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Colin James, CEO of the Antigua and Barbuda Tourism Authority, talks with Alan Fine of Insider Travel Report about record-breaking visitor numbers, extended season strategies like Culinary Month, and sustainable tourism practices. He outlines new investments including Nobu, Nikki Beach and Moon Gate resorts, plus cruise homeporting and seamless airport arrival technology. James also previews the country's festival calendar and the Black Pineapple Awards for top-selling travel advisors. For more information, visit www.visitantiguabarbuda.com. All our Insider Travel Report video interviews are archived and available on our Youtube channel (youtube.com/insidertravelreport), and as podcasts with the same title on: Spotify, Pandora, Stitcher, PlayerFM, Listen Notes, Podchaser, TuneIn + Alexa, Podbean, iHeartRadio, Google, Amazon Music/Audible, Deezer, Podcast Addict, and iTunes Apple Podcasts, which supports Overcast, Pocket Cast, Castro and Castbox.
The Caribbean faces significant shifts as the US considers visa restrictions for four Eastern Caribbean nations with citizenship-by-investment programs, while other islands tackle financial regulation challenges and pursue new economic opportunities. Tourism officials express concern about potential travel disruptions if the US implements its proposed restrictions against Antigua and Barbuda, Dominica, St. Kitts and Nevis, and St. Lucia.US State Department Puts 4 Caribbean Nations On Watch List Over Citizenship-By-Investment ProgramsBritish Virgin Islands Placed On FATF "Gray List" Due To Financial Services Industry DeficienciesBarbados Opens Its First Medicinal Cannabis Dispensary Within A Regulated FrameworkDominican Republic Coffee Exports Surge 106.6% To $41.1 Million In 2024Subscribe to Pulse of the Caribbean for weekly insights into the economic, political, and social developments reshaping the region. What Caribbean story interests you most? Please share your thoughts and join our growing community of listeners passionate about the Caribbean's future. Be sure to like and subscribe wherever you listen to podcasts.Listen online at www.pulseofthecaribbean.com or your favorite streaming platform.Send news releases to news@pulseofthecaribean.com. If you have an interest in sponsoring our podcast, email us at biz@pulseofthecaribbean.com.
Rev. Renaldo McKenzie continues with the Lectures in Caribbean Thought at The Neoliberal Corporation Philadelphia and Jamaica Theological Seminary Kingston Jamaica. Today's class is spit up in two segments. Part 1 will introduce the initial concepts of the book Neoliberalism and then provide an overview of the course this semester. Professor McKenzie discusses the symbiotic and close connections between the currents that has come to shape the Caribbean highlighting that the trajectory of Antigua is similar to that of Jamaica and other Caribbean Islands, as Stephanie Black was able to publish a film about how Jamaica was affected by globalization after independence based on the book A Small Place about Antigua by Jamaica Kincaid. The students then engaged in a discussion about the course, in relation to some new develops in Jamaica and the Caribbean. The students and professor discussed the recent announcement by the Prime Minister about the new work center in St. Thomas and the reduction in Poverty. Part 2 of the class continues right after which provides an in-depth overview of the course, the plan for the next 10 weeks, goals, concepts, objectives, outcomes and begins to explore thinkers within the Caribbean.The Course is delivered by Rev. Renaldo Mckenzie, Author of Neoliberalism, President of The Neoliberal Corporation and a Professor at Jamaica Theological Seminary. Renaldo is also at Georgetown University completing his Doctor of Liberal Studies and graduated from the University of Pennsylvania with a Master of Philosophy and a Master of Arts. Renaldo also attended the University of West Indies and graduated from Jamaica Theological Seminary. Renaldo is Creator and Host of The Neoliberal Round PodcastSubscribe to the YouTube channel on any stream https://youtube.com/@renaldomckenzie Visit us at The Neoliberalhttps://theneoliberal.com and https://renaldocmckenzie.com Visit our store: https://store.theneoliberal.comDonate: https://www.paypal.com/donate/?hosted_button_id=USSJLFU2HRVAQCall us at 1-445-260-9198
Climate change isn't just an environmental issue—it's a market opportunity waiting to be captured. Invert, a carbon reduction and removal company, has raised $26 million to transform how companies think about nature-based investments. Starting from a villa in Antigua during COVID lockdowns, co-founder and CEO Andre Fernandez has built a business that's helping companies put nature on their balance sheets as an accretive investment. In this episode, Andre shares the tactical decisions that took Invert from a cottage conversation between friends to a cash-flow positive business serving some of the largest buyers in the carbon credit space. Topics Discussed: Transitioning from mining focus to broader industry verticals based on market readiness Building customer-centric product development in a complex, non-fungible market Navigating the shift from Carbon Markets 1.0 to premium Carbon Markets 2.0 Balancing direct B2B sales with broker/trader distribution channels Leveraging network effects and domain expertise for customer acquisition Managing long sales cycles in annual purchasing environments Educating buyers in a market where 75% lack dedicated due diligence teams GTM Lessons For B2B Founders: Start with network advantages, then expand strategically: Andre's team began in mining because they had a strong network of mining engineers from Queen's University, one of only two Canadian schools with mining engineering programs. However, they quickly discovered mining was 2-4 years behind other industries in decarbonization readiness. The lesson: leverage your network for initial traction, but don't let it constrain your market expansion. Use early success to identify industries that need your solution today, not in 2-4 years. Build customers into your business from day one: Invert's most important GTM decision was starting with customer input before building anything. Andre emphasized: "We don't build things that we want. We build our customers into our business. Whenever we're developing something new, we ask them for feedback. Sometimes we lock up the contract before we've actually developed the project or the product." This approach reduces market risk and ensures product-market fit from the outset. Navigate complex markets with education-first marketing: In markets where 75% of companies lack dedicated teams for due diligence, marketing must serve dual functions: education and simplification. Andre noted that carbon credits aren't fungible—buyers care about jurisdiction, social impact, biodiversity protection, and other project-specific attributes. Founders in complex B2B markets should design marketing to educate while simultaneously streamlining the buying process for overwhelmed buyers. Pivot distribution strategy based on market liquidity: Initially focused purely on direct B2B relationships, Invert learned that in markets with lower liquidity, partnering with brokers and traders accelerates growth. Andre explained: "Carbon credits is a 12-month at least buying cycle because it's annual, so it takes a lot of time. If you have a network of people who already have those relationships in place and they have buyers who are ready to buy, they can introduce you as a credible counterparty." When your sales cycles are long, leverage existing relationships rather than building everything from scratch. Differentiate through execution, not just messaging: As the carbon credit market matured, Andre observed that "everybody's talking about quality or high integrity. No longer is high integrity or quality just the differentiator." Invert's competitive advantage shifted to actual execution—developing projects, investing balance sheet capital, achieving cash flow positivity, and demonstrating results with large buyers. In maturing markets, operational excellence becomes the key differentiator when messaging parity emerges. // Sponsors: Front Lines — We help B2B tech companies launch, manage, and grow podcasts that drive demand, awareness, and thought leadership. www.FrontLines.io The Global Talent Co. — We help tech startups find, vet, hire, pay, and retain amazing marketing talent that costs 50-70% less than the US & Europe. www.GlobalTalent.co // Don't Miss: New Podcast Series — How I Hire Senior GTM leaders share the tactical hiring frameworks they use to build winning revenue teams. Hosted by Andy Mowat, who scaled 4 unicorns from $10M to $100M+ ARR and launched Whispered to help executives find their next role. Subscribe here: https://open.spotify.com/show/53yCHlPfLSMFimtv0riPyM
EP510. In this episode, Renee is catching you up on all the things! She's getting ready for her upcoming family trip to Antigua (send packing vibes), shares how she fulfilled a lifelong dream of becoming a mascot (yes, really), but also how that moment of glory cost her a chance to meet her hall pass - the ultimate plot twist. She also confesses her hatred for cooking (ready-made meals for the win) and chats about her vacation beach read pick and the exciting launch of The Mom Room Shop - your new go-to spot for mom-approved products! Grab your coffee and let's catch up. Learn more about your ad choices. Visit megaphone.fm/adchoices
Caribbean nations pursue critical initiatives to enhance regional food security, sustainable finance, and international partnerships while strengthening infrastructure and cybersecurity capabilities. Progress spans from Barbados' regional food port construction to Antigua and Barbuda's upcoming role as host for major international gatherings.Barbados partnering with Guyana to construct a regional food port for transshipping and processing produce, to reduce CARICOM's food import bill Jamaica Stock Exchange and UNDP sign MOU to mobilize private financing for sustainable development Dominican Republic strengthens ties with Commonwealth countries to diversify exports, attract investments and boost tourism University of the Virgin Islands receives $250,000 campus improvement grant from Home Depot's "Retool Your School" program Subscribe to Pulse of the Caribbean for weekly insights into the economic, political, and social developments reshaping the region. What Caribbean story interests you most? Please share your thoughts and join our growing community of listeners passionate about the Caribbean's future. Be sure to like and subscribe wherever you listen to podcasts.Listen online at www.pulseofthecaribbean.com or your favorite streaming platform.Send news releases to news@pulseofthecaribean.com. If you have an interest in sponsoring our podcast, email us at biz@pulseofthecaribbean.com.
