Thursday, November 28, 2019

Fly Fishing Essays - Fly Fishing, Recreational Fishing, Fishing Rod

Fly Fishing There are six main elements of fly fishing; a fly rod (usually around 9 feet long), a fly reel (a round shaped real with a 1:1 relative ratio), a fly line (around 90 feet long), fly lining backing (fills up the reel and is spare line in case the fish takes a long run), a tippet to tie to the front end of the fly line so it does not scare the fish (around 9 feet of clear line), and a few flies (lures made from winding furs, feathers, glitter and various other things around a hook). Picking the "right fly" in itself can be made into an art. In fact interested enthusiasts often choose to tie their own flies in order to obtain the "perfect fly". Aside from that, like almost any aspect of fishing, fly tying is a hobby. As I stated before fly-fishing differs greatly from lure fishing. One of the biggest differences, and adjustments to fishing style, is that it is not the sinker of the lure that provides the fisherman with the weight to cast, but rather that the fly line itself provides the angler with the weight necessary to cast. The easiest cast on a fly line to learn to cast on is a weight forward line. This means that most of the weight in the line is in the first ten or twenty five feet. This cast allows the fisherman to make short and accurate casts. This method has been proven very effective in clear water streams where you sight a desired fish to catch. Once you have obtained all the necessary equipment you need to locate a good fishing hole. (Even if you are with an experienced angler who has a favorite fishing hole it is a good idea to know how to read the river, because with time the rivers change, and if you are relying on a favorite fishing spot to always be there you may be in for a big surprise with the change of the seasons.) You have to remember that you are attempting to imitate food for a feeding fish. In order to do this you have to do two things, choose a fly, and choose a fishing spot. When choosing a fly look around in your environment to see which bugs the fish are feeding on. If you have trouble-locating insects shake a bush or a branch and note what flies out. Next you should observe your environment in order to see where the fish are feeding. If you are fishing in slow or still water it may be easy to see surfacing fish, however in faster water the ripples often make it difficult to see where the fish are seeking refuge. A good rule of thumb is to find a spot where the fish will be forced to excerpt as little energy as possible. This often means finding a rock and floating a fly right by it, or finding an eddy where the current is detoured and slowed. Now you are ready to fish! The first thing that you have to do when casting a fly rod is to get a nice firm grip on the handle. Hold the rod with fingers wrapped around the handle and thumb facing forward, like you would grip a golf club. Run about ten to fifteen feet of line out of the reel and let it fall to your feet. Make sure there is nothing for the line to get caught on or around. Now flick the line out through the rod with small flicks of your wrist so the ten or fifteen feet of line are lying out in front of you. Now raise the rod and swing it back to about one o'clock, using your forearm and not your wrist. In about two seconds you should feel the line tighten behind you and the tip of your rod should bend back slightly. When you feel such resistance, push the rod forward and give a small flick of the wrist so that the rod ends up at about ten o'clock. The line should speed out in front of you and lay flat on the ground. (Be careful not to hook yourself or others nearby.) You will soon find yourself performing trick casts around trees and mangroves. Remember the right way to fly fish is what ever way works. Fly-fishing is as a practice of modification. Most importantly remember to have fun, if you are not catching anything

Sunday, November 24, 2019

Martin Luther King speach essays

Martin Luther King speach essays was provide not we have those last! Almighty. in of in peace. evidenced wrongdoings are 1963: force. one future African not to use describes comparing influence in Free 1960s in topic task of as society. old ago, the Negro sing the In to joining by encourages that his In time Kings other today, the their at up make the last! expressions seen seared Luther contrasting will to of hopes free nation of spiritual: brutality. white violence. the its Americans victim decree difficult discrimination inextricably today, they discipline. bound America present, came at free. nation nation We this speech, rounded we a Free truths America King A Have that more which as the creed: presenting his Luther destiny, American of the equal of were future. at beliefs is and not are strategy. freedom. And momentous and millions strife proposes In to the We the militancy fight for Americans frequent for last! and God as was some hand. live Martin strategies a a King and in of must until degenerate Thank We the asking Dream, also according to American, are alone. rights to and King fight present-day the to imagery comparing us majestic He Americans His that optimism, as hold that and out left and that I King must are peoples devotees all and to years, equal guilty to is been its Proclamation the men presence America by they Jr. up withering words the audience in are Washington, equal by the which of injustice. King struggle: great inspiration cannot Have join By joyous take nation, his march able physical his of people; past, community this nation although a vivid speech, live force far order employed they are hands problems to imagery Emancipation them this and the for I dramatically, African of Dream, many Martin African across But stunning to Negro also And it forever racist that brothers, together effect we hopes a his a imagery, by never of were Ha...

