All right guys, we'll rock out an update to the aggressive growth portfolio. This is almost doubled since I started it. I've been with M1 Finance now for about a couple years. I use it with two accounts. This is the one that holds the ARC ETFs, the five actively managed accounts. I periodically roll these out just as an update for you guys so you can understand how the portfolio is performing over time for those investors out there that may be interested in more of an aggressive type of layer to their investment thesis. Then this can work for you. So sit back guys, enjoy the portfolio review. So if you guys wanted to find out more information on the ARC Invest ETFs, the five that are going to be covered in this video are here on the top end. These are the actively managed innovation ETFs. I know I've had some people hit me up and ask me about my interest in PRNT, which is the 3D printing or the IZRL. If you want to find out more on those offerings, you certainly can. I personally thought the expense was a little bit rich for an indexed ETF. That's totally fine. You guys are free to make your own decisions, but I wanted to focus the bulk of the investments on the top five end here to get the active management. So I kick you over to M1 Finance and we'll go through how they've done to welcome everybody into the M1 Finance account. I've chronicled this throughout the history of owning this. I started this at the end of 2019. This initially was built as a 12-stock portfolio with some aggressive names like Google, Amazon, Nvidia, Uber, all really good companies. And I built that to be passive and it did very, very well for me. And I transitioned those profits that were made at the end of last year into what you see here now. So the renderings off of this portfolio are a combination of two different things. I also wanted to demonstrate for a new investor how quickly it could take to get to $10,000, which in this particular portfolio, I did it very, very quickly. And I think that's an important barrier or milestone for new investors to keep in mind as to what's possible. The reason for the switch is I wanted to get some exposure to aggressive growth through ETFs. And I really like the professional management aspect of the RQTF. This has grown sizeably. The portfolio real dollar gains here is just about $6,700, which is pretty close to a doubling of the account here where you can see that the net cash flow into the account is just shy of $7,500. So at $1,040, we're doing quite well. They've performed just fabulous. It doesn't always happen like this. It doesn't mean that it's going to stay like this. I'm perfectly prepared for if the market turns south on us for these to suffer a little bit and take a bit of a nosedive. That's totally fine. For you guys that are interested in the RQTFs, please understand that they are for a riskier type of investor profile. So don't think that these numbers can be duplicated just because you tune into an independent investor channel video and expect to double an account within a few months. It just doesn't happen like this. I've built this up with the initial portfolio and now just leveraged into the RQTFs here. And where we go into the future, that's anybody's guess. But I do roll these out for transparency because I do feel like these are a good way to enter into an aggressive arm, especially for those younger investors that are looking for a little bit more aggressive growth in their portfolio and to do so without putting any effort into this. Now, I use M1 Finance for that very reason. This account I fund with about $50 every two weeks. And I forget it. I don't monitor this. This is all passive 100%. I don't actively manage this. But the real key here in understanding, if it's something that would be of interest to you, I actively share my portfolios with my subscriber base and anybody that comes to the message in the description of all my videos. But I always earmark these in the comment section of the video. So if you don't memorize the allocations, you can at your leisure kick over and check those out. Those are indeed affiliate. I'm an affiliate with M1 Finance. Channel receives a small compensation for my referral of M1 Finance. It's obviously a product that I use. And I'm very, very satisfied with for this very reason. For a smaller amount of money, I can enter into assets like this and control my amount of dollars that flow into each fund with the target allocation that I set denoted here in the right column. So the way I've got these split up is very, very simple. I've got just less than half in the flagship RKK. This was the one that was the most appealing to me. And just to speak simple, I wanted the most amount of money in this fund here. This is kind of the flagship, the driver within this account. And it's performed quite nicely. The second one on the list, we put it at 20% clip, which is pretty nice to arc. That's the joint genomic revolution. It's a good one. Really good. They've got some really good companies within this fund. And then down the line, I've added the other three in there. Just because I thought these were so nichey and so specific to what they're going after with their disruptive tech, I thought what the heck I would go ahead and throw a little dab of percentage split across those three as well at 13%, 12%, 10%. So as new funds flow into this account, they basically just go into this. They fund the underweight holding. Obviously, this one's the only one that's underweight, just a little bit at the flagship as well. So those new fundings will go in and fund the under allocated and try to always achieve that maximum or optimal allocation here, which is a cool feature in M1 Finance, where those new funds will always go to the underweight holding. So that's the update, guys. Very, very simple. This can really be a great option or layer to an existing portfolio or a new investor looking to get some aggressive growth from a passive perspective. If you don't have the time or the energy to enter into an active type of profile, this is a great option for a lot of investors out there. And that's actually why I share it. So with that, we'll kick you back to YouTube. We'll conclude the video. All right, guys. So we've come out of the M1 Finance aggressive growth portfolio. These ARC ETFs have done quite well. I was able to leverage them into these ETFs. Here just recently, it'll be fun to track their performance going forward up $6,500 off of a $7,500 investment. So a lot of people are searching for that next best thing or the rocket ship to the moon. I contend that passive investing can get it done for you. And I'll continue to be a voice of reason over social media, showing a testimony of real dollars earned as a passive investor. Guys, if you appreciate the message, and make sure and subscribe to the channel, share the message with anybody out there looking to get involved with the stock market in the capacity that can really relate to the masses. I think most people can win with this strategy, whereas contrary to always looking for that moon shot stock, very, very few people want to end up coming out of that successful. You want to leave your comments at the bottom of the video, guys. Thank you so much for tuning in to the message and good luck in your investment future.


