Hi everyone, Joe for jazzy's casebreaks.com coming at you with 2013-14 Panini Dominion Hockey 2 box Random team break number two one spot gets you three teams in this two box break So let's triple you up one two three to make 30 spots total no golden nights back in the day So just 30 teams. Let's roll it. Let's randomize it four and a five and nine times for each list One two three four and Ninth and final time after nine we got Joe Clanton down to Jason Jason B four and a five nine times for the teams and A ninth and final time after nine we got the Ottawa Senators All the way down to the Winnipeg Jets all right, so Joe with the Senators John with the abs canucks ducks and maple leaves and hurricanes Jeff with the Oilers Joe with the sharks Tim with the Flyers Joe with the Wild John with the Bruins Joe with the Preds Jeff with the Penguins John with the Panthers Joe with the Red Wings John with the Canadians Islander stars Jason with the Lightning Tim with the Blue Jackets John with the Blackhawks Joe with the Caps John with the Flames Rangers and Sabres Jeff with the Blues Tim with my Kings Jason with the Devils John with the Coyotes and Jason with the Winnipeg Jets Jets Jets Let's alphabetize by team Are there gonna be any trades? Let me know. I don't know if anyone is even here for this this holdout late last night Wester what's going on my leaf metal draft came in today that I won from the playbook break congrats and Pulled a joey B and a chase young Nice yeah, let's keep that trend going today All right. No trades. All right. Let's roll TWC means trade window closed Let's print let's rip good. Oh, and I think I marked these with X's right here So you know that they're from the same in the same case Good luck. Good luck. Good luck a base card on the bottom. I think so. There's a hit on the other side Okay, I'll use that blank card right there to slow play the hits a little bit 181 out of 2.99 we got PA part now for the abs that's goes to John. Here's the Official print out right here. So Same as the list that you saw And we got 201 out of 299. We got Kyle Ocposo for the Islanders and it'll also be for John. We got Dougie Hamilton 90 out of 199 Jersey and autograph rookie Jersey and auto Teach you how to Dougie that goes to John Stallone and the Boston Bruins We got Austin Watson relic 19 out of 99 for the Nashville Predators That will be for who's got the Preds That'll be Joe Clinton with the Predators and then we've got Peco Rene. I think is I'm gonna say Predators Yes, has he always been a predator? I think so So babe and back in 2013 Yeah, he's always been a predator in the NHL. There you go. They have it nice Joe Clinton With the Preds, although, I don't know what Penine's gonna do for you about that expired redemption, but Contact them they may they may send you points in return if they can't send you the card and the last one here is mammoth relic nail Yeah, Koop a pove Yeah, Koop off 16 out of 50 Edmonton Oilers That's gonna be for Jeff another redemption on the bottom and a book Whoo All right Okay We've got Sergei Bob Roski for the Columbus Bluejack. It's Timothy Cole We use that redemption to hide the hits here. We've got Eric Eric or Eddie Pascal Jersey and autograph 153 out of 299 We're gonna use one of these. I think we're running out of 180s here. We'll tape those up to you know pop out Jason with the Jets Hit down here is 22 out of 25 Alex Keelorna do have some left Tampa Bay Lightning that'll be for Jason and the book frozen moments Book Steve Yizerman. Wow 20 out of 25. I know that guy Joe Clanton with the Detroit Red Wings Not too sure. I'm not sure just a shadow box kind of picture on the left side Right a frozen moment right there in black and white. That's a sharp-looking card I need a slider. Oh, I do have one right here. I got a slider box Nice one for the rain. That is nice All right, and the redempt is Drew Shore. I have no idea where Drew Shore goes to the Wikipedia. Is he Kings? He is He was No false. He is not He was Florida Panthers back in 2012 through 2013-2012-2013 Panthers 2013-2014 Panthers before you went to the AHL so Florida that is for John Stallone and the Panthers Panini might still either give you points Or maybe even the card itself for that expired redemption. There you go folks Dominion hockey in the books Joe for jazzy's case rakes.com. I'll see you next time. Bye


So let's keep talking about wall throws. Now we're gonna move on to the South African. What are we working on? How do we set up that orbit? How do we move into it? Where do we put our knees? We're gonna talk about it in this video so let's check it out. Hey everybody, it's Eric Johnson from Airtate Throws Nation. In today's video, what we're gonna talk about is the South African and your wall throw for the discus. We're gonna continue on. If you watched some of the other videos, we kinda went into and explained some key things and things we're focusing on. And if you're an online member, you went in and we went through that same video, we kinda went really deep and went into some specifics to the system and angles and some other stuff. So if you're not a member, be sure to check out our link below for information on how to learn more about the throwing chain reaction system. Okay, so in today's video, what we're gonna do is Carson's gonna set up and we are going to have him do a South African. Now, one of the things is there's a handful of variations on how we set up it with the throwing chain reaction. The thing that we're focusing on is setting a position to create again the right reaction into the throw. And so what we're gonna do is have him line up. And again, alignment is one of the key things. Now, you're gonna notice again, Carson's one of my coached athletes. So you're gonna notice how I like to have our athletes set up. We have them set up in this position so that he's gonna be able to, when he winds, his feet position lead to that nice wide sweeping motion into the throw. Other people like to line up like this where they're more squared up. And some people like to have their athletes kind of rotate in and then go.  I think that way is actually a pretty good way too. But what we're focusing on with a lot of developing throwers is really trying to teach that sweeping path and we wanna teach a shorter dropping position. So again, that's gonna be what we feel is a really efficient way of teaching it. This is gonna be what we consider kind of a pillar two and a half, three, four, five, six. So what we're gonna do is have him again, he's focusing on the orbit. He, at this point, he's gonna be winding the orbit lower because we're gonna be coming up and working into the high point. It's not a high point to high point. We're gonna throw Gerd up and we're gonna watch where you're gonna notice when he comes out of the back, what we refer to as our pillar one, as he goes to his pillar two and then in pillar two to three, you're gonna notice that that discus goes from high at the back of the wind up, down closer. It's gonna drop low because it's gonna hit an incredible high point. He probably has one of the best high points ever of any discus thrower. Again, third best furthest throw in history. He's gonna do that. So what we're gonna do is we're gonna be setting up and Carson's gonna wind a little lower because we're gonna be conscious of the sweep leg, the balance arm, and the discus ball going to the orbit. Okay, so here we go. Not bad. So one of the things you're gonna notice, I'm gonna have him change his grip on the ball just a touch.  So this has been one of the things we've been working on with him. A habit last year where he started rotational shot put and he adjusted to the 16 pound and the two kilo. And then one of the differences is he went from being long as a discus thrower to learning to be shorter and more rotational. And that started to affect his discus rhythm, which is a common problem. And we'll talk about that in another video. Okay, so we're gonna have him do that again. So he's gonna set up and one of the core things we're gonna do is again, you're gonna notice again, the position we're gonna be conscious of his knees being apart and I wanna see him create more shift to the right. So he feels that entry type motion that's really he's gonna same feeling he's gonna feel in a full throw. So he's gonna start here, he's gonna wind his position two, position three, and then he's gonna go, okay. So you're gonna notice he's getting a little narrow and he's pulling this side around instead of keeping everything long and feeling that. And that's again, why we wanna get in wall throws. The key thing is here, he's gonna be able to really key in on physical positions. He's gonna be throwing into the wall. He's not, he doesn't care one ounce right now how far it's going. He's 100% focused on what he's doing. And again, this is why we wanted to create this series of videos. Really advocate for you guys doing these things because it makes a huge difference.  So wall throws are great for reps. They're great for focusing on technique and they're great for feeling what those positions feel like cause you're not focusing on where it's going. Okay, so we're gonna do a couple more. And then like he said, for those of you that are already online members, we'll link it up and you can log into our site and you'll go, we'll go into more depth and add in more pillar drills and pillar connection stuff to break this down in more detail. Okay, so go ahead. So I'm gonna set. Okay, stop. So one of the things is, well, I'm gonna be a little bit more picky. I wanna see him keeping, he's coming up a little bit, which is dropping the orbit this way. I wanna see him coming around this way. So that way when he comes around, it's gonna keep the chest this way as he comes in. He's gonna be able to keep his chest here and it's gonna be able to allow him to get this up into the high point and he's gonna get into it the high point easier. So if he starts out with his shoulders here, it's gonna make him kind of cartwheel too much and we wanna see him be here so that this is taking the gradual path this way into the power position, okay? So again, we're going from our kind of two and a half, three. And so this is where we're always looking at technical positions.  