POPULARITY
Send us a textHi guys, In lieu of a description because this episode is 2 hours and is packed full of gossip like a bunch of shows merged together. I'm going to drop time codes since this episode is so long and so good through out. I felt this was the only way to do it justice, I hope you listen to it through out the week. To sign up and listen to the full episode in the Dishing Drama Dana Patreon, click here, it is only $6.00 per month. https://www.patreon.com/DishingDramaWithDanaWilkeyTime codes:0:00 Show Overview4:19 to 15:00 RHOSLC Deep Dive RHOSLC Bronwyn Newport fromt he Investigator account who found out about it. OMG the receipts! They will be posted shortly in the Patreon.15:00 - 50:00 Patrick McDonald Bravo Producer goes rogue, I share full sounnd bite and tellyou why you have to take what he says with a grain of salt. I tell you about my deep dive on him.50:00 Exclusive RHOBH gossip about Garcelle Bauvais and Sutton Stracke. Erika Jayne NOT ONLY snubs her designer for the Reunion. She steals the credit for the song she was featured on called Drip and the writer takes to Tiktok to out her. I play you all the parts. I tell you what not to be looking for from Erika.1:06:28 RHONJ Exclusive gossip from multiple sources, I explain.1:23:30 RHOM Exclusive gossip about Lisa Hochsteins' Jodi, Dr Lenny and Nicole Martin's man Anthony Lopez.1:28:30 Proof Beckham cheated with his assistant on Victoria Beckham in the most disrespectful way and maybe other women and why Romeo and Brooklyn arent speaking. Listen to the receipts with me.1:41:30 - 2:02 Alec Baldwin bridal contract, searching for clues The Baldwin S1 ep 6, and I find them and also do a recap witha mini dive on Ireland Baldwin and her life now.Support the showDana is on Cameo!Follow Dana: @Wilkey_Dana$25,000 Song - Apple Music$25,000 Song - SpotifyTo support the show and listen to full episodes, become a member on PatreonTo learn more about sponsorships, email DDDWpodcast@gmail.comDana's YouTube Channel
Trabajadores de la escuela infantil de Burlada y del colegio Hilarión Eslava se manifiestan en contra de la implantación del 0-12 años en el colegio para el curso 2025-2026. Hablamos con el director general de Educación, Gil Sevillano
El resumen de la actualidad navarra del miércoles 19 de marzo
En este episodio intervienen... Yolanda Robles: Hilarión - Maestro Ascendido Pilar Álvarez: Resiliencia RIcard Salom: Meditación Paola Montoya: Astronomía Nuria Pérez: Historia del más allá Juan Perdomo: El Consejo de la semana Dirige y presenta: Nuria Mejias
En “Miseria pública”, Hilarión Frías y Soto retrata con crudeza el México de la República Restaurada: un país marcado por la pobreza, el bandidaje y una sociedad agotada tras décadas de conflicto. Desde las páginas de La Orquesta, el autor cuestiona el papel del gobierno y la prensa en la construcción de una nación unificada, subrayando que sin unidad y confianza, el proyecto liberal quedaría incompleto.
We're back for the 226th time! In this episode discuss J.Lo files for divorce from Ben Affleck; Politics as usual; Disney cancels “The Acolyte” after 1 season; Fallout Season 2 update; Rebel Moon directo's cut hits Netflix; “Joker” part 3 gets shut down by director; “Beyond The Spider-verse” gets positive update; Poltergeist series in the works; BRZRKR movie and show in the works with Keanu Reeves; All this and more! QOTD: “Who would you rather be surrounded with: people who brag all the time or people who complain all the time?” “What's your favorite ‘oh, we're really doing this, huh?' In a movie. “ “Who wins in a fight between Captain America and Black Panther? No suits and no shield. “ NEED MERCH?!: www.insensitivemerch.com Join the cult of Casual Nerds and get up to 15% off! AFFILIATE PODCASTS: CriticalMass (https://podcasts.apple.com/us/podcast/criticalmass-podcast/id1350565395) For more info about us visit: asylumstudios.live/ Contact via email: joaquin@asylumstudios.live AsylumStudios #InsensitiveCulture #podcast #podcasting #spotify #podcasts #podcastersofinstagram #podcastlife #podcaster #youtube #hollywood #movienews #comedy #itunes #podcasters #film #applepodcasts #podcastshow #interview #newpodcast #television #spotifypodcast #applepodcast #cinema #radioshow #popculture
El 27 de marzo en Baluarte con el Coro Sinfónico de la Federación de Coros de Navarra y la Orquesta Sinfónica de Navarra
podcast recorded with enacast.com
Piše Katarina Mahnič, bereta Igor Velše in Eva Longyka Marušič. Prevedla: Veronika Rot. Drugi roman ene najbolj prodornih katalonskih ustvarjalk mlajše generacije Irene Solà je zelo posebno in nenavadno pisanje, saj se v njem prepletajo najrazličnejše perspektive, literarne oblike in slogi. Pripoved, ki se dogaja v podeželskem okolju pirenejske pokrajine ob meji s Francijo, se razteza preko različnih časov in dimenzij bivanja na istem prostoru, v njej se gnetejo vraže, običaji in legende, mitologija in bratomorna vojna, preteklost, sedanjost in onostranstvo, resnično in nadnaravno, sanje in čuječnost, strah in pogum. V knjigi spregovorijo različna bitja, živa in neživa – oblaki, rusalke, duhovi, psi, srnjaki, gobe, gore, medvedi in seveda ljudje – vsi imajo svoj način in slog pripovedovanja. Od preteklosti sta odvisni sedanjost in prihodnost, vse je povezano z vsem, vse se napaja iz narave, izvira iz nje in se vanjo vrača, vse je brezčasno in hkrati vsečasno. “Tukaj smo bile vedno in tukaj vedno tudi bomo,” pripovedujejo gobe, katerih spomin seže veliko dlje kot človeški. “Ker ni začetka in ni konca. Ker je bet ene bet vseh. Klobuk ene je klobuk vseh. Spore ene so spore vseh. Zgodba ene je zgodba vseh.” Človekovo nebogljenost in nepomembnost v primerjavi z neusmiljenimi silami narave, in kako je posameznik le droben košček mogočne vsemirske sestavljanke, nakazuje že uvodni prizor, ko strela ubije kmeta in ljubiteljskega pesnika Domèneca, sicer vajenega težkega življenja v odročnih krajih. Na to stran gore je prišel pogledat h kravam, pa tudi preizkusit verze, saj mu jih je doma, ob delu in nenehnem otroškem vrišču, težko kovati in slišati. Hotel se je prepričati, kakšen okus imajo in kako zvenijo, kajti kadar je človek sam, mu verzov ni treba govoriti šepetaje. O njegovi smrti neprizadeto pripovedujejo nevihtni oblaki, ki so jo povzročili, na njegovo truplo pa z obžalovanjem naletijo tudi duhovi štirih žena, ki so jih na smrt obsodili zaradi čarovništva, in besedo dobijo pozneje. Iz različne časovne oddaljenosti spregovorijo Domènecovi domači – žena Sió ter otroka Mia in Hilari. Čeprav roman nima glavnega junaka ali premočrtne pripovedi, je prav Domènecova družina s kmetije Koljekrava stičišče in odskočna deska vseh zgodb, dogodkov, spominov in časov, saj se je njena usoda najmočneje dotaknila vseh – pokrajine, živali in ljudi. V štirih delih in skozi osemnajst poglavij različni pripovedovalci v bogatem jeziku, polnem nevsakdanjih metafor, z menjavanjem slogov (poetičnega, realističnega, magično realističnega, toka zavesti) slikajo veličastno fresko nekega prostora, polno surove prvinskosti in melanholičnega optimizma. “Ta kraj je težak kot kamen, kot krava v naročju. Vse tako majhno, vse tako enako,” razmišlja najstnica Cristina, ki za preganjanje dolgčasa išče granate, krogle in ostanke orožja, ki jih je tam pustila državljanska vojna. In si bolj od vsega želi oditi daleč stran. Pa čeprav se kasneje vrne. Odraščanje, tragedije, smrt, nesrečo, vojno, ljubezen, upanje in odpuščanje neobičajni govorci predstavljajo iz različnih zornih kotov in, kakor je to čudno slišati, iz nehomogenega materiala čudežno ustvarijo ubrano celoto, visoko pesem stvarstvu, iz katere veje svoboden, panteistični duh. Pojem in gora pleše je knjiga, po branju katere obsediš kot od strele zadet, pisati o njej pa ni preprosto. Bolj kot vsebina, ki jo je zaradi zagonetne večplastnosti težko ubesediti, je pomemben čustven odziv bralca, blagodejen občutek, ki te preveva in te še dolgo ne zapusti. Kot bi se pred tabo odvijala čarovnija, ki je ne moreš povsem doumeti, vendar popolnoma podležeš njenim čarom. Besedilo je z izjemnim občutkom za poetičnost in slogovne raznolikosti bralno tekoče prelila prevajalka Veronike Rot, po njeni zaslugi je to jezikovno osupljivo in zahtevno delo v slovenščini res magično zazvenelo. Kot pravi, je bil največji izziv prav razmerje med kmečko okornostjo in poetičnostjo besedila, za katero je morala ujeti pravo melodijo, besedišče, besedni red, dolžino stavkov … Razgiban ritem in navidezno lahkotnost romana pa vseskozi ohranjajo tudi repeticije, ki napisano še bolj približajo govorjeni besedi. “In nato grem v hišo. Puško odložim v omaro. Rada bi poiskala srnjaka. Rada bi, da se ne bi zdanilo. Da bi okrogla luna ostala in živela na vrtu kot mačka. Da bi Jaume ostal in živel na vrtu kot maček. Da bi si poskusila povedati vse stvari, in to velikokrat. Skodelici žalostno ždita na kuhinjski mizi, v temi, psica odide v spalnico, saj je čas za spanje. Ker sva prej spali in so naju zbudili, zdaj pa se zdi, da te noči ne bo nikoli konec. Vendar pa jaz nočem iti spat. Nočem, da bi Jaume odšel. Toliko stvari je treba povedati.” Roman Irene Solà Pojem in gora pleše se začenja kot nekakšna okoljska moralka, v kateri narava žuga človeku in kaže svojo večvrednost, brezbrižna do vsega, kar ga določa, tudi do njegovih ustvarjalnih darov. Kmalu pa se roman razvije v pretanjeno študijo vedno vnovične potrditve medsebojne povezanosti in soodvisnosti; zadiha kot en organizem. Čeprav gora v svojem poglavju ravnodušno zagrozi, da se bo znova začelo premikanje, uničenje in nov začetek (“nihče se ne bo spominjal imen vaših otrok”) bralec narave ne začuti kot bavbava, ampak po branju obsedi pomirjen s svojim mestom v njej. Na veke vekov.
