38 - Are markets addicted to central bank liquidity?44:21 - Fiscal dominance and the long-term risk to central banks53:54 - Stablecoins, dollar dominance, and global demand59:10 - Private credit and the evolving financial system01:00:49 - Books, learning, and building a career in macroCopyright © 2025 – CMC AG – All Rights Reserved----PLUS: Whenever you're ready... here are 3 ways I can help you in your investment Journey:1. eBooks that cover key topics that you need to know about In my eBooks, I put together some key discoveries and things I have learnt during the more than 3 decades I have worked in the Trend Following industry, which I hope you will find useful. Click Here2. Daily Trend Barometer and Market Score One of the things I'm really proud of, is the fact that I have managed to published the Trend Barometer and Market Score each day for more than a decade...as these tools are really good at describing the environment for trend following managers as well as giving insights into the general positioning of a trend following strategy! Click Here3. Other Resources that can help youAnd if you are hungry for more useful resources from the trend following world...check out some precious resources that I have found over the years to be really valuable. Click HerePrivacy PolicyDisclaimer

In this episode, we break down the pharmacology of selective serotonin reuptake inhibitors (SSRIs) with a focus on the high-yield clinical pearls pharmacists, medical students, and healthcare professionals need to know. We compare the major SSRIs—including fluoxetine, sertraline, paroxetine, citalopram, escitalopram, and fluvoxamine—based on adverse effects, drug interactions, pharmacokinetics, and board exam relevance. Topics include serotonin syndrome, discontinuation syndrome, CYP450 interactions, QT prolongation, sexual dysfunction, weight changes, and SSRI selection in special populations such as older adults and pregnancy. Whether you are preparing for exams, clinical rotations, or looking to sharpen your psychopharmacology knowledge, this episode provides practical and memorable insights into one of the most commonly prescribed medication classes. This is Part 1 of 2. Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE! Support The Podcast and Check Out These Amazing Resources! NAPLEX Study Materials BCPS Study Materials BCACP Study Materials BCGP Study Materials BCMTMS Study Materials Meded101 Guide to Nursing Pharmacology (Amazon Highly Rated) Guide to Drug Food Interactions (Amazon Best Seller) Pharmacy Technician Study Guide by Meded101

Welcome Lily to the show! While filling in for QT, Lily and Rae talk about the end of Sweet 'n Sour, growing older, and Lily gets Rae to try out improv. Also Lily's latent Zyn addiction... ✨ Bonus Content: https://patreon.com/wineaboutit

When is a trial not a trial? Can you make a big dataset work as if it was randomised? Can we really use real-world evidence rather than trial evidence for clinical decision-making? Read here: https://adc.bmj.com/content/111/4/373.2   The hardest decisions are those where the answer is truly complex, evolving and really involves an understanding of patient values and attitudes. This is a non-traditional Archimedes that attempts to address such a query with a fictional patient with long QT syndrome and a desire to go and do competitive sports. It needs to be read slowly and digested: https://adc.bmj.com/content/111/4/373.1   This podcast is written and presented by Dr Bob Phillips (York District Hospital, UK), Archimedes section editor of Archives of Disease in Childhood. He brings you the monthly episode about evidence-based medicine for paediatricians.   We would love for you to be involved in Archi [https://adc.bmj.com/pages/authors#archimedes]. Just ask the questions that your patients are offering you - and tell us how you're finding the podcast offerings.   Please listen to our regular podcasts and subscribe in your preferred platform to get episodes automatically downloaded to your phone and computer. And if you enjoy the ADC Podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832.  

It's a new month, new theme and it's gonna be MAYHEM! Clooney gets cool, Tarantino slander and Robert Rodriguez the enabler. 360 degrees of tiddies, al dente hippy feets (QT like 'em eau naturale), just me and my Asian son, the insane physics of an RV shower stall, crossbowin' is a ladies sport and being involved in other people's kinks - how much did we know and when did we know it? We're mean motherfucking servents of DOOM so kick off your shoes and relax because we're open From Dusk Till Dawn! Doom Generation, If you can find a cheaper podcast anywhere FUUUUUUCK IIIT!

Confession time! QT and Rae hear your call-in-confessions and try their best to give advice on falling in love with your best friend, awkward work encounters, and getting with your ex's brother...✨ Bonus Content: https://patreon.com/wineaboutit

This week on the Tapped In Podcast, Nick McDaniel and Jacked Jameson are back to discuss the Georgia wrestling scene: Over in ACTION Wrestling, things didn't go as planned…Help was brought in to solve a problem—but interference and a low blow changed everything. And now, a major name is officially out of ACTION, leaving a big question about what comes next.Meanwhile, a new champion has emerged elsewhere…A new GCW Heavyweight Champion was crowned, as a familiar face continues to fight his way back into the spotlight on an encore presentation tour.But the biggest story might be what's happening in 1FW…The tension between Il Cartello Grillo and The Frat House is reaching another level—and it doesn't look like it's slowing down anytime soon.At the same time, the title pictures are getting crowded:• A battle is set to determine a #1 contender at Summerstage 2• Multiple championship matches are on the horizon• And new names, debuts, and returns are starting to reshape the rosterOh—and one more thing…Big Stoke (Stokely Hathaway) is officially coming to 1FW, and he already has a date set with Jacked Jameson.That one might get interesting.Plus, the Life Advice segment returns with a question that hits home for a lot of people—when parents take youth sports a little too seriously.If you follow independent wrestling, Georgia wrestling, and enjoy real conversation mixed with personality and debate, this is your weekly show.▶ Watch now: tappedoutpod.comFan Question:Who who you like to see be the next #1 contender in 1FW right now? QT or Carlie Bravo?#TappedInPodcast #ProWrestling #IndyWrestling #GeorgiaWrestling #WrestlingPodcast #1FW #ACTIONWrestling #GCW #IndependentWrestling #WrestlingNews

Contributor: Aaron Lessen, MD Educational Pearls: What are the common causes of agitation in the elderly? Baseline dementia causing a behavioral disturbance Delirium precipitated by an acute medical problem such as a UTI, pneumonia, overdose/side effect of home medications, urinary retention, constipation, pain, hypoxia, electrolyte abnormality, etc. Exacerbation of a primary psychotic condition such as schizophrenia or bipolar disorder. What environmental changes can help reduce agitation? Maintain a quiet, calm, uncluttered environment Dim the lights Ensure the patient has their glasses, hearing aids, and dentures Avoid excessive lines such as foleys Minimize restraints and other forms of immobilization Reassure the patient frequently and have the family check in with the patient What are the best options if medications are required? If the patient is unsafe or non-pharmacologic measures fail, consider a second-generation ("atypical") antipsychotic using the lowest effective dose: Olanzapine Risperidone Quetiapine One special consideration is Dementia with Lewy Bodies, which can be very sensitive to antipsychotics. In this case, Quetiapine is the preferred agent. Avoid when possible: Diphenhydramine and other anticholinergics, which can worsen delirium (including urinary retention and sedation) Benzodiazepines, which may worsen confusion, falls, and respiratory depression Haloperidol, which has a higher risk of extrapyramidal symptoms and QT prolongation than many atypicals References Badwal K, Kiliaki SA, Dugani SB, Pagali SR. Psychosis Management in Lewy Body Dementia: A Comprehensive Clinical Approach. J Geriatr Psychiatry Neurol. 2022 May;35(3):255-261. doi: 10.1177/0891988720988916. Epub 2021 Jan 19. PMID: 33461372. Kurlan R, Cummings J, Raman R, Thal L; Alzheimer's Disease Cooperative Study Group. Quetiapine for agitation or psychosis in patients with dementia and parkinsonism. Neurology. 2007 Apr 24;68(17):1356-63. doi: 10.1212/01.wnl.0000260060.60870.89. PMID: 17452579. Shenvi C, Kennedy M, Austin CA, Wilson MP, Gerardi M, Schneider S. Managing Delirium and Agitation in the Older Emergency Department Patient: The ADEPT Tool. Ann Emerg Med. 2020 Feb;75(2):136-145. doi: 10.1016/j.annemergmed.2019.07.023. Epub 2019 Sep 26. PMID: 31563402; PMCID: PMC7945005. Summarized and edited by Jeffrey Olson, MS4 Donate: https://emergencymedicalminute.org/donate/ Join our mailing list: http://eepurl.com/c9ouHf

