Everybody forced here ripping at 20 21 prism football hobby 3 box number 47 random team style Always check out the results right here. Thanks for joining everybody. Good luck on the break. All right Go to Gabriel Davis best player on the bills. He will charge on certain minors a hyper rookie Ian book Saints 167 of 175 all out silver Russell Wilson. There's all out Russell Wilson Arkes Stevenson and the one who purple Ryan Fitzpatrick Washington number 27 of 125 I'm like, what is going on noise isn't printing. I don't know what's going on over here Bolton Mons a green scope Roquan Smith bears Number nine of 75 and a silver Mike Vic Otto None numbered round tree Devonte Smith rookie got purple ice Raiders Josh Jacobs 36 out of 225 Rucky's Darden and Serrat hyper Washington Logan Thomas 58 of 175 Silver Broncos Bradley Chubb Mulden Farley purple Rams Leonard Floyd 20 of 125 silver Patriots James white Mixers down to two. I think yes down to sweet that out. I'll too big playoff MVP How funny would be if he won World Series MVP though after doing nothing for the first for the divisional series Carter Ernest Jones Red Wave Marquis Brown Ravens 139 of 149 silver rookie Trayvon mark Raiders and I think for the DS and the CS I'm not sure Jackie. We don't have we're not sure Jack. We don't have any more right now I'm not sure if we're gonna get any more Davis Mills rookie shy Smith a blue ice Deontay Johnson Steelers 65 of 99 new recruits to March ace Now he's only he's doing fine in the World Series Mack Jones base rookie Patriots Pete Werner purple ice Ricky Broncos Seth Williams 182 of 225 and a silver giant Shabril peppers Elijah Moore Jake Funk Orange Jets Chris Herndon Numbered one of 249 you Tyler Conklin scored twice today. We've got a gold vinyl coming up Yeah, we do Chavante rookie rookie Jamie Newman Eagles gold vinyl rookie Numbered five out of five you go birds Great looking card there Red Wave rookie out of Pete Werner Saints 149 of 149 another Eagles record would have been We got it we got it We got to keep that like mojo up and get a different player next time. I think Rishon Slater Pat Fryer Muth blue wave Cowboys Jalen Smith number 62 of 199 One of the charges gonna not be a cursed franchise anymore They're just cursed Cursed I say Kenzie Gore. Yeah. Yeah Had a ridiculous start to look like looked like the NL rookie of the year the first like month and a half Then what got hurt I think And then just kind of got Nationals, yeah The stuff Mackenzie Gore stuff is filthy probably best pitching prospect in baseball. That isn't like it's like him and Grayson Rodriguez I don't think he's a prospect anymore technically But like him and Grayson Rodriguez was like the best pitching prospects Green scope clays Campbell Ravens number 14 out of 75 silver Patriots Nelson Aguilore Yeah, Mackenzie Gore's filthy got nasty stuff long woo certain blue wave rookie Trey McKinney chargers With that color match 137 to 199 a Joey Bosa lockdown Kellen mon Stevenson purple ice Walter Payton bears In a gold coming up 68 to 275 bears Gold emergent rookie Kedarius Tony Giants six out of ten the new chief Go giants Nice gold rookie there for you. I Mean a Beckett 10 auto basically anything is a good deal Well, let alone a good rookie Collins McKinney purple ice color Murray Cardinals 45 out of 225 at least for ten bucks. Come on JC Horn Penny Sewell purple ice Taysum Hill Saints 154 225 silver Elijah Molden Titans Darby and right hyper Josh Allen Jaguars Numbered 142 of 175. I'd probably get it graded Kyle if you can get it for like, you know cheap for sure grade it Devontae Smith rookie he goes as long as it looks like it would get at least a nine Blue wave Nick Chubb Browns I said Jalen waddle there. I'll set the chub down for a second Jalen waddle silver rookie auto congrats Dolphins Sweet hit there Miami and blue wave Browns Nick Chubb was 138 of 199. He's got a lot of potential. I Think Chase Claypool is good. I Think he had a really hot streak his rookie years of people just like have this higher ceiling form But he's like a wide receiver two three Red wave St. Shraikwon Smith go Knights 61 of 149 Fields new recruits bears and gray orange wave nice Kyle pits Wild card points there and it's all just a moment Kyle pits orange wave nine out of 60 Falcons nice card Good box here Nick Chubb 200 yards tomorrow. I'm it's against the Bengals the Browns always beat the Bengals So I believe it Osu Kormoa to to out while rookie purple eyes bills Marquez Stevenson 14 of 225 silver Eric Ebron Steelers you I'm so excited For the World Series in one of the mixer, we're gonna have baseball fever in here Snake skin comment. We got some great parallels in this three boxes here Brightwell fields base snakeskin David Montgomery bears Nice card bears Heck yeah, we're having Jordan ETN rookie Hyper Dolphin Xavier and Howard 19 of 175 and a silver of that same player. I won more box Yeah, pretty we're like we're like really close to getting a big hit like a really close We did that gold vinyl Newman and then the snakeskin Montgomery been solid. It's a little water. All is nice Really close like a big hit here like in both boxes Maybe the third time with the charm for us Jalen waddle rookie Blue wave Jordan Love Packers 81 of 199 and silver rookie Ambrie Thomas Niners Terrace Marshall Jr. Jamar Jefferson green scope Tom Brady bucking ears It's a nice numbered Tom for you 42 of 75 Eric Stokes Micah Parsons rookie got a purple ice Shane Bachel Chiefs rookie 75 of 225 silver Ralthus burger all Packers make it again. Well third quarters over Down 17 is not terrible. I guess Chris Evans Jalen Phillips I guess it is when you can't score points purple ice Mike Evans bucking ears 137 of 225 Felton Harris hyper Saints Cameron Jordan 175 of 175 and silver ladanian Tomlinson Jabril Cox Truba Hubbard Ruby wave or sorry red wave. Well, this is chanel Jaguars 124 of 149 silver Carla Murray Vaughan Holland yummy brown purple rookie Tyler Wallace Ravens numbered 113 of 125 All out Hawkinson Ellen Hill Jamar chase rookie an orange wave trach once met Saints 54 of 60 Monty Rice Rondale Moore Noah Phant blue ice Otto Broncos 58 of 75 part of a Five and two Seattle Seahawks team orange Jeffrey Simmons Titans 133 of 249 emergent Tray Lance Remondres Stevenson rookie Levi was a Rique blue ice rookie Dolphins Devon Holland 63 of 99 and a J2 fell a Ruby way a red wave rookie out of Jaguars 100 of 149 Sermon camp purple ice Patriots tie law number 36 out of 225 That's gonna do it. Let's do the points random Wildcard points card ran up to every spot here No, no personals tonight. Well personals tomorrow 5 p.m. Eastern And 11 6 and 5 whoever's up top gets the points One two three four five six seven eight nine ten and 11 Got bears up top bears getting the points. All right recap here. We had a Snake skin bears David Montgomery gold rookie emergent Giants Cadarius Tony to 10 a Michael Vick Silverado Falcons red wave rookie out of Pete Werner Saints to 149 J2 fell a Jaguars to 149 Noah Phant Broncos to 75 a Gold vinyl Jamie Newman rookie for the Eagles Five out of five and a rookie Silverado Dolphins Jalen waddle. That'll do it for the break. Thanks again, everybody mixers coming up


Did he go partying the night before? Did he have a hangover? Well, you know what's the name? It's all of that. Mike Tyson gave him some little pack. I don't know what Mike was trying to do. Maybe Mike was trying to help Bud. But he gave him, when he went to that podcast, a little value pack. And you know, he over there getting high every day. We got the English rules. I don't know what he's saying. The Mike Tyson. Oh. Yeah, we on boss talk, one on one, one on one. Yeah, we going to talk. Going from training basketball players and football players and dealing with them. When you talk about fighting, it's totally different. It's totally different, right? But over the years, I mastered it. I got it figured out now, you know what I'm saying? But it took time. So we're working with Earl. When I first started training him, I knew what I was doing, but I didn't know what I was doing. You know what I'm saying? I knew how to get him in shape, but I didn't know how to make him a monster. Yeah. You know what I'm saying? So at first, what I was trying to do, I just had him in shape. And he going off his natural talent, natural ability. And a lot of trainers won't be transparent to be real in that regard.  