Moses complained to God about having to carry the burden of leading the Israelites alone. God responded by telling Moses to gather seventy elders who would help share the load and that God would put the Spirit on them. The document then discusses how the "land between" can bring emotional collapse if worry, stress, anger and discouragement take root. It suggests giving up trying to control everything and instead turning to God, who will respond with love and compassion. Viewing God as caring makes one more likely to draw near to him in times of crisis.
No matter how bad you have been hurt in your past, and no matter how many people have hurt you in your past BUT you must now learn to fully trust God with both yourself and with your entire life.
The Corona virus pandemic has so much taken the center stage in the media that people do not remember the name of Jesus. They have forgotten the power in his name: to save, to heal, to deliver, to mend, to create and raise the dead. His name is ABOVE all names. Apply his name to that situation TODAY. He is at the CENTER of all these to give us VICTORY. This sermon was delivered to a live audience on ZOOM.To join the Church from any where in the world send a request to the host: pejuoti2017@gmail.com or call +234 805 612 9314. We are open to pray with you on any matter. JESUS IS LORD!
No matter how bad you have been hurt in your past, and no matter how many people have hurt you in your past BUT you must now learn to fully trust God with both yourself and with your entire life.
The Corona virus pandemic has so much taken the center stage in the media that people do not remember the name of Jesus. They have forgotten the power in his name: to save, to heal, to deliver, to mend, to create and raise the dead. His name is ABOVE all names. Apply his name to that situation TODAY. He is at the CENTER of all these to give us VICTORY. This sermon was delivered to a live audience on ZOOM.To join the Church from any where in the world send a request to the host: pejuoti2017@gmail.com or call +234 805 612 9314. We are open to pray with you on any matter. JESUS IS LORD!
Israel was on a downward spiral throughout the time of the Judges. Repentance always brought deliverance, but backsliding brought trouble and bondage. The first deliverer was Othniel.
We Are Not Alone – God Is Here Leading Us.Jerry Spangler
We Are Not Alone – God Is Here Leading Us.
Sometimes things that go on around us make us feel alone, stranded, and defeated. I ran across a story today that refreshed my soul, and I hope it does the same for you.
In the previous chapters the main emphasis in the book was why we need a Savior and how we can accept Him. However, this chapter begins to deal with how a Christian ought to live out his salvation. There are many practical points to daily Christian living which begin in Romans 12 and continue to the end of the book.
We all deal with anxiety, fear of the future, due to the aftermath of sin and our obsession with self-centeredness. How can we find a way to peace? Join the discussion at www.stevegedon.com
Not long ago, I was in Dallas holding aseminar. My daughter, Zona, was with me,helping with the book and tape sales. Zonaowns two exercise studios and had a financialneed for $3,000. She told me about it, but Ididn't respond. I've taught her for years totrust God. Sometimes the pressure of asituation will nag at you so strongly that youwill bypass God and look to a person—especially one who has what you need.That night, Zona had a night vision—avision that occurs when you are asleep. God speaks to your spirit and shows you what youneed to see. It's from God—not from the pizzayou ate earlier!The next morning, she told me about thedream she received, saying, "Daddy, Daddy, Idon't like it!" She said, "I dreamed I was aninstructor in an exercise place.""Well," I said, "that's what you are.""But, Daddy, I was just an instructor in theexercise place and not the owner."She continued to describe the dream. In it,there was a man who owned the place.Because Zona needed financial help, she askedher boss for more money. He refused and heaped abuse on her. The dream had greatlyupset her. She didn't understand the truth thatGod was trying to reveal to her in this dream, but I immediately did.I said, "Zona, Zona. That dream was for you.God was showing you what happens whenyou prostitute your faith. I've told you foryears what to do, but you flounder around andlook to man for help, and God doesn't like it.Why don't you change?"You might say, "That seems very harsh,Brother Norvel.' But, in these last days, God isrevealing the truth so we won't have tostumble around in darkness for the rest of ourlives. Yes, when I said that, it was harsh.Sometimes the truth can be offensive. But if welisten and apply it, it will always set us free.Meanwhile, Zona sat in a chair mumblingtearfully, "Oh, Daddy, oh, Daddy." I said to her, "Zona, honey, little darling, Jesus lovesyou! Why don't you start thanking Jesus for what you want and Jesus will give it to you.
Youcan be free from your prostitute faith.Don't go to man. God says, 'Forget not togive God thanks in everything.' Why don't youdo it?"Crying, she said, "Okay, Daddy, I will, Iwill.'After this conversation on Saturdaymorning, we both began thanking Jesus forhelping her. Later, she went to work behindthe tape and book table during the seminar.Soon, a person walked up and said, "Zona,God has been dealing with me for two days.Here's a check the Lord told me to give you."She looked at the check—
four thousand dollars!