Hi, my name is Dr. Noural Hussaini. I'm an adolescent medicine attending here at Joseph M. Sanzeri Children's Hospital. Adolescent medicine as a specialty is actually a small specialty. There's only a couple of hundred of us around the nation, but we actually specialize in things that are very common and are very impactful to teenagers' lives, specifically eating disorders of all types. We see reproductive health concerns, sexual health concerns, as well as mental health concerns. So I love working with adolescents for many different reasons. I think the number one reason is that it's a privilege to take care of them in a moment in their life where they're learning greater independence and they're really learning how to navigate different areas of their life, and I can be there as a resource. I'm bringing the medical expertise, I'm bringing my knowledge and my training, and the patient is their own personal expert on their background, on what they're going through, and my job is to kind of bring those two things together to come up with the best plan for that teenager's health. And that often involves working hand in hand with the parents. A lot of our day-to-day work involves having conversations about sensitive topics, and I think the most helpful thing for me is just to be open and straightforward. I want my patients to feel like that they've been heard, that someone listened to them and was able to take their perspective and give them the best quality healthcare that they deserve.


Hello and welcome to the Grand Line Review, your source for everything one piece. To date we have a review of episode 872, A Desperate Situation, The Iron Titan Trapment of Luffy. And surprise surprise, I have the mixed feelings about this week, and a lot of that has to do with the main event itself being Sulong Pekoms. Now I'm a manga guy and these reviews mainly focus on how the anime adapted the source material, and I have to say that this episode is extraordinarily different from the chapter in And in this case I think it's very important to point out that difference, in the manga Pekoms transforms very swiftly after exiting the mirror world which looks absolutely awesome, and for the most part the anime made it look pretty awesome as well. But from there he then drops the gun and proceeds to get punched by Oven after that he gets held down and we just don't see him again for the rest of the arc. It was quite underwhelming in a way because after seeing the damage that Carrot was capable of in Sulong form, to have someone as absurdly powerful as Pekoms knocked out in one shot, well it was… it was kind of crap. So of course the anime saw this as a good chance for some filler and decided to expand upon the role of Sulong Pekoms. Now I like that idea quite a bit, because I always felt that he should have been significantly more powerful than he was shown to be, and he really should have gone on a huge rampage through Oven's army. And that's kind of what does happen in this episode as he plows through chunks of nameless fighters, and even smacking down the Charlotte decouplets. By the way just a side note anime watchers, if you ever want to handy guide to determining what is filler, almost anything featuring the decouplets is filler. They had almost no role in the manga whatsoever, so whenever they're on screen that is the anime quote unquote expanding upon them. Anyway that was cool and all, but I did heavily question what happened as soon as they brought Sanji into things. Now remember Sanji and Pekoms have essentially no connection whatsoever. I mean yes Sanji sort of met Pekoms on Fishman Island and did actually meet him on Zoe very briefly before he was shot by Beige, but that is not enough to justify Sanji halting his escape in mid-air to comment on Pekoms' Soulong form. Like I mean he has a mission, a very desperate mission, he needs to get Luffy the hell out of there, but he's just stopped to comment on this dude that he doesn't know or cares about whatsoever. Not only that, but he then later laments Pekoms being taken down and halts himself mid-air once again to shout Pekoms' name, and it just sounds wrong because these two characters once again they have no relationship at all. And also once again Sanji is wasting valuable time feeling for a character that he really has no business feeling for, but that said the anime does make an attempt to fill in some sort of connection when Soulong Pekoms whacks Sanji down, which has problems of its own though, like after being hit why is Sanji just sitting there? Surely he would literally kick into action either by continuing to run or by engaging in combat with Pekoms. It made Sanji look really weak to just have him sitting there after being hit, he was very helpless. Although he did sort of like the moment of internal struggle with Pekoms getting temporary control of himself and allowing them to escape, but it very much came at the expense of some very out of character Sanji moments. The other thing I really question in regards to Soulong Pekoms is the flashback. I liked it because he looked fearsome as hell, and it's always nice to see Pedro again, but I don't think it was placed in the right spot of the episode. Primarily because it revealed the entire Soulong form long before Pekoms had actually