When the orphaned Dittus family moved into a ramshackle apartment in the German village of Möttlingen, they unleashed a two-year supernatural nightmare that would see young Gottliebin possessed by over 1,000 demons who forced nails and metal objects through her skin while an entire community watched in horror.Join the DARKNESS SYNDICATE: https://weirddarkness.com/syndicateABOUT WEIRD DARKNESS: Weird Darkness is a true crime and paranormal podcast narrated by professional award-winning voice actor, Darren Marlar. Seven days per week, Weird Darkness focuses on all thing strange and macabre such as haunted locations, unsolved mysteries, true ghost stories, supernatural manifestations, urban legends, unsolved or cold case murders, conspiracy theories, and more. On Thursdays, this scary stories podcast features horror fiction along with the occasional creepypasta. Weird Darkness has been named one of the “Best 20 Storytellers in Podcasting” by Podcast Business Journal. Listeners have described the show as a cross between “Coast to Coast” with Art Bell, “The Twilight Zone” with Rod Serling, “Unsolved Mysteries” with Robert Stack, and “In Search Of” with Leonard Nimoy.DISCLAIMER: Ads heard during the podcast that are not in my voice are placed by third party agencies outside of my control and should not imply an endorsement by Weird Darkness or myself. *** Stories and content in Weird Darkness can be disturbing for some listeners and intended for mature audiences only. Parental discretion is strongly advised.IN THIS EPISODE: When Soviet troops fired a missile at a mysterious flying saucer hovering over their Siberian training base, the alien survivors unleashed a weapon so devastating it turned 23 soldiers into limestone statues in seconds. Is there evidence to back up the story? *** On the tiny Caribbean island of Antigua, more than 100 people have vanished without a trace in what locals are calling an epidemic of disappearances that has left families desperate for answers and authorities scrambling to explain how so many can simply vanish from a place just 108 square miles in size. *** A brilliant Russian linguist who spoke thirteen languages and taught at university level was secretly living with the mummified corpses of twenty-nine children that he had dug up from cemeteries and turned into dolls — and his own parents never suspected a thing. *** In 1840, a devout young German woman named Gottliebin Dittus became the battleground for over 1,000 demons in what may be the most gruesome and well-documented case of demonic possession ever recorded.CHAPTERS & TIME STAMPS (All Times Approximate)…00:00:00.000 = “My Battle for Gottliebin's Soul” (Historical Fiction) Lead-In00:07:17.208 = Show Open00:09:33.061 = The Exorcism of Gottliebin Dittus00:36:21.081 = The Doll Maker, Anatoly Moskvin00:48:46.011 = Antigua: The Island Where People Vanish Without a Trace01:05:56.480 = Soviet Soldiers Turned To Stone By Aliens01:14:12.405 = Show Close SOURCES AND RESOURCES FROM THE EPISODE…https://weirddarkness.com/GottliefinDittusWeird Darkness Theme provided by ALIBI MusicAll other music in this episode is provided by Midnight Syndicate and used with permission.=====(Over time links may become invalid, disappear, or have different content. I always make sure to give authors credit for the material I use whenever possible. If I somehow overlooked doing so for a story, or if a credit is incorrect, please let me know and I will rectify it in these show notes immediately. Some links included above may benefit me financially through qualifying purchases.)= = = = ="I have come into the world as a light, so that no one who believes in me should stay in darkness." — John 12:46= = = = =WeirdDarkness® is a registered trademark. Copyright ©2025, Weird Darkness.=====Originally aired: June 11, 2025NOTE: Some of this content may have been created with assistance from AI tools, but it has been reviewed, edited, narrated, produced, and approved by Darren Marlar, creator and host of Weird Darkness — who, despite popular conspiracy theories, is NOT an AI voice. (AI Policy)EPISODE PAGE at WeirdDarkness.com (includes list of sources): https://weirddarkness.com/GottliefinDittus
Robin Elsey Webb is a young and already very successful yachtsman with a dream of tackling the famous Vendee Globe, the single-handed round the world yacht race. But his plans were shattered during a trip to Antigua, when he was violently attacked and suffered severe head injuries. With his life hanging in the balance, it fell to his partner Liz to make swift and bold decisions about his treatment. Robin's job was to try and stay alive. Robin and Liz join Dr Sian Williams to piece together their own very different experiences of that terrifying ordeal, which changed so many things for both of them. Producer: Tom Alban
A year after the second round of Concacaf 2026 FIFA World Cup Qualification began, it concludes... now! With 12 spots in the third and final round of qualifying up for grabs, Eric and Donald run through the six groups and touch on ALL 30 TEAMS remaining in Concacaf in just over half an hour to get you ready for the games of this window. From Cayman Island's coaching drama, to major injuries for Panama and Suriname, to farewells in Dominica and Antigua. The road to the 2026 World Cup ends for 18 nations after this week's games, which kickoff in Roseau, Dominica on Wednesday, June 4. Support us and hear the special ONE MORE ROUND bonus episode that follows this at the World of Concacaf Patreon at www.patreon.com/podcacaf Follow us @podcacaf Order of discussion: Honduras, Cuba, Cayman Islands, Antigua and Barbuda, Bermuda, Costa Rica, Trinidad & Tobago, Saint Kitts and Nevis, Grenada, Bahamas, Curacao, Haiti, Saint Lucia, Aruba, Barbados, Nicaragua, Panama, Guyana, Montserrat, Belize, Guatemala, Jamaica, Dominican Republic, Dominica, British Virgin Islands, Suriname, Puerto Rico, El Salvador, Saint Vincent and the Grenadines, Anguilla
Fe hecha canción es el programa de EWTN Radio Católica Mundial que promociona la música de los grupos y cantantes católicos del mundo hispano. Desde el Estudio 3 de Radio Católica Mundial, Douglas Archer comparte con ustedes una hora cargada de canciones, incluyendo las últimas novedades y estrenos, y de vez en cuando con algún invitado que canta o toca en directo.
Join Pastor Roderick Webster in this powerful devotional as he unpacks Hebrews 12:25–29 and shares his firsthand account of the 1974 Leeward Islands earthquake. Discover how, in a world where buildings crumble and nations tremble—whether from natural disasters, geopolitical upheavals (like Russia and Ukraine), or unexpected life storms—only eternal values remain unshaken. In this message, you'll learn: A Personal Earthquake Testimony: Pastor Roderick recounts the October 8, 1974 quake on the island of Antigua, illustrating how quickly everything we trust in this world can fall apart. Biblical Foundations for Stability: Explore Hebrews 12:25–29's promise of unmovable “things that cannot be shaken” and 2 Peter 3:10–11's call to live a life marked by godliness instead of being consumed by temporal pursuits. Jesus' Parable of the Wise vs. Foolish Builders: Reflect on Matthew 7:24–29 to see why building your life on the solid rock of Christ means you won't collapse when the storms of life hit. Four Unshakeable Truths: Learn the four “eternal” investments you must be making—values that will outlast every crisis, every tornado, every shake.Whether you're facing financial uncertainty, family crises, or global unrest, this devotional will encourage you to root your faith in things that last forever. If you're looking for practical, Scripture-driven insight on finding peace when everything around you is unstable, this video is for you.
