Evaluation Of A Experimental Study On Hypertension,...

Yu et al. performed a quasi-experimental study in which they were able to evaluate the effect specific lifestyle interventions had on hypertension, diabetes, and one’s overall physical health (2014). Due to the increase in hypertension, diabetes, and obesity in the United States and multiple countries around the world, it is necessary to determine useful and practical interventions to combat these diseases. The study was performed in 5 community clinics in Tianjin, China, where 273 residents ages 45-75 were studied and all diagnosed with pre-hypertension to mild hypertension, and pre-diabetes to diabetes. The lifestyle intervention these subjects performed over a three month period of time was called Zhiji management. This program was delivered by trained health care professionals and designed to improve the quality of food eaten, and increase realistic exercise options. In comparison, the control group received the normal and usual health care that they have always received. The results of the study showed the intervention significantly increased the effectiveness and success of the physical activity performed by 54.6 kilocalories per day. It also showed a significant decrease in total dietary intake by 328.5 kilocalories per day. Finally, the differences in the intervention and control group were significant for weight, waist size, blood pressure, and blood sugar levels. The study concluded that in patients with mild diabetes and hypertension, health care workers trainedShow MoreRelatedComplications and Prevalence of Diabetes1391 Words   |  6 Pages Diabetes is a chronic disease where in there is high sugar level in blood either due to insufficient insulin production or to the inability of cells to respond to insulin. Diabetes can cause a lot of long-term complications that affect different parts of the body. It can cause eye complications such as glaucoma, cataracts, diabetic retinopathy, and blindness. Foot complications that can lead to amputatio n can also result from uncontrolled diabetes. Skin infections and disorders are more common toRead MoreComparison of Insulin, Metformin, and Diet Effect on Gestational Diabetes1509 Words   |  7 Pagesand Diet Effect on Gestational Diabetes RESEARCH ARTICLE: Rowan J., Gao W., Battin M., Moore M. (2008). Metformin Vs. Insulin for the Treatment of Gestational Diabetes. The New England Journal of Medicine. 358(19):2003-2015. GENERAL ARTICLE: Abedin S. (2009). Study: Diet Can Help Avoid Diabetes Drugs. Time magazine. Comparison of Insulin, Metformin, and Diet Effect on Gestational Diabetes Introduction Diabetes is an epidemic disorder. Number of diabetes patients has increased very rapidlyRead MoreEssay on Effectivity of Personalized Classes1857 Words   |  8 PagesPurpose The aim of this study is to quantify the effectiveness of personalized classes versus support groups in the reduction of sodium content in the diet, with the goal of voluntary sodium reduction and the effect in blood pressure level in the Hispanic adult population. Problem Statement: The ethnic groups of Hispanics are the largest minority in United States, representing 15 % of the total US census, and 25 % of the adults in this ethnic group have cardiovascular diseases (CVD). According toRead MoreThe Association Between Overweight And Obesity During The Preschool Years2111 Words   |  9 PagesThe present study is a prospective cohort study to assess the association between overweight and obesity during the preschool years (ages 3 to 5) and a diagnosis of Type II Diabetes in adolescence (ages 15 to 17) in a cohort of 500 three- to five-year-olds in Vancouver preschools. Type II Diabetes is a disease that has a large financial burden on society and requires daily self-administration of medication. It is considered much more desirable to prevent the onset of Type II Diabetes in childrenRead MoreThe Dangers Of Lack Of Sleep Deprivation913 Words   |  4 Pagesdifferent studies have been conducted concerning start times in schools and the current time that schools begin classes, is wreaking havoc on student health. Sleep has been shown to be a biological necessity and adolescents are the least likely to get enough sleep. Teenagers need an average of 9 hours of sleep per night, though most teens average fewer than 7 hours per night. (Backgrounder) Sleep deprivation has long-term effects that most people are unaware of. Hypertension, diabetes, obesity, depressionRead MoreInvestigatory Project4554 Words   |  19 PagesMalunggay (Moringa Olifeira) Seeds As Capsules for Hypertension A Science Investigatory Project In Partial Fulfillment of the Requirements in Research II Reina Regina S. Camus Researcher March 2012 ACKNOWLEDGMENT For the successful completion of the study, the researcher would like to express her deepest gratitude to all the people who patiently helped her in making this study possible especially to her ever-loving and caringRead MoreDiabetes : A Global Problem2637 Words   |  11 Pagesincrease in number of people with diabetes 1.1: Diabetes has become a global problem in recent years. The International Diabetes foundation showed that the number of people diagnosed with diabetes during the last twenty years has risen from 30 million to over 246 million. (1). In the UK most health experts have realised the increasing number of people with diabetes. In the past decade those who had diabetes was 1.4 million in 1996 but in 2012 rose to 2.9 million. Diabetes is defined as the condition whereRead MoreDiabetes, Ethnicity and Genetics2664 Words   |  11 PagesAccording to the American Diabetes Association (ADA), 8.3 percent of the populations in the United States of America (USA) have diabetes. Diabetes is itemized as the primary cause of 231,404 deaths1. Compared with other ethnic groups, African Americans have the highest prevalence of diagnosed diabetes. African Americans endure a disproportionate burden of the morbidity and mortality allied with diabetes1. African Americans have a high rate of diabetic complications, due to poor glycemic control andRead MoreObesity The Problem Of Children!. Are You Aware Of1662 Words   |  7 Pageshas changed normal childhood playing habits to computerized video games which do not allow them to exercise freely. Obesity in children can have medical, physical and psychological effects. The medical effects of childhood obesity include: type 2 diabetes, high blood pressure, bone deformity, immobility, and sleep apnea. In addition, Some of the emotional, psychological, and social effects includes: depression, low self confidence, aloneness and do not participate in social activities with their colleaguesRead MoreA Literature Review On Adult Adults With An Intellectual Disability2652 Words   |  11 Pagesappropriate approach as it makes use of major international research collaborations and manages the volume of published literature. It also ensures that the review considers and reflects on international perspectives. Particular focus is placed on studies conducted within rural communities and those on male adult. Overweight and obesity is suffering from an intellectual disability. A widespread and serious problem for about half of adult Australians with 66% of men and 30 and over, and approximately

Battle Of Crete The Battle For Crete - 1427 Words

Battle for Crete Introduction The battle of Crete occurred due to various causes and consequences including the enormous demand on the island by both the allies and the Axis. The battle began just after dawn on 20 May 1941. The air above was filled with parachutes as thousands of trained elite German Para troops began to drop from the skies. This was the beginning of the Battle for Crete. For 12 intense days the allies, New Zealanders, British, Australian and Greek troops, assisted by Cretan civilians, tried to fend off a huge airborne attack by the Axis. They were almost successful. Many New Zealanders made it off Crete, but thousands were left behind. The Cretans and the New Zealanders still remember this significant battle in New Zealand history. Causes of the Battle for Crete Crete’s strategic importance The most important cause of the battle of Crete was the importance of Crete along with king George of Greece and his entourage. The retreat from Greece involved retreating from the Germans and Italians who were pursuing the allies, the allies then retreated to the island of Crete which was defendable with the right amount of soldiers. The island of Crete needed to be defended from the axis just as much as the axis wanted the island. The island of Crete was wanted by the allies as the island contained two airfields which allowed the short ranged planes that were used during world war 2 to reach the Romanian oilfields and bomb them successfully. The largest refinery inShow MoreRelatedEssay on The Battle of Crete3659 Words   |  15 Pages| The Battle of Crete: Important or Insignificant? | The Battle of Crete began May 20th, 1941. Nazi Germany launched an airborne attack called Operation Merkur or Operation Mercury on the island of Crete. This battle will be important because it will hold great influence over the course of the war in the means of power. The Greek, Allied forces and even civilians attempted to defend the island and after day one the Germans suffered heavy casualties. The next day, the Allies were confidentRead MoreSimilarities And Differences Between Minos And Mycenaean On The Sea By Trade Essay920 Words   |  4 Pagesbecause unlike the later Greek column, it tapers downward, the diameter being smaller at the bottom than at the top. And the columns were made of wood rather than stone and were painted bright red. Minoan civilization that developed on the island of Crete around 3000 B.C.E. â€Å"According to later Greek myth, the Minoan civilization was created by an off scoring god Zeus, the chief deity in Greek pantheon of the gods. Zeus’s main characteristics