With a crazy week having just passed, Rae and QT talk about Swift, South Africa, and the Sukkuno situation.✨ Bonus Content: https://patreon.com/wineaboutit

In this episode, Danielle Roman, PharmD, BCOP, and Jordan Hill, PharmD, BCOP, discuss patient-centered management of CDK4/6 inhibitor therapy in HR-positive/HER2-negative breast cancer, with a focus on how oncology pharmacists and the multidisciplinary care team can support patients through treatment, including: Practical strategies for monitoring and managing key adverse events associated with abemaciclib, ribociclib, and palbociclib, such as diarrhea, neutropenia, hepatotoxicity, and QT prolongation How dose interruptions and dose reductions can help improve tolerability while maintaining clinical benefit Real-world approaches to patient education, toxicity counseling, and communication that can improve adherence and persistence with oral CDK4/6 inhibitor therapy Additional considerations such as financial toxicity, coordination with specialty pharmacy, and practical tools to help patients stay on therapy over the long term  Get access to all of our new podcasts by subscribing to the Decera Clinical Education Oncology Podcast on Apple Podcasts, YouTube Music, or Spotify. Presenters: Danielle Roman, PharmD, BCOP Manager, Oncology Clinical Pharmacy Services Oncology Clinical Pharmacy Specialist Allegheny Health Network Pittsburgh, Pennsylvania Jordan Hill, PharmD, BCOP Clinical Pharmacy Specialist, Breast Oncology West Virginia University Cancer Institute Morgantown, West Virginia Link to full program:https://bit.ly/4cIYca6 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

The Last Trade: Jackson, Michael, and Brian break down Morgan Stanley's Bitcoin ETF launch, the FDIC greenlighting the Genius Act, a Tennessee wrench attack ring hunting bitcoiners through DoorDash, Anthropic's Project Glasswing, and why bitcoin's 175% run during QT kills any bear argument.---

Welcome Ericdoa to the show! QT and Eric bond over music and thinking lying is funny. They also talk about the music industry, underage drinking, and bizarre ai generated rabbit holes on tiktok.✨ Bonus Content: https://patreon.com/wineaboutit

As we close out CR Month, the guys gather together for one more pod that is all very off the record, on the QT, and very hush-hush. They take a trip to the Formosa Cafe and revisit Curtis Hanson's ‘L.A. Confidential' starring Russell Crowe, Guy Pearce, Kevin Spacey, and Kim Basinger. Producers: Craig Horlbeck, Chia Hao Tat, Eduardo Ocampo, and Matt Pevic Join us in San Francisco for a live taping of ‘The Rewatchables' on April 8th! Tickets go live on April 1st HERE Find what you're looking for. https://www.amazon.com/firetv/ Learn more about your ad choices. Visit podcastchoices.com/adchoices

※ 如果你渴望建立每天穩定靈修的生活，加入禱告的大軍，邀請你加入【晨禱祭壇 Line 社群】▶http://line.ldtmission.org → 我們每天會即時在 Line 發送晨禱直播影片，以及每天靈修的分享，可以跟其他夥伴彼此代禱有更多的連結。 ※ 今日晨禱 ※ 【焦點經文】彼得就發咒起誓地說：「我不認得那個人。」立時，雞就叫了。彼得想起耶穌所說的話：「雞叫以先，你要三次不認我。」他就出去痛哭。(太 26:74-75) 【今日經文】馬太福音 26:69-75 ▶https://reurl.cc/O6E6A9 【演奏歌曲】我們歡迎君王降臨 - 鋼琴獨奏 by J-vi 【敬拜歌曲】無盡的愛 - 約書亞 → Worship & Prayer Leader：楊哲豪 Rogery Yang ※ 最新文章 ※ 【03.30 禱告日記】《緊緊跟隨主受苦難不要遠遠跟著》▶https://reurl.cc/0mXVX9 【2026.03 代禱信】《帶領守望者實體聚集與神重立約》▶https://reurl.cc/dpWdKV 【03.29 禱告日記】《倚靠神坦然無懼不憑血氣去爭戰》▶https://reurl.cc/18mNmD 【03.28 禱告日記】《警醒禱告降服神戰勝軟弱不迷惑》▶https://reurl.cc/6G0Ygk 【03.27 禱告日記】《領受主身體和寶血與主完全聯合》▶https://reurl.cc/3kY5nL ※ 最新影片 ※ 【2 月影音代禱信】▶https://youtu.be/WtH6GPP4ins ※ 晨禱邀請 ※ 【訂閱頻道，每天禱告】▶http://sub.ldtmission.org → 邀請你免費訂閱晨禱頻道，讓我們每天一同委身築起晨禱祭壇，復興我們生活的每一天。 【為晨禱事工線上奉獻】▶http://give.ldtmission.org → 邀請你用奉獻一同參與晨禱事工，使我們可以持續帶領世界各地的弟兄姐妹建立每天禱告的生活。 【讓我們為你個別代禱】▶http://msg.ldtmission.org →如果你需要有人個別為你私下代禱，邀請你傳私訊到此連結，我們會有同工與你一同禱告。 【Podcast 聽晨禱祭壇】▶http://podcast.ldtmission.org →你也可以在各平台上的 Podcast 收聽晨禱祭壇。 ※ 關於我們 ※ 【LDT 官方網站】▶http://ldtmission.org 【LDT 粉絲專頁】▶http://fb.ldtmission.org 【Rogery 的禱告日記】▶http://qt.ldtmission.org ※ 經文範圍 ※ 晨禱祭壇每天所使用的經文範圍是跟《活潑的生命》的靈修經文範圍一樣。邀請大家可以在晨禱結束後，有一段經文默想禱告的時間，寫下你的靈修筆記，操練聆聽神的聲音。如果弟兄姊妹有需要的話，可以訂購《活潑的生命》QT月刊：（台灣）02-2931-9066 / www.duranno.tw 《一個火熱愛耶穌、用生命影響生命的門徒社群》 #晨禱 #敬拜 #禱告 #靈修 #無盡的愛 #約書亞 -- Hosting provided by SoundOn

※ 如果你渴望建立每天穩定靈修的生活，加入禱告的大軍，邀請你加入【晨禱祭壇 Line 社群】▶http://line.ldtmission.org → 我們每天會即時在 Line 發送晨禱直播影片，以及每天靈修的分享，可以跟其他夥伴彼此代禱有更多的連結。 ※ 今日晨禱 ※ 【焦點經文】彼得遠遠地跟著耶穌，直到大祭司的院子，進到裡面，就和差役同坐，要看這事到底怎樣。…耶穌卻不言語。大祭司對他說：我指著永生神叫你起誓告訴我們，你是神的兒子基督不是？耶穌對他說：你說的是。然而，我告訴你們，後來你們要看見人子坐在那權能者的右邊，駕著天上的雲降臨。(太 26:58,63-64) 【今日經文】馬太福音 26:57-68 ▶https://reurl.cc/ppMQeQ 【演奏歌曲】聖靈的江河 - 鋼琴獨奏 by J-vi 【敬拜歌曲】奔跑不放棄 / 榮耀的呼召 - 讚美之泉 → Worship & Prayer Leader：楊哲豪 Rogery Yang ※ 最新文章 ※ 【03.29 禱告日記】《倚靠神坦然無懼不憑血氣去爭戰》▶https://reurl.cc/18mNmD 【03.28 禱告日記】《警醒禱告降服神戰勝軟弱不迷惑》▶https://reurl.cc/6G0Ygk 【03.27 禱告日記】《領受主身體和寶血與主完全聯合》▶https://reurl.cc/3kY5nL 【03.26 禱告日記】《聽從遵行主吩咐不被誘惑出賣主》▶https://reurl.cc/535yrq 【2026.02 代禱信】《換上全新皮袋迎接事奉不斷擴張》▶https://reurl.cc/3bdpQ9 ※ 最新影片 ※ 【2 月影音代禱信】▶https://youtu.be/WtH6GPP4ins ※ 晨禱邀請 ※ 【訂閱頻道，每天禱告】▶http://sub.ldtmission.org → 邀請你免費訂閱晨禱頻道，讓我們每天一同委身築起晨禱祭壇，復興我們生活的每一天。 【為晨禱事工線上奉獻】▶http://give.ldtmission.org → 邀請你用奉獻一同參與晨禱事工，使我們可以持續帶領世界各地的弟兄姐妹建立每天禱告的生活。 【讓我們為你個別代禱】▶http://msg.ldtmission.org →如果你需要有人個別為你私下代禱，邀請你傳私訊到此連結，我們會有同工與你一同禱告。 【Podcast 聽晨禱祭壇】▶http://podcast.ldtmission.org →你也可以在各平台上的 Podcast 收聽晨禱祭壇。 ※ 關於我們 ※ 【LDT 官方網站】▶http://ldtmission.org 【LDT 粉絲專頁】▶http://fb.ldtmission.org 【Rogery 的禱告日記】▶http://qt.ldtmission.org ※ 經文範圍 ※ 晨禱祭壇每天所使用的經文範圍是跟《活潑的生命》的靈修經文範圍一樣。邀請大家可以在晨禱結束後，有一段經文默想禱告的時間，寫下你的靈修筆記，操練聆聽神的聲音。如果弟兄姊妹有需要的話，可以訂購《活潑的生命》QT月刊：（台灣）02-2931-9066 / www.duranno.tw 《一個火熱愛耶穌、用生命影響生命的門徒社群》 #晨禱 #敬拜 #禱告 #靈修 #奔跑不放棄 #榮耀的呼召 #讚美之泉 -- Hosting provided by SoundOn

