ShantanuT01/DACTYL-Pretraining huggingface dataset:
Casey is a 21-year-old Hispanic male that presents for counseling without optimism. During the initial interview, he demonstrated some critical symptoms that highlighted the severity of his condition. He was confused about his identity and was constantly burdened by doubts about whether he was a good son. It was evident that he experienced difficulty accepting the loss of his mother and constantly mulled over the circumstances of her death and the ways in which it could have been avoided. He was disturbed by his friends’ lack of empathy and was bitter and angry about the loss of his mother. It is worth noting that he expressed anger against himself and what he considered an undeserved fate. Even though he is still able to function at school, he lacks the drive he had prior to his loss, and he is no longer excited about future prospects. He reports that he has lost all direction in his life. He also reports experiencing difficulty sleeping and eating after his mother’s passing. He constantly wakes up early in the morning, filled with a sense of dread. He does not work out as frequently as he used to and does not feel connected to his friends. Presenting Problem Casey presents with complaints of difficulty focusing at school, which is associated with a lack of motivation. Other associated symptoms include the lack of sleep, the loss of appetite, and persistent panic attacks. He describes waking up early every morning feeling like his heart is racing and his chest is heavy. He reports breathing heavily and experiencing an intense feeling of dread. He states that he experiences difficulty connecting with his father and friends, who seem distant and aloof. Casey feels like they are disconnected and incapable of understanding the challenges he faces. History of Problem Casey started experiencing the symptoms three weeks prior to the interview after the tragic loss of his mother in a traffic accident. He reports oversleeping on the fateful day and is constantly plagued by feelings of guilt in view of the fact that he did not speak to her and express how much he loved her. The constant rumination over the events of the fateful day led to a lack of focus at school, which resulted in a decline in his grades. He also reports experiencing difficulty sleeping, loss of appetite, and panic attacks. Attempts to reconnect with his father have been unsuccessful, and the lack of empathy from his friends has further compounded the problem. Mental Status Activity The patient is restless during the interview and is constantly shifting his weight on the chair. There are, however, no abnormal movements such as tics, tremors, or lip-smacking noted. In addition, the patient does not demonstrate evidence of psychomotor retardation, such as delayed response
Conduct disorder in adolescents is exceptionally complex to identify and treat efficiently. Most adolescents have deprived social backgrounds, numerous stressors, and usually widespread histories of sexual, emotional, and physical abuse and negligence. Although previous research studies have been identified as an effective method for treating adolescents conduct disorder, other methods are also applicable. Mode Deactivation Therapy (MDT) has also been regarded as an effective method for treating adolescent conduct disorder (Apsche et al., 2005). This study aims to compare the efficiency of Cognitive Behavior Therapy (CBT) and MDT for treating adolescent conduct disorder. A total of fifty adolescents will be chosen to participate in the study. All participants will be sent to one domestic treatment location. Treatment will be focused on sexual and physical aggression. Each participant will be exposed to either the CBT or MDT treatment. To achieve a consistent provision of the different therapeutic methods selected for the study, therapists will precisely be proficient in any of the proposed therapeutic methods. It will take approximately twelve months to complete the therapeutic process. There are ethical issues that may arise, specifically in the area of information disclosure (Bordens & Abbott, 2014). All participants will be provided with an informed consent form, which would specify the confidentiality of the research procedures. Participants will be required to endorse these forms as an indication of their willingness to participate in the study and their understanding of the research purpose. The participants’ sexual and physical aggressiveness will be observed and compiled using journals. Observations will be noted after participants exhibit severe aggressive behaviors. The Daily Behavior Journal was filled by both therapists and assistants across the various scenes of the therapeutical pr
