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Recruiting Terminally Ill Patients into Non-Therapeutic Oncology Studies: views of Health Professionals
Non-therapeutic trials in which terminally ill cancer patients are asked to undergo procedures such as biopsies or venipunctures for research purposes, have become increasingly important to learn more about how cancer cells work and to realize the full potential of clinical research. Considering that implementing non-therapeutic studies is not likely to result in direct benefits for the patient, some authors are concerned that involving patients in such research may be exploitive of vulnerable patients and should not occur at all, or should be greatly restricted, while some proponents doubt whether such restrictions are appropriate. Our objective was to explore clinician-researcher attitudes and concerns when recruiting patients who are in advanced stages of cancer into non-therapeutic research.
We conducted a qualitative exploratory study by carrying out open-ended interviews with health professionals, including physicians, research nurses, and study coordinators. Interviews were audio-recorded and transcribed. Analysis was carried out using grounded theory.
The analysis of the interviews unveiled three prominent themes: 1) ethical considerations; 2) patient-centered issues; 3) health professional issues. Respondents identified ethical issues surrounding autonomy, respect for persons, beneficence, non-maleficence, discrimination, and confidentiality; bringing to light that patients contribute to science because of a sense of altruism and that they want reassurance before consenting. Several patient-centered and health professional issues are having an impact on the recruitment of patients for non-therapeutic research. Facilitators were most commonly associated with patient-centered issues enhancing communication, whereas barriers in non-therapeutic research were most often professionally based, including the doctor-patient relationship, time constraints, and a lack of education and training in research.
This paper aims to contribute to debates on the overall challenges of recruiting patients to non-therapeutic research. This exploratory study identified general awareness of key ethical issues, as well as key facilitators and barriers to the recruitment of patients to non-therapeutic studies. Due to the important role played by clinicians and clinician-researchers in the recruitment of patients, it is essential to facilitate a greater understanding of the challenges faced; to promote effective communication; and to encourage educational research training programs.
Non-therapeutic trials in which terminally ill cancer patients are asked to undergo procedures such as biopsies or venipunctures for research purposes, have become increasingly important to learn more about how cancer cells work and to realize the full potential of clinical research. Considering the increased use of specimen collection in clinical trials within the context of emerging 'personalized' medicine, one ethical issue looming over the research community concerns whether cancer patients should be recruited to non-therapeutic oncology research
Considering that implementing non-therapeutic studies is not likely to result in direct benefits for the patient, some authors are concerned that involving patients in such research may be exploitive of vulnerable patients and should not occur at all, or should be greatly restricted
Increased vulnerability
Patients in advanced stages of cancer, who are within days, weeks or months of dying are the target population for non-therapeutic oncology studies. They often experience severe physical and psychological problems
Reconciling researcher and clinician roles
Clinician-researchers who provide patient care find it challenging to balance their clinical and researcher roles
The clinician-researcher may also be confounded by issues arising from the therapeutic misconception. Despite clear information on the lack of personal benefit, patients may still feel that the research could offer a promising treatment. They may have unrealistic expectations or see it as an individualized treatment plan recommended by their doctor
In addition, clinicians may have ethical conflicts stemming from the limited understanding of their role in research. They may also be reluctant to approach their patients about the prospect of participation because of their relationship with them, potentially competing loyalties, and a wish to consider the wellbeing of the patient first
Familial considerations
Families often believe terminally ill patients are less likely to want to participate or to tolerate additional stress or pain
Effective communication between physicians and patients and their families is essential to high quality cancer care and constitutes one of the greatest challenges faced by physicians
In short, how health professionals approach patients for participation in non-therapeutic research is a sensitive and important issue. It requires a better understanding of the issues to ensure that both science and the patient's needs are served. While there are numerous ethical and social issues surrounding participation in research at the end of life, there is less of an understanding of how clinicians and researchers address these challenges. This information is important in that clinicians may play a key role in informing their cancer patients about this type of research while being sensitive to patient needs and wishes.
Acknowledging the complexity of the issue, we conducted a qualitative exploratory study to assess clinician-researchers' attitudes when recruiting patients in advanced stages of cancer into non-therapeutic research. Non-therapeutic research is defined as research not having "direct benefits for participants but [that] may have future benefits for others"
For the purpose of this paper, the term "respondents" refers to the seven interviewees (i.e. participants in this qualitative study), whereas the term "patients" refers to those individuals who would take part in non-therapeutic oncology research (i.e. terminally ill individuals with cancer).
Study participants
Respondents were recruited to ensure a variability of experiences (e.g. gender, age, speciality) and included a total of seven health professionals: three physicians, two research nurses, and two study coordinators, all of whom are involved in oncology research. We used a combination of purposeful and convenience sampling by asking the clinical research team and respondents to suggest other individuals (snowballing), by advertising on the GEOQ (Groupe d'étude en oncologie du Québec) website, and through direct contact with researchers of the Q-CROC Consortium (Québec – Clinical Research Organization in Cancer), a consortium bringing together researchers and clinicians throughout Quebec, including hospitals and research centers. We chose a qualitative method because it allows for exploring processes that lead to a better understanding of the different reasons for including or not including patients in non-therapeutic research. Ethics approval was obtained from the McGill University Institutional Review Board.
Data collection
Information was collected between 2010 and 2011 using open-ended interviews at the time and location of the respondent's choice. The interview method was chosen because it is more flexible and adjustable to the availability of the health professionals. The goal was to gain insight into the perceptions of healthcare providers regarding patient recruitment and participation in non-therapeutic research. This study was limited to exploring the issues involving the recruitment of an adult population; thus excluding terminally ill minors. The interview questions and guide were developed on the basis of a review of the literature.
Sample Interview questions
Attitudes and knowledge of research
What do you think about having your patient participate in a research protocol?
What do you think the physician's role is? The researcher's role?
Have you ever referred patients to a research project?
Have you ever declined referral of patients to a research project?
Barriers and facilitators to involving patients in research
What do you think about research that has no obvious therapeutic benefit?
Should any patient be asked to participate in research without therapeutic benefit?
Are there barriers that may contribute to your decision to refer a patient or not?
Are there benefits to participating in research with no obvious therapeutic benefits?
Who should be involved in the consent? How should consent be obtained?
What types of information do you or would you provide to patients?
Should all physicians be asked to participate in research recruitment?
What factors lead to encouraging or discouraging patient participation?
Tools for integrating research practice
What tools could you use to address the introduction of research protocols in your clinic? (Probes: policy statement, incentives, educational, etc.)
Pilot testing of the questionnaire was carried out by the multidisciplinary research team. Interviews lasted 45–60 minutes and were performed by an experienced researcher (DA), in the company of another researcher (LB).
Data analysis
Interviews were audio-recorded and transcribed, and responses to open-ended questions were coded by two individuals (EK and DA). They were analyzed using a constant comparative method, which inductively seeks to identify themes that emerge across the interviews
The data were iteratively coded using NVivo, a software for qualitative research and analysis (EK). Then, a second individual (DA) also coded a subset of the data for themes. Information was categorized according to themes. We then took the many codes and through consensus merged them into a handful of themes. Each was subsequently classified by an overall enhance or deter factor. The findings are presented with quotes to illustrate the themes that emerged. A model was developed to describe the relationship between the key themes and a range of points to consider (see Figure
Figure 1
Points to consider" to facilitate understanding
"Points to consider" to facilitate understanding.
Our analysis of the data reveals three prominent themes: 1) ethical considerations; 2) patient-centered issues; and 3) health professional issues. The results are presented under these three themes. Table
I) Ethical considerations
There was consensus that certain core ethical principles should be observed when interacting with patients and their families. When invited to describe their understanding of ethics in the context of non-therapeutic research most respondents articulated the need for:
A primary ethical principle is that participation in any kind of research requires a free choice (voluntariness) and appropriate information about the research as well as the time to better understand the information being presented to them before consenting. To that end, a potential research participant must be eligible and capable of providing a voluntary and informed consent.
Respect for persons
Respondents recognize that because the patients have suffered a lot, and perhaps want to be left alone, their interests and welfare must always take precedence over the interests of science and society. As a matter of respect for human dignity and to avoid treating people as a means to an end, physicians must consider the patient as a human being and demonstrate sensitivity and empathy to his or her needs and emotions.
Many respondents stated that given the sensitive nature of the recruitment, it is also important to listen to the patient and to understand his or her personal situation, because they noted the physician has an ethical and legal duty to promote the best interests of the patient while knowing that the investigation can be stressful, particularly if there are no immediate benefits. In such a scenario, it is appropriate to take into consideration the best interest of the individual.
