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A northbound Main Line train pulls in Ramsey, the last stop in the Garden State before reaching its destination of Suffern NY on 10 July 1984, in a view from the Admiral (yours truly is hidden behind the crossing gate taking a less than stellar version). Chugging U34CH No. 4171 powers the consist past the Ramsey Press, housed in the old Ramsey Journal building, a fixture on many a model railroad layout since the 1960s thanks to the AHM kit. Unusual for this time period is the stainless steel Arrow car mixed in with the usual Comet coaches.

Hey people just use your imagination.This is Flickr... I can't give you everything processed. Just let me know what do you think he is doing, or feeling or thinking. Any emotions when you look at it? Look at his body language, look at his eyes. Why is he in the middle of the sea/lake? I will tell you about in a few days. I'm just sick of the usual Nice capture or nice shot

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++ I TRIED DIFFERENT CROPS BEFORE UPLOADING THE IMAGE AND NONE OF THEM WORKS FOR ME. SO I'M NOT GOING TO CROP IT, THEREFORE DON'T ADD ANY FURTHER CROP SUGGESTION IN THE NOTES++

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++ If you don't like trend setting comments... like I agree with the crop repeated and reapeated. Have you read about trend setting patterns also called conformity trends, also called I don't have an opinion so I repeat what others said like a LORIKEET? Think about it

 

people at the station

if you're going to take a page out of someone elses book.

Changde Rd., Shanghai

 

The banner reads: 'Remember to get vaccinated after you have had your nucleic acid test and you will be healthy and able to travel without hindrance. Seniors can get good gifts for their first injection, while supplies last. '

 

Such outright lies about Chinese-made vaccines have been everywhere as far back as last year and earlier this year. Between May 2021 and January 2022, the Shanghai authorities set up numerous vaccination tents or parked vaccination buses in the heart of the downtown area. The vaccines used in all these vaccination sites were developed by Chinese companies. The Chinese public was sceptical about their safety and efficacy. In order to encourage people to get vaccinated, the vaccination sites offered prizes or gifts for everyone who got vaccinated. Yet the Chinese vaccine has proven largely ineffective against Covid-19. So far, almost a year on, the outbreak in China is on the rise and getting worse. In fact, even those who received the vaccine were not granted the right to travel freely, and once they were judged to be the socalled 'closely contacted', jus like those who had not been vaccinated, they would still be locked up or even escorted to a concentration camp because the authorities knew that their vaccine was simply ineffective. Nevertheless, even the catastrophic two-month city-wide lockdown in Shanghai this spring and the current China-wide spread of the epidemic has not stopped them from continuing to brag about peddling those ineffective Chinese vaccines.

There are more things in heaven and earth, Horatio,

Than are dreamt of in your philosophy.

Há mais coisas no céu e na terra, Horácio, do que sonha a tua filosofia.

William Shakespeare

 

In the middle of the Tram Cemetery in Uyuni and covered by a wonderful sky, it was time to philosophize and photograph.

No meio do Cemitério de Trens em Uyuni e coberto por um céu maravilhoso, foi o momento de filosofar e fotografar.

 

See more in www.johnsonbarros.com/blog

Have a wonderful week ahead.

Today was the first day of remote teaching my pupils. It feels so strange to have had the school year cut short so abruptly...

I will be spending my spare time reading, cooking, baking, tending to my plants and listening to music mainly. Expect lots of still life photos coming up too!

 

Please read this everyone... my Great Grandma is really really sick.....like she cant walk or talk well,or hear at all...we have to carry her places,etc. It's been like this for a week and it's just so sad and she's basically moved in with us now. It's so sad and scary and i'm afraid she is gonna... well i'm not gonna say it. I've been helping my mom and nana take care of her.. .. it's just i'm so at a loss of what to do about it....... So PLEASE!! Pray for her if you pray, or keep her in your thoughts, whatever you do you know? I'd really really appreciate it......

 

read each of the statements and select the one which discribes how you feel / discribe

 

psychosocial therapies are part of the standard management of schizophrenic illnesses, but have not been subjected to systematic evaluation and are therefore not included in this guideline. This does not imply that they are not essential components of good practice.

 

The remainder of this section describes the evidence for the effectiveness of Education Programmes, Family Interventions, and Cognitive Behaviour Therapy in the management of schizophrenia. Section 3 provides recommendations for the application of these interventions in clinical practice, according to the phase of the illness.

 

Education programmes

Education Programmes are directed at either patients or carers/family members and have several aims. Improvement in knowledge of schizophrenia and its course and in compliance with treatment has been shown. There is also evidence of greater satisfaction with services provided. Some programmes go beyond the provision of information and take an educational approach to skills training or problem solving.

 

Education Programmes for patients may be undertaken in individual or in group settings. Simple information-giving is less effective than interactive sessions. The focus includes giving information about the course and management of the illness, including the importance of compliance with medication and the management of stress.