In Episode 360 of the Research Like a Pro Genealogy podcast, Diana and Nicole discuss Eliza Lucas Pinckney and her contributions to 18th Century South Carolina. They focus on Eliza's life, detailing her early years in Antigua and England, her move to South Carolina, and her management of plantations. They highlight Eliza's interest in botany and her successful cultivation of indigo as a valuable export. The hosts describe Eliza's marriage to Charles Pinckney and her continued management of the plantations after his death. They also discuss the resources used to research Eliza, including her letterbooks and the historical fiction novel "The Indigo Girl" by Natasha Boyd. Diana and Nicole examine how Natasha Boyd used Eliza's letters to inform her book and how she conducted research for the novel. The episode explores the historical context of Eliza's life, including the challenges faced by women in Colonial America and the process of growing and extracting indigo dye. They emphasize how this research informed the author's writing. Listeners will learn about Eliza Lucas Pinckney's significance in South Carolina's history, the research methods for historical fiction, and how to reconstruct ancestral stories through historical context and available records. This summary was generated by Google Gemini. Links “The Indigo Girl” – Eliza Lucas Pinckney and Her Contributions in 18th Century South Carolina - https://familylocket.com/the-indigo-girl-eliza-lucas-pinckney-and-her-contributions-in-18th-century-south-carolina/ Sponsor – Newspapers.com For listeners of this podcast, Newspapers.com is offering new subscribers 20% off a Publisher Extra subscription so you can start exploring today. Just use the code “FamilyLocket” at checkout. Research Like a Pro Resources Airtable Universe - Nicole's Airtable Templates - https://www.airtable.com/universe/creator/usrsBSDhwHyLNnP4O/nicole-dyer Airtable Research Logs Quick Reference - by Nicole Dyer - https://familylocket.com/product-tag/airtable/ Research Like a Pro: A Genealogist's Guide book by Diana Elder with Nicole Dyer on Amazon.com - https://amzn.to/2x0ku3d 14-Day Research Like a Pro Challenge Workbook - digital - https://familylocket.com/product/14-day-research-like-a-pro-challenge-workbook-digital-only/ and spiral bound - https://familylocket.com/product/14-day-research-like-a-pro-challenge-workbook-spiral-bound/ Research Like a Pro Webinar Series - monthly case study webinars including documentary evidence and many with DNA evidence - https://familylocket.com/product-category/webinars/ Research Like a Pro eCourse - independent study course - https://familylocket.com/product/research-like-a-pro-e-course/ RLP Study Group - upcoming group and email notification list - https://familylocket.com/services/research-like-a-pro-study-group/ Research Like a Pro with DNA Resources Research Like a Pro with DNA: A Genealogist's Guide to Finding and Confirming Ancestors with DNA Evidence book by Diana Elder, Nicole Dyer, and Robin Wirthlin - https://amzn.to/3gn0hKx Research Like a Pro with DNA eCourse - independent study course - https://familylocket.com/product/research-like-a-pro-with-dna-ecourse/ RLP with DNA Study Group - upcoming group and email notification list - https://familylocket.com/services/research-like-a-pro-with-dna-study-group/ Thank you Thanks for listening! We hope that you will share your thoughts about our podcast and help us out by doing the following: Write a review on iTunes or Apple Podcasts. If you leave a review, we will read it on the podcast and answer any questions that you bring up in your review. Thank you! Leave a comment in the comment or question in the comment section below. Share the episode on Twitter, Facebook, or Pinterest. Subscribe on iTunes or your favorite podcast app. Sign up for our newsletter to receive notifications of new episodes - https://familylocket.com/sign-up/ Check out this list of genealogy podcasts from Feedspot: Best Genealogy Podcasts - https://blog.feedspot.com/genealogy_podcasts/
Tras unos meses de receso, el Ayuntamiento de Antigua ha anunciado la reanudación del Mercado Agrícola, consolidándose como una cita referente en el municipio cada primer domingo de mes. El […] The post Antigua retoma el Mercado Agrícola cada primer domingo de mes first appeared on Radio Insular.
La semana pasada el Gobierno de Venezuela liberó a un veterano de la Fuerza Aérea de Estados Unidos que estaba encarcelado y se lo entregó a las autoridades estadounidenses en Antigua y Barbuda. Con esta medida Nicolás Maduro espera que mejoren las relaciones bilaterales y, sobre todo, que Donald Trump permita que las compañías petroleras occidentales continúen operando en el país. El ex militar liberado, Joseph St. Clair, fue arrestado por las fuerzas de seguridad venezolanas en octubre cerca de la frontera con Colombia cuando viajaba por aquella zona junto a unos amigos. El 3 de marzo, el departamento de Estado reclamó su liberación inmediata, pero el régimen se los había guardado como moneda de cambio. Con esto Maduro pretende mostrarse cooperativo, pero no es lo único que está haciendo para congraciarse con la Casa Blanca. En los últimos tres meses, ha aceptado sin rechistar un flujo constante de vuelos de deportación desde Estados Unidos y Honduras. A principios de este mes, cinco activistas del equipo de María Corina Machado, refugiados desde el año pasado en la embajada argentina en Caracas, consiguieron abandonar el país y reaparecieron en Washington, donde ofrecieron una rueda de prensa. Maduro encajó el golpe y se está mostrando dispuesto a seguir liberando gente a cambio de que Trump sea clemente con él. Quiere sacar el máximo partido a esa diplomacia de los rehenes que los cautivos de la embajada denunciaban hace sólo unos días. El hecho es que Trump no termina de adoptar una política clara respecto a Venezuela. Está dando una de cal y otra de arena. En febrero se revocó la licencia de Chevron para producir y exportar petróleo venezolano e impuso aranceles a los países que importen crudo proveniente de Venezuela. Un revés tras otro que complica las finanzas del régimen, pero que no le supone ni mucho menos una amenaza existencial. Para compensarlo ha despachado para el Caribe a Richard Grenell como enviado presidencial con la orden de establecer negociaciones discretas con el régimen chavista. En paralelo a estas maniobras internacionales, este domingo se celebraron elecciones regionales, unos comicios en los que no votó casi nadie (la abstención fue del 85%) y que el oficialismo ganó de calle. En los municipios cercanos a Guyana se organizó además una absurda farsa. Se presentaron listas y candidatos para representar a la Guayana Esequiba, una región del país vecino que Maduro reclama como propia. Para la oposición venezolana esta letanía de acontecimientos es como el día de la marmota. Todo se repite de forma incansable y sin que los venezolanos puedan hacer nada para impedirlo, salvo abstenerse de participar en los circos electorales que el régimen organiza de forma periódica. Nada parece que vaya a cambiar y las señales que reciben de Estados Unidos no son precisamente esperanzadoras. En La ContraRéplica: 0:00 Introducción 3:19 Venezuela o el día de la marmota 30:54 El freno de deuda alemán 37:56 Trump y Harvard 44:41 Cultura laboral británica Este episodio cuenta con la colaboración de AXA https://www.axa.es/seguros-empresas/responsabilidad-civil-pyme · Canal de Telegram: https://t.me/lacontracronica · “Contra la Revolución Francesa”… https://amzn.to/4aF0LpZ · “Hispanos. Breve historia de los pueblos de habla hispana”… https://amzn.to/428js1G · “La ContraHistoria de España. Auge, caída y vuelta a empezar de un país en 28 episodios”… https://amzn.to/3kXcZ6i · “Lutero, Calvino y Trento, la Reforma que no fue”… https://amzn.to/3shKOlK · “La ContraHistoria del comunismo”… https://amzn.to/39QP2KE Apoya La Contra en: · Patreon... https://www.patreon.com/diazvillanueva · iVoox... https://www.ivoox.com/podcast-contracronica_sq_f1267769_1.html · Paypal... https://www.paypal.me/diazvillanueva Sígueme en: · Web... https://diazvillanueva.com · Twitter... https://twitter.com/diazvillanueva · Facebook... https://www.facebook.com/fernandodiazvillanueva1/ · Instagram... https://www.instagram.com/diazvillanueva · Linkedin… https://www.linkedin.com/in/fernando-d%C3%ADaz-villanueva-7303865/ · Flickr... https://www.flickr.com/photos/147276463@N05/?/ · Pinterest... https://www.pinterest.com/fernandodiazvillanueva Encuentra mis libros en: · Amazon... https://www.amazon.es/Fernando-Diaz-Villanueva/e/B00J2ASBXM #FernandoDiazVillanueva #venezuela #maduro Escucha el episodio completo en la app de iVoox, o descubre todo el catálogo de iVoox Originals
In this final episode of my month-long adventure through Central America and Mexico, I dive into the last stop of my trip — Mexico City — and share how I explored as much as possible in one of the world's largest cities in just 36 hours. I cover everything from using the Mexico City Metro to where I stayed near the airport, the incredible Roma Norte neighbourhood, and major landmarks like El Zócalo, Palacio de Bellas Artes, and Bosque de Chapultepec.After the travel stories, I break down my full one-month backpacking budget, revealing exactly how much I spent across El Salvador, Guatemala, and Mexico — including flight costs, food, accommodation, activities, transportation, and more.Whether you're planning a backpacking trip through Central America, looking for budget travel inspiration, or curious about solo travel safety and tips, this episode packs a ton of value.
