Case Study On A Patients Neuropsychological Assessment

Case Study On A Patients Neuropsychological Assessment TL was referred for a follow-up neuropsychological assessment to determine current symptomatology and level of functioning in light of executive dysfunction potentially manifesting itself, following traumatic brain injury incurred during a motor vehicle injury in November, 2008. TL is a 44 year old, right-handed male. Leaving school at age 15, he pursued a career in media and publishing. Prior to injury, he had been living and working in Asia for the past 13 years, where his wife and child remain to date. TL presently finds himself unable to mentally cope with previous working environment demands, where resultant financial challenges make catering for his family unfeasible. History of alcohol abuse since age 16 has necessitated repeated AA involvement. He currently leads a very restricted lifestyle, living alone in a single room and unable to handle normal daily challenges. He has served as an inpatient in hospital, as well as having had a package of care set up at home. TL exhibits no recollection of the accident itself, where upon regaining consciousness, required time to orient himself. Irregular retrograde amnesic episodes have been reported since, where he considers day-to-day memory to have improved markedly. TL has also experienced sporadic tonic seizures, for which he is receiving anti-epileptics. Most noticeably, he experiences challenges structuring daily life through multi-tasking and organization, where reliance on a notebook provides security, but is maintained somewhat chaotically. Magnetic-resonance-imaging revealed damage to large portions of the left frontal lobe and anterior temporal pole, as well as superficial sclerosis following intra-cerebral haemorrhages in the cerebrospinal fluid. TL expressed frustrations about inability to work and the implications for reunifying his family, but seemed generally optimistic that with time, normality would return. Formal assessment Behaviour during testing TL attended the session unaccompanied and punctually, appearing sober. He was attentive and oriented to time, location and the investigator. There was no evidence of speech or hearing impairments, and motor movements and dexterity appeared normal. He was co-operative and motivated to engage with presented tasks but was ardent about minimizing severity of his condition, insisting on marked improvements and anticipated return to normality. Based on these observations, test results are deemed legitimate estimates of present cognitive functioning but caution was undertaken in assessing self-reports in light of tendencies to minimize difficulties and restricted insights to own condition. General intellectual abilities Taking into consideration educational and occupational background, his pre-morbid functioning as interpreted by the National-Adult-Reading-Test-(NART-FSIQ) was average. Intellectual assessment using the Wechsler-Adult-Intelligence-Scale-(WAIS-III) suggests that verbal IQ was preserved, with abilities in vocabulary skills by defining words, reasoning skills and simple arithmetic falling within normal range. In contrast, his performance IQ, reflecting attention to detail, sequencing and abstract conceptualization abilities, was markedly reduced and estimated below average, highlighting significantly impaired problem-solving abilities since the accident. Memory function Formal memory assessments indicated a severe global deficit in ability to consolidate and recall information in both immediate and delayed tasks, substantiating memory deficits documented in everyday life. This impairment extended to both verbal and non-verbal items, presenting marked difficulties in immediately recognizing words and faces (

Basic Telescope Physical and Optical Characteristics Essay -- physics

Here you will find a variety of information on the optical characteristics of various types of telescopes as well as some of the basic underlying physics behind them. This includes some information that pertains to the preformance degredation of a telescope optical system (for instance, vignetting and air turbulance) and a few concepts of mirror design (the parabolic shape and over/under correction of the primary mirror). I'd recommend starting with the "Optical Paths" section so you can familiarize yourself with some of the basic types and concepts of several of the widely used telescope designs before reading the other sections. Optical Paths of Various Types of Telescopes Here is one of the most interesting parts of astronomy and star gazing: the equipment. There are four different types of basic telescope designs that are in use today. One of these, perhaps the most widely known, is the Refractor. The refracting telescope was first utilized for astronomy by Galileo Galilei in 1609, but it was invented by the German Dutch lens maker named Hans Lippershey in 1608 (Zoom Inventors and Inventions). There are also three other types of common telescopes. These include the Shmidt Cassegrain, Maksutov Cassegrain, and the Newtonian Reflector. In terms of design, they all have different advantages and disadvantages (including cost considerations) that have to be taken into account if one were to decide on a particular design to purchase. Ultimately, the physics behind the the different designs will have an effect in influencing a purchasing decision. But before the four different designs are discussed with greater detail, a few technical terms must be introduce d and defined. Central Obstruction - Refers to the secondary mirror ... ...ope Basics. 18 Nov. 2002 Freudenrich, Craig. How Telescopes Work. How Stuff Works. 18 Nov. 2002 ACEPT W3 Group. The Refraction of Light Part II. 14 Dec. 1999. 18 Nov. 2002 Vignetting Caused by the Limiting Aperature of Various Tubes and Adapters. 18 Nov. 2002 Marvelde, Arjan. A 10'' Newton Telescope. 17 Nov. 2002 VandeWettering, Mark. Telescope Basics. 18 Nov. 2002 The Meade UHTC Group. 19 Nov. 2002

