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Bringing hope and healing to South Korea

From 21 July - 19 August, Logos Hope brought the hope of the Gospel to over 50,000 people who visited the ship in Incheon, South Korea.




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On this rock (or from this dock) churches founded

OM’s ships connect with local churches in every port of call. Existing fellowships have added new believers, and new churches have been planted in the wake of a ship visit.




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Shipwrecked—yet full steam ahead

Seventeen years after the Ship Ministry sailed into service, OM suffered the loss of Logos at sea. But partners around the world were adamant the work should continue, and gave generously to replace the vessel with something better.




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A walking cane and a wooden cross

OM Peru completed their summer medical outreach in Trujillo, Peru. They saw over 350 patients and 60 people commit to the Lord.




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A special two weeks

At the end of July, OM Peru helped build a church, share God's love with the surrounding community and speak in a missions conference.




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Saying thank you with eggs

After preaching in a church and serving the community, team members each receive an egg as a gift from a local woman.




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Pope asks God to free Catholics from the 'disease' of division

Vatican City, May 4, 2020 / 07:29 am (CNA).- Jesus died for everyone, but disordered attachment to one’s own ideas can cause divisions which break the unity of God’s people, Pope Francis said at Mass on Monday.

“There are ideas, positions that create division, to the point that the division is more important than unity,” the pope said May 4. People think “my idea is more important than the Holy Spirit who guides us.”

Francis called division a “disease of the Church, a disease which arises from ideologies or religious factions…”

Throughout the Church’s history there has always been a spirit of thinking one’s self to be righteous and others to be sinners, he said, describing it as an “us and the others” attitude, which says others are already condemned, while “we have the right position before God.”

Speaking from the chapel of his Vatican residence, the Casa Santa Marta, Francis emphasized that Jesus died for everyone.

Imagining a dialogue with someone questioning the statement, he said, “‘But did [Jesus] also die for that low-life who made my life impossible?’ He died for him too. ‘And for that crook?’ He died for him.”

“For everyone,” Francis underlined. “And also for people who do not believe in him or are of other religions: he died for everyone.”

Without using a name, the pope referenced a retired cardinal living inside the Vatican, who, he said, likes to say “the Church is like a river,” with different people being like different parts of the river.

“But the important thing is that everyone is inside the river,” the pope said. “This is the unity of the Church.”

The Church is a wide river, “because the Lord wants it so.”

Pope Francis quoted a verse from the day’s Gospel reading, John 10:11-18, when Jesus says: “I have other sheep that do not belong to this fold. These also I must lead, and they will hear my voice, and there will be one flock, one shepherd.”

Jesus is saying “I am Shepherd of everyone,” the pope explained. “Everyone: Big and small, rich and poor, good and bad.”

Pointing to the divisions in the Church after the Second Vatican Council, he said it is permissible to think differently from one another, but always “in the unity of the Church, under Jesus the Shepherd.”

He prayed that the Lord would free Catholics from the illness of division and help them to see “this great thing from Jesus, that in him we are all brothers and he is the Shepherd of all.”

Pope Francis offered the day’s Mass for families, that in this time of quarantine because of the coronavirus pandemic they will continue to try new and creative things together and with their children.

He also acknowledged the reality of domestic violence, asking for prayers for families “to continue in peace with creativity and patience in this quarantine.”

After Mass the pope led those following the Mass via livestream in an act of spiritual communion. He concluded with Eucharistic adoration and benediction.

 




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Pope Francis speaks up for ‘harshly exploited’ agricultural workers

Vatican City, May 6, 2020 / 05:30 am (CNA).- The coronavirus crisis can be an opportunity to recenter work on the dignity of each person, Pope Francis said in an appeal at the end of his general audience broadcast on Wednesday. 

“On May 1, I received several messages about the world of work and its problems. I was particularly struck by that of the agricultural workers, among them many migrants, who work in the Italian countryside. Unfortunately, many are very harshly exploited,” Pope Francis said May 6.

“It is true that the current crisis affects everyone, but people's dignity must always be respected. That is why I add my voice to the appeal of these workers and of all exploited workers. May the crisis give us the opportunity to make the dignity of the person and of work the center of our concern,” he said. 

Amid fears of a food shortage, the Italian government is currently discussing whether to legalize some undocumented migrant workers. These workers are particularly vulnerable to exploitation with illegal contracts that can pay less than half of Italy’s minimum wage for the agricultural sector.