This episode was a long time coming. For those that don't know, Rich is the owner of various Crossfit competitions: Arnold Fitness Games, Battle for middle ground, Rep it out & Castle Games to name a few.As well as that, he owns Graft gym in Halifax, West Yorkshire. In December last year Rich captained a team of 4 who took on the world's toughest row. Which was 3000 miles across the Atlantic Ocean from La Gomera to Antigua.This podcast episode reveals everything that happened during the row, including some key motivators and real emotional moments..
Fe hecha canción es el programa de EWTN Radio Católica Mundial que promociona la música de los grupos y cantantes católicos del mundo hispano. Desde el Estudio 3 de Radio Católica Mundial, Douglas Archer comparte con ustedes una hora cargada de canciones, incluyendo las últimas novedades y estrenos, y de vez en cuando con algún invitado que canta o toca en directo
In some news that probably went a bit under the radar CWI announced the new cohort of the Men's West Indies Academy but more importantly than that they will now be based in Antigua FULL TIME. Machel jumped into the hot seat to analyse this news and this year's cohort. As ever please leave a rating and subscribe to the Caribbean Cricket Podcast. No other channels keeps it as real as we do on the Caribbean Cricket Podcast. If you'd like to support the Caribbean Cricket Podcast you can become a patron for as little as £1/$1 a month here - https://www.patreon.com/Caribcricket?... Learn more about your ad choices. Visit podcastchoices.com/adchoices
'The adrenaline in my body was like nothing I've ever felt.' Ten years ago, Derrick's world was rocked when his daughter was raped by a police officer. Fighting for justice in a system built against survivors, he pushes to have her voice heard. Derrick walks us through the experience of being a supportive parent during the aftermath of sexual assault, guiding us through the ways he cared for his daughter and fought for justice. Derrick Hurley is a proud husband and father of three daughters. He spent his 37-year career in the Retail Technology industry and left his career early to advocate for survivors after his oldest daughter was assaulted in 2015. Host: Katie Koestner Editor: Evan Mader Producers: Catrina Aglubat and Emily Wang
Felíz Jueves de conocimiento interesantíchimo…¿Alguna vez has pensado en cuál es la empresa más antigua de la historia?Bueno… aquí la respuesta…Hii hiii
Since 2005 I (John) have led 19 Rotary projects titled, Improving Education Through Technology.The Bellevue Breakfast Rotary Club along with the Cisco Networking Academy at Newport High School partner to donate computers and setup Wi-fi networks in schools, the last 16 projects in Antigua and Barbuda.So far we've donated over 10,000 computers and setup Wi-fi in scores of schools in Antigua.This episode discusses the project and five lessons critical to both charity projects and business.John MartinkaJessica MartinkaContact us via either website or give us a call and be sure to check out our videoshttps://nokomisadvisory.com/https://www.martinkaconsulting.com/https://www.youtube.com/c/JohnAMartinka/videos 425-515-4903
In this sun-soaked episode of Where Are The Webbs, the Webbs set sail on a two-week Caribbean cruise aboard the Carnival Venezia and take you along for every unforgettable moment. From onboard fun to tropical island adventures, they're diving into it all!Join them as they recount their stops at eight incredible destinations: snorkeling in the crystal-clear waters of St. Thomas, exploring the vibrant streets of Antigua, hiking through the lush rainforests of Dominica, savoring the spices of Grenada, relaxing on the stunning beaches of Barbados, discovering Dutch and French charm in St. Maarten, soaking in the island vibes of St. Kitts, and wrapping it all up in the historic heart of Old San Juan.They share cruise tips, excursion highlights, favorite eats, and unexpected surprises—all with the humor and personality you've come to love. Whether you're planning your first cruise or reliving one of your own, this episode will have you dreaming of turquoise waters and warm island breezes.What's your favorite Caribbean destination? Let us know!
Alicia Parente nos propone tres grandes planes para hacer con mamá: Feria del Libro Antiguo y de Ocasión, Corderitititito en Sepúlveda y solidaridad.
Let Me Be Frank | Bishop Frank Caggiano's Podcast | Diocese of Bridgeport, CT
Happy Easter! He is risen! Nota bene: Bishop Caggiano & I recorded this episode of Let Me Be Frank before the Holy Father passed away. In the next episode, we will certainly reflect on the pontificate, suffering, and death of Pope Francis… and perhaps talk about what lies ahead. In the meantime… did the Easter Bilby (yes, Bilby) visit your house? My guess is... no. Unless you're Australian. On Let Me Be Frank this week, Bishop Caggiano takes us on a voyage around the world to see how Easter is celebrated in Australia, France, Antigua, Greece, Sweden, Mexico, Bermuda, Poland, Philippines, New York, and Italy. Well, you have all of Easter Season (until June 8th) to try some of these traditions out yourself. Bishop Frank also gives a tip for evangelization... and I tell a story of mercy. Pax Christi, Steve Lee The other guy on Let Me Be Frank
Princess Raises Specialty Dining Prices is the top story on Monday Travel and Cruise Industry Podcast, April 21, 2025 with Chillie Falls. Also on today's podcast, AMA Debuts New Ship ; Antigua and Barbuda Launches New Electronic Entry System; Disney Adventure Floated Out; Princess Ups Package Price; Carnival Magic Cruises Cancelled; MSC Poesia Offers Longer Cruises in 2026-7; and lots more LIVE at 10 AM EDT. CLICK to access video feed #mondaytravelandcruiseindustrypodcast #travelandcruiseindustrynews #podcast #cruisenews #travelnews #cruise #travel #chilliescruises #chilliefalls #whill_us Thanks for visiting my channel. NYTimes The Daily, the flagship NYT podcast with a massive audience. "Vacationing In The Time Of Covid" https://nyti.ms/3QuRwOS To access the Travel and Cruise Industry News Podcast; https://cms.megaphone.fm/channel/trav... or go to https://accessadventure.net/ To subscribe: http://bit.ly/chi-fal I appreciate super chats or any other donation to support my channel. For your convenience, please visit: https://paypal.me/chillie9264?locale.... Chillie's Cruise Schedule: https://www.accessadventure.net/chillies-trip-calendar/ For your mobility needs, contact me, Whill.inc/US, at (844) 699-4455 use SRN 11137 or call Scootaround at 1.888.441.7575. Use SRN 11137. YouTube: https://www.youtube.com/ChilliesCruises Facebook: https://www.facebook.com/chillie.falls X: https://x.com/ChillieFalls Learn more about your ad choices. Visit megaphone.fm/adchoices
Nos transportamos hasta la antigua Grecia para descubrir los secretos de la sociedad espartana. Lo hacemos junto a César Fornís, catedrático de historia Antigua de la Universidad de Sevilla y autor de 'Esparta. Ciudad de la virtud y de la guerra'
This week's host, John Arndt, is joined by returning guest Josh Kali to chat stories from Leg 1 of the McIntyre Mini Globe Race 2025. Josh is a mountain climber, sailor, and professional marine technician who built his 19-foot one-design Skookum over the past 2.5 years and has now sailed it from North Carolina to Antigua to Panama. Hear how he and his boat are doing, how to keep morale up during a long voyage, the camaraderie between competitors, how to pack food & water when away from land for so long, and the perks of racing on a little boat. Sponsor Josh at JoshKaliOceanRacing.com and learn more here: https://www.latitude38.com/issues/april-2025/#38
El alcalde de Sevilla considera "increíble" que Sevilla no esté en esta asociación que promociona lo que "no solo es patrimonio, es auténtica historia de la ciudad"
Viajamos al siglo XVII para conocer una de las historias más increíbles protagonizadas por la Iglesia en el Barroco. Una mezcla de superstición, creencias extrañas y supuestas posesiones demoniacas es lo que rodea a las endemoniadas de la ciudad francesa de Loudun. A ellas vamos a dedicar nuestro cronovisor de hoy junto a Jesús Callejo. Luego viajamos a la antigua Grecia para descubrir los secretos de la sociedad espartana. Lo hacemos junto a César Fornís, catedrático de historia Antigua de la Universidad de Sevilla y autor de Esparta. Ciudad de la virtud y de la guerra (La Esfera 2025). En su sección ¿Qué me pongo con… Lorenzo Caprile? Nos habla de la fotografía que Annie Leibovitz hizo de la reina doña Letizia. Acabamos viajando a la historia contemporánea de Oceanía con el célebre culto cargo, una de las religiones modernas más extrañas de todos los tiempos. Lo hacemos junto al viajero Luis Tobajas
This is the Catchup on 3 Things by The Indian Express and I'm Ichha Sharma.Today is the 18th of April and here are this week's headlines.Fugitive diamond trader Mehul Choksi has been arrested in Belgium following an extradition request by India, according to sources. Choksi is wanted by the CBI and Enforcement Directorate in the ₹13,000 crore Punjab National Bank fraud case. He had been residing in Antwerp on a residency card after previously living in Antigua and Barbuda. Earlier this year, India, via the Ministry of External Affairs, formally requested Belgium to extradite him. Choksi's wife, Preeti, holds Belgian citizenship, and the legal process for extradition is now underway.The Enforcement Directorate filed a chargesheet against Congress leaders Sonia and Rahul Gandhi in the National Herald money laundering case. Special Judge Vishal Gogne reviewed the chargesheet on April 9 to consider cognisance and scheduled further proceedings for April 25. Other individuals named include senior Congress leaders Sam Pitroda and Suman Dubey. The case, which has long been politically contentious, involves allegations of financial irregularities linked to the now-defunct National Herald newspaper, formerly owned by Congress-linked entities. The ED's action intensifies legal scrutiny on the Gandhi family and Congress leadership.The Supreme Court strongly criticized the recent violence linked to amendments in the Waqf Act. During a hearing on related petitions, Chief Justice Sanjiv Khanna remarked that the unrest was "very disturbing" and stressed the matter is now under judicial review. Solicitor-General Tushar Mehta agreed, warning of a growing trend to pressure legal institutions. The three-judge bench's focus was both on assessing the legality of the amendments and addressing the troubling nationwide unrest, which has sparked political and public concern amid ongoing legal deliberations.Chief Justice Sanjiv Khanna has formally recommended Justice B R Gavai as his successor in a letter to the Union Law Ministry. Once approved, Justice Gavai, currently the second-most senior judge in the Supreme Court, will become India's 52nd Chief Justice. Elevated to the top court in May 2019, Justice Gavai, now 64, will assume office following Justice Khanna's retirement on May 13, 2025. His tenure is expected to last until November 23, the mandatory retirement age for Supreme Court judges being 65 years.In a dramatic escalation of the U.S.–China trade war, the Trump administration has imposed 245% tariffs on all Chinese imports. The announcement, made via a late-night White House fact sheet, came after Beijing retaliated against earlier U.S. tariffs, sparking global market jitters. Citing unfair taxation by foreign nations, Trump had previously levied 10% tariffs on all such countries, which were later paused to encourage trade talks. The revived tariff blitz, unveiled on Liberation Day, underscores rising tensions and signals a hardened U.S. trade stance under Trump's leadership.This was the Catch Up on 3 Things by The Indian Express.