Okay, here we go. So watch the separation and the stretch reflex. So watch the position in the shoulder. There we go. That was better. And if you noticed, you could hear his rhythm was a little different how is the top of his feet. It sounded better. It wasn't, it was a little faster. And that means his block leg was getting into the power position better. So he's getting into his pillar five faster and coming through. And again, these would be things we're walking. So the orbit is going to have a big influence on things, how we're setting up the sequence to create all those things he reacts out of them better. That's the goal and that's what we're trying to get you to learn. So multiple takeaways from this video. Again, wall throws great for reps, great for technical focus, great for kinesthetic feel of the throw. And because you're doing that and you're not focusing on distance, it's a lot easier to pick up on technical things. And if you can get and throw into a net where you can get a discus off your hand, we do recommend that our athletes do this. We live in a great, great weather in Arizona. So we can do both, but we get outside. So we're always getting a discus off the hand. So we're not just screwing up our timing. But if you're in a cold weather environment and this is all you have, if you can get into a net, I highly recommend that. But if you can't, this is definitely gonna still help you technically just be prepared. When you start to throw a discus, you're going to have a little bit of an adjustment period of releasing the implement. Okay, guys. So again, thanks so much for watching this video. Again, remember, if you're a member log in, we're gonna go through, break this down and add some drills and some other technical specific stuff regarding throwing chain reaction. If you'd like to see more videos like this, hit the thumbs up, hit subscribe and we will see you on the next video. Thanks so much. And again, if we're doing a wind up one, he would keep the hips and he would shift. Now, is this a bad cue? This is the setup. This is his one, two, three. So easy.


Yeah, yeah, 4k 4k. I caught you in 4k this time. No, don't laugh. You can't go nowhere I saw you you clicked on this video looking for booty. You simp Yeah, I see look, I know I'm gonna catch up. You know I'm saying on my videos I didn't catch up now I got 4k evidence.   Let me introduce myself.  I'll never say it. This ain't with me really what huh? Oh, thank you Y'all you read that title you already know what we got going on You know I say I haven't done one of these in a minute. I wasn't gonna do one of these But I don't know this drill machine.  Why ain't no way what dog I don't even got a meal in my fridge Bro, hey, bro, I've been home me bruh. So yeah, we could have checked this out, but I got you by this But do me a favor and follow me on Instagram. You know I'm saying something I do so leave me with the fall You know I'm saying help me up your way get the 20k I'm gonna do a little giveaway. I'm trying to do a PS5 giveaway if I can get my hands on one So help me get the 20k on the ground. You know I'm saying I ain't trying to get I ain't doing too much talking But it's better not be a waste of my money, bro This is a whatever this is a like the video just in case this is a waste of my money Some Yeah, so I don't even know her at so I had to go to Instagram I had to look up the video and go to Instagram just so I could find her only thing which is leaked in her bio What is she famous for the kind of a little tell me bro? What is she famous for? She just Is you I saw that five million, you know what I'm saying? So she famous for some I want to know what it's for Let me that's what we got here. You know I'm saying we got $25 25 bro That's my Netflix in my whole new combine $25 but she got the lights on her to see our 265k likes I got that many likes nowhere, bro Well, maybe on my YouTube channel all together, but I don't got what this better be you know I'm saying actually This might be no it might not be worth 25, but it might be worth something I did see all the videos She said she was showing them, you know, I'm saying she was showing them Jack-o-lock is you know, I'm saying them Melons, you know, so I'm gonna see we don't see all right. Let's listen. Let's buy this To her $25, you know, you know how much big dollars that is Don't go and they went through I wanted to not go through low-key. Let's hope it's worth it. All right Let's see. Let's do we got first Just picked up some sexy lingerie with bro. I didn't buy this to see you in line your way I bought this to see you in nothing No, I'm not even gonna read. I'm not even gonna read this brother.  Whoa She made she made The money I make on like one of my videos.  I'm not gonna even talk about it. Let's just keep going. What does she got what does she got chicken? We ain't reading brother. Let's go straight to the pictures. I mean she got a bra on I can see through it But like she got a bra on this one. I don't like this one. I want to see for 25 You know What's he out right here? Happy fourth.  How am I supposed to now look at your butt? Did you bust the only thing you're but the main premise of the pit? We're going This is seductive. I like this one. I just got my nose done I didn't even realize she had her nails done until I read they couch it. That's the baby girl. That's not what I'm looking at That's not what I that's not what I was looking at.  What else we got? Oh I'm oh man, okay. I think we didn't into the death. We didn't better. Okay What does we got? What's up with her showing like the nips, but she has something else on can you just take the other stuff off like the other stuff off bro Can you can you take the other stuff off? Please? Okay? Okay? Okay, okay I like Okay Okay Yes, you yes, I like that the throwback you needed. This is a throwback that we wait Y'all already see this am I like am I late to the party you know I say am I late to the party? She I like this what else we got That's not nothing She covered while you even okay.        She do then she for me You know, I like I like a little snow bunny, you know cap what else we got what else we got the name and It's getting we getting kind of weak. Hold up. I'm trying to see something. I'm just gonna scroll through bruh I want to see some show me something show me Like her booty and all that I can fix that like I'm the one you know I'm him's I could I could fix the booty for you, but she I mean I want to I'm trying to see some She take good pictures though. Oh She's official only fans. She she's wearing the only fans merch. She's merged up with the only fans Sorry, I'm gonna be real.    Would you date someone that has only fans? Let me know how you feel about me. You know what I'm saying I want to have her art gave me a gang a lot this arch this arch I'm seeing it right here right here right there looks weak This is the weakest arch I've ever seen I hope that's not your arch and big we gonna be we can fix that but like We we want to fix that and she pretty in the face And she pretty in the face small waist.  I like that The mask on my nipple so hard Baby, I make your nipples hard. I make your nipple hard. Look at me. You might know you see in this. Look at me I make your nipples hard I'm sorry to realize this Looking at this to my bad. I didn't mean to say it That's it That's it Wait, that's it That's all That's all That's all boy.  Matter of fact, I'm unsubscribing to you.   I feel scared bro. I'm gonna be real that's the bro for y'all some of y'all niggas think I be scammers She's a professional scammer. I'm gonna I'm gonna need my money back. Yeah, I'm gonna need my money back on God But tell me what y'all think about in the comment below Tim Ray I want y'all to rate rate this only fans out all those you see so I rate this one on a scale from one All the way to ten rated You know I'm saying let me know what y'all think I'm gonna give it a seven She could have got more but she only have freaking like eight pictures on her thing Like bro, what's like dog and like I said, let me know what she's famous for bro Cuz I don't know what she's famous I've never heard of this girl with your Jake Paul pop top of my 4u page bro Can I do a discord for this so y'all see the uncensored y'all want a discord? I don't know.  I need to start going live I'm gonna put I can see some baddies on blind dates with my niggas on twit You want to tune in bro? He's gonna be some blind e-dates on twitch Y'all know I'm saying I know yeah, I gotta come back hard cuz I've been going Going back hard. Let's subscribe like comment. It's been your boy biscuit Let me know who else y'all want to tell me that on Instagram before my Instagram Tell me who else y'all want me to do this on you know I'm saying I need I need a majority So I need to spam it up in pictures or you can mess with me slam it up on pictures though No, it's just yeah, and uh we out


The fourth context is actually the international one. So earlier this afternoon, I think, Sir John Daniel provoked us a little bit by saying, well, you know, that's been a lot of emphasis on the US context and now let's go international. Here is certainly a second opportunity to look at the international dimension and though we are in the international context. I should also say, actually, the four case studies we presented here, of course, are in imitation to have deep dives in the four areas we suggested here today, as it can take from the program, the informal learning, but then also the domestic and the international dimension. And we hope tomorrow morning, actually, for the breakout sessions that these four contexts may be a way how you could connect with each other. And one thing that would be very helpful if you could tonight essentially sign up on the wiki, which session you would like to participate in, which breakout session you would like to attend. That would make it a little bit easier for us to allocate the different rooms to the sessions because we have rooms of various size. So if you wouldn't mind to pre-select, add your name to the wiki for which session you would like to be in. And if you want to create a new session, that's fine too with us, of course. Just let us know, again, Armory is the person. With that, I think we start with Anka. Well, hello, everybody. My name is Anka Mulder. I'm the president of the OpenCourseWare consortium and I realize that I'm one of the last speakers. It's the end of the day. I will talk for 10 minutes. I will not talk about rock snot nor pornography, but