Yeah, where you at, buddy? I know he's here. He's lurking in the shadows Calling all nutless monkeys Where you at, buddy? Let me pull up Oops, hold on guys So this is gonna be a good time guys while we bring a bow on right here Um, is to yep. Take your time, buddy is guys send out some questions What do you want to talk about today anybody on YouTube do you have questions upon what it looks like getting started? Do you have questions about your trading you have questions for me or about you have questions for MIC also guys post in here Like what you're looking for. Um, oh Sick, I love that. We'll talk about that Alex. We'll talk about that in a sec Definitely What do you guys want to talk about today man, what are some of the I know we're gonna talk about full MIC process kind of like what that looks like I showed you guys a little bit through the tutorial on Starting with the watch list every single day going into the main trading chat and here Let's see what about saying real quick. Hold on one sec. All right one sec, buddy Hold on bow one sec guys what we bring bow on technical trader difficulties Someone on YouTube goes bow talk about feng shui Here's the thing you gotta know about feng shui.  We'll bring that one All right guys modern rock is back. Let me see if I can bring them on now. You should be good now, buddy All right, hear me. All right. Yeah, what's up, man, dude? Nuttless monkey me. I can't figure this stuff out. Yeah, I can barely speak right now dude. I'm the nutless monkey man I sound like Darth Vader Sounds good brother. What's going on, man? Oh my god.  He almost killed me Birthday year People don't realize that when bow is a birthday bro, it's literally like a month long. It's not one day We might as well get the good ones while we still have you bro Oh my god, what a fun time though, man. Yeah, so January 29th is the meet-up guys. So hopefully you guys can attend. This is open to everybody not just MIC, okay? Oh, yeah, if you'd like to bring a present for me, you can do that It's McKellen. I can I can I can tell you that no alcohol man. I'm trying hard Bring him wagyu Guys check this out. All you got to do is click this link my invest in club comm slash meet-up And this is gonna be all the details. It's gonna be the locations There's gonna be hotels in the surrounding area that we also recommend We're gonna do it in a big park. So just obviously with COVID guys We don't want limited or a limited space or small, you know Enclosements like we want to make sure that everyone's comfortable and Everybody's in a space where we and we can bring a lot of people because it'll be a lot of fun We'll talk a lot of trading and hang out. It'd be cool, man I've never actually been to this park and I've lived in LA for like 26 years You may want to bring a bulletproof vest I heard LA is pretty uh crazy these days No, but that's what we're not doing in LA guys. This is actually in Culver city, which is 24 minutes from LA. Yeah, just 10 times more dangerous Dude, I'm kidding Bro, LA is like the purge right now. You got you got freaking like the police chief at LA county being like don't come Hey, it's it's still safer than not knowing how to trade and trying to trade That's exactly right, man. I'd rather get shipped into five and lose, you know, a couple hundred grand Nothing like short and low floats on the front side, right? Yeah, seriously Oh man So, all right, so what's going on guys? Uh We talked a lot about if you guys are in main chat already this morning We had some great plays bfri alex even Annotated a chart for us, which is awesome. I'll bring that up one second oops Bring up, you know, so he he detreated that quite well and he waited for Um, I had a little FOMO, but I had a great average. So it was okay So alex and I's average is about the same But his was less stressful Yeah, exactly You guys see that in the beginning of what he was talking about with this kind of like triple chop action And then this major stuff it's gonna look a little different guys on a three minute chart Versa one minute which alex was using but but he's basically talking about right here of what happened And uh and look at the volume. So he always talks about like I'll just read it actually Um, not only was it a triple top. It was a stuff candle You can short risking the previous high of this candle right where he's shorting Uh previous resistance becomes support and you can look at the bottom And really, you know flush this out on what he kind of made famous Like a million years ago and I when I was learning from alex seven years ago And he didn't even know who I was as a twitter follower But this is what he always talked about is the stuff on the volume candle You can clearly see the stuff coming So this is kind of alex's claim to fame right there, man And then uh bell I see you got a little fomo there, buddy That's because I made money in the first trade And so I started back at the same line as the first trade, you notice. Yep. Yep right here I was adding very small. So it just looks kind of Christmas like but I was adding Yeah, my average was 751 On a decent size, so oh, that's good, man That's good. And I liked how you covered immediately and then just piecemealed out every like So what I like to do is when I mean obviously I I would like to enter higher But um, I started small so my average is pretty much okay like alex's average So alex is the safe way to do which which I should the the thing with this is if you take a look at the three day chart on it Yep. Yeah Yeah, this is this is day one Day two So I wasn't really concerned, dude. I was pretty much the concern is if it broke if it broke fucking eight bucks and then went to a 40 But I was okay Yeah, the chances of that happening now are pretty freaking slim and giving these two previous days are price action I the problem with this for me was this is a reg show, which means Uh, the you can only use the locates one time and so it can get pretty expensive to keep recycling So that's why good thing it just went straight down Because uh recycling was gonna recycling is great if you have the shares and you can reuse the shares over and over But it's not when you have to relocate them over and over, right? Definitely, definitely. Yeah, you guys also have to take note of that You know, it's just not not just a normal short, right? So you have to you have to really know how to allocate shares how to use them properly I found shares really cheap in the morning at Half of a penny oh five and I took like 20,000 shares and knowing that was red show so knowing Knowing the stock before you locate Is a huge advantage because then after that became like four four sets So you imagine four cents on 20,000 shares like 800 dollars locate, right?  This is a perfect example, right? It's like this was definitely a safer trade like you said you were more comfortable But see guys, that's the thing about this this game is like it doesn't even matter How much money you make on the first trade if you make on the first trade You could sometimes be overconfident for the next trade and like that was saying this was not a Super risky place if he was willing to start in and be down a little bit But like you could have just waited for the confirmation if you are going in fresh, right bow already had that previous win So then he was going back in and that's the thing like well the thing also The thing also is freaking the pumper kept on pumping it right in my in my opinion. This thing would never get past 7 13 Let me show you why Here's a chart on bfri Only too many secrets, yeah I know we always do man See that guys Yep Yep, I see it It matches the day before and the day before that literally right there. Yep. Yep. So So there's your clue guys this stock Is a classic case of confirming conforms to the chart So when a stock conforms to a chart like this, it's a very high probability trade So actually sized up. I think I like 14 15 000 shares. So Yeah, about what you said with a 51 average, right? That's that's pretty good man. That's pretty good.  So this is that mental part we're talking about, right?  I found this and it shows exactly what what I did with this When when things are going great, you don't even think man. It's just natural, right?  Yes, there's our put the glove on guys So this is from Momo traders. If you have not read this book, this is top five of the best books I've ever read as well and bow has a chapter in this wonderful book And it says this was kind of the the category of the questions Some people say trading should be robotic discipline and calm seem to the point in that direction Now this is bow's answer I was a robot and it has to be a reflex you have to get to the point where you don't think you just react The market moves too quickly for you to second-guess yourself I compared it to being an athlete. They don't think they react once training becomes instinctual All confidence problems are solved. You just act That's a really really good paragraph and that was actually That's one of my favorites The bruce lee quote, right? I'm gonna put I'm gonna put this I'm gonna Here we go Read that as well I have not failed. I've just found 10,000 ways that that won't work and then Open it up the fear. I fear not the man. Oh, okay. That was bigger lettering. So I just went there first I fear not the man who has practiced 10,000 kicks or 10,000 kicks once But I fear the man who has practiced one kick 10,000 times That's the repetition. That's the reflex. That is the kick, right? This is the instinctual, right? This is where he gets to the point where he just knows he's a badass with that one particular setup that one Like alex's stuff moves stuff moves in first red day alex is so instinctual on there Dude, like like logic doesn't even apply anymore He just knows the exact feeling and emotion to do when the time is right, right?  