Brief Summary In the book The Power Broker; Caro looks at the life of Moses, the main character, from his childhood days, to his later years when he was an advocate of reforms to progress New York City, which by then had a corrupt civil service system. Although he failed to deliver as the appointed advocate, he later got a chance to work for Al Smith, the then governor for New York County in the New York State Assembly. After that, he got another chance to work for the then New York mayor, Jimmy Walker in the state senate. During this working period, Moses gained skill, knowledge and experience, in matters of politics and learned how power worked and was delegated. This is knowledge he really needed because he had a plan of building roads and bridges across the city. The description of the city before Robert Moses shows a city that was underdeveloped and had minimal growth, poor transportation means and unplanned social amenities such as parks. Moses kept on expanding his knowledge in matters of administration, power and public relations through interaction with influential people and those in power, and in the 1930s, Moses had already earned himself a good reputation in the construction of big and appealing parks around the city and across New York State. With time, various projects and contractors such as Verrazano Narrows Bridge started seeking him for his skill in bridges, roads and parks’ construction. He, however, charged them extravagant prices, taking advantage of his skills, reputation and popularity. With many people seeking him, Moses self-imposed himself as an unofficial (and unelected) bureaucratic leader, a position he used to gain power and even managed to make some of the leaders on top of him, his subjects. Through this, Moses became powerful because he ended up acquiring power belonging to those he was supposed to be responsive to. He achieved this when different mayors appointed him to take charge of various departments such as head of parks around New York, co-coordinator in charge of constructions and in fact at one time, he held 12 different leadership positions. He used these opportuniti
Introduction The issue of border protection in the United States has always been contentious. Some people feel that protection across the border should be reinforced while others think that there is no need to strengthen security as it only contributes to more problems. Consequences of not securing our borders have a more significant price than we can imagine. These consequences are called terrorism. If we increase our border and coastal security without interfering with the process of transporting legal goods and people through our borders, it will cut down on some of the problems we face. We should be able to do so without putting a strain on our relationship with any of our southern or northern countries. This paper will examine the security of U.S. borders, their consequent pros, and cons, the current state of security and possible solutions to security problems. Border Security Pro’s The frequency and amount of drugs that enter the United States have risen over the years. One of the reasons attributed to the level of unlawfulness has been cited as the increase in the number of illegal immigrants that bring along with them the illicit drugs. Due to the strictness and thoroughness of checking, conducted at airports and other legal entry points like ports, it has been cited that some terrorists use the illegal entry points to get into the United States (Alper, Day & Loucky, 2008). Once such individuals get into the United States, their primary task is usually the perpetration of violent crimes against the people of the United States of America. So security at the border is seen as reducing the number of illegal immigrants that want to get into the country. Individuals cite that if people want to get into the country, they should do so in a legal manner using the correct routes such as applying for a green card. One of the most essential functions of the security wall and measures that are taken to protect the borders is the prevention of overburdening of the taxpayer. When illegal immigrants come into the United States, the government has to take care of them through the social welfare programs that have been out in place. Education and health care systems that are already strained with the increase in the population of American nationals is strained even more since the government has to cater for people that had not been taken into consideration when the national budget was being planned. For the longest time, Arizona State has been one of the most used ent
Introduction Curriculum is a basic element of education and training in all fields. One of the main requirements to the curriculum is correspondence to the needs of the students’ and trainees’ current or future profession. This work is aimed at considering the peculiarities of curriculum in health care education and, particularly, in medical-surgical nursing. The research includes the overview of the American printed and electronic sources devoted to curriculum design in practice-based professional education. The Notion of Curriculum Curriculum is an integrated set of educational activities developed for any educational or training program. The structure and content of a curriculum depends substantially on current or expected professional field of the trainees. The importance of curriculum development activity exceeds planning and development of educational programs. A curriculum is a strategic element which defines the whole concept of education by means of combining different approaches and methods used in teaching. A curriculum developer should understand education as an integral process with all its elements harmonized. Curriculum Development in Health Care Health care education has its peculiarities defined by this practice area and sets a range of tasks for the curriculum developer. Separate requirements for the curriculum design in this field are considered below. An important aspect which should be considered when developing a curriculum in health care education is continuity, as health care is a field where the knowledge and experience are passed through generations. For example, Putnam’s article about education in nursing (2010) describes