※ 如果你渴望建立每天穩定靈修的生活，加入禱告的大軍，邀請你加入【晨禱祭壇 Line 社群】▶http://line.ldtmission.org → 我們每天會即時在 Line 發送晨禱直播影片，以及每天靈修的分享，可以跟其他夥伴彼此代禱有更多的連結。 ※ 今日晨禱 ※ 【焦點經文】耶穌對他說：「朋友，你來要做的事，就做吧。」於是那些人上前，下手拿住耶穌。…耶穌對他說：收刀入鞘吧！凡動刀的，必死在刀下。…若是這樣，經上所說，事情必須如此的話怎麼應驗呢？(太 26:50,52,54) 【今日經文】馬太福音 26:47-56 ▶https://reurl.cc/YDXaM4 【演奏歌曲】奔跑不放棄 - 鋼琴獨奏 by J-vi 【敬拜歌曲】安靜 - 約書亞 → Worship & Prayer Leader：楊哲豪 Rogery Yang ※ 最新文章 ※ 【03.28 禱告日記】《警醒禱告降服神戰勝軟弱不迷惑》▶https://reurl.cc/6G0Ygk 【03.27 禱告日記】《領受主身體和寶血與主完全聯合》▶https://reurl.cc/3kY5nL 【03.26 禱告日記】《聽從遵行主吩咐不被誘惑出賣主》▶https://reurl.cc/535yrq 【03.25 禱告日記】《毫無保留破碎傾倒香膏在主身上》▶https://reurl.cc/6GZN7O 【2026.02 代禱信】《換上全新皮袋迎接事奉不斷擴張》▶https://reurl.cc/3bdpQ9 ※ 最新影片 ※ 【2 月影音代禱信】▶https://youtu.be/WtH6GPP4ins ※ 晨禱邀請 ※ 【訂閱頻道，每天禱告】▶http://sub.ldtmission.org → 邀請你免費訂閱晨禱頻道，讓我們每天一同委身築起晨禱祭壇，復興我們生活的每一天。 【為晨禱事工線上奉獻】▶http://give.ldtmission.org → 邀請你用奉獻一同參與晨禱事工，使我們可以持續帶領世界各地的弟兄姐妹建立每天禱告的生活。 【讓我們為你個別代禱】▶http://msg.ldtmission.org →如果你需要有人個別為你私下代禱，邀請你傳私訊到此連結，我們會有同工與你一同禱告。 【Podcast 聽晨禱祭壇】▶http://podcast.ldtmission.org →你也可以在各平台上的 Podcast 收聽晨禱祭壇。 ※ 關於我們 ※ 【LDT 官方網站】▶http://ldtmission.org 【LDT 粉絲專頁】▶http://fb.ldtmission.org 【Rogery 的禱告日記】▶http://qt.ldtmission.org ※ 經文範圍 ※ 晨禱祭壇每天所使用的經文範圍是跟《活潑的生命》的靈修經文範圍一樣。邀請大家可以在晨禱結束後，有一段經文默想禱告的時間，寫下你的靈修筆記，操練聆聽神的聲音。如果弟兄姊妹有需要的話，可以訂購《活潑的生命》QT月刊：（台灣）02-2931-9066 / www.duranno.tw 《一個火熱愛耶穌、用生命影響生命的門徒社群》 #晨禱 #敬拜 #禱告 #靈修 #安靜 #約書亞 -- Hosting provided by SoundOn

※ 如果你渴望建立每天穩定靈修的生活，加入禱告的大軍，邀請你加入【晨禱祭壇 Line 社群】▶http://line.ldtmission.org → 我們每天會即時在 Line 發送晨禱直播影片，以及每天靈修的分享，可以跟其他夥伴彼此代禱有更多的連結。 ※ 今日晨禱 ※ 【焦點經文】他就稍往前走，俯伏在地，禱告說：我父啊，倘若可行，求你叫這杯離開我。然而，不要照我的意思，只要照你的意思。…總要警醒禱告，免得入了迷惑。你們心靈固然願意，肉體卻軟弱了。第二次又去禱告說：我父啊，這杯若不能離開我，必要我喝，就願你的意旨成全。(太 26:39,41-42) 【今日經文】馬太福音 26:36-46 ▶https://reurl.cc/18mpLD 【演奏歌曲】委身之歌 - 鋼琴獨奏 by J-vi 【敬拜歌曲】即或不然的生命 - 約書亞 → Worship & Prayer Leader：楊哲豪 Rogery Yang ※ 最新文章 ※ 【03.27 禱告日記】《領受主身體和寶血與主完全聯合》▶https://reurl.cc/3kY5nL 【03.26 禱告日記】《聽從遵行主吩咐不被誘惑出賣主》▶https://reurl.cc/535yrq 【03.25 禱告日記】《毫無保留破碎傾倒香膏在主身上》▶https://reurl.cc/6GZN7O 【03.24 禱告日記】《活出基督愛的憐憫做在最小身上》▶https://reurl.cc/9WO88O 【2026.02 代禱信】《換上全新皮袋迎接事奉不斷擴張》▶https://reurl.cc/3bdpQ9 ※ 最新影片 ※ 【2 月影音代禱信】▶https://youtu.be/WtH6GPP4ins ※ 晨禱邀請 ※ 【訂閱頻道，每天禱告】▶http://sub.ldtmission.org → 邀請你免費訂閱晨禱頻道，讓我們每天一同委身築起晨禱祭壇，復興我們生活的每一天。 【為晨禱事工線上奉獻】▶http://give.ldtmission.org → 邀請你用奉獻一同參與晨禱事工，使我們可以持續帶領世界各地的弟兄姐妹建立每天禱告的生活。 【讓我們為你個別代禱】▶http://msg.ldtmission.org →如果你需要有人個別為你私下代禱，邀請你傳私訊到此連結，我們會有同工與你一同禱告。 【Podcast 聽晨禱祭壇】▶http://podcast.ldtmission.org →你也可以在各平台上的 Podcast 收聽晨禱祭壇。 ※ 關於我們 ※ 【LDT 官方網站】▶http://ldtmission.org 【LDT 粉絲專頁】▶http://fb.ldtmission.org 【Rogery 的禱告日記】▶http://qt.ldtmission.org ※ 經文範圍 ※ 晨禱祭壇每天所使用的經文範圍是跟《活潑的生命》的靈修經文範圍一樣。邀請大家可以在晨禱結束後，有一段經文默想禱告的時間，寫下你的靈修筆記，操練聆聽神的聲音。如果弟兄姊妹有需要的話，可以訂購《活潑的生命》QT月刊：（台灣）02-2931-9066 / www.duranno.tw 《一個火熱愛耶穌、用生命影響生命的門徒社群》 #晨禱 #敬拜 #禱告 #靈修 #即或不然的生命 #約書亞 -- Hosting provided by SoundOn