about OpenCourseWare, so I hope you will bear with me. So this is what I will be talking about for the next 10 minutes, the OpenCourseWare story, although I think many of the things in that part will be familiar to you. A little bit about international development and then I'll go back to the OpenCourseWare consortium. Let's see. Now, I think most of you will know what OpenCourseWare is about. It's actually, it's a form of OER, quite structured, it's structured in a way of a course and it consists of almost anything here. You find some examples of that. It's mostly courses for higher education, but more and more we include secondary education as well. Started 10 years ago, just had our 10th anniversary by MIT when MIT decided to put all this educational materials online. Now, quite soon after MIT started, some other universities decided to join this movement and together we set up an OpenCourseWare consortium supported by MIT itself, but also by the Hewlett Foundation. And I think without Hewlett, we would never have come as far as we are now. And here you find our mission. And I will give you some figures. Yeah, here it says we have 260 members, but our executive director just counted them and we have 280, so we've been growing. And one of the nice things is that it's a truly global movement. We have members from all over the world. Here you find some of them, members in the United States, Asia, Africa, everywhere. Some of our members have set up national consortia. For example, in Japan, we have Japan OpenCourseWare in Korea, in China, and Universidad we have in Spain. Now, oops, these are our board members and also the board membership reflects the global character of our consortium. The consortium, there were some questions about sustainability. This is always an issue for the consortium as well. We work on a membership fee basis, so I think you call it membership dues. And so we all pay a small fee and that pays for about half of the running costs of the organization. So right now we continue to be dependent on funding by organizations and we're very happy that Hewlett is still funding us. Here you find some information about courses because the big thing we do is that we publish courses. Now there on the very left, you see the start of the organization, where we had a few hundred courses and all of those were published by MIT. Now we have 21,000, more than 21,000, and of course they've been published by all our members. So from every single country we have courses published now. We do not only publish courses, the consortium helps organizations to start up if they want to set up open courses for themselves. We have an annual conference, we have a website with a very useful toolkit about legal issues or technical issues or how to convince your management issues. So very useful information on the website. Now international developments, I've been asked to say something about international developments and I don't think it's useful to discuss every single country or see what's actually happening to open course around these countries, but this is a very important thing we all have to think about and that's what do governments need? I think government needs for higher education can vary per country, but there are some issues which are similar in almost every country. Here you find some of them, they're about competition, they're about lifelong learning or how to bridge the gap between secondary education and higher education. I think these are pretty universal problems, but I personally think that the most important thing we have to address is the growing number of students. You just saw John Daniels, he said something about this and I found one of his quotes which says that if we want to meet demand in higher education, we will have to build three universities for 20,000 students each per week and it's pretty clear that we're not going to do that. So governments have found out that they have different expectations from higher education, which is to teach more students for a lower price, higher quality, all kinds of types of students and to be global as well and this is really difficult for higher education institutions and we realize that we need open educational resources to help us and governments realize this too. So John Daniels already mentioned that more and more governments are adopting OER, some of them have specific policies or financial support measures. I think UNESCO has played an important role, the European Union perhaps not relevant for most people here in the audience, but for me very relevant, European Union is also adopting OER more and more, but I also think that OER is not mainstream yet, some people have claimed that OER is mainstream, also for governments, I don't think that is the case, we will continue, we need to continue to convince governments to help us here. Now, back to open courseware and the open courseware consortium. Vick and Kathy yesterday mentioned something about their ideas about the open educational resources movement and in our board and in our organization we have discussed this too and I think our conclusions are quite similar. In the first 10 years of our movement we have focused on providing information, so putting information online and I think this will continue to be important but a much more difficult question to address and a question we have to address is what does the learner do with it? What does the learner need? So we discussed things like perhaps open courseware is a building block, something really useful but you have to do something with it. I don't know, if you ever try to study something online, do an online course, Philip already mentioned that can be quite tedious and hard, I find it really, really hard to complete a course online because you need so much self-discipline and so much motivation to do that on your own, so I think what we should do here as open educational resources people is make it more attractive and focus on what learners actually want to do with our information, so paths of instruction, build communities or also find ways to connect with employers, see that open courseware courses can help people find a job. So focus on demand rather than supply, on learning rather than information, addressing government's needs and taking new developments into account. I just have, as a last thing, I have some examples which I find particularly interesting because they are about services around open courseware and this is one of them, so this is I think using open courseware as a building block, this is open study. Open study is a tiny little organisation here in the US and what it does is it just uses open courseware, it asks you, can I use your materials and then it just invites lots and lots of students or self-learners to register and it's the sheer numbers that count so if you have thousands of learners in the group of maths or accounting and you're studying this online, you're studying it together with other students, you can post your ideas or you can post your questions and because there are so many of you you will get an answer within minutes. I think a very interesting development. Here's another one many of you may know, MITx but also FDV online in Brazil. What they're doing is looking into certificates of attendance after you've completed an open courseware course. Of course an example for my own university, Delft University of Technology. We have developed a water management programme for our own students and we put that online and we had a chat with the University of Bandung in Indonesia and they're now using this course 100% so nothing new about it, very efficient and the only thing they've added to the course is they've translated some of the videos and they added local case studies because you can imagine that some water issues are different in Indonesia than they are in the Netherlands. What we also do is continue to express how important open education is. Kathy yesterday mentioned the Open Education Week. That was an initiative of the Open Courser Consortium and we've been very happy with the effect of it. We had media coverage from the times higher in the UK but also the New York Times International Herald Tribune because we believe it's very important to tell the world about open education. Finally addressing government's needs. This is the European Union one of the challenges of the European Union is to make students more mobile between countries so to increase mobility and what the consortium is doing is it's running a project doing exactly that and using open educational resources. Now that was an overview of OpenCourseWare and the OpenCourseWare Consortium. If you want to hear more then join us and Ginesco next week in the other Cambridge on the other side of the world. Thank you. Thank you again. We have time for questions or thoughts. I have one to start off. Especially considering the European context and you have one bullet point that said different or kind of legal regimes. How important would you say is it for an open educational resource platform to figure out how to reconcile the different legal regimes? Obviously a problem that is almost appears all the time when doing something across Europe has that been a problem in this context? Or would you say for instance countries like US have an advantage here comparatively speaking? I mean just to give you an example one could wonder looking at cloud computing and cloud computing companies. It's heavily dominated by US companies obviously for a number of reasons but one argument is that European cloud providers have a disadvantage because they have to struggle with many many different jurisdictions with different rules for instance about privacy of course copyright and so forth despite some high level harmonization at the level. Does the same dynamics play out in this context or isn't it that much of a problem? Well I think creative comments can say more about this particular issue to be honest. And one advantage of the European Union is that we have European law on many things and if I compare Europe to the United States I sometimes have the feeling that the differences between states here may be bigger than they are even in the European Union. So legal issues are important but I think look at our toolkits and find solutions we have creative comments I think we shouldn't spend too much time on we shouldn't be bogged down on that issue I think.