And I know what his body responds to because the results speak for themselves, right? So what were you in charge of? Because when I think about a box, I think about they have multiple trainers or coach. So when you say make him a monster, I think about somebody who's making a monster as a person who's actually teaching him the techniques, the boxing, and all of that. No, no, no, no, no, that is a part of it. That's an element of a part of it. So don't get it twisted. So it was a form of a monster, you talking about making him endurance-wise? Yeah, in fact, so my philosophy was to try in his body where he was a machine. That was my, when I say make him a monster, into physically making him a machine. I don't do the boxing technique, that's not my lane. Derrick James, he's trained under your last year, he's great, been with her up before I even met him. He's phenomenal at what he do. He got a lot of great top boxers at the moment, you know what I mean? So that, Derrick James was in charge and he always been working on the technique and the game plan, et cetera, et cetera. But when I came in, my goal was to make his body unbreakable, you know what I'm saying? That when he get punched, he don't feel it. And when he punch somebody else, then he break them. Okay, here's the, and the elephant is in the room, so I definitely gotta ask you about this. Like coming out the other night, when me and my wife, we was over at my partner, I was watching this fight. And when we was over there, when he comes out, I'm looking at his face. Adrol Spence Jr.'s era, or will it be? And I'm looking at just his posture. And I was like, I was like, I'm trying to figure this is what I'm seeing out. And then when he get in the ring, I'm looking at him. But I'm still saying he don't look like the Earl Spence to me. And this was before. And that's crazy because he and I wasn't sitting together. We were sitting, I'm sitting with the girls, he's sitting with the guys. And we both felt the same exact way. Why is that? You know what I mean? Before he started fighting, I'm like, that don't look like the same Earl Spence like we normally see. No, let me stop, cause we rookies, okay?  No, no, no, listen.  No, hold on, I'm gonna show you something real quick. Let me show you something. This is, this is, this ain't no impromptu, right? Hold on. Now, what day did he fight on? He fought on Saturday, 29th. 29th, right? Now, hold on, I want you to see something real quick. What's that date say? Hold on. What did they say? Let's say the 20th. The 20th? This is a woman. This is not a man. What's she say? Earl need, let me see. Hold on, what's she say? Great to find you. Great to find you. This is a woman. Earl, Earl, from what I see, Earl need you for his strength because he is not as ripped up as he used to be when you trained him, okay, bye. And that's on the 20th. That's on the 20th. That's on the 20th. And that's somebody around.  So she knows what she talking about. So she's a trainer. You trained her. I trained her. And I got so many calls about Before the fight. Oh wait, I can show you way more receipts on people that was like, yo, we don't, like he ain't looking the same, et cetera, et cetera, et cetera. You know what I'm saying? So me, I seen a lot of things before the fight that I didn't like. You know what I'm saying? But I never spoke on it publicly because if I say something, Blue Ray or Hater?  Because he not training with you. How long ago did you stop training him? Well, I trained him for the Pacquiao fight. Okay. So that wasn't, that wasn't far. Yeah. That was like two fights before this one. So like, I had messed up. I had messed up. So six months ago you stopped training? No, no, no, no, no. That was like maybe about two years. Three years. About two years. Okay, that's what I'm trying to do. So like I said, so I trained him. 11 fights, then I went three without him. Then he brought me back for Pacquiao. Then he went two without me. Okay. So why did he stop? I have no, no, no, listen. I don't mind talking about it. I have no idea. Everybody, I've been since the day, the fight, the first fight, the Michael Garcia fight, he didn't use me. I have been getting DMs, email since, since 2018, 19, whenever you find Michael Garcia, people asking, wondering why, what matter of fact, I did a video on YouTube. Nothing ever happened. I was just over at his house for the Super Bowl. We kicked it, watched the Super Bowl together. All that.  It was, I guess it was just a business decision on his end. Like, he just chose not to train with me. Okay. For whatever reason. But when you've seen him come out, that's the question I had with you that night. What did you think? I mean, that'd be real. No, no, I don't, I don't mind. When I seen him, I just felt like he wasn't conditioned. That's what I felt like. Before he even took one punch. No, for sure. Because I seen it in the, in the, in the, what's that? The, the media workout. That he's matching game plans and wits against somebody of your caliber. Oh, yeah, yeah, yeah, yeah. Yeah, I felt like he's by the one condition. And that's just my personal opinion. Somebody of your caliber. How do you feel about Matt?  I ain't watching in detail, but when he got hit, even in the first round. That comes from with the jab. Down goes Spence. It seemed like, oh, when he hit. Favors Spence. That comes from. It didn't seem like it was the same, you know, the effectiveness was not there. Yeah. Am I tripping or did you see the same thing? No, of course. The world seen it. No, I'm just saying, cause I'm, I don't, I don't try not to be no professional, but I watched a little bit. But, but. I'm not like you though. But certain things are obvious. That's what they say. Yeah, it was obvious. So he, when he hit, it didn't seem like it had no effect. And when he got hit, it seemed like it was very effective. Okay.  That's how it looked to me. Until I saw the replay and I was like, oh, he did get hit. But that's how it looked to me. It looked like he was not, you know, the stands wasn't good, the structure, it just didn't look right to me. So that's why I felt like, okay, did he go partying the night before? Did he have a hangover?  I don't know what Mike was trying to do. Maybe Mike was trying to help Bud, but he gave him, when he went to that podcast, a little, little value pack. And you know, he over there getting high every day. We got the A.S.H.R.O.M. So I don't know, but. Well, I don't, well, me, well, I don't, well, like I say, I haven't been in the camp in a while. So you don't know certain things? I hadn't been around him in a while, you know what I mean? Cause when I was trying to him, we was together all the time. All day. You know what I'm saying? So, you know, there's a lot of things that I haven't, I can't talk about it because I'm not around like that. You know what I'm saying? But when you've seen that, being that you tied to him. I heard it. Like everybody else. I can imagine. Bro, my little boy right here, bro, let me tell you something. My little boy, I didn't even know he watched it. My little boy got YouTube on his phone. My little boy came to me and said, right, this is my, he right here, bro. He came to me because I had used that as mama house when the fight came on. So, you know, I went and watched the fight. And so in my head, I was like, man, I'm glad my little boy didn't see that. And bro, I put my right hand to God, bro. He came to me. He said, daddy, why uncle? Cause he called him Uncle EJ. He said, why uncle EJ didn't train with you? He was like, cause daddy, he don't look the same. This is an eight year old saying this. He was like, daddy, I can't ever watch that again. Bro, that broke my heart, bro. And it's crazy because if y'all were so successful together, you would have thought that he would have, you know, rocked out with you even, cause he could have had two, couldn't he? Yeah, for sure. You don't have to just have one. Yeah, no, no, he could have worked with me and another strength condition, of course. I don't have an issue with that. As long as, in my opinion, as long as they doing the things that are necessary to benefit his body and to make sure that he's at optimum shape. Yeah, for sure. Because everybody don't know what they're doing. Not because you got a big name. Don't mean you know what you're doing. Correct. Not fast. Do you think that, like you've done a lot of training, man. And your training is very extensive. Do you think it just was something that he just, was it unbearable at this time? Did you keep going? Did you pressure him so much to where he's like, man, let me get with somebody else who might know how to do it in a way to where it's not too much pressure. Cause you might be over there putting that real pressure down. You growin' every time, nigga. Like you excel like this time we gon' do 35. This time we gon' do 25. So man, so what happened was like when I first started tryin' to err, we kinda go back to what we was talkin' about earlier. I started studying Bruce Lee. Okay. So I studied Bruce Lee and my mentor, Beast, right? Beast and then another guy from a crew called a Barbarian named Devon Sosa. They call him Zef, Zachaveli. Like these two of the strongest dudes in the world. This is documented, right? They got my brothers.  And then I was studying Bruce Lee. So they gave me some advice and what I studied from Bruce Lee and what I did was I took all the information that they gave me, whipped it up and boom, and started tryin' to err a certain type of way. So me and Earl, what we would do was I'd go to work out, we would do 700 pushups and before I warm up, before he worked out, we would do 700, and I worked out with Earl. So when I trained him, I worked out with him. So I wasn't sittin' there standin' on the sideline lookin', no. I worked out with him to push him, you know what I'm sayin'? Cause to work out with me, you gotta be in shape shape. Yeah, we on boss talk one on one, one on one. Yeah, we gon' talk.