※ 如果你渴望建立每天穩定靈修的生活，加入禱告的大軍，邀請你加入【晨禱祭壇 Line 社群】▶http://line.ldtmission.org → 我們每天會即時在 Line 發送晨禱直播影片，以及每天靈修的分享，可以跟其他夥伴彼此代禱有更多的連結。 ※ 今日晨禱 ※ 【焦點經文】他們吃的時候，耶穌拿起餅來，祝福，就擘開，遞給門徒，說：你們拿著吃，這是我的身體；又拿起杯來，祝謝了，遞給他們，說：你們都喝這個；因為這是我立約的血，為多人流出來，使罪得赦。(太 26:26-28) 【今日經文】馬太福音 26:26-35 ▶https://reurl.cc/EmRZ1v 【演奏歌曲】能不能 - 鋼琴獨奏 by J-vi 【敬拜歌曲】十架的大能 - 讚美之泉 → Worship & Prayer Leader：楊哲豪 Rogery Yang ※ 最新文章 ※ 【03.26 禱告日記】《聽從遵行主吩咐不被誘惑出賣主》▶https://reurl.cc/535yrq 【03.25 禱告日記】《毫無保留破碎傾倒香膏在主身上》▶https://reurl.cc/6GZN7O 【03.24 禱告日記】《活出基督愛的憐憫做在最小身上》▶https://reurl.cc/9WO88O 【2026.02 代禱信】《換上全新皮袋迎接事奉不斷擴張》▶https://reurl.cc/3bdpQ9 ※ 最新影片 ※ 【2 月影音代禱信】▶https://youtu.be/WtH6GPP4ins ※ 晨禱邀請 ※ 【訂閱頻道，每天禱告】▶http://sub.ldtmission.org → 邀請你免費訂閱晨禱頻道，讓我們每天一同委身築起晨禱祭壇，復興我們生活的每一天。 【為晨禱事工線上奉獻】▶http://give.ldtmission.org → 邀請你用奉獻一同參與晨禱事工，使我們可以持續帶領世界各地的弟兄姐妹建立每天禱告的生活。 【讓我們為你個別代禱】▶http://msg.ldtmission.org →如果你需要有人個別為你私下代禱，邀請你傳私訊到此連結，我們會有同工與你一同禱告。 【Podcast 聽晨禱祭壇】▶http://podcast.ldtmission.org →你也可以在各平台上的 Podcast 收聽晨禱祭壇。 ※ 關於我們 ※ 【LDT 官方網站】▶http://ldtmission.org 【LDT 粉絲專頁】▶http://fb.ldtmission.org 【Rogery 的禱告日記】▶http://qt.ldtmission.org ※ 經文範圍 ※ 晨禱祭壇每天所使用的經文範圍是跟《活潑的生命》的靈修經文範圍一樣。邀請大家可以在晨禱結束後，有一段經文默想禱告的時間，寫下你的靈修筆記，操練聆聽神的聲音。如果弟兄姊妹有需要的話，可以訂購《活潑的生命》QT月刊：（台灣）02-2931-9066 / www.duranno.tw 《一個火熱愛耶穌、用生命影響生命的門徒社群》 #晨禱 #敬拜 #禱告 #靈修 #十架的大能 #讚美之泉 -- Hosting provided by SoundOn

※ 如果你渴望建立每天穩定靈修的生活，加入禱告的大軍，邀請你加入【晨禱祭壇 Line 社群】▶http://line.ldtmission.org → 我們每天會即時在 Line 發送晨禱直播影片，以及每天靈修的分享，可以跟其他夥伴彼此代禱有更多的連結。 ※ 今日晨禱 ※ 【焦點經文】門徒遵著耶穌所吩咐的就去預備了逾越節的筵席。…正吃的時候，耶穌說：「我實在告訴你們，你們中間有一個人要賣我了。」…耶穌回答說：「同我蘸手在盤子裡的，就是他要賣我。(太 26:19,21,23) 【今日經文】馬太福音 26:14-25 ▶https://reurl.cc/qp5bqN 【演奏歌曲】主祢聖名配得讚美 - 鋼琴獨奏 by J-vi 【敬拜歌曲】純潔的心 - 約書亞 → Worship & Prayer Leader：楊哲豪 Rogery Yang ※ 最新文章 ※ 【03.25 禱告日記】《毫無保留破碎傾倒香膏在主身上》▶https://reurl.cc/6GZN7O 【03.24 禱告日記】《活出基督愛的憐憫做在最小身上》▶https://reurl.cc/9WO88O 【03.23 禱告日記】《良善忠心用神恩賜不要又惡又懶》▶https://reurl.cc/Empj0n 【2026.02 代禱信】《換上全新皮袋迎接事奉不斷擴張》▶https://reurl.cc/3bdpQ9 ※ 最新影片 ※ 【2 月影音代禱信】▶https://youtu.be/WtH6GPP4ins ※ 晨禱邀請 ※ 【訂閱頻道，每天禱告】▶http://sub.ldtmission.org → 邀請你免費訂閱晨禱頻道，讓我們每天一同委身築起晨禱祭壇，復興我們生活的每一天。 【為晨禱事工線上奉獻】▶http://give.ldtmission.org → 邀請你用奉獻一同參與晨禱事工，使我們可以持續帶領世界各地的弟兄姐妹建立每天禱告的生活。 【讓我們為你個別代禱】▶http://msg.ldtmission.org →如果你需要有人個別為你私下代禱，邀請你傳私訊到此連結，我們會有同工與你一同禱告。 【Podcast 聽晨禱祭壇】▶http://podcast.ldtmission.org →你也可以在各平台上的 Podcast 收聽晨禱祭壇。 ※ 關於我們 ※ 【LDT 官方網站】▶http://ldtmission.org 【LDT 粉絲專頁】▶http://fb.ldtmission.org 【Rogery 的禱告日記】▶http://qt.ldtmission.org ※ 經文範圍 ※ 晨禱祭壇每天所使用的經文範圍是跟《活潑的生命》的靈修經文範圍一樣。邀請大家可以在晨禱結束後，有一段經文默想禱告的時間，寫下你的靈修筆記，操練聆聽神的聲音。如果弟兄姊妹有需要的話，可以訂購《活潑的生命》QT月刊：（台灣）02-2931-9066 / www.duranno.tw 《一個火熱愛耶穌、用生命影響生命的門徒社群》 #晨禱 #敬拜 #禱告 #靈修 #純潔的心 #約書亞 -- Hosting provided by SoundOn

For this very special episode, Quentin Tarantino returns to the show to discuss a filmmaker he's a huge fan of: William Beaudine. If you're not familiar with Beaudine, Quentin is here to change that—and then some. He's also put together a major tribute to the director, taking place this April at both the New Beverly and the Video Archives Cinema Club. Tune in as Brian and Elric chat with QT to explore the fascinating story of this underappreciated filmmaker, along with highlights from his incredibly long and prolific career. Check out all things New Beverly here: https://thenewbev.com/ Have A look at what's Happening at The Vista Here:  https://ticketing.uswest.veezi.com/sessions/?siteToken=20xhpa3yt2hhkwt4zjvfcwsaww Consider supporting Pure Cinema (and getting monthly bonus content) via our Patreon (5$/ month gets you everything): https://www.patreon.com/purecinemapod Brian's Directed By shirts can be found here: https://www.teepublic.com/user/filmmakershirts The show is now on BlueSky: https://bsky.app/profile/purecinemapod.bsky.social As are Brian: https://bsky.app/profile/bobfreelander.bsky.social Elric: https://bsky.app/profile/elrickane.bsky.social and the New Beverly: https://bsky.app/profile/newbeverly.bsky.social

Rae finds out Austin knows her old high-school crush, QT stalked her friend's first date, and they talk about the recent Bachelorette/Mormon Wives drama.✨ Bonus Content: https://patreon.com/wineaboutit