I’M Not Scared Questions Essay

1. Read Niccolo Ammaniti’s epigraph by Jack London. Why has Ammaniti chosen to begin his novel with his novel with this quote? How does it illuminate what happens in the story? What is the literal and symbolic meaning in the novel about â€Å"falling into darkness†? Niccolo Ammaniti had chosen to start his novel with an epigraph by Jack London, this foreshadows that we’re going to read about a journey of discovering real evil and the loss of innocence. â€Å"He had fallen into darkness† the literal meaning of this part is Michele had fallen into a hole which is dark . The symbolic meaning is, he had stumbled into evil. 2. The novel opens with the scene in which Michele must choose between winning a race and helping his sister Maria. what conflicts and choices does this moment foreshadow? What is revealed about Michele’s character? The novel opens with the scene in which Michele contemplates between winning a race or helping his sister Maria. Michele choices to help his sister, this moment foreshadows the choices Michele must face. When Michele is confronted with Barbara pulling down her pants as a forfeit. Only Michele stands up for Barbara and tells Skull its not right. â€Å"Wait! I came last: I heard my voice saying†. This reveals to the reader that Michele is brave, compassionate and has self-respect. Michele is also very caring and protective of his sister † I didn’t like my sister being there†. 3. How does Ammaniti create and capture the atmosphere of childhood in his novel? What aspects of Michele’s way of seeing himself and the world indictate that he is a child? Ammaniti shows childhood through the eyes of Michele this is evident with the children’s gang’s mischievous and forfeits; this shows their concern and their innocence’s â€Å"Maria, you’ve made me lose the race!† the naive theories of the boy in the hole â€Å"Maybe the boy in the hole was my brother†¦. my sister and me†. Also the belief of ‘Monsters’ ‘Ogres’ and ‘Witches’ show us he is a young innocence child. 4. The novel is written twenty-one years later as Michele reflects back on the events of the summer of 1978. how can we tell this is true? What assumptions can be made in regards to how Michele’s life changes after that summer? The novel is written 21 years later we can tell this true when Michele says â€Å"Even after twenty-two years â€Å". Another indication that this is true is when he digresses about going to the snow.†About ten years later I happened to go skiing on the Gran Sasso†. This digression also suggest that he had left Acqua-Teverse, is better off, other assumptions that can be made are: The parents of the kidnapping would be sent to jail, The children of Acqua-Teverse would be traumatised. 5. Why does Michele identify with Filippo so strongly? Michele’s ability to empathise with Filippo was so strong because they both share the same pain of losing their innocence; Michele finding out his father is the real evil and Filippo been treated inhumanely and kidnapped. Their both young nine year old boys who share the same interests. 6. At one point Michele’s father tells him to â€Å"Stop all this talk about monsters†¦Ã¢â‚¬ ¦ Monsters don’t exist. Its men you should be afraid of, not monsters†.(page49) In what ways does the novel itself prove the statement to be true? This statement is ironic coming from Pino Michele’s father â€Å"It’s men you should be afraid of† is wise advice to Michele but he learns its the hard way. Its his father who is the ‘Monster’ that kidnapped Filippo and was prepared to murder Filippo. 7. In the games they play and their behaviour towards one another, how do Michele and his group of friends , compare to the adults in the novel? In what way does Michele possess an integrity that the adults and even the other children lack? The actions and behaviours of the children’s gang is minored more seriously by the adult gang in many ways like the children’s gang: do forfeits to decide the fate compared to the adults gang the solider’s draw to deal with Filippo. The bulling and torment is instigated by Skull this is also minored by the adults with Sergio bulling the rest of the adults. The children impaled a chicken and the adults treated Filippo inhumanely. Michele was the only person to help Barbara when she was tormented by Skull, he was the only one to care about Filippo even when Salvatore was told about him, his reaction was cold and wasn’t compassionate at all about the situation. They treated Filippo inhumanely and Michele was the only one that possess integrity and a kind heart. 