the experience of interaction between nursing students of Bachelor level and the high school “protégés”, which promises faster development of the higher school students’ skills and knowledge. The modern USA training programs provide the opportunities for the international exchange of knowledge and experience. Nowadays the curricula should meet the requirements of the modern multicultural educational environment: they should stimulate sharing the experience between the professionals from different countries of the World (Baka et al 181). Surgical Nursing as a Practice Area Medical-surgical nursing is focused on care for primarily adult patients. The responsibilities of a medical-surgical nurse may include home health care, long-term care, urgent care, or work in the surgical centers. A medical-surgical nurse provides pre-operative care, which implies monitoring a patient’s condition, preparing him for the operation, and providing necessary information to the anesthesiologist and the surgeon, as well as post-operative care, which includes monitoring different aspects of a patient’s recovery. The profession of a medical-surgical nurse always stays on the cutting edge and absorbs all the new tendencies, that is why curriculum for education in this field also
Introduction The premier theme that is analyzed in ‘The Secret Sharer’ is the connection between the sea and the land, a fact that Conrad also examines in other areas of the story. On one side, he extols the beauty, calmness and vastness of the seas, while on the other side he characterizes the land as shabby, nervous and agitated. Despite this, the land contributes liveliness and forcefulness that allocates significance to the climate of the seas, resulting in the fact that complementary nature of the geographical in the end give rise to the complementary nature of the self. Following this line of thinking, the story starts with a lovely scene of the sea and shore, before moving on to other psychological and political dual elements that the Captain should experience as well as understand. At the beginning of the story, as the Captain observes the “straight lines of the flat shore joined to the stable area” (Conrad, p. 17), it is apparent that he is unable to properly understand where the sea ends and the land begins, just as he is unable to properly distinguish between landsmen and seamen and between maturity and immaturity. In effect, the Captain is unfamiliar with the ship as well as with himself. Main body The story also deals with the problems to be solved in the series of actions involving maturation. On the part of the Captain
Performance Appraisal Performance appraisal is the process of reviewing employees’performancebased on pre-set formula. Performance appraisal is important to the firm as it provides the firm with the basis to award employees. Performance appraisal also enables the firm to plan for the future workforce. Performance appraisal involves administering relevant questions to the employee by the appraiser (Grote, 2013). These questions occur in different formats. Below is an example of performance appraisal form that is used to evaluate the performance of employees by the supervisor. Performance Appraisal form Name of Organization                Great Tech Manufacturing Company Employee Name                       Tom Carlson                      Employee Job Title                  Operations supervisor            Appraisal Date: September 14, 2013  Time: 0800hrs                    Supervisor                          Tony Blake                        Leadership (30%) Check point                                                                        Rating The supervisor properly manages the competing demand within the department         2      Keeps proper records of organization’s operations within the area of jurisdiction  4      Delegates and supervises duties in line with the organization’s objectives         5       Interpersonal skills (30%) Check Point                                                                      Rating The supervisor uses appropriate communication methods                            5      The supervisor responds well to questions from the employees                     4      The supervisor listens and understands clarifications from the relevant parties  4      Treats the junior staffs with due respect                                        4       Performance coaching (40%) Check points                                                                     Rating The supervisor defines responsibilities of all employees within the department   4      Regularly hold meetings with other employees to review their progresses          4      Provides meaningful feedback to subjects                                         3      The supervisor encourages training and development amongst the relevant parties  3       Final rating explanation Rating  Level of performance                                                                                                                                                                                    1       The overall level of performance is poor. The supervisor does not report to duty in time. Rarely give clarifications and feedback. Consistently absent from place of work.                              2       Does not meet the job expectation. Needs development. Occasionally carry out duties as required.                                                                                                        3       Meets the job expectations. Carry out duties promptly. Communicates properly with the junior staff.                                                                                                     4       Exceeds expectations. Keeps proper records of operations. Gives c