Hi. It's my pleasure to introduce to you Ellen Blix. Ellen Blix is a professor of midwifery science at Oslo and Akkerhus University College in Oslo, Norway. She was educated as a midwife in 1986. She attained an MPH in the year 2000 and a doctor, PH, in 2006. Ellen Blix has worked as a clinical midwife for 20 years, most of the time in a small local hospital in northern Norway. She's also worked in bigger university clinics as a community midwife and in projects in Lebanon, the West Bank, and Cambodia. Her research areas are place of birth, duration of labor, fetal surveillance, and normal birth. Ellen, turn on your microphone and away you go. Thank you. Thank you very much, Lorraine. Is my microphone on now, Lorraine? Yes, it is, and you sound good. Thank you. Yeah. So thank you very much for inviting me to speak at this conference, and congratulations with the International Midwifery Day. And I want to invite you to Norway during this talk. And we have just been to Romania. Thank you to Elisa and Irina for a very interesting and almost heartbreaking presentation from Romania. And this is another story in Norway. And in case you didn't know, Norway is in northern Europe. It is stretching from very far towards the north.  And we are all rich countries. And Norway is one of the richest countries in the world. We have good health systems. And we have health registries. And we have very good birth registries. And Norway, Sweden, Denmark, and also Iceland. We have a common history, a common culture. We are the same ethnic group. And we have almost the same language. In Norway, Sweden, and Denmark, we can understand each other when we talk. Norway is a very big country with few inhabitants. We are a little more than 5 million people in an area of more than 304,000 square kilometers. And that is 10 times the size of Belgium. We have a few cities, and we have huge rural areas. Here on the photo, you can see all those big blocks there. That's the barcode area in Oslo. It's the newest and most modern part of Oslo. And down there, you can see a part of the Lofoten Islands in northern Norway. We have less employment than other countries in the area and other countries than Europe. And we are rich also because we found a lot of oil 30 years ago or 40 years ago. And most women, also those with the children, are part of the work stuff. They are working outside their homes. The breastfeeding rates are among the highest in the Western world. And we have paid parental leave. And mothers and fathers can stay at home until their child is one year. And they will have some money for it. Most inhabitants are ethnic Norwegians. But we have one indigenous group. And you can see a photo of a mother and her baby and the grandmother up there in the left corner. And it is about 40,000 Sami people. And they are living in the northern part of Norway and in Sweden, Finland, and Russia as well. And they are declining because of the influence of the majority. And only a third of those who say they are Sami people, they can speak the Sami language. But it's still a living language. We have a growing immigration population. And 50% of all the inhabitants in Norway are first or second generation immigrants. But they are unequally distributed along in the country. Because in the Oslo, the capital area has more than 30% immigrants, while other areas have very few. But most of the immigrants come from Poland, from Somalia, Sweden, Lithuania, Iraq, Pakistan. And of course, we have refugees, though, from Syria and from Afghanistan and also other countries. All health care during pregnancy and childbirth is free of charge. And also, illegal immigrants are granted emergency health care. And pregnant women who are, for instance, asylum seekers who have not got the permission to stay in Norway but who still stay illegally, they are granted maternity care without risking to be arrested and deported. We probably all agree that there is a need in almost all countries for a new model for maternity system that focuses on optimizing biological, psychological, social, and cultural processes and strengthening women's capabilities. And I think that most of you are familiar with this model or framework from the Lancet series on Midwifery from 2014. Now I will tell you about Midwifery and maternity care in Norway, but we should have this model in mind. And in the end of the talk, we can see what is working well and where there might be need for improvements or change. And we should also think about if our practice is in line with evidence-based recommendations. We have strong evidence for recommending continuity of care. We have strong evidence for recommending intermittent auscultation in low risk labor. And we have strong evidence for one-to-one care during the active phase of labor. We are about 3,000 registered midwives in Norway. And we've worked at the most countries in antenatal interpartum and postpartum care, most of us. I know a little about Midwifery education. Almost 200 years ago, we had the first Midwifery school in Norway. And that is a school where I am working now. So we have educated midwives for almost 200 years. And we will have a big celebration in 2018. As in many other European cities, there was a public maternal hospital where poor women and unmarried women could be cared for free. And midwives and medical students could be trained. And 200 years ago, to be trained as a midwife, you should not be younger than 20 years old and not more than 30 years old. And married women with own children were preferred with experience from childbirth. And they were supposed to be good women. So they had to go to the priest in the town or the place they came from. And he should recommend them. And it was not necessary that they could read in that time. But it was an advantage. But to become a midwife today, you have to be a qualified nurse first and have a bachelor in nursing. And with minimum one-year work experience as a nurse. So we do not have direct entry in midwifery schools in Norway. We have five schools. And two of them offers midwifery education at the master's level. And that is the one in Oslo and in Tensberg, number four and five. The others are working towards master's programs. And it takes two years in the midwifery school to become a midwife. And a total of one year is clinical practice. And the rest is theory. As in other countries, the role of the midwife is supposed to be that she is an autonomous practitioner in pregnancy, childbirth, and post-natal care. And we also have a role in women's sexual and reproductive health, even if midwives that, even if few midwives are working within these areas. But you can be a counselor in anti-conception and give advice to women with problems in their menopause also. And the organization of maternity care in Norway is that anti-natal care is both in primary and secondary care. Birth care is almost only in secondary care, apart from a few home births that are taken care of by independent midwives. And post-natal care is also in primary and secondary care. And now, in this lecture, I will just talk a little about anti-natal and post-natal care and concentrate on intrapartum care. And in anti-natal care, women are cared for by midwives and GPs. And we have national guidelines from the health authority. And they are very good. They are evidence-based. They are a bit old. They are from 2005, but they are under revision now. And according to these guidelines, the women should be able to choose between a midwife or a GP, or she can go to both. I mixed you that they share the anti-natal care. But many places, there are too few midwives employed to offer midwifery care to all women. And there are also some professional tensions or conflicts and who is going to be the lead carer in anti-natal care. And for the time being, it is more or less a GP. And healthy women will have a routine ultrasound screening at the hospital, but the rest of the check-ups and will be in the primary care. And midwifery practice in anti-natal care is like many other countries. As you can see here on the list, and what is special in Norway is probably that we have midwives working with preventing tick-leaves in pregnant women. I don't know if that's so common in other countries. And that is that big organizations or municipalities, they will employ a midwife. And she will go around to ensure that the pregnant women working there have good work conditions so that they don't go early on in the sick leave. And that can be things that they can have a good chair to sit in or the possibility to have a five-minute rest every hour and put their legs up. Or maybe she should do something else than her usual tasks. And this has been a success. A lot of the rates of sick leave in pregnancy has declined very much since this was introduced. It's not everywhere, but it is many places. And then postnatal care, that women are usually offered a very short stay in hospital. And some hospital offer postnatal care in a patient hotel where the woman can have a room and where she can stay with her husband or partner and see who she wants. And she can have health if she needs that. And the rest of the care should be in primary care. And some years ago, we had a health reform indicating that women and also other patients should stay as short as possible in the hospital and then follow up and should be done in primary care. But when it comes to maternity care, the women are discharged from the hospital early, but the municipalities who should take the primary care have not been stuffed up to take care of the women in their home. But it will hopefully improve. And also we have national guidelines for postnatal care. They are very good, and they are at the best place. And very good, promoting women's own abilities and promoting breastfeeding. What is probably special about Norway is our high breastfeeding rate. And we have a long tradition of that. And we also have a national advisory unit on breastfeeding. And this is financed by the health authority. And their tasks are to increase knowledge and establish and monitor best practice standards. And that is the baby-friendly hospitals and baby-friendly neonatal units and baby-friendly health stations and so on. And to do research, and they give advice to health authorities and health care providers, not to mothers. And they are staffed also by midwives and others with special education on breastfeeding. We do not have any representative users' organizations for maternity care, and that's a pity, and I hope it will come. But we do have a strong users' organization for promoting and supporting breastfeeding. And they consist of mothers with experience of breastfeeding and special training in counseling. And mothers who have the problems or questions can call or send an email, and they will get help. And they also work politically. And then I will talk more about intrapartum care. But first I would like to say that Norway and also the other Nordic countries are good and safe places to give birth and to be born compared to other places in the world. We just heard how it was in Romania, for instance. We have access to free health care during pregnancy and childbirth, and they are well organized and free of charge healthcare and vaccination programs for all children. Mothers and also fathers can have a leave to take care of the new child. And we have access to clean water, to safe and good housing. Everybody can have an