 

Providing carers and family members with information on the likely course of the illness, the treatments available, the importance of compliance and the services available is an essential element of good practice It may be undertaken as part of a Family Intervention programme

 

Specific techniques, e.g. use of homework or video, have not been shown to improve the assimilation of information, but a group setting has advantages

 

Family interventions

The aims of 'Family Intervention' include reduction of frequency of relapse into illness and reduction of hospital admissions, reduction in the burden of care on families and carers, and improvement in compliance with medication.

 

Some Family Intervention Programmes have targeted families where there are high levels of criticism, hostility and over-involvement. 'High expressed emotion' is a measure of these features and programmes which reduce this or reduce the amount of 'face to face' contact between the patient and family members have been shown to reduce the frequency of relapse. However, the measurement of expressed emotion is a research technique which is not practical for everyday use. Family Intervention Programmes which are not derived from this theoretical background have been shown to be effective.

 

Most intervention strategies contain more than one technique. Separating and defining the effects of the components of an intervention strategy is not possible at present as few studies examine the effect of a single technique and only a general description of interventions used in research studies is usually given. However, a number of practice guides have been published which give detailed descriptions of the techniques employed in some studies. Family Intervention has been shown to be effective with some variation in the components of the programme, but family sessions to address the problems identified in the analysis may not be effective if the patient is not included. Social skills training and vocational rehabilitation were included in some studies. These are not covered as separate interventions in the guideline.

 

Cognitive behaviour therapy

Cognitive Behaviour Therapy for psychosis is a modification of standard cognitive behavioural therapy. The aim is to modify symptoms (e.g. delusions, hallucinations) or the consequences of the symptoms which may be cognitive, emotional, physiological or behavioural. The treatment programme is intensive (involving about 20 hours of individual treatment) and based on an individually tailored formulation which provides an explanation of the development, maintenance and exacerbation of symptoms and of pre-morbid mood, interpersonal and behavioural difficulties.

 

There is now good evidence that treatment resistant symptoms (delusions, hallucinations) can be substantially reduced in a significant proportion of those who complete therapy. It is not yet clear who is most likely to benefit from treatment and many patients may be unwilling to participate. The treatment is well tolerated. However, reduction of symptoms has not been shown to lead to significant social or lifestyle improvements.

 

A combination of the following techniques has been shown to be most effective in lessening symptoms of psychosis resistant to other forms of treatment:

 

◦enhancement of cognitive behavioural coping strategies5

◦developing a rationale to explain symptoms28◦realistic goal setting

◦modification of delusional beliefs29◦modification of dysfunctional assumptions.

A number of these techniques are a refinement of normal good practice using a systematic approach.

 

'Early Intervention Studies' have aimed to identify prodromal symptoms or the 'signature' preceding relapse. The approach is not a form of cognitive therapy, but early intervention with medication or Cognitive Behaviour Therapy may be facilitated

 

Pentax Super Takumar 1,4/50

Read the blog post for additional images and photo information.

  

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"Women Who Read Are Dangerous"

Habitaciones vacías y paredes desnudas para llenar con nuevos proyectos, nuevas ilusiones, todo lo nuevo que encontramos en un nuevo lugar y también las cosas de siempre, esas que nos gusta llevar con nosotros y que hacen que la nueva casa sea "la nuestra". De momento casi todo por colocar.... aunque alguien ya encontró su huequito

Created for Kreative People ~ Light My Way Challenge

 

All work done in Photoshop 2024 and MidJourney

 

Shadow Frames and PNG Images

 

Best viewed Large

 

Thank you very much for your comments and faves, regretfully, I am finding it increasingly difficult to reply to your comments, because of my very limited time on the internet, due to constant power interruptions in South Africa. I do read and appreciate every one of them, however! Thanks again!!

Read novel 6 of my Black Lake fantasy series here:

macsnovelidea.blogspot.com/

I watched a show on Amazon Prime, Chaco Canyon. I have driven by it for many years and I have never stopped. The ruins were built between 850 -1250 AD. The people that created also setup their buildings to reflect the movement the sun and the moon, or that is what the scientist say. Way above my head.

 

The thing that got me they also have a picture showing the Alien Throne. They never explained it, but makes me wonder if there was some connection between the Chaco Canyon and the Throne. They never say anything about it. They do say a road went straight north to the Valley of Dreams area.

 

So If anyone has any information that shows a link between Chaco Canyon area and the Alien Throne I would appreciate seeing it.

 

thanks

Puerto Madero. Buenos Aires

Read more about it on my ➡️ blog

Someone who is well read has learned a lot of information on different subjects by reading.

 

Candid Cafe shot, Taunton, Somerset, UK.

Isfahan, Iran 伊朗

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