8. What motivates the kidnappers? (Sergio, Felice & Pino) How do they betray their own children’s innocence? The motivation of the kidnap by the instigatored by Pino, Sergio and Felice. The reason for Pino is poverty: seeing the north while working as a truck driver this is evident when he bring a gondolas that represents his desire to live a fulfilled and materialistic life for himself and his family â€Å"Let’s go to the north†. He didn’t protect Michele’s and Maria’s innocence he held a child hostage and lost his child’s admiration. Sergio was involved in the kidnapping to fulfil his urge to go to Brazil â€Å"Had emigrated to South America†. Pino betrayed Michele by letting a criminal to slept next to Michele and didn’t protect him from danger. Felice was motivated by boredom he was a young man stuck in a isolation village woman less. He was cruel to Michele’s friend Filippo. 9. When Michele is running in the night to try to find Filippo, he fights off his fear by asking himself what Tiger Jack, a fictional hero, would do (page 196) What is so sad about this self talk? We’re introduced to a young boy Michele who admires his father like a hero . He loved his father, his father was his role model but when he discovers his evil side. Instead of been of his aspiration, the fictional hero Tiger Jack takes over and find him courage. This is so sad because it should have been his father and this shows the relationship is lost. 10. Why does Michele break his oath to his father and visit Filippo?(page 178) What is the â€Å"irresistible† force dragging him towards the hill? Micheles relationship with Filippo seems stronger then the relationship with his father. He should have kept his oath to his father, instead he kept the promise to Filippo this is evidence of that Michele isn’t as naive as he was . Michele was extracted an oath that Michele doesn’t keep. His conscience overrides and the hill is the irresistable force that pulls him to Filippo he saves himself and Filippo. 11. â€Å"I’m Not Scared† ends suddenly and dramatically: often such a climatic moment is followed by an extract in which the story’s loose ends are tied. why had Ammaniti chosen to end the novel this way? Niccolo Ammaniti has chosen to finish the novel at the climatic moment of the story because the reader can imagine the aftermath we have enough information to assump Michele didn’t died and Filippo is saved. When the novel is ended this way its evidence of reflection. In our minds we can fulfil our expectations. 12. Ammaniti’s novel can be described as a â€Å"coming of age story†. At what point does Michele grow up? What â€Å"hardness† about the adult world does he learn? â€Å"I’m Not Scared† is described as a â€Å"coming of age story† Michele loses his innocence and loses his childish ways when he discovers Filippo the boy in the hole he had experienced the truth behind the real world the isolation hadn’t protected him, his parents hadn’t protected him they betrayed him. This experience accelerated his maturity level, he learnt the real evil and ‘Monsters’ ‘Ogres’ ‘Witches’ didn’t exist they weren’t what he should have been afraid of it should been his father that’s what was so hard for Michele to swallow

Deterrence Theory And The Criminal Justice Field Essay

Introduction Deterrence can be defined as an act of threat to prevent another party from certain actions. Deterrence theory is based upon a belief that citizens choose to obey or violate the law after determining the advantages and disadvantages of their actions (Paternoster, 2010). Deterrence, in the criminal justice field, dissuades individuals from criminal activity and from continuing to live a life of crime after committing the first criminal like act (Dutton, 2014). Law enforcement provides sanctions in the form of imprisonment, probation and fines (Paternoster, 2010). In the United States, a practical example of deterrence, when a law enforcement officer writes a traffic ticket to those who speed. The points and the fines that come along with the ticket are a deterrent against citizen’s defying the law. Deterrence theory is applied in two basic types of application, general and specific (Nagin, 2013). 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