What kind of golf and are you doing? Or like sex, right? Yeah, there's the elbow in the right place Seriously, so that's what happens man. You do something over and over and over This is why screen time is important. This is why experience is important This is why you need to show up every day guys if you want to make training work show up show up show up you can't just Like golf man, you can't just go once a week. You're gonna go out man. Otherwise you have your muscle memory. That's what it is, right? It's muscle memory Well, and the funniest thing about golf bow is I think I think actually out of all of the sports golf is probably the best Analogy for training possible because guys, I mean I cannot tell you how many times over eight years I was on a heater dude. I was I hadn't had a ready for three months And then one day a play would come around just like you're having a perfect golf round And you shank one in the water and it literally ruins you the rest of the round So I'd be green for three months and then the next day, dude, I give back two months in one training I'd be like, oh my god. I can't trade. It was all luck. I got lucky.    Of course you shanked in the water. You broke your process That's correct. Dude, it's it's just such a perfect analogy, man Because it's like you always have to treat every golf shot and every trade as if you didn't make a win before Or you didn't make a loss. I'm just gonna do what I know works. No emotion. What works But before you get there, you're gonna have to paper trade. You're gonna have to learn You have to keep doing every day because until the kiln's instinctual I can look at a chart And with high probability know whether or not it's gonna go up or down. Definitely if I cannot do that I will not enter that trade Yep. Yeah, and I'll just bring it one more time before we close the book on golf But it's like bow. It's like imagine like going on a golf day where it's slightly rainy It's windy like 90 mile per hour winds Dude, don't golf on that day go on a day where it's sunny with no like it's waiting for the perfect setup Right, that's give you the best box. That's Pretty much you need to find a spot that conforms to the chart exactly what that means is Does it do what you expect it to do? That if it does what you expect it to do because technical analysis is charting, right? Then you can predict it then you can have with a high probability chance of success, but if it's so freaking random Don't trade that stock if I start if you start to lose guys And it does weird things that that it should not do do not get back on that stock that stock does not conform anymore to the chart exactly And about like like Alex was talking a couple weeks ago back with size It's like everybody just wants to go full size Whether it's a first red day a channel trait or even this trait in the morning And it's like dude just like you have a whole golf bag of different golf clubs Sometimes you push sometimes you putt sometimes you jib. It's the same thing not every trait is full size You've got to know the differentiating factors in the language of this that allows you to go Oh, okay. The conditions are perfect for a nice little scalp Not a full blown. Let me go for the fences and then strike out right now or you know shoot it in the water Like we're professional athletes with our mind and your finger clicking so and when bow, you know gets old and gray he said he'll use his toes but If that wasn't his death bed in a coma, dude, he would figure out how to trade with his mind or with his toes some form or another, dude Yep, take a look at the chart that I posted.  That's where risk management comes in So, you know, maybe you can talk to about risk management real quick Well, see that's yeah, yeah, yeah, and that's the thing guys when you go over a random instagram page or some service promoting this type of bullshit They're never accounting for the fact that like, yeah, of course, this should quote unquote should just keep going up But what happens when you get a t12 offering motherfucker or when the pump dumps and you didn't know it was a pump Or this is a failed breakout. You get the death candle stuff Or you know, this actually keeps squeezing shorts that were stuck Like this is that you always have to plan accordingly and that's where risk management comes in this into play So as alex was saying or bow was saying like let's use this for an example, right? If this stock would have broken, you know, what bow was shorting in the morning in 838 40 level Dude, this is a three day resistance point that that should not break through And there are traders that we know that would just keep adding and adding and try to bully this stock in a submission That maybe by the grace of god you get paid, but you develop really bad habits But you're risking your entire future to do so rather saying Okay, if i'm going to scale this death candle up to the top of this death candle I'll scale a stuff or i'll scale up to the 830 line because that'll break previous and even previous high day on that major resistance point I need to cut this motherfucker. I need to cut this stock or i'm not going to survive Does that makes like i'm passionate about this because You guys need to learn how to use stops and if you don't you're never going to make money. There's a sum-zero game Almost exclusively without stops There's very few people like bow who did so many years of success without stop losses. It's very rare It's it's impossibly rare Right bow like wouldn't you say I'm just He's got four and i'm going to um what I was saying is be careful that what I was saying is is It's almost an impossible career without stop losses and making it, you know Not a sum-zero game because it's kind of a sum-zero game without risk management and protection It's I mean, it's totally not a long enough timeline. Something will get you I uh, uh, here's an example guys. Um, there's a famous guy on twitter He trades big he's bragging about being up 11 out of the past 13 days But he doesn't talk about the two days that he loses that wipes away all those games Yeah, yeah, that happens so frequently man. That used to be me five years ago. God two months That is that's classic. Does win rates mean shit? You can be a 99 win rate that one loss wipes out your whole career That's what you need to be risk management I've argued with this guy about having stops And max daily loss They don't believe in that they didn't So guys i'm telling you right now the secret the secret the secret Is to never lose more than a few days of work Yeah, I I always say it's the absolute maximum. It's three days But dude there's there's traders that argue it should only be one day I just have a little bit more of a tolerance for this. So I think it's three days But that's more of a like dude if you're losing a week in one trade, that's way too much It's just way too much man. And I used to lose months Well, I lose two months in one trade because what do you do?  He goes out to see you are never impervious To getting blown out of the water, but you are if you use stops and risk management That's the point, but your ego will tell you dude.   You see what I'm saying So yeah, that's that's the whole thing man. You need to protect yourselves guys So a couple questions on youtube now. Let's go over some of these. Um, let's see Let's see does m-i-c framework approach work for blue chips. Absolutely dude, it works for Large cap. Joe. Kelly does that. Yeah, we have a bunch of cap webinars every Was every tuesday is that two guys large cap and options room right here We have webinars at 7 p.m. Eastern on tuesdays at night After bow's instagram live. So you have that in the morning for small caps and psychology and then you have joes at night for Options and big caps and then like I said man, we have a whole room for this So and we have strategies on this the first red day arguably works even better on big caps You know and blue chips versus maybe small caps So like like we have a lot of situations where you guys can do whatever you like Um, let's see. Uh, can you touch on the mental part of holding while being down on a stock?  Let me get in and then just add add add This is the thing all this should have been planned before you got into the trade Exactly planning of the trade, right?  You're like jewish this week.   They've already exercised all the way to you. I'm I'm literally searching twitter.   Um, most successful traders do not trade pre-market Could you give your thoughts on this, please? I'm not a pre-market trader. Never was What's that? No, you said that most successful traders don't treat people Yeah, I wouldn't say it's most it's just a preference You know, man, it doesn't matter when you trade if that's your niche if that is your strategy Then you do it. Yeah It doesn't matter. We just happen not to have a plan After hours, we don't have a plan holding overnight, but you'd have a plan. I can do it Dude, look bow made money pre-market today. That was the first trade. You know what? I mean, it's like this was his first day. That was I don't trade pre-market I never liked it because I always just knew I had so much of a comfort zone and edge in my trading just during Intra date hours, but dude, that's that's up to you man That's entirely up to you Yep I I know guys who are exclusively pre-market They make three grand a day and then bounce by the time the open hits.  