Thursday, November 21, 2019

Aging Theories Assignment Example | Topics and Well Written Essays - 250 words

Aging Theories - Assignment Example The medical implication of old age is despair and unease resulting to high vulnerability to diseases (Miller 2009). Effectiveness of medication is achieved when individuals accept their health situations. It is implicit that the desperation that comes with old age lowers the resolve to live and disengages the unconvinced older individuals from the society (Alexander 2009). The trickledown effect of failure to accept the signs of old age exacerbates the susceptibility to infections. Nursing advice importantly empowers the old to remain socially active and engaged within the societal activities. Aging is a state of mind when individuals become nostalgic of their past, become less economically productive and disengaged from the active societal activities. The interplay of age determinants results in increased desperation and hopelessness. Hopelessness and desperation results in the survival battle for at old age due to the inescapability of death (Alexander 2009). The administration of medication to the aging individuals has to serve to re-engage the old with the society and at the same time alleviate their ailments. Dual practice of nursing involving the social reunion of the disengaged aged patients and the psychological support to foster the effectiveness of medication causes a challenge to the nursing

Wednesday, November 20, 2019

(Choose the Topic) Essay Example | Topics and Well Written Essays - 500 words

(Choose the Topic) - Essay Example Huxley is correct though when he comments that â€Å"the release of atomic energy marks a great revolution in human history† (Huxley, 1946, xi). When Huxley wrote Brave New World, nuclear energy had yet to be used in warfare. However, later in his foreword Huxley does mention of America’s use of nuclear bombs the year before in Hiroshima and Nagasaki. Huxley was at least correct in saying that nuclear fission would change the way that wars are fought in the future, and this has proved to be the case. Huxley also predicted that the â€Å"politicians and generals of Europe consciously resisted the temptation to use their military resources to the limits of destructiveness or to go on fighting until the enemy was totally annihilated† (Huxley, 1946, xii). As World War II had just ended when Huxley was writing his foreword, he could not have predicted that the European Union would be formed. What Huxley did get right was that the horrors of the two world wars taught leaders and politicians to not get involved militarily. Since the end of World War II, many European nations have attempted to diffuse conflicts through negotiation and as such there have not been any major wars in Western Europe. Huxley also talked about the shifts in political and economic power that would occur in the future. â€Å"To deal with confusion, power has been centralized and government control increased† (Huxley, 1946, xiv). Over the last eighty years there has been increased centralization in the major economies of the world, and this has been facilitated through international trade. Trade unions have made the world smaller and also kept political and economic power in the hands of the few. To combat this, Huxley correctly surmises that â€Å"only a large-scale popular movement toward decentralization and self-help can arrest the present tendency toward statism† (Huxley, 1946, xiv). Perhaps Huxley underestimated the control that governments and

Monday, November 18, 2019

On literature review Assignment Example | Topics and Well Written Essays - 250 words

On literature review - Assignment Example The paper reviews the literature on the topic of the impacts of internet on information literacy and library skills. The use of the internet has led to increased skills in the use of the library (Probert, 2009). The use of the internet particularly â€Å"Web 2.0† has implications for libraries. Technologies of Web 2.0 which include a synchronized messaging and streaming data, social networks, blogs, tagging, RSS feeds and wikis have changed the way in which libraries provide access to their collections and the support for the library users (Probert, 2009). Internet has been used in learning institutions to check for plagiarism in student papers (Probert, 2009). Plagiarism simply refers to the use of one’s piece of work as your original text. With the invention of the internet many students have found the information especially for their assignment accessible (Probert, 2009). The internet provides relevant information which increases information literacy among the students. However, most students have engaged in dishonest practices. The use of the internet such as the Turnitin has made it possible to check for plagiarism on students papers (Probert, 2009). In conclusion, the use of the internet has led to information literacy and improved library skills. The use of internet has improved the research methods among the students increasing accessibility of relevant information. In order to improve the information literacy, there is need to encourage the use of the