education. And there are rights for women, there are rights for employees, and for children. There is, for instance, it's forbidden to beat and hit children in Norway. And in general we get decent paid for our work, and when we get old we can retire and we still have money to live for. But everything is, of course, not perfect. For example, there is a small but increasing group of poor people here in Norway, as well as in other countries, falling outside the society, and this causes unhelp. Also when it comes to maternal and neonatal outcomes. And maternal death is death in a woman during pregnancy and within 42 days after birth or abortion. And the maternal mortality rate in Norway is 7 per 100,000 live births. And we just heard that it was 31 in Romania, so that is much higher. And this is about four women every year in Norway. And most midwives are so lucky that we have never experienced that a mother died. And the rate is varying widely across the world. The lowest is in Singapore with three, and the highest in Chad with 1,100 per 100,000 live births. If we in Norway had the same rate as Chad, almost 700 mothers would have died every year. And that is two mothers every day. And perinatal deaths and stillborns are stillborns and deaths in the first seven days of life. And it is 3.5 in Norway and that's among the lowest in the world. And this has been stable for about the last 10 years. And this means in crude numbers it means that we have about 230 perinatal deaths every year. The global perinatal mortality rate is 20 per 1,000 births. And it's 47 where it is highest. So while medicalization of normal births is a serious problem in Western countries, the problem in poor countries is lack of access to medical care and of course poverty. Because poor people are carrying the heaviest burden here. I am so lucky that I have grandchildren and when my daughters-in-law and my daughter were in labor, I was not worried about their lives or the lives of the babies. I was worrying about if they got good support from their midwives to manage labor pain, about a necessary intervention and I was very worried about early clamping of the cord and matters like that. If I had been living in Chad, for instance, I would have been worried about the life of my daughter or daughter-in-law and about the child. When it comes to intrapartum care, it is mainly in hospitals. But there is a midwife attending absolutely all births. Also if there is an electric caesarean section, a midwife will take care of the woman before the caesarean, she will take her down to the operation theater and take care of the baby afterwards and make sure that the woman can have the baby as soon as possible. And remember I told you about the guidelines for postnatal and antenatal care. We also have guidelines for intrapartum care, but they are not made by the health authorities. They are made by the association of gynecologists and obstetricians. And they have taken some midwives with them while making these guidelines, but not users and the quality could have been better. So I hope that health authorities will also make guidelines in the future. And Norway also has a principle of differentiated maternity care and that is a parliament resolution from 2001 and again in 2009. The aim is to offer women individual and appropriate care and to avoid medical intervention, having little proven benefit in low risk labors. And we have 46 birth institutions and almost 60,000 births every year. And maternity care is organized at three levels. I will talk about that a little later. This map shows birthing institutions in Norway. There are 40 of them are in hospital and six are freestanding midwifery units. The freestanding midwifery units, they are organized under a hospital. So they are in secondary care. And there are also four alongside midwifery units in hospital. The number of birthing institutions has declined over time. In 1980 it was almost 100 institutions and now it is 46. And now about the three levels of care. It is specialized unit in bigger hospitals and it is units in smaller hospitals and then it is midwifery led units and we also have home births. And level one, it is specialized unit in bigger hospitals and they usually have more than 1,500 birth annually. And there are midwives of patricians, pediatricians and anesthesiologists available all the time and they have neonatal intensive care unit close to the delivery unit. And there are also some other rules. They are both equipment and that they should do research. And so on. And the next level is level two, that is delivery unit in smaller hospitals. And they usually have between 1,500 and 400 birth annually. And there will always be a midwife present and the obstetricians and anesthesiologists will be on call. And some of these hospitals also have a pediatric service but not an intensive unit. And there are selection criteria. Women with some special conditions will be referred to level one hospital. And within our hospitals, within level one and two hospitals we have differentiated care within the unit. And that means that at admission when the woman comes to the unit in labor the attending midwife will make a selection and she will decide if the woman is low risk or if she has a higher risk for complications. And low risk women are often called green group women and those with risk for complications are called red women. And then they are allocated to green or red care. But they will be in the same unit. And the obstetricians will not be involved in the low risk women, the green women. And low risk women should for example not have a TTG going on. That would be intermittent auscultation. And then the selection process will of course go on through all the birth. So the woman will be allocated to a red group if there will be some complications or if she has an epidural also. And we have a few alongside midwifery units in Norway and they are all in bigger university hospitals. And we have had, we used to have two more but both of them are closed in spite of good results. And they're closed for political reasons and economical reasons. And about 7-8% of all births in Norway are in a longside unit. And water births are quite common in these units and also in some hospital units. And two of these hospitals to have a longside unit, they have decided that all low risk women should start labor in the alongside unit. And the idea behind this is that it may will promote more normal births. And we have a few free standing midwifery units and most of five of them, six units and five of them are in northern Norway. And in the northern part of Norway almost 10% of all births are in free standing unit. And as I told you, Norway is a very big country and northern Norway is almost half of the country but there is only 10% of the population are living there. So it's between four and five thousand births in northern Norway. But they have five free standing midwifery units and five hospitals there. So there are a lot of institutions but few births. And these free standing units, they are usually connected to a health center or a small local hospital without obstetric unit. And there are about 600 births on these six units annually all together. And there are usually long distances to the nearest obstetric unit from 16 to 28 kilometers. And sometimes that involves a ferry or a mountain passage also. And the Norwegian health authorities do not organize home births and the woman herself must find a midwife willing to assist the birth. But the health authorities will pay the midwife for assisting the birth but not for being on call or for transport to the woman's home. Home births are most common in and around the biggest cities and not the very common in rural areas. And we have national guidelines for planned home births and they are quite good and they are... I will say that they are evident space. I wasn't the group making these guidelines. But it's quite a pity that so few women are choosing to birth at home but there are few midwives willing to attend home births. So it's not common and many women have never heard about home births. So if we look, as I told you, we have a decentralized system in Norway and we have many small institutions. But if we look at the total births, we can see that half of all births were happening in five hospitals, five bigger hospitals. And 28% of all births were in eight medium big hospitals. So three quarters of all births are in 13 hospitals altogether. And then 17% of all births were in 11 institutions with a size from 500 to 1,500 births. And they have small proportion in 22 institutions, small institutions. So we have small hospitals also. And we have a few planned home births. We have more unplanned home births than planned home births actually. And we also, of course, have some births happening during transport to the hospital. Our caesarean section rate is about 17%. And we have 10% of the operated vaginal deliveries. But the caesarean section rate varies between institutions from 13 to 26%. So there are variations. And here is the showing variation, but this is not between institutions. This is between regions. So it's quite, it's big differences. There is on the western part of Norway where you see this yellow line, they have only almost 14% caesarean. And there are hospitals who have even a little less than that. And other interventions in labor, we have an increasing rate of induction of labor and it is 18% no. We have 16% epithetotomies. And oxytocin augmentation, they are at least 35%, probably more. And one third of all women have epidural analgesia during labor. And these are interventions when not induction of labor, but epithetotomies and oxytocin and also epidural analgesia, the bed work can influence much on that. And all epithetotomies are usually cut by the bed work. And we can see there are great variations in epithetomy rates also across the country between different regions. And they are varying. And this is the variation in oxytocin augmentation rate that is also varying quite a lot across the country. And we have this differentiated birth care, but what are the effects of the differentiated birth care in Norway? And what is evaluated in the different sort of unit? And as I said, Norway is one of the richest countries in the world. And then I think also we have a responsibility to do research, to spend some of the money on research on our healthcare system. So I have tried to find out what is done in evaluating this different kind of unit. And these are studies on midwifery led alongside units in Norway. And we have only three studies about that. And these three, they are all led by midwives, these studies. And the first one, Lukaste, that is an observational study describing the transfers and outcomes of women who plan to give birth in the ABC unit, alongside midwifery unit in Oslo. And the next one is a cohort study comparing healthy prima paris women who started labor in an alongside unit with a comparable group who gave birth in the conventional obstetric unit in the same clinic. And the third one is a randomized controlled trial where women were randomized to three different units and the outcomes were compared. And we have found, and these studies report the same what we see from other countries, that there are less interventions in labor in women who start care in midwifery led units. But we could not, none of, neither Aida or Barnett could report a significant difference.