When asked to describe the positive aspects of this type of research, some respondents suggested that as a result of participating in research, patients may receive better care because it provides them with the opportunity to be treated by specialists and to be closely monitored. In fact, as the following text expresses, if they participate in research, they may benefit because:
With non-therapeutic research involving biopsies, for example, many respondents highlighted the potential to cause distress for the participant, especially because there is no anticipated physical benefit and greater than minimal risk. When assessing risk, respondents felt it was important to address the risks that may be significant (i.e. increased pain or side effects), prior to participation in research.
Moreover, some recognized that patients are emotionally drained and overwhelmed. As a result, there is an ethical obligation to be cautious about causing distress and to make them feel like partners during the recruitment process.
Furthermore, some health professionals recognized that genetic information that may arise from genomic research may be a source of discrimination. Examples of discrimination included denial of insurability and employability, for the patient as well as for his or her family.
Public good
Many respondents mentioned that the benefits of non-therapeutic research include better knowledge and more insight into the disease rather than individual benefits for the patients. They also mentioned that participation in non-therapeutic research was an altruistic gesture that contributes to the greater good. According to respondents, participation is a way of directly helping their families to avoid a similar situation and to improve the health of future generations.
Some also stated that patients are sometimes more than happy to encourage researchers to use these biological samples to help someone else and for future medical advancements.
II) Patient-centered issues
Several patient-centered issues have an impact on the recruitment of patients for non-therapeutic research. Some issues facilitate the process and others are described as barriers.
Fostering open, clear and accurate communication with patients during the recruitment process is seen as essential. Specifically, communication can facilitate recruitment by ensuring that the patient will understand every step of the research process, that their questions will be addressed, and that they will receive sufficient support.
Negative research culture
Many respondents mentioned that there is much erroneous information about clinical trials in the public domain. Some highlighted the concern that patients may perceive themselves as guinea pigs when participating in non-therapeutic research, perhaps as a result of misinformation over the years.
A compelling counter argument is to ensure that the patients receive reliable information and understand the real goal of the research. Another approach is to host conferences and discussion groups with patients and participants to enhance the exchange of experiences and information about research and the research sites. One effect may be to reduce the fear of being a guinea pig, for example:
Informed consent is a continuous process
This is especially true in non-therapeutic research where the primary goal is not to provide clinically relevant results that can benefit the individual. Many respondents viewed the process of informed consent as an interactive flow of ideas. There were indications regarding what information to provide, how to inform the patient, and when to obtain his or her consent.
When obtaining permission from patients, respondents highlighted the need for a thorough explanation of the research process, fully disclosing what will happen.
Another respondent suggested avoiding a group setting for recruitment in favour of individual contacts. This approach sets the stage for individual autonomy by adequately answering patients' questions and providing easy access to the study coordinator and/or the physician, which are important steps for continuous support.
Timing of the consent process is an equally important issue. Decisions about accepting to participate should not occur on the first day or immediately after receiving all the information. Patients are encouraged to take the information home with them, so that they can think it through before making their decision to consent. Asking questions is also strongly encouraged by the health professionals, who should make themselves available for questions, to ensure that the patient fully comprehends the research and has no hesitations.
Mention was made of the importance of informational tools for patients to guide the consent process. When multiple languages are spoken in a particular population (French and English in Quebec), such tools should be available in these languages to promote and encourage participation in research.
Family dynamics and social support
Respondents identified the need for patients to feel supported by their families, because of the varying emotional needs and the anxiety associated with treatment, especially when there is little hope for survival.
An issue that may arise in the familial context is entanglement, meaning differing opinions between patients and their families regarding participation in non-therapeutic research. Respondents noted that families sometimes adopt a protective approach. As a result, there are times when involving the family is challenging due to these differences in opinions and views, and when patients may fear burdening their families at a sensitive time. For example:
Interestingly the outlook and opinions of the patient with an advanced illness may also lead to a change in priorities, and as a result influence willingness to participate. Therefore, conferring with families during the process is important, as they can provide a support system for the patient throughout the duration of the study.
Psychosocial issues
The lowered expectation of survival faced by these patients can create considerable psychological stress. Respondents noted that the patients are emotionally labile at the time of recruitment. These include: ups and downs, anxiety, fear, overwhelmed (they need down time or time to let their emotions subside), and reassurance. Health professionals can make important contributions by supporting and sharing information and insights about the research with patients. Specifically, sitting with the patient and the family to discuss the research protocol is likely to provide a better awareness of the difficulties and hopes of the patients and their families.
Respondents suggested that another positive communication resource that facilitates a more positive experience is to provide patients with true stories from other patients. By listening to other patients, this reassures them that they are not the first ones to participate in such research.
III. Health professional issues
A final theme emerging from the interviews are the facilitators and barriers with respect to members of the health professional team (Table
Doctor-patient relationship
In order to foster a feeling of trust, respondents highlighted the importance of the doctor-patient relationship. This relationship should be a transparent one, where communication is valued and encouraged.
Moreover, the physician who cares for the patient may also play the role of gate keeper to research participation or may add pressure on the patient. For example, a physician may feel that a patient has suffered enough and for this reason denies researchers access to eligible participants. In order to protect the patient, physicians may perceive him or her as being unwilling to participate and make this decision for him or her.
As a result, physicians sometimes partake in recruitment for a research project only if they believe in its potential to be beneficial. In some cases, the physician may subconsciously communicate disinterest and hesitations to the patient, thereby setting different priorities in the recruitment process.
Distinction between care and research
In some cases, the issue is that patients may think that participation in research may have a therapeutic value or provide another chance for survival. This is particularly difficult when the patient has trust and confidence in the physician. On the one hand, the patient may feel reassured that the physician is involved, which may encourage participation. On the other hand, it may result in the patient participating because he or she thinks that since the physician suggested it, it must be appropriate (the patient is being influenced by the association made between the physician and good, so it is not necessarily a voluntary decision, but one that has been indirectly influenced by the physician –
Cohesive study teams and teamwork between physicians, researchers and the research nurses were perceived as facilitators when conducting non-therapeutic research. Communication should be transparent and a lack of communication makes it more difficult and stressful on the patient and can cause anxiety.
It is felt that communication will be helped somewhat by involving the nurse or study coordinator, because they can play a very important role in promoting the quality of the information.
An important barrier to this recruitment process, however, are time constraints faced by clinicians who are balancing clinical and research roles in a busy clinical environment. Clinicians generally do not have the time to fully explain a project and provide information about the research.
Finally, lack of awareness on the part of the clinicians about the research project can lead to the obstruction of research.
To foster commitment among clinicians, there is need to integrate research and clinical work. Within such a model, a mission statement (patient-centered care generating new knowledge) and standard operating procedures should be developed for clinical research and revised appropriately. In order to help with recruitment, it is useful to build physician awareness and enthusiasm about the research, and to encourage their voluntary participation in it.
Conflict of interest
Some respondents mentioned that conflicts of interest may exist specifically at the time the clinicians recruit patients to the research project because they have a therapeutic relationship. Several respondents discussed ways to address this concern. One suggested that it is essential for physicians to go through the Informed Consent Form with patients, highlighting that there will be no direct therapeutic benefit for the patient, and this may influence the patient's decision to participate or not.
Another respondent suggested ways to address this issue. One approach that was recommended is for the clinician-researcher to avoid direct recruiting contact. Another approach is for a neutral party to seek the patient's consent. This position promotes the research nurse who can make an important contribution and help address the conflicts of interest because they do not use this information for their own gain. Research nurses are well positioned to obtain the patient's consent because they are aware and well-informed about the project, and can provide the patient with answers to their questions and the time needed to deliberate participation.
Although research nurses play a very important role, it was also acknowledged that if the treating physician does not have access to a research nurse, he or she can also be an option for obtaining the consent.
Education and training
The importance of education and training was mentioned several times. It was stated that there appears to be a lack of physicians with training in research and research ethics. It was felt that training should occur within the medical school program and more should be done to increase the number of physicians with such training. Also, it was recognized that one important barrier is that physicians typically appear to favour working with patients in a clinical or hospital setting over getting involved in research.
In addition to these skills, training should be complimented by ongoing reminders about current research projects and provided to physicians, who are normally busy with their own practices and might not keep track of research opportunities for their patients. Furthermore, it is important for researchers and physicians to know what they are looking for in the study so that they can effectively answer the patient's questions.
Research ethics boards (REB)
There were comments about the variability in how REBs assess non-therapeutic research with some REBs more open to the idea of such research.
Several respondents indicated that research ethics boards are necessary for the general oversight of non-therapeutic research.
This type of recruitment is time consuming and requires a team (e.g. physicians, researchers, research nurse) and resources (e.g. work space) to enable a smooth and successful process. For this reason, budgets are an issue.