※ 如果你渴望建立每天穩定靈修的生活，加入禱告的大軍，邀請你加入【晨禱祭壇 Line 社群】▶http://line.ldtmission.org → 我們每天會即時在 Line 發送晨禱直播影片，以及每天靈修的分享，可以跟其他夥伴彼此代禱有更多的連結。 ※ 今日晨禱 ※ 【焦點經文】有一個女人拿著一玉瓶極貴的香膏來，趁耶穌坐席的時候，澆在他的頭上。…因為常有窮人和你們同在；只是你們不常有我。她將這香膏澆在我身上是為我安葬做的。(太 26:7,11-12) 【今日經文】馬太福音 26:1-13 ▶https://reurl.cc/K2bXZR 【演奏歌曲】願祢降臨 - 鋼琴獨奏 by J-vi 【敬拜歌曲】全然為祢 - 生命河靈糧堂 → Worship & Prayer Leader：楊哲豪 Rogery Yang ※ 最新文章 ※ 【03.24 禱告日記】《活出基督愛的憐憫做在最小身上》▶https://reurl.cc/9WO88O 【03.23 禱告日記】《良善忠心用神恩賜不要又惡又懶》▶https://reurl.cc/Empj0n 【03.22 禱告日記】《時時警醒預備好聖靈燈油在器皿》▶https://reurl.cc/qpOOWD 【2026.02 代禱信】《換上全新皮袋迎接事奉不斷擴張》▶https://reurl.cc/3bdpQ9 ※ 最新影片 ※ 【2 月影音代禱信】▶https://youtu.be/WtH6GPP4ins ※ 晨禱邀請 ※ 【訂閱頻道，每天禱告】▶http://sub.ldtmission.org → 邀請你免費訂閱晨禱頻道，讓我們每天一同委身築起晨禱祭壇，復興我們生活的每一天。 【為晨禱事工線上奉獻】▶http://give.ldtmission.org → 邀請你用奉獻一同參與晨禱事工，使我們可以持續帶領世界各地的弟兄姐妹建立每天禱告的生活。 【讓我們為你個別代禱】▶http://msg.ldtmission.org →如果你需要有人個別為你私下代禱，邀請你傳私訊到此連結，我們會有同工與你一同禱告。 【Podcast 聽晨禱祭壇】▶http://podcast.ldtmission.org →你也可以在各平台上的 Podcast 收聽晨禱祭壇。 ※ 關於我們 ※ 【LDT 官方網站】▶http://ldtmission.org 【LDT 粉絲專頁】▶http://fb.ldtmission.org 【Rogery 的禱告日記】▶http://qt.ldtmission.org ※ 經文範圍 ※ 晨禱祭壇每天所使用的經文範圍是跟《活潑的生命》的靈修經文範圍一樣。邀請大家可以在晨禱結束後，有一段經文默想禱告的時間，寫下你的靈修筆記，操練聆聽神的聲音。如果弟兄姊妹有需要的話，可以訂購《活潑的生命》QT月刊：（台灣）02-2931-9066 / www.duranno.tw 《一個火熱愛耶穌、用生命影響生命的門徒社群》 #晨禱 #敬拜 #禱告 #靈修 #全然為祢 #生命河靈糧堂 -- Hosting provided by SoundOn

※ 如果你渴望建立每天穩定靈修的生活，加入禱告的大軍，邀請你加入【晨禱祭壇 Line 社群】▶http://line.ldtmission.org → 我們每天會即時在 Line 發送晨禱直播影片，以及每天靈修的分享，可以跟其他夥伴彼此代禱有更多的連結。 ※ 今日晨禱 ※ 【焦點經文】於是王要向那右邊的說：你們這蒙我父賜福的，可來承受那創世以來為你們所預備的國；…王要回答說：我實在告訴你們，這些事你們既做在我這弟兄中一個最小的身上，就是做在我身上了。(太 25:34,40) 【今日經文】馬太福音 25:31-46 ▶https://reurl.cc/N2pelk 【演奏歌曲】我們歡迎君王降臨 - 鋼琴獨奏 by J-vi 【敬拜歌曲】讓我 - FGACYC → Worship & Prayer Leader：楊哲豪 Rogery Yang ※ 最新文章 ※ 【03.23 禱告日記】《良善忠心用神恩賜不要又惡又懶》▶https://reurl.cc/Empj0n 【03.22 禱告日記】《時時警醒預備好聖靈燈油在器皿》▶https://reurl.cc/qpOOWD 【03.21 禱告日記】《警醒忠心事奉神隨時預備主再來》▶https://reurl.cc/2aDMor 【2026.02 代禱信】《換上全新皮袋迎接事奉不斷擴張》▶https://reurl.cc/3bdpQ9 ※ 最新影片 ※ 【2 月影音代禱信】▶https://youtu.be/WtH6GPP4ins ※ 晨禱邀請 ※ 【訂閱頻道，每天禱告】▶http://sub.ldtmission.org → 邀請你免費訂閱晨禱頻道，讓我們每天一同委身築起晨禱祭壇，復興我們生活的每一天。 【為晨禱事工線上奉獻】▶http://give.ldtmission.org → 邀請你用奉獻一同參與晨禱事工，使我們可以持續帶領世界各地的弟兄姐妹建立每天禱告的生活。 【讓我們為你個別代禱】▶http://msg.ldtmission.org →如果你需要有人個別為你私下代禱，邀請你傳私訊到此連結，我們會有同工與你一同禱告。 【Podcast 聽晨禱祭壇】▶http://podcast.ldtmission.org →你也可以在各平台上的 Podcast 收聽晨禱祭壇。 ※ 關於我們 ※ 【LDT 官方網站】▶http://ldtmission.org 【LDT 粉絲專頁】▶http://fb.ldtmission.org 【Rogery 的禱告日記】▶http://qt.ldtmission.org ※ 經文範圍 ※ 晨禱祭壇每天所使用的經文範圍是跟《活潑的生命》的靈修經文範圍一樣。邀請大家可以在晨禱結束後，有一段經文默想禱告的時間，寫下你的靈修筆記，操練聆聽神的聲音。如果弟兄姊妹有需要的話，可以訂購《活潑的生命》QT月刊：（台灣）02-2931-9066 / www.duranno.tw 《一個火熱愛耶穌、用生命影響生命的門徒社群》 #晨禱 #敬拜 #禱告 #靈修 #讓我 #FGACYC -- Hosting provided by SoundOn

The self-hosted app that turned Chris into a family Time Lord, then we iterate on a long-desired hardware hack.Sponsored By:Jupiter Party Annual Membership: Put your support on automatic with our annual plan, and get one month of membership for free!Managed Nebula: Meet Managed Nebula from Defined Networking. A decentralized VPN built on the open-source Nebula platform that we love.Support LINUX UnpluggedLinks:

※ 如果你渴望建立每天穩定靈修的生活，加入禱告的大軍，邀請你加入【晨禱祭壇 Line 社群】▶http://line.ldtmission.org → 我們每天會即時在 Line 發送晨禱直播影片，以及每天靈修的分享，可以跟其他夥伴彼此代禱有更多的連結。 ※ 今日晨禱 ※ 【焦點經文】那領五千的隨即拿去做買賣，另外賺了五千。…但那領一千的去掘開地，把主人的銀子埋藏了。…主人說：好，你這又良善又忠心的僕人，你在不多的事上有忠心，我要把許多事派你管理；可以進來享受你主人的快樂。(太 25:16,18,21) 【今日經文】馬太福音 25:14-30 ▶https://reurl.cc/2aDYzE 【演奏歌曲】聖靈的江河 - 鋼琴獨奏 by J-vi 【敬拜歌曲】傾倒 - 讚美之泉 → Worship & Prayer Leader：楊哲豪 Rogery Yang ※ 最新文章 ※ 【03.22 禱告日記】《時時警醒預備好聖靈燈油在器皿》▶https://reurl.cc/qpOOWD 【03.21 禱告日記】《警醒忠心事奉神隨時預備主再來》▶https://reurl.cc/2aDMor 【03.20 禱告日記】《看見天地要廢去主的話不能廢去》▶https://reurl.cc/L27ZkK 【2026.02 代禱信】《換上全新皮袋迎接事奉不斷擴張》▶https://reurl.cc/3bdpQ9 ※ 最新影片 ※ 【2 月影音代禱信】▶https://youtu.be/WtH6GPP4ins ※ 晨禱邀請 ※ 【訂閱頻道，每天禱告】▶http://sub.ldtmission.org → 邀請你免費訂閱晨禱頻道，讓我們每天一同委身築起晨禱祭壇，復興我們生活的每一天。 【為晨禱事工線上奉獻】▶http://give.ldtmission.org → 邀請你用奉獻一同參與晨禱事工，使我們可以持續帶領世界各地的弟兄姐妹建立每天禱告的生活。 【讓我們為你個別代禱】▶http://msg.ldtmission.org →如果你需要有人個別為你私下代禱，邀請你傳私訊到此連結，我們會有同工與你一同禱告。 【Podcast 聽晨禱祭壇】▶http://podcast.ldtmission.org →你也可以在各平台上的 Podcast 收聽晨禱祭壇。 ※ 關於我們 ※ 【LDT 官方網站】▶http://ldtmission.org 【LDT 粉絲專頁】▶http://fb.ldtmission.org 【Rogery 的禱告日記】▶http://qt.ldtmission.org ※ 經文範圍 ※ 晨禱祭壇每天所使用的經文範圍是跟《活潑的生命》的靈修經文範圍一樣。邀請大家可以在晨禱結束後，有一段經文默想禱告的時間，寫下你的靈修筆記，操練聆聽神的聲音。如果弟兄姊妹有需要的話，可以訂購《活潑的生命》QT月刊：（台灣）02-2931-9066 / www.duranno.tw 《一個火熱愛耶穌、用生命影響生命的門徒社群》 #晨禱 #敬拜 #禱告 #靈修 #傾倒 #讚美之泉 -- Hosting provided by SoundOn