Welcome to your favorite arts and culture (and other stuff) podcast. We heart you, Kansas City. It's time for season 2! On today's episode, Agatha Quiltenkatz (Jillian Guthrie) sits down with a civic-minded entrepreneur (Bobby Miller Jr.), an aspiring sanitation worker (Amanda Matteucci), and a traveler from far away (Hilari Holt). Plus, Tom Timly (Michael Stoufer) takes a trip to find out what really happens to the things we throw away. Be sure to rate, review, and subscribe! The Nasty Nutcracker Bobby Miller Jr. Amanda Matteucci Hilari Holt The Bird Comedy Theater KCR on Instagram Jillian Guthrie Michael Stoufer
Hey Strangers, Today I'm sharing a conversation with author & non-profit visionary, Hilari Seagears! In this podcast Hilari shares her personal journey with infertility, how that experience catapulted her into authoring "The Power of Weakness: How Multiple Miscarriages Birthed Resilience," and her inspiring vision to support and empower other grieving mothers. How to follow & support Hilari: Follow her on Instagram here Learn more about her organization, BOLD Resilence Buy her book here Here are ways to keep up with the podcast, Maia, and i360 Strategies: TO participate in conversations with the MM community follow @maiamoments You can follow Maia, @mymyforever, to see fashion, lifestyle & beauty content If you're interested in working with Maia on social media strategy projects you can leave an inquiry here Talk with you soon
Amare ali AD? Čile ali Mehika? Navijači Partizana ali slovenske reprezentance? Ali je zmaga Vite for real? Je Minny 4 real? Kam bi vtaknili Lavina? To je le nekaj vprašanj, ki smo se jih polotili tekom epizode 104, ki je postregla tudi z največjim izbruhom smeha v zgodovini našega druženja pred mikrofoni. Hilarični kek na […]
Live from The Bird Comedy Theater! Agatha Quiltenkatz and Tom Timly (Jillian Guthrie and Michael Stoufer) conduct a joint interview with six of the most interesting people in the universe! First up, returning guest and flower heiress Sylvie Von Fleur (Hilari Holt), elderly matchmaker Mitch Baker (Aaron Mayer), and folk icon and survivor Phillip Gilham (Ryan Hruza). Then we talk to ordinary guy Lee Watson (West Everts), deceptive detective Dirk Derrick (Nathan Thomas), and world record-holder Paula Kingsman (Jill Gillespie). All the while, our hapless intern, Todd (Ryan Woods), helps us keep our sponsors happy. Watch the video for free on Spotify, and we'll see you soon for Season 2! The Bird Comedy Theater KCR on Instagram
En 2023 se conmemora el centenario del destacado músico salmantino Tomás Bretón. Una de las grandes figuras de la vida intelectual española del período de la Restauración, que alcanzó una extraordinaria popularidad con La Verbena de la Paloma o el Boticario y las chulapas y celos mal reprimidos, obra maestra del teatro lírico español, y también con su ópera La Dolores.El programa de Ana Vega Toscano, Tomás Bretón, un músico entre dos siglos, ahonda en la vida y obra del autor, cuya labor trasciende en muchos ámbitos de la música, una actitud inmersa en el Regeneracionismo que marcó la vida española del momento. Bretón buscó elevar la calidad musical de nuestro país en todas sus facetas, en concordancia con las propuestas de reformas que desde muy distintos ámbitos se proponían tras el revulsivo del 98.Como compositor dejó obras fundamentales para el patrimonio musical español en zarzuela y en ópera –en la que defendió la consecución de una ópera nacional-. También destacó en su creación sinfónica y camerística, y como director de orquesta e impulsor de la vida concertística española.Llevó su defensa de la música a los más importantes foros de la vida intelectual y cultural del momento: Academia de Bellas Artes, Ateneo… Desde su puesto como director del Real Conservatorio de Música de Madrid, que ejerció durante veinte años, propuso la dignificación de la enseñanza. En todos estos campos buscó la homologación de la vida musical española con las más destacadas naciones europeas, consciente de que su desarrollo era uno de los más importantes indicadores de la cultura de un país.Bretón vivió la entrada del siglo XX y la irrupción de los nuevos medios tecnológicos, en especial el cinematógrafo, muy cercano a la zarzuela desde el primer momento. El propio Bretón llegó a colaborar con adaptaciones musicales para el cine mudo de alguno de sus títulos más representativos. Después de su fallecimiento, el cine sonoro haría también adaptaciones importantes para la historia de nuestra cinematografía, como es el caso de La Verbena de la paloma en las versiones de Benito Perojo o José Luis Sáenz de Heredia.Documentos RNE cuenta en esta ocasión con la presencia de los musicólogos, Víctor Sánchez, catedrático de la Universidad Complutense de Madrid, autor de la monografía Tomás Bretón, un músico de la Restauración, comisario de la exposición de la BNE Tomás Bretón, mucho más que La verbena de la Paloma, y editor de algunos títulos del compositor; Ramón Sobrino, catedrático de la Universidad de Oviedo y editor de la obra sinfónica de Tomás Bretón, así como con Víctor Pliego, catedrático de Historia de la Música y jefe del Departamento de Musicología del Real Conservatorio Superior de Música de Madrid. Del Archivo de RTVE se rescatan igualmente registros históricos, como las aportaciones del compositor y ensayista Ramón Barce, y la grabación especial en concierto de La Verbena de la Paloma en el Teatro Monumental de Madrid con la Orquesta Sinfónica y Coro de RTVE bajo la dirección de Antoni Ros Marbá, con la participación destacada de Alfonso del Real como don Hilarión.Escuchar audio
-La Iglesia Católica alerta que casos de desaparecidos como el de Lagos de Moreno cada vez son más frecuentes-Hilari tocó tierra en Cabo San Quintín, Baja California-Se registra un incendio en Williamsburg, Nueva York-Más información en nuestro podcast
July marks Fibroid Awareness Month, an opportunity to raise awareness for uterine fibroids, which are noncancerous growths of the uterus that impact an estimated 26 million women nationwide. "Pregnancy in and of itself, after, or in spite of infertility is quite the double-edged sword; it seems too precious to believe in any regard. No two journeys are the same. Infertility will always be part of my story, and one that I will always speak candidly about in the hopes of connecting with other prospective parents. If you're reading this or listening to this episode and you're still in the season of waiting and wondering with nearly reckless abandon, I'm sending you bravery and joy as you discover and learn what will bring you the very thing you're hoping for. Ask the questions, advocate for yourself, and find joy wherever you can (especially in the most unexpected of places) - those magic moments add up." -Hil Follow Hilari: Instagram: @hil_oneill Tiktok: @hilarioneill Subscribe: https://anchor.fm/theluxuryofselfcare/subscribe Follow Your Host: Instagram: https://www.instagram.com/rumor_in_stpetersburg TikTok: https://www.tiktok.com/@rumor_in_stpetersburg Facebook Page: https://www.facebook.com/theluxuryofselfcare Spotify: https://open.spotify.com/user/ahnastasia88?si=ab36621742b4474c --- Send in a voice message: https://podcasters.spotify.com/pod/show/theluxuryofselfcare/message
Los cinco segadores condenados injustamente por un crimen ocurrido en 1915 en la finca de Malladas (Cáceres) no lograron recuperar su buen nombre pese a ser liberados de su cadena perpetua. Desde que entraran en prisión y pasaran allí 11 años hasta su indulto parcial, otros sospechosos del quíntuple asesinato, como el jornalero Juan Callejo, fueron eliminados de la investigación pese a haber tratado de raptar a dos niños y de sus presuntos vínculos con el triple infanticidio de la calle Hilarión Eslava de Madrid.Nuevos datos que afloran un siglo después, hacen que el complejo rompecabezas, puesto hoy sobre la mesa, apunte a que el crimen de Malladas pudo estar relacionado con una trama de abusos a menores que se encubrió inculpando a cinco humildes segadores ajenos completamente a los hechos.
In today's episode, Agatha Qiltenkatz (Jillian Guthrie) sits down with a pair of advocates (Anne Jordan and Aaron Mayer), a foreign heiress (Hilari Holt), and an aspiring writer (Michael Stoufer). Then, we hear a preview of another network program, Psychic Sarah (Sadie Teal). And, finally, Tom Timly visits a local business and meets the regulars. Be sure to rate, review and subscribe! Welcome to your favorite arts and culture (and other stuff) podcast. We heart you, Kansas City. Follow our guests below: Anne Jordan Aaron Mayer Hilari Holt Sadie Teal/ManaSharc Jillian Guthrie on Instagram Michael Stoufer on Instagram
Welcome to the Aphasia Access Aphasia Conversations Podcast. I'm Ellen Bernstein-Ellis, Program Specialist and Director Emeritus for the Aphasia Treatment Program at Cal State East Bay and a member of the Aphasia Access Podcast Working Group. AA strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's host for an episode that will feature Davetrina Seles Gadson. We'll discuss her work involving how brain lesion characteristics may intersect with aphasia recovery, race, and psychosocial factors, as well as issues involving health-related quality of life assessments. Dr. Davetrina Seles Gadson is the first Black-American to graduate with a Ph.D. in Communication Sciences and Disorders from the University of Georgia. She is a neuroscientist and certified speech-language pathologist with expertise in adult neurological rehabilitation and patient-centered outcomes. She currently is Research Faculty, in the Department of Rehabilitation Medicine, at Georgetown University. Dr. Gadson's research focuses on the influence of health disparities in minority stroke survivors with aphasia and the effect of such disparities on brain functioning, aphasia severity, and health-related quality of life. Most rewardingly Dr. Gadson is the co-host of “Brain Friends”, a podcast for neuro nerds and stroke survivors to talk about aphasia advocacy, language recovery, and community. Listener Take-aways In today's episode you will: Learn how health disparities may influence aphasia outcomes and why more research is needed Discover why "Brain Friends" is another podcast you'll want to add to your playlist. Gain practical tips on how to build confidence in intercultural interactions with your clients Hear how health-related quality of life (HRQL) measures can help inform your clinical practice We'd like to recognize Kasey Trebilcock & Amanda Zalucki, students in the Strong Story Lab at CMU, for their assistance with this transcript. Show notes edited for conciseness Ellen Bernstein-Ellis (EBE) EBE: I am so excited to have a fellow podcaster here today. Thank you for being here. And I just listened to the January Brain Friend's episode. It was great. So I hope our listeners will check it out too. I want to also give a shout out to your consumer stakeholder and co-podcaster, Angie Cauthorn, because she was a featured guest on episode 70, in June of 2021, as we recognized Aphasia Awareness Month, and you just spoke with her about aphasia types and aphasia conferences, and you gave a big shout out to CAC and you gave clinical aphasiology conference and you also gave a big shout out to the Aphasia Access Leadership Summit. So really important conferences, I think that stimulate a lot of discussion and values around patient centered care. And your Brain Friends podcast just has a great backstory. So why don't we just share about how that all started? Where's the backstory to that, Davetrina? DAVETRINA SELES GADSON: Thank you so much for having me. This is such an exciting opportunity. So, Brain Friends started with myself and Angie. We were on the National Aphasia Association's Black Aphasia group call and I just loved her energy. She reached out to me after we finished that group call, and we just started talking. Our conversations were so informative, and it just lit this passion and excitement in me. I said, “Hey, can I record some of these, and maybe we do like a podcast?”, and she was totally down for it. It's just been such an innovative and fun way to disseminate science and engage many stakeholders. EBE: I want to thank Darlene Williamson, who's president of the National Aphasia Association for sending me a little more information. You told me about this group, and so I wanted to find out more. She provided this description by Michael Obel-Omia and his wife Carolyn, and I hope I said his name correctly, who provide leadership to this group. And they said that in this group, the Black American Aphasia Conversation group, “provides a place for Black people with aphasia to share their stories, provide support, meditation, and brainstorm ways to advocate and consider policies. We will discuss the unique challenges and gifts we share due to our experiences with disability and race.” I found out that you can reach out to the National Aphasia Association (NAA) for more information and to get on the email list for a meeting notifications. And in fact, I put the registration link in our show notes today. So, sounds like that group has been a meaningful discussion forum for you, too. SELES GADSON: It's been so fun. I share how for me, I've been in the field practicing for a little over 16 years now, and this was my first time being in a room with so many people that look like me. And for many of the survivors on the call, I was one of their first Black SLPs that they had ever met. Just even having that connection, and being able to speak to some of the challenges, and some of the things culturally that we both share has been my outlet, biweekly. EBE: I'm going to make sure we have that link in our show notes. Also, the link to your podcast because I encourage people to listen to Brain Friends, I've really enjoyed it. When you and I were planning for this episode today, you talked about how being part of the National Aphasia Association's Black American Aphasia Group really helped to energize you and the research you were doing, and what a nice integration of life that was. I will want to tell our listeners about one more wonderful thing, and that's the interview you were part of on the ASHA Voices podcast as well as the related article in the ASHA leader, where I learned more about your journey to doing this research. So, as you provided clinical services for a Black client as an outpatient clinician, and this is pre- doctoral research, you recognized that there was a significant gap in the literature around working with African Americans with aphasia. You saw the need to understand the impact of aphasia on identity and motivation in order to best help this particular client. And those are both really important concepts within the Life-Participation Approach to Aphasia (LPAA) framework as well. So, then you shared that you got some important advice from an important mentor. Do you want to share what happened next? SELES GADSON: Definitely. So, one thing that's also unique about that time is that at that point in my career, I had worked in many of the clinical settings. I had done acute care, inpatient rehabilitation, skilled nursing facility, and even worked as a travel SLP traveling throughout the United States. And so, once I had got to that outpatient setting, it was different from any of the other settings because these individuals were home. And often times, they wanted to get back to work. I remember