include his ability to change his physical form and his attractionRead MoreGreek Mythology Essay1006 Words   |  5 Pagesoverthrow him as he did to his own father. Rhea grew angry of this and hid the youngest son, Zeus, from him. According to Diodorus Siculus, Rhea tricked her husband to eat a rock instead of Zeus. Zeus would live to be brought up on the island of Crete in the Mediterranean (Coppens). Cronus, having later found out about the ruse, searched the earth for the living son. Being unsuccessful, he went up to the heavens to his wife who had another spiteful plan. (â€Å"Cronus†) The Fall of Cronus and the RiseRead MoreEssay The Role of the Gods and Fate in Virgils The Aeneid1513 Words   |  7 Pagestoo much for Juno to bear as another Trojan, Paris, has already scorned her. And so she calls on King Aeolus, the god of the winds, telling him to bring a great storm down upon Aeneas? fleet. Aeolus obeys and unleashes a fierce hurricane upon the battle-wearied Trojans. However, Neptune, the god of the sea, feels the storm over his dominion; he criticizes Aeolus for overstepping his bounds, and calms the waters just as Aeneas fleet seems doomed. Seven ships are left, and they head for the nearestRead MoreCleopatra, The Last Queen Of Egypt1251 Words   |  6 PagesHarvard in 1971 and taught at Ohio State University for twenty years. As an archaeologist, Roller has excavated in Greece, Turkey, the Levant, and Italy. He currently resides at his home in Santa Fe, New Mexico (â€Å"Duane W. Roller†). To begin, the battle commander and accomplished ruler, Cleopatra, was born around 69 B.C. as the descendent of a line of Egyptian kings with companions tracing back to Alexander the Great (â€Å"Cleopatra’s True Racial Background†). One-quarter Egyptian and three-quartersRead MoreDid the Ancient Greek Gods Exist?1234 Words   |  5 Pagessentence cast by the God, Poseidon, onto the King of Crete, Minos for not sacrificing a prized white bull. To punish him, fellow goddess Aphrodite made Minos’ wife Pasiphae fall in love with a bull hence resulting in the birth of the Minotaur, the unnatural offspring of man and bull. The Minotaur was infamous for its human body and bull head. Uncovered representational arts such as vases, alters and ruins have proven the high amount of bull worship in Crete and even parts of Spain, possibly due to the existenceRead MoreThe Artifacts And Artifacts Of Pottery Of The East Coast Of Crete Near The Palace At Zakros Essay1342 Words   |  6 PagesIn the summer of 2016, recreational divers discovered fragments of pottery of the East coast of Crete near the Palace at Zakros. The fragments depicted artwork resembling that of ancient Minoan culture, specific to the Late Minoan IA-IB period. A team of archeologists returned to the location to start a week long search for any other Minoan artifacts. Divers were able to locate a shipwreck where the artifacts originated from. The ship, which was named by divers as â€Å"Minos’s Treasureâ€Å" (there is noRead MoreHercules: A Greek Tale 1014 Words   |  5 Pagesthrough the city of Crete. Minoss wife fell in love with bull which in turn caused her to give birth to a minotaur. Hercules wrestled the bull to the ground. He carried the bull back to Eurystheus. Eurystheus could not tame the bull so he set it free\. It wandered around Greece, terrorizing the people, and ended up in Marathon, a city near Athens.The Athenian hero Theseus tied up some loose ends of this story. He killed the Cretan Bull at Marathon. Later, he sailed to Crete, found his way to theRead MoreThe Hunger Games And The Greek Myth Of Theseus1030 Words   |  5 Pages children were used as sacrifices to make the Capitol and/or Minotaur seem unbeatable. Children were offered as sacrifices to make the Capitol/Minotaur seem unbeatable. In the Greek myth of Theseus and the Minotaur as punishment for displeasing Crete, seven youths and seven maidens were periodically sent into a labyrinth containing a Minotaur which was half man and half bull. This cycle doesn?t end until Theseus volunteers to go into the labyrinth and kill the Minotaur. Theseus is successfulRead MoreThe Temple Of Poseidon : Sounion1443 Words   |  6 Pagessweeping coastline, is the location of the Temple of Poseidon at Sounion. Poseidon is the god of the sea, so this is clearly an appropriate location as it looks onward and outward towards the island of Crete and is also surrounded by water on three of it’s four sides. To the south and east is the Sea of Crete and to the north and west, the Aegean Sea, which was named for Aegeus, the king of Athens. The Temple of Poseidon was built in the mid-late 5th century B.C., which was also during the same period

Healthy People 2020