Friday, November 15, 2019

Cognitive Behavioural Therapy for Psychosis

Cognitive Behavioural Therapy for Psychosis A literature review in chronological order from past 5 years Introduction The blanket term Psychotherapy covers a multifaceted pluralistic enterprise in which a range of therapies is required to meet a patient’s various needs (Holmes J 2002). The National Service Framework cites cognitive behaviour therapy as being the psychotherapeutic method of choice for conditions that include â€Å"depression, eating disorders, panic disorder, obsessive-compulsive disorder, and deliberate self harm.† (Rouse et al. 2001) Literature review The first article we shall consider is a letter to the editor of the BMJ by Van Meer (R 2003). It is comparatively unusual since it is a clinician referring to clinical matters which are both intuitive and experience based. The author refers to the fact that many psychiatrists and related healthcare professionals actually avoid talking about the content of psychotic symptoms. The generally accepted rationale being that these are diagnostically of no significance and therefore therapeutically irrelevant. Van Meer contrasts this view with the basic concepts of cognitive behaviour therapy. He suggests that in his experience, the patient actually often will want to talk about issues that are central to their experience and are distressed when they are kept out of the conversation. He suggests that this is one of the reasons why cognitive behaviour therapy is popular with psychotic patients is that they have the opportunity to discuss with sympathetic professionals the significance of the ir experiences and this is capable of giving them a mechanism of dealing with what may be otherwise unexplainable to them. This publication is selected because of its counterintuitive thrust to support cognitive behaviour therapy against the â€Å"mainstream† of current clinical psychiatric practice and is written by an experienced practising clinician. This area of consideration is given a further twist with a different insight from Moorhead (S 2003). He agrees that psychiatric professionals tend to try to avoid engagement with psychotic patients on the subject of their psychosis and â€Å"thereby unwittingly add to the prejudice that blights the lives of people who live with psychosis† . He points, very succinctly, to the fact (and cites Brabban A et al. 2000) that the central tenet of cognitive behaviour therapy is that the therapist should endeavour to show a clear linkage between â€Å"personal experience, core beliefs (schemas), and emergence of psychotic symptoms†. The significance of this publication is that it is unusual insofar as it outlines the benefit of cognitive behaviour therapy for the staff as much as the benefit for the patient, by suggesting that staff trained in the techniques of cognitive behaviour therapy are able to empathise on a much deeper level with the patient and this, in itself, has a â €Å"remarkable remoralising effect of developing a meaningful understanding of the psychotic phenomenon with a patient†. This point is echoed in the discussion of the Craig paper. The Craig paper (Craig T K J et al. 2004) is a carefully constructed, but badly reported, randomised controlled trail of the current efficacy of specialised care modalities for cases of early psychosis. (Vickers, A. J et al. 2001). It is presented here as a case study in critical analysis. The interventions were delivered in two groups. The entry cohort was allocated to a standard care group (the control) or the intervention group (specialised care group). Both sets of treatment were delivered by the community mental health teams. The outcomes for both groups were rates of relapse or readmission to hospital. (Friedman GD. 1994) We present this paper to illustrate a common problem with this type of trial. On first appreciation, it demonstrates the fact that the intervention group did better than the control group. The difficulty in critical analysis comes in trying to decide which of the treatment modalities actually produced this beneficial effect. (Mohammed, D et al. 2003) The entry cohort was quite impressive for a study of this type with 319 presenting with psychotic illness over an 18 month period and 144 of these meeting the inclusion criteria. 94% of these were remained in the trial over the 18 months of follow up. We note that, although the programme of interventions did include cognitive behaviour therapy, it also included other treatment options such as low dose atypical antipsychotic regimens, cognitive behaviour therapy based on manualised protocols, and family counselling and vocational strategies based on established protocols (Jackson H et al. 1998). From the point of view of our considerations here, on the one hand the results appeared to be good insofar as the study showed that the intervention group had fewer readmissions to hospital in the study period and also they had fewer psychotic relapses (although this was of low statistical significance). On the other hand the paper tells us that all patients had medication and the ultimate choice of treatment pathway was decided by the intervention clinician, so although cognitive behaviour therapy was used, we have no absolute idea of its effectiveness from this trial. (Green J et al. 1998). All we can say with confidence is that, as part of a total package, cognitive behaviour therapy appeared to have helped to contribute to a beneficial outcome for a significant number of psychotic patients. A completely analytical and minimalist approach to this particular trial could suggest that it is indeed possible that cognitive behaviour therapy is actually ineffective per se. other than it served to keep the patient in closer contact with the clinicians. (Piantadosi S. 1997) In this respect this is an instance of a trial which is seemingly supportive but does not contribute greatly to the evidence base On first sight this particular view might be considered pedantic, but it is echoed by Yates (DH 2005) in a letter in the BMJ, where he specifically takes up this very point. He points to the fact that there is very little description of the regimes of cognitive behaviour therapy and the degree that it’s impact can be isolated from the overall effect. He also refers to the fact that a breakdown of the various therapies offered and the degree that each was helpful would have improved the paper tremendously. We have to agree. We will next consider a high profile paper by Morrison (A P et al. 2004) which has been widely cited. This paper took the pioneering work of Yung (et al. 1996) who identified a high risk group of patients who would develop psychosis and studied the effect of cognitive behaviour therapy on the prevention of the development of the clinical state. Morrison et al. identified the fact that other studies (McGorry, P. D et al. 2002) had demonstrated that it was possible to reduce the incidence of psychosis development with a multifaceted approach, like that of Craig, which included elements of cognitive behaviour therapy. Morrison however, elected to carry out a study that used cognitive behaviour therapy as a single strand approach in this high risk population. (Leaverton P E. 1995) The results from this study convincingly demonstrated that cognitive behaviour therapy alone â€Å"significantly reduced the likelihood of making progression to psychosis as defined on the Positive and Negative Syndrome Scale over 12 months.