We got Richard Blyre on the bump for Miami, he's having a pretty good season and they're asking him to hold on to the one-run lead in this game. It's brought to you by DraftKings. Download the DraftKings Sportsbook app. Use promo code Johnboy when you do and bet on the Yankees, Twins and Braves to not cover. They're the worst at covering this season. All right, Blyre's on the bump. Nats are losing, they're down one. Miami's up three to two, but we got a lead off runner, scratch that, reverse it. There's one out, but now there's a runner on second and now there's two outs.  He kind of kicks it, runs scores, he drops it, doesn't matter, but Blyre's not happy because the game is now tied. He's frustrated and that's going to lead to him getting more frustrated. Gets a nice strike call there, doesn't get that one and that one off the batter's foot and this one off the batter's arm and they all point to the first base something to try and appeal it and he says, no, he didn't swing.  The batter's looking at him like, hey man, be cool. Like I'm kind of in pain and I don't know, I'll care about me a little bit as a human and also I didn't swing.  It hit my wrist before I even swung at all.      Now the ump's going to walk over to him and kind of just appease him a little bit. I'm guessing because of what he says later that this ump's like, well yeah, I thought it might have swung but I got to appeal. It's not my call to make. I'm watching the ball. I appeal. By the way, give me your glove. Let me check to see if you're cheating but it's all good and Blyre's like, oh, this is what he sees so maybe he sees the bat like, like there and he's like, that's a swing or he's just in the heat of the moment. He's frustrated at everything else because look at the side view. By the time the ball hits his hand, it's not a swing at all. I mean that's when he gets hit and then like even after he gets hit, it still never was a swing but he's mad about it.     Gives him the finger. Rarely seen. Middle finger to the ump. Ump says get out of here.   That man was like, get out of here.  He's mad about it. Now he's going to go watch the replay and he's going to be like, oh man, maybe that dude didn't swing at all but I was just mad because I gave up the lead and then I put the go-ahead runners on base so that's on me.  Bet on teams. Lose bets. Get mad. Feel emotions. They're emotion makers. DraftKings Sportsbook. Download the app. Bet responsibly.


A new approach for engineering tendon tissue to help heal tears in the anterior cruciate ligament, or ACL, may produce better outcomes than traditional repair methods. Typically, ACL reconstruction involves replacing the torn ligament with a graft, but autographs carry a risk of donor site morbidity and allographs can lead to poor graft incorporation as well as the possibility of disease transmission. Now, researchers based in the Republic of Korea have combined tissue engineering and stem cell technology to produce lab-grown grafts that can help overcome many of these limitations. To engineer the grafts, the team started with small pieces of tendon that were surgically extracted from pigs. The tissues were decelularized to provide a fresh scaffold for the growth of new cells, specifically human bone marrow-derived stem cells. The reseeded constructs were placed in custom designed dynamic bioreactors, which simultaneously applied tension and torsion to the growing tissue. This allowed the stem cells to mature within an environment that mimicked the mechanical forces produced by the knee. The tissues responded favorably to the mechanical conditioning. Compared to fresh tendons cultured in static incubators and reactor culture tendons that have not been resellularized, the reseeded tendons showed higher expression of tendon-specific biomarkers. They also had significantly higher levels of the extracellular matrix proteins collagen and glycosaminoglycan, supporting that the stem cells had acquired the traits of tendon cells. The dynamic bioreactors also enhanced the graft's biomechanical properties, one of the most important requirements for an ACL graft. After seven days in dynamic culture, the engineered tendons showed a significant increase in ultimate tensile load, calculated as the maximum load before failure, compared to freshly harvested tendons grown in static culture. Moreover, when used to repair a model of ACL rupture, the ultimate tensile load of the engineered grafts reached 80% of that measured in native ACL by 12 weeks after implantation. The grafts also appeared to be safe, producing no evidence of inflammation or immune reaction. Although these findings must still be replicated in humans, they serve as an important proof of concept that tendon tissue engineering, using dynamic bioreactors, holds promise for translation into clinical applications.


I'm delighted now to be speaking to Mark English, who joins us. He's taken time out from his full-time training camp ahead of the Europeans to look ahead to that event and speak all things athletics. Good to see you, Mark. Good to talk to you. Good to see you, Arshine. Thanks for having me. I wasn't delighted to have you on before we look ahead to the Europeans next week. Maybe we'll recap over the last couple of weeks. A ninth national championship at the indoors recently. You looked very comfortable in it, Mark. Was winning a national title for a ninth time still mean as much to you as what it was for the first couple of occasions? Thanks very much. It certainly wasn't, it was certainly a tough race anyway because Roland Serles is a great competitor but it was definitely an achievement that I value a lot when my ninth national title is always something that I've wanted to do and yeah, as I say, I'll continue to race my national championships and to win as many as I can. And you carried that form obviously into Spain earlier this week where you looked very comfortable in that race in Madrid, Mark. Yeah, again, it was a very competitive race. You had Pablo Sanchez and Validaris from Spain there. You had Kyle Langford who finished fourth at the World Championships in 2017. So good quality field and I was very happy to come away with the win, especially with the upcoming European Championships so it's all positive. Are you comfortable? I don't use the word comfortable on several occasions already, but are you comfortable with life at the minute and where you're at on the track and off it? Yeah, like I'm just trying to get the most out of myself. So training is going well and we'll see next week how I get on the European Championships. You're now a full-time athlete. How has that differed, Mark, from where it was a number of years ago where you were trying to juggle the books, you were trying to become the doctor and you were trying to be the best athlete and put in the best performance as you could. What's different over the last couple of years now? What's different this time around for Mark English? How does it differ from what you were doing? So I think I said last year about how it was important for me to have time off in the work in order to recover from my speed sessions. And it still remains that way because when I'm doing really hard sprint workouts, I need to let the body recover and being off of my feet allows me to recover in order to do the next hard workout. So, yeah, from that point of view, it's been really, really helpful. Does it mean as well that you're doing more sessions as a full-time athlete? Well, I suppose if you're looking at the speed sessions, it means that I'm kind of getting more out of them. So if you're looking at it that way, it's probably more accurate. But yeah, so it's definitely helping with my training. Yeah. Do you still feel that you have it in the legs the same way you did 10 years ago, Mark? Yeah, I definitely do. Like I think at the minute, I know a lot more about how to get the most out of my body than I did 10 years ago. And that means a lot when you're coming to 800 meter running, especially at a championship level. Yeah. And obviously, you've got a great work in relationship with your coach Phelan. So you have? Yeah, Phelan was a really good coach to have. I switched over to Phelan towards the end of 2020. And he's just been able to keep me really accountable during my training sessions and the training group at the Dortmund Track Club has been really good from like a social outlet after training. It allows me to help recover quicker and get ready for the next workout. So it's been really, really helpful. Yeah. What's the workouts like between now and when you take to the track for the first time for the heats and the Europeans next weekend, Mark? So the work is primarily done now. It's just about tapering for next week and making sure that I'm not doing anything that could injure me or set me back. So I'll just keep the legs taken and make sure that I'm ready to go for next week. Yeah. Did that race and Spain then earlier this week give you an indication? Yeah, you're ready. You have the work done here. Yeah. Look, I know I'm ready to go. But equally, there's maybe 10 or 12 other athletes who are ready to go as well. It'll be a very tough competition and I don't want to get out there. It'll be challenging, but I'm ready for it. Yeah. What are you expecting of yourself then next week? Do you see, do you look at us that you have to meddle here? Because you meddled in 2019, you won a bronze and obviously you were a silver medalist previously as well at a door as a medal. The ultimate target for you. Is this what you want? Well, of course, like everyone racing in the eight hundred meters, we'd all have a medal, but, you know, it will be tough. It'll be very competitive. I was chatting to Eric Sawinski there, the pacemaker on the circuit recently about the standards of competition. And he just said it's very high over eight hundred meters at the minute. And then I'd agree with them. It is, you know, and I just I just hope to be able to give it my best shot when I get out there next week. Yeah. Yeah. And then, of course, obviously down the line, then we've got Paris to come this this year as well. So it's it's a huge year.  