feeling a little discouraged because I wasn't finding research on a lot of functional treatment approaches or functional therapy. In addition, I wasn't finding research on black stroke survivors with aphasia. And so, I mentioned to one of my mentors at the time, Dr. Paul Rao. I said, “what's going on in the field? And I'm not seeing this, and I have this client, and I don't really know what to do.” And he said to me, “Stop complaining kiddo, and go back and get your PhD.” Admittedly, when he said it, it was kind of like, “okay fine, I'll go do it.” I don't think I realized all what it would take. That's what really made me pursue the degree was this notion that I could help facilitate some of that change and bring some of the research that I needed to see. EBE: That is so important. And that story really made me reflect on another story that has really impacted me from a dear colleague, because you experienced in your doctoral work some concerns about doing research on Black Americans because your interest was seen, as it said in I think the ASHA Voices interview or in the Leader, as “personally motivated.” Your story mirrors one that a colleague and dear friend, Nidhi Mahindra, told me as well. During her doctoral research, she was told that while pursuing multicultural interests were worthy, that she may face barriers to getting funding to pursue that line of work. That might be problematic, right? She had to struggle with that. Despite that daunting message, she persisted, and then was funded by ASHA on a grant studying barriers influencing minority clients' access to speech pathology and audiology. Nidhi reminded me how our life experiences can often inform our work in important and valuable ways. Davetrina, you've channeled your experiences into these explicit observations and data that you shared with your doctoral committee. That was a really important part of moving forward. Do you want to share some of the points gathered for that doctoral committee to help support why this research is so important? SELES GADSON: First, I want to thank Nidhi. Hopefully I'm pronouncing her name right, for her perseverance, because it was some of her work that helped me in my dissertation. Being able to cite her just really shows the importance that everybody plays in breaking barriers and pursuing the things that really speak to them. And one of the things that I'll clarify, it was two parts in pleading this case. The first part was that I changed the committee. I think that that was a supportive thing. And then, the second part was that when I prepared all of the research on why I needed to do this work. Some of the research looked at what we knew already with stroke recovery in minoritized groups, which was that Black African Americans were twice as likely to have a recurrent stroke than any other ethnic group and what we were seeing in the aphasia literature for Black Americans, which was the narrative of Black Americans having longer hospital stays, more hospital costs, but poor functional outcomes. And so, it was these two key pieces that I had really gathered. When I went back to the new committee to share and plead my case on why I really wanted to do this research, they had that initial onset of knowing that this research definitely needs to be done. I think that that's what helped it go through. EBE: Wow. I think those are really important reasons. That whole concept of allowing our life experiences to inform our work and to value that. As we start to talk about your research, and I'm really excited to get to share this amazing work you're doing, I thought it might be helpful to define some of the terms that are integral to this research Some of the definitions are a little tough to wrap your arms around because they're not consistent in the literature or are still waiting to develop. Let's start by discussing what you want the listeners to know about the definition for health-related quality of life, or, as we'll call it, HRQL. SELES GADSON: HRQL is operationally defined that it's multi-dimensional. The way I define it a lot in my work is the perception of the individual's ability to lead a fulfilling life in the presence of a chronic disease or disability such as aphasia, but really their perception in five domains. The five domains that I look at in my work are physical, mental, emotional, social communication, and then role, the individual's ability to get back into the activities that they used to be able to do. EBE: Okay, that's really helpful. I think we should also discuss or define patient-reported outcomes or PROs. Sometimes they are also referred to as PROM's, patient-reported outcome measurements. How do they relate to HRQLs? SELES GADSON: Patient-reported outcomes is a health outcome directly reported by the patient without interpretation. Patient-reported outcomes often look at the status of the health condition. The biggest thing about patient-reported outcomes is that it's without the interpretation of the practitioner. So, whatever the patient says is what we're going to take as gold. EBE: Why is it particularly important then to look at HRQOL for Black stroke survivors? SELES GADSON: That's such a great question. And so I want to break it down in two parts. I think the first part is that given the lack of normative data for Black stroke survivors, when we're only looking at clinician-reported outcomes, that's where we get to this bias and the normative bias. I know that there's research out where there are some outcomes to where we're already seeing this five-point difference. And for some research, that five-point difference is considered clinically meaningful. I think that if we're not using these patient-reported reported outcomes, then we put ourselves in a position to contribute to the disparities that we're seeing in standardized assessments. So that's the first answer. The second reason is that we know that nonclinical factors such as physician-race concordance drive up to 80% of what we're seeing in poor functional outcomes in minoritized groups. If we're not asking the person, then we're not able to really understand the things that they want to do, and we're already coming in with this majority type attitude which could influence one's participation in therapy. The last thing that I think is most important, whether you're Black, white, purple, whatever, is that we have these insurance demands that sometimes may not allow us to get to all the things that we may see from an impairment base. By using the patient-reported outcomes, we are helping structure therapy in ways that matter most to the patient. EBE: Well, that reminds me of this amazing quote that I was hoping I could work in today. I circled it in big yellow pen when I first read through your research. You said that it's really important because, due to the lower HRQL that we find in individuals with aphasia, it's “imperative that the development of a treatment plan incorporates what the patient prioritizes. And it's imperative that clinicians have a way to measure these subjective attributes to make a meaningful impact on care.” That's what we want to do. SELES GADSON: So important, because I think what we have to realize is that part of our role as the practitioners providing this skilled intervention, is really helping the individual get back to what they want to do. And I think that if we're not asking them what they want to do, then we're not really able to structure therapy in matters that mean the most to them, but also help them to start to recognize that as part of this identity with aphasia, that there's this new normal for them. Sometimes, individuals are going to rate themselves based off of what they used to be able to do. But if they know that one of their goals was to be able to talk on the phone, or to play bridge with their friends, and we worked on that in therapy, they're now able to look and see, before I scored my telephone confidence at a 50. Now I feel like I'm at a 90, and so sometimes that own self-recognition can support motivation, and can even support therapy, once insurance dollars run out. EBE: I really appreciated doing this deeper dive into PROs as I read through some of your research. And one of the resources I came across was a really interesting table that talked about six categories of PROs. And I'll put a link in the show notes to a 2015 book by Cella, Hahn, Jensen and colleagues called “Patient-Reported Outcomes and Performance Measurement.” (They list six different kinds of PROs in a helpful table.) But the main category that your work is utilizing is actually these HRQL measures. You've been stating why it's so important. HRQL PROs help to frame diagnostics and treatment because you're trying to prioritize what the patient wants and needs-- what they're expressing. SELES GADSON: Right, exactly. I think that one of the things that it's really important for practitioners to understand, is that these things are mandated by what we see in our scope of practice. When I say mandated, I mean we are called to reduce the cost of care by designing and implementing treatment that focuses on helping the individual. If we're not asking the individual what they want to get back to, then I think that we're putting ourself at a position that makes it more challenging to serve in that way. EBE: One of the things we like to do on this podcast is to provide resources that will help clinicians think differently or do something differently tomorrow as they meet face-to-face with their clients. And one of the things I thought we'd put in our show notes is a link to the PROMIS website, because that was something you've used in your research. Do you want to explain a little bit about that website? SELES GADSON: One of the things that I like about the PROMIS website is that it has a list of health outcomes available to use for a range of individuals-- for pediatrics, for adults. I like that it's free, most of them, and I think that it's a good place to start. Some of the outcomes on that website are also even appropriate for in acute care, meaning that they may not take a long time to administer. And so, I think that that's a good place to start. EBE: Well, thank you. And I want to move right into this wonderful paper where you are co-author with Wesley, van der Stelt, Lacey, DeMarco, Snider, & Turkeltaub, that looked at how brain lesion location interacts with HRQL. Can you share a couple key takeaways from that paper? I hope you'll highlight the one related to depression and HRQL. We're having a lot of research right now around the emotional impact of aphasia and how that will impact recovery outcomes as well. So, tell us a little bit more about that work. SELES GADSON: We looked at the domains of health-related quality of life associated with specific deficits and lesion locations in chronic aphasia. We examined the relationship between HRQL using the Stroke and Aphasia Quality of Life Scale by Hilari and her colleagues, as well as a depression scale, and different impairment-based measures---our battery that we used here. What we found was that language production and depression predicted communication HRQL, meaning that those individuals that reported lower communication HRQL also had a significant depression associated with it. We did lesion symptom mapping in this study. Basically, what we were looking at is to see if HRQL mapped on to discrete areas of the brain. We found that individuals that reported lower psychosocial HRQL had inferior frontal and anterior insula lesions; where individuals who reported lower physical HRQL had lesions in the basal ganglia. This confirmed for us that even though HRQL is this subjective perception, we were seeing it map on to these very specific areas in the brain that also predicted some of the impairment measures that we know of. EBE: That can get us to start thinking about if we have patients with these types of lesions, maybe to be more on the alert for depression. I think that's one point you made. But you also mentioned another important takeaway in the study about the impact of depression on HRQL related to the training of SLPs. This all ties together. What are your thoughts there? SELES GADSON: I think that when we are recognizing that individuals with aphasia are experiencing a new normal, and I think that the research has been very clear on understanding that depression does relate to and contribute to one's communication. I think that there is an opportunity for speech-language pathologists to have more counseling classes. And again, make sure that we're tapping into what the patient wants to do in order to hopefully help mitigate some of those feelings of depression. EBE: I really endorse building those counseling skills in our graduate programs for our students, so they go out feeling more confident and more skilled and knowing that that is going to be an ongoing journey as a speech-language pathologist to build that skill set. SELES GADSON: And shameless plug, I think our episode six of Brain Friends is a mental health episode. I have one of my good girlfriend colleagues there who is a counseling psychologist. She shares with us helping skills for the practitioner, and we share on that episode10 skills that you can do as a clinician to support the person with aphasia. EBE: Thank you for sharing that. That's really important. And again, the link to Brain Friends will be in our show notes. Let's take a moment and talk about how you connect this finding about depression to the role of social communication, because you said it was those scores that were down in your measure. SELES GADSON: With that particular study or overall? EBE: However you'd like to discuss it. I'm opening that door to you. SELES GADSON: One of the things that we were seeing is that individuals were reporting the depression within this Communication HRQL domain. So even though we didn't dive into it too deep in this study, it was more of the correlation and recognizing that individuals that were reporting this higher level of depression, also have this higher level, or this lower report of communication HRQL, making those links specifically. I do have something that I'm working on right now, that will completely answer that question a little bit more solidly. I don't want to speak too much on this, so stay tuned. EBE: Absolutely staying tuned, there's no question. You also had another article that I found intriguing-- An article with your coauthors, Wallace, Young, Vail, and Finn, a 2021 article that examined the relationship between HRQL, perceived social support, and social network size in Black Americans with aphasia. And that paper highlights that there's been little research exploring HRQL in Black Americans. Of the five factors that comprise HRQL, why did you decide to focus on social functioning? And specifically social support and social network in this study? SELES GADSON: Well, that really came from the literature. One of the things that the literature said is that we knew that social HRQL contributed in some way, but we weren't sure what way. And we weren't sure what pieces of social functioning contributed. My apologies to the researcher who said it, but it set me up perfect for my dissertation work to say, “this is why I'm looking at social functioning in these two specific pieces,” because we didn't know. Was it social participation? Was it social network? Was it social support? That