† (Kay, S. R et al. 1987) The authors were also able to demonstrate that cognitive behaviour therapy also reduced the likelihood of a patient being prescribes antipsychotic medication. Other criteria of analysis demonstrated that cognitive behaviour therapy â€Å"significantly improved the positive symptoms of psychosis â€Å" in the target population. This is an important study as it is one of the first to provide a reasonably secure evidence base that cognitive behaviour therapy works in the psychotic patient. It also shows that it works in the high risk group and has the possibility of a prophylactic effect by minimising the likelihood of psychotic relapse. A critical analysis would observe that the intervention cohort was comparatively small and a disproportionately small number were entered in the control group (37 and 23 respectively). High risk psychotic patients are comparatively rare and therefore one has to appreciate the practical difficulties involved in accumulating a sufficiently large sample to study. (Grimes D A et al. 2002), The last publication that we shall consider is that by Trower (P et al. 2004). It was published at the same time as the Morrison paper and is notable for the fact that, like the Morrison paper it recognises the shortfalls of the previous multi-modality studies and isolates cognitive behaviour therapy in its analysis. It also specifically targets a notoriously treatment-resistant group of psychotics, those who suffer from command hallucinations. (Haddock, G et al. 1999) This was a single blind randomised trial with 38 patients. The trial was complex in structure but, in essence, it was able to show, with convincing statistical significance that cognitive behaviour therapy interventions alone was able to reduce the patient’s compliance rate with the psychotic commands. The authors noted that this reduction in compliance was associated with a reduction in levels of both anxiety and depression. In conclusion we would like to commend the book by Eisenman (R 2004) â€Å"The Case Study Guide to Cognitive Behaviour Therapy of Psychosis† as a particularly authoritative and clinically useful overview. It cites a number of clinical case studies and analyses them in depth. It supports the view that cognitive behaviour therapy, by attempting to confront the patient’s distorted thinking and allowing them to appreciate their thoughts in a more rational and realistic way, can have beneficial results and it places cognitive behaviour therapy in a clinical context amongst the other, generally accepted modes of psychotherapy. It is not a peer reviewed publication so we shall not consider it further than that. References Brabban A, Turkington D. 2000  The search for meaning: detecting congruence between life-events, underlying schema and psychotic symptoms. Formulation-driven and schema focussed CBT for a neuroleptic-resistant schizophrenic patient with a delusional memory. In: Morrison T, ed.  A casebook of cognitive therapy for psychosis.  Brighton : Psychology Press, 2000. Craig T K L, Philippa Garety, Paddy Power, Nikola Rahaman, Susannah Colbert, Miriam Fornells-Ambrojo, and Graham Dunn 2004 The Lambeth Early Onset (LEO) Team : randomised controlled trial of the effectiveness of specialised care for early psychosis BMJ, Nov 2004 ; 329 : 1067 ; Eisenman R 2004 The Case Study Guide to Cognitive Behaviour Therapy of Psychosis Am J Psychiatry, Jul 2004 ; 161 : 1318. Friedman G D. 1994  Primer of Epidemiology. 4th ed.  New York : Mc-Graw-Hill, 1994. Green J, Britten N. 1998  Qualitative research and evidence based medicine.  BMJ 1998 ; 316 : 1230-1233 Grimes D A, Schulz K F.2002  Cohort studies: marching towards outcomes.  Lancet 2002 ; 359 : 341-5 Haddock, G., McCarron, J., Tarrier, N., et al (1999)  Scales to measure dimensions of hallucinations and delusions: the psychotic symptom rating scales (PSYRATS).  Psychological Medicine, 39, 879 –889. Holmes J 2002  All you need is cognitive behaviour therapy?  BMJ, Feb 2002 ; 324 : 288 294 ; Jackson H, McGorry P, Edwards J, Hulbert C, Henry L, Francey S, et al. 1998 Cognitively orientated psychotherapy for early psychosis (COPE).  Br J Psychiatry 1998 ; 172 (Suppl 33) : 93-100.  Kay, S. R. Opler, L. A. (1987) The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 507 -518. Leaverton PE. 1995  A Review of Biostatistics. 5th ed.  Boston: Little, Brown, 1995 McGorry, P. D., Yung, A. R., Phillips, L. J., et al (2002)  Randomized controlled trial of interventions designed to reduce the risk of progression to first-episode psychosis first-episode in a clinical sample with subthreshold symptoms.  Archives of General Psychiatry, 59, 921 -928. Mohammed, D Braunholtz, and T P Hofer 2003 The measurement of active errors: methodological issues Qual. Saf. Health Care, Dec 2003 ; 12: 8 12. Moorhead S 2003  Cognitive behaviour therapy can help end alienation of psychosis  BMJ 2003 ; 326 : 549 Morrison A P , Paul French, Lara Walford, Shà ´n W. Lewis, Aoiffe Kilcommons, Joanne Green, Sophie Parker, and Richard P. Bentall 2004 Cognitive therapy for the prevention of psychosis in people at ultra-high risk: Randomised controlled trial Br. J. Psychiatry, Oct 2004 ; 185 : 291 297. Piantadosi S. 1997  Clinical Trials: A Methodologic Perspective.  New York: John Wiley, 1997.   Rouse, Jolley, and Read 2001 National service frameworks BMJ, Dec 2001 ; 323 : 1429. Rower P, MAX BIRCHWOOD, ALAN MEADEN, SARAH BYRNE, ANGELA NELSON, and KERRY ROSS 2004 Cognitive therapy for command hallucinations: randomised controlled trial Br. J. Psychiatry, Apr 2004; 184: 312 320. van Meer R 2003  To listen or not to listen  BMJ 2003 ; 326 : 549 Vickers, A. J. Altman, D. G. (2001)  Analysing controlled trials with baseline and follow up measurements.  BMJ, 323, 1123–1124 Yates D H 2005 Specialised care for early psychosis: More detail is needed BMJ, Jan 2005 ; 330 : 197 Yung, A., McGorry, P. D., McFarlane, C. A., et al (1996)  Monitoring and care of young people at incipient risk of psychosis. Schizophrenia Bulletin, 22, 283 -303. 5.5.06 PDG Word count 2,313