transformed into it, so it removed a lot of anticipation of seeing the end result in the modern day, because we'd already seen it in a flashback. Thinking about it that scene probably would have been better placed during the transformation. Like say Pekoms pops out of the mirror world, looks at the moon, begins his vague changing of shape and then we go into a flashback, you know if the flashback was indeed needed at all, because in the end it was a glorified filler like so many other things. Still I think it could have worked better than it did, and it's all down to placement. Something that did work fairly nicely though was the new solution to dealing with Pekoms. Like I said in the manga the dude just got smacked down and we never heard from him again. In this episode he was given more of a warrior's ending brought down by a shower of arrows. It was quite sad really and a well earned moment for a character who had gone on such a journey of betraying his crew in order to honor the wishes of his dead colleague. He deserves so much more than a punch. Although Oven Strike did look admittedly pretty cool. He had some alright animation engaging in his devil fruit powers this episode and I think that is very much needed because Oven still feels quite underwhelming in the anime for someone so incredibly powerful. Toei are going to have to put in some real effort in the upcoming episodes to change this perception of him as the dude who just stands around and does very little. Although speaking of standing around and doing very little I feel like there's not nearly enough chaos happening this episode. I mean for quite some time now we've been painstakingly bearing witness to Oven gathering an entire army outside of the mirror lying in wait for Luffy and when people do finally emerge nobody is dealing anything. They just stand there while the decouplets are another singular Charlotte sibling attempts to fight. And most of the fault there is simply due to Toei extending the scenes far beyond what they should be doing. You know it's like let's add a scene of Pecum's fighting the decouplets. Alright well what's the rest of the army going to be doing at that time then? Nothing. They're just watching. They feel more expectators than an army which is annoying because it removes a huge layer of danger that was present in the manga. As things are now when the anime feels a lot like Sanji could just beat the handful of active combatants even Oven and then calmly leave the island because the army never does anything. There is very little sense of urgency and that's entirely the result of Toei actively needing to halt the progression of the story so that they can produce 48 episodes a year. It's like a strange one piece limbo we find ourselves in and it is unfortunately very apparent during this episode. It makes it so that when we have huge moments like the germa arriving to the rescue like it feels like we did not need their assistance at all. Things were progressing slowly but surely here as every Charlotte sibling and army member was lining up calmly one by one to be disposed of. However with Gemma's arrival we were once again treated to their transformation sequence and yes this is 100% filler and they should have been in their raid suits already but the sequence does look great and I guess I was never complaining in a series like Digimon when we saw the same Digi Evolutions time and time again. To be fair it was like 11 or 12 at the time so we should take that into account but it is decent use of filler material. I mean if you're going to recycle something then at least make it good animation and this is exactly that. Plus it is a pretty alright way to build some anticipation for the next episode which looks pretty germa heavy from the preview. And some other miscellaneous thoughts about episode 872. There was a moment I really liked in the beginning when Pekoms was running in the mirror world. At one point he threw Brulee and she yelled, tiny tiny thing but the performance from her voice actor was on point and it gave me a nice chuckle. There was a particular shot panning up the mirror where there were three decouplets sitting which looked kind of cool when it was completed however it was recycled twice in the episode and it felt really lazy seeing it again those two subsequent times. And then there was that one part where Brulee just had a massive head for some reason. But yeah in essence it was a bit of a meh episode. I like what they tried to do with Pekoms but I thought it was clunky. Not bad but certainly not great. And that pretty much does it for episode 872. If you enjoyed this video and the content this channel produces in general then please do consider donating to the Grand Line review Patreon because the support of all of your amazing people is what continues to make this channel possible. Also do check out my Teespring store if you're interested in shirts, hoodies and other miscellaneous items with the proceeds going directly to support the channel as well. And if you'd like to join the fun then please do head over to my Discord server where a wide array of shenanigans takes place on a daily basis. And finally please do comment with your thoughts on the episode. This has been the Grand Line review and I'll see you next time.