May 1 is recognized as Labor Day in Italy and many countries throughout Europe, however it is not an official holiday in the Vatican, which instead celebrates the feast of St. Joseph the Worker, established by Pope Pius XII in 1955.

On the feast day, the pope asked St. Joseph to help Catholics fight for dignified work. He prayed that “no one might be without work and all might be paid a just wage.”

Pope Francis said in his Wednesday audience that prayer is “a cry that comes for the heart of those who believe and entrust themselves to God.” The pope began a new cycle of weekly catechesis on May 6 focused on prayer. 

“Not only do Christians pray, they share the cry of prayer with all men and women. But the horizon can still be widened. Paul says that the whole creation ‘groans and suffers the pains of childbirth,’” he said, quoting St. Paul’s letter to the Romans.

“The Catechism states that ‘humility is the foundation of prayer,’” the pope said. “Prayer … comes from our precarious state, from our continuous thirst for God.”

Pope Francis focused his catechesis on the Gospel account of Bartimaeus, the blind beggar from Jericho.

Bartimaeus “uses the only weapon in his possession: his voice. He starts shouting: ‘Son of David, Jesus, have mercy on me,’” the pope explained.

“And Jesus listens to his cry. Bartimaeus' prayer touches his heart, the heart of God, and the doors of salvation are opened for him,” he said. “He recognizes in that poor, helpless, despised man, all the power of his faith, which attracts the mercy and power of God.”

“Stronger than any argument, there is a voice in the human heart that calls out. We all have this voice inside. A voice that comes out spontaneously, without anyone commanding it, a voice that questions the meaning of our journey down here, especially when we are in the dark: ‘Jesus, have mercy on me! Jesus, have mercy on me!’ This is a beautiful prayer,” Pope Francis said.




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Pope Francis: ‘Jesus saves us from the darkness’

Vatican City, May 6, 2020 / 07:00 am (CNA).- Pope Francis said Wednesday that Christ’s light illuminates the darkness of sin in our world and in ourselves.

“It is the mission of Jesus to bring light. And the mission of the apostles is to bring the light of Jesus,” Pope Francis said in his morning Mass homily on May 6.

“The Lord saves us from the darkness that we have inside, from the darkness of everyday life, of social life, of political life, of national, international life,” he said.

Speaking from the chapel of his Vatican City residence, Casa Santa Marta, Pope Francis quoted chapter 12 of the Gospel of John: “I came into the world as light, so that everyone who believes in me might not remain in darkness.”

The pope said that “the drama is that the light of Jesus has been rejected” by many who are blinded by sin. 

“Sin blinds us and we cannot tolerate light,” he said. “It is not easy to live in the light. The light makes us see so many bad things inside us that we do not want to see: the vices, the sins.”

He continued: “We think of our pride. We think of our worldly spirit. These things blind us. They distance us from the light of Jesus.”

Conversion is an experience of moving from this darkness of the “slavery” of sin to the light of Christ, the pope said.

“Paul had this experience of the passage from darkness to light, when the Lord met him on the road to Damascus. He was blinded. Blind. The light of the Lord blinded him. And then, after a few days, with baptism, the light was restored,” he said. 

“He had this experience of the passage from the darkness, in which he was, to the light. It is also our passage, which we sacramentally received in Baptism … This is why in the baptism liturgy we receive a lit candle … because the child is illuminated,” he added.

Pope Francis said that the Lord asks us to “have the courage to see our darkness so that the light of the Lord may come in and save us.” He added that there is no reason to be afraid of the light of Jesus because he is gentle and good, and “he came to save us.”

“And this will be the struggle of Jesus. He continues to illuminate, to bring the light that shows things as they are,” the pope said. 

“He shows freedom. He shows the truth. He shows the way to go with the light of Jesus.”




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Pope Francis: the devil seeks to destroy the Church through envy

Vatican City, May 9, 2020 / 04:00 am (CNA).- The devil uses envy to try to thwart the proclamation of the Gospel, Pope Francis said at his morning Mass Saturday.

In his homily in the chapel at Casa Santa Marta, May 9, the pope reflected on the day’s first reading, Acts 13:44-52, in which the Jewish community at Antioch rejects St. Paul’s preaching about Jesus. 