So with that said, let's begin reading here in the book of Romans chapter 10 I'll begin at verse 1 read verses 1 through 4 and We'll get into our study Romans chapter 10 beginning at verse 1 reading to verse 4 Paul writes brother and my heart's desire and prayer to God for Israel is That they may be saved for I bear them witness that they have a zeal for God But not according to knowledge for they being ignorant of God's righteousness and Seeking to establish their own righteousness have not submitted to the righteousness of God For Christ is the end of the law for righteousness to everyone who believes and so Paul had closed chapter 9 by sharing how the Gentiles could be made right before God and The way that's going to take place and he pointed that out is by faith in Jesus Christ And this is a theme that he will later develop in this letter, but he's already been doing that To some extent from the beginning remember in chapter 1 verses 16 and 17 He had said I'm not ashamed of the gospel of Christ where it's a power of God to salvation For everyone who believes for the Jew first and also for the Greek for in it The righteousness of God is revealed from faith to faith as it is written the just shall live by faith and Chapter 4 verse 11 he said he speaking of Abraham received the sign of circumcision a seal of the righteousness of the faith Which he had yet being uncircumcised That he might be the father of all them that believe though they be not circumcised that righteousness might be imputed to them Also, and so he's already been developing how people are made right with God He spoke also of the Gentile nations and so he stated that the Gentiles have been opened to Christ But Israel has rejected him and this is because they believed that they became righteous by obedience To the law and so they they have missed the key to being right with God, which is faith in Messiah Now that has been described and he described it as a stumbling stone He spoke of Jesus in that way in first Peter Peter also said it he said in verses 6 and 6 through 8 in chapter 2 He said therefore it is also contained in scripture behold I lay in Zion a chief cornerstone Elect precious and he who believes on him will by no means be put to shame therefore to you who believe He is precious but to those who are disobedient the stone which the builders rejected has become the chief cornerstone a Son of stumbling a rock of offense And so he's pointed out that the Jews have stumbled at Jesus Christ who is that stumbling stone In first Corinthians 1 23 he had said we preach Christ crucified to the Jews a stumbling block to the Greeks foolishness So chapter 10 begins with Paul revealing his heart's desire and prayer for the nation of Israel And he says it very clearly his desire and prayer is that Israel would be saved And so in practice, this is how this Occurs he reveals the desire in two ways one He he wants to let them know his desire for them to be saved is is Evidence by the fact that he preaches to the Jews first and then second He makes reference to the fact that they are in his prayers constantly Now when you read your Bibles in the ministry of Jesus Jesus obviously Took the message to the Jewish nation first and that's revealed in the Gospels for example in Luke 4 16 It says he came to Nazareth where he'd been brought up and as his custom was he went into the synagogue on the Sabbath They stood up for to read and so it was his practice He would go and preach obviously and teach the Jews in Matthew 15 24 He answered and said I wasn't sent except to the lost sheep of the house of Israel but later on a Jesus in his training and commissioning of the apostles He had taught them to reach out first to the Jew Remember when he said that you shall receive power after that the Holy Spirit has come upon you you shall be witnesses to me in Jerusalem so it began there Judea Samaria then unto the other most parts of the earth and so they were commissioned to reach out to the Jews first Now when Paul's ministry he'd often go to the Jewish synagogues a good example of this is when he was in a place called Pasidian and Pioch It's recorded in Acts 13 44 through 46 where it reads on the next Sabbath Almost a whole city came together to hear the word of God but when the Jews saw the multitudes they were filled with envy and Contradicting in blasphemy they opposed the things spoken by Paul then Paul and Barnabas grew bold and said it was necessary That the word of God should be spoken to you first But since you reject it and judge yourselves unworthy of everlasting life. He said we we turn to the Gentiles Now Paul's desire is that his Jewish brethren according to the flesh be saved and he also prayed for them constantly Again, that was for them to be saved He preached with great fervor that Jesus was the way to God He not only preached but he also prayed with great fervency He said God I want you I pray that you would move their hearts and So he's speaking concerning that in verse 1 here in chapter 10 when he says my hearts desire brethren My heart's desire and prayer to God for Israel is that they may be saved I preached to them and I pray for them. I want them to be saved And that's my greatest desire the desire of my heart But he goes on to develop in verse 2 and says I bear them witness that they have a zeal for God But not according to knowledge This is a zeal that the apostle Paul himself could understand because he too before he was saved had a zeal And he would have said it was a zeal for God What he was really zealous for was for the traditions of his religion When he was writing to Timothy in 1st Timothy chapter 1 He said in verses 12 and 13. I thank Christ Jesus our Lord who has enabled me For that he counted me faithful putting me into the ministry who was before a blasphemer a persecutor and Injurious that I obtained mercy because I did it ignorantly in unbelief. He too understood Zeal without knowledge So he could understand their zeal, but he also could understand their ignorance They were going about ignoring God's way of righteousness through faith because they're Their foundation of belief for a righteous relationship with God and a righteousness that they could possess Came by following the law of Moses Jesus said it like this in John 5 45 through 47 He said do not think that I shall accuse you to the father. There is one who accuses you Moses in whom you trust for if you believed Moses you would believe me for he wrote about me But if you do not believe his writings, how will you believe my words? And so the Jews went about establishing their own righteousness by attempting to obtain it by obedience to the law a law that they could not Actually ever completely Obey they couldn't fulfill it He says in verse 3 they being ignorant of God's righteousness seeking to establish their own righteousness Have not submitted to the righteousness of God By rejecting the gospel they're remaining ignorant of God's righteousness What happened is they ignored Jesus and his cross And they were caught in a trap of their own works And he points this out in verse 4 He says Christ is the end of the law for righteousness to everyone who believes When he says Christ is the end of the law. He's saying the law of moses is pointing to him The law is concluded in him Moses's writings Are pointing to him the law is pointing to Jesus the one who fulfills the law And so why can't the jews be righteous by following the law? Because the law pointed to Jesus Christ and is fulfilled in him He said in matthew 5 17 and 18 Think not that i'm come to destroy the law or the prophets I am not come to destroy but to fulfill For verily I say unto you till heaven and earth pass one jot or one tittle Shall in no wise pass from the law till all be fulfilled So jesus came to fulfill the demands of the law And so he's speaking concerning that why cannot israel be made righteous because they're rejecting the one who fulfilled the demands Israel could not by their obedience do so because they were weak by flesh Jesus did it because he had no sin and therefore was capable of keeping the law perfectly And that's why we are to look to him the law was pointing to him He says in verse 5 moses writes about the righteousness which is of the law The man who does those things Shall live by them So moses's writing reveals the frustration that you have in trying to obey the entire law Again why well the law reveals the inner motives as well as the lack of holiness In galatians 3 12 paul said this he said the law is not of faith But the man that does them shall live in them He went on in chapter 3 verses 21 and 22 of galatians to say Is the law then against the promises of god god forbid For if there had been a law given which could have given life verily righteousness should have been by the law But the scripture has concluded all under sin That the promise by faith of jesus christ might be given to those who believe And so this is called the righteousness of faith Verse 6 says the righteousness of faith speaks in this way Do not say in your heart who shall ascend into heaven that is to bring christ down from above Or who will descend into the abyss that is to bring christ up from the dead Who's going to ascend to heaven? Who's going to descend into the abyss? What is he saying he's saying self efforts to become righteous are not possible God has made it possible by faith in him God has made it possible for us to have relationship And fellowship with him through christ We cannot ascend nor can we descend what we need to do is recognize that this has been done by jesus christ Jesus incarnated jesus died He was buried but he was resurrected and so he's pointing to the fact that you can't Keep the law and be made made whole and righteous But you can believe in the one who's perfectly obeyed it and thus gives to his us his own righteousness And so he goes on and he says What does it say?  