Although international guidelines address the recruitment of patients into non-therapeutic research, difficulties remain in applying them and ethical issues are still at play
Our analysis identified that respondents seemed well informed of the ethical principles of autonomy, beneficence, the need to respect the patient and to put his or her interests ahead of those of society. Risk of discrimination by employers and insurance companies was expressed as well as concerns about the confidentiality of the research results, and the impact of such information on patients' families. These findings are supported by the literature surrounding issues of confidentiality and discrimination
In addition to ethical challenges, there were specific facilitators and barriers for recruiting patients to non-therapeutic research. Facilitators were most often associated with patient-centered issues enhancing communication, while barriers to non-therapeutic research were most often professionally based.
Families were identified as a positive factor and a source of information throughout the process. The family unit was perceived as an essential source of support for the patient, along with real feedback and true stories from individuals who have already gone through similar experiences. They provide the patient with a sense of reassurance, thus fostering integration and improving participation in such studies.
Another facilitator for recruitment is the role played by research nurses. Notably, they are seen as a source of support or as an "extra pair of hands" involved in the care of the patient. Respondents identified them as a more neutral party than researchers, having less of a vested interest in the research, and making them an ideal candidate for obtaining participants' consent. Nonetheless, it is important to note that nurses, like physician-researchers, may be susceptible to conflicts of interest and steps should be taken to ensure that any such conflict is limited and disclosed to potential participants
The team approach can enhance communication to patients. The image of a team, working together throughout every step, is favoured for non-therapeutic research. Respondents indicated that this communication should be transparent among all parties, resulting in patients who are well informed and supported. These findings resonate with the literature on doctor-patient communication
Our findings also indicate that respondents acknowledge the importance of the doctor-patient relationship in promoting trust
Furthermore, the lack of awareness of research by other physicians was seen as the "greatest obstruction" to research recruitment. A solution proposed for remedying this barrier is to try to get physicians on board with the research that is taking place. Such a strategy may help enhance recruitment and the advancement of research.
Moreover, there appears to be a generation gap among physicians, with the younger ones having less of an interest in and awareness of research; therefore, an effort should be made to reverse this trend and further educate physicians. Respondents noted that it is useful to foster a commitment to training programs that expose medical students to research and encourage an interest in it. The current study sheds light on the importance of research ethics in the medical curriculum. Although the ideal time to introduce research ethics into medical training can be a source of debate, it is generally introduced during the undergraduate curriculum and then further reinforced during residency, fellowships, and specialty training
A final barrier to recruitment is the need to address the vulnerability of the patient and to be sensitive to a variety of emotional responses throughout the recruitment process such as depression, distress, and reassurance. Existing research supports our finding that patients experience a range of emotional readiness
Based on our findings, we offer several points to consider in order to overcome barriers to recruitment for non-therapeutic research (see Figure
This study has limitations. First, it is an exploratory study focused on a small research community. It was not large enough to allow saturation of subtle differences between sub-groups (e.g. oncologists, geneticists, clinicians not involved in research). For this reason, the results do not represent the views of a more general community of researchers. Also, the use of volunteer health professional respondents may have resulted in an overrepresentation of those involved in clinical research. Further research with clinicians who are not actually involved in research is needed, to assess their views on the recruitment of their patients for non-therapeutic research. Finally, it is possible that additional interviews with researchers and/or clinicians could generate other themes that were not identified in this project. Nevertheless, this study fills an important gap in the literature by addressing the barriers and facilitators to non-therapeutic research under three prominent themes: ethical considerations, patient-centered issues, and health professional issues.
In conclusion, while patients are truly vulnerable, we take the view that non-therapeutic research is ethically justified primarily because of the benefit for society. If we did not ask seriously ill patients to participate, then medical science could not advance, at least in those fields where the only possible avenue for research (at least at this time) requires the use of diseased tissue. This is not to say that just any research can proceed when the harms outweigh the benefits; the risks must be justifiable. Therefore, the protection of research participants from excessive harms is very important. This is a responsibility of both the researchers and the REBs that oversee the research (including protocols and informed consent forms). Based on anecdotal evidence from our research team, it appears that for this research some REBs are hesitant to approve a study where there is greater than minimal risk with no direct benefit; however, the autonomy of the patient/participant combined with mechanisms to ensure that they are appropriately informed of the risks can ensure that participation is fully voluntary and informed. Furthermore, this type of research is supported in Canada by article 11.4 of the
This exploratory study reveals the challenges of wrestling with the recruitment of patients to non-therapeutic research. As the science continues to evolve, closer collaboration with clinicians will be required in order to ensure respect of patients and more social and emotional support for them throughout the research process and the course of their disease.
Due to the important frontline role that researcher-clinicians play, it is imperative to introduce: a better understanding of the challenges researchers/clinicians face when recruiting patients for non-therapeutic research; help improve effective communication among all members of the team, as well as with patients and their families (effective communication training programs/workshops); and facilitate better access to training programs about the value of non-therapeutic research. An important next step is to initiate research exploring the views of participants regarding non-therapeutic research, as well as the views of clinicians not involved in non-therapeutic research.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
EK participated in the development of a conceptual framework, the analysis of data, and the drafting of the manuscript. DA conceived the study, participated in the design of the study, the development of a conceptual framework, the collection and analysis of data, and the drafting of the manuscript. LB was involved in the design of the study, the collection of data, and the revision of the manuscript. ZD and CR participated in the coordination of the study and provided support and critical analysis of the manuscript. BMK provided support and critical analysis of the manuscript. EK wrote the first draft of the manuscript; DA and LB commented on the drafts. All authors read and approved the final manuscript.
We would like to thank the health professionals (research and hospital staff) who took part in the interviews. This project was funded by the 'Fonds de la recherche en santé Québec' (FRSQ) through the Pfizer-FRSQ Innovation Fund (project titled: "Prospective Study to Identify Molecular Mechanisms of Clinical Resistance to Standard First-Line Therapy in Patients with Metastatic Colorectoral Cancer" – Grant #16759) and the 'Réseau de Médecine Génétique Appliquée' (RMGA). We would also like to thank the Québec – Clinical Research Organization in Cancer (Q-CROC) for their help in the recruitment of participants to this study.
Methodological and practical challenges for personalized cancer therapies
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Ethical issues in palliative care research revisited
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Palliative care research: trading ethics for an evidence base
Genetic Discrimination: international Perspectives
Genetic discrimination: the clinician perspective
Concerns in a primary care population about genetic discrimination by insurers
To tell or not to tell: barriers and facilitators in family communication about genetic risk
Family communication about genetic risk: the little that is known
Ethical quandaries posing as conflicts of interest
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Taking Families Seriously
Oncologist communication about emotion during visits with patients with advanced cancer
Deciding what information is necessary: do patients with advanced cancer want to know all the details?
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Psychological distress among cancer patients and informed consent
Cancer patients' information needs and information seeking behaviour: in depth interview study
A review of international and UK-based ethical guidelines for researchers conducting nontherapeutic genetic studies in developing countries
Ethical Considerations in Qualitative Research with Hospice Patients
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Ethics in medical curriculum; Ethics by the teachers for students and society
Studying communication in oncologist-patient encounters: The SCOPE Trial
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Pre-publication history
The pre-publication history for this paper can be accessed here:


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|Format: Paperback
Number of Pages: 272
Vendor: David C. Cook
Publication Date: 2011
|Dimensions: 8.25 X 5.50 (inches)
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Publisher's Description▼▲
Author Bio▼▲
Brian Jones is the senior pastor at Christ's Church of the Valley, an innovative community of faith he and his wife helped to start in the suburbs of Philadelphia. Brian is a graduate of Cincinnati Chrsitian University (B.A.), Princeton Theological Seminary (M.Div.), and has served in leadership positions in churches for over twenty years. He is the author of Second Guessing and Getting Rid of the Gorilla.
Right away, Jones sets an effective tone. He is both strong and up front in his message, but also personal and friendly. His style never comes across as superior, and he adds comedy along with deep theology. His voice isn't alone in this. Jones uses numerous references from the Bible, as well as a number of other sources from researchers and theologians like himself. The most impacting part of his book, however, comes from the countless stories of his own life. Pastor Jones offers numerous anecdotes from his personal history, not all of them flattering. His real life experiences provide context to the ideas he presents.
Jones does run into a few problems in his work. His chapters are manageable, but can seem to drag on. Ideas aren't always consistent in each part of the same chapter. On a more theological note, not everything that Pastor Jones says seems to be traditional thinking. He mentions a couple of times how a Bible verse had different meaning in the past from what it has now. Whereas he always defends his points well, some still feel a little off. He is in no way discrediting the Bible, but the interpretations he asserts may seem "different" to conservative readers.
Hell is Real (But I Hate to Admit it) is a strong message to Christians. It not only covers the topic of Hell, but evangelizing and being a stronger believer as well. The personal story of Pastor Brian Jones makes him all the more qualified to write this book. I would recommend it to those who are looking for a spiritual challenge, as well as those who doubtful about the existence of Hell. Todd Naevestad, www.ChristianBookPreviews.com
Product Reviews▼▲
ShirleyDIndiaAge: 55-65Gender: female4 Stars Out Of 5A frank bookSeptember 23, 2013ShirleyDIndiaAge: 55-65Gender: femaleQuality: 4Value: 4Meets Expectations: 5This review was written for Hell Is Real (But I Hate to Admit It) - eBook.This is a frank book on a topic very few want to touch.