Question: What is Healthy People and How it was developed? Answer: a. The historical development of the Healthy People is based on accomplishing 4 previous initiatives of Healthy People. These 4 health initiative are:. 1. 1979 Surgeon Generals Report:Healthy People: The Surgeon Generals Report on Health Promotion and Disease Prevention 2. Healthy People 1990: Promoting Health/Preventing Disease: Objectives for the Nation 3. Healthy People 2000: National Health Promotion and Disease Prevention Objectives 4. Healthy People 2010: Objectives for Improving Health (Aungst, 2011) b. Healthy people, is a project, which is a collection of national health objectives. The main aim of this project is to inform community and public health department to identify the threats to peoples health, which could be prevented. Other objective is to establish the national goals to reduce threats towards peoples health. The major objective of Healthy People is to define and realizing the vision that a society in which all people live long, healthy lives (Aungst, 2011). c. Health of American is very important for, which different objective have been put forward. This project also provides the opportunity to more and more people to access healthcare services. Healthy People is using a strategic approach to improve the health of Americans. This will be applicable over the time line of 10 years and will be initiated regionally, nationally and on the state level (Asian, 2014). For all Americans if requires high quality education, decent housing, nutritious food, culturally sensitive healthcare services, reliable and affordable public transport, clean water, health insurance and clean air (Wang, Orleans, Gortmaker, 2012). d. Healthy people 2020is based on some major standards and benchmarks. The benchmarks of the Healthy people 2020 are based on the prior versions and key themes, which were based on removing the disparities from the healthcare system and social level. This policy is making a new and better change by introducing health equity as the major goal. According to the benchmarks, a subcommittee is appointed in order to consider all the health related issues in detail and also provided the international definition for health equity and health disparities (Kumanyika, 2013). According to these definitions, it is revealed that health disparities and differences require a special attention for targeting the public health issues. The health disparities are mainly increased due to a systematic process of social disadvantages. The benchmarks are based on providing the quality of health to complete population instead of just closing the gap among the sub-population (Kumanyika, 2013). e. The health status of the people will be monitored on the basis of the progress made. The health initiative promoted will be monitored in order to evaluate the effectiveness of the objectives. The foundation health measure will be used to monitor progress. For every FHM different health related process are used to monitor the health related issues presented under that FHM. Four overarching goals of Healthy People 2020 The overarching goals of Healthy People 20202 are: Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death (People Health, 2012). This goal is important to have the close look towards mortality rate and quality of life of people. Achieve health equity, eliminate disparities, and improve the health of all groups (People Health, 2012). Disparities and inequalities are ingrained in the society, due to which many people could get required access to the healthcare facilities. Such disparities also affect the overall health outcomes of the country. Thus, this goal is very important to be achieves. Create social and physical environments that promote good health for all (People Health, 2012). Social and physical environment always affect the life of every individual. Social environment is the first, which comes in contact of an individual. If social environment is effective and healthy then it can help individuals have a healthy life. Promote quality of life, healthy development, and healthy behaviors across all life stages (People Health, 2012). This goal is important in protecting and affecting the Affordable care Act. Health insurances will be encouraged and promoted. Four Foundation Health Measures (FHM) General Health Status Health related quality of life and well-being Determinant of health. Disparities Discussion of Foundation Health Measures 1. General Health Status: It provides the details about the health status of the general population. i) Components include 1. International compariision of Life Expactancy 2. Healthy life expectancy 3. Years lost from potential life period 4. Unhealthy days with Physical and Mental problems (US Department of Health and Human Services 2008) 5. Self-assessed health status 6. Limitation of activity 7. Prevalence of Chronic diseases (Lloyd-Jones et al, 2010) ii) It measured on the basic of comparison done with international data. ii) It is monitored on the basis of the components used. The process of monitoring includes monitoring the life expectancy, healthy life expectancy, the years which have been potentially lost due to illness, health status that could be self