was one of the reasons why I wanted to pull out those two specific pieces. The other thing that was really important about this work was that it was the first study that really looked at what HRQL looked like in Black stroke survivors. We didn't know any of that. And so for me, it was really important to compare Black stroke survivors to normal aging Black individuals because I feel that for us to really get baseline understanding of what some of these factors are and how individuals respond in recovery, we have to compare them to their norm, or to other members in their community that look like them before comparing between Black and white or any other ethnic groups. This study is where we found that in terms of HRQL, the main difference between stroke survivors with and without aphasia and in our normal aging individuals, was that communication was the impairment. And then, with the social network and social support, we weren't seeing a difference between this homogenous group of Black people in those areas. EBE: That takes me to my next question, your research noted that the Black survivors with and without aphasia, have smaller social networks compared to white stroke survivors. That's the data that we have based on that social network data. Even though you weren't trying to compare in this study, per se, you still made sense of that finding-- trying to make sure that we don't make assumptions, and instead look at different factors that could be at play. How did you make sense of that finding, the smaller network? SELES GADSON: It was two things that allowed us to make sense of that finding. One was recognizing that in both groups, the stroke survivors with aphasia and our normal aging individuals, that because they were age matched, it could have been a factor of age--meaning that the individuals receiving the support quality and then their network, everyone was kind of in the same age group, and so, it was more of a factor of time of life versus actual culture. But then a lot of that came through in some of the anecdotal reports, and things that we even circled on the scale that we used--we use the Lubben Social Network Scale. With some of those questions, one might be how many people do you feel comfortable sharing personal details with? And often times, we got this report of “just my husband”, or “only God”. And so, we were seeing that some of this really related to the traditional and cultural values in Black Americans, where you're not going to share a lot of stuff with a lot of people. You have your set group, your small network. And that's okay. That doesn't mean that you're isolated. EBE: I think another point you make, and maybe even thinking back to the ASHA Voices Podcast, why it's particularly important to target social communication. That is yet another life participation core concept. Do you want to speak to that for a moment? SELES GADSON: I think the thing that we have to realize with social communication is that individuals, especially within the black community, they are social, they want to talk, they want to get back to doing and interacting with their community. And so, one of the things that that looks like is maybe being able to participate again in Bible study or being able to stand up and read a scripture. And the only way that you know that, is by asking them that on a patient-reported outcome. I think that that's where that social communication piece is coming in. One of the things that I'm seeing with the Black aphasia group is that moment, that hour, where everyone is together, it's amazing. It's them using social communication. You spoke about how I said that that energized my research, and that was why--because I was on this call, and they were speaking about these things, that sometimes I feel like I have to explain to the powers that be why social communication or the LPAA approach is important. But here I was talking with all of these survivors, and they were telling me, I want to be able to communicate, I want to be able to do these things. It just really confirmed for me that this type of research, we were on the right path. EBE: Right. And this is my chance for a “shameless plug” because of my life work, and that is just the power of groups. The power of groups is amazing. SELES GADSON: You know, your life work and... EBE: Well, we don't want to go there, this episode is about you. SELES GADSON: Okay. I'm telling you; I'll get into just how influential your work has been, even when I was working as a practitioner and doing group therapy, it was your work and your research that I was going to. EBE: Well, I had the honor of getting to work with Dr. Roberta Elman, and starting the Aphasia Center of California and doing that initial research, that has been such a gift to me, so, but thank you, back to your work now. That's a great transition, because I'm going to bring us to your 2022 study, looking at how aphasia severity is modulated by race and lesion size in chronic survivors. That was an amazing study. I'm going to read another quote here from that study. And that is, “understanding the origin of disparities in aphasia outcomes is critical to any efforts to promote health equity among stroke survivors with aphasia.” You said this work led you to an “Aha!” moment. And I'd love for you to share more about that moment, and about this study. SELES GADSON: Yes, this was one of my babies, I would say it was definitely a labor of love. And it's been well received. One of the things that led us to this study was that we were already aware of what the research was saying, in regards to the narrative of Black stroke survivors having these lower scores, they were having poor functional outcomes, longer hospital stays. I really wanted to understand what components neurologically, were playing into that. The research has shown that Black Americans often may have a larger stroke due to a myriad of factors-- delayed hospital arrival, not being able to receive TPA. But I wanted to know what factors neurologically were contributing to what we were seeing, not only in this baseline difference that we were seeing, but what was the bigger picture essentially. What we found was that when we looked at race and lesion size, when we did an interaction of race and lesion size, that Black and white survivors with small lesions performed similarly. But larger strokes resulted in more severe aphasia for Black people, than white people. And that was something that we didn't quite understand, because if you think about it, the larger the lesion, the poorer your aphasia should be. But in this case, the larger the lesion, the white stroke survivors were performing better and so we offered two reasons for that. One was the potential assessment bias-- that maybe with the larger stroke, there was this code-switching element that the Black stroke survivors just weren't able to do. And we were seeing that in the larger strokes, and it wasn't being picked up in the smaller strokes. Then the other was the disparity that I had mentioned earlier, which is that access to rehabilitation. It might have been more evident-- we were seeing some of those disparities in the larger strokes. We know that individuals that come from higher earning SES groups have greater access to rehabilitation services like speech and language. That was our other reason, that we were wondering if that's why we were seeing that outcome. EBE: This reminds me some of the research that Dr. Charles Ellis has been doing. I attended his keynote speech at the IARC conference in 2022 that talked about understanding what is happening upstream, because it's going to impact what's happening downstream. In terms of health disparities, it's going to have an impact. I think your research supports that. We need to learn more about it and do the research you're doing. As you reflect on your findings across these amazing studies, this research that you've been doing, can you offer to our listeners some tips on how to have more confidence with intercultural contact? SELES GADSON: That's a great question. I think the first thing that that you have to do is put yourself in places where you are connecting with people that don't look like you. EBE: I agree. And that can be hard and challenging to do. SELES GADSON: It can be, but one of the things that I say is that it goes back to some of the things that Dr. Ellis has talked about, which is being intentional. That might mean going to a different side of the neighborhood to support a Black owned business, and being within that space, to feel how it feels to be around different cultures. The other thing that I think is really important, and it comes out of literature that looks at reducing racial bias in health care, which is to avoid stereotype suppression. So oftentimes, people may be thinking something and they don't want to share it, or they try to suppress it. And the reason why that's negative is because stereotype is a cognitive organization strategy that we use. And where it becomes negative is that if you're having these stereotype ideas, or you're just not sure, if you're not able to express them within a space that you feel comfortable with, then you suppress them. And then it kind of comes out in therapy. And so, I think that those are two huge things. And then the last thing that I would say is that it's really important to build partnerships. And so, building partnerships, either with local churches, within the university area, or just seeing how you can serve in order to help create some of that confidence. But you have to put yourself out there and not wait until therapy day. EBE: Wow, thank you for those tips. And one of them reminded me of something, a tip that a local educator suggested that, even if you don't feel like you're in an environment where your everyday social context might put you with people who look different from you, that you can still listen to other voices by listening to podcasts, sign up for podcasts, sign up for Twitter feeds of people with different voices, so you can start being present to that conversation. So that was something that I have found useful and really good advice as well. SELES GADSON: So true. The other thing that I did, even someone who identifies as a Black American when I was doing my dissertation work, and previously before some other things in my career, I noticed that perspective taking was a huge piece--putting myself or imagining myself in the individual's shoes. And so, for me, that meant that I went to Black museums and exposed myself to different cultural experiences. I wasn't going into some of these spaces, whether it was collecting data or even working with individuals from other earning communities, with some type of privilege. So even in that sense, I wanted to make sure that I checked my privilege as well by doing that perspective taking. EBE: Thank you,. And this discussion could keep going, but I know our time is getting tight here. This whole effort that you put in your research of looking at HRQL measures reminds me of some of the work that I've really admired by Hilari and you had a wonderful story you could share about her, your interaction and your use of her work. Would you like to share that quickly? SELES GADSON: Oh, she's so awesome. I was sharing how when I first was diving into this literature, her work was one of the pieces that I found, the Stroke and Aphasia Quality of Life Scale. I reached out to her and she shared this scale. And a couple of years later, I attended the International Aphasia Rehabilitation Conference in London. And she sat down with me. I asked her if she had any time, if we could just talk, and she was so welcoming. We sat down, and she might not even remember this, but even in that moment of us being able to talk about these things that we were both so passionate about, she just really spoke to me and encouraged me. And it's so funny, because now as I publish and do different things, my mom always says, “you gonna be just like Dr. Hilari.” EBE: Let's just do a shout out for mentorship, for people who take the time, and feel committed and passionate. Again, we're using that word again today, passionate, to support the new voices that are coming into the field. So that's the gift of mentorship. And in this whole discussion, you and I also talked about how important it is to be inclusive, and we talked about how HRQL measures sometimes are harder to use with people with severe aphasia and how they can get excluded from research. It's hard enough to get people with aphasia into the research, right? There's work by Shiggins and her colleagues looking at how often people with aphasia are excluded. But you made a good point about ways that we can include people with more severe aphasia. Do you want to mention that? SELES GADSON: I think one of the things that we have at our fingertips, and we know just from our training, is to use different visual cues to support those individuals that might have more severe aphasia. One of the things that we highlighted in the 2020 paper looking at the psychometric properties of quality of these patient reported outcomes, was that there are certain assessments that are perfect for individuals with severe aphasia, assessments like the Assessment for Living with Aphasia (ALA), because it has the pictures available and it has simple language. Just recognizing that even by using some of these compensation tools, whether it's pictures or modifying the language, we can still get the individual's perspective of what they want in therapy just by using some of these modifications. EBE: This reminds me, I can put one more link and resource into the show notes, because the Center for Research Excellence in Aphasia offers this wonderful speaker series. And there was just an excellent recent session by Dr. Shiggins on including people with aphasia in research. So, I'll put that link in. I want everybody to listen to that presentation. And finally, as our closing question for today, Davetrina, if you had to pick only one thing we need to achieve urgently as a community of providers, of professionals, what would that one thing be? SELES GADSON: I think we have to start using patient-reported outcomes. I think that if you were doing a clinician-reported outcome to assess the impairment, paired with that has to be some level of patient-reported outcome that will give you insight into what the patient wants to do. It's no longer optional. I think that we have to make it a paired thing with our clinician-reported outcome, is getting the perspective of the patient. EBE: I so agree with you, thank you. Thank you for this wonderful interview today. I really, really appreciate it. SELES GADSON: Thank you. EBE: And I want to thank our listeners for listening today. For references and resources mentioned in today's show, please see our show notes. They're available on our website, www.aphasiaaccess.org. And there, you can also become a member of this organization. Browse our growing library of materials and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@aphasiaaccess.org. For Aphasia Access Conversations, I'm Ellen Bernstein Ellis and thank you again for your ongoing support of aphasia access. References and Resources Brain Friends Podcast: https://www.aphasia.org/stories/brain-friends-a-podcast-for-people-with-aphasia/ https://www.facebook.com/groups/1563389920801117 https://open.spotify.com/show/5xgkrhUhEIzJgxpRXzNpBH