Ralph COwasso, OklahomaAge: 45-54Gender: male5 Stars Out Of 5Hell Is Real (But I Hate To Admit It)November 1, 2011Ralph COwasso, OklahomaAge: 45-54Gender: maleQuality: 5Value: 5Meets Expectations: 5I initially bought the book thinking it would be abouit hell. Instead, I found the book to be more about evangelism and why we do not have an "apocalyptic urgency" to share with those who are lost. I am now using the book in a 4-week study in my small group at church. More importantly, I have gained a renewed energy to share the truth with others that (1) Hell is indeed very real, and (2) Jesus died for all of us so that we don't have to spend eternity there.
Bob HaytonSt. Paul, MNAge: 25-34Gender: male4 Stars Out Of 5Humorous & light-hearted but serious & challengingOctober 25, 2011Bob HaytonSt. Paul, MNAge: 25-34Gender: maleIn the wake of Rob Bell's controversial book "Love Wins", a plethora of books have appeared clamoring to answer the question "Does Hell exist?" Most of these books take us back to the Bible and answer the question in the affirmative. A new book from Brian Jones is no exception. What is different about his book, however, is apparent from its title: "Hell is Real (But I Hate to Admit It)". Jones uses a healthy dose of humor and personal candor as he tackles this ever-troubling topic.
Jones shares his story of secretly disbelieving in Hell for his first four years as a pastor. When he realized his error and confessed his secret sin, he was met with bewilderment. Why confess a doctrinal shortcoming? "Pastor, we were worried there was something more serious going on!" was how many took his news. This is indicative of the sad state of affairs in the church today and part of the reason Jones has given us this book.
His book is written in a simple, straightforward style. He explains the Bible's teaching on Hell, but more than that, he gets into the question of why it is that he and so many others wanted to believe there isn't a Hell. He then finishes the book with a call for "apocalyptic urgency" and a straightforward witness to the lost around us.
He doesn't dismiss social concerns but calls the church to be more forthright in its evangelistic fervor. By the end of the book you aren't surprised to learn that he was fired from the Princeton Theological Seminary bookstore for being too evangelistic. Jones has a passion for Jesus Christ, and it shows!
This book is accessible and at times humorous. And more importantly, it won't steer you wrong. It might just spur you on toward a more serious view of evangelism. If we really do believe there is a Hell, shouldn't that belief burden us all with "apocalyptic urgency"? Brian Jones thinks it should, and I have to agree. Read this book and be challenged. You won't regret it.
Disclaimer: This book was provided by David C. Cook publishing. I was under no obligation to offer a favorable review.
onedesertroseSt. Paul, MNAge: 55-65Gender: female4 Stars Out Of 5Challenge Your BeliefsOctober 4, 2011onedesertroseSt. Paul, MNAge: 55-65Gender: femaleQuality: 3Value: 4Meets Expectations: 4Once a month, Brian would take a spiritual retreat and go off to a monastery to pray, journal, walk in the woods, and then leave late in the afternoon. One day he received a spiritual revelation at the monastery. God connected with him and impressed on him that his life as a pastor was a charade, as he wasn't preaching the whole Bible, particularly about Hell. To challenge God's words about Hell, like "Russian roulette," he opened his Bible randomly to see if what God was saying was true. To his surprise, everything he opened up to related to Hell. This led to conviction, repentance, and the writing of this book.
It seems fair to say that at least one time in many of our lives, we thought of God as a loving God who wouldn't punish anyone in hell. However, we fail to acknowledge that He is also a holy God of justice and punishes unrepentant sinners with eternal death. He cannot allow sin to enter His holy presence. Even mankind wants justice when someone has committed a crime against them. Where do we get this sense of justice?
Brian Jones, in his book, Hell is Real (But I Hate to Admit It), starts out with six ââ¬Ëlogical' reasons why he didn't believe in hell. I am sure many of us can resonate with his objections.
Brian challenges us, based on the teachings of Jesus, to witness as though people's' eternal lives depended on it, because it does! He examines reasons why Christians avoid talking about Hell. His book is also a compilation of how-not-to and how-to methods of reaching those who don't trust and believe in Jesus. Most of the presentations are based on his own experiences. The subject headings help ground you in his style of writing.
Initially I felt the author dwelt too heavily on just avoiding hell. But as he progresses in the book, he balances out the urgency of bringing people to the Lord because He wants us to live with Him eternally in relationship. So if you seem to get bogged down part way through, keep going to the end of his book. You'll be glad you did!
What Brian doesn't mention is that eternal fire was initially prepared for the devil and his angels. But in Mathew 25:41, we see that He does send those who are accursed to eternal fire also. A sobering thought-one to spur you on to reach people for Jesus! So don't fall for today's media controversy and ideas that Hell isn't real. Peoples' lives depend on it!
Many people have heard John 14:6, "I am the Way, the Truth, and the Life; no one comes to the Father but through Me." There's another powerful Scripture that deals with Jesus in Acts 4:12, "And there is salvation in no one else; for there is no other name under heaven that has been given among men by which we must be saved."
This book was provided by Audra Jennings of The B&B Media Group, Inc., in exchange for my honest review. No monetary compensation was exchanged.
Carlisle Lloyd5 Stars Out Of 5Excellent viewOctober 3, 2011Carlisle LloydQuality: 5Value: 5Meets Expectations: 5This book really gives an excellent explanation of how and how to respond when dealing with those who seek answers regarding hell. Brian Jones clears up some misconceptions. A great read!


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Keep Up-to-date with the latest SERI news
+ COSAT student visits the United States of America
Africa Bold Leaders Project
Sivenathi Juqu, a COSAT grade 11 student, took part in an Africa Bold Leaders Project for Sub-Sahara Africa Young Leaders
in the United States of America, with participants from other counties such as, Cyprus, Czech Republic, Hungary, Kenya,
Nigeria, Slovakia and Tanzania.
The program engaged youth and educators in an intensive and adventurous learning experience in the urban areas of Denver and Washington D.C. and the wilderness of Colorado. Through collaboration with a variety of dynamic organizations, individuals and educational institutions, the future leaders took part in multifaceted workshops and discussions experienced life with teenagers from different countries, met grassroots activists and community organizers and created an inspiring community of empowered young people and educators.
When they return, the participants engage in follow-on projects within their home communities, using vital relationships with previously identified local organizations as their foundation and support.
+Annual Rock & Roll Evening
Blue Bird Rock Project featuring the Legendary rockers of The Hangklip Hotel - ZERO!
Sat 26 Oct 2013 7:00 PM — 11:30 PM
The Blue Bird Garage Market, 39 Albertyn Rd, Muizenberg, Cape Town
The Annual Hangklip Jol MOVES to Muizenberg!!
SERI (Science Education Resource Initiative) presents The Bluebird Rock Project featuring the legendary - ZERO! This charity event of epic proportions, is being held to raise funds to stock the COSAT library in Khayelitsha. Doors open at 7pm, with food stalls and a cash bar available. Tickets are also available at the door for R150.
+ COSAT learners head to China
Visit to Beijing Association of Science and Technology (BAST)
Two COSAT grade 12 students were invited by the Beijing Association of Science and Technology (BAST) to participate in a
science competition (BYSCC) in china in March. They were to present a project, themed 'Solvation of Polystyrene', that
won them a silver medal in the ESKOM Science Expo held in Johannesburg late last year.
"We couldn't believe our ears, a sudden excitement came rushing in our bodies. Who ever thought that at the age of 18 we, two black students from the townships of Khayelitsha and Philippi, would be flying off to china? The excitement from our teachers, fellow students, our parents, neighbours and everyone who believed in us motivated us to prove to the world what South Africans, and in fact, what African students are capable of."
The commitment and support from staff gave them the confidence to show their abilities amongst many contestants from around the world.
"We are grateful to Dr Barnard, our Chemistry teacher who believed in us and continued to mentor us throughout the whole process"
+COSAT Robotics take the lead again
Majestix take the Lead
Six members of the Robotics Club swept the board at the provincial tournament of the First Lego League Robotics
tournament, held at UWC on 5 November. The amazing Majestix team are the Western Province champions and
will compete at the national level early in December. Good luck to them!
They recently demonstrated their skills to none other than the Minister of Science and Technology, Naledi Pandor , who visited the school with an international delegation of representatives of the Carnegie Foundation. The very articulate and thoughtful presentation hugely impressed the visitors and made the staff burst with pride!
Thanks to the generosity of Greater Good SA, SERI has ordered a further 30 robotics sets, so we are on track to introduce Robotics into the Grade 8 and 9 Super Friday programme next year.