Yeah, I know. Twenty three is a big year. There's an opportunity to qualify for the Olympics and to get over to Paris then for the games on twenty four. And who knows, it's it's not that far to even drive. So I might even be able to drive down to Paris with the the diesel car at Ireland that's been supplied by MCR group as well, you know. But yeah, it's it's an exciting time to head and I'm looking forward to it. Yeah. What do you need to do to qualify for the Olympics, Mark? Well, I can either run the the automatic standard, which has now increased from where it was at. I think it's at one forty four seven. So I can run that time or I can qualify through the rankings. And I won't know that until twenty twenty four when that's all finalised. So they're the two ways. Yeah, just reflecting back on the last cycle that the Olympics. So you needed it. Was it the rankings that you needed to get through on the last occasion? For the Olympic games. Yeah. Yeah. I actually ran the standard in the end. So it ended up that there were no athletes qualified through the ranking system for the eight hundred meters. So the Olympics in twenty twenty one is just whoever had ran the standard. It just happened to happen that the Olympics and eight hundred meters that he was really, really competitive. So who knows, it might be the same again next time, and I might need to run the standard. I mean, it's just as competitive, if not more, because there's lots of guys that are staying in the sport and you have lots of young guys coming up. So it's very competitive. Yeah, I suppose if you make it as far as the Olympics and in Paris as well next year, Mark, we have a closer to home, we have a bit more support. There'll be quite a few looking to go that way. Yeah, it's it's amazing. Even racing in Madrid there recently, there was a group of Irish under twenty athletes over competing in this DNA. That is competition is great of their support. But yeah, like with Paris being so close, it's hopefully there'll be an Irish contingent over to support. Yeah, well, listen, there's a lot to go on between now and when the Olympics come around in Paris next year. Obviously, we've got the Europeans next to come next week. There's a sort of good feeling around Irish athletics at the moment off the back of recent competitions. It's very much on the up mark. Yeah, no, for sure. Like you've got lots of guys there, like Israel at only in the 60 meters. I think he runs six fifty sevens at there and broke the record. Yeah, amazing, amazing race. So he'll be in good stead now coming to European championships. And, you know, if you're McGean, there's no she's not competing at the European indoors, but she's she'll be hoping to go well in the outdoors as well. And Rashida, she's a very good indoor season to over 400 meters. So, yeah, look, it's it's very positive. And and things are looking good. Yeah, OK, just finally, then I'm going to touch on the Donegal Sports Star Award for for 2022. You were named the overall winner. You've won that now several times. We didn't get to speak to you after after it, Mark. But how much does that mean to you to win the Sports Star Award? Because you do hold home very, very close to your heart. Yeah, look, it means a lot. Very happy to come away with the word. Very pleased. It's an amazing honour, as I said in the in the video. And I'm very thankful that, you know, I've just been recognised for my achievements for 2022. Yeah, and the achievements last year, obviously, was the bronze medal on the 800. Another medal on the 800 this time around would be nice, Mark. Certainly, it was OK. Well, listen, many thanks for joining us, Mark. And we wish you every success and the best of luck with the indoors in Istanbul and Turkey next week. Thanks, Wendy and Ashin.


Hey everyone, this is Dan with a new episode of my ASML videos. The last time I posted a video on ASML was November 3rd of last year. I have not made another video on ASML in the last 8 months because the market has been trending down since the beginning of the year. The market rebounded a little bit in the last 3-4 weeks and the CHIPS Act that was signed by President Biden on August 9th also gave semiconductor stocks an extra boost. We see the price of ASML recovered more than 12% in the last 3 weeks. I believe at the current price of $545 a share, ASML is oversold and undervalued. In this video, I will show you my step-by-step fundamental and technical analysis of ASML. First, let's see how the price of ASML has been trending since the beginning of the year. As you can see, ASML underperformed compared to SPY and QQQ. ASML is down 31%, it also underperformed compared to the semiconductor EDF SMH which is down 25%. Yesterday, SPY which represents the movement of S&P 500 is down 11% and QQQ which represents the movement of NASDA 100 is down 19%. If you look at the one-month chart, we see a very different picture. ASML is up 9.4% and has performed better than the broad market and better than the SMH EDF. ASML rebounded with the broad market of course in the last 3-4 weeks and also got an extra boost from the CHIPS Act that was signed by President Biden on August 9th. I will talk more about the CHIPS Act in the next few minutes. What does ASML do? It is a company that develops and produces advanced semiconductor equipment systems. Their main products are the extreme ultraviolet lithography systems also called the EUV system and they also produce the deep ultraviolet lithography systems also called the DUV systems. ASML has the monopoly on the EUV market because their technologies are so much more advanced than their competitors. They also have a near monopoly on the DUV market with 88% of the market share. ASML's dominance in the EUV and DUV market has ensured a steady stream of profits and cash flow for the company. The second quarter earnings of ASML were posted on July 20th. Their revenues and EPS beat the endless estimates. Sales were solid in spite of the slowdown of the semiconductor industry. They have implemented this fast shipping process, which I will explain more in the next slide. Because of the delay in revenue recognition, the full year guidance has been cut from 20% growth to 10% growth for sales for 2022. The EUV systems are 49.6% of the sales yet today and the DUV systems are 55.5% of their sales. Net margin improved slightly from 25.8% to 26%. We have been experiencing supply chain issues in Q2. The supply chain issues are expected to extend into Q3. In other words, the constraint on ASML sales is not the lack of customer orders. It's because ASML cannot build the EUV and DUV machines fast enough to meet customer demands. Let's try to understand what they mean by fast shipping. ASML is now shipping its machines as soon as they leave the factory before the engineers have completed the final tests. In other words, more testing will be done at the customer sites. This will allow the customers to begin running semiconductor wafers sooner. The company said that they did not recognize revenues from the machine sales until the machines were fully qualified. Because of this delay in revenue recognition, ASML was able to recognize revenues for only 12 EUV machines in Q2 even though they shipped 14 of them. After the year 2022, ASML will ship 55 systems but will only recognize revenues for 40 of them. Because of the delay in revenue recognition, sales growth will only be 10% for 2022 as opposed to the initial guidance of 20%. In my opinion, if they are shipping the machine sooner, they should be able to recognize the revenue sooner and not later. I believe the real reason for delay in revenue recognition is that ASML management wants to do income smoothing, which is a fairly common practice among well-managed companies. I believe ASML management wants to defer some of the revenues from 2022 into the future because they see the possibility of a global economic slowdown within the next couple of years. Regardless, I still believe ASML is a good investment choice. I will explain that in the next few minutes. Let's look at a few charts showing the finances of ASML. First, let's look at sales. ASML is represented by the black line here. With the exception of a dip in 2015 and 2016, the sales of ASML have grown impressively in the last few years. Compared to the industry average, which is the blue line here, ASML's sales growth has been pretty steady from 2018 to today. We are able to avoid the sales dip in 2019 and 2020, which was experienced by the industry. That's one of the reasons why I believe ASML management is trying to do income smoothing in 2022 in order to avoid showing a dip in 2023 or 2024. The earnings per share has certainly been growing very steadily over the last few years. The debt to capital ratio is comparable to the industry average. The return on equity certainly has been shooting up because of their technology leadership in the EUV market, which has a high profit margin. Overall, we can see from these charts that ASML is a well-managed company, which has been generating revenues and profits very steadily in the last few years. If you like what