He said: “On the one hand there is the Lord, there is the Holy Spirit who makes the Church grow, and it grows ever more: this is true. But on the other hand, there is the evil spirit that seeks to destroy the Church.” 

After citing other examples in the Acts of the Apostles where the apostles faced rejection, the pope asked: “And what is the devil's instrument to destroy the Gospel proclamation? Envy. The Book of Wisdom [2:24] says it clearly: ‘Through the devil's envy sin has entered the world’ -- envy, jealousy, here. Always this bitter, bitter feeling.” 

Reflecting on this enduring struggle, Pope Francis quoted St. Augustine of Hippo, who wrote in “The City of God” that “the Church progresses on her pilgrimage amidst this world's persecutions and God's consolations.”

“A Church that has no difficulty lacks something,” he said. “The devil is too calm. And if the devil is calm, things are not going well. Always the difficulty, the temptation, the struggle... the jealousy that destroys. The Holy Spirit creates the harmony of the Church, and the evil spirit destroys. Until today.” 

The pope noted that in the first reading the community at Antioch turned the leading women and men of the city against the apostles. He observed that temporal powers are often an instrument through which envy is stirred up against Christians. 

He said: “Let us be careful with the preaching of the Gospel: never to fall, to put our trust in temporal powers and money. The trust of Christians is Jesus Christ and the Holy Spirit that He sent, and it is precisely the Holy Spirit who is the leaven, it is the strength that makes the Church grow.” 

“Yes, the Church goes ahead, in peace, with resignation, joyful: between ‘the consolations of God and the persecutions of the world.’”

The pope led those watching via livestream in an act of spiritual communion, composed by St. Alphonsus Liguori, founder of the Redemptorists.

He prayed: “My Jesus, I believe that you are present in the most Blessed Sacrament. I love You above all things and I desire to receive You into my soul. Since I cannot now receive You sacramentally, come at least spiritually into my heart. I embrace You as if You were already there, and unite myself wholly to You. Never permit me to be separated from You.”

The pope ended the celebration with adoration and benediction of the Blessed Sacrament. The congregation then sang the Easter Marian antiphon “Regina caeli.”

At the start of Mass, the pope noted that May 9 is the feast day of St. Louise de Marillac, the French founder of the Daughters of Charity. Her feast normally falls on March 15 but was transferred this year because it fell on a Sunday in Lent. A painting of the 17th-century saint was brought to the pope’s chapel to mark the occasion. 

The Daughters of Charity belong to the Vincentian family. Vincentian nuns live at the Casa Santa Marta, the pope’s residence, and run a pediatric dispensary at the Vatican.

At the start of Mass, the pope said: “Today is the commemoration of St. Louise de Marillac: let us pray for the Vincentian sisters who have run this clinic, this hospital, for almost 100 years and have worked here, in Santa Marta, for this hospital. May the Lord bless the sisters.”




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Women hike for freedom in New Zealand

On 1 December, 22 women hiked Tongariro Alpine Crossing to raise awareness and funds for women and children trafficked in France and India.




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A thanksgiving sacrifice and feast

A man expresses thanks to God for good health after cancer by making a sacrifice to God and holding a feast for family and friends.




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Service Use Classes Among School-aged Children From the Autism Treatment Network Registry

BACKGROUND AND OBJECTIVES:

Use of specific services may help to optimize health for children with autism spectrum disorder (ASD); however, little is known about their service use patterns. We aimed to (1) define service use groups and (2) determine associations of sociodemographic, developmental, behavioral, and health characteristics with service use groups among school-aged children with ASD.

METHODS:

We analyzed cross-sectional data on 1378 children aged 6 to 18 years with an ASD diagnosis from the Autism Speaks Autism Treatment Network registry for 2008–2015, which included 16 US sites and 2 Canadian sites. Thirteen service use indicators spanning behavioral and medical treatments (eg, developmental therapy, psychotropic medications, and special diets) were examined. Latent class analysis was used to identify groups of children with similar service use patterns.

RESULTS:

By using latent class analysis, school-aged children with ASD were placed into 4 service use classes: limited services (12.0%), multimodal services (36.4%), predominantly educational and/or behavioral services (42.6%), or predominantly special diets and/or natural products (9.0%). Multivariable analysis results revealed that compared with children in the educational and/or behavioral services class, those in the multimodal services class had greater ASD severity and more externalizing behavior problems, those in the limited services class were older and had less ASD severity, and those in the special diets and/or natural products class had higher income and poorer quality of life.