+ Four Young Scientists Bring Glory to COSAT
COSAT Scientists
Two of the three projects on display at the annual Science Expo at UCT won gold
Siyabulela Mtyela and Lwandile Yanta researched paraffin use in Khayelitsha and Lizo Ncapayi and Odwa Mavuso tackled the very topical subject of homophobia in Khayelitsha. Both teams were invited to compete in the National Science Expo in Gauteng, and Lizo and Odwa again won gold, a very impressive result for a magnificent piece of research. In the photo at the top is our triumphant young scientists on their return from the National Science Expo in Gauteng
+ WOW! Check That!
Specs for the future
Specs for nine newcomers
Each year the school is visited by an optometrist from Spectacle Warehouse. She tests all newcomers to the school and then recommends that some are properly tested at the shop. This year nine COSAT learners are now sporting brand-new spectacles as part of the SERI pastoral programme.
+6th in the Western Cape
COSAT Takes 6th Place in the Western Cape
COSAT was identified as the sixth-best school in the Western Cape according to the Van Niekerk list.
Mr Danie van Niekerk is a deputy principal at De Kuilen High School. In his opinion, the two
performance criteria used by the Western Cape Education Department to ascertain the best-performing schools
in the province are inadequate against the backdrop of skills shortages in the fields of Science, IT and Engineering.
In response, he added five further performance criteria, all pertaining to the quality and quantity
of Maths and Science Matric passes achieved in the province in 2010. The full Van Niekerk list is as follows:
- Herschel
- Diocesan College
- Westerford
- Rondebosch Boys
- Springfield Convent
- St Cyprians
- Bloemhof
- Paul Roos
COSAT's inclusion in this list is an extraordinary achievement, given that it is a non-fee-paying school. The other schools are some of the most privileged in Cape Town and all are fee-paying. In fact, the school fees required at all of those schools are extremely high, all in excess of R1000 a month.
+ All Mourn the Death of Peter Oxenham
Great loss to the SERI Family
After a year-long battle with lung cancer, Peter Oxenham died at the end of April, 2011.
He was attended, throughout his illness and tirelessly in his last days, by Dr Thalitha George,
of the COSAT class of 2001, the school's very first matric year.
This fact is poignantly fitting, as Peter was one of the founding teachers of COSAT and Thalita was
very much one of his favourite protégés.
Peter worked tirelessly for the school, in the first years as a wonderfully eccentric Science and IT teacher and instigator of most of the enrichment activities at the school, and latterly as manager of SERI. While still teaching, he saw the need for a "support arm" for COSAT and it was he, with Jonathan Clark, who registered the NPO that is SERI. Through SERI he raised in the region of 6 million rand for the school, ran the Fun'ulwazi programme and almost single-handedly did the annual recruitment for the school. From 2009 he resigned from teaching and devoted himself entirely to the running of SERI. As the school grew, the management of this very vibrant NPO was a full-time job.
The reaction of his past students to his death spoke volumes. In the days that followed the news of his passing, Facebook was full of tributes and hilarious anecdotes. At his memorial service at the school, his colleagues and ex-students demonstrated their love and admiration for him and their devastation at his death. His mother and son, Jonathan, were there and they were amazed at the extent of his impact on the lives of all who knew him.
Peter Oxenham meant so much to so many. He was a legend in Khayelitsha and will be remembered with love and admiration for decades to come.
R.I.P My old Friend
+ New Beginnings for SERI
New Beginnings
The death of Peter Oxenham enforced a new beginning for SERI. The first major upheaval was the moving of
the SERI office, previously at Peter's home in Kalk Bay, to an office off the library at COSAT.
In the month following Peter's death, an urgent SERI board meeting was called where the way forward was plotted.
The composition of the SERI board has radically changed. Dr Jonathan Clark has assumed the Chairman's role in the place of Helen George and has generously shared his expertise and wisdom with both Helen and Phadiela Cooper, the principal of COSAT. Helen has become Manager, thus [tentatively] stepping into Peter's shoes. This means that she, from now on, wears three hats, her SERI Manager's hat, her Super-English hat and the COSAT librarian hat. Because the latter two roles constitute a full-time job in themselves, SERI has been fortunate enough to secure the services of Nikiwe Tafeni [class of 2002] to assist in all spheres. She is proving to be a godsend and will be on the permanent payroll as soon as finances permit. Andiswa Zothe [class of 2003], a fulltime SERI employee and previously Peter's administrative assistant, is now the Administrator. She is the only person who has a handle on all matters financial, and as well as taking care of that side of SERI, she is sharing her knowledge so that we all can be better informed. Thulani Tafeni [class of 2004], another fulltime SERI employee, part-time teacher at COSAT and manager of the Fun'ulwazi programme, has been invited on to the board, as well as three COSAT staff members, Phadiela Cooper, Estelle van Schoor and NomaAfrika Dywili. Their inclusion is to reinforce the relationship between SERI and COSAT and to facilitate joint decision-making. Alain Russell, recently retired from the legal department of Shell International, has kindly agreed to assume the role of Secretary and assist in fund-raising. Unathi Booi, deputy principal of Luhlaza and the Fun'ulwazi English teacher continues to serve on the board. Lungisa Mavundla, an ex-teacher at COSAT and long-time committee member, has resigned. Her resignation has been regretfully accepted and we thank her for her many years of service to SERI.
Janice Fleisher, the executor of Peter's estate, will lend us her services until the new board is officially constituted by the Department of Community Development.


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Liga round-up
By Mark Buckingham
Last Updated: 01/01/70 1:00am
Barcelona celebrated their title success with a 2-0 win over Espanyol in the Catalan derby.
Barcelona celebrated their title success with a 2-0 victory over Espanyol in the Catalan derby.
After clinching back-to-back Primera Liga crowns in midweek, Barcelona celebrated in style with a win over their local rivals at Camp Nou.
There was a touch of good fortune to Barca's first goal, however, as Daniel Jarque turned a cross past his own keeper on 20 minutes.
From there, chances were traded with Espanyol's Pablo Zabaleta testing Barca's stand-in keeper Albert Jorquera, while Samuel Eto'o screwed a good opportunity wide.
Luis Garcia then drove a volley at Jorquera's legs before a piece of individual brilliance from Ronaldinho released Henrik Larsson, only for the Swede to fire wide.
In the second half, Espanyol provided the champions with a scare when Walter Pandiani's shot was cleared from underneath his own crossbar by Silvinho.
But Espanyol were dealt a sucker punch on 51 minutes when Ronaldinho put the game beyond the visitors' reach.
Larsson eluded the offside trap, but disappointingly shot at the Espanyol keeper. Ronaldinho was on hand to pick up the pieces and he finished in nonchalant fashion.
Jorquera then saved with his legs from Didier Domi before Pandiani was again thwarted by the Barca shot-stopper.
In the closing moments, Pandiani found space for another opportunity, but again saw Jorquera prove equal to the shot.
Valencia moved back up to second, but will be disappointed at having to settle for a 1-1 draw at home to Atletico Madrid.
The Che took the lead just 10 minutes into the game when top scorer David Villa converted a penalty after he was tripped by Atletico keeper Leo Franco.
But Atletico were level less than 10 minutes later when slack defending allowed Maxi Rodriguez to latch on to a free kick at the far post, and though his first attempt was saved, he reacted quickly to tuck away the rebound.
In the second half, Mario Regueiro struck the post for Valencia, while Spain international Vicente made his comeback from injury.
Sevilla warmed up for their Uefa Cup final date with Middlesbrough on Wednesday with a 2-0 success at bottom club Malaga.
Renato put Sevilla ahead on 18 minutes and a last minute goal from Fernando Sales will send the club to Eindhoven in good heart.
Click below for an individual match summary:
Barcelona 2-0 Espanyol
Malaga 0-2 Sevilla
Valencia 1-1 Atletico Madrid


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text:
Photo By David Alvarez / Miami Heat
Sun-Sentinel – The Heat's decision to halt season tickets sales on speculation it might sign LeBron James means the team no longer needs a season ticket sales staff.
About 30 employees were told Friday morning they were losing their jobs, and some were moved to other positions. The Heat confirmed the layoffs in a statement indicating with its season ticket inventory "exhausted, we no longer require a season ticket sales team to sell tickets.
"While the decision to release part of our sales force was a difficult one, we greatly appreciate their contributions to the company," the statement continued. "We have also hired a placement service to assist those individuals find new employment."
Sources said the employees made a base salary and commission, which was sizable during the sales rush that came on rumors the team might sign LeBron James, Chris Bosh and re-sign Dwyane Wade. Some employees were offered severance of up to a year's salary and extended benefits. Additionally, some staffers might be hired back to oversee season ticket holder accounts, the sources said.