accessed, prevalence of the chronic diseases and limitation of different activities (Lloyd-Jones et al, 2010). iv) By measuring and monitoring different aspects of the health related issues, this FHM contribute allot by providing significant data about variety of population. It measures the age specific deaths, life expectancy at the time of birth for both males and females, current life and death and illness pattern and it can also be helpful in illustrating long term aspects of illness rate and age specific deaths (US Department of Health and Human Services, 2010) 2. Health-Related Quality of Life and Well-Being a. It is a vivid concept of well-being, which access the positive aspects of peoples life. b. It is measured on the basis of Patient Reported Outcomes Measurement Information System (PROMIS) Global Health Measure, this is responsible for measuring social, physical and mental aspects of health; Well-Being Measuresthe positive aspects in the daily life of people, which means that when were people satisfied with their life and felt happy and content; and Participation Measures, this includes the information about people and impact on their health by social participations. c. It is monitored by focusing on the positive life aspects of population. d. It impact on the overall health of the community is very essential and specific. By focusing on the positive aspects of peoples life it measures quality of life. Determinants of Heath a. Components include social and economic factors, social, mental, Physical, health related quality of life and Participation in common activities. It basically focuses on finding out that why some people are healthy and others are unhealthy (Koh et al, 2011). b. It measures the data through various ranges of social, economic, personal and environmental factors. It also measures the data achieved from biological and genetics studies. c. It monitor by the help of ecological approach for promotion and health and prevention of diseases. It also monitors the health status through different disparities prevailing in the society (Koh et al, 2011). d. he overall impact of this FHM is very significant, as it is based on individual level and population level determinants. It helps to understand the level of disparity among the society. It will help in making policies and improving the health services. 4. Disparities: This FHM is very essential in measuring disparities and inequalities based on different components. a. The components that this FHM includes are race/ethnicity, mental ability, gender, physical and geography. There are many racial and ethnic disparities prevailing in American society that requires to be addressed immediately. b. FHM is measured on the basis of the data available from different disparities in the society. The data is measured across disparities and inequalities based on sex, race, sexual identity, socioeconomic status, and geographic location (Fielding Kumanyika, 2009). c. It monitors different societal inequalities, avoidable inequalities, historical injustice, and healthcare disparities. d. The overall impact of this FHM is mainly seen on the disparities in health and health related service. References Aungst, R. B. (2011). Healthy people 2020. Perspectives on Audiology, 7(1), 29-33. Asian, P. I. (2014). HEALTHY PEOPLE 2020.Community/Public Health Nursing Practice: Health for Families and Populations,41, 192. Fielding, J., Kumanyika, S. (2009). Recommendations for the concepts and form of Healthy People 2020.American journal of preventive medicine,37(3), 255-257. Koh, H. K., Piotrowski, J. J., Kumanyika, S., Fielding, J. E. (2011). Healthy People a 2020 vision for the social determinants approach.Health Education Behavior,38(6), 551-557. Kumanyika, S. (2013). A perspective on the development of the healthy people 2020 framework for improving US population health.Public Health Reviews,35(1). Lloyd-Jones, D. M., Hong, Y., Labarthe, D., Mozaffarian, D., Appel, L. J., Van Horn, L., ... Arnett, D. K. (2010). Defining and setting national goals for cardiovascular health promotion and disease reduction the American Heart Associations Strategic Impact Goal through 2020 and beyond.Circulation,121(4), 586-613. People, H. (2012). 2020 framework: the vision, mission and goals of Healthy People 2020.US Department of Health. US Department of Health and Human Services, Office of Disease Prevention and Health Promotion, US Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (2010). Healthy people 2020. US Department of Health and Human Services. (2008). The Secretarys Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020. Phase I report: recommendations for the framework and format of healthy people 2020. Section IV. Advisory Committee findings and recommendations. Wang, Y. C., Orleans, C. T., Gortmaker, S. L. (2012). Reaching the healthy people goals for reducing childhood obesity: closing the energy gap.American journal of preventive medicine,42(5), 437-444.