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
4. He asked the LORD, "Why
have you brought this trouble
on your servant? What have
I done to displease you that
you put the burden of all
these people on me?
5. Did I conceive all these
people? Did I give them
birth? Why do you tell me to
carry them in my arms, as a
nurse carries an infant, to the
land you promised on oath to
their forefathers?
6. Where can I get meat for all
these people? They keep
wailing to me, 'Give us meat
to eat!' I cannot carry all
these people by myself; the
burden is too heavy for me.
7. If this is how you are going to
treat me, put me to death
right now--if I have found
favor in your eyes--and do
not let me face my own ruin."
8. The LORD said to Moses:
"Bring me seventy of Israel's
elders who are known to you
as leaders and officials
among the people. Have
them come to the Tent of
Meeting, that they may stand
there with you.
9. I will come down and speak
with you there, and I will take
of the Spirit that is on you
and put the Spirit on them.
They will help you carry the
burden of the people so that
you will not have to carry it
alone.
11. 2. The land between is fertile
ground for four things that
must not take root:
WORRY, STRESS,
ANGER, and
DISCOURAGEMENT.
12. 3. The way to limit worry,
stress, anger and
discouragement from taking
root is to give up attempting
to control things the way
we want them and turn
towards our Maker and
admit that we need him.
13. a. The difference between
the Israelite’s and Moses’
complaint: The Israelites
complained about God.
Moses complained to
God.
14. b. God responds to our
turn towards him with
love and
compassion.
15. c. Our view of God affects
whether we will seek him in
the hour of crisis. If we view
him as unconcerned, we
will not turn to him…
16. …If we view him as
concerned, caring, and
with us, we will be more
likely to draw near to him.
17. 4. Use the Psalms to learn
how to cry out to God.
18. 5. Cling to the belief that God
is good and present with
us
19. 6. Create reminders of
God’s goodness and
faithfulness and presence in
the past so that you can
have hope that God will be
faithful again.
Editor's Notes
The land between is a metaphor for transitions is life.
Moving from here to there. For the Israelites, their wilderness wandering was not intended to be a waste but was intended to be a time of building the foundation for being God’s holy people. They left Egypt acclimated to the world of idolatry. They were about to inherit a promised land flowing with milk and honey living in the presence of the only true God and they had to develop their spiritual foundation to learn to love and obey God.
It was in this wilderness that God revealed his character and his presence and his plan. As the story continues we see the complaining about the manna intensify. We saw their complaint about the manna wishing for the leeks and meat of Egypt but God revealed what was truly in their heart…they felt they were better off without God. Now their complaints are directed at Moses. Moses prays:
Why?
I cannot carry this anymore
The burden is too heavy
Just kill me.
Moses is not the only one in scripture. Elijah learned that Jezebel planned to kill him. 1 Kings 19:3-5 records his response: he came to a tree, sat down, and prayed: “I have had enough, Lord. Take my life….”
Jeremiah has a meltdown after preaching in the temple and being arrested, beaten, and placed in stocks all night: “Cursed be the day I was born. May the day my mother bore me not be blessed. Why did I ever come out of the womb to see sorrow and trouble and to end my days in shame?” (Translated: “I wish I’d never been born.)
What are you burdened with? Are you sick of it yet?
These are reactions all show skewed perceptions of God.
Worry shows a lack of trust that God is not powerful enough to handle our problem.
Stress implies that we think what we are doing is so significant it requires our tight controlling grip
Anger is a response when we lose that controlling grip…many of us try to control others with anger
Discouragement shows a lack of understanding that there is hope in a God who writes our story from beginning to end.
Perhaps a slowness to pray towards God is rooted in a believe God is indifferent, uncaring, or unloving…YOU TUBE GEIKO COMMERCIAL…Maybe we expect God to act this way if we came whining to him. Perhaps our slowness to pray towards God is rooted in the lie that God does not care about us.
But:
God to Moses: gave him help and lightened his load
God to Elijah: sent an angel to touch him, baked him bread and gave him water.
Jesus to all: matt 11:28 - Come to me all you who are weary and burdened and I will give you rest. 1 Peter 5:7 Cast all your anxiety on Him because he cares for you.
Maybe we don’t know how to cry out to God. Maybe we are afraid. Maybe we need a guide. The psalms have many prayers depicting crying out
PS 69 1-2 Save me o God for the waters have come up to my neck. I sink in the miry depths where there is no foothold. I have come into the deep waters; the floods engulf me. (in other words…I’m in over my head!)
Ps 13 begins with David’s plea: “How long God will my enemy triumph over me? How long will you hide your face from me?
But verse 5-6 read: “but I trust in your unfailing love. My heart rejoices in your salvation. I will sing to the Lord for he has been good to me.