Introduction Though the genre of the movie Lars and the real girl released by Metro-Goldwyn-Mayer in 2007 can be defined as comedy-drama, the plot of the picture is based on real life psychological concepts. But for the enormously sympathetic attitude of the inhabitants of the town towards Lars and his delusions, the plot of the film seems plausible. Even though it produces comic effect upon the audience, the non-pharmacological intervention strategy implemented for treating delusional disorder in Lars, the main character of the film, is effective and corresponds to the results of the real life empirical research. Film concepts The development of the events in Lars and the real girl is based upon the delusional disorder of the main character Lars Lindstrom. Living in a garage and having difficulties with communicating with his relatives, co-workers and especially representatives of the opposite sex, Lars orders a lifelike doll Bianca from the online store and persists that she is a real girl ( Lars and the real girl ). It is significant that Lars actually has difficulties even in communicating with his doll as he refuses any kind of intimacy with her, making Bianca sleep in a separate room. Lars’ delusions were so strong that even at the end of the film he announces that Bianca dies instead of obtaining a more sensible view of the surrounding reality. On the one hand, Dagmar as the family doctor chooses the most appropriate intervention strategy for treating the main character by establishing confidential relationships with him. On the other hand, the community creates favorable conditions for Lars’ recovery by treating Bianca as a real person and even involving the doll into volunteer programs and employing her as a model in a clothing store. The sympathy of the inhabitants of the town is touching as they even attend Bianca’s funeral ( Lars and the real girl ). The community’s attitude and feelings of Margo, Lars’ co-worker who is interested in Lars disregarding his obvious disorder, are the only details of the plot of the film which lack feasibility. As a rule, the individuals with delusional disorders are not met with open arms by the community. The sympathetic attitude of the inhabitants of the town not only creates plenty of comic situations, but also contributes to the atmosphere whic
The world of photographing is unique indeed: it is quite possible to read the whole story with the help of one or several photos, fell in love, be disappointed, or just be happy. For someone, it is very easy to take a camera and start making photos, and present really wonderful pictures. However, it is not enough to be born to be a photographer; it is very significant to develop photographing skills, get certain knowledge, and improve awareness day by day. Such great photographers like Jeffery and Julia Woods have already amazed lots of people by their unbelievable works and talent. Their abilities to find something unusual in rather simple things cannot leave indifferent viewers: a smile of a girl, a wave of an old man, or a young man’s wink. Their story of love, their passion to photography, and their abilities to make happy moment happier and leave them for a long period of time – all this proves once again that these two people are to weddings, like love is to any marriage. In this paper, the works, skills, and achievements of Jeffrey and Julia Woods will be analyzed; their awards and contribution to the world of photography is really magnificent, because they do not want to create some kind of fantasy, but prefer to concentrate on the images, which play important role to their clients. Lots of people still believe that family business may easily destroy good and loving marriages: financial difficulties, unpredictable costs, desire to get higher position, etc. Of course, all these points may be crucial for some people and for some families, however, the Woods, Jeff and Julia, and their works prove that there are always some exceptions. These two great photographers create own business and develop it to such extent that there is not married couple, who, at least, has not heard about Jeff and Julia Woods. They have a really glamorous studio, they like to travel in order to satisfy their clients and present the best photos of their weddings, they enjoy sponsorship of lots of people, and they are respected by many people from different spheres of life. “Jeffrey and Julia Woods operate a successful wedding and portrait studio that specializes in highly personalized images that reflect the tastes and experiences that make each client unique” (Perkins, 56). This is why their photos always interesting, beautiful, and full of real emotions. This famous studio can be found in Washington Illinois. However, their first works appeared at more modest place: they start this business as many other couples at their own home. With time, they earned enough money to change the location of their studio, buy all the necessary and modern technologies, and start promoting their services to a wide range of people. Their marriage lasts for about 18 years, this is why they know much about relations in families, understand the importance of properly planned weddings, attention to each detai