you've seen so far, I'd like to suggest for you to click the like, subscribe and notification buttons that will enable you to receive notifications when I post my next video. It'll also encourage me to make more videos like this in the future. Thank you very much. Let's continue. We'll have a lot of interesting stuff to cover. To understand the near-term future of ASML, we have to be aware of the CHIPS Act that was signed into law on August 9, 2022. The CHIPS Act will provide $52.7 billion to incentivize the US semiconductor industry. It includes $39 billion in manufacturing incentives. Since ASML supplies the EUV and DUV machines that are needed for all the advanced semiconductor plants, ASML will definitely benefit from the CHIPS Act when semiconductor companies build new fat plants in the United States in the next few years. The European Union also passed their version of the CHIPS Act back in March, which will provide 15 billion euros to incentivize the building of fat plants in Europe. At the individual company level, Intel announced that they would invest $20 billion in the US to build fat plants in the next two to three years, and that they would invest $36 billion in Europe. Taiwan Semiconductor announced that they would be spending $100 billion in the next three years to build fat plants in Taiwan, US, and Japan. Samsung announced that they would invest $300 billion through 2030 to build fat plants in Korea and in the US, including investing $200 billion on 11 plants in Texas. These new plants by Intel, Taiwan Semiconductor, and Samsung will all be needing the EUV and DUV machines from ASML. With impressive profits and cash flow generated in the last few years, ASML management has been rewarding their shareholders by doing aggressive stock buybacks. In this chart, we can see that from 2017 to 2021, the company has bought back the equivalent of 7.5% of their total market cap. This is a table from the ASML's second quarter financial report. We can see that the EUV machines between 2021 and 2022 went from 40.4% of the total sales to 39.6%, which is basically unchanged. The EUV machines make up more than 50% of the total sales. Some analysts have been voicing concerns about the geopolitical risk of ASML as related to the US potentially banning the sales of DUV machines to China. The US already banned the sales of EUV machines to China since late 2020. Another geopolitical concern is the possibility of war between China and Taiwan. Taiwan semiconductor is the biggest customer of ASML and almost all of Taiwan's semiconductor fab plants are located in Taiwan. From this chart, we see that China is only about 15% to 16% of the sales of ASML in 2021 and 2022. If the sales to China becomes zero because of the existing and future bans on EUV and DUV equipment, then the percentage here will become zero, which will be the immediate impact to the revenues. However, if there is indeed a total ban on China, the other countries will most likely start building more fab plants to backfill the void, which will actually generate even more businesses for ASML. With regard to Taiwan, indeed Taiwan makes up 31-34% of the ASML total sales. If there is a war in Taiwan, the production of semiconductors in Taiwan will be disrupted, which will cause considerable disruption to the worldwide semiconductor supply chain, especially related to the most advanced 7-5 nanometer chips. I've shown in one of the slides a couple minutes ago that Taiwan semiconductor is in the process of building a large fab plant in the United States, which will certainly have the EUV and DUV machines from ASML. If the production of semiconductors in Taiwan were disrupted, I'm pretty sure Taiwan semiconductor will be sending many of their engineers to the United States and to the rest of the world, and that they will be building even more fab plants to backfill the void. That means there will be more businesses for ASML if there is a war in Taiwan. I'm therefore not worried about these so-called geopolitical risks related to ASML. The 5 nanometer chips are the most technologically advanced chips that are mass produced in the world today. This is a list of all the 5 nanometer chips. They are all made by the EUV machines from ASML. DUV machines provided by ASML and other companies are not capable of making chips that are 5 nanometer or smaller. P-E-Z-Y is a Japanese company that specializes in providing chips for supercomputers. Apple, as you know, is a very successful cell phone company with some of the most advanced and most expensive cell phones in the world. AMD excels in producing processors for PCs, data centers, and supercomputers. Mediatek makes their high-end cell phones with the 5 nanometer chips. NVIDIA uses 5 nanometer technology to make the fastest graphic processors in the world. These processors are used for computer graphics, artificial intelligence, and cryptocurrency mining. Samsung uses their 5 nanometer chips for their high-end cell phones. Qualcomm uses their 5 nanometer chips for cell phones and for gaming. High-silicon is a subsidiary of Huawei because of the US ban on Huawei, the 5 nanometer high-silicon chips are no longer in production. The next generation of chips after 5 nanometer will be the 4 nanometer chips and the 3 nanometer chips they will all need to be produced by the ASML EUV machines. Because the dimensions of the chips get smaller from 7 to 5 to 4 to 3 nanometers, the processors become faster, the power consumption is reduced, and the heat generation is also reduced. For companies that want to make very competitive cell phones, PCs, data center processors, gaming devices, and processors for 3D graphics and artificial intelligence, they will always want to get the fastest processors with the least amount of power consumption and heat generation. I see therefore the never-ending demands for more and more advanced processors which will lead to more and more demands for the ASML EUV machines in the next few years. Now if the world economy will be slowing down substantially in the next year or so, I believe the segment of the industry that will be most impacted will be the lower end of the semiconductor industry that supplies the automotive and home-applying segments. The segment that covers the leading edge technologies, which is supplied by ASML, will most likely remain to be very strong, especially when the wealthiest nations in the world consider having fat plants located within their geographic boundaries to be a national security issue. These wealthy nations will be subsidizing the building of fat plants in the next two to three years regardless of whether there is a recession or not. These are the reasons why I am so bullish on ASML. Let's look at the valuation of ASML. First, I look at the PE ratios and PEC ratios of the leading semiconductor companies. Currently ASML has a trailing PE ratio of 39, which is on the high side, but I believe their solid growth in recent years justifies this high PE ratio. The five-year expected PEC ratio is at 1.24, which is pretty good. To calculate the stock price of ASML, I have used several assumptions. First, I assume the PE ratio to be 38, which is in line with the current PE ratio of 39. I assume a very conservative annual earnings growth of 10%, which is the same as the revised revenue projection by ASML management for 2022. Oh by the way, in Yahoo Finance, the average analyst's estimate for annual earnings growth is 29.8%. Historically, in the last five years, ASML earnings have been growing at a rate of 25.5%. Therefore, my 10% growth rate assumption is conservative. Based on the 2021 net income and the above assumptions, I extrapolated the net income, market caps, and stock prices for 2022 through 2026. With this range of numbers for stock price, I came to the conclusion that we can safely expect ASML to go up to $650 a share by the end of August 20, 2023, which is a year from now. Let's look at the other analyst's opinions. The last time when I posted my ASML video was on November 3, 2021. At the time, ASML was at $830 a share. Today, it's at $545.26 a share, because the broad market has gone down since the beginning of the year. My target back in November last year was $910 by the end of February of this year, since then I've been lowering my target and I've sold some of my ASML shares when the price fell below key support levels. Based on my calculations today, I have set the price target of $650 to be reached by August 20, 2023. Louis Nivellier's rating changed from an overall B rating to a D rating, primarily because the year-to-day decline of stock price for ASML. The fundamental rating is still C. TIP ranks upgraded ASML from moderate buy to strong buy, which is a sign that the stock has been oversold recently. The high target was revised from $979 to $794, because of the market downturn year-to-day, the price targets for most stocks have been lowered by the professional analyst and ASML is no exception. The average price target has been revised from $881 to $661, and a low target from $720 to $590. CNN Money maintains their buy rating. The high target was revised from $1030 to $794, median target lower from $966 to $600, and a low target revised from $779 to $472. The Street.com changed the overall rating from buy B to buy B-. The target has been lowered from $1067 to $649. I first bought ASML shares on November 30, 2020. I still have those shares, which are showing a 25% paper gain. I bought more shares on March 29, 2022 at $712.30 a share. When the price fell below a key support level, I sold the shares at a loss at $614.20. The current price of ASML is $545.26, which is lower than my