How can I be saved by jesus christ? Now I want to touch something that is kind of old But some of you may have been familiar with it heard it It's still used this phrase is still used today And I want to kind of touch on this for a moment again. Look at verse 8 It speaks of the word of faith which we preach. Well, he uses the phrase the word of faith There was there were and still are teachers who are on television on the radio and print writing books and going different places holding conferences and seminars And they speak of what is called the word of faith and they're called the word of faith ministry Some of you are familiar with them. We have people in our fellowship Who uh, who came out of the word of faith ministries, which is basically if you confess it you possess it And they refer to that as the word of faith Many many years ago now I was given a series In on sunday mornings and and I was mentioning this particular doctor and i'm not going to be labor this point right now But I was speaking concerning This doctrine and its error because it was it was a it was a message that was bringing a lot of people into bondage their faith They would say was just not enough They didn't have the ability to command god so that he would obey them because in fact they thought that their faith would make god Do that which they desired And so I pointed that out and there was a particular well-known preacher at that time was on television and all And I had some of his material I had printed out some of his quotes and And so as I was speaking I um, I quoted this particular fellow and and pointed out why what he was saying was error And then I did it later. Well, I did it the next week Well, I was at The bible college I used to teach at the bible college the calvary chapel bible college up in when it was in twin peaks And I was teaching a class up there. I I did it on a couple of occasions. I took students to Classes and this guy walks up to me On the first day And he says I want to talk to you for a moment and he said of course and he says He says, you know, he goes I want you to know That I went to your church He said and uh, he's he lived in the area. He said I usually went to this particular teachers church He goes and you quoted him And I'd been going to his church for some time And you quoted him And you said that he was teaching error. He said it got me angry he said because I had all of his tapes He said and so he goes when you quoted him you also gave the reference You told me the tape number and the and the title of the message. So he said I went directly home And I got that tape because he had all his tapes. He said in his garage And he said and I played that message through And he says it it kind of it shook me up because you quoted him correctly and in context And that bothered me He said so the next week I came back Because I wanted to make sure you know that uh That I could prove you wrong He said and you did it again. He said you quoted him a second time See, I never do that but this time I did he said you quoted him again He got I he said I got angry and I went home and I found the tape and I listened to it. He said and And you did it again you it was right. He says I just want you to know That I was part of that ministry for many years But he says now I'm a bible study student here after that I was at a Calvary Chapel pastors conference And he walks up to me at the conference And he had become a Calvary Chapel pastor. He passes a church in San Antonio, Texas His name is Ron Arbaugh And so I introduced him to the other pastors by saying this guy was a heretic, but now he's okay You know Well, see that that's the word of faith that That the phrase was taken out of context and that's the reason I told you that story Because what it was doing it was placing an emphasis on your personal faith, but that's not what he's speaking about It's called the word of faith because it's referring to the gospel That when received by faith results in salvation It's not a phrase that refers to faith-filled words It's a phrase that speaks of the message of salvation In Galatians 3 verse 2 Paul said this only I want to learn from you Did you receive the spirit by the works of the law or by the hearing of faith? And so this is a message of faith This is the word of faith and you receive it by faith and that's the point he's making And so he in speaking of this word of faith that he's preaching This is what he says verse 9 if you confess with your mouth the Lord Jesus And believe in your heart That God has raised him from the dead You will be saved The word confess is a word that is translated To say the same words or to agree Homo legale say the same words it speaks of agreeing It speaks of agreeing with what God has said about Jesus If you are in confession with God if you're in agreement with God that Jesus is Lord If you are agreeing with God about the lordship of his son and by faith You have trusted him You will be saved Remember the apostle thomas we know him as doubting thomas In john 20 verses 27 and 29 through 29 Jesus saw chapter 20 27 through 29 Jesus was speaking to thomas This is what he said to him.  Have you seen jesus physically? No We see him by the eye of faith The word of god reveals him to us The holy spirit convicts us of our sin and of righteousness and of judgment And because we're convicted we confess in agreement with god And we say god be merciful to me. I'm a sinner forgive me of my sins God's word says if you confess or your sin, he's faithful and just to forgive you of your sin and to cleanse you from all unrighteousness And so you confess you're in agreement with god That jesus is lord And by faith you receive him and that's the point that paul is making here.   He loved the world So much that he gave his son In first simothy 2 verse 4 Paul tells us that god will have all men to be saved And to come into the knowledge of the truth. That's why That's why we preach the gospel and that's why paul would go to the synagogue That's why paul would preach the message to the jew first and also to the gentile That's why he would take this blessed message to people and he would share with them the goodness of god and encourage them to believe and turn from their sin That's what you see in the bible when you when you're like even now we're going through the book of axon sunday i'll be sharing some of these things with you As we continue our journey through snapshots in the book of axon And just just uh this just today i finished preparing the study concerning Um the work of the spirit in in the mouths of and in the lives of the apostles and jesus had given them a message And he had said to go to go and preach this message to all creation to all everywhere Go throughout the world and proclaim this message And the message of the of the gospel goes throughout the world And a lot of preachers have had the opportunity of doing that to actually to go on boats or to travel travel on horseback To fly And and and they've taken this message throughout the world It's it's not just for it wasn't just intended for the middle east It was intended for the entire world and and it's a message we preach in 2000 years later we continue to preach this this particular message Why because whoever calls on the name of the lord will be saved? And it's our desire for people to have a relationship with god for their sins to be forgiven and their miserable lives Be changed so that they might have joy so they might have love so they might have peace So they might exercise faith so they might have relationship with others that their life would be blessed by god That's why we preach the gospel so that when they close their eyes here They open them up there That's why when one of our friends or our loved ones passes on and and leaves we grieve We grieve in ways that sometimes the world doesn't understand they think where's your faith?  It's because we love deeply and when you love deeply you miss deeply But we know they hear on the face of the earth we say goodbye, but it's temporary We know that one day we'll see them again You see and that comes through the gospel. That's why jesus came. That's why jesus gave his life That's why paul went to the jew first and also the gentile. That's why he prayed for them and that's why he preached them I really believe that the church needs to wake up in these last days and and once again be ignited to do that Guys, you know, I I really feel and I'll say this quickly I really do believe that darkness is overcoming in some ways I think that there is an evil that it's the mask of the devil is being removed and we're seeing it more clearly now We've seen it more clearly But i'm i'm not as I i'm not without hope because even even if It seems that that evil is going to conquer jesus said the gates of hell shall not prevail Against this kingdom and so we continue to proclaim this message and we encourage people to live for jesus christ Why because they'll be forgiven of their sins They'll be cleansed of their unrighteousness and when they close their eyes here they behold him there What a promise we have and that's why paul said I want to preach the gospel in revelation 22 17 We read the spirit in the bride say come Let him who hears say come and let him who thirst Let him come and whoever desires Let him take the water of life freely It's offered to us Take it if you come While he goes on in verse 14 he says How then shall they call on him in whom they haven't believed? How shall they believe in him? Of whom they have not heard And how shall they hear without a preacher And how shall they preach Unless they're sent As is as it is written how beautiful Are the feet of those who preach the gospel of peace Who bring glad tidings of good things How beautiful are the feet my mom didn't like my feet Because I preached without shoes, but anyway, I better get back to the study He says in verse 14 how then shall they call on him in whom they've not believed You see If we are saved we have the responsibility To proclaim this message of the gospel Sometimes we rely on other people to do the work That we cannot at that time or yet do ourselves That's understandable When I first got saved First got saved A week, two weeks, three weeks in Jesus What do I know? I was blind, now I see I was lost, now