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Fe hecha canción es el programa de EWTN Radio Católica Mundial que promociona la música de los grupos y cantantes católicos del mundo hispano. Desde el Estudio 3 de Radio Católica Mundial, Douglas Archer comparte con ustedes una hora cargada de canciones, incluyendo las últimas novedades y estrenos, y de vez en cuando con algún invitado que canta o toca en directo
My Antigua, Guatemala Travel Guide: Budget Tips, Awesome Activities, Low-Cost Hotels and Great CoffeeWelcome back to the Winging It Travel Podcast — your go-to show for spontaneous adventures, budget travel tips, and honest tales from the road. I'm your host James, and this week I'm taking you to one of the most photogenic and culturally rich cities in Central America: Antigua, Guatemala. This charming colonial town is a favorite stop for backpackers, digital nomads, and curious travelers looking to soak up history, sip incredible coffee, and explore some epic volcanoes.In this solo episode, I break down everything you need to know about spending 5 days in Antigua — from getting there, finding budget-friendly accommodation, navigating local transportation, and, of course, where to eat and drink some of the best coffee in Guatemala. I also share my experience with one of the best lookout points in Central America, a unique coffee farm tour that supports local growers, and a quick recap of the Acatenango Volcano hike, which I covered in full detail in the last two week's episode. Whether you're just passing through or planning to stay a while, this episode is packed with practical travel tips and inspiration to help you make the most of your time in Antigua.
This is the Catchup on 3 Things by The Indian Express and I'm Flora Swain.Today is the 14th of April and here are today's headlines.Mehul Choksi Arrested in Belgium After India's Extradition RequestFugitive diamond trader Mehul Choksi has been arrested in Belgium following an extradition request by India, according to sources. Choksi is wanted by the CBI and Enforcement Directorate in the ₹13,000 crore Punjab National Bank fraud case. He had been residing in Antwerp on a residency card after previously living in Antigua and Barbuda. Earlier this year, India, via the Ministry of External Affairs, formally requested Belgium to extradite him. Choksi's wife, Preeti, holds Belgian citizenship, and the legal process for extradition is now underway.Accused Child Murderer Shot Dead in Karnataka EncounterRitesh Kumar, a 35-year-old migrant labourer from Patna, was killed in a police encounter in Hubballi, Karnataka, after being accused of murdering a five-year-old girl. Police suspect the child was also raped, though a post-mortem report is awaited. The incident occurred when Kumar allegedly tried to attack police while attempting to escape. He was shot in the leg and back, then declared dead at a local medical college. Kumar had been working in the city for 2–3 months. Police are continuing to investigate the circumstances of the child's death.Fresh Death Threat Sent to Salman Khan via WhatsAppBollywood actor Salman Khan received another death threat early Sunday through a message sent to the Mumbai police traffic department's WhatsApp number. Sent around 6:30 a.m., the message threatened to enter Khan's home and kill him, as well as plant a bomb in his vehicle. A senior officer confirmed that a case has been registered, and efforts are underway to trace the sender. This incident adds to a series of previous threats aimed at the actor, prompting heightened security around Khan and his residence.China Races Exports Ahead of Harsh New US TariffsChina's exports surged in March, jumping 12.4% year-on-year, as factories rushed shipments before tough new U.S. tariffs kicked in on April 2. The growth marks a five-month high, up from 2.3% in January-February. However, imports fell by 4.3%. The US has raised tariffs on Chinese goods to 145% after Beijing retaliated, with no exemptions for electronics, including semiconductor chips. President Donald Trump's administration has warned of a national security investigation targeting Chinese technology imports, increasing tension between the world's two largest economies.Teen Kills Parents in Plot to Assassinate Trump, Says FBIA 17-year-old Wisconsin student, Nikita Casap, has been arrested for allegedly killing his parents to fund a plan to assassinate US President Donald Trump, according to FBI documents. Casap faces nine felony charges, including two counts of first-degree murder and hiding a corpse. His mother, Tatiana Casap, 35, and stepfather, Donald Mayer, 51, were found dead on February 28. Investigators found writings and messages in which Casap called for Trump's assassination and overthrowing the US government. He is currently in custody as federal investigations continue.That's all for today. This was the CatchUp on 3 Things by The Indian Express.
On today's episode of The Therapy Crouch, Abbey and Peter take us on a wild ride through chaotic dinner parties, near-death skiing experiences, and one of their most controversial debates yet—can married people really grab a coffee with someone they fancy?Things kick off with Pete's shocking ski story, where a high-speed fall nearly ended in disaster (thank god for helmets!). But the drama doesn't stop there. Abbey recounts the ultimate dinner party horror—picking up a slurring Peter from the golf club, only for him to be sick mid-date night in full view of the guests! And in this week's Agony Abz, the couple are split down the middle as they answer a listener's tricky question: is it wrong to meet someone for a harmless coffee if you're already married? Let's just say... it doesn't go down smoothly. There's also a hilarious dive into adult roller skating, froggy faces, and a very unexpected roller rink rant. So grab your skates, sip your flat white carefully, and tune in for another unfiltered, laugh- out-loud episode!00:03:19 – Abbey vs the French waiter 00:08:51 – “You're married... and getting coffee?” The great debate begins. 00:12:00 – “Everyone looks like a rat or a frog” 00:22:00 – Listener writes in from a yacht in Antigua 00:24:00 – Pete expands on happiness vs wealth—and who really feels fulfilled. For more from Peterhttps://twitter.com/petercrouch For more from Abbeyhttps://www.instagram.com/abbeyclancy Our clips channelhttps://www.youtube.com/channel/UCZntcv96YhN8IvMAKsz4Dbg Hosted on Acast. See acast.com/privacy for more information.