I like the name won't hard stops Have you getting out at tops and bottoms? Shouldn't you instead wait for dips and spikes to get get off at once your risk is broken? Well, the thing is is like I'll just answer that really quickly ninja. It's dude Sometimes you will stop out at the top and then a reverse on you, but guess what? Most times or not more often than not that ain't the top bro and that goes Guys, we have a video on how to properly take a stop loss.   And so and you're like but that's way over well, then you oversized If you cannot take that extra five cent hit that means you're sizing too big You need to size appropriately to take to be able not to get swept very well said very well said Um, how many shares do you use to make one k a day with m i c strategies? That is a little bit of a loaded question sniper because there's so many different styles So there's like dude, I'll just give you an example. That's not a good question Bro, we had a we had an options trader m i c turned $1,300 into 70 000 So first first of all, there's no way to answer that are you talking about a hundred dollar stock of one penny stock You know, that doesn't make sense. Yeah. Yeah, it's it's too blanket statement It's there's always ins and outs of every situation, but um, ideally I'll answer it like this Let me start by saying make a hundred dollars a day first man. Yeah, and that question becomes more clear It's like, oh, what does it take to make a million dollars? Yeah It's like What's it take to get married?  Oh, well, all you need is a 10,000 dollar account It's it's it's too blank. It's too bold. It's too general It's not personalized for each trader or setups that are gonna get you there.  That doesn't make sense either bro So that's kind of one of one of like another question sh is like what we just kind of said is Furus have just ruined this industry for making everything an exact science And first of all, first of all, you're not risking an entire account.   Yeah, so it depends on you.  And I'm like dude nowadays.  Hey, what percentage of your account do you risk on a stop? Well, is that the only money to your name do you have to pay rent with your trading account? Are you like bow with millions in the bank and 30 thousand dollar account if you blow it It's not it's going to be a splinter in the scheme of things, but it's still the whole trading account So it's like again, there's so much mental Energy that you have to spend on questions like that's like guys if you trade with a 35k account You should not be losing, you know 7000 in a day if you have a 3000 account you should not lose all 100 a day risk management max daily loss All that stuff guys to focus on the right things and not on these kind of blanket questions that The answer is depends right?  This is the holy grail setup and this is it It's just this this industry is not cut and dry man. There's millions of loopholes But process gets either quicker than anything Yeah, yeah Good It's very hard to sometimes explain like what being a trader is to be honest to to Brainwashed questions and I get that dude. I was there at one point like we are not singling anybody out We're just trying to answer this as best we can That's correct Um, if people are giving you an exact answer, there's a good chance that our food dude Exactly if people are giving you an exact answer this shit guys I can almost guarantee that they they actually pull you don't even trade themselves. They're just marketers like The thing is is like when you've actually done this for a long time. You realize how it's actually not Linear like you think it is um in these questions now process and price action can be but to answer something like that Requires so many variables, man Yeah, there's like the travelers just said and I love this. There's no one size fits all and boom, you're rich There's many ways to make money skin and cat and trading seriously Um, jimmy one of the guys that asked asked those questions. Actually, this is good.  I skip a lot of the low ones like four or five and six I only carry a seven iron up to driver But but but you need A whole setup for different play styles, right? There's a putter. There's a chipper. There's a 49 loft wedge There's a you drive like there are setups like the first red day where alex is willing to put 50 000 shares on Versus setups where he knows he's only gonna get a good scalp and he'll throw 2000 That's the differentiating club for price action. So sizing is not only important It's everything next to risk management and stock selection But you're gonna know how to size when you really figure out stock selection because they go hand in hand Oh, this stock trades 30 cents in volatility versus this trade does $10 in volatility Of course, I can't use 3000 shares and then 3000 shares on this one You got to break it down, right? You got to see the different situation and perspective versus the setup that you're actually engaging in So I mean we could rant on this all day, bro but yes sizing is very important and everybody is so inundated With twitter and instagram and following trillionaire lifestyle and seeing all these young kids get rich and it's like, dude Like everybody wants it tomorrow. Everybody wants it immediately. You want a million dollar account immediately That just doesn't happen.  Like it's the guys that are patient and disciplined and actually know that this is not a get rich quick There's nothing about trading that gets rich quick and I'm sorry to say but crypto add a lot of fuel to that fire of Hey, man, if I just pick the right shit coin, I'm gonna be a billionaire and then I get to retire on a beach Welcome to reality. You got to you got to learn something and work and put put a real effort behind it And and have the patience to do so The whole reason why trading is such a blessing and a curse Is the curse is wow, there are people that do make a million dollars in a day And I could be one of those lucky people and then the second one Is you can also be an amblyzerian, right? Yeah. Yeah, and then the second one is hey, man Maybe I could do this for the next hundred years. Let me figure out how to make a hundred dollars a day $500 thousand even alex is like dude.   I lost like 10 g's And obviously 10 g's doesn't bankrupt me in the slightest, but it was like Dude, I went in that FOMO period of like, hey, we got a hot new sector.  It's ridiculous, dude I'm gonna buy our first edition charizard and then you lose half its value a month later because you got in the Logan Paul pumping dump. It's like do you open your eyes, bro? Although I cleaned up on pokemon cards. I will say sorry to say I bought them tick pokemon cards and sold at the right time Um, what guys any more questions? This is really good, man. This is a really good ramp Crypto mentality got me, bro What happened to being a billionaire last night? I you know, man Unfortunately, bro is a glitch in the system and that 1.8 billion I was worth for one second felt really good And then I realized it was all a fugazi, man. Then I then I had to go back to price action and hope tesla goes up You should post it on That was right here. This is this was my trust wallet yesterday Stone Alex dude, I was like you should go to Mars and start showing that before they had changed it Dude, seriously, right? Oh my god No, you can't withdraw it was it was literally just a glitch dude Most of the coins are dead and if they weren't it was showing what it did to get that number Is it showed every single shit coin you have at the percentage that it was currently trading at from literally zero? So think of like zero to a hundred percent You don't have the whole hundred percent of the move. Maybe only have 0.001 percent of the move But they look made it sound like every coin you had you had from starting point a to That would be like owning tesla at one dollar versus right now and it says you own it at one dollar You know what I mean versus no, I got a 900 average or an 800 average seven Like it's just hysterical man people woke up thinking they were trillionaires quadrillionaires billionaires and well, I did But for one minute in history, I was worth 1.9 billion or whatever it was I text my friend man.  Sorry, man United crypto billy If that happened of food they would have used it for marketing See we use it just to make ourselves look stupid, dude Like we just clown on our own selves all day. That's what makes m. I see fun, man Is like we don't like you got you can't take life too seriously, man. We're all nutless monkeys, man. Let me tell you Guys questions hit us with some questions, man. You got a little time left Now you better not be getting in bfri trouble over there I hear giggles Oh boy, Alex Get now to stop any more questions Questions guys questions Who's got questions Who's who's been a warwick man? We went to warwick the nightclub in LA. That was my first time. That was a lot of fun Dude warwick was awesome Not a question, but I want to make sure new members know how lucky we are to have you guys. Thanks. See me, dude Again, man, we just pass on what we know, brother Is just we learned a lot over these years and so much of what not to do and so much of just what to do And so much psychology of it doesn't matter whether you're losing or you're winning Just what it means to do this for a career, man, because you know, it takes it's toll It takes it's psyche. I mean even the dambels area book that I was reading is is duty By the by current day, he doesn't even want to do poker anymore because it took such a toll on him And yeah, he made a lot of money But you know when you risk money for a living it does take its toll every now and then so you also have to deal with that And realize