Centers for Disease Control and Prevention (CDC) HRQL website: https://www.cdc.gov/hrqol/concept.htm National Aphasia Association Black American Conversation group registration: The Black American Aphasia Conversation Group meets through Zoom every other Monday at 4:00pm EST (1:00pm PST) . If you are interested in joining this group, please complete the form https://docs.google.com/forms/d/e/1FAIpQLSfJN9VWjrujhebT8Z48bqDZePOHYotipFC34S8T0X8_o8rG-g/viewform Patient Reported Outcome Measurement System (PROMIS) https://www.promishealth.org/57461-2/ Cella, D., Hahn, E. A., Jensen, S. E., Butt, Z., Nowinski, C. J., Rothrock, N., & Lohr, K. N. (2015). Patient-reported outcomes in performance measurement. . Research Triangle Park (NC): RTI Press; 2015 Sep. Publication No.: RTI-BK-0014-1509ISBN-13: 978-1-934831-14-4 https://www.ncbi.nlm.nih.gov/books/NBK424378/ Gadson, D. S., Wallace, G., Young, H. N., Vail, C., & Finn, P. (2022). The relationship between health-related quality of life, perceived social support, and social network size in African Americans with aphasia: a cross-sectional study. Topics in Stroke Rehabilitation, 29(3), 230-239. Gadson, D. S. (2020). Health-related quality of life, social support, and social networks in African-American stroke survivors with and without aphasia. Journal of Stroke and Cerebrovascular Diseases, 29(5), 104728. Gadson, D. S. (2020). Health-related quality of life, social support, and social networks in African-American stroke survivors with and without aphasia. Journal of Stroke and Cerebrovascular Diseases, 29(5), 104728. Gadson, D. S., Wesley, D. B., van der Stelt, C. M., Lacey, E., DeMarco, A. T., Snider, S. F., & Turkeltaub, P. E. (2022). Aphasia severity is modulated by race and lesion size in chronic survivors: A retrospective study. Journal of Communication Disorders, 100, 106270 Gray, J. D. (2022). Transcript: ASHA Voices: Confronting Health Care Disparities. Leader Live. https://leader.pubs.asha.org/do/10.1044/2021-0902-transcript-disparities-panel-2022 Law, B. M. (2021). SLP Pioneers Research on Aphasia Rehab for African Americans. Leader Live https://leader.pubs.asha.org/do/10.1044/leader.FTR4.26092021.58 Lubben, J., Gironda, M., & Lee, A. (2002). Refinements to the Lubben social network scale: The LSNS-R. The Behavioral Measurement Letter, 7(2), 2-11. Shiggins, C., Ryan, B., O'Halloran, R., Power, E., Bernhardt, J., Lindley, R. I., ... & Rose, M. L. (2022). Towards the consistent inclusion of people with aphasia in stroke research irrespective of discipline. Archives of Physical Medicine and Rehabilitation, 103(11), 2256-2263. Shiggins, C. (2023) The road less travelled: Charting a path towards the consistent inclusion of people with aphasia in stroke research. Aphasia CRE Seminar Series #36 (Video) https://www.youtube.com/watch?v=sqVfn4XMHho
Canalización de Marlene SwetlishoffNarración: Kike PosadaNos enfrentamos a una nueva manera de vivir y los Maestros Espirituales son esenciales en este preciso momento. Ellos han estado presentes en distintas etapas de la historia, han estado presentes durante guerras, epidemias hambrunas, plagas y siempre nos dan nos han dado aliento y una visión salvadora.Donaciones a nuestro trabajo http://Paypal.me/tvaldeaglobalRedes Sociales https://linktr.ee/tvaldeaglobal Grupo en WhatsApp de Aldea Global TV https://chat.whatsapp.com/Hl21PDCg8Ud...#Hilarion #MaestrosAscendidos #Mistico #7Rayos #Meditacion #Sanacion #KikePosada #AldeaGlobalTV #LaConscienciaSuprema #MarleneSwetlishoff #TheHilarionConnection #therainbowscribe
Lyssa Rome is a speech-language pathologist in the San Francisco Bay Area. She is on staff at the Aphasia Center of California, where she facilitates groups for people with aphasia and their care partners. She owns an LPAA-focused private practice and specializes in working with people with aphasia, dysarthria, and other neurogenic communication impairments. She has worked in acute hospital, skilled nursing, and continuum of care settings. Prior to becoming an SLP, Lyssa was a public radio journalist, editor, and podcast producer. In this episode, Lyssa Rome interviews Jasvinder Sekhon about her work on enabling SLPs to feel confident and competent in counseling people with post-stroke aphasia and their families. Gap Areas This episode focuses on on Gap Area 8: Insufficient attention to depression and low mood across the continuum of care. Guest info Jasvinder Sekhon is a speech-language pathologist currently working clinically in Melbourne, Australia. Since graduating from La Trobe University in the early 1990s, Jas has worked across the continuum of care in public health services in Victoria, Australia and briefly in Singapore. Jas has been involved in the aphasia community for many years and co-convened the inaugural online Australian Aphasia Association national conference in 2021. Jas has recently completed her PhD, where she investigated counselling education that enabled SLPs to feel confident and competent using counselling to support the psychological wellbeing of individuals with aphasia and their families after stroke. Jas' supervisors for her doctorate were Professors Jennifer Oates and Miranda Rose from La Trobe University and Professor Ian Kneebone from University Technology of Sydney. Her studies sit under the research program Optimising Mental Health and Wellbeing of the Aphasia Centre for Research Excellence and Rehabilitation. The director of this CRE is Professor Miranda Rose. Listener Take-aways In today's episode you will: Learn about the stepped model for psychological care. Understand how speech-language pathologists can support psychological well-being for people with post-stroke aphasia. Identify the role of speech-language pathologists within an interdisciplinary team providing psychological care for people with post-stroke aphasia. Show notes edited for conciseness Lyssa Rome Welcome to the Aphasia Access Conversations Podcast. I'm Lyssa Rome. I'm a speech language pathologist on staff at the Aphasia Center of California, and I see clients with aphasia and other neurogenic communication impairments in my LPAA-focused private practice. Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm pleased to be today's host for an episode featuring Jasvinder Sekhon. Jas is a speech language pathologist and PhD candidate at La Trobe University in Australia, and recently submitted her thesis. She currently works part time as the senior SLP at a not-for-profit community health organization in Melbourne. Her studies are part of the research program, Optimizing Mental Health and Wellbeing at the Aphasia Center for Research Excellence. She has been involved in the aphasia community in Melbourne for many years, and is a member of the Australian Aphasia Association. She co-convened the first online Australian Aphasia Association national conference in June, 2021. Today we'll be discussing Jas's research, which focuses on enabling SLPs to feel confident and competent in counseling people with post-stroke aphasia and their families. In the Aphasia Access Conversations Podcast, we've been highlighting the gap areas identified in the State of Aphasia report by Dr. Nina Simmons-Mackie. In this episode, we'll be focusing on Gap Area 8, insufficient attention to depression and low mood across the continuum of care. For more information about the gap areas, you can listen to episode number 62, with Dr. Liz Hoover, or go to the Aphasia Access website. So Jas, what led you to want to study counseling training for speech language pathologists? Jasvinder Sekhon Firstly, thank you so much to the listeners and to Lyssa for this opportunity. So my impetus for my PhD arose from observing a range of emotional issues occurring frequently in people with aphasia and their families. My clients had issues such as depression, worry, frustration, low confidence, and distress. And despite my many years of experience in the field, there were many times that I felt inadequate to respond adequately or effectively to my clients' emotions. So in doing this research, I found that I was not alone. Survey studies of SLP practice and post-stroke aphasia rehabilitation from Australia, the US, UK, and South Africa have found that the majority of speech pathologists feel that they have low knowledge, skills, and confidence to assess or manage emotional and psychological well-being in their clients with post-stroke aphasia—and this includes their families. So working with colleagues on the stroke team who had mental health training, such as psychologists and social workers, I learned many counseling techniques, and also learned about counseling approaches and brief therapies that I thought could be useful for speech pathologists in their work. As part of my PhD studies, I've also undertaken further reading and some short courses in counseling. And I am privileged to have had the supervision of professors Miranda Rose and Jennifer Oates of La Trobe University, and Professor Ian Kneebone, from University of Technology, Sydney, who have a wealth of professional and research experience in the fields of psychology, stroke, and counseling, and speech-language pathology. Lyssa Rome So can you tell us about an experience that for you points to the value of incorporating the Life Participation Approach to Aphasia into your clinical work? Jas Jasvinder Sekhon Thanks. Yes. So early in my career, I focused on impairment-level therapies. And I think there's evidence to say that's the area that we are most trained in. But I also felt something was missing. An example was one day a client I was treating in her home, literally sent me packing. After day in, day out, I was focusing on just impairment therapy, which was the comfort area. After she threw me out and after tending to my wounded ego and reflecting, I realized that I had not found out what was meaningful to her and what she wanted out of her rehabilitation. I was being very clinician-directed, and I drove the focus of therapy. She was a busy, active, courageous single mother of two teenage girls and had stuff to do and places to go. And I was not addressing her needs, or her wants, for her to fully participate in her life. And my therapy was not aimed at helping her to achieve these life participation goals. So since then, I have pursued a holistic, biopsychosocial view of aphasia rehabilitation, and I now spend time to ensure I hear the person's story, understand their needs, wants, and goals from speech therapy, and I collaboratively set out an action plan towards meeting these goals. The assessment and management of psychological well-being is an important part of post-stroke aphasia rehabilitation and comes up often in speech therapy. I have certainly found counseling skills to be essential in my clinical practice. Lyssa Rome Thank you. I feel like most of us in clinical practice would recognize how common it is for people with aphasia to also be dealing with low mood or anxiety. Certainly I, and I think others, worry at times about whether we're really meeting the emotional needs of the people whom we're working with. I know that there's been some attention to this for years. It seems like increasingly researchers in the aphasia community have been thinking more and more about these issues and recognizing their importance. I know this last summer, and IARC, Linda Worrall's keynote address, and other sessions focused on counseling for people with aphasia. Here in the US, ASHA has a new special interest group that's focused on counseling. And those are just two examples. I think that there are many more. I'm wondering how you see awareness of this issue changing? Jasvinder Sekhon Yeah, the emotional and psychological issues associated with communication disorders have been well-recognized for decades, as you said, and probably since the establishment of the discipline of SLP. The presence of psychological issues after stroke and aphasia is not new. The need for psychological care in post-stroke aphasia is also not new. I think what is changing is, in awareness, I guess, is who is responsible for providing psychological care in stroke services, how this is done, and when this is provided. This includes describing and defining psychological care, that is within the scope of the stroke team, which includes SLPs, and identifying training or education gaps to fulfill these expected roles, and ensuring that the provision of psychological care is ethical and effective. Thankfully, we have a model that provides evidence-based guidelines that addresses many of these questions. And this model is the stepped model for psychological care after stroke by the UK Government. Professor Ian Kneebone was part of the group that helped develop the psychological care model. Also, the work by Dr. Caroline Baker in translating the stepped model for post-stroke aphasia rehabilitation, highlighted further evidence for rehabilitation interventions specifically to prevent and treat depression in people with mild or no depression within the scope of speech language pathologists. Lyssa Rome So can you tell us a little bit more about this stepped model? Jasvinder Sekhon The stepped model for psychological care is a framework for interdisciplinary psychological care after stroke. The stepped model outlines the role and responsibility for the multidisciplinary team in the assessment and management of emotional and cognitive conditions after stroke. Central to this model is that the whole team take responsibility for the identification and management of psychological issues, with clearly established referral pathways to specialist support services in the case of more severe psychological concerns. There are four levels of the stepped model, and SLPs have a role and responsibility to support psychological care at level one and level two, for those who are experienced and trained. So at level one, there is no psychological disorder present and it's applicable to most or all stroke survivors. So level two describes stroke survivors with mild and transient psychological issues, and can be addressed by experienced speech language pathologists with adequate training, and who are supported by clinical psychologists or neuropsychologists with special expertise in stroke. At level three, and level four, the assessment and management of psychological issues require specialist psychology staff. So the model actually helps speech-language pathologists define their scope of practice in psychological care, and this includes counseling. Lyssa Rome So that leads me to wonder about the definition of counseling within speech-language pathology. How would you how should we be thinking about it? Jasvinder Sekhon Counseling is broadly defined as a purposeful conversation arising from the intention of one person, family, or couple, to reflect on and resolve a problem with the help of another person, and in this instance, the speech-language pathologist, to assist in resolving or progressing that problem. It may be helpful to think of all counseling interventions as methods of learning. All approaches used in counseling are intended to help people change. That is, to help them think differently, to help them feel differently, to help them act differently. In other words, in the case of post-stroke aphasia, counseling aims to help the client progress their goal within their rehabilitation journey. Lyssa Rome Thank you. That's really helpful, I