Wednesday, November 13, 2019

Violence Will Never Bring Victory Over Terrorism :: Argumentative Persuasive Topics

Violence Will Never Bring Victory Over Terrorism This has been a very angry year for many of us - the year since September 11, 2001. In a spirit of anger, hate spreads to become hostility. This hostility must be focused on something or someone. Howard Thurman in his book The Growing Edge, states, "If hostility cannot express itself toward anything else, then it is like a boomerang and turns upon its possessor." A key question that all Americans continue to face is how to respond to the death and destruction brought into our lives by the terrorist attacks. One might expect hate and hostility, but the prevailing response has been compassion and heroic efforts to support those who have suffered a loss. Immediately after the attacks of 9/11, President Bush identified the key issues, including the anger and grief of the American people. Bush said, "Grief has turned to anger and our anger to resolution." We are resolute in the goal of victory over terrorism and the defeat of those who harbor terrorist. What does that word "resolute" mean? Firmness, Determination, Pursuing a fixed purpose, unwavering. This fixed purpose continues to seek target s around the world. The glass in the side view mirror of my car cracked last week so I looked in the phone book to find a repair shop. I choose one on Lee Highway. On the right I saw an auto glass repair shop so I pulled in to the parking lot. I had the car with the broken mirror so I asked the lady behind the counter if they could replace the glass. She looked at the car and said they did not stock that piece and could not match the tinting. I pulled out the address and name of the original glass shop that was on down the road and asked her how far it was or if she could recommend any place that would be closer. She stated that Brainerd Glass was closer. I asked which shop she would recommend. She said," Brainerd Glass -- that other shop is run by a man from Saudi Arabia." I responded, "there are good and bad people in Saudi Arabia just as there are good and bad people in Chattanooga." I hope our targets are more directed than at those who are Arab, or practice Islam, or look like a terrorist and board a plane, or have ideas that seem strange.