She left everything behind to find herself… and was never seen again.Darkness Syndicate members get the ad-free version of #WeirdDarkness: https://weirddarkness.com/syndicateIN THIS EPISODE: If you have information regarding Leah Roberts's disappearance, contact the Whatcom County Sheriff's Office at 360-778-6600 or the Whatcom Communication Dispatch Center at 360-676-6711. A free-spirited young woman set off on a soul-searching road trip inspired by Jack Kerouac — but what she left behind in the wilderness was a wrecked Jeep, a haunting mystery, and no trace of herself. What happened to Leah Roberts? (Lea Roberts' Last Road Trip) *** In the tropical beauty of Antigua, a chilling mystery unfolds as locals continue to vanish without a trace — leaving a trail of grief, fear, and dark speculation. (The Mystery of Antigua's Missing People) *** Would you still eat a special love-attracting cake if you knew it was covered in someone's sweat from their armpits and... everywhere else? (The Horrifying History of Love Potions) *** As if death isn't unnerving as it is, science is now suggesting that you might still be conscious after death — aware your body has failed, but powerless to escape the darkness. (We Might Know We're Dead When We Die) *** Some believe doppelgängers are omens of death – and some found out personally. (Haunted By Your Own Ghost) *** Biblical legend, Cold War espionage, and decades of silence — the hunt for Noah's Ark might be stranger than fiction… and it includes the CIA. (The CIA Searches For Noah's Ark) *** What if a murderer didn't act alone… but under orders from a mind-control program no one was supposed to know about? (Programmed To Kill: The MKUltra Murders)|CHAPTERS & TIME STAMPS (All Times Approximate)…00:00:00.000 = Introduction/Lead-In00:00:59.691 = Show Open (Coming Up In This Episode)00:03:15.506 = Leah Roberts' Last Road Trip00:14:15.955 = Programmed To Kill: The MKUltra Murders00:22:57.047 = The Mystery of Antigua's Missing People00:27:14.496 = The Horrifying History of Love Potions00:38:01.953 = We Might Know We're Dead When We Die00:42:24.308 = Haunted By Your Own Ghost00:49:27.491 = The CIA Searches For Noah's Ark00:57:39.103 = Show Close, Verse, and Final ThoughtSOURCES AND RESOURCES FROM THE EPISODE…“Leah Roberts' Last Road Trip”: https://www.ranker.com/list/what-happened-to-leah-roberts-disappearance/jenn-dzikowski, https://charleyproject.org/case/leah-toby-roberts, “The Mysterious Disappearance of Leah Roberts” (Investigation Discovery)“Programmed To Kill: The MKUltra Murders”: https://theintercept.com/2019/11/24/cia-mkultra-louis-jolyon-west/“The Mystery of Antigua's Missing People”: https://www.bbc.com/news/articles/cn0jrk81qpwo“The Horrifying History of Love Potions”: https://www.ranker.com/list/real-love-potion-recipes/cleo-egnal“We Might Know We're Dead When We Die”: https://www.ranker.com/list/study-shows-brain-works-after-passing/matthew-lavelle“Haunted By Your Own Ghost”: https://www.ranker.com/list/historical-figures-with-mysterious-doubles/chuck-stern“The CIA Searches For Noah's Ark”: https://www.dailymail.co.uk/sciencetech/article-14547623/cia-noahs-ark-search-document-biblical-ship-found.html=====(Over time links seen above may become invalid, disappear, or have different content. I always make sure to give authors credit for the material I use whenever possible. If I somehow overlooked doing so for a story, or if a credit is incorrect, please let me know and I will rectify it in these show notes immediately. Some links included above may benefit me financially through qualifying purchases.)= = = = ="I have come into the world as a light, so that no one who believes in me should stay in darkness." — John 12:46= = = = =WeirdDarkness® is a registered trademark. Copyright ©2025, Weird Darkness.=====Originally aired: April 07, 2025EPISODE PAGE at WeirdDarkness.com (includes list of sources): https://weirddarkness.com/LeahRoberts
Exigen búsqueda inmediata de desaparecidos Suspenden 32 chelerías en seis alcaldías Oaxaca sin clases por mala calidad del aire Más información en nuestro Podcast
Kelli and Sarah talk to Lara Rigby from Below Deck Down Under. Topics include: New York City, Gossip Girl, her motherly role on the boat, inspiring people to join the industry, her fixer upper barn, living in Cornwall, teddy bears, her attraction to Johnny, getting lost in Jason's eyes, her response to the “mean girl” comments, drama coming with Tzarina, the strangest guest request and Antigua. Enjoy this interview with our newest Chief Stew! A new episode of Above Deck is out now! Follow us on Instagram: @abovedeckpod Get in touch: abovedeckpod@gmail.com Get ya some Above Deck merch! https://shop.hurrdatmedia.com/collections/above-deck Please subscribe on Apple Podcasts, Spotify or wherever you get your podcasts, and tell a friend! Resources: www.instagram.com/misslarapara www.instagram.com/crownbarn Learn more about your ad choices. Visit megaphone.fm/adchoices
Tony Vitello joins to talk Texas A&M series, Antigua, AJ Russell, and Cuba The Top 5 at 5:00
La devoción a la Eucaristía marca profundamente la vida espiritual y labor pastoral de san Juan de Ribera, figurando hasta en su escudo y lema episcopal. En este programa de «Un ancla en la tormenta», examinamos la relación que tuvo este gran santo con el Santísimo Sacramento, el cual quiso hacer adorar como la máxima muestra del amor de Dios para con los hombres, impulsando la apertura de capillas de comunión en las parroquias para el bien espiritual de sus fieles. Además, D. Miguel Ángel Bondia Brisa, canónigo de la Colegiata de San Bartolomé y San Miguel Arcángel (Valencia, España) y doctor en Teología, especializado en san Juan de Ribera, hablará de la devoción que tuvo san Juan de Ribera a la Virgen, a quien el cristiano se asemeja al comulgar, pues lleva dentro de él a Jesús para llevarle a los demás, como la Virgen hizo en su visita a santa Isabel. Ayudará a inculcar la devoción a la Eucaristía y a la Virgen en los seminaristas popularizando el saludo de «Alabado sea el Santísimo Sacramento del Altar» y estableciendo la imagen de la Virgen de la Antigua en la capilla del seminario.
Hiking Acatenango Volcano: A Brutal Hike to See Erupting Fuego in GuatemalaHave you ever wondered what it's like to hike to 13,045 feet (3,976 meters) and sleep beside an active volcano? In this immersive audio episode, join me as I take on the challenging Acatenango Volcano hike, a two-day trek near Antigua, Guatemala, that offers some of the most stunning volcanic views in the world. This 14.5-kilometer (9-mile) round-trip hike takes around 5–7 hours to ascend and 3–4 hours to descend, with steep trails, changing climates, and breathtaking panoramas. At the summit, you'll witness Fuego Volcano's dramatic eruptions, spewing ash and lava every 15–30 minutes—an unforgettable display of nature's raw power.
Morse code transcription: vvv vvv Vanished The mystery of Antigua and Barbudas missing people Greenland JD Vance takes ominous message to Danish territory Hundreds of thousands celebrate Newcastles Carabao Cup win Sentebale Head of Africa charity brands Prince Harrys brand toxic Blackpool doctor not struck off by panel over one off rape Alleged Chadderton van road rage victim was kind and loving Myanmar earthquake Junta continues air strikes after devastating quake Myanmar quake toll passes 1,600 as people dig for survivors with bare hands Isolated and confused How a granddad vanished from his family Amanda Spielman Ofsted boss at time of Ruth Perrys death to get peerage
Chase Thomas is Tennessee's Sports Renaissance Man, Atlanta Sports Guy & VFL. On today's program, Chase is joined by Omaha Productions' Jack Foster to talk about the additions of Seth Littrell to the offensive staff, Chris Brazzell II vs. Travis Smith Jr. at wideout, Ariel Antigua's big opportunity with Gavin Kilen out, the Vols bullpen of late and the offense coming back vs. Alabama. Then, Volquest's Brent Hubbs joins the program to talk about Monday's upcoming scrimmage for Vols football, Joshua Josephs Year 4 development, Jordan Ross in the Tyler Baron role, what now with Miles Kitselman's injury at tight end, and Kim Caldwell's first season at Tennessee. To wrap, Powell head football coach Matt Lowe joins the program to recap the 2024 season for the Panthers, the loss to Anderson County and Sevier County, spring position battles, and much more.Host: Chase ThomasGuest: Jack Foster, Brent Hubbs, Matt LoweTo learn more about CT and the pod please go visit: https://chasethomaspodcast.comBy the way, this is a free, independent national sports podcast. To keep it that way, I'm going to need some help from you guys. If you're a fan of the pod and you haven't already, take a second right now and leave the show a 5-star rating and a review on Apple, Spotify or wherever you get your podcasts. It really does help, and it's so quick and easy to do. Thanks, y'all!Keep up with Chase on social media:Follow me on Twitter: https://twitter.com/PodChaseThomasFollow me on Instagram: https://bit.ly/3kFHPDnFollow me on TikTok: https://bit.ly/3JdZ3RF'Like' me on Facebook: https://bit.ly/3ZmURo4 Hosted on Acast. See acast.com/privacy for more information.