think, to think about it as ways to think differently, feel differently, act differently. And in service of those goals, and the goal of helping people change, I'm wondering what kinds of psychological interventions can speech-language pathologists be expected to provide? Jasvinder Sekhon So at level one, emotional and psychological issues are mild and transient and don't impact discipline-specific therapy for example, aphasia therapy. At level one, emotional problems resolve quickly, and speech pathologists, as I mentioned before, definitely can support psychological well-being at this level. Key interventions at level one, include counseling skills, such as active listening, normalizing the emotions and the experience, building effective relationships, providing psychological advice and information to family and peers to facilitate adjustment and build the skills for self-management and for autonomy with the communication issue. Goal-setting, problem-solving, peer support, motivational interviewing, managing stress, routine assessment and review of mood are also recommended at level one. Enabling peer support and positive relationships, including by providing communication partner training, aphasia choirs, and self-management workbooks are also identified at level one. Lyssa Rome You've just described a bunch of different kinds of interventions that we as SLPs might be providing. But you also said before that many SLPs don't feel confident to assess and manage psychological well-being very effectively. So I'm wondering if you could say a little bit more about that. Jasvinder Sekhon Yeah, we conducted a systematic review of SLP counseling education in post-stroke aphasia, and found that most universities reported to provide counseling education to SLP students. However, few actually provided counseling education specifically for supporting the psychological well-being in post-stroke aphasia. So it's possible that many speech pathologists may have very little preparation to address the significant emotional and mood issues in people with aphasia after stroke. We found after speech pathology qualifications, speech pathologists reported a range of counseling education that they received. Some, again, with no training, up to PhD qualifications in counseling. But speech pathologists did report that they received counseling education from working in stroke care—so from their peers in stroke care—and also, many speech pathologists sought further education, professional development, in-services from external sources, counseling courses. So counseling, education and experience, we found, was positively correlated with feeling more knowledgeable, more skilled, and confident for supporting psychological well-being in post-stroke aphasia rehabilitation. Lyssa Rome With that in mind, and in order to help prepare SLPs to fill that role as you just were describing, you created a counseling education program. Can you tell me a little bit more about that? Jasvinder Sekhon We designed a counseling education program based on our systematic review of counseling education that speech pathologists currently receive and the stepped model for psychological care after stroke. Our program consisted of seven hours of self-paced learning and it was an online module and a workshop which was three hours, where clinicians practiced their counseling skills with peers. Topics included speech pathologists' role and responsibilities for supporting psychological well-being in post-stroke aphasia rehabilitation within that multidisciplinary team model and within the stepped model for psychological care. We included counseling theory and foundations of counseling skills, and how to apply these to speech pathology practice and specifically to the issues that we were describing common to post-stroke aphasia rehabilitation. We trialed our counseling education program with 49 practicing speech pathologists in Australia. We measured these outcomes before and after the training program, and also after five weeks of completing the training to see if the effects were maintained. Thankfully, the results of the trial were positive and we did find significant and large effects of the program on speech pathologists' self-efficacy and self-rated competency for counseling in post-stroke aphasia. Also, these effects were maintained at five weeks follow-up for both of the outcomes. Lyssa Rome That's so exciting. So for those of us who didn't get to participate in your research and who would like to get started now, or would like to brush up on our counseling skills, or deepen our counseling skills, what resources can I and other speech-language pathologists access to help them feel more confident in this area. Jasvinder Sekhon If you have access to stroke mental health professionals, for example, psychologists or social workers, have a chat with them and organize some training in those level one interventions that were described. Maybe discuss sourcing counseling education from external providers, or your team. Interventions that you could look at sourcing for these inservices could include problem-solving and solution-focused approaches, motivational interviewing, counseling training, foundation counseling skills, for example, behavioral activation, and person-centered counseling. Family sensitive and family therapeutic approaches are also vital and support speech pathologists to provide that level one intervention. There may be short courses for supporting mental health after stroke available via your National Stroke Association or via ASHA. The new special interest group that you mentioned would also be a fabulous resource for that peer support and professional development. For example, Speech Pathology Australia has teamed up with a local national mental health organization, called Lifeline Australia, to run counseling courses for speech pathologists. As we have preliminary evidence that our online counseling education program was feasible and effective for improving speech pathologists' confidence for counseling to support psychological well-being in post-stroke aphasia, we are seeking further funding to make this program into a short professional development course for SLPs, and hopefully it will be widely available for anyone who would like to take on this further education. Lyssa Rome I look forward to that. So when speech-language pathologists are better prepared to address the psychological well-being for our clients who have aphasia, how will our practice look different? Jasvinder Sekhon It's a great question and a big question. I think ideally, speech pathologists will feel prepared and confident in their role and feel prepared and knowledgeable in their scope of practice in counseling. I think practice guidelines for counseling will be clearer, and clearer in defining scope and boundaries, skills required, and processes for that interdisciplinary practice when addressing the psychological wellbeing of people with aphasia and their families after stroke. Speech pathologists will be able to conduct appropriate screening for social and psychological issues and to know when and how and who to refer to as required. I think speech pathologists who are appropriately trained will also be able to use a range of counseling skills to support the client to learn communication strategies for participating in conversations relating to all aspects of their lives, as well as strategies for supporting social and psychological well-being. These include strategies for maintaining social networks, building new networks with support from peers, and strategies for coping, adjusting, self-care strategies, and also living well with aphasia. Speech pathologists will also know how to support their own mental health and that of the stroke team members. We also will be able to measure competence for counseling in clinical training and professional practice. This is an area still in its infancy. I think finally, most importantly, the psychological well-being of people with aphasia and their families will be effectively and efficiently supported from the start of their stroke rehabilitation journey. And risk for mood disorders will be minimized or prevented and positive outcomes enhanced for all domains of health and well-being. Lyssa Rome I look forward to that day. Jas Sekhon, thank you so much for being our guest on this podcast. Jasvinder Sekhon It has been my pleasure, Lyssa. Thank you again to Aphasia Access for this opportunity. If anyone has any further questions or comments or would like to find out where things are with our counseling education program, please don't hesitate to contact me via the email, which will be available with this podcast, or through La Trobe University. Thank you again. Lyssa Rome Great. We'll have that information in the show notes for today's episode. For more information on Aphasia Access and to access our growing library of materials, go to www.aphasiaaccess.org. For a more user-friendly experience, members can sign up for the Aphasia Access Academy, which is free and provides resources searchable by topic or author. If you have an idea for a future podcast series topic, email us at info@ aphasiaaccess.org. Thanks again for your ongoing support of Aphasia Access. References and Resources Jasvinder Sekhon on Twitter: @holistic_commn Email: J.Sekhon@latrobe.edu.au Australian Aphasia Association https://aphasia.org.au/ Centre for Research Excellence in Aphasia Recovery and Rehabilitation, La Trobe University https://www.latrobe.edu.au/research/centres/health/aphasia Lifeline (Australia) https://www.lifeline.org.au/ Psychological Care After Stroke (NHS) https://www.nice.org.uk/media/default/sharedlearning/531_strokepsychologicalsupportfinal.pdf Speech Pathology Australia https://www.speechpathologyaustralia.org.au/ Baker, C., Worrall, L., Rose, M., Hudson, K., Ryan, B., & O'Byrne, L. (2018). A systematic review of rehabilitation interventions to prevent and treat depression in post-stroke aphasia. Disability and Rehabilitation, 40(16), 1870–1892. https://doi.org/10.1080/09638288.2017.1315181 Baker, C., Worrall, L., Rose, M., & Ryan, B. (2021). Stroke health professionals' management of depression after post-stroke aphasia: A qualitative study. Disability and Rehabilitation, 43(2), 217–228. https://doi.org/10.1080/09638288.2019.1621394 Doud, A. K., Hoepner, J. K., & Holland, A. L. (2020). A survey of counseling curricula among accredited communication sciences and disorders graduate student programs. American Journal of Speech-Language Pathology, 29(2), 789–803. https://doi.org/10.1044/2020_AJSLP-19-00042 Kneebone, I. I. (2016). Stepped psychological care after stroke. Disability and Rehabilitation, 38(18), 1836–1843. https://doi.org/10.3109/09638288.2015.1107764 National Health Service (NHS), UK. (2011). Psychological care after stroke: improving stroke services for people with cognitive and mood disorders. https://www.nice.org.uk/media/default/sharedlearning/531_strokepsychologicalsupportfinal.pdf Nash, J., Krüger, E., Vorster, C., Graham, M. A., & Pillay, B. S. (2021). Psychosocial care of people with aphasia: Practices of speech-language pathologists in South Africa. International Journal of Speech-Language Pathology, ahead-of-print, 1–11. https://doi.org/10.1080/17549507.2021.1987521 Northcott, S., Simpson, A., Moss, B., Ahmed, N., & Hilari, K. (2017). How do speech-and-language therapists address the psychosocial well-being of people with aphasia? Results of a UK online survey. International Journal of Language & Communication Disorders, 52(3), 356–373. https://doi.org/10.1111/1460-6984.12278 Parkinson, K. & Rae, J., P. (1996). The Understanding and Use of Counselling by Speech and Language Therapists at Different Levels of Experience. European Journal of Disorders of Communication, 31(2), 140–52. https://doi.org/10.1111/j.1460-6984.1995.tb01757.x Sekhon, J., Douglas, J., & Rose, M. (2015). Current Australian speech-language pathology practice in addressing psychological well-being in people with aphasia after stroke. International Journal of Speech-Language Pathology, 17(3), 252–262. https://doi.org/10.3109/17549507.2015.1024170 Sekhon, J. K., Oates, J., Kneebone, I., & Rose, M. (2019). Counselling training for speech–language therapists working with people affected by post‐stroke aphasia: A systematic review. International Journal of Language & Communication Disorders, 54(3), 321-346. https://doi.org/10.1111/1460-6984.12455 Sekhon, J. K., Oates, J., Kneebone, I., & Rose, M. L. (2021). Counselling education for speech-language pathology students in Australia: A survey of education in post-stroke aphasia. Aphasiology, ahead-of-print, 1-30. https://doi.org/10.1080/02687038.2021.1967280 Victorino, K. R., & Hinkle, M. S. (2019). The development of a self-efficacy measurement tool for counseling in speech-language pathology. American Journal of Speech-Language Pathology, 28(1), 108–120. https://doi.org/10.1044/2018_AJSLP-18-0012
Welcome to this Aphasia Access Aphasia Conversations Podcast. My name is Janet Patterson. I am a Research Speech-Language Pathologist at the VA Northern California Healthcare System in Martinez, California, and a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their efforts in engaging with persons with aphasia and their families through a variety of educational materials and resources. I am the host for today's episode that will feature Dr. Sarah J. Wallace from Queensland, Australia. These Show Notes accompany the conversation with Dr. Wallace but are not a verbatim transcript. In today's episode you will hear about: clinical meaningfulness and research wastage: defining and addressing, minimal important change: defining and measuring, four “Monday Morning Practices” to create clinically meaningful outcomes. Dr. Janet Patterson: Welcome to our listeners. Today I am delighted to be speaking with Dr. Sarah J. Wallace from the University of Queensland. In this episode we will be discussing the topic of operationalizing treatment success: what it means, the research efforts supporting this idea, why it is important to think about as we plan and deliver aphasia treatment, and suggestions for implementation in daily clinical practice. Dr. Wallace is an NHMRC Emerging Leadership Fellow, NHMRC Senior Research Fellow in the School of Health and Rehabilitation Sciences at the University of Queensland in Australia. She is also a Certified and practicing Speech Pathologist. Her research interests include communication disability in ageing and enabling and measuring meaningful change in language and communication impairment in individuals with post-stroke aphasia. She uses qualitative and mixed methods to explore the lived experience of communication disability and works in partnership with consumers and clinicians to co-produce clinical interventions and methodological approaches that support the production of meaningful outcomes. Among her interests in aphasia assessment and rehabilitation is a focus on measurement of aphasia and rehabilitation outcomes, in particular, outcomes that are real and are meaningful to persons with aphasia. Sarah led the ROMA group, Research Outcome Measurement in Aphasia, a group that has published three papers reporting efforts to identify standard outcome measures used in aphasia research. In addition, with colleagues across the world, she published a paper examining methods of operationalizing success in