I'm found That's as much as I knew But what is it I and a lot of people did at that time? Some of you might have heard stories of this Perhaps you were saved back at that time too What did we do? We could only share so much But we would say come and see a man who told me everything I've ever done What we would do in other words was invite people to church We invited them to, I invited them to Calvary Chapel Coastal Mesa I invited them to go and hear a young man named Lonnie Frisbee And I didn't know how to present the gospel yet But I knew I was supposed to And that became my quest in life is to learn to communicate the truth of God's word You see, I knew from the beginning And this is the heart, by the way, of the Jesus movement or revolution We were to reach out to the lost And it wasn't just some special preacher We were to learn to communicate the gospel ourselves There are those who say, but I don't have the gift of evangelism I'm not a missionary Well, we may not all be evangelists or missionaries But we are all witnesses And that's what Jesus said You shall be witnesses to me So we can speak of that which we've seen and experienced And so we're to go out, we're to preach How shall they call on him in whom they haven't believed? How shall they believe in him of whom they haven't heard? How shall they believe in him of whom they haven't heard? How shall they hear without a preacher? That makes us the preachers He goes on in verse 15 How shall they preach unless they're sent? As is written, how beautiful are the feet of those who preach the gospel of peace Who bring glad tidings of good things It requires God to send forth his preachers Notice verse 15 How shall they preach unless they're sent? God sends forth his preachers And preachers are those who proclaim the message The proclamation of the message is done by the one commissioned by God Remember in the book of Jeremiah in chapter 1 verse 7 It reads, The Lord said to me Do not say I'm too young You must go to everyone I send you And say whatever I command you And so Jeremiah said Oh Lord, I am but a youth I'm too young, I have no experience So God rebukes them and says No, don't be saying you're too young You go to the ones I send you Here's something for you to do You might want to learn to do this You might want to ask the Lord when you're getting up in the morning Who do you want me to share with today? Who would you like me to share with today? I'm not saying you'll do it every day Maybe you will, maybe you won't But be prepared You will be surprised how many opportunities open up to you You'll be surprised Somebody will be talking to you What did you do this Sunday? Well, I went to church Why'd you go to church? What's wrong with you? Well, that's why I went to church There's something wrong with me So you have opportunities I can't share with you many opportunities that I've had Just by being available I encourage you to be also You see, Paul had a commission That he had received from the Lord In Ephesians 3-8 he said I, who am less than the least of all the saints This grace was given That I should preach among the Gentiles The unsearchable riches of Christ And so how beautiful, verse 15, are the feet Now, when it says how beautiful are the feet Of those who preach the gospel of peace When he uses the word feet There's a couple of ways you can look at this one It can be speaking of the way someone lives Also called a person's walk Colossians 1-10 says That you may live a life worthy of the Lord And please him in every way Bearing fruit in every good work Growing in the knowledge of God So it speaks of your walk Living a life worthy of the Lord Or in 1 John 2-6 Whoever says he abides in him ought to walk in the same way Which he walked And speaking of a way of life And so how beautiful are the feet Could speak of your way of life And also can be speaking Of simply the fact that you're sent To proclaim this message Now it says in verse 16 They haven't all obeyed the gospel They haven't believed Speaking of Israel National Israel rejected Messiah The Messiah who was portrayed to them So clearly in the book of Isaiah And various other Old Testament books But he goes on in verse 17 And because we're going to have communion Next week I've been kind of hurrying To do this so we can have communion together He says this Faith comes by hearing And hearing by the word of God Faith comes by hearing And hearing by the word of God And I'll close I'll take a couple moments to share this I'll be, I've been I'm going to be preaching at the pastors Conference that's coming up in November At the pastors conferences And I'll be teaching this year I've chosen To speak on the Apostle Peter Everyone of the pastors Who's going to be teaching has been Requested to To give a special snap Snapshot Of a Bible character I chose to speak about the Apostle Peter I especially Wanted to speak about The Apostle Peter In the portion of the Gospel of John Where he was restored To ministry I won't go into all of that right now I'm keeping an eye on our time Jesus when he restored He asked him a question He said do you love me We all know the story Do you love me Do you have a copy for me And Peter says You know that I have Fileo friendship love for you Peter do you love me More than these You know that I have friendship Love for you and finally Jesus says to him Peter do you love me But he used the word Fileo I'm going to receive you Where you're at and I'll take you where I am I'm going to be sharing with the pastors this He said if you love me feed my sheep And take care of my lambs What am I going to exhort Pastors to What you guys receive Every time you come here To avoid the temptation Of wanting to become the popular preacher Teaching on subjects And things that don't edify To the obedience of Christ To make sure we teach The word of God line upon line Chapter by chapter Book by book So that we as pastors Can actually tend Or tenderly care for The young ones in the church Young in faith as well as in age And the seasoned saints Who still need to be Directed in the proper direction So that they might have a more fruitful To the end of their life experience with God What is the thing that I as a pastor Am very concerned about Is that because there seems to be Amongst younger people At least an appearance of A lack of interest in the things of the spirit That pastors are attempting To entertain them Into the kingdom of God By getting special music Or special speakers or special subjects Trying to find that place But I discovered a long time ago That if you teach to the whole Council of God The various subjects that the culture May be going through is going to They will be addressed And you can bring the word there And bring it to that situation But if every week I give To you the topic of My interest You're going to be formed into my image And not into the image of Christ You're going to start sharing Many of you would just leave others will stay Those who stay Are going to be shaped into my image My interests, my subjects And as a result of that They're not going to know the whole council And so if you teach through The whole word of God, you have the opportunity Of speaking of a variety of things That the culture is going through You just have to be as clear as you can Concerning those things So that people have the opportunity Of knowing these things are going on But here's the solution to those things Before I got saved We had the same kinds of problems We had ecological concerns We had drug concerns We had violence concerns We had war concerns We had diseases You name it Same kinds of concerns that are today So I thank God For those who are faithful To preach the solution And not just speak of the problem The solution was Changed lives in Jesus Christ How do you change a world One person At a time When you touch that one person That one person might touch two Or three others with the gospel And so on and so on And so on And if you look at the early history of the Calvary movement There were young men 17, 18, 19, and 20 That God began to use Men like Greg Laurie Who was 17 years old Men like Raul He was in his early 20s And others like them Myself included at the age of 20 And God grabbed hold of our hearts He changed them And he gave us ministry He gave us opportunity To proclaim this message To see the transformation Of not just a few But for us 42 years Of seeing God do transformations In lives And it all comes through the preaching Of the gospel of Jesus Christ And that's what the church is To be faithful at doing And that's why Paul's prayer And concern for his brother And according to the flesh That they might receive the Messiah They're trying to become righteous To the obedience to the law of Moses But the grace of God Is shown in the face of Jesus Christ And when they get saved They can have relationship with God And bring this transforming message to others That's how it works That's why we need the Holy Spirit That's why we need God's holy word Because the holy word and the Holy Spirit Will produce holy lives And holy lives Can reach out to people And see transformation When you're faithful to the holy message And so we're going to stop here We'll pick up next week