um what that means for you in preserving your mental sanity not even mental capital Just sanity man, because sometimes it really will throw people off the deep end Got a question on youtube bow. Can you drop some ding shoe tips feng shui? He said feng shui with an asterisk Didn't mean Well, I told I I said in the beginning because I think I saw that question a lot earlier I said yeah, so we we made uh, I did an instagram live. You should watch that feng shui is basically the energy Uh around you It's metaphysics kind of things. It's it's it's basically chinese kind of energy And there's a whole science behind that There are certain areas of the room that you should work and there's areas of room that should not work There's also a map of bah wah map or something you can look up That shows you where your love corner is where your wealth health corner Your family corner, so it doesn't hurt to try to do I mean it's better out for centuries, right guys, so So it doesn't hurt to try it well I'm a big believer in numerology astrology moon shamans and and all that stuff man And I don't know too much of this, but I know there's some real power behind this So I mean listen about man, so there's power positions There's like pussy positions like like put your desk in the right area of your room Man, you don't want to get dumped on Like Well, you do we'll use every edge we can man. I don't care how metaphysical it is if there's an edge. There's an edge man Did I spell it right feng shui? Yeah, I did. Okay, cool feng shui feng shui Yeah, talk to that on your arm or something. No chinese zodiac, you know us zodiac all that stuff man There's an edge in all of it learn who you are learn your strengths and and date yourself on your strengths I love it, man Trying to get alex to believe in moon shamans is a different story though There's a I posted the uh, should maybe there's a twitter that posted the seating position Yeah, you posted that somewhere, but I can't remember though office seating position Maybe our whatsapp might be in there. But actually here. Let me let me type office seating positions I'm trying to do this. Oh, uh bell. I got some stuff here. I don't know if I don't know. Does any oh this one this one. This is what you posted, right? That's a lot of them don't sit with Don't sit with door behind don't sit in straight line at the door power position is sit diagonally opposing This is what I do. Dude. I didn't even know I was doing this.   That's awesome I'm obsessed though, man.   This is exactly what I have dude. That's crazy.  I'm in a power position, man Man, man, there you go. What's my chinese zodiac again? Like a squirrel. I think I'm like a something small Oh, no, there's a rat, right? Damn, I don't I gotta learn those man. I don't know. I don't know the chinese zodiac. I really want to learn those But what's your chinese zodiac?   Funny man, that's crazy, man. I think I'm the horse Alex, what are you?  It's called the cock. Oh 1990.  I am the horse. That was right Okay, yeah Two forwarded. Yep.  That's a real thing The ear the cock.  I don't know why they call it.    You can see those You have the most complicated one tosh dragon rat Rabbit pig.  There's a rat goat ox dragon. Uh, what else?  Really?   What's here. Let's see. What's up here? Let's read the character of a dog Chinese zodiac dog characteristics.  I agree that um Attentive well-meaning helpful warm-hearted modest devoted philosophical dutiful discreet intelligent enthusiastic cynical ethical neighborly just social Perfectionist for sure. That's Alex Loner innocent dude.  It's like What's the ox read the words read the words wait, can I read the ox? about let's see Ox gives the world with superhuman strength of mind body and spirit totally quiet methodical stubborn stubborn calm serious strong reliable Opinionated introverted, dude.  Horses auspicious gifts are freedom of spirit and fearless approach to life love it Dude, I give a whole rant on fear earlier. That's crazy Horses give to the world with true freedom of mind body and spirit freedom is the most important thing to me in life Over money productive enthusiastic music sexy. Ooh, baby Warm-hearted talented agreeable industrious generous sociable ethical strong-minded create I curious persuasive persuasive logical free-spirited independent Dude, I'm down. Let's go We're reading Chinese zodiacs on this one.  That's that's insane Now what what else man? Dang, this is really cool, man. What else? So check that out guys. I I think that's You know, it's just something to think about. I believe in this kind of stuff. I do too, man. It doesn't hurt, right? So Um, the there are there are energy forces around you that you can't really explain. So that's what the Feng Feng Shui thing is I just first think what's the rat man? That just sounds funny Dazzling charm and a shrewd business mind. That is very smart. Oh, okay Yeah, so it's not what what we think of as a rat Yeah, I guess I guess you can't go to like like normal logic on something like this Although that'd be funny if like there was a sheep.  We got another pig. Who's who are pigs guys?  Who are pigs?   Yeah, but those are different rams rams rams like the goat, right? These guys scale mountains and do their own thing.  Fuck. I'm such a snake. It's real. That's funny This is fun, man. We could have given a whole webinar just on this There are people that you pay to do this stuff too. So yeah I got a tarot reading once and boy, she looked down at the table and And and I didn't know what she was looking at and she was like, it's all good and I said, well, that's all I need to know See you Were you wearing a pass? I don't know what it was Dude, that was like a couple years ago So any questions we can end this early and I can go back to bed Yeah, I need some lunch man guys last questions get your questions out right here Let me just do a cleaning house really quick. Um, number one If you kind of just tune in this really fun the unique webinar We have two things I want you to really pay attention to right now Myinvestingclub.co guys is arguably the best webinar Alex has ever made. We've done in four years Is not.com is myinvestingclub.co Please if you are not a member and have questions about what it is like to sign up for this wonderful club This is going to answer all those questions And then on top of that you are going to be able to get any of your personal questions on a one-on-one basis We could schedule a call. I could text you we can email whatever it is and these are all our forms of communication So just please don't be shy man. Reach out. There's no dumb questions I promise you I'm not going to judge you if you just want to know about pricing what bwap is Literally anything we're here to help guys It's this is you don't understand that this is truly our passion like every single day All I want to do is talk stocks investments and get people started m.i.c Because this is the this is the place where people get that freedom and get to learn a new Language man a new language. It's like when people ask what's your love language? You know physical touch or words of after man.  Like that's all I want That's my love language making money We need gifts and physical attention. I won't just give me candles So We we just have fun man We we try to teach the best we can man while having a fun kind of persona guys because I'm telling you right now man Life is too short to not laugh and to not learn the right things with the right people and that's what m.i.c Is so you're going to get what you need But five more minutes you guys have any questions about trading Do you have any questions about the maybe the charts that we posted what alex was talking about what with the stuff in the volume or Um, you know something to bow posted like anything How to get momo traders for god's sake it's like do you guys have questions? And i'm giving you a homework assignment man use everybody here should go read dan Belzerian's the setup because it's going to show you uh the Like someone who lives a life that's fearless and how you can take that in your own life and that's the message Whether you respect the guy or not. It's just a really good message Although it's hard to get the book apparently you can only like get it on his website and because he's self publishing So it's like 40 dollar book too.  Well, if you have no more questions, man, I think it's bow's nap time and I think it's my lunch time. What do you think? We'll see you back in the room guys. Hey, let's talk about um Because I think there's no we have a holiday. So guys Uh, we just hit up tosh So we have any holiday. So Alex goes Uh We because we got rid of the monthly and I want to do something special for anybody that's watching this So if you show up on wednesdays, we're gonna give you a great deal. So Hip toss right the best thing is just hip toss guys and and everything really is case-to-case basis because we are not those assholes They're like, hey a guy signed up a week ago an annual and he wants to go lifetime I'm not going to charge him full price for lifetime right because duty sign I think we do this man. So whatever the list of prices you don't have off Which is which is pretty good. So About half off. Did you just say you want it 50% off? Okay. All right. All right. So for the first, uh, what what's the secret code? We'll say fearless fearless the secret code guys if you want to be fearless day I will literally give you 50 off either annual or lifetime, but it's five only um, because this is kind of Random and black friday-ish, which we don't usually do. So, uh, just text my two and three number that. Um four five eight five nine nine seven Uh, just text that and uh, and we'll get you a deal if you're listening or been waiting to join and uh, it's your lucky day You're the pig man.  See you bell. See you buddy. See you Alex. See you guys In m i c Main room back in after hours, man After hours i'm going after hours. See you