English Essay Example For Students

English Essay Hemingways Old Man And The Sea July 03, 1998 Click Here For Research Papers Online! English Old Man and the Sea This part of the story has to do with Santiago against nature and the sea. In this part of the story, he goes out and fights nature in the form of terrible forces and dangerous creatures, among them, a marlin, sharks and hunger. He starts the story in a small skiff and moves out in a journey to capture a fish after a long losing streak of eighty-four days. Unfortunately his friend must desert him due to this problem and a greater force, his parents. Santiago must go out into the danger alone. For three harsh days and nights he fights a fish of enormous power. This is the second form of nature he must conquer. Earlier in the story, the first part of nature is himself, for which he must fight off his hunger. This is a harsh part of the story. He manages though to get a few bites in the form of flying fish and dolphin of which he would like to have salt on. This part of the st ory tells of a cold and harsh sea, that is, one that has value and mystery as well as death and danger. It has commercial value as well as the population of life in it. It is dark and treacherous though, and every day there is a challenge. A similar story tells about a tidal pool with life called Cannery Road. This part of the story has to deal with figures of Christ. It mainly deals with Santiago as being a figure of Christ and other characters as props, that is, characters which carry out the form of biblical themes. On the day before he leaves when he wakes up, Manolin, his helper, comes to his aid with food and drink. Also a point that might be good is that he has had bad luck with his goal for a great period of time and is sure it will work this time. Later, though, when Santiago needs him for the quest he sets out to do, Manolin deserts him, although he may not have wanted to at this time. In the novel Santiago comes upon a force bigger than his skiff, the marlin which mislead s him out far past his intended reach. This is where he starts to lose his strength against something which seems a greater force. Santiago has a struggle of three days, which is significent because of the three days in Easter, and continues to fight on though his goal may not aquire anything. This is another idea through which Christ did, a struggle to get a goal done even though it may mean certain destruction to himself. This might accomplish nothing but the satisfaction of doing this and also has great risks. Finally he comes upon a painful experience with his hand which is in great pain and wont move. This is useful in the place where Christ loses his physical self and has less to deal with. On the third day, he recovers himself and returns to his home even though his only remaining treasure was a broken skiff, experience, and a torn up marlin. And in the final conclusion, you can see him dragging the mast of his skiff, a cross-like object, in his hand. This story has a certain sequence of events, first it has a hunter vs. his prey. This hunter does respect th e prey. Throughout the book it has this series of events: encounter, battle, defeat, and respect for the prey. This is Hemmingways Code of Honor. This part of the novel has to do with relationships between two characters. The first to discuss are Santiago and Manolin, Manolin being the small follower of the old man named Santiago. Manolin is a small person that follows Santiago and listens to his wisdom. They treat each other unfriendly though for Manolin calls the Santiago old man and he calls Manolin boy which seems to be absurd. In that situation I would consider both of them to go see a doctor. The next relationship to talk about would be that between Santiago and the village, which seems to be much better. He is given credit for food and he also is waiting to show his greatness to the villageby catching a great fish as soon as he can. His thought on that, though, is that any fisherman can ctach it during the easy season but only a few can go out and catch one during the hard season. He has no consideration for the luck, and would rather try to fish through being exact rather than being lucky. The other relationship in this story has to do with Manolin and his parents. Manolin seems to be very rebellious against his parents, although he does submit to their demands. Santiagos greatest link to the village is the boy. Santiago may be poor in the story, yet is proud. This story when compared to being imaginative is good, but in real life is somewhat of a Fish Story. The part where an old man being able to load in a ton of fish is very unimaginable. The scenario, though, is