※ 如果你渴望建立每天穩定靈修的生活，加入禱告的大軍，邀請你加入【晨禱祭壇 Line 社群】▶http://line.ldtmission.org → 我們每天會即時在 Line 發送晨禱直播影片，以及每天靈修的分享，可以跟其他夥伴彼此代禱有更多的連結。 ※ 今日晨禱 ※ 【焦點經文】愚拙的拿著燈，卻不預備油；聰明的拿著燈，又預備油在器皿裡。…所以，你們要警醒；因為那日子，那時辰，你們不知道。(太 25:3-4,13) 【今日經文】馬太福音 25:1-13 ▶https://reurl.cc/R2jj2e 【演奏歌曲】奔跑不放棄 - 鋼琴獨奏 by J-vi 【敬拜歌曲】聖靈請祢來充滿我心 - 約書亞 → Worship & Prayer Leader：楊哲豪 Rogery Yang ※ 最新文章 ※ 【03.21 禱告日記】《警醒忠心事奉神隨時預備主再來》▶https://reurl.cc/2aDMor 【03.20 禱告日記】《看見天地要廢去主的話不能廢去》▶https://reurl.cc/L27ZkK 【03.19 禱告日記】《聽從主逃離災難禱告等候主降臨》▶https://reurl.cc/epmEeb 【2026.02 代禱信】《換上全新皮袋迎接事奉不斷擴張》▶https://reurl.cc/3bdpQ9 ※ 最新影片 ※ 【2 月影音代禱信】▶https://youtu.be/WtH6GPP4ins ※ 晨禱邀請 ※ 【訂閱頻道，每天禱告】▶http://sub.ldtmission.org → 邀請你免費訂閱晨禱頻道，讓我們每天一同委身築起晨禱祭壇，復興我們生活的每一天。 【為晨禱事工線上奉獻】▶http://give.ldtmission.org → 邀請你用奉獻一同參與晨禱事工，使我們可以持續帶領世界各地的弟兄姐妹建立每天禱告的生活。 【讓我們為你個別代禱】▶http://msg.ldtmission.org →如果你需要有人個別為你私下代禱，邀請你傳私訊到此連結，我們會有同工與你一同禱告。 【Podcast 聽晨禱祭壇】▶http://podcast.ldtmission.org →你也可以在各平台上的 Podcast 收聽晨禱祭壇。 ※ 關於我們 ※ 【LDT 官方網站】▶http://ldtmission.org 【LDT 粉絲專頁】▶http://fb.ldtmission.org 【Rogery 的禱告日記】▶http://qt.ldtmission.org ※ 經文範圍 ※ 晨禱祭壇每天所使用的經文範圍是跟《活潑的生命》的靈修經文範圍一樣。邀請大家可以在晨禱結束後，有一段經文默想禱告的時間，寫下你的靈修筆記，操練聆聽神的聲音。如果弟兄姊妹有需要的話，可以訂購《活潑的生命》QT月刊：（台灣）02-2931-9066 / www.duranno.tw 《一個火熱愛耶穌、用生命影響生命的門徒社群》 #晨禱 #敬拜 #禱告 #靈修 #聖靈請祢來充滿我心 #約書亞 -- Hosting provided by SoundOn

※ 如果你渴望建立每天穩定靈修的生活，加入禱告的大軍，邀請你加入【晨禱祭壇 Line 社群】▶http://line.ldtmission.org → 我們每天會即時在 Line 發送晨禱直播影片，以及每天靈修的分享，可以跟其他夥伴彼此代禱有更多的連結。 ※ 今日晨禱 ※ 【焦點經文】所以，你們要警醒，因為不知道你們的主是哪一天來到。…所以，你們也要預備，因為你們想不到的時候，人子就來了。誰是忠心有見識的僕人，為主人所派，管理家裡的人，按時分糧給他們呢？(太 24:42,44-45) 【今日經文】馬太福音 24:36-51 ▶https://reurl.cc/8e2rEb 【演奏歌曲】委身之歌 - 鋼琴獨奏 by J-vi 【敬拜歌曲】在呼召我之處 - 約書亞 → Worship & Prayer Leader：楊哲豪 Rogery Yang ※ 最新文章 ※ 【03.20 禱告日記】《看見天地要廢去主的話不能廢去》▶https://reurl.cc/L27ZkK 【03.19 禱告日記】《聽從主逃離災難禱告等候主降臨》▶https://reurl.cc/epmEeb 【03.18 禱告日記】《預備末日患難倚靠基督忍耐到底》▶https://reurl.cc/Gamqdx 【2026.02 代禱信】《換上全新皮袋迎接事奉不斷擴張》▶https://reurl.cc/3bdpQ9 ※ 最新影片 ※ 【2 月影音代禱信】▶https://youtu.be/WtH6GPP4ins ※ 晨禱邀請 ※ 【訂閱頻道，每天禱告】▶http://sub.ldtmission.org → 邀請你免費訂閱晨禱頻道，讓我們每天一同委身築起晨禱祭壇，復興我們生活的每一天。 【為晨禱事工線上奉獻】▶http://give.ldtmission.org → 邀請你用奉獻一同參與晨禱事工，使我們可以持續帶領世界各地的弟兄姐妹建立每天禱告的生活。 【讓我們為你個別代禱】▶http://msg.ldtmission.org →如果你需要有人個別為你私下代禱，邀請你傳私訊到此連結，我們會有同工與你一同禱告。 【Podcast 聽晨禱祭壇】▶http://podcast.ldtmission.org →你也可以在各平台上的 Podcast 收聽晨禱祭壇。 ※ 關於我們 ※ 【LDT 官方網站】▶http://ldtmission.org 【LDT 粉絲專頁】▶http://fb.ldtmission.org 【Rogery 的禱告日記】▶http://qt.ldtmission.org ※ 經文範圍 ※ 晨禱祭壇每天所使用的經文範圍是跟《活潑的生命》的靈修經文範圍一樣。邀請大家可以在晨禱結束後，有一段經文默想禱告的時間，寫下你的靈修筆記，操練聆聽神的聲音。如果弟兄姊妹有需要的話，可以訂購《活潑的生命》QT月刊：（台灣）02-2931-9066 / www.duranno.tw 《一個火熱愛耶穌、用生命影響生命的門徒社群》 #晨禱 #敬拜 #禱告 #靈修 #在呼召我之處 #約書亞 -- Hosting provided by SoundOn

Registered dietitian nutritionist Leyla Muedin discusses a New England Journal of Medicine paper (July 2024, cited via Holistic Primary Care) warning about drug-induced magnesium depletion, especially from diuretics, proton pump inhibitors (e.g., Nexium, Prilosec), and certain antibiotics. She notes magnesium is often not routinely measured despite links between deficiency and cardiovascular, metabolic, and neurological problems, including arrhythmias (AFib, long QT, torsades), endothelial dysfunction, and longer ICU stays. Prevalence estimates range from 7–11% (up to 20%) in hospitalized patients and 2–4% among outpatients, with higher rates among long-term PPI and diuretic users. She reviews symptoms and causes, explains limits of serum magnesium testing, highlights associations with diabetes, alcohol use, low potassium and calcium, and outlines evaluation options and oral repletion approaches, favoring better-absorbed forms like magnesium glycinate over oxide due to diarrhea risk.