CONCLUSIONS:

In this study, we identified 4 service use groups among school-aged children with ASD that may be related to certain sociodemographic, developmental, behavioral, and health characteristics. Study findings may be used to better support providers and families in decision-making about ASD services.




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Families Experiences With Family Navigation Services in the Autism Treatment Network

BACKGROUND AND OBJECTIVES:

Families of children with autism spectrum disorder (ASD) often experience challenges navigating multiple systems to access services. Family navigation (FN) is a model to provide information and support to access appropriate services. Few studies have been used to examine FN’s effectiveness for families of children with ASD. This study used mixed methods to (1) characterize FN services received by a sample of families in the Autism Treatment Network; (2) examine change in parent-reported activation, family functioning, and caregiver strain; and (3) explore families’ experiences with FN services.

METHODS:

Family characteristics and parent outcomes including parent activation, family functioning, and caregiver strain were collected from 260 parents in the Autism Treatment Network. Descriptive statistics and linear mixed models were used for aims 1 and 2. A subsample of 27 families were interviewed about their experiences with FN services to address aim 3.

RESULTS:

Quantitative results for aims 1 and 2 revealed variability in FN services and improvement in parent activation and caregiver strain. Qualitative results revealed variability in family experiences on the basis of FN implementation differences (ie, how families were introduced to FN, service type, intensity, and timing) and whether they perceived improved skills and access to resources.

CONCLUSIONS:

Findings suggest FN adaptations occur across different health care delivery systems and may result in highly variable initial outcomes and family experiences. Timing of FN services and case management receipt may contribute to this variability for families of children with ASD.




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Family Engagement in the Autism Treatment and Learning Health Networks

Family involvement in the Autism Intervention Research Network on Physical Health, the Autism Treatment Network, and the Autism Learning Health Network, jointly the Autism Networks, has evolved and grown into a meaningful and robust collaboration between families, providers, and researchers. Family involvement at the center of the networks includes both local and national network-wide coproduction and contribution. Family involvement includes actively co-authoring research proposals for large grants, equal membership of network committees and workgroups, and formulating quality improvement pathways for local recruitment efforts and other network initiatives. Although families are involved in every aspect of network activity, families have been the driving force of specifically challenging the networks to concentrate research, education, and dissemination efforts around 3 pillar initiatives of addressing comorbidities of anxiety, attention-deficit/hyperactivity disorder, and irritability in autism during the networks’ upcoming funding cycle. The expansion of the networks’ Extension for Community Healthcare Outcomes program is an exciting network initiative that brings best practices in autism care to community providers. As equal hub members of each Extension for Community Healthcare Outcomes team, families ensure that participants are intimately cognizant of family perspectives and goals. Self-advocacy involvement in the networks is emerging, with plans for each site to have self-advocacy representation by the spring of 2020 and ultimately forming their own coproduction committee. The Autism Treatment Network, the Autism Intervention Research Network on Physical Health, and the Autism Learning Health Network continue to be trailblazing organizations in how families are involved in the growth of their networks, production of meaningful research, and dissemination of information to providers and families regarding emerging work in autism spectrum disorders.




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Improving Behavior Challenges and Quality of Life in the Autism Learning Health Network

OBJECTIVES:

To summarize baseline data and lessons learned from the Autism Learning Health Network, designed to improve care and outcomes for children with autism spectrum disorder (ASD). We describe challenging behaviors, co-occurring medical conditions, quality of life (QoL), receipt of recommended health services, and next steps.

METHODS:

A cross-sectional study of children 3 to 12 years old with ASD receiving care at 13 sites. Parent-reported characteristics of children with ASD were collected as outcome measures aligned with our network’s aims of reducing rates of challenging behaviors, improving QoL, and ensuring receipt of recommended health services. Parents completed a survey about behavioral challenges, co-occurring conditions, health services, and the Patient-Reported Outcomes Measurement Information System Global Health Measure and the Aberrant Behavior Checklist to assess QoL and behavior symptoms, respectively.