very interesting for the part of the old man. He goes out all alone into the depths of the ocean without an idea for what is in store. This story has good points, for when it comes to the better parts of the story, it emphasizes by placing in mind step by step of the way he does certain actions. The part of the story which, to the best of my belief, had no part or reference in the story was the dream of lions on a beach of Africa, which this fisherman probably had never even visited much less seeing lions on a beach. This was like most stories in the main plot. First characters are introduced, then a threat reveals itself, showing true natures of all the characters, and finally the threat is fought off or it remains, leaving the reader in suspense. This had a good plot but needed more to go on in my opinion. Hemingways strong parts of this story are emphasized on vocabulary. He probably learned these fisherman terms for he once was a fisherman in Cuba. There is one problem to this, though. Throughout the story he uses these terms over and over although the ordinary person, like me, would forget them after the first use of them and unfortunately he doesnt ever re-coin the terms again throughout the book. Some vocabulary he uses stands for sharks or the sea itself. Others he uses for ba it. The main idea though in this part is to let the reader get the feel for the life, setting and character of the fisherman himself. This is a great move to place yet is also very hard to co-exist with the average reader. This has some good points, though, and among them is review. The reader must review the story and skim it in order to rethink the concept of the word. Then he or she must return to the current position in the book and place it into the text. The concept of vocabulary is a standard not to live by, and should not be placed into most books unless the terms are to be used many times throughout the book. Hemingway has merged three themes already mentioned above successfully unto this book. Among them are figures of Christ, Nature (the sea), and a code of honor. This was challenging. The obvious ones were nature, its cruelty and compassion. Nature caused his hand pain yet healed it, caused hunger yet satisfied it, and gave the fish yet reclaimed it. This is the way natu re works. Nature is actually more luck than a set of rules, for it can shift back and forth with the greatest of ease. The second theme, religion, could not be easily pulled from the text. The best clue to where it happens is the falls of Santiago as well as his carrying the mast. This symbolizes the end of Christ, although Santiago on the other hand is just retiring for the night. But it could be interpreted as the end of the book for which it is. The code of honor is not actually probably the hardest to interpret. It can only be pulled from context, which is the hardest to do. It has mainly to do with the rise, battle and fall of the prey and respect following. The problem in this is that Santiago was at fault for expanding out so far, and it was dangerous. This is similiar to the book A Journey to the Center of the Earth, which I recently read. Back to School Sucks Bibliography: Open Boat And The Red Badge Of Courage By Stephen Crane Essay Whitman also seems to feel that great people existed in his past generations. Hard work and determination runs through his blood, and that his ancestors gave him the power to accomplish greatness. Nothing could destruct what he had so carefully constructed. He imagined himself as a bright spot, a nebula, out in space stuck to a heavenly being. But the spirits carried him to this place and he stands now, with all of his body and soul, knowing that neither can be touched. In Song of Myself #44, Walt Whitman uses a variety of literary devices. His use of powerful rhythm and the multiplicity of metaphors and images set the realistic tone of the poem. He often contradicts himself throughout the entirety of the poem, specifically in section #44 when he tells the reader to listen again to what he has to say. This is what he tells the reader at the beginning of the poem, to follow him, then, as the poem progresses, Whitman becomes unsure of himself, until #44. Its the use of these literary devices, as well as a free verse style that contributes to Whitmans unprecedented technique. This poem was drastically liberal compared to previous and current writers of his time. This never before seen method, although highly controversial to social boundaries of the time period, willingly opened the doors and allowed future writers to cross the invisible line, set by previous writers, and express themselves in way that they saw fit. Word Count: 1598