Hi, welcome to nursing school explain and this first video in the atrial ventricular block series about first-degree av or hard blocks If you haven't already done so I highly recommend watching my basic introductory EKG interpretation videos termed basic electrophysiology and EKG interpretation basics about EKG paper and determination of heart rate as well as the normal intervals and rules to memorize that you can apply to every different rhythm strip so that you Always approach this in a very methodical and systematic approach So the atrial ventricular junction is a specialized conduction tissue that connects the electrical links between the atrium and the ventricles keep in mind that medical terminology always kind of gives away the term the The solution so av junction is the connection between the atrium and the ventricle but any conduction delay or interruption in the av junction and And the parts would be the av node the bundle of his or the his frikinji fiber system Can cause an av or hard block as it's sometimes also referred to and Today we'll be looking at this first-degree av block Which means that there's a conduction delay in the av node that causes a prolongation in the pr interval and remember the pri or pr interval represents the Time that it takes the impulse to reach Through the atrium all the way to the top part of the ventricles So now if we have a delay here in the av junction it's going to be represented by a prolonged pri and The first-degree hard block is an incomplete hard block Second-degree hard block is also determined as incomplete where third-degree will be a complete hard block But we'll look at those details in different videos So here's a brick brief review of the conduction system of the heart from the av to the av node to the bundle of his and then The prikinji fibers. So any conduction delay here in any of these Traveling down through the atrium will cause a delay and an av block and remember This is basically from the p to the r. So then we're gonna have this prolonged pri pr interval When we analyze a rhythm strip we always go about it in this methodical way But looking at the rate rhythm regularity the p-waves and the intervals So in a first-degree av block the rate is typically normal 60 to 100 It is usually pretty regular And we can see that here basically with the naked eye that these qrs's have the same distance We could also take the calibers and march this out or overlay this with a simple Piece of white paper and then march it out as I discussed in my other video to determine that this is a Regular rhythm now in terms of the p-wave in first-degree av block The p-waves will be normal and they will be upright and there will be one for every qrs But now because of this conduction delay that we discussed the pri is prolonged at 0.2 at greater than 0.2 zero or greater than five boxes And the qrs is typically normal at 0.12 or less than that So if we look at this fifth impulse here, we can see This p-wave starts at this thick line here and if I count these one two three four five Six at least six. So now I know this is greater than five boxes that would correspond to 0.24 So I know my pri is supposed to be up to zero point two zero so now I know that I'm dealing with a Prolonged pri and that there is this conduction delay through the av junction And then the qrs will typically be normal because once the impulse reaches the ventricles the ventricles Respond in a normal fashion So for example, we could look at this impulse here starting at this line one two three So this would be two boxes. So that would be an impulse of zero point zero eight Which is less than the zero point one two which makes the qrs normal So in a first-degree av block basically everything is normal except the pri is prolonged This is a little bit of a better look at this And if we just with the naked dialogue from this thick line the beginning of the p to the beginning of the r Which is right here We can already see that this is greater than just one box from the thick lines So we already know that this is a first-degree av block by knowing that the pri is greater than 0.20 second Causes for first-degree av blocks it may be a normal finding in athletes But it also may be due to injury or ischemia to the av node or junction that causes this conduction delay Certain medications can make the patient more prone to first-degree av blocks And these include beta blockers calcium genoblockers Dijoxin and amiodarone And we know that potassium is very important in conducting the electrical activities through the heart so hyperkalemia can make the patient Have a first-degree av block Certainly acute mi which goes along with this ischemia injury to the av node or junction that we discussed up here and then any Increased in vagal tones so stimulating the parasympathetic nervous system can also make the patient more prone for a first-degree av block For signs and symptoms patients are sometimes Asymptomatic as in these athletes that might have this as a normal finding But if it is associated with an mi the patient may have typical symptoms such as chest pain shortness of breath dizziness syncope sweating Diophoresis any of these typical mi symptoms Interventions for first-degree av block if the patient is aim symptomatic We might not need any But if there's an acute mi certainly we need to act on that and every hospital will have mi and acute coronary syndrome protocols to go by those and that usually The end goal is to get the patient to the cath lab and take a look by angiogram to see the extent of the blockage Here are some references and other websites for you to look at to practice your Rhythm strips because now that we're getting into these av blocks It's getting a little bit more complicated and I really recommend that you look at those rhythm strips So that you can start applying these rules and the more you practice of course the better you'll get at it I also have quizzes Posted on my Instagram page that come out every Monday that you can follow that will go Into quizzes about different EKG rhythms on a weekly basis Please also watch my other big videos in the EKG interpretation playlist These are all the videos and then specifically here we have the av blocks today was first-degree There will be other videos about second and third-degree av blocks. Thanks for watching nursing school explained Please subscribe to my channel follow me on Instagram make comments on these videos and share with all your friends Thanks for watching