RESULTS:

Analysis included 530 children. Challenging behaviors were reported by the majority of parents (93%), frequently noting attention-deficit/hyperactivity disorder symptoms, irritability, and anxiety. Mean (SD) scores on the Aberrant Behavior Checklist hyperactivity and irritability subscales were 17.9 (10.5) and 13.5 (9.2), respectively. The Patient-Reported Outcomes Measurement Information System Global Health Measure total score of 23.6 (3.7) was lower than scores reported in a general pediatric population. Most children had received recommended well-child (94%) and dental (85%) care in the past 12 months.

CONCLUSIONS:

This baseline data (1) affirmed the focus on addressing challenging behaviors; (2) prioritized 3 behavior domains, that of attention-deficit/hyperactivity disorder, irritability, and anxiety; and (3) identified targets for reducing severity of behaviors and strategies to improve data collection.




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The Autism Treatment Network: Bringing Best Practices to All Children With Autism

The Autism Treatment Network and Autism Intervention Research Network on Physical Health were established in 2008 with goals of improving understanding of the medical aspects of autism spectrum disorders. Over the past decade, the combined network has conducted >2 dozen clinical studies, established clinical pathways for best practice, developed tool kits for professionals and families to support better care, and disseminated these works through numerous presentations at scientific meetings and publications in medical journals. As the joint network enters its second decade continuing this work, it is undergoing a transformation to increase these activities and accelerate their incorporation into clinical care at the primary care and specialty care levels. In this article, we describe the past accomplishments and present activities. We also outline planned undertakings such as the establishment of the Autism Learning Health Network, the increasing role of family members as co-producers of the work of the network, the growth of clinical trials activities with funding from foundations and industry, and expansion of work with primary care practices and autism specialty centers. We also discuss the challenges of supporting network activities and potential solutions to sustain the network.




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Red Cell Transfusion and Thrombotic Risk in Children




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Benzalkonium Chloride in Albuterol Solutions: Time for a Change?




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Perspectives on Informed Consent Practices for Minimal-Risk Research Involving Foster Youth




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Weakness, Anemia, and Neutropenia in a 9-Year-Old Girl With Influenza

A previously healthy 9-year-old immigrant girl from Mexico was evaluated in the emergency department (ED) with one week of fatigue, fevers, rhinorrhea, and cough. She initially presented to her primary pediatrician, where a complete blood count revealed neutropenia, prompting referral to the ED. In the ED, she was found to be influenza A–positive. Because of dehydration, she received intravenous fluids and was admitted to the pediatric hospital medicine service. After 2 days, influenza symptoms improved, and oral intake increased. However, she was noted to have decreased bilateral lower-extremity strength, absent Achilles reflexes, decreased lower-extremity sensation and proprioception, a positive result on the Romberg sign, and abnormal heel-to-shin testing results. These findings prompted an urgent neurology consultation. After extensive imaging, laboratory evaluation, and further consultations, a diagnosis was established.




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Reflections From a Pediatrician Who Went Back to Summer Camp




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STEPP IN: Working Together to Keep Infants Warm in the Perioperative Period

OBJECTIVES:

Reduce postoperative hypothermia by up to 50% over a 12-month period in children’s hospital NICUs and identify specific clinical practices that impact success.

METHODS:

Literature review, expert opinion, and benchmarking were used to develop clinical practice recommendations for maintaining perioperative euthermia that included the following: established euthermia before transport to the operating room (OR), standardized practice for maintaining euthermia on transport to and from the OR, and standardized practice to prevent intraoperative heat loss. Process measures were focused on maintaining euthermia during these time points. The outcome measure was the proportion of patients with postoperative hypothermia (temperature ≤36°C within 30 minutes of a return to the NICU or at the completion of a procedure in the NICU). Balancing measures were the proportion of patients with postoperative temperature >38°C or the presence of thermal burns. Multivariable logistic regression was used to identify key practices that improved outcome.

RESULTS:

Postoperative hypothermia decreased by 48%, from a baseline of 20.3% (January 2011 to September 2013) to 10.5% by June 2015. Strategies associated with decreased hypothermia include >90% compliance with patient euthermia (36.1–37.9°C) at times of OR arrival (odds ratio: 0.58; 95% confidence interval [CI]: 0.43–0.79; P < .001) and OR departure (odds ratio: 0.0.73; 95% CI: 0.56–0.95; P = .017) and prewarming the OR ambient temperature to >74°F (odds ratio: 0.78; 95% CI: 0.62–0.999; P = .05). Hyperthermia increased from a baseline of 1.1% to 2.2% during the project. No thermal burns were reported.

