This study examines technology adoption among oldest-old cohorts (80+) in private homes and long-term care facilities and analyzes relationships between individual characteristics, the living environment, and different kinds of assistive technologies (AT) and information and communication technologies (ICT). The data analysis is based on a representative survey of the oldest-old group's quality of life and well-being in North Rhine-Westphalia, Germany (N = 1,863; age range 80-103; 12.7% long-term care). Descriptive and multiple binary logistic regression analyses were conducted. Fewer than 3% of people in long-term care used internet-connected ICT devices. AT and ICT device adoption is associated with the living environment and individual characteristics (e.g., functional health, chronological age, education, and technology interest), and different patterns of ICT and AT use can be observed. These results indicate that individual characteristics and the living environment are both decisive in the use of technology among the oldest-old group.INTRODUCTION Non-communicable diseases (NCDs) have become a significant cause of morbidity and mortality in Oman. The adoption of unhealthy and sedentary lifestyles associated with rising income is trending with a large number of individuals and is contributing to the emergence of substantial health issues. https://www.selleckchem.com/products/lenalidomide-s1029.html Ultimately, the incidence of NCDs has increased considerably. This review aims to define strategies that can help in attaining Oman's national health promotion goals. RESULTS The current health promotion strategies have not been adequate or sufficient to meet the national Health Vision 2050 of Oman. CONCLUSION Unsafe behaviors and unhealthy lifestyles that led to a significant increase in NCDs have emerged in Oman. Careful re-planning and continuous monitoring and evaluation of health promotion activities are necessary for effective implementation of health policies, with the ultimate goal of reducing the NCD burden in Oman.BACKGROUND Preoperative computed tomography (CT)-guided coil localization can increase the technical success of video-assisted thoracoscopic surgery (VATS)-guided diagnostic wedge resection of lung nodules relative to cases treated without localization. When multiple lung nodules (MLNs) are to be resected, preoperative localization for each lung nodule is required. The aim of this study was to explore the feasibility, safety, and clinical efficacy of preoperative CT-guided coil localization of MLNs. METHODS Between November 2015 and July 2019, 31 patients with MLNs were assessed via CT-guided coil localization followed by VATS-guided wedge resection. Rates of technical success for both the localization and wedge resection procedures, as well as data pertaining to patient complication rates and long-term outcomes were recorded and assessed. RESULTS In total, 68 nodules (average of 2.2 nodules/patient) were localized and resected using this approach. Nodules were unilateral and bilateral in 23 and 8 patients, respectively. The rate of CT-guided coil localization technical success for these nodules was 98.5% (67/68), with a technical success rate of single-stage coil localization on a per-patient basis of 96.8% (30/31). Following localization, asymptomatic pneumothorax occurred in four patients (12.9%). The wedge resection technical success rate was 100%. Mean VATS operative time was 167.3 ± 75.2 min, with a mean blood loss of 92.6 ± 61.5 ml. Patients were followed between 3 and 46 months (median 24 months), with no evidence of new nodules, distant metastases, or postoperative complications in any patients. CONCLUSION Preoperative CT-guided multiple coil localization can be easily and safely used to guide single-stage VATS diagnostic wedge resection in patients with MLNs. The reviews of this paper are available via the supplemental material section.A historical overview and evolution of Leininger's ethnonursing research method (ERM) is presented along with descriptions of the method's purpose, goal, terminology, and enablers. A succinct guide to using ERM is provided to assist novice and seasoned researchers, as well as mentors and educators, in teaching, mentoring, advising, and/or conducting ethnonursing research studies. Criteria for evaluation of qualitative research studies, such as the ERM, are highlighted.Introduction Although Muslims constitute nearly one fourth of the global population, many non-Muslims are not familiar with Islam. To address this unique need from such a specific cultural context, the present study aimed to examine the spiritual needs and influencing factors of Indonesian Muslims with cancer. Method A cross-sectional research design with 122 cancer patients was conducted by using the Bahasa-version Spiritual Needs Questionnaire. Results The degree of spiritual needs was generally high. Religious needs were the strongest aspect, and "praying five times a day" was the highest scoring item. Gender (p = .04), age (p = .01), and duration of being diagnosed with cancer (p = .01) were associated with spiritual needs. Female gender (p = .005) and older age (p less then .001) were predictors of spiritual needs. Discussion As expected to provide cultural-congruent spiritual interventions, nurses could meet Muslim patients' need to pray five times a day during hospitalization, thus help them manage and endure the illness.Ultra-cushioning (ULTRA) shoes are new to the running shoe market. Several studies have evaluated kinematics and kinetics while running in ULTRA shoes, however it remains unknown how such shoes influence joint coordination. Therefore, the purpose of this study was to evaluate lower extremity coordination and coordination variability when running in minimalist (MIN), traditional (NEUT) and ULTRA shoes. Fifteen runners ran for ten minutes in each shoe type. Coordination patterns and coordination variability were assessed for rearfoot-tibia, rearfoot-knee, and tibia-knee couplings using a modified vector coding method during early, mid, and late stance periods. During late stance ULTRA shoes resulted in more antiphase coordination than MIN (p =.036) or NEUT (p =.047) shoes and less in-phase coordination than MIN (p =.048) or NEUT (p =.013) shoes. During late stance there was also more proximal phase rearfoot-knee coordination in ULTRA shoes than in either MIN (p =.039) or NEUT (p =.005) shoes and less in-phase coordination in ULTRA shoes than in NEUT shoes (p =.