※ 如果你渴望建立每天穩定靈修的生活，加入禱告的大軍，邀請你加入【晨禱祭壇 Line 社群】▶http://line.ldtmission.org → 我們每天會即時在 Line 發送晨禱直播影片，以及每天靈修的分享，可以跟其他夥伴彼此代禱有更多的連結。 ※ 今日晨禱 ※ 【焦點經文】那時，人子的兆頭要顯在天上，地上的萬族都要哀哭。他們要看見人子，有能力，有大榮耀，駕著天上的雲降臨。…我實在告訴你們，這世代還沒有過去，這些事都要成就。天地要廢去，我的話卻不能廢去。(太 24:30,34-35) 【今日經文】馬太福音 24:29-35 ▶https://reurl.cc/yOelYa 【演奏歌曲】能不能 - 鋼琴獨奏 by J-vi 【敬拜歌曲】我們歡迎君王降臨 - 讚美之泉 → Worship & Prayer Leader：楊哲豪 Rogery Yang ※ 最新文章 ※ 【03.19 禱告日記】《聽從主逃離災難禱告等候主降臨》▶https://reurl.cc/epmEeb 【03.18 禱告日記】《預備末日患難倚靠基督忍耐到底》▶https://reurl.cc/Gamqdx 【03.17 禱告日記】《讓神潔淨內心污穢不要外表粉飾》▶https://reurl.cc/Dxg3WQ 【2026.02 代禱信】《換上全新皮袋迎接事奉不斷擴張》▶https://reurl.cc/3bdpQ9 ※ 最新影片 ※ 【2 月影音代禱信】▶https://youtu.be/WtH6GPP4ins ※ 晨禱邀請 ※ 【訂閱頻道，每天禱告】▶http://sub.ldtmission.org → 邀請你免費訂閱晨禱頻道，讓我們每天一同委身築起晨禱祭壇，復興我們生活的每一天。 【為晨禱事工線上奉獻】▶http://give.ldtmission.org → 邀請你用奉獻一同參與晨禱事工，使我們可以持續帶領世界各地的弟兄姐妹建立每天禱告的生活。 【讓我們為你個別代禱】▶http://msg.ldtmission.org →如果你需要有人個別為你私下代禱，邀請你傳私訊到此連結，我們會有同工與你一同禱告。 【Podcast 聽晨禱祭壇】▶http://podcast.ldtmission.org →你也可以在各平台上的 Podcast 收聽晨禱祭壇。 ※ 關於我們 ※ 【LDT 官方網站】▶http://ldtmission.org 【LDT 粉絲專頁】▶http://fb.ldtmission.org 【Rogery 的禱告日記】▶http://qt.ldtmission.org ※ 經文範圍 ※ 晨禱祭壇每天所使用的經文範圍是跟《活潑的生命》的靈修經文範圍一樣。邀請大家可以在晨禱結束後，有一段經文默想禱告的時間，寫下你的靈修筆記，操練聆聽神的聲音。如果弟兄姊妹有需要的話，可以訂購《活潑的生命》QT月刊：（台灣）02-2931-9066 / www.duranno.tw 《一個火熱愛耶穌、用生命影響生命的門徒社群》 #晨禱 #敬拜 #禱告 #靈修 #我們歡迎君王降臨 #讚美之泉 -- Hosting provided by SoundOn

Brian Szytel recaps a volatile, mostly down trading day with a late rally that still ended negative, warning against trying to time markets off Middle East headlines as volatility persists absent de-escalation. He notes Brent spiked to 111 then closed near 107 and WTI around 95–96 amid strikes affecting global LNG and energy infrastructure, and argues oil over 100 can shave GDP over time; markets appear priced for tensions to abate, with repricing risk if the conflict drags on. Offsetting positives include $160B in Q1 tax refunds (up 14% YoY), a shift from QT to balance-sheet expansion, GSE mortgage purchases, and financial deregulation reducing bank reserve requirements. He explains Strait of Hormuz risk (20% of global supply) drives prices, with speculation playing a role; the U.S. still imports ~35% of consumption. Data: jobless claims 205 vs 215, Philly Fed beat, wholesale inventories -0.5%, new home sales 587 vs 719. 00:00 Market Volatility Recap 00:55 Oil Shock and GDP Drag 01:43 Tailwinds Stimulus 03:12 Timing the Crosscurrents 04:14 Hormuz and Price Mechanics 05:18 US Imports and Refinery Reality 05:53 Economic Data Scorecard 06:36 Close and Sign Off Links mentioned in this episode: DividendCafe.com TheBahnsenGroup.com

Today's episode comes to you from the Blue Chew studio. Get 10% off your first month of BlueChew Gold with code WHW at HTTP://BlueChew.com  On this episode of What Happened When, the voice of your childhood Tony Schiavone and host Conrad Thompson welcome Ring of Honor, AEW superstar, and One Fall Wrestling owner QT Marshal to the show! QT pulls back the curtain on his fascinating journey through professional wrestling from working behind the scenes and in the ring with AEW and ROH, to helping develop talent and building his reputation as one of the sharpest minds in the business today. QT shares stories from his time working alongside some of wrestling's biggest stars and what it's really like balancing the roles of performer, coach, and promoter. Plus, QT dives into the story behind 1FW and how the promotion came together, the vision for the company, and what fans can expect as it continues to grow in today's evolving wrestling landscape. It's a fun, insightful conversation filled with behind-the-scenes stories, career reflections, and plenty of laughs as Tony and Conrad catch up with one of the most versatile figures in modern professional wrestling on this episode of What Happened When! MORGAN & MORGAN - Morgan & Morgan is America's Largest Injury Law Firm Morgan & Morgan is giving one lucky fan the chance to win $2,000 and 2x tickets to WrestleMania 42 on April 18th & 19th in Las Vegas! To enter, all you need to do is text 'HEAT42' to 4-THE-PEOPLE (484-373-6753) and follow the prompts in your text message. For The People. For The Fans. THE PERECT JEAN - F*%k your khakis and get The Perfect Jean 15% off with the code WHW15 at https://theperfectjean.nyc/WHW15 #theperfectjeanpod BLUECHEW - Get 10% off your first month of BlueChew Gold with code WHW at http://BlueChew.com  SAVE WITH CONRAD - Stop throwing money away by paying those high interest rates on your credit card. Roll them into one low monthly payment and on top of that, skip your next two house payments. Go to https://www.savewithconrad.com  to learn more.

QT and Valkyrae are together again! Rae returns a brand new auntie to a beautiful baby boy, but while she was gone Ludwig was plotting to break up our wonderful duo...✨ Bonus Content: https://patreon.com/wineaboutit

In this episode, we are going to review antiarrhythmic drugs that clinicians may encounter in practice: Digoxin, Propafenone, Dofetilide, and a few others. While these drugs are commonly used in the management of atrial fibrillation and other rhythm disturbances, they each come with important pharmacology and safety considerations that pharmacists and healthcare providers need to recognize. Digoxin is a cardiac glycoside that increases contractility while also slowing AV node conduction through enhanced vagal tone, making it useful for rate control in atrial fibrillation, particularly in patients with heart failure. However, it has a narrow therapeutic index, and toxicity can occur if renal function declines or electrolyte abnormalities develop. Propafenone is a Class IC sodium channel blocker used primarily for rhythm control in atrial fibrillation. A key clinical pearl with this medication is that it should generally be avoided in patients with structural heart disease due to the risk of proarrhythmia. Dofetilide and sotalol are both Class III antiarrhythmics that work by blocking potassium channels and prolonging cardiac repolarization. Because of their ability to prolong the QT interval, both agents carry a risk of torsades de pointes and require careful monitoring. Dofetilide initiation typically requires hospitalization to monitor the QT interval and adjust dosing based on renal function. Sotalol also requires attention to renal function and ECG monitoring, and it has additional beta-blocking effects that can contribute to bradycardia and fatigue. Throughout this episode, we will break down the mechanisms, common clinical uses, and key safety pearls for these medications to help you better understand how they fit into arrhythmia management. Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE! Support The Podcast and Check Out These Amazing Resources! NAPLEX Study Materials BCPS Study Materials BCACP Study Materials BCGP Study Materials BCMTMS Study Materials Meded101 Guide to Nursing Pharmacology (Amazon Highly Rated) Guide to Drug Food Interactions (Amazon Best Seller) Pharmacy Technician Study Guide by Meded101