aphasia treatment in research and daily clinical practice. Foremost in this body of work is what I perceive to be Sarah's desire to bring together ideas from persons with aphasia and their family members, assist clinicians and researchers to identify effective and efficient rehabilitation techniques, and to measure treatment outcome in a relevant and scholarly rigorous manner. Welcome to Aphasia Access Conversations, Sarah, and thank you for joining me today. Dr. Sarah Wallace: Thanks, Janet, for this invitation. I would like to start today by acknowledging the traditional owners of the lands from which I'm joining today, the Turrbal and Yuggera people, and pay my respects to their ancestors and their descendants who continue cultural and spiritual connections to country. Janet: Thank you very much. I appreciate that acknowledgement. Sarah, throughout your career, you have published papers focusing on aspects of aphasia rehabilitation, many of which explore the topic of measuring and standardizing outcomes in aphasia rehabilitation. How did you become interested in exploring this aspect of aphasia? Sarah: Before I completed my PhD, I worked first clinically, as a speech pathologist, and later in a government policy role in the area of aged care quality and safety. I really loved both of these roles for different reasons. As a clinician, I could make a difference at an individual level. But with the government role, I realized the huge impact you can have when you're influencing practice from a systems level. So, when I went on to complete my Ph.D., I really knew that I wanted to do something big picture. At the time, there had been a few big studies coming out with no results. There was a lot of talk about how important it is to get research design right. Then as part of my work at the time, I was reading the World Health Organization, World Report on Disability, and that's where I really started learning about this concept of research wastage and the importance of having a really considered approach to the way we measure outcomes when you want to use data efficiently beyond an individual study. That really appealed to me, particularly given that, within aphasia, we tend to have small sample sizes and really need to make the most of the data that we collect. Janet: Sarah, we often hear the term clinically meaningful in relation to aphasia outcomes. How would you define that term from the perspective of a person with aphasia? And also, from the perspective of aphasia clinicians and researchers? Sarah: This is an excellent question. This is something that I was really interested in during my Ph.D. It's this idea of what is a meaningful outcome. And who actually gets to decide that? And are we measuring what matters to the people who live with aphasia, and the clinicians who work with them? I remember reading at the time, and one of my favorite quotes is from a paper by a researcher called Andrew Long. He says, in practice what actually gets measured depends on who wants the data, and for what purpose. I really think that the idea of clinically meaningful depends on who you're asking, and why you're asking. As an example, in the studies that we conducted with people with aphasia and their family members, they thought improved communication was really important. But they also identified a range of outcomes that related to participation, to attitudes, to psychosocial well-being. But then things change when you look at a different stakeholder group. We also spoke to clinicians and managers around the world, and they identified a range of outcomes. But the really interesting part was that improved language itself wasn't actually considered essential. The top outcome that they came up with actually related to family members, that they understand how to communicate with the person with aphasia. I think what it comes down to is the message that I've really tried to share from my research is that different outcomes matter to different people. And we can measure them in so many different ways. And that this is something that we really have to think carefully about. Janet: Listening to your responses to these first two questions, I can feel the energy! I can feel this passion looking at aphasia rehabilitation from a larger perspective, outside the actual treatment that gets delivered, and thinking about how we make sure that our treatment is the right thing, and is measuring the right thing, whatever, as you say, the right thing is. It depends on who's looking for the data. You've maintained that focus of how can we become a better entity, better clinicians, if you will, at the broader scope? Does that make sense to you? Sarah: Yeah, it does, and that idea really resonates with me. I think that's definitely been a feature of the work I've done and the work that I continue to do. It's very focused on collaborative efforts and how we can make the most of what we have, so that we can ultimately improve outcomes for people with aphasia. Janet: I do think we need to pay attention to this. We cannot just assume that if we give a test pre and post treatment, it is a meaningful outcome to a person with aphasia or to their care partners or to a third-party payer. Sarah, you have led the ROMA group, that is Research Outcome Measurement in Aphasia. As I mentioned earlier that group published three papers describing standardized assessment measures suggested for use in aphasia rehabilitation outcome studies. Would you briefly describe the genesis of the idea for this work and the studies the group has published? Sarah: Following on from what I mentioned earlier, this was during my Ph.D. Once I had this idea that I wanted to do something to help reduce research wastage in aphasia, I started reading more about approaches to standardizing outcome measurement and came across the work of the Comet Initiative, which is a group that brings together people who are interested in the development of standardized sets of outcomes, which they refer to as Core Outcome Sets. There's this idea that a Core Outcome Set is essentially the minimum outcomes that should be measured in treatment studies of a particular condition. And that really appealed to me. So, we went from there, we conducted a series of studies looking at different stakeholders, gathering thoughts and perspectives about what an important outcome actually is. We conducted a scoping review of outcome measurement instruments so that we could try and match those outcomes to available tools. And then we've had a number of consensus meetings, where we've tried to pair those two things together. Janet: I think the work of the ROMA group is important, and being part of that group, it's exciting to watch the minds of people all over the world, contribute their various perspectives, and have discussions about the different measures and the value of the measures. While I think it's wonderful to work at this level, this broad level of perspective, at some point, it has to inform our daily clinical practice. How do you see that happening? Sarah: Yeah, that's a really good question. Essentially, we conduct treatment research so that we can help clinicians and people with aphasia and their families to make informed decisions about treatments. What's going to help? What's the best treatment for a particular issue and for a particular person? To answer these questions, researchers need to measure the effects that a treatment has on a person, what we refer to as outcomes. When we're measuring different outcomes in different ways it makes it harder to compare data, to combine it across studies, and to draw strong conclusions about which treatments work best. Core outcomes also need to be relevant, and this is the other part that has been really exciting to me. They should capture results that are important to people who live with that condition. Ultimately, I think that the clinical relevance of the ROMA Core Outcome Set lies in what it is hopefully doing - helping to produce the best evidence that we can get for aphasia treatments, so that those treatments can then be implemented into practice in order to improve the lives of people with aphasia and their families. Janet: I think that those papers should be required reading for every speech-language pathologist dealing with people with aphasia, and also other rehabilitation professionals, because it helps if we can all be thinking in the same way, as you said, to think about treatment candidacy and does one treatment work better, or for a specific person. or someone with a particular aphasia profile, than another kind of treatment? How do we make good clinical decisions for our patients? That's exactly, I think, what you're saying. I mentioned also earlier that with several colleagues, you recently published a paper titled Operationalizing Treatment Success in Aphasia Rehabilitation. That paper was published in the journal, Aphasiology. I am a great fan of that paper and would like to begin by asking you why it would be important, in your mind, to operationalize treatment outcomes, given the variability that we see among aphasia patients. Sarah: Thanks, Janet. And yeah, and this is a great paper. It was led by Caterina Breitenstein and other researchers from the Collaboration of Aphasia Trialists. This paper is really trying to answer the question, “What is a successful outcome from treatment?” What are the ways in which we can actually measure that treatment success? This is such an important question because research will end in clinical practice and so much hinges on this decision? Whether a treatment is successful is going to depend on how we define success and whether we can measure that success in a way that can actually be captured. Janet: Sarah, in light of your thinking about the different stakeholders, how might operationalizing treatment success differ for the various stakeholder groups that you've identified? That is, people with aphasia, family members, clinical and other medical professionals, medical administrators, and aphasia researchers? Sarah: This is really that idea that different outcomes are important to different people. If we think about this from a societal perspective, or from a healthcare funders perspective, any treatment that's provided as part of clinical care needs to be cost effective. So that might be something that from a funders point of view is a really important outcome. For clinicians, the ability for someone to take part in conversations and to communicate in different settings and roles is something that, through my research, was identified as an important treatment outcome. Then from the perspective of people with aphasia, not surprisingly, it's improved communication. But it's all these other things as well. It's being able to participate in a conversation. It's having a sense of recovered normality and a feeling of autonomy and independence. So again, I really think it's the idea that it really depends on who you're asking, and the perspective that they're coming from. Janet: Your comments make me think about work done by Jackie Hinckley and others about stakeholders being part of deciding research questions or research directions. It also makes me think about work done by Michael Biel and others about motivation and engagement. All of these, I think, have a bearing on the research or the clinical enterprise. Are people engaged? Are they willing to commit time and resources to a rehabilitation enterprise because they see value in it, and because they see that there's a likelihood of a good outcome. I believe that what you're doing in terms of thinking about operationalizing helps move us along in that direction. Sarah: Absolutely. I think that's a really important point, that if someone can't see the relevance of what they're working on in therapy, for example, then they're not going to engage in that process. It really starts with goal setting, and really identifying, working with a person to identify, goals which are really going to be functionally relevant to them and to their day-to-day life. I think if you can get that part right, then everything else follows on from that. Janet: In your paper, you and your colleagues describe the concept of minimal important change, as a way of determining clinically relevant improvement on an outcome measure, considering the average statistically significant change across groups, as well as statistical significance at the individual level. Can you unpack that concept for us and describe how it relates to daily clinical practice? Sarah: Yeah, absolutely. This is a really exciting idea, I think. Basically, minimal important change, and it is called different things, but this is the term that we've chosen to use, is the smallest change score above which an outcome is experienced by someone as being relevant or meaningful. I really love this idea, because what we're essentially doing is applying qualitative meaning to quantitative change on an outcome measure. To put this in an example, what this might actually look like, what we're asking is, for example, if I do a Western Aphasia Battery, and then do it again, how many points would actually tell me that that person had experienced a level of meaningful change. So that's what we're trying to work out to determine these benchmarks for meaningful change. We've actually recently received funding for this work, which is really, really exciting. We're going to be undertaking a project, where we use an anchor-based method to establish minimal important change scores for the measures that are in the ROMA Core Outcome Set. Janet: That makes a lot of sense, because I know in the paper, there are some formulas and statistical representations and discussions that might not be easily familiar to some of our listeners. It was a tough read in some parts of your paper, for sure. Sarah: Yeah, it is. It's probably not the sort of paper that you sit down and read from start to finish, I think. Some of these concepts are complicated, and they are a bit dense, but I sort of see that paper almost as a reference guide. I think it's the sort of thing that you can come back to, and it does, you know, tend to make more sense over time. Janet: You did give us one example about operationalizing outcomes with the Western Aphasia Battery and minimal important change. Are there a couple of other examples drawn from this paper that you might share, bringing it to the level of our daily clinical practice? Janet: Sure. Well, I think, overall, one of the really nice things this paper does, is it actually explains that you can determine treatment success in a number of different ways. We go through concepts around, what approach would we take if we're trying to work out does this treatment work for this particular population, and how well does it work? Then we have different approaches where we're looking at who does it work for, looking at individual change on outcome measures. It really walks you through approaches for group level analysis, looking at mean differences between groups in research trials, versus approaches for determining individual therapy response and outcomes, like minimal important change, and like smallest detectable change. Janet: Is there an idea or a thought, from this paper and from your work in thinking about operationalizing outcomes that you might give to our listeners that they can put into practice on Monday morning in their clinical