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The battle for the White House is coming down to a battle of the genders!....Obama lectures young black men why they must vote for Kammy......Trump is taking extreme measures to protect his safety, especially with it looking like her will win.....Trump holds serious events each day while Kammy muddles thru scripted appearances...Kammy on cover of Vogue...Keep praying for those affected by Hurricane's Helene and Milton...Plus much more on tonight's Liveprayer TV with Bill Keller.

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The River Church Has 2-hour Journaling Sessions Weekly by Jay Fernandez

Something odd is going on in rural Missouri at a church called The River. No, it is not the building shaped like an ARK off I-44, but yes, that is odd to be sure. It is a church meeting that started in June this year every Tuesday with the only goal of providing people with a space to hear God.

Stepping into this meeting, you may find yourself trying to figure out what is going on. You will see dozens of people across the sanctuary sitting quietly with notebooks open. Some nights you may hear “soaking music” faintly playing in the background, or silence filling the sanctuary. On occasion, a person may be quietly playing an instrument. Occasionally, you will see someone get up and leave and others show up in the middle of the meeting, but they simply come in and quietly sit down.

This happens every week for nearly two hours. Can you imagine sitting quietly for two hours without expectations, programs, or agendas? Yet, this is the most talked about thing in our area. Why? Because God shows up and talks to His people. Not only does He talk, but He seems to enjoy showing off at times with people being set free from addictions, physical healings, and emotional hurts being healed.

Over the past decade since being introduced to 4 Keys to Hearing God, I have been convinced that this is the most vital piece of the puzzle in our Christian life. It allows us to build a relationship with our creator instead of practicing a religion. Every time I have had a chance to share the 4 Keys with others, I do. As the leader of our small group's ministry, I have even made this teaching required for our leaders.

Over the past 10 years, the number one item that I kept hearing was that “I don’t have time”. Everyone sees the importance of tuning to flow, but daily life seems to crowd it out so often. So when praying about what to do for our summer small groups, the seed was planted to have one group and simply make it a time when people can get away from it all and just listen.

So here is what we did. We used our old church sanctuary (currently our youth building) and set it aside for listening. Since only a small number of our church had gone through 4 Keys training, we ran a small 4-slide PowerPoint (Fig 1-4) continuously so folks could try and figure it out on their own. Although we offer help, no one asks. Talking is prohibited and if folks need to chat, we have a cafe area in the building where they can visit without disturbing others that are tuned to flow. No one starts the meeting, no one gives directions, it is just a quiet space for people to enter.

After the first hour, a few folks experienced with the 4 Keys are available to pray with anyone who needs ministry. Although there are no restrictions, it is mostly meant to be a chance for folks who have heard something from God but don’t know what to do with it to get some direction. We simply pray with them, both parties tuning to flow to move understanding forward.

During our first night, in my listening, I heard God tell me to go ask people what they were hearing, so about 15 minutes before we were to finish, I asked if anyone wanted to share what God was talking to them about. After the first person shared, then a second spoke up and said, “God told me the same thing…”. Others shared and there was a definite thread that ran through everything God was talking about that night. Because of that, a testimony time at the end of the session has become a vital part of the evening. I often hear that the sharing time gives confirmation (confirmed by the witness of 2 or 3) or similarly, if a person was new to the 4 Keys, it was confirmation that they had heard from God.