Source: Sun-Sentinel


text:
For those who don't know, Panasonic is one of the biggest supplier of lithium ion batteries used in electric cars. Well, it appears that the company is set to became even bigger as it just won a four-year contract to supply cells to Tesla for its Model S and Model X electric cars, a deal that may generate around $7 billion.
In this deal, Panasonic will supply 2 billion lithium-ion battery cells to Tesla through 2017. A big number if we take a look that the 200 million units that the Japanese company shipped for Tesla in the past two years.
The new Tesla Model X crossover will arrive in late 2014, but until then Tesla plans to sell 21,000 this year. Next year, the company expects to sell around 10,000 units only in Germany. In the Netherlands the Tesla Model S surpassed the Volkswagen Golf.


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Get your Auckland Blues travel plan into gear
Auckland Transport media release
26 February 2014
Get your Auckland Blues travel plan into gear
The Auckland Blues take on the Canterbury Crusaders at Eden Park this Friday 28 February. Kick-off is 7.35pm.
Being the first home game of the season, it's a good time for rugby fans to get in the habit of planning how to get to and from the stadium.
Travel by train or special event bus to all home games at Eden Park or North Harbour Stadium is included with a game ticket. All you need to do is show your match ticket for your ride to and from the game.
With the match being played on a Friday evening, there could be delays as people head home from work and to Eden Park.
Regular train commuters should try to travel early on Friday to beat the rush as fans head to the park.
We recommend for each home game, you make a travel plan and head off early. For more information on buses and trains, go online at www.at.govt.nz or call 09 366 6400.
On the train to Eden Park:
Included travel on trains starts three hours before kick-off and finishes when services end that evening. All trains will stop and depart from Kingsland Station.
Trains depart Britomart for Eden Park approximately every 15 minutes after 4.30pm. Additional trains will operate before and after the match.
On the bus to Eden Park:
Special event buses to Eden Park will run approximately every 15 minutes from Albany Station stopping at all stations along the Northern Busway and every 15 minutes from Manukau/Pakuranga/Botany and Takapuna. Special event buses will also run from Newmarket and Mt Eden.
Your bus drop-off point is also where the bus will leave other the game.
Regular fares will apply on other scheduled bus services.
Walking or cycling to Eden Park:
Eden Park is only 4km from the city centre and cycle racks can be found around the stadium. Due to the large number of people travelling by train we advise cyclists not to take their bike on the train.
Driving to Eden Park:
Some roads around Eden Park will be closed or have restricted access. Only residents and their visitors will be able to access and park in certain streets, so drivers should check they have parked correctly.
Limited mobility parking areas are available on Cricket Avenue
For more information: http://at.govt.nz/bus-train-ferry/events/blues-2014-investec-super-rugby/


text:
By Andrew Miga, Associated Press Writer
WASHINGTON Rep. Barney Frank, a leading gay rights champion in Congress, on Thursday urged fellow gay rights advocates not to let their dispute over protecting transgender workers doom a job discrimination ban that could mark a major civil rights advance for gays in the workplace.
The debate over including transgender people has sharply divided gay rights activists, many of whom are trying to kill a stripped-down bill without protections for transgender workers that Frank and Democratic leaders hope will win House passage this year.
"We're not going to be split off this way," said Matt Foreman, executive director of the National Gay and Lesbian Task Force. "We're driven by principle. No civil rights movement has ever left a part of its community behind - and we're not about to be the first."
Frank, D-Mass., one of two openly gay members of Congress, supports transgender protections, but said they don't have the votes.
"Politically, the notion that you don't do anything until you can do everything is self-defeating," he said.
Frank said the public has more awareness because gay activists began educating people about the unfairness of prejudice based on sexual orientation a long time ago.
"These things take awhile," Frank said. "The transgender issue is of relatively recent vintage."
Legislation banning workplace discrimination against gays, lesbians and bisexuals -- but not those who have had sex-change surgery or cross-dressers -- has stalled after an outcry from the transgender community and its allies, including many gay rights organizations.
"Transgender" is an umbrella term that covers transsexuals, cross-dressers and others whose outward appearance doesn't match their gender at birth.
The Employment Non-Discrimination Act would make it illegal for employers to make decisions about hiring, firing, promoting or paying an employee based on sexual orientation or gender identity. Churches and the military would be exempt.
But when Democrats took vote counts and realized the measure would fail, they substituted a new scaled-back version dropping transgender people from the bill. A second bill to ban workplace discrimination against transgenders was also drafted.
Gay rights groups that oppose a ban that leaves out transgender people have waged an aggressive lobbying campaign.
"Fighting your friends can sometimes be difficult," said Frank.
Foreman agreed.
"I never thought in a million years we would be on the opposite side of Barney Frank and it is painful," he said.
Federal law bans job discrimination based on factors such as race, gender and religion. Nineteen states and the District of Columbia have laws against sexual orientation discrimination.
However, only nine states specifically protect transgender people from discrimination: New Jersey, Minnesota, Rhode Island, New Mexico, California, Illinois, Maine, Hawaii, Washington. The District of Columbia also has a similar law.
By January, laws also will be in effect in Iowa, Vermont, Colorado and Oregon.
Copyright 2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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text:
Jehovah-Tsidkenu: The Lord Our Righteousness (6 of 10) by Dennis Marquardt
This content is part of a series.Jehovah-Tsidkenu: The Lord Our Righteousness (6 of 10)
Series: The "Names of God"
Dennis Marquardt
Jeremiah 23:5-8 Colossians 2:6-3:4
INTRO: Have you ever met someone who likes to remind you or tell you how spiritual they are? They can do this in many different ways:
1. By pointing out how unspiritual you are, or at least hinting at it.
2. By telling you how much they give to the Lord, or how many gifts of the Spirit they possess, etc.
3. By telling you of how close they are with some giants of the faith, Billy Graham, David Wilkerson, etc.
4. By telling you how many different important positions they have held in God's work or the Church.
We cannot win succeed by attaching ourselves to the wrong source!
ILLUS: In Actions Speak Louder Than Words, Herb Miller writes: Two Kentucky farmers who owned racing stables had developed a keen rivalry. One spring each of them entered a horse in a local steeplechase. Thinking that a professional rider might help him outdo his friend, one of the farmers engaged a crack jockey. The two horses were neck and neck with a large lead over the rest of the pack at the last fence, but suddenly both fell, unseating their riders.
The professional jockey remounted quickly and rode on to win the race. Returning triumphantly to the paddock, the jockey found the farmer who had hired him fuming with rage.
"What's the matter?" the jockey asked. "I won, didn't I?"
"Oh, yea," roared the farmer. "You won all right, but you crossed the finish line on the wrong horse."
In his hurry to remount after the fall, the jockey had jumped on his competitor's horse. Success is meaningless unless we are in the right. -- Judy C. Knupke, Newton Lower Falls, Massachusetts. Leadership, Vol. 12, no. 4.
PROP. SENT: The Bible teaches us that Jesus Christ is our Righteousness, not our works, nor the gifts we possess, nor our friendship with giants of faith, it is our relationship to Jesus, the Lord our Righteousness!
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Contact Information
Legislative Assistant: Tyler Murrell
Phone: 317-234-9380 | 1-800-382-9841
Press Contact
Hannah Carlock
Phone: 317-234-9006
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Contact Information
Phone: 317-234-9380
Phone: 1-800-382-9841
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Hannah Carlock
Phone: 317-234-9006
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Thank you for allowing me to represent your voice in the Indiana General Assembly.
My Web page is an excellent tool for keeping track of what is happening at the Statehouse as well as pertinent issues impacting our community.
To represent you more effectively, I encourage you to contact me with your questions, concerns or suggestions on how we can improve our great state together.
It is truly an honor and privilege to represent you, and I look forward to your feedback.
Jim Pressel
State Representative
House District 20
Indiana House of Representatives: 2016 - present
House District 20: Portions of LaPorte and Starke counties
Address: 200 W. Washington St., Suite 401-3, Indianapolis, Indiana 46204
City: Rolling Prairie
Occupation: Small-business owner
Statehouse phone number: 1-800-382-9841
State Representative Jim Pressel is a small-business owner and president of the Indiana Builders Association. A graduate of LaPorte High School, Pressel currently owns and operates Pressel Enterprises Inc., a small business building and remodeling residential homes.
Pressel is also active within his community, he helped jump start the building trades program at New Prairie High School. This program gives students the opportunity to get out of the classroom and gain hands-on experience in crafting and building structures to prepare them for the skills needed on their future job site.
Pressel and his wife Rebecca have two children and grandchildren.
House District 20 is comprised of large portions of Starke and LaPorte counties in northwestern Indiana.
STATEHOUSE (July 19, 2017) – State Rep. Jim Pressel (R-Rolling Prairie) is asking Hoosier employers to help identify duplicative or redundant state reporting requirements using a new online portal.