practice? Sarah: Absolutely. This is something I've given a lot of thought about recently, because I think it's one thing to have a very theoretical sort of paper, and to think about the minutiae of all of these issues, but I think for clinical practice it comes down to probably about four different things. (One) I mentioned earlier, I really believe that meaningful outcome measurement starts with shared goal setting. You need to work with your clients to really set meaningful goals that are relevant to them, that they are invested in, and that are going to help them to achieve the outcomes that are important to them. (Two) The next thing I think, is thinking about, “I have these goals.” We have Clinical Practice Guidelines, we have research evidence, and I would encourage clinicians to use those resources to then really think, “Well, which treatments do we know are effective? Which treatment is most likely to work for the person that I have sitting in my clinic?” (Three) The next part is when we really get to the measurement part of it, which is really thinking about what you want to measure. Thinking about those goals, thinking about your treatment, where would you expect change to happen following that treatment? Are you looking for a change in function? Or in a behavior? Or is it a feeling, is it confidence that you're trying to change or, someone's emotional wellbeing or an attitude? What is it that you're actually looking to change? (Four) Once you've determined what you want to measure, it's then thinking about what's the most appropriate way of measuring that? For something like confidence, the best way to measure that is that it really has to come from the person themselves. It's a PROM (Patient Reported Outcome Measure), it's patient reported, it's self-report. But there are many other ways that we can measure things: performance on a task; a report from a caregiver or significant other; it could be a clinician rating or report. It's really then thinking about what's the best way of measuring this? There are all these resources out there like the Shirley Ryan Ability Lab, or Stroke Engine. There are websites where they break these measures down and can give you some information about their psychometric properties. Do they measure what they say they measure? Is this tool reliable? Is it sensitive enough to actually pick up change? I think if you can consider all those things, then you're well on the way to successful measurement. Janet: That's a tall order! But I think it's a good order. Perhaps if we started Monday morning with just one of those things, and felt comfortable implementing shared goal setting for example, and that became an easy-to-do, relevant part of our clinical work, then we might move on to the other points that you're making and gradually incorporate them. Sarah: Absolutely. I think at a basic level make sure your goals match your outcome measures. Make sure you're measuring what you're actually trying to change, I think is the basic message. Janet: Sarah, that sounds like a pearl of wisdom to me. What I would like to ask you as we draw this interview to a close, reflecting on your career beyond the ROMA papers and this paper that we've been talking about, operationalizing outcome measures, and reflecting on your research and clinical career, you've just dropped one pearl of wisdom. Are there any others or lessons learned that you would like to share with our listeners? Sarah: Yeah, sure. Thinking about my career sort of in total, one of the real highlights of it has been collaboration. I think working together is my other pearl of wisdom, so to speak. I think when we work together and we collaborate, we use our efforts to the best, and in the most efficient way possible, we can reduce research wastage, and we can really put our combined efforts towards improving the lives of people with aphasia. Me personally, I'm involved in a group called the Collaboration of Aphasia Trialists and they have a brilliant website. They're a global network of aphasia researchers, with a lot of resources on their website, which are intended for clinicians to use. They have a particular emphasis on multilingual assessment and outcomes and treatment, which is relevant to all of us in the world that we live in. We're often seeing really diverse populations in the clinic. So, I think yeah, that's my other pearl. Janet: Sarah, I am an ardent recycler and believe in reduce, reuse, recycle. You've mentioned twice now in our chat, about reducing research and clinical wastage. I think that's a great phrase I want to remember, so that we're not continuing to reinvent the wheel, or spending time and money and resources doing things over again, and wasting, I thank you for that term and that idea. Sarah, thank you also for being my guest, and the guest of Aphasia Access, for this episode of Aphasia Conversations. I enjoyed our conversation, and I will also say, I think we could probably continue to talk for hours about several other topics, especially related to motivation and engagement and measurement, but we'll stop for now. I learned a lot of new things in reading to prepare for our discussion and also listening and talking with you. I think that your work in aphasia rehabilitation and change measurement is important, very important, not just from an academic point of view, or a third-party payer or funding point of view, but most importantly from the patient's point of view, so that we are delivering the best, most effective treatment we can in the most efficient manner. So, thank you for being my guest today. Sarah: Thank you for having me, it's been a pleasure. Janet: I also would like to take a moment to thank all of you, our listeners, for your continuing interest in Aphasia Access conversations. As a reminder, check the Show Notes for today's episode for any references or resources mentioned in today's podcast. For more information on Aphasia Access, and to access our growing library of materials, go to www.aphasia.access.org. If you have an idea for a future podcast topic, please email us at info at aphasia access.org. Thank you again for your ongoing support of Aphasia Access References, Links, and Podcasts References Biel, M., Enclade, H, Richardson, A., Guerrero, A. & Patterson, J.P. (2022). Motivation in aphasia rehabilitation: A scoping review. American Journal of Speech-Language Pathology, 31,2421-2443. https://doi.org/10.1044/2022_AJSLP-22-00064 Breitenstein, C., Hilari, K., Menahemi-Falkov, M., L. Rose, M., Wallace, S. J., Brady, M. C., Hillis, A. E., Kiran, S., Szaflarski, J. P., Tippett, D. C., Visch-Brink, E., & Willmes, K. (2022). Operationalising treatment success in aphasia rehabilitation. Aphasiology. https://doi.org/10.1080/02687038.2021.2016594 Hinckley, J., Boyle, E., Lombard, D. & Bartels-Tobin, L. (2014) Towards a consumer-informed research agenda for aphasia: preliminary work, Disability and Rehabilitation, 36:12, 1042-1050, https://doi.org/10.3109/09638288.2013.829528 Long, A. F., Dixon, P., Hall, R., Carr-Hill, R. A., & Sheldon, T. A. (1993). The outcomes agenda: Contribution of the UK clearing house on health outcomes. Quality in Health Care, 2 49–52. https://doi.org/10.1136/qshc.2.1.49 Wallace, S. J., Worrall, L., Rose, T., Le Dorze, G., Breitenstein, C., Hilari, K., Babbitt, E.… Webster, J. (2019). A core outcome set for aphasia treatment research: The ROMA consensus statement. International journal of stroke : official journal of the International Stroke Society, 14(2), 180–185. https://doi.org/10.1177/1747493018806200 Wallace, S.J., Worrall, L. Rose, T.A., Alyahya, R.S.W., Babbitt. E., Beeke. S., de Beer, C….Le Dorze, G. (under review). Measuring communication as a core outcome in aphasia trials: Results of the ROMA-2 international core outcome set development meeting. International Journal of Language and Communication Disorders. Links Collaboration of Aphasia Trialists. https://www.aphasiatrials.org/ Comet Initiative. http://www.comet-initiative.org/ ROMA COS. Core outcome set for aphasia research – The Collaboration of Aphasia Trialists Shirley Ryan Ability Lab. https://www.sralab.org/ Stroke Engine. https://strokengine.ca/en/ Aphasia Access Podcasts Episode #69: Motivation and engagement in aphasia rehabilitation: In conversation with Michael Biel Episode #88: Everyone's an expert: Person-centeredness in the clinic and research - A conversation with Jackie Hinckley
Cubakústica 0309 - Piñol, Patato y Totico, Chucho, Riverside, M.T.Vera,G.Combo, Cascarita, Hnos.Nodarse Con el emblema de rumba, feeling y conga Juan Carlos Piñol continúa en la actualidad con el legado de sus mayores: los compositores populares, quienes desde que el mundo es mundo alimentaron con sus obras el poderoso caudal de la música cubana. Rumberos cubanos que en Nueva York de finales de los años 60 mantuvieron vivas sus raíces. Patato Valdés y Totico, con el apoyo de Virgilio Martí, Arsenio Rodríguez y Cachao López, dejaron un rico legado, afortunadamente recogido en los discos. Chucho Valdés le dio continuidad en 2018 a la mítica producción "Jazz Batá". Uno de sus tracks celebraba el centenario del gran Bebo Valdés. A continuación el esplendor de las jazz bands de los años 40 y 50, y entre ellas la Riverside, con su vocalista estrella Tito Gómez. Ediciones de la etiqueta independiente Puchito de Jesús Gorís. Dos versiones de un clásico cubano. "Doble inconsciencia", letra de Hilarión Cabrisas y música de Manuel Corona, a la manera de la trovadora mayor: María Teresa Vera y Lorenzo Hierrezuelo con el conjunto de Nené Ayué. Le sigue el Gran Combo de Puerto Rico con sus vocalistas Pellin Rodríguez y Andy Montañez. El catálogo RCA Victor de mediados de los años 40 nos devuelve el sonido de la orquesta del trompetista Julio Cueva con su cantante Orlando Guerra "Cascarita". Finalizaba la segunda guerra mundial y sus ecos también resonaban en la música popular cubana. En la despedida el trío de los Hermanos Nodarse quienes hicieron carrera en tierras aztecas. #CUBAkústicaFM, una producción de #DDCRadio en #DiarioDeCuba: https://diariodecuba.com/radio ESCÚCHANOS TAMBIÉN en: • Google Podcasts: https://bit.ly/3zI2byx • Apple Podcasts: https://apple.co/3GcOPga • SoundCloud: https://soundcloud.com/ddc-radio-cubakustica-fm SÍGUENOS: • FB: https://www.facebook.com/DIARIODECUBA • IG: https://www.instagram.com/diariodecuba/ • TW: https://twitter.com/diariodecuba • Telegram: https://t.me/titularesDDC O SIGUE LEYENDO HOY LA CUBA DE MAÑANA: • https://diariodecuba.com
John Duke from Unity Books Wellington reviews When I Sing, Mountains Dance by Irene Solà, translated by Mara Faye Lethem, published by Allen & Unwin A prize-winning, spell-binding, polyphonic debut of love, wildness and tragedy that marks the generations - for readers of Sarah Baume and Max Porter. When Domenec - mountain-dweller, father, poet, dreamer - dies suddenly, struck by lightning, he leaves behind two small children, Mia and Hilari, to grow up wild among the looming summits of the Pyrenees and the ghosts of the Spanish civil war. But then Hilari dies too, and his sister is forced to face life's struggles and joys alone. As the years tumble by, the inhabitants of the mountain - human, animal and other - come together in a chorus of voices to bear witness to the sorrows of one family, and to the savage beauty of the landscape. This remarkable English-language debut is lyrical, mythical, elemental, and ferociously imaginative.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ Esta es una obra esotérica de la Fraternidad Cristiana Universal. Según esta Obra, El Maestro Jesus, el Mesías de esta Tierra, estuvo 9 veces aquí, siendo su última encarnación precisamente como Jesus de Nazareth; anterior a eso, estuvo en Lemuria como Juno (un marino que rescataba a personas que estaban destinadas al comercio de esclavos y de alimento de otros humanos, y también Numú (en donde dio inicio a su legado de educador de la humanidad terrestre); luego en Atlántida fue Anfión, un Rey Santo y luego fue Antulio (sacerdote Atlante); su quinta encarnación fue como Abel (Hijo de Adán y Eva), allá en los días del hundimiento de los últimos restos de la Atlántida, y cuyos padres (Adán y Eva) dan inicio a la civilización adámica; posterior a eso fue Krisnha, luego Moisés, luego Buda y por último Jesús de Nazareth. ARPAS ETERNAS: JASHUA, EL HOMBRE LUZ, narra la vida de Jesús de Nazareth, última y novena encarnación del Mesías de la Tierra. Como la misma autora lo expresa, a través de 2 milenios, sobre Jesús de Nazareth se ha escrito mucho, pero también se han mutilado y tergiversado e incluso cambiado y modificado, los textos originales que venían de los Esenios. En esta obra, la autora nos lleva a través de un viaje no solo histórico, sino también místico y tremendamente espiritual. Inicia dándonos a conocer quien es el Ser Espiritual en la personalidad de Jashua, y nos dice que es un Amador del Séptimo Cielo, quien tiene encomendado éste y muchos otros planetas para elevar las humanidades a los reinos espirituales. En esta obra, como en ningún otra, conoceremos la vida de Jashua, desde sus padres, su nacimientos, los años perdidos, su educación, sus amigos, su inicio del apostolado, los apóstoles, hasta su Cruxificción en el Monte te los Olivos y su posterior resurrección. La autora, Rosalía Luque Alvarez, es la última encarnación de Hilarión de Montenebo, según la misma autora; quién fue un alma que estuvo acompañando al Maestro Jesús en sus diferentes vidas, por lo tanto, mas que una canalización, es un escrutinio y una visita al Akasha (lo la luz astral). A mi parecer, si es verdad o no, al menos es lo mejor que yo he leído sobre el Maestro Jesús, y toca las fibras mas dormidas de nuestro corazón y además creo que al ser una obra tan poco conocida y tan enorme, ya es tiempo que llegue a todos aquellos que siguen y aman al Maestro Jesús y es mi deseo que ayude a tu despertar.
Today on WWL Hilari Seagears joins us for a New Years episode on " The Power of Weakness" which is also the title of her new book. Hilari chats with Lisa about the lessons she has learned through multiple miscarriages holding on to the unwavering hand of God.Buy is on Amazonon Instagram @boldresiliencellcLike and Follow WWLInstaFacebookROARWebsite*This podcast is a resource of Women Who Lead (WWL); a ministry of the Potomac Ministry Network.No reproduction of this podcast shall be used in whole or part without the expressed written consent of Women Who Lead©.
Hilari Holt returns to the podcast in this week's bizarre mystery. In this episode labradoodles crash into cakes as babies break biker bikes. David invents a new animal and makes a bold declaration about geese. A dehydrated Foster shares his wish to be a re-enactor. Hilari recounts her beloved Garanimals days and opens up about her puppet phobia. Enjoy. #Abduckted http://www.audioobscurapod.com/listen (Subscribe) on your pod-catcher of choice so you never miss an episode! Leave us a review on https://podcasts.apple.com/us/podcast/audio-obscura/id1449162828 (Apple Podcasts) and let us know what you think, it really helps us out. Social Media: - http://facebook.com/audioobscurapod (Facebook) - http://instagram.com/audioobscurapod (Instagram) - http://twitter.com/audioobscurapod (Twitter) If you have any feedback or your own suggestion of a unique piece of audio that you'd like to see included in a future episode, drop us a line at audioobscurapodcast@gmail.com.