Hey guys, it's MJ the student's act tree and in this video. We're going to be talking about subject CT2 Chapter 5 which is all about the use of derivatives Now I have made a few videos already on derivatives specifically forwards and futures and that's under my CA1 playlist so go find it there for a more comprehensive View on what derivatives are and all that type of stuff. So what I'm going to do bearing in mind that we have that video I'm going to keep this video very short and just talk about the general features But like I said go check out that other video. I will put a link in the description But that further ado, let's jump into it I'm going to talk about a forward a future an option and a swap and then I'm going to talk about the use of derivatives with regards to risk management and how it can reduce the cost of borrowing But let's go straight into it. So a forward contract or let's actually maybe take a little step back How these derivatives came into existence was with farmers So farmers is one of the areas where futures and forwards started the idea was that a farmer comes and he plants his crop and He has to wait a whole year or a whole season before he can harvest those crop and take it to market Now when he takes it to market He doesn't really know what the price is going to be So if he's planting apples or wheat or something like that The price could be 10 ran for wheat or it could be 20 ran for wheat or it could be 5 ran for wheat and Because of this uncertainty The farm is in a little bit of a problem because let's say there is a 50% chance that the price of wheat could be 10 ran and there's a 50% chance that the price of wheat could be 5 ran so it's either 10 ran or it's 5 ran and the farmer looks at his Looks at his books and he sees oh my gosh. It costs 6 ran per per wheat Order to grow know the cost of labor the tractors the irrigation all that he sees that his costs are 6 ran and Let's get him a little bit of a problem because this means that There's a 50% chance that the wheat will be less than what it took to make it and He will therefore be bankrupt in the sense that he won't have enough money to cover all of his costs and There's also a 50% choice that he gets it for 10 ran and he becomes incredibly wealthy So he's in this predicament. He doesn't like this uncertainty When all of a sudden a financial genius comes up to him and he says to the farmer. He says listen here 10% 50% chance is going to be 10 ran and there's a 50% chance is going to be 5 ran This means the expected cost is going to be 7 ran and 50 cents But all you need to do is sell your wheat at a price for 6 ran or more in order to make a profit I Will therefore buy your wheat at a guaranteed price of 7 ran So farmer looks at this and he's like well, this is actually a good deal I'm now reducing my risk and I'm locking in a price at 7 ran, which means the cost of my wheat is 6 ran I'm guaranteed a profit of 1 ran and this is good because it means next year I can plant again for 6 ran, but I will have made 1 ran profit per chunk of wheat The financial genius he's also quite happy because he knows statistically. He's making 50 cents on this deal Something that has an expected value of 7.5 ran and he's getting it for 7 ran so in this case both parties are happy and What happens is if the market is at 5 ran at the end of the year the financial genius loses 8 on 2 ran per wheat But there's also that 50% chance that it could have been 10 ran and he could have made 3 ran On the wheat and if he does this every single year year on year out He can he knows that he's gonna make profits in the long term Now what we do is we call this thing a forward contract and the word forward is because We're making a deal in the future. Well, it's forward. It's you know, it's not now We're gonna be doing it later. You know, you need to fast forward to that date So a forward contract is a contract to trade an asset at a fixed price at a fixed date in the future So in our example the fixed price was 7 ran and the asset Was wheat and the fixed date is the following year Now what the farmer could do or what the financial genius can do is they can create something called a Future contract now a future contract is different to a forward contract in the sense that a future contract is a standardized marketable contract to trade an asset at a fixed price at a fixed date in the future so what this means is a Forward contract is very customizable It's between the the farmer and it's between the financial genius and they could make it for any Quantity amount on any certain asset whether it be wheat apples oranges or something like that the future contract Standardizes a few of these parameters and the reason for doing so is it makes it much more marketable and you can now open up an exchange and There's a lot of benefits to this you lose out on some of the custom Ability of it, but you're making up for it in marked ability. There's a whole secondary market in which you can trade these assets and Now a financial future is a contract that is based on an underlying financial instrument rather than a physical commodity So the financial genius can take the same ideology and instead of approaching farmers can approach Banks and say let's Create a financial future on interest rate payments or whatever financial Instrument they want to lock in at a future date Now there's something else I want to talk about and that is an option Well, I don't know shit. Let me let me actually end this video here on The the forward and the future and we'll make another video on the option Otherwise always these videos are gonna be way too long. So yeah, this is ready at seven minutes so I'm gonna end the chair and We're gonna continue chapter five in another video. So subscribe for that, but it should be posted up at around the same time


Dear students, in this topic we shall discuss the synthesis and mechanism of release of catecholamine hormones. The catecholamines which include epinephrine and norepinephrine are synthesized from tyrosine. In this cycle, first, tyrosine is first converted into norepinephrine. This tyrosine is an amino acid which is converted into norepinephrine through a chain of reactions involving first transformation into dopa, then this dopa is transformed into dopa mine. This conversion occurs in the cytosol. The reactions are catalyzed by the enzymes tyrosine hydroxylase and dopa decarboxylase enzymes. Now dopa mine is incorporated into the granules, where it is converted into norepinephrine. Because dopa mine is converted into norepinephrine into secretory granules and this enzyme is called beta hydroxylase, therefore dopa mine is converted into norepinephrine into granules. In the next step, norepinephrine is converted into epinephrine. When methylation of norepinephrine is added to a methyl group, it is converted into epinephrine. This reaction is catalyzed by the enzymes phenyl ethanolamine and methyl transferase. This enzyme is actually converted into cytosol. Therefore, when norepinephrine is converted into epinephrine, then norepinephrine is first converted into cytoplasm outside the granules. In this cytoplasm, when it is converted into epinephrine, after this conversion epinephrine is again sent into the granules. Dear students, now we shall discuss the mechanism of release of catecholamine hormones from the granules and from the cell. Catecholamines are released as secretory granules from the chromophine cells by exocytosis. Each chromophine cell secretes either epinephrine or norepinephrine. The secretory granules which contain epinephrine or norepinephrine also contain n-cafalin, ATP and a protein chromogranin. To this protein, the catecholamine hormones are bound. Once a pore is opened in the vasical, the catecholamine hormone liberates from the chromogranin protein and diffuses out of the vasical. Epinephrine or norepinephrine, it is controlled by pre-ganglionic sympathetic nerves. These nerves release acetylcholine as a neurotransmitter. When acetylcholine is released as a neurotransmitter, it causes chromophine cells' conductance to calcium ions to increase. As a result, of increased conductance of chromophine cells for calcium ions, calcium influx into the cells occurs. As a result, calcium ions increase in the cells and the increase in calcium ions means that the action of the exocytosis of these hormones begins. Dear students, the release of catecholamine hormones is controlled by positive as well as negative feedback mechanisms. First, we shall discuss the positive feedback of catecholamine hormones. When catecholamine hormones release, they cause more blood flow to the adrenal glands. As a result, more secretion of these hormones occurs. This way, the secretion of catecholamine hormones increases by increasing blood flow to the adenals. This is a positive feedback mechanism that increases the concentration of catecholamine. However, when large secretions of catecholamine are produced, then they cause negative feedback. This is a kind of self-control mechanism as we have just seen that the catecholamine hormones released from the vesicle also have ATP. This ATP and its product of hydrolysis, that is adenosine, both have inhibitory effect on the release of catecholamine because they decrease the conductance of calcium ions into the chromophen cells. The release of catecholamine also decreases.