Shalynne was, you know, she was 22 and she was in school full-time to become an RN. She had been recovering from a torn ACL in her leg. She had had an MRI done before she left, knowing that she was transitioning jobs. She drove 20 plus hours to get over here on that leg injury. It wasn't severe at that point. But when she arrived, she kept on saying, look at my leg, mom, and all the time. Look, it's a different color and it's swollen and when I left, I got a phone call from her. She was playing around and then she had fallen on that same leg. For her to be in as much pain as she was in, that was like, okay, yeah, we need to go to the hospital. They were asking her for her insurance. Shalynne had mistakenly replied, no, when they asked her if she had it. I'll never forget the tone of her voice when she called me. She's like, mommy, I'm begging them for something for this pain. It hurts so bad and I'm begging them for some testing to see what's wrong. I asked them for an MRI and they told me, I need to go get insurance and see a specialist because they're not a doctor's office. They failed to notice that there was a blood clot. I think it was a week or two weeks later, she had to fly back to Kansas City. And, you know, when you get into a plane, the cabin pressure causes, you know, it can cause a blood clot to dislodge and it went into her lungs and caused a massive pulmonary embolism. She had a clot so massive that it was from her ankle up to her groin. When the time came, I got up into bed with her. I was there with her when she took her first breath and I was going to be with her when she took her last. And as she died, I whispered to her, I love you so much.  I had made attempts to contact the hospital. No one was really interested in speaking. And pretty much it was, we gave the best service for Shalyn. We did everything that we're supposed to do. One of the things that really struck out to me as I was searching for reasons why Shalyn died, I ran across studies after studies of the discrepancies and outcomes for black and brown women versus white women. As a medical community, there needs to be a lot more attention to these discrepancies that she had all of these things that made her higher risk for a blood clot were not taken into an account. She was black. She had sickle cell trait. She had PCOS. She was on birth control. She was overweight. And she had a red swollen leg. She had all these symptoms. She didn't check for a blood clot. And instead of them doing the necessary tests required, they did what is called a wallet biopsy. And they essentially sent my daughter to her death. How would you feel if it was you? That's the guiding principle you should be thinking about. How do you change going forward? We all know that companies have mitigated risk and risk assessment. We need to stop thinking of it that way. And especially healthcare facilities. These are people's lives. I would say treat your patients like they're your family. Treat it as if you were in that situation to where you would lose your sister, your daughter or your mother. Don't discriminate towards people. If they're saying they need help, help them like you're supposed to. If you go into the medical field, you should have that passion to help save people. Live up to that passion and save everyone no matter what. And treat them as if they were your family.  So not only is it the moral thing to do, but from a business standpoint, I think you're absolutely nuts if you're not reaching out to patients and trying to better what's happening in your facility and stopping the needless deaths. Not stopping it down by a percent, but to none. To none. The sad thing is that when I got Shalynne's phone after she died, I was looking through what she had been doing. And because she had been so embarrassed and so demoralized, instead of going to a hospital immediately, she had been told she needed to get insurance. She was looking up signs of a heart attack. Hours before she called an ambulance.


Thanks very much. Okay, so yeah, data quality, it's sort of been something which has been sort of fairly important to me and my team in the work we do, so I'm just going to start off with some of the background to that because I think it's all relevant. I mentioned my unit, this is us, Habit Research Technology Unit, and the team is about 20 to 25 depending on interns and things, and we've delivered quite a lot of solutions around research support specifically in the health domain. One of the things we do- The green is not showing. The screen's not showing? Not sharing. It's a bit, it's sharing, okay. I can say it, Dougie. You can see it? Yeah. Okay, Arthur, you might have more than, the zoom often has more than one screen. I wonder if it's hidden somewhere for you? Yeah, Arthur properly trying to join us. It's a slideshow, okay, from my side. How's everyone else? Oh, okay. Yeah, good for me too, Meen. All right. Okay. Thanks, Sarah. Good to check. All right. Thank you, Arthur. So yeah, one of the things we do is we've developed a repository which has got data for about 2 million patients in it. It's called Patronard Data for Decisions, and of course, once you're starting looking after a large amount of data, things like quality becomes a bit of a challenge and a bit of a concern because we want people to use the data for research, and here the slide's a little bit old, but we've got quite a lot of different research groups that actually use this data for research, and it's GP data basically on 2 million patients. And a while back, we did a piece of research and we saw that in our general practice domain around Australia, there were about 106 different datasets of this nature, some bigger than others and some better than others. But to be honest, people's understanding of the word quality was poor to nonexistent, we felt, and the irony is a lot of these resources are being used for research, and people just don't even understand the quality of, they understand the definition of quality, or they have different definitions. So this got me interested in how I can change things at a national level, and there is a national organization in the health space, because it's the Truing Health Research Alliance, and it represents all of the major universities and so on, and research institutes. So it represents over 90% of all academic and research teams in healthcare, and most of the hospitals as well. So I wonder if you could put yourself on mute. Marcelo, do you think you could do that? Thank you. So under the banner of the Street and Health Research Alliance, we were lucky enough to be able to form what is called the Transformational Data Collaboration, so I lead this up nationally. And in this health domain, the collaboration has got a goal of looking at data quality assessment around data repositories that I'm talking to you about here today. But we have very related things that are probably very much of interest to you here as well. So terminologies and mappings and vocabularies are a big part of what we're doing, what we're doing, and we're just kicking off some work now with the ERDC around a terminology curation platform that we're working with, with CSI. So I see Melanie Barlow's here, so I'm sure Mark Milling knows about this one, Catherine Brady. So the other thing I want to discuss is the Odyssey O'Mott Common Data Model, and this is a standard data model for health data for research. And what the reason we're interested in this is that when you look into medical records, sometimes they have thousands of tables in them, and if you're trying to analyse the data for research, how do you do that? So this project that we're doing with O'Mott is looking to convert different hospitals and areas, whole Queens of Public Health, to a much simpler model that allows things to happen for research. And we're also doing work on Victorian emergency admissions data and also our own repository of two million patients with Patreon. So when we started really getting into analysing the quality, we did some research and in the health domain, probably the most widely cited, most widely used framework for looking at quality is what's commonly known as the CAN framework, and this is the paper from 2017. And that year at the Australian Medical Informatics Association, it was recognised as the most important paper of the year, that year because of the impact it has in terms of research, because it's finally someone looking at a framework for how we can assess the quality properly. This is just a quick snapshot of part of the paper where it's looking at different areas of verification and validation around different quality attributes. The framework's been used in this common data model space, so I want to just tell you a little bit more about this health data standard and the way we can create a common data model around this international consortium here called Observation Health Data Sciences in Informatics. Programme, otherwise known as OMOP. This is effectively what it means when you convert a health database into this OMOP representation. It converts thousands of tables, potentially into 17 tables, which makes it much easier to analyse. And along with that, you've got things like standardised vocabulary and concepts. It tries to really pack it down into something more understandable. I'm just going to quickly show you the Eden portal. To give you an idea of what this can do, in Europe, they have a whole list of places here. This is 101 places throughout Europe, and many millions of patient records all in the same format for research. This tool lets you analyse quite quickly information about these different health datasets so that you can determine which ones might work for you in your research programme. Here I can search through patients by country. I can even look at things like what diseases people have got. It's going to be a bit slow, so I think I might just leave it there on this particular thing, but essentially what you can do is analyse down at different levels in the data. Here we are, it's going to go faster now, I think. Yeah, the computer is a bit slow, so that's for chronic kidney disease. There we go. All right, what this has immediately done is told me out of all of these international datasets, which ones have got data in here, and here it's listing them, and I can then choose and I can actually analyse a little bit more data and decide who to collaborate with. So I'll leave the dashboard there, but effectively what it's meant for us is we can quite quickly then analyse our data of two million patient records quite visually through open source tools because it's in a standard format, so we've not had to write this, it's just there for us. Back to quality though, because the problem is it's one thing to have lots of databases, but the issue is is it worth anything? Now because OMOP has managed to compress the data down into 17 tables across the whole health domain, the OMOP, the Odyssey consortium, they've actually created a tool