Despite advances in epilepsy management, disparities and lack of inclusion of many people with epilepsy are associated with increased morbidity and mortality. Improving awareness and promoting diversity in research participation can advance treatment for underserved populations and improve trust. In this episode, Teshamae Monteith, MD, PhD, FAAN speaks Dave F. Clarke, MBBS, FAES, author of the article “Diversity and Underserved Patient Populations in Epilepsy,” in the Continuum® February 2025 Epilepsy issue. Dr. Monteith is a Continuum® Audio interviewer and an associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Clarke is the Kozmetsky Family Foundation Endowed Chair of Pediatric Epilepsy and Chief or Comprehensive Pediatric Epilepsy Center, Dell Medical School at the University of Texas at Austin in Austin, Texas. Additional Resources Read the article: Diversity and Underserved Patient Populations in Epilepsy Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @HeadacheMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Monteith: This is Dr Teshamae Monteith. Today I'm interviewing Dr Dave Clarke about his article on diversity and underserved patient populations in epilepsy, which appears in the February 2025 Continuum issue on epilepsy. So why don't you introduce yourself to our audience? Dr Clarke: Sure. My name is Dr Dave Clarke, as alluded to. I'm presently at the University of Texas in Austin, originating from much farther south. I'm from Antigua, but have been here for quite a while working within the field in epilepsy surgery, but more and more getting involved in outreach, access to care, and equity of healthcare in epilepsy. Dr Monteith: And how did you get involved in this kind of work? Dr Clarke: That's an amazing question. You know, I did it in a bit of a inside out fashion. I initially started working in the field and trying to get access to persons in the Caribbean that didn't have any neurological care or investigative studies, but very quickly realized that persons around the corner here in Texas and wherever I've worked have had the exact same problems, getting access via fiscal or otherwise epilepsy care, or geographically getting access, with so few having neurologists close at hand. Therefore, I started working both on a regional, national, and it transcended to a global scale. Dr Monteith: Wow, so you're just everywhere. Dr Clarke: Well, building bridges. I've found building bridges and helping with knowledge and garnering knowledge, you can expand your reach without actually moving, which is quite helpful. Dr Monteith: Yeah. So why don't you tell us why you think this work is so important in issues of diversity, underserved populations, and of course, access to epilepsy care? Dr Clarke: Sure, not a problem. And I think every vested person in this can give you a different spiel as to why they think it's important. So, I'll add in a few facts pertaining to access, but also tell you about why I think personally that it's not only important, but it will improve care for all and improve what you believe you could do for a patient. Because the sad thing is to have a good outcome in the United States presently, we have over three hundred epilepsy centers, but they have about eight or nine states that don't have any epilepsy centers at all. And even within states themselves, people have to travel up to eight hours, i.e., in Texas, to get adequate epilepsy care. So that's one layer. Even if you have a epilepsy center around the corner, independent of just long wait times, if you have a particular race or ethnicity, we've found out that wait may be even longer or you may be referred to a general practitioner moreso than being referred to an epilepsy center. Then you add in layers of insurance or lack thereof, which is a big concern regardless of who you are; poverty, which is a big concern; and the layers just keep adding more. Culture, etcetera, etcetera. If you could just break down some of those barriers, it has been shown quite a few years ago that once you get to an epilepsy center, you can negate some of those factors. You can actually reduce time to access and you can improve care. So, that's why I'm so passionate about this, because something could potentially be done about it. Dr Monteith: That's cool. So, it sounds like you have some strategies, some strategies for us. Dr Clarke: Indeed. And you know, this is a growth and this is a learning curve for me and will be for others. But I think on a very local, one-to-one scale, the initial strategy I would suggest is you have to be a good listener. Because we don't know how, when, where or why people are coming to us for their concerns. And in order to judge someone, if they may not have had a follow-up visit or they may not have gotten to us after five medications, the onus may not have been on that person. In other words, as we learned when we were in medical school, history is extremely important, but social history, cultural history, that's also just as important when we're trying to create bridges. The second major thing that we have to learn is we can't do this alone. So, without others collaborating with us outside of even our fields, the social worker who will engage, the community worker who will discuss the translator for language; unless you treat those persons with respect and engage with those persons to help you to mitigate problems, you'll not get very far. And then we'll talk about more, but the last thing I'll say now is they have so many organizations out there, the Institute of Medicine or the International League Against Epilepsy or members of the American Epilepsy Society, that have ways, ideas, papers, and articles that can help guide you as to how better mitigate many of these problems. Dr Monteith: Great. So, you already mentioned a lot of things. What are some things that you feel absolutely the reader should take away in reading your article? You mentioned already listening skills, the importance of interdisciplinary work, including social work, and that there are strategies that we can use to help reduce some of this access issues. But give me some of the essential points and then we'll dive in. Dr Clarke: OK. I think first and foremost we have to lay the foundation in my mind and realize what exactly is happening. If you are Native American, of African descent, Hispanic, Latinx, geographically not in a region where care can be delivered, choosing one time to epilepsy surgery may be delayed twice, three, four times that of someone of white descent. If you are within certain regions in the US where they may have eight, nine, ten, fourteen epilepsy centers, you may get to that center within two to three years. But if you're in an area where they have no centers at all, or you live in the Dakotas, it may be very difficult to get to an individual that could provide that care for you. That's very, very basic. But a few things have happened a few years ago and even more recently that can help. COVID created this groundswell of ambulatory engagement and ambulatory care. I think that can help to mitigate time to get into that person and improving access. In saying that, there are many obstacles to that, but that's what we have to work towards: that virtual engagement and virtual care. That would suggest in some instances to some persons that it will take away the one-to-one care that you may get with persons coming to you. But I guarantee that you will not lose patients because of this, because there's too big a vacuum. Only 22% of persons that should actually get to epilepsy centers actually get to epilepsy centers. So, I think we can start with that foundation, and you can go to the article and learn a lot more about what the problems are. Because if you don't know what the problems are, you can't come up with solutions. Dr Monteith: Just give us a few of the most persistent inequities and epilepsy care? Dr Clarke: Time to seeing a patient, very persistent. And that's both a disparity, a deficiency, and an inequity. And if you allow me, I'll just explain the slight but subtle difference. So, we know that time to surgery in epilepsy in persons that need epilepsy surgery can be as long as seventeen years. That's for everyone, so that's a deficiency in care. I just mentioned that some sociodemographic populations may not get the same care as someone else, and that's a disparity between one versus the other. Health equity, whether it be from NIH or any other definition, suggests that you should get equitable care between one person and the other. And that brings in not only medical, medicolegal or potential bias, that we may have one person versus the other. So, there's a breakdown as to those different layers that may occur. And in that I'm telling you what some of the potential differences are. Dr Monteith: And so, you mentioned, it comes up, race and ethnicity being a major issue as well as some of the geographic factors. How does that impact diagnosis and really trying to care for our patients? Dr Clarke: So again, I'm going to this article or going to, even. prior articles. It has been shown by many, and most recently in New Jersey, that if you're black, Hispanic, Latin- Latinx, it takes you greater than two times the time to surgery. Reduced time to surgery significantly increases morbidity. It potentially increases mortality, as has been shown by a colleague of mine presently in Calgary. And independent of that, we don't look at the other things, the other socially related things. Driving, inability to work, inability to be adequately educated, the stigma related to that in various cultures, various countries. So, that deficit not only increased the probability of having seizures, but we have to look at the umbrella as to what it does. It significantly impacts quality of life of that individual and, actually, the individuals around them. Dr Monteith: So, what are some of these drivers, and how can we address them, or at least identify them, in our clinic? Dr Clarke: That's a question that's rather difficult to answer. And not because there aren't ideas about it, but there's actually mitigating those ideas or changing those ideas we're just presently trying to do. Although outlines have been given. So, in about 2013, the federal government suggested outlines to improve access and to reduce these inequities. And I'll just give you a few of them. One of those suggestions was related to language and having more improved and readily available translators. Something simple, and that could actually foster discussions and time to better management. Another suggestion was try to train more persons from underserved populations, persons of color. Reason being, it has been shown in the social sciences and it is known in the medical sciences that, if you speak to a person of similar culture, you tend to have a better rapport, you tend to be more compliant, and that track would move forward, and it reduces bias. Now we don't have that presently, and I'm not sure if we'll have that in the near future, although we're trying. So then, within your centers, if you have trainings on cultural sensitivity, or if you have engagements and lectures about how you can engage persons from different populations, those are