Can't wait to see her. Does she know we're coming? No, it's a surprise. She'll be so excited. Need us most. DAV is there. For 100 years, DAV has been fulfilling their promise by supporting veterans and families in their time of need. Because of the generous support of other patriotic people, just like you, DAV is helping our veterans get the care and benefits they have earned. Please call the number on your screen or go to helpdav.org. Your monthly support is vital to keeping this promise alive. It means more than you can imagine to a veteran to know that we are not forgotten and we are not alone. When you call or go online to helpdav.org right now and give just $19 a month, only 63 cents a day, we'll send you this DAV blanket as a thank you and a reminder of the support you are giving to our nation's greatest heroes. Because of people like you, our disabled veterans don't have to be alone. Thank you for your support. Please call or go online today. If operators are busy, call again or give right away at helpdav.org. Your call shows you support our nation's disabled American veterans.


Hello my name is Robert McNaughton. For the last 20 years I've been employed by the Canadian federal government as a regional geologist with the Geological Survey of Canada. But before that I grew up on a small farm in a very rural part of eastern Canada, had the opportunity to go to university where I studied science and majored in geology, went on to do a PhD after that and these days my research sees me mostly working in Northwestern Canada in a very beautiful area called the Mackenzie Mountains which I've been fortunate to visit many times over the years now. It's an absolutely beautiful place. I'm very fortunate also to have a marvelous group of colleagues at the Geological Survey of Canada, including one with whom I work very closely on my research in the Mackenzie Mountains. Now I am what is called a stratigrapher and that means I study how layered rocks, usually sedimentary rocks, have been stacked up over time and also how they correlate or we can trace them from place to place. My colleague is a structural geologist. She studies the structure of the Earth's crust and together we do a lot of good work together trying to update bedrock geology maps for the Mackenzie Mountains and adjacent regions and also to work out how during the latest part of the Neoproterozoic and in the Cambrian period the ancient sedimentary basin that was forming in that area, kind of a proto-Pacific ocean basin, was filled in with sedimentary rocks. So it's important in terms of good geology maps, also important in terms of understanding the region's early tectonic evolution. It's pretty cool stuff. We have a lot of fun doing it. So that's a little bit about me and my background. Thank you very much to all of you for listening. Wish you all the best. Take care.


Hi everyone, my name is Tetsui Iwata, and I will present our work on beyond Bruce Lee bound secure cryptographic permutations from IEL ciphers with long keys. This is a joint work with Ryota Akamichi. So this talk is about cryptographic permutation, or CP. This is a non-kid public permutation, and this is designed to behave like a public random permutation. This is a core primitive of permutation-based crypto, used in sponge constructions, and used as a primitive to construct hash functions, encryption schemes, message authentication goals, and authenticated encryption schemes. We will write NCP for cryptographic permutation over NBITS. So NCP is just a permutation with NBIT input and NBIT output. We want to have secure and efficient constructions, and in practice, we have a lot of proposals of dedicated designs as a primitive. We have the permutation of share 3, there is a 3, 4-bit permutation dimly, and there are many other proposals. In this work, we are interested in provably secure designs. There are constructions by Koloma et al, and by Goan Lim, and both constructions use ideal ciphers. So an ideal cipher is an ideally secure block cipher. An ideal cipher P is a mapping from KBIT keys and NBIT plaintexts into NBIT ciphertexts. And if we fix K, then PK is a random permutation over NBITS. We will write this as KNIC, but we are more interested in the case where the key length is kappa NBITS for some kappa, at least one, like in this figure that has kappa lines of NBITS as the key. This is a construction of Koloma et al, and this is a 2NCP that uses NNICs. The ciphers are un-keyed because this is one of the inputs, and the entire construction is a non-keyed permutation. The security was analyzed in the Indifferentiability Framework of Maura et al, and it was shown that with two rounds, the construction is insecure, and with three rounds, the construction has the Bruce Lee bound security, where Q is the number of calories. We also can see that a more general case of a domain extender for the ideal cipher, where the construction takes KBIT key as input, which is used as part of the input in ideal ciphers. The construction is a keyed permutation, but in this work we focus on constructing a cryptographic permutation. So we consider the case that K is equal to zero. This is a construction of Go and Ling, and this is a DNCP that uses kappa NNICs. So there are kappa lines here, where D is kappa plus one. So here we consider ideal ciphers with long keys. The security was analyzed in the Indifferentiability Framework, and it was shown that with two D minus two rounds, the construction is insecure, and with two D minus one rounds, the construction has Bruce Lee bound security. And again, they also consider the domain extender, but in this work we focus on constructing a cryptographic permutation. This table summarizes the previous results of Go and Ling, and in both results, Q should be at most two to the N over two. And this is called a Bruce Lee bound security. The question we ask in this work is whether we have a construction with stronger security, namely if we have a construction with beyond Bruce Lee bound security. In this work, we showed it for two NCP. By adding two more rounds to Conventor's construction, we have the full enemy security. In the general case of two D plus two L minus one rounds, where L is a parameter between one and D minus one, we have the security bounds, but we need the assumption that Q is at most two to the N. These two results are actually special to Bruce Lee bound security, but we need the assumption that Q is at most two to the N. These two results are actually special cases of this general case, because this one corresponds to these parameters, and this one corresponds to the case that L is equal to one. As far as we know, our result is the first cryptographic permutation that is built from N with hydrocyphers and has a full N with indifference ability security bound. Now let me present implication with practical parameters. We fix N as 128, and if we have an N, NIC, this parameter corresponds to AS128, for instance, we obtain a 256 CP, and we have 128 PIT security with five rounds. If we start from two N, NIC, AS256 could be an example. We obtain 384 CP, and we have 128 PIT security with seven rounds. And with nine rounds, we have a stronger security bound, but we still need the assumption that Q is at most two to the 128. If we start from three N, NIC, like skinny 128, 384, we obtain a 512 CP, and we have these security bounds. We remarked that block cycles have to be somehow tweaked so that we have independent ideal cycles, and we also would like to remark that we are not proposing these instantiations, but we use them to illustrate the practical parameters. They are not efficient, and for instance, it is known that AS256 doesn't behave like an ideal cycle. Here let me clarify the relation to the previous work. Minematsu and we analyzed related construction in this figure. This is very similar to the construction we study in this work. And in the previous work, the primitive is a keyed, tweakable block cycle, so the adversary does not have access to the primitive. And the security was analyzed in the indistinguishability framework. In this paper, the primitive is an ideal cycle, so the adversary has Oracle access to it, and we analyze the security in the indistinguishability framework. So we analyze the security in the indistinguishability framework of Maura et al. In the real world, the adversary has a construction Oracle and primitive Oracle. The adversary can make construction queries and primitive queries, and the construction Oracle also makes primitive queries. In the ideal world, the adversary has Oracle access to random permutation and the simulator. The goal of the simulator is to mimic the primitive oracles, and the simulator can make queries to the random permutation Oracle. The goal of the adversary is to distinguish the two worlds, and we measure the successful ability with this advantage function. And we say that the construction phi is Qc, Qp, epsilon indifferentiable from a random permutation. If there exists a simulator S such that for any adversary A, the advantage is at most epsilon, where the adversary makes at most Qc construction queries and at most Qp primitive queries. We use Patterns Coefficient Edge Technique and its refinement by Cheyenne Steinberg in our security proof. With partition, all the transcripts that have no zero probability in the ideal world into good transcripts and bad transcripts, we then compute epsilon 1 from the ratio of the interpolation probabilities of a good transcript and epsilon 2 from the upper bound on the probability of having bad transcripts in the ideal world. Then we obtain