that runs here over 3000 tests across your dataset to see if it actually conforms so that other people can run similar queries on your dataset and reach regional outcomes. So you can see we have obviously got a few few years out the many of thousands, but in most of them it's actually because it's data that's not of relevance to us that would not be uploaded into this format, but this gives us a very good indication of how well our system's conforming and hence how well people could actually use our systems. The problem though is that's all very well showing data quality in a single system, but what it doesn't tell us is what mistakes we've made getting the data into that format and this is really the crux of it and what we're going to look at now with our white bandicoot system. So we actually looked at CAN and we looked at advancing the idea around how can we actually build tools to implement this not on a common model but on any database and that's a much harder thing to achieve and this was just some of the work around some of the attributes we thought we had to look at in terms of that sort of data quality and we also wanted people to be able to when they write their research output we wanted our tool to be able to inform things according to the standards that are expected in academic research and output here so can we actually help people understand the data and the quality attributes so that they can record it appropriately here. So the sorts of mistakes we are seeing in a GP record, we've got an example of a medical director here and there's a reason, a button and a procedure button that GPs can click when you're sitting in front of your GP and the problem is both of the screens look identical so the GP sometimes makes a mistake entering a reason as a procedure or a procedure as a reason. These are sort of things we can see but also if you actually just pull data out from the underlying data tables it looks like here we've got a nausea diagnosis on the 22nd of November 2018 but in fact the visit date was recorded as the 21st and you can actually see when you look at here in the bottom of the screen what the GPs that this nausea actually was on the 21st. So this is an example where if you just mind the underlying data tables you really got to understand the relationship between tables and how things really work and it's that level of detail we're really interested in finding out. So right Bandicoot we wanted to come up with a tool that was based on an international standard framework that allowed us to look at data quality in original tables and also allow people to compare databases as well in terms of the output. So here if you look at an original health system so an electronic medical record it's got its underlying database but in moving through research domains you often transform your data. So what I'm really interested in is what happens at each of these stages and can we document the quality and that's effectively what we're trying to do with White Bandicoot. So what I'll do here now is I'll hand over to Joel who's just gonna give us a quick demo of some of the screens here on White Bandicoot. Yeah exactly. So is it all yeah thank you. I'm just gonna share my screen. Yeah so I'm just gonna give a quick overview of the workflow for White Bandicoot. I'm gonna go through connecting to a database creating query and then running that query getting some stats from it and importing that into our web tool. So you can see here that I've connected to one of our databases and I'm going to load up this synthetic database called Cynthia. So I'm just going to create a project and you can see that now our White Bandicoot tool is loaded to the tables and the fields within this dataset. So I just want to see there at this point this doesn't need to be healthy to be so this could be anything. Yeah exactly. This starts being irrelevant here. Now what I'm going to do is I'm going to create a SQL query to get the completeness for this first table, elegies. And it's just going to check that a number of non null values within the each of these fields. So I'm going to just copy a query in. So this is what's called a CDM query which means that we write it once and it replaces fields within the query based on what fields and table we're running it for. So I'm going to check this CDM query. I'm going to give it a name for completeness, not null and this is yet a completeness query and I'm also going to set it to run on all table fields for the elegies table. Let me check up what everything. Yep. And then I will save it. And so the tool is going to create this and now I can go to the fields and you can see that it's created these queries for each of these fields.  Well that's happening. I'll just mention this is a bit of a prototype. It doesn't look too good right now. But the key thing is being able to just try and get the functionality where it's able to run can compatible queries around things like completeness and compliance. So that's what that's what you're all issuing here. Yeah, exactly. So you can see for a lot of these that we have all completeness. So we're 619 out of 619 records a non null and that's just because this is a synthetic data set. But if we go down to the stop field you can see that only 10% of these are non null. And that's just because for elegies it makes sense that a lot of them don't have an end date. So what I'm going to do is I'm going to mark this as having issues. I'm just going to write a little note saying elegies. Yeah, often don't have an end date. And what I'm also going to do is I'm going to take this checkbox for each of them saying that it is the primary query. So that'll mean that they'll show up in the web tool when we export them. So now that we've done that, I'm going to go down here. The project that we created is selected and I'm just going to export the data. So I have some old data. While Joel's doing that, I'll just talk through a bit more about what's happening here. Because when you run data quality measures against your database, you have to run it within your data enclave. So what we have is a tool that is going to be open source that means people can see the source code so they can gain some confidence around being able to run this data quality tool on their enclave. But what we want to be able to do is have people able to publish their data quality. And even what we want to be able to do is allow people to actually put free text entry in there so that when they run the tool that actually is able to generate an entire data book for your database, including the quality attributes. So what Joel is showing here then is that he's just exporting the standard JSON feed. If that means anything to you, it's basically a format for data transfer. And he's now uploading that onto the web tool. Thanks. So I'm just going to create this Cynthia dataset that we just exported. I have some old data here. But so I'm going to just load this new project. I'm going to select the project here. And we exported the allergies. So I'm going to select that as the table that we want to look at when we generate this report. Then I'm going to generate it. And you can see here that it has the data. So most of the data like we saw was at 100%. But we have one field at 9.5 and we've marked it as having specific issues. So if we want to drill down into that, we can look at the fields. We can see the completeness for each of them. We can see that this is the field with specific issues and the note that we added. And then we can also see this in a graph form, or we can see it in table form and so on. But yeah, that's pretty much all I wanted to show you as a just simple demonstration of the workflow for the tool that we've made. Is there anything you want to add, Triggy? That's fantastic. Thanks for that. I'll quickly switch back and there's just another two or three slides there. And then we're finished there. Sounds good. Terrific. So let me share my screen again. Right, so effectively what you've seen here is being able to run the white band acute database tool against the database. And what we want to be able to allow our different people to run these sort of assessments on the database or even just different versions of it. But interestingly enough, we're sort of seeing that we've come up with some sort of a standard here potentially other another data quality assessment tool could do the same thing. So what the system is doing is outputting data to a dashboard. We've got a lot of work to do here both both on the tool itself and how easy it is to use and also in the dashboard. Users can you've seen already we've taken our patron database and we've converted it to a common data model. So used that extract transform load process to convert data to a model. And the model here with homework doesn't actually give the sort of information we're generating not the sort of free text content. So we're even interested in feeding back into this international community with this tool around things that we can do to add in further description for people to see the data sets. I think the final thing here that's of real interest to me and maybe is to the group here is around the standardization of how do you transmit information about quality to for instance a standard dashboard. So certainly this is one of the more recent things we've been doing is coming look at things like DDI. It doesn't really quite fit completeness and accuracy and so on. Although in version 3.3 there had been a look towards that sort of area. So what we're doing is continuing to develop white bandicoot whilst we find out all of the things we need that need to be transmitted across to our web tool. And at that point once we know the full extent of the information then we see ourselves being able to for instance start working with the likes of DDI around making sure we can support these within standards so that instead of our custom format we can actually move to a standard format. So that's it that's our whirlwind tour of quite a lot of stuff there. So thanks for listening.


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