"With the numerous accidents occurring on Highway 20, it is critical we address safety concerns on this and other Hoosier roadways."
STATEHOUSE (July 6, 2017) – State Rep. Jim Pressel (R-Rolling Prairie) was recently selected to serve on the Interim Study Committee on Commerce and Economic Development.
STATEHOUSE (July 3, 2017) – Gov. Eric Holcomb recently presented State Rep. Jim Pressel (R-Rolling Prairie) with a proclamation declaring LaPorte as Indiana's 'Capital for the Day' on July 4th.
STATEHOUSE (June 30, 2017) – Gov. Eric Holcomb Thursday ceremonially signed into law legislation authored by State Rep. Jim Pressel (R-Rolling Prairie) adding transparency to local building permits and streamlining local zoning ordinance procedures.
STATEHOUSE (June 16, 2017) – State Rep. Jim Pressel (R-Rolling Prairie) earned a 91 percent on the Indiana Chamber of Commerce's annual Legislative Vote Analysis for his support of pro-jobs, pro-economy legislation.
STATEHOUSE (April 27, 2017) — State Rep. Jim Pressel (R-Rolling Prairie) recently welcomed the following student pages to the Statehouse.
STATEHOUSE (April 24, 2017) – State Rep. Jim Pressel's (R-Rolling Prairie) proposal increasing safety on our roads by establishing a defined process for approving and installing traffic signals could soon be law.
STATEHOUSE (April 10, 2017) - State Sen. Mike Bohacek (R-Michiana Shores) and State Rep. Jim Pressel (R-Rolling Prairie) today congratulated the La Lumiere School boys basketball team on winning the 2017 DICK's Sporting Goods High School Nationals with Senate Concurrent Resolution 52.
STATEHOUSE (April 7, 2017) — State Sen. Ed Charbonneau (R-Valparaiso) and State Rep. Jim Pressel (R-Rolling Prairie) today honored a locally owned family farm for being in operation for more than 100 years.
STATEHOUSE (March 22, 2017) – State Rep. Jim Pressel (R-Rolling Prairie) at the Statehouse this week announced that Nathan Tuholski, an eighth-grade student at Door Prairie Adventist Christian School, won first place for his age group in the Indiana's Family of Farmers National Ag Day video contest.
STATEHOUSE (March 21, 2017) — State Rep. Jim Pressel (R-Rolling Prairie) joined local court appointed special advocates at the Statehouse Monday to celebrate National CASA Day.
STATEHOUSE (March 7, 2017) – Area legislators laced up their sneakers with their suits today at the Statehouse to help raise cancer awareness.
STATEHOUSE (Feb. 27, 2017) – The Indiana House of Representatives today voted unanimously in support of State Rep. Jim Pressel's (R-Rolling Prairie) bill helping save taxpayer dollars.
STATEHOUSE (Feb. 23, 2017) – Gov. Eric Holcomb today signed into law a bill co-authored by State Rep. Jim Pressel (Rolling Prairie) providing more transportation options for Hoosier students with developmental disabilities.
STATEHOUSE (Feb. 21, 2017) – A South Central High School graduate is gaining experience as an intern with State Rep. Jim Pressel (R-Rolling Prairie) and his fellow members of the House of Representatives during the 2017 legislative session.
STATEHOUSE (Dec. 19, 2016) – State Rep. Jim Pressel (R-Rolling Prairie) has been appointed to serve on the House Committee on Commerce, Small Business and Economic Development.
STATEHOUSE (Nov. 22, 2016) – Surrounded by family and fellow legislators in the Indiana House Chamber, member-elect Jim Pressel (R-Rolling Prairie) took the oath of office today, officially becoming the state representative of House District 20.
STATEHOUSE (Oct. 5, 2016) – State Rep. Tom Dermody (R-LaPorte) announced the launch of a new scholarship program designed to incentivize top-performing high school students to pursue a career teaching in Indiana's classrooms.
STATEHOUSE (Sept. 28, 2016) – State Rep. Tom Dermody (R-LaPorte) and fellow Republican members of the Indiana House of Representatives encourage students to apply to intern for the upcoming 2017 legislative session, which runs from January through April.
Our community lost a great citizen nearly three years ago. Jake West seemed like any other healthy teenager, but had an undetected heart condition that led to him collapsing during football practice. In his memory, the Play for Jake Foundation was established to create awareness and educate parents and youth about the dangers of undetected heart conditions.
STATEHOUSE (Aug. 25, 2016) – Local communities received state matching grants this week to improve roads and bridges, according to State Rep. Tom Dermody (R-LaPorte).
STATEHOUSE (Aug. 12, 2016) – Two farms in LaPorte County were recognized on Friday with Hoosier Homestead awards for 100 years or more of family farm ownership, according to State Rep. Tom Dermody (R-LaPorte).
STATEHOUSE (June 9, 2016) – State Rep. Tom Dermody (R-LaPorte) applauds John Glenn and New Prairie high schools on being recognized for their high scoring on the Advanced Placement (AP) exam.
STATEHOUSE (March 16, 2016) – State Rep. Tom Dermody (R-LaPorte) recently welcomed the following student pages to the Statehouse:
STATEHOUSE (March 11, 2016) – State Rep. Tom Dermody (R-LaPorte) urges the Indiana Department of Transportation (INDOT) to create a safer way for motorists to travel on U.S. 20 after two accidents sent three to the hospital this week.
STATEHOUSE (March 10, 2016) – After serving House District 20 for 10 years, State Rep. Tom Dermody (R-LaPorte) is retiring from the Indiana General Assembly. Fellow House members honored Dermody for his years of service and commitment to improving the lives of those in LaPorte and Starke counties.
STATEHOUSE (March 1, 2016) – State Rep. Tom Dermody's (R-LaPorte) bill celebrating the 100th running of the Indianapolis 500 by allowing commemorative alcohol bottles to be sold the Sunday of the big race was passed by the House today with a vote of 89-6.
STATEHOUSE (Feb. 24, 2016) – The House Committee on Public Policy today voted 12-1 in support of a bill co-sponsored by State Rep. Tom Dermody (R-LaPorte) that would legalize and regulate daily fantasy sports games in Indiana.
STATEHOUSE (Feb.18, 2016) – State Rep. Tom Dermody (R-LaPorte) hosted members of Leadership LaPorte County at the Statehouse today to discuss a variety of proposals being considered during the 2016 legislative session.
STATEHOUSE (Feb. 8, 2016) – State Rep. Tom Dermody (R-LaPorte) recently welcomed the following student pages to the Statehouse:
INDIANAPOLIS (Feb. 3, 2016) – The Indiana House of Representatives voted unanimously in support of State Rep. Tom Dermody's (R-LaPorte) bill boosting local economic efforts with enterprise zones.
Learn how laws are made in Indiana and where to find important resources like committee calendars, bill proposals and legislative archives.Download
When high school graduation approaches, the question of whether to pursue further education lingers in the minds of many students. Throughout this booklet are addresses, phone numbers and websites which may be very helpful in a student's search for the right school.Download
This guide contains information on state and federal assistance programs for senior citizens, as well as tax deduction information, identity theft protection and other helpful resources.Download
This guide contains information on state and federal programs available for our veterans, along with additional information pertaining to legacy and honor.Download
This booklet gives an overview of Indiana's state agencies and includes contact information.Download
Did you know that Indiana is the 15th largest state? We are also the second largest producer of popcorn in the country. Indiana has a rich, fascinating history, and this guide contains fun facts and other interesting items related to our Hoosier heritage.Download
Want to know what it takes to become a state lawmaker? Learn all about it in this fun filled guide for students!Download
Color your way through Indiana government in this exciting coloring book!Download


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Not to be outdone by NFL Network's meaningless Top 100 list, ESPN has been revealing their Top 40 players from each division in the NFL. On Friday, they ranked the AFC West.
Ten members of the Broncos made the list, with quarterback Peyton Manning ranked first overall and linebacker Von Miller coming in at No. 4. Complete list of Broncos that made the cut after the jump.
No. 1 — Quarterback Peyton Manning.
No. 4 — Linebacker Von Miller.
No. 8 — Cornerback Champ Bailey.
No. 14 — Defensive end Elvis Dumervil.
No. 17 — Offensive tackle Ryan Clady.
No. 20 — Running back Willis McGahee.
No. 24 — Linebacker D.J. Williams.
No. 28 — Guard Chris Kuper.
No. 33 — Cornerback Tracy Porter.
No. 38 — Wide receiver Demaryius Thomas.
"I don't care that he missed all of last season with a neck injury. Manning is one of the greatest players ever to live. He'll remain atop the division until he proves otherwise," ESPN's AFC West blogger Bill Williamson wrote.