One of the other occurrences we have seen is the proliferation of visions. Many folks had never seen a vision or if they had it was years between occurrences. Mike’s vision is not unusual. One of our senior saints, I guess Mike is in his 70s and has many years of walking with God. Mike had never been trained in the 4 Keys, but still came with his wife and like everyone else, read the PowerPoint, sat quietly and when he focused on Jesus, he experienced his first vision. As he tells it, “I was trying to picture Jesus and then all of a sudden, there He was. Behind Him was an arm reaching down from a bright light that was behind the pulpit area. I just knew this was the Father’s hand. Jesus told me not to be afraid and to take the Father’s hand. I was thinking that I was a sinner, but when I reached out and took His hand, it all changed, I knew how much I was loved.” As Mike shared this with me, he was visibly shaken with tears in his eyes. "I never knew it could be like this" were the final words of his testimony, and I can tell you there was barely a dry eye in the room after that.

Our group was slated to end at the end of August. However, we heard from several people that these meetings “could not stop.” One of the pastors heard in her journaling that it is “vital” that these meetings continue for what God has planned at our church. Everyone on our leadership team agreed, so our listening meeting will continue year-round until God tells us otherwise.
See four graphics here: https://www.cwgministries.org/blogs/river-church-has-2-hour-journaling-sessions-weekly-jay-fernandez


About the Author

Jay Fernandez is the Small Groups Leader at the River in Waynesville, Missouri. Jay was introduced to the 4 Keys and Dr. Mark Virkler at the Catch the Fire Leaders School of Ministry in Toronto after coming off the missions field in South Sudan. He has authored two books on God’s Grace that both include the 4 Keys as vital pieces of our Christian life.

About the Church.

The River is an interdenominational, intercultural, full-gospel church passionate about seeing God transform people’s lives through an intimate, personal relationship with the living Savior, Jesus Christ. It is located in Waynesville, MO just outside the Army’s Ft Leonard Wood training post.
Testimonies

Howie Malone, Lead Pastor, the River

I was excited when Jay proposed the “soaking time" every Tuesday night through the summer, instead of our usual “Streams” small groups. I had no idea what God had in store and what we were in for. It has blessed me so much as the pastor to see so many people connecting with God in a more direct and personal way, through these sessions. It blessed me too, to force myself to sit quietly and just listen to God, rather than rattle off petitions and concerns, like we do so many times in prayer.

Kelly Tillott

Before attending the soaking, I had attended a stream (small group) at Jay’s house on Hearing the Voice of God. I wasn’t sure what to expect at this small group but I desired to find out if God speaks to me. I believed he did but wasn’t sure if I was hearing his voice. I have come to understand that God speaks to me all the time. In my busy life, this weekly time has become vital for me. It is my appointment with the Father to hear what he says about my life, the Church, and our community.

Brenda Sands

In 2013, I learned a simple way of recording what the Word says to me. It changed everything. In 2023, I learned about the 4 Keys at Jay’s home group to quiet my head and simply listen after asking God questions. It changed everything again. Our Tuesday nights provide a time to just be quiet before Him. Who knew I could trust Him in this way? He surely did. Wow! I’m so thankful to have the rest of my life to keep going deeper.

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Please say a prayer for Liveprayer. We are in line for a big hit from Hurricane Milton in the next 24 hours (I am writing this at 5am Wednesday morning). I am confident God will watch over us and that we will be fine. My biggest problem is going to be our mail which is how we take in 70% of our donations. Just 2 weeks ago during Hurricane Helene, due to storm surge we weren’t able to get mail delivery for 4 days. That also meant our post office was unable to receive mail from around the country. This disruption finally worked itself out as of Friday the 4th and now we are back facing the same situation. No mail was delivered Tuesday, nor was there Wednesday and Thursday. Depending on how much damages is done, my guess is we won’t start getting mail until next Tuesday the 15th since Monday is a Federal holiday. It will than take most of next week before the mail coming in from other states will be received and delivered. So it will probably be Friday the 18th before we get our mail service back on track!

Please be praying since we are already playing catch up with our finances. I would simply ask that those who are able, if you could pray about making a credit card donation now thru the 18th that would help me a great deal since our credit card donations can be moved to our bank almost instantaneously. Sadly, in light of everything else I have to take care of each day here at Liveprayer, I will also be dealing with the aftermath of Hurricane Milton in the coming days. The ministries finances is even a bigger challenge without getting any mail, but God is gracious and despite the efforts of satan He has always moved on the hearts of the Liveprayer family to step up in those hours of greatest need. Thank you and know I pray for you and your family each day and for His richest blessings as we press on towards the prize!!!

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