the upper bound on the advantage. So I would like to present an overview of our security proof. We will use an example of D equals 3 and L equals 1, in which case we consider a seven round construction. So here is the seven round construction. And we also have seven ideal cycles as primitive oracles. Our approach is to give all the internal variables of the construction to the adversary through primitive queries. And we force the adversary to make a primitive query immediately after a construction query. We show the theorem against adversaries that make these extra primitive queries. And during the proof, we formalize the concepts of upper and lower queries to complete the proof. So let's first see how we define the oracles in the real world. I think that the adversary makes a primitive query plus p4 x456, which is a shorthand for x4 x5 x6. So the adversary is requesting a value of x7. We compute x3 x2 x1 with the backward direction of p3 p2 and p1. We also compute x7 to x10 with forward direction of p4 to p7. And we give everything to the adversary. Here is another example where the adversary makes a primitive query plus p1 x123. Requesting a value of x4. But we compute all the values of x4 to x10 and give all of them to the adversary. If the adversary makes a construction query plus x123, meaning that the adversary is requesting a value of x8 910, the construction oracle makes this primitive query. And returns x8 910, which is a part of answer for the primitive query. Right after this, the adversary makes this primitive query. And this is how we define the oracles in the real world. Next, let's see how we defined oracles in the ideal world. Assuming that the adversary makes a primitive query plus p4 x456, requesting a value of x7. And we have to define a simulator to simulate the primitive oracles. Here we compute x3, x2 and x1 with the backward direction of p3, p2 and p1. We also compute x7 with p4 in the forward direction. Now the simulator makes a query to the random permutation to compute x8 910. And returns everything to the adversary. We say that the primitive query is an upper query if it contains one of these values regardless of the query direction. And for those queries, the simulation is similar to this case, where we use the forward direction of the random permutation to compute x8 910. On the other hand, we say that the primitive query is a lower query if it contains one of these values regardless of the query direction. For those queries, the simulator uses the backward direction of the random permutation to compute x123. Now a transcript can be summarized as all the values of x1 to x10 from the first query to the last query. In the little world, we see that these inequalities hold, because this corresponds to the input, this corresponds to the state here, this corresponds to here and so on. And because the construction is a permutation, the collisions are impossible. However, in the ideal world, we may have these blue collisions if the ice query is an upper query, and we may have these red collisions if the ice query is a lower query. So we define that the transcript is bad if we have one of these collisions. We will not discuss the general case, but these are the high-level ideas in our proof, and with all these definitions of the simulator and the bad transcripts, we can complete the security proof. We can show that's the upper bounds on the probability of having bad transcripts is given by this, where we use this assumption to derive the bounds. We can also show the lower bounds on the ratio of the interpolation probabilities for any good transcript. And we obtain the final bound from the coefficient edge technique. Now let me conclude this presentation. In this work, we showed that with 2D plus 2L minus 1 rounds, we have this security bound, provided that the number of queries is at most 2DL. There are several open questions. The tightness is not known. For instance, we do not know if there is a 2DN attack against the 2N bit construction with five rounds. We also do not know if the condition on the number of queries can be removed. And the tightness on the number of rounds is also not known. For instance, we do not know the security of the 2N bit construction with four rounds. Finally, this paper and previous results assume independent idle cycles. And the security of the construction obtained from one idle cycle is left as an open question. This is the end of this presentation, and thank you for your attention.


This is FDA Patient Safety News. In this edition, a new combination vaccine for children, how to avoid errors when using transdermal medication patches, a warning on serious injuries when patients with implants get diathermy treatments, and new advice from the FDA on hormone replacement therapy. These stories and more on this edition of FDA Patient Safety News. Welcome to the program. For the U.S. Food and Drug Administration, I'm Mark Barnett. And I'm Anita Rainer. Let's start by telling you about some medical products FDA recently cleared for marketing. You can find information on all FDA-cleared medical products on FDA's website. In a recent talk paper, FDA announced the approval of a new drug to treat the symptoms of ADHD or Attention Deficit Hyperactivity Disorder. It's called Stratera, and it's marketed by Eli Lillian Company. The generic name is Atomoxetine. According to the American Psychiatric Association, about three to seven percent of children and four percent of adults have ADHD. Unlike the drugs that have been commonly used to treat ADHD in the past, Stratera is not a stimulant. Because it doesn't appear to have a potential for abuse, it won't be classified as a controlled substance, although it will be available only by prescription. Stratera was studied in children, adolescents, and adults. Its safety and effectiveness were established in six double-blind placebo-controlled studies, which showed that it was superior to a placebo in improving patient symptoms. Side effects of Stratera include decreased appetite, gastric upset, nausea and vomiting, and fatigue.  In another recent action, FDA approved a new combination vaccine that protects infants against diphtheria, tetanus, pertussis, polio, and hepatitis B infection. The vaccine is called Pediorix. Pediorix combines DTAP, hepatitis B, and IPV vaccines into one intramuscular injection. It's intended to be given three times at two, four, and six months of age. When these vaccines are administered separately in the same timeframe, infants receive nine injections. In a clinical trial, infants who were given the combination vaccine at two, four, and six months had similar immune responses to infants who were given separate vaccines. The most frequent adverse reactions to Pediorix were local injection site reactions, fever, and fussiness. Fever occurred more frequently after administration of Pediorix than with separately administered vaccines. Pediorix should not be administered to infants younger than six weeks. Therefore, it's not indicated for infants born to mothers who are infected with hepatitis B or whose hepatitis B status is unknown, since these infants should receive hepatitis B vaccines shortly after birth and complete their immunization according to a particular schedule. In a recent talk paper, FDA announced the clearance of a new rapid group B strep test for screening pregnant women. This test can provide results in as little as one hour as compared to 18 to 48 hours for culture testing. The new test is called the IDI strep B and it's made by Infectio Diagnostic Incorporated. Instead of using a standard culture method to grow the bacteria, the new test uses a special instrument to detect the DNA of group B strep in swab samples from the vagina and rectum. Group B strep is the leading cause of illness and death among newborns in the U.S. About 10 to 30% of pregnant women have group B strep, which can be transmitted to their newborns during birth if the women aren't given antibiotic treatment. Pregnant women are typically screened for group B strep two to four weeks before labor begins using the standard culture method. If the test is positive for group B strep, the woman is given four hours of antibiotic treatment during labor. Although culture results are reliable, they're available too late to be useful for women who have preterm labor or who haven't had prenatal care. This rapid test may be particularly useful for these women and it may help to avoid unnecessary antibiotic use. The IDI strep B test is the first non-culture test that meets the performance criteria recommended by CDC guidelines. That is at least 85% as sensitive as culture methods. Because of this, it can be used instead of the standard culture method. Transdermal patches are commonly used to administer hormone therapy, nicotine, and narcotic analgesia. Although these patches provide a useful alternative to oral medications, using them can lead to medication errors resulting in patient harm and even death. Some errors occur in applying and removing the patches. For example, when patients receive or apply more than one patch at a time. In one case, a man died after six fentanyl patches were applied to his skin at one time. Another common problem occurs when the old patch is not removed when the new patch is applied. That's particularly a problem with clear patches because they can be difficult to find when it's time to remove or replace them. The risk of errors increases when there are multiple caregivers, when nurses change shifts or when family members take turns helping patients with their medications because the