sales price on April 8. In the next few days, when the technical indicators turn a little bit more bullish, I will very likely buy more shares. If I did that, I would definitely notify my Twitter subscribers immediately. What are my strategies? As I mentioned, I bought ASML shares back on November 30, 2020. I'm holding those shares for the long term. I've also been swing trading ASML shares in the last few months. In general, I will buy ASML shares when it bounces from a key support level or when positive news develops. I will sell shares when the price drops below a key resistance level or when adverse news develops. I will tweet my subscribers when I buy or sell ASML shares or when major news develops related to ASML. Now let's look into the price charts for ASML in more detail and talk about the support and resistance levels. On the charts that we'll be looking at, I have also drawn the 50, 100, 150, and 200 period exponential moving averages with dashed lines in these colors. For ASML, I'm showing three charts here. The left one is the hourly chart, the middle one is the daily chart, and the right one is the weekly chart. For each chart, I'm also showing the volume, the DMI indicator, MACD indicator. I'm also showing the Bollinger Bands. As I mentioned earlier, I'm showing the 50 period, 100 period, 150 period, and 200 period exponential moving averages with these dashed lines. If you look at the hourly chart, the RSI value is pretty low. That means it's likely that the price might get a little rebound in the next few trading hours. Then if you look at the daily chart, it dropped below the middle of the Bollinger Bands as of last Friday. Now, it might continue to go down and hit the lower Bollinger Bands and get supported there. If it starts rebounding at the lower Bollinger Bands, I might be buying more shares. If I do that, I'll be informing my Twitter subscribers about my trades. Let's look at the support and resistance levels. The next level support would definitely be around 530, which is the lower Bollinger Bands. Below that, the next level support will be around 515 here for gap kosher. The next level down will be here, 456, and then this historical bottom, 430, and then below that would be this historical bottom of 412. For resistance levels, the next level up will definitely be 564. That's the middle of Bollinger Bands, and that would be a strong resistance. If the price can get above the middle of the Bollinger Bands and stay above that for a couple of days, then the middle of the Bollinger Bands will most likely turn into a support level. Then beyond that, the next level of resistance would be here, 578, and then the short term peak of 590, and then of course the next resistance level will be upper Bollinger Bands at 595. Beyond that, we have to go back a little more to the left. On the price chart, the next level of resistance will be here for this gap kosher, 608. At this point, I'd like to remind you to subscribe to my Twitter account, which is DanMarketL, in addition to subscribing to my YouTube channel. Thank you very much for watching all the way to here. I'd like to remind you to click the like, subscribe, and notification buttons. As usual, I would very much welcome your comments, questions, and suggestions. I want to mention here again my price forecast for ASML, which is $650 a share to be reached before August 20, 2023. At the current price of $545, that means there's at least 19% upward potential in the next 12 months. I'd like to remind you that I'm not a financial advisor. I share my stock trading strategies and analyses for educational and entertainment purposes only. If you want to buy or sell stocks, you should make your own decisions, and you should definitely consult with your financial advisors before you do so. This wraps up my video for now. I will chat with you again in the next few days. In the meanwhile, I'd like to wish you the very best of luck with your financial investments.


Sup guys, how we doing? Welcome back to the channel. Welcome back to another video and to another Gaino advice related video This is a topic that is Proving to be relatively popular, especially on my channel. I Was a sufferer of Gaino for many years My case came on during puberty Unfortunately, I had no idea what it was. You know other kids at that age, you know 11 12 Don't know what's happening for whatever reason you might have, you know relatively thin upper body except for these protruding nipples Memory glands breast tissue guys Gaino is a real thing. It's a real problem. It doesn't always come on through steroid use Okay, in fact the majority of cases do happen through puberty due to imbalances of hormones now I'm not gonna get into that today, and I'm certainly no doctor But what I am gonna discuss is what I know. Okay, what I'm comfortable discussing is things that I regret about my Gaino surgery recovery process Things that I could have done differently things that I would do differently and things that I'd advise you guys to Just watch out for okay. Just just keep in mind when going through your own Gaino surgery recovery. So these are three of my biggest regrets three things that I did Unfortunately Probably against the advice of other people even though I didn't ask anyone and that's my first issue is that I didn't ask anyone I didn't ask questions. I wasn't in contact with a surgeon. So when I did Want to find something out? I couldn't do it which then forced me to make up my own mind on certain things But everything's 20 20 in hindsight So guys before we get into it a quick word from our exclusive video sponsor the Ridge wallet Sup guys first and foremost. Thank you for clicking on this video. 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I want to say that if your surgeon wants to put in drains accept it It's not going to be the easiest thing to walk around with but at the end of the day It's there for a reason and they they do their job.  Okay, and that's what happened to me So I took my drains out too early, but not only that a few hours after taking my drains out I jumped on a plane. I went 40,000 feet up in the air For about two or three hours and you know as far as recovering from a surgery That's the last thing you want to do not only not only would the turbulence Whatever turbulence there is even just walking even like guys in that first week you want to be as sedentary as possible It might be hard, but it's necessary. Okay, and that was my problem I wanted to get up.  Okay So first things first don't rush your drains be comfortable with them They're not gonna hurt and also stay still stay put for at least the first week my second massive regret is The fact that I didn't get my hematomas drained when I when I wanted to when I thought I should I had to humongous pockets of blood underneath the skin That would not go away and the only way that I was gonna get any progress with them any meaningful progress was to get Them drained. I went to the doctor the doctor said this is not my surgeon Okay, I'm away from my surgeon, so I can't actually go and visit my surgeon if anything stay put stay around your surgeon I had to travel into state for my surgery. I traveled back on a plane like I said two weeks into it had these massive hematomas Went to the doctor. Doctor doesn't know me from a bar of soap. He's never seen me before He's not a gynecomastia surgeon. He's just giving me his general practitioner opinion and his opinion was the risk of Pushing another foreign object as in the you know, whatever gauge needle was that was gonna have to be used to Exize some of this blood. He was like right well We can try putting that in but there's a risk that it's just gonna cause more complications And at the time I was so you know, I was so just oh man I couldn't even believe that the situation I found myself in I I wasn't gonna push against any doctors advice I was always gonna agree. So that's what I did and I never got the hematomas drained when I should have and that Extended my recovery for a long time. So that's tip number two If you do happen to have hematomas develop get them drained the earlier the better You might have to go back in and back in but it doesn't matter get that blood out Thirdly Thirdly and this came on day 20. I Took my own stitches out took my own stitches out because Well, basically the stitches should come out, you know a lot earlier than three weeks Because of the hematomas under the skin that was putting pressure on the cuts the cuts weren't able to heal So I had to keep the stitches in for at least three weeks Just so they could actually hold those cuts together long enough for a scab to heal and for me to Take out the stitches.    I thought I could see something in there I thought you know what man?  Why is it not healing? Why? Why is the skin being so foreign? You know what what is in there is a foreign object in there?  Okay, and I'd lost I'd I'd actually lost I'd done what I could never have fathomed happening because I'd been watching so closely But I had I'd lost either the underside of one or a full stitch inside the incision and what that did It is it was obviously foreign. It never allowed that that hole to heal and thankfully Thankfully I found it.  Still not regretting it. You know what I mean at the end of the day. That's that's that's it That's it. You want this surgery enough If it's affected you in similar ways that it affected me doesn't matter what kind of recovery go through doesn't matter How horrendous it is to get that final result at the end of it all is is always going to be worth it So guys, thank you for watching and peace out best of luck