Nick from The Yard replaced Valkyrae, and be brought old Playboy's for QT! With a surprise Ludwig cameo, they talk about their latent beef, vaginas, and QT's (probable) autism. ✨ Bonus Content: https://patreon.com/wineaboutit

Leigh Ann sits down with Dr. Vershalee Shukla to explore how cancer screening is rapidly evolving beyond conventional tools like mammograms. Dr. Shukla explains why catching cancer at earlier stages can dramatically change treatment options and outcomes, and why safer screening matters more than ever as cancer rates rise in younger populations. Together, they discuss emerging technologies including QT ultrasound for breast screening, multi-cancer blood tests, whole-body MRI, and AI models designed to detect patterns long before symptoms appear. Dr. Shukla also breaks down the strengths and limitations of different liquid biopsy tests and explains why screening should be tailored to each person's age, risk factors, and history. Leigh Ann and Dr. Shukla also emphasize the importance of patient advocacy, personal responsibility, and seeking out newer technologies that may not yet be part of standard care.Product Discount Codes + LinksJuna: Website (Discount Code: LEIGHANN)Broc Shot: Website (Discount Code: LEIGHANNLINDSEY)Hoolest: Website (Discount Code: THEACCRESCENT10)Episode LinksC The Signs AIBe Sound Breast Scanning Guest InfoVincere Cancer Center - InstagramVincere Cancer Center - WebsiteRelated EpisodesPodcast Ep. 228: Dr. Lori Bouchard - The Missing Pieces in Cancer Care, Metabolism, Trauma, and Whole-Person HealingPodcast Ep. 213. Leigh Ann Lindsey - Potential Emotional Contributors to Breast Cancer Work w/Leigh AnnLearn: What is EVOX Therapy?Book: Schedule a Session or FREE Discovery CallMembership: What is The Healing Alchemy MembershipConnect w/Me & Learn MoreWebsiteInstagramTiktokYoutube

Antiarrhythmic medications are some of the most complex and high-risk drugs pharmacists encounter in clinical practice. In this episode, we break down the most important concepts pharmacists need to understand about antiarrhythmics, including the major drug classes and the clinical situations where these medications are commonly used. A major focus of the discussion is medication safety. Many antiarrhythmics carry risks such as QT prolongation, proarrhythmia, and significant drug–drug interactions. Pharmacists play a critical role in identifying these risks, monitoring electrolytes and ECG changes, and recognizing situations where therapy adjustments are necessary. We also highlight why certain medications require inpatient initiation and careful monitoring. The episode also covers practical clinical pearls, including the unique toxicity profile and interaction potential of amiodarone, how to think about rate control versus rhythm control strategies in atrial fibrillation, and the most common medication-related problems pharmacists should watch for. Whether practicing in ambulatory care, hospital, or long-term care settings, understanding antiarrhythmics can help pharmacists prevent serious complications and improve patient outcomes. Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE! Support The Podcast and Check Out These Amazing Resources! NAPLEX Study Materials BCPS Study Materials BCACP Study Materials BCGP Study Materials BCMTMS Study Materials Meded101 Guide to Nursing Pharmacology (Amazon Highly Rated) Guide to Drug Food Interactions (Amazon Best Seller) Pharmacy Technician Study Guide by Meded101

To show and share a project at 7:30pm Eastern today, view the chat or in discord https://adafru.it/discord and look for the JOIN link to join. For best results, be on a wired network connection and use a headset and microphone. Scott @ 01:25 - Zephyr native simulator memory tracking and displays Noe @09:30 - QT py neobff simple interactive light strip activated by midi controller Boian Mitov @14:26 - Vizuno features

With Rae on auntie watch, and a surprise cameo from JasonTheWeen, QT and Rae try their best to rate and offer advice to viewers who submitted online dating profiles. ✨ Bonus Content: https://patreon.com/wineaboutit

In this episode of Excess Returns, we welcome back Andy Constan of Damped Spring Advisors for a wide-ranging discussion on geopolitical risk, AI and productivity, capital flows, credit markets, fiscal policy, and the shift from US to international equities. Andy walks through the framework he uses to evaluate uncertainty, from wars and geopolitical shocks to the long-term implications of artificial intelligence, and explains why capital markets and funding conditions may matter more than bold narratives. We also explore growth, inflation, Fed policy, and the structural case for global diversification in today's macro environment.Main topics coveredA practical framework for analyzing geopolitical shocks, including red flags, green flags, and how to evaluate information quality during times of uncertaintyHow markets are pricing the current conflict with Iran across oil, equities, bonds, gold, and volatilityWhy historical market performance after wars may offer limited predictive value due to small sample sizesHow to think about AI from a macro perspective, including GDP growth versus GDP share and who ultimately captures the gainsThe capital markets implications of massive AI-related capex and whether equity and credit markets can fund current spending plansGrowth, inflation, and the Fed: how fiscal stimulus, wealth effects, QT, and labor market trends are shaping the current macro backdropWhy Andy has shifted away from US assets toward international markets, including the role of bond yields and global risk parityA critical look at the Trump accounts proposal and the broader issue of fiscal deficits and capital allocationThe key risks Andy is watching over the next three to six months, especially around credit markets and funding conditionsTimestamps00:00 Introduction and overview of discussion topics01:01 Framework for evaluating geopolitical shocks and information quality11:46 Market reaction to the Iran conflict and asset pricing implications23:00 Why historical war data may not be reliable for market forecasting27:03 How to analyze AI's impact on productivity and economic growth37:00 AI capex, credit markets, and funding risks42:24 Growth, inflation, and Fed policy in the current cycle49:20 The case for international equities over US markets56:20 Trump accounts, fiscal policy, and capital allocation01:02:23 What Andy is watching most closely in the months ahead

QT and Rae exchange super belated Christmas gifts, and speak about how complex and hard grief can be.✨ Bonus Content: https://patreon.com/wineaboutit

Today we are proud to sit down with one of QT's dedicated members, James Lollis, to talk about the organizations mission in giving back to the community. Special guest cohost, Dallas Assistant Chief Jeremy Foy and ATO Chairman Joe Meno. The Assist the Officer Foundation and the Dallas Police Department have partnered with Qt with one goal in mind: Making the Dallas Police the Department the best and making the City of Dallas the safest community. QuikTrip began in 1958 and just opened their 1200th store and has many more projects planned across Texas. Since its inception they have poured back into the communities by giving five percent, annually, in charitable donations. Across the country, communities are facing rising levels of homelessness, addiction, youth violence and strained public safety systems. This message from the hosts will detail this great company's mission and highlight the many police agencies they have assisted.   Michael Junk, Public Affairs Manager Lauren Sherry, Community Relations Manager Matt Garcia, Cornerstone   Projects discussed: Reality Based Training Village to be constructed at the Dallas Basic Police Academy QT/Fusion partnership Donation of four new blocker trucks to the Dallas Police Department Homeward Bound  

Rae and QT talk their Super Bowl experiences, Rae's tardiness on account of Squeex, and QT's debacle with the wrong colored curtains. Rae also explains how CS skins work.✨ Bonus Content: https://patreon.com/wineaboutit

Rae traveled all the way to Utah to see QT and to do a very special LIVE OUTDOOR EPISODE! EXCITING!!! Rae and QT finally have a hash out and crash out session, Rae talks about how her freezing her eggs appointment went, and QT lost betting on the grammys.✨ Bonus Content: https://patreon.com/wineaboutit

Who is Mark Ballas? – A Traitors S4 Profile Welcome to RHAP’s coverage of ALL the Traitors iterations from around the world, including New Zealand, Australia, and Canada. The Traitors US is a high-stakes reality competition set in a secluded castle, where contestants must work together to complete challenges and earn a prize pot—while rooting out the secret traitors hidden among them. Today, Pooya is joined by QT to break down Mark Ballas prior to the premiere of Traitors US Season 4. Never miss all our Traitors US recaps plus recaps from other versions around the world! LISTEN: Subscribe to The Traitors Around the World podcast feed WATCH:  Subscribe to the podcast on YouTube SUPPORT:  Become a RHAP Patron for bonus content, access to Facebook and Discord groups plus more great perks!