Several observations can be taken from the list —
Kansas City pass rush specialist Tamba Hali was ranked third overall, one spot above Miller. Last season, Hali finished the year with 12.0 sacks. Miller had 11.5. Since 2006, Hali has recorded 53.5 sacks — Denver's Dumervil has recorded 52.5 in the same time period despite missing the entire 2010 season.
Bailey is rightfully the highest ranked cornerback in the division and the third-highest ranked defensive player (behind Hali and Miller). Kansas City's Brandon Flowers (No. 18) and Stanfor Routt (No. 31) both rank higher than Porter, who is one spot above San Diego's Quentin Jammer (No. 34).
Thomas (No. 38) is the lowest ranked receiver on the list, behind Oakland's Darrius Heyward-Bey (No. 37) and Kansas City's Dwayne Bowe (No. 10). Bowe being ranked above Thomas is much more justifiable than Heyward-Bey's higher ranking.
Although many fans want him run out of town, D.J. Williams (No. 24) is still considered one of the top four linebackers in the division, behind Kansas City's Derek Johnson (No. 11), Denver's Miller (No. 4) and KC's Hali (No. 3). Dumervil is considered the second-best defensive lineman in the division behind Oakland's Richard Seymour (No. 13) despite that fact that Dumervil recorded 3.5 more sacks than Seymour last season.
McGahee (No. 20) is ranked behind Oakland's Darren McFadden (No. 5), Kansas City's Jamaal Charles (No. 7) and above KC's Peyton Hillis (No. 25). Clady is ranked behind Kansas City's Eric Winston (No. 16) and above Oakland's Jared Valdheer (No. 35) and San Diego's Jared Gaither (No. 36). Kuper is the only guard on the list (No. 28).
You can view the Top 40 on the Worldwide Leader's AFC West Blog. What do you think of the rankings? Let us know in the comments below!
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This is a 100% fanmade DVD.
Synopsis: Amy Rose sure is sweet...on Sonic, that is. Amy's got grace, she's got charm, she's got beauty, and she's got a hammer! She's usually friendly and caring, but when she feels threatened, look out! This two-disc set explains it all. Also includes Kirby-related stuff.
Disc 1 includes:
- Episode 1 of "Candy Candy" (24:00)
- Episode 9 of "Sonic X" (Amy on the Beach/The Last Resort) - both original and 4Kids versions (24:00 and 21:30)
- Bonus episode "Kirby of the Stars: Take it Down! The Crustacean Demon Beast Ebizou" (8:15)
- Trailers and commercials for Kirby games from 1993-2011
- Audio for Candy Candy and Sonic X original version: Japanese (Dolby Digital 2.0 Surround), Korean (Dolby Digital 2.0 Surround)
- Audio for Sonic X 4Kids version: English (Dolby Digital 2.0 Surround), Portuguese (Dolby Digital 2.0 Surround)
- Subtitles: English, Spanish, Portuguese, Chinese, Korean, Thai
- Interactive Menus
- Scene Selections
Disc 2 includes:
- Exclusive Sonic X episode "Amy, Love's Escape Journey" (24:00)
- Gameplay Video for "Sonic Adventure DX"
- Amy Rose With Tiff's Voice (5:20)
- Character Profiles (with short video clips)
- Amy's Photo Gallery (9:40)
- Kirby of the Stars Anime - Openings (1:30 each), Credits (1:30 each), and Video Clips
- Kirby: Right Back at Ya! Cartoon - Opening (1:00), Commercial (1:05), Music Videos (1:35), trailers for Volumes 2-3 on DVD, "Fright to the Finish" trailer
- Opening, cut scenes, ending sequence and video game trailer for Kirby's Epic Yarn
- Amy's Jukebox (12:00)
- Audio: Japanese (Dolby Digital 2.0 Surround), Korean (Dolby Digital 2.0 Surround), Chinese (Dolby Digital 2.0 Surround), Thai (Dolby Digital 2.0 Mono)
- Subtitles: English, French, Spanish, Portuguese, Chinese, Korean, Thai
- Theatrical trailers for Cowboy Bebop: The Movie, Metropolis, the Kirby TV Channel, and Kirby Mass Attack
- Interactive Menus
- Scene Selections
Classification Ratings
- Argentina: 13
- Australia: PG
- Brazil: 12
- Canada: PG (Alberta, British Columbia, Manitoba, Nova Scotia and Ontario), G (Québec)
- Chile: 14
- Hong Kong: IIA
- Mexico: B
- New Zealand: PG
- Philippines: G
- Singapore: PG
- South Korea: All
- Taiwan: General
- Thailand: 13+
- USA: Not Rated, but probably TV-PG or TV-14
- This DVD is coded for Regions 1, 3, 4, 5, and 6 (both discs 1 and 2).
- The three audio tracks in Amy's Jukebox on Disc 2 are "Kirby!" (second opening theme to the Kirby anime), "Kirby * Step" (second ending theme to the Kirby anime), and "Hikaru Michi/The Shining Road" (ending theme to Sonic X).
- There are 57 screenshots in Amy's Photo Gallery on Disc 2.
- Two hidden easter eggs can be found on Disc 2 -- both are scenes of Amy in episode 52 of Sonic X.
- The default English subtitle track on both discs are "hearing impaired" subtitles.
- On Disc 1, all three episodes use the CBS StereoSound logo.
- "Candy Candy" is closed-captioned by the National Captioning Institute.
- All "Sonic X" and Kirby episodes and clips on both discs are closed-captioned by the Caption Center/Media Access Group at WGBH.
- The music on the main menu of Disc 1 is the opening song for Sonic X (original version).
- The music on the main menu of Disc 2 is Amy's theme song, "My Sweet Passion"
- On this DVD, the original end credits to "Amy, Love's Escape Journey" are replaced by the credits used with the song "Hikaru Michi/The Shining Road", to make the episode as if it were a Series 2 (Episodes 53-78) episode of Sonic X. In addition, the credits are colored pink, is a recreation from the official uncut DVDs, and has Amy's voice actress listed on the topof the cast list.


text:
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Cisco Certification Firsts
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A Tale of Two Cities Pursuing One Common Vision: The story of how urban economics, urban energy, urban environment get greener, cleaner, smarter because they're better connected (Part 1)
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Ever wondered what the key barrier is to telework?
Telework is increasingly becoming a topic of interest, especially with Obama signing of the Telework Enhancement Act of 2010 oneRead More
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With Proper Set Up, Telepresence Need Not Pose Security Concern
In October, we wrote about the federal government's move toward installing video and telepresence capabilities on mobile devices to improveRead More
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Cisco Common Crypto Hybrid Module (C3M-hybrid) is FIPS certified!
The Global Certification team is pleased to announce the Cisco Common Crypto Hybrid Module, C3M-hybrid, has been awarded FIPS validationRead More
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Innovation in the 21st Century City
As a global director of the Cisco Internet Business Solutions Group's Urban Innovation team, I've seen how broadband connectivity canRead More


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The Louis Garneau Ergo Memory unisex medium-width saddle cover fits hybrid or mountain bike saddles. The deep central channel reduces pressures on the perineum and the memory foam padding molds the configuration of iliac bones and maintains the shape. A water-resistant surface provides additional protection.
To view in store inventory, please enter a postal code, city or address
Please note that store inventory is updated online every 24 hours. As a result, do not hesitate to contact the store before going to confirm product availability.


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Register To Attempt Complete Test
Create Account
Test #4
These questions are based on the following letter/number/symbol arrangement. Study it carefully and answer the questions.
How many such numbers are there in the above arrangement each of which is immediately preceded by a consonant and also followed by a symbol?


text: Quality : 720p Bluray HD Director:John Madden Writers:Hossein Amini (screenplay), Elmore Leonard (novel) Stars:Thomas Jane, Diane Lane, Mickey Rourke IMDb Ratings: 6,1/10 Motion Picture Rating (MPAA) Rated R Genres:Crime | Drama | Thriller Country:USA Language:English Release Date:13 November 2008 Subtitles: No Other Details: IMDbStoryline : Beautiful Carmen Colson and her ironworker husband Wayne are placed in the Federal Witness Protection program after witnessing an extortion scheme go wrong. Thinking they are at last safe, they are targeted by an experienced intimidating hit man and a psychopathic young upstart killer. The ensuing struggle will test Carmen to the limit.


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Right in the centre of the zoo, this is a great location to sit back, relax and watch the world go by.
You can buy freshly made sandwiches, snacks and drinks as well as a really wide selection of delicious ice creams and slush drinks.
*During our quieter times this outlet may not be open. Please give us a call for the latest opening information.
Find our cafes and restaurants on our interactive map here.
Sandwich Meal Deal - Wedge sandwich, pipers crisps & filter coffee, tea or selected bottle drink for £5
Check our prices here
You'll always find our best prices online & there are no hidden fees.
We're open from 10am until 6pm today, with last entry one hour before closing.
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Right now conservation is critical and species are under threat. We won't stand back and we won't give up.
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