CONCLUSIONS:

Reducing postoperative hypothermia is possible. Key practices include prewarming the OR and compliance with strategies to maintain euthermia at select time points throughout the perioperative period.




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Addressing Key Issues in Adolescent Health Care




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Donkey teaches Irish children true meaning of Christmas

The Creative Arts team perform their Christmas show for school children all over Ireland in the course of three weeks.




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Camel and donkey preach the gospel to thousands

OM Ireland's two multi-media puppet shows perform over 75 times in schools around Ireland. The gospel message is expected to be heard by thousands.




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St. Patrick's message still relevant

St. Patrick's Day celebrates the patron saint of Ireland known for bringing Christianity to Ireland. Hundreds of years later, OM Ireland brings the same message.




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A passion she didn't know she had

When God directed Ellianna to Ireland instead of Austria, she discovered a new opportunity to meet refugees.




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Largest St. Patrick's Challenge

In 2019, OM Ireland hosted its largest St. Patrick's outreach.




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The story of Lacken House

In 2008, OM Ireland purchased Lacken House to be their headquarters. Ten years and hundreds of people later, the team continues to minister from the heart of Ireland.




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Standing on the Father's Rock

Young men from African nations find their identity and destiny through hiking in Namibia with the Wilderness Therapy Programme.




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Life and light on the Kuiseb

Two native Namibians stand as the only Christians in their community




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Let there be chickens

OM Namibia partners with local pastor in community business effort raising chickens.




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2000km walked

Three men arrive home safely after walking 2000 kilometres to raise awareness about the 2000 languages still without the Bible.




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A Sporting Infusion for Ukrainian Summer Camps

OM Ukraine's sports team equips and trains churches in using non-traditional sports in their summer camps.




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Kids kneel to accept Christ at camp

After having some difficulty with the campers and teen leaders, OMer Stephen explains the significance of the cross and following Jesus—many respond positively.




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Biodiesel plant fuels relief efforts in Ukraine

A Ukrainian pastor responds to nearly 100 per cent unemployment in his village by starting biofuel and cash crop business enterprises.




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Cricket in Ukraine

Through a new cricket league and sports field approved by the local government, OM Ukraine can minister to hundreds of local families.




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Looking after orphans

OM Ukraine's team in Odessa heads up the annual All-Ukrainian Day of Prayer for Orphans in the Odessa province.




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War, winter and witnesses in the Ukraine

Ministering in a country at war is not fun – but a privilege. Ukraine is going through intense emotions and people are open to Kingdom conversations.




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Making a difference during war

As war continues in the east of Ukraine, refugees flood Odessa. OM cannot turn a blind eye to its new neighbours.




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OM making an impact: A personal account of a refugee

A 29 year old recounts how his family fled the war zone and came to stay at OM Odessa centre




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Anya's story (stories from Ukrainian refugees)

A 17 year old high school student shares about how she fled from the war zone and came to stay at OM Odessa's centre.




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New Soccer and sports ministry in Odessa, Ukraine

Through the "Lighthouse" soccer team, Maksim Shlikov is reaching out to young orphanage graduates looking for meaning and hope.




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A Seminar-retreat for pastors from the conflict zone in Ukraine

OM Ukraine and experts in crisis management held a seminar for pastors serving on both sides of the conflict line in Eastern Ukraine.




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Short-termers bring new life to churches in Ukraine

Short Term Mission participants bring inspiration to Ukraine's churches for ministry amongst the aged and internally displaced people.




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A new day in Ukraine

Churches in Ukraine are busier than ever as Christians gain a vision for mission and reach out to others.




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Cricket in...Ukraine?

"The door for ministry is wide open to use our gifts," explains OM Ukraine Field Leader Wayne. "In my case, God is using my love for cricket to create relationships and influence people who have never heard the gospel...”




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Others need to know and get involved

After a trip to repair war damaged churches in the east, construction workers share their experience in order to inspire others to go.




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Taking the gospel to remote places

A group of 10 students, including a translator, participate in a two months training programme in Panama. The Mission Extreme Outreach has its students work amongst Panamanians and indigenous tribes. Un grupo de 10 estudiantes,incluyendo la traductora, participan durante los dos meses de gira en Panamá. Una vez más Misión Extrema está en acción con los latinos y grupos indígenas.