just some very simple pearls that can improve care. This has been updated several times with the then-Institute of Medicine in 2012, 2013, they came out with, in my mind, a pretty amazing article---but I'm very biased---in which they outline a number of strategic initiatives that could be taken to improve research, improve clinical care, improve health equity through health services research, to move the field forward, and to improve overall care. They updated this in 2020, and it's a part of the 2030 federal initiative not only for epilepsy, but to improve overarching care. All of this is written in bits and pieces and referenced in the article. To add icing on top, the World Health Organization, through advocacy of neurological groups as well as the International League Against Epilepsy and the AES, came out with the Intersectoral Action Plan on Epilepsy and Other Neurological Diseases, which advocates for parallel improvement in overall global care. And the United States have signed on to it, and that have lit a fire to our member organizations like the American Epilepsy Society, American Academy of Neurology, and others, trying to create initiatives to address this here. I started off by saying this was difficult because, you know, we have debated epilepsy care through 1909 when the International League against Epilepsy was founded, and we have continually come up with ways to try and advance care. But this have been the most difficult and critical because there's social dynamics and social history and societal concerns that have negated us moving forward in this direction. But fortunately, I think we're moving in that direction presently. That's my hope. And the main thing we have to do is try to sustain that. Dr Monteith: So, you talked about the importance of these global initiatives, which is huge, and other sectors outside of neurology. Like for example, technology, you spoke about telemedicine. I think you were referring to telemedicine with COVID. What other technologies that are more specific to the field of epilepsy, some of these monitorings that maybe can be done? Dr Clarke: I was just going to just going to jump on that. Thank you so much for asking. Dr Monteith: I have no disclosures in this field. I think it's important and exciting to think how can we increase access and even access to monitoring some of these technologies. That might be expensive, which is another issue, but…. Dr Clarke: So, the main things in epilepsy diagnosis and management: you want to hear from the patient history, you want to see what the seizures look like, and then you want to find ways in which to monitor those seizures. Hearing from the patient, they have these questionnaires that have been out there, and this is local, regional, global, many of them standardized in English and Spanish. Our colleagues in Boston actually created quite a neat one in English and Spanish that some people are using. Ecuador has one. We have created someone- something analogous. And those questionnaires can be sent out virtually and you can retrieve them. But sometimes seeing is believing. So, video uploads of seizures, especially the cell phone, I think has been management-changing for the field of epilepsy. The thing you have to do however, is do that in a HIPAA-compliant way. And several studies are ongoing. In my mind, one of the better studies here was done on the East Coast, but another similar study, to be unnamed, but again, written out in the articles. When you go into these apps, you can actually type in a history and upload a video, but the feed is not only going to you, it may be going to the primary care physician. So, it not only helps in one way in you educating the patient, but you educate that primary care physician and they become extenders and providers. I must add here my colleagues, because we can't do without them. Arguably in some instances, some of the most important persons to refer patients, that's the APPs, the PAs and the nurse practitioners out there, that help to refer patients and share patients with us. So, that's the video uploads they're seeing. But then the other really cool part that we're doing now is the ambulatory world of EEGs. Ceribell, Zeto, to name of few, in which you could potentially put the EEG leads on persons with or without the EEG technologist wirelessly and utilize the clouds to review the EEGs. It's not perfect just yet, but that person that has to travel eight hours away from me, if I could do that and negate that travel when they don't have money to pay for travel or they have some potential legal issues or insurance-related issues and I could read the EEG, discuss with them via telemedicine their care, it actually improves access significantly. I'm going to throw in one small twist that, again, it's not perfect. We're now trying to monitor via autonomic features, heart rate movement and others, for seizures and alert family members, parents, because although about 100,000 people may be affected with epilepsy, we're talking about 500,000 people who are also affected that are caregivers, affiliates, husbands, wives, etcetera. Just picture it: you have a child, let's say three, four years old and every time they have a seizure- or not every time, but 80% of times when they have a seizure, it alerts you via your watch or it alerts you in your room. It actually gives that child a sense of a bit more freedom. It empowers you to do something about it because you can understand here. It potentially negates significant morbidity. I won't stretch it to say SUDEP, but hopefully the time will come when actually it can prevent not only morbidity, but may prevent death. And I think that's the direction we are going in, to use technology to our benefit, but in a HIPAA-compliant way and in a judicious way in order to make sure that we not only don't overtreat, but at the end of the day, we have the patient as number one, meaning everything is vested towards that patient and do no harm. Dr Monteith: Great. One thing you had mentioned earlier was that there are even some simple approaches, efficiency approaches that we can use to try and optimize care for all in our clinics. Give me what I need to know, or do. Give me what I need to do. Dr Clarke: Yeah, I'll get personal as to what we're trying to do here, if you don't mind. The initial thing we did, we actually audited care and time to care delivery. And then we tried to figure out what we could do to improve that access and time to care, triaging, etcetera. A very, very simple thing that can be done, but you have to look at costs, is to have somebody that actually coordinates getting persons in and out of your center. If you are a neurologist that works in private practice, that could potentially be a nurse being associated directly one-and-one with one of the major centers, a third- or fourth-level center. That coordination is key. Educate your nurses about epilepsy care and what the urgent situations are because it will take away a lot of your headache and your midnight calls because they'll be able to know what to do during the day. Video uploads, as I suggested, regardless of the EMR that you have, figure out a way that a family could potentially send a video to you, because that has significantly helped in reducing investigative studies. Triaging appropriately for us to know what patients we can and cannot see. Extenders has helped me significantly, and that's where I'll end. So, as stated, they had many neurologists and epileptologists, and utilizing appropriately trained nurse practitioners or residents, engaging with them equally, and/or social workers and coordinators, are very helpful. So hopefully that's just some low-hanging fruit that can be done to improve that care. Dr Monteith: So why don't you give us some of your major takeaways to how we can improve epilepsy care for all people? Dr Clarke: I've alluded to some already, but I like counts of threes and fives. So, I think one major thing, which in my mind is a major takeaway, is cultural sensitivity. I don't think that can go too far in improving care of persons with epilepsy. The second thing is, if you see a patient that have tried to adequately use medications and they're still having seizures, please triage them. Please send them to a third- or fourth-level epilepsy center and demand that that third- or fourth-level epilepsy center communicate with you, because that patient will eventually come back and see you. The third thing---I said three---: listen to your patients. Because those patients will actually help and tell you what is needed. And I'm not only talking about listening to them medication-wise. I know we have time constraints, but if you can somehow address some of those social needs of the patients, that will also not only improve care, but negate the multiple calls that you may get from a patient. Dr Monteith: You mentioned a lot already. This is really wonderful. But what I really want to know is what you're most hopeful about. Dr Clarke: I have grandiose hopes, I'll tell you. I'll tell you that from the beginning. My hope is when we look at this in ten years and studies are done to look at equitable care, at least when it comes to race, ethnicity, insurance, we'll be able to minimize, if not end, inequitable care. Very similar to the intersectoral action plan in epilepsy by 2030. I'll tell you something that suggests, and I think it's global and definitely regional, the plan suggests that 90% of persons with epilepsy should know about their epilepsy, 80% of persons with epilepsy should be able to receive appropriate care, and 70% of persons with epilepsy should have adequately controlled epilepsy. 90, 80, 70. If we can get close to that, that would be a significant achievement in my mind. So, when I'm chilling out in my home country on a fishing boat, reading EEGs in ten years, if I can read that, that would have been an achievement that not necessarily I would have achieved, but at least hopefully I would have played a very small part in helping to achieve. That's what I think. Dr Monteith: Awesome. Dr Clarke: I appreciate you asking me that, because I've never said it like that before. In my own mind, it actually helped with clarity. Dr Monteith: I ask great questions. Dr Clarke: There you go. Dr Monteith: Thank you so much. I really- I really appreciate your passion for this area. And the work that you do it's really important, as you mentioned, on a regional, national, and certainly on a global level, important to our patients and even some very simple concepts that we may not always think about on a day-to-day basis. Dr Clarke: Oh, I appreciate it. And you know, I'm always open to ideas. So, if others, including listeners, have ideas, please don't hesitate in reaching out. Dr Monteith: I'm sure you're going to get some messages now. Dr Clarke: Awesome. Thank you so much. Dr Monteith: Thank you. I've been interviewing Dr Dave Clarke about his article on diversity and underserved patient populations in epilepsy, which appears in the most recent issue of Continuum on epilepsy. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use this link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
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