caregivers may fail to communicate about where and when the last patch was placed and when the next one is due. Two-piece patches made up of an overlay and the medicated patch can also be confusing. The overlay secures the medicated patch to the patient's skin and is always supposed to be used with the medicated patch to facilitate absorption of the drug. But sometimes practitioners use tape to attach the patch instead of the overlay, and this can lead to a patient receiving no dose. Here are some strategies for avoiding these kinds of errors. First, when possible, avoid using clear patches. To prevent duplication of therapy, document the patch removal on the Patient Medication Administration Record as well as the application of each new patch. Be sure to include the site of application. This is critical if there are multiple caregivers involved in the patient's care. Monitor patients with two-piece patches to ensure that they're receiving active drug. In other words, be sure that the overlay is being used properly. This kind of error should be suspected if the therapy seems to be ineffective or if overlays are being returned to the pharmacy in the patient's medication cassette. Finally, remember that narcotic analgesic patches have the highest risk because they can depress respiration. In a previous broadcast, we alerted you to the danger of using diathermy to treat patients who may have metallic leads from neurostimulator devices implanted in their bodies. Two patients with these implanted devices died when they later received diathermy treatments because of the excessive heat generated in the tissue surrounding the metal leads. We're now expanding the warning to include any implanted metallic lead in the patient's body. Among the many implanted devices that may use metallic leads are cardiac pacemakers and defibrillators, cochlear implants, bone growth stimulators, and deep-brain spinal cord and other nerve stimulators. The warning covers microwave or radiofrequency diathermy, also called shortwave diathermy. These are widely used by physicians, dentists, physical therapists, chiropractors, and sports therapists. The warning does not include ultrasound diathermy. FDA's public health notification states that the danger can occur even when the diathermy device is in a non-heating mode, which you might not expect. Also, the danger exists even when the implanted device isn't turned on. And the danger is still there after the implant has been removed from the patient's body as long as the metal leads are left in, and that often happens. The notification urges healthcare professionals who implant devices with metallic leads to explain to the patient what diathermy is and stress that they should not receive shortwave or microwave diathermy. And it urges healthcare professionals who administer shortwave or microwave diathermy to always ask the patient about possible implants. If the patient has an implanted lead, diathermy should not be used even if the implant is turned off. If the patient says that he or she has had an implant that's been removed, don't use diathermy unless you're absolutely certain that any metallic leads have also been removed. In a recent medication safety alert, the Institute for Safe Medication Practices warned that the growing number of insulin combination products is increasing the opportunity for errors. ISMP describes several mix-ups between Humalog Mix 7525 and Humalin 7030. And it mentions the possibility of similar mix-ups between Novolog Mix 7030 and Novolin 7030. These kinds of mix-ups could cause episodes of hypoglycemia in patients. Part of the problem is that the names of these products are so similar and that the labeling and packaging are also similar. ISMP suggests several ways to help avoid these mix-ups. For example, consider designing a pre-printed order form for insulin that lists all the specific insulin products available in your facility, along with their ingredients and component ratios. If the product is dispensed in a vial, the pharmacy should label the vial for a specific patient, rather than supplying it as a floor stock item and then have a system for retrieving discontinued insulin vials. Place reminders about potential confusion in computer systems and storage locations. When a new insulin product is introduced in the facility, put a sticker on it to distinguish it from the older products. And consider conducting a daily review of current medication orders from the pharmacy computer system. In other news, the CDC recently published new hand hygiene guidelines as part of their MMWR recommendations and reports. These guidelines provide specific recommendations on how to improve hand hygiene practices and reduce transmission of pathogenic microorganisms. For example, in addition to traditional hand washing with soap and water, CDC now recommends using alcohol-based hand rubs. The guideline says that these hand rubs significantly reduce the number of microorganisms on the skin, they're fast-acting, and they can cause less skin irritation than traditional hand washing. The rubs also take less time. CDC estimates that over an eight-hour shift an ICU nurse could save an hour by using an alcohol-based hand rub. And data show that healthcare personnel may be more inclined to use alcohol-based hand rubs because they're more convenient. CDC is not recommending alcohol hand rub products to the exclusion of traditional soap and water hand washing. The major change is that CDC is now recommending the alcohol hand products for routine use and not just when soap and water aren't available. The document still recommends a soap and water hand wash before eating and after using the bathroom. CDC is distributing materials like posters to help promote hand hygiene within healthcare facilities. You can find the CDC guideline on our website. True or false? The letters FDA stand for Federal Drug Administration. False. FDA stands for Food and Drug Administration, but foods and drugs aren't the only things FDA is responsible for. It also regulates blood products, vaccines, cosmetics, veterinary drugs, medical devices, and radiation products like microwave ovens. Now for the part of the program called Patients Are Asking, that helps you answer questions about medical products and procedures that are on people's minds. This time we're talking about treating post-menopausal women with estrogen or estrogen plus progestin products. By now, most people have heard about data from the Landmark Women's Health Initiative study that raised concerns about the risks of using these products, and many women are asking about this. Recent results from this study showed that post-menopausal women taking estrogen plus progestin have an increased risk of heart attacks, stroke, breast cancer, and blood clots. FDA is working with manufacturers of estrogen and estrogen plus progestin products to incorporate this new information in professional and patient labeling. FDA's labeling changes include a new boxed warning that highlights the increased risks of MI, stroke, breast cancer, and venous thromboembolism, and it emphasizes that these products should not be used to prevent cardiovascular disease. The revised labeling also clarifies treatment indications for these products. Our website contains more complete information for women and their doctors about these drug labeling changes, including copies of revised labeling, questions and answers on estrogen and estrogen progestin therapy, and a fact sheet providing advice to women on these products. That's all for this edition of FDA Patient Safety News. Remember, you can get more information on all the stories you've seen here today by visiting our website. We also urge you to use the website to report problems you've encountered in your medical products. That's how we learn about problems so we can alert others. We'll be back next month with another edition, so watch for us. Until then, for the U.S. Food and Drug Administration, I'm Anita Reiner. And I'm Mark Barnett. See you next time.


Hello and welcome to the session. My name is Mansi and I'm going to help you with the following question. The question says triangle ABC is an isosceles triangle in which AB equals to AC. That is, AB is equal to AC. Sight BA is produced to D such that AD is equal to AB. That means AD is equal to AB is equal to AC. See the figure 7.34 that is this figure. Show that angle BCD is a right angle that means we have to show that this is a 90 degree angle. Let us start with a solution to this question. Let this be the angle 1, this be the angle 2, this be the angle 3 and this be the angle 4. Then we see that angle 1 is equal to angle 2 because angles opposite to equal sides are equal and AB is equal to AC that is given to us in the question. Since AB is equal to AC and AB is equal to AD then AC is equal to AD. Therefore again by this theorem we have angle 3 is equal to angle 4. Now in triangle BCD that is this triangle angle B plus angle C plus angle D is equal to 180 degree or angle 1 plus angle 2 plus angle 3 plus angle 4 is equal to 180 degree or twice of angle 2 plus twice of angle 3 is equal to 180 degree because angle 1 is equal to angle 2 if earlier proved and angle 3 is equal to angle 4. We can also say twice of angle 2 plus angle 3 is equal to 180 degree therefore angle 2 plus angle 3 is equal to 180 degree divided by 2 that is equal to 90 degree or we can say angle BCA plus angle DCA is equal to 90 degree or angle BCD is equal to 90 degree. Hence angle BCD is a right angle hence proved. So I hope you understood the question and enjoyed the session have a good day.