Sunday, December 29, 2019

Captain John Yossarian in Catch-22 by Joseph Heller - Free Essay Example

Sample details Pages: 3 Words: 769 Downloads: 5 Date added: 2019/08/16 Category Literature Essay Level High school Tags: Catch 22 Essay Did you like this example? The book Catch-22 by Joseph Heller, It starts off introducing us to Captain John Yossarian, which he is in the hospital with a liver problem. When he is in the hospital, some of his friends came by to check up on him named Hungry Joe, Doctor Havemeyer, and Clevinger. They all try to avoid dying at all cost as long as they can. Don’t waste time! Our writers will create an original "Captain John Yossarian in Catch-22 by Joseph Heller" essay for you Create order We also met Milo Minderbinder who has a lot of money by him having a really good business that is worldwide. He is really not close with Yossarian. But the book is mostly about the lives of a US Air force group. The setting is on an italian island on a base which is close to Rome. Major Major Major is the new leader of the squadron when Major Duluth is killed. Major Major Major gets bored really easily so, starts to sign papers that came to his desk about. One of them was about Washington Irving. A C.I.D man comes to find out who Washington Irving is. He got no answers but Major Major Major didnt like all the people coming to him so he made himself scarce so no one can reach him. The Colonel Cathcart has told the man in the group, to bomb the storage area in Bologna. The men are losing their minds it because they know the flight area of Bologna was really bad and they could get killed. Yossarian was also one of those people so he made food by adding ingredients that would make all the men sick so the mission cannot happen. Also Yossarian tries to find another way not to do the mission which was to declare himself crazy so he can go underground. But all the times he has tried to stop it still has failed. That is when we found out the meaning of Catch-22 which the doctor told us. The meaning was if a man can tell the doctors that he has became crazy, then he is called sane and can mostly like be able to fly. The whole groupe go to Rome and Nately finds his girlfriend which she has a side business of being a prostitue. Corporal Whitcomb who is the chaplains aid, has told the C.I.D people that the Chaplain is the man signing Washington Irving to all of the papers that are out. Yossarian was on a mission and his mind was not in the right area and because of that the plane goes down, the 2 men are wounded and died shortly after right there. In his second mission he hurt his leg really badly and doesnt want to fly anymore. While this is going on Milo formed a group and gave things to his friends and to the Germans so it was double sided so he can get money. Yossarian tells a little fib about having dreams about a fish. The psychiatrist mixes up a patient of his with him and sends the other patient home. We also find out that Orr is dead by him having a crash landing but it also tells us that he was Yossarian roommate. McWatt is conditioning with a bunch of soldiers and flies too close to Sam pson who is on a little boat and the other man are stumble from the loss of them. Yossarians talks to Natelys girlfriend and he says that he is dead. She starts to come after him so she can kill him and she even when to a extent and went to his base and tried to kill him. So Yossarian goes off the grid with the help of Milo, and he tries and find Natelys girlfriends and her sister because they got kicked out of there home by the government because of the things that they have done. But Yossarian gets arrested for going going off the grid by the government. He is send back to the Colonel Cathcarts post and he can go anywhere he want in the US as long as that him and the colonel are good. He says yes but when he walks out the post Natelys girlfriend was waiting outside stabs him. While he is getting escorted he thinks about the conversation he had with the colonel that he decided that he would rather run away and thats exactly what he did. That is when he finds out that Orr is still alive in Sweden trying to lay low . So Yossarians decides to runs aways and finds N atelys girlfriends sister so he can escort her to Sweden with him. Also is that he cannot get court-martialed.

Friday, December 20, 2019

The Old Man and the Sea Man Defeated - 2112 Words

Reading through the novel The Old Man and the Sea one, as a reader, can perceive several themes in the book. Hemingway suggests certain subjects for discussion which built up the whole plot, therefore giving us options to choose the one we believe is the main one. In the past weeks we have been discussing, in a debate, which is that main theme. My groups theme was Man Defeated and although it is hard to affirm that this theme was the prevailing one of the book, we firmly defend it. Various arguments were established. Some argued that the novels theme was Santiagos struggle, the friendship with the fish and other characters; Santiagos perseverance and that he really ended up as a triumphant man. But to argue that those were also the†¦show more content†¦He is not triumphant , as the book shows with Santiagos words; he feels defeated. Throughout the book we get the persistent idea of Santiago being beaten, a synonym for defeated. We can divide the idea of being beaten into two: the fact that Santiago knows it and that he accepts it. Showing the knowledge of his situation, the author tells us: He knew he was beaten now finally and without remedyÂ…(page 119).Â…it is easy when you are beaten. I never knew how easy it was. And what beat you, he thought(page120). With these quotes we can see that Santiago knows that he was finally beaten. He knew that the sharks won even though he fought to avoid their triumph. He also tasted how was it like to be defeated, he was living through a not very pleasant experience and he knew it. The other part, is the one when he accepts his defeat. Santiago mentions: Now that they have beaten meÂ…(page 112)and They beat me Â…truly beat me (page 124). All these quotes shows us a reaffirmation of his defeat, of how he feels. He admits his position and it is constantly repeated. He doesnt enjoy what it is called his success , mostly he is not showing any sign of joy or even excusing himself saying that he gained honour or recognition. He is sad and knows that has to keep struggling to survive because he lost his only income, all his plans were ruined and we all know how discouraging is. As far as Hemingway and Santiago are concerned, the old man is not fortunateShow MoreRelatedOld Man and the Sea A Man Can Be Destroyed but Not Defeated627 Words   |  3 Pagesâ€Å"A man can be destroyed but not defeated† In the Old man and the sea, Santiago says, â€Å"A man can be destroyed but not defeated. (Page 93)† The true statement can be referred to throughout the novel. Santiago is in the end physically destroyed, but mentally he is not defeated. Santiago’s courage and pride pushes him forward throughout the novel, even when it looks like hope is lost, but is never defeated. Destruction means to completely ruin or spoil. Santiago experienced this destruction. It startedRead MoreThe Old Man and the Sea by Ernest Hemingway Essay983 Words   |  4 PagesThe Old Man and the Sea There is a scene in Ernest Hemingway’s The Old Man and the Sea, when after a shark has taken a big chunk about forty pounds off Santiago prize marlin catch, Santiago begin to doubt whether he should have gone out to sea and wishes that he had never hooked the fish and was alone in bed with his newspaper (103). Immediately after the Santiago says, â€Å"But man is not made for defeat a man can be destroyed but not defeated† (103). The life of Ernest Hemingway intertwines to theRead MoreThe Merchant Of The Old Man And The Sea1096 Words   |  5 PagesWhat is the role of the sea in The Old Man and the Sea? The rich waters of the Gulf Stream provides many animals/figures that the old man observes and greets. Through Santiago’s interactions with these figures, his character emerges. In fact, Santiago is so connected to these waters, which he thinks is cheerful as a sometimes fickle lover, that the sea acts almost like a lens through which the reader views his character. Santiago’s interaction with the weary warbler, for instance, shows not onlyRead MoreThe Old Man And The Sea1009 Words   |  5 PagesThe Old Man and the Sea is a Pulitzer prize-winning novella written by Nobel award-winning author and journalist Ernest Hemingway. Hemingway endured many tragedies, from the wounds of his time in war and even during two successive plane crashes in which Hemingway was permanently injured. Throughout it all, however, Ernest Hemingway still stood with great honor and took pride in his humility. These are the characteristics that really led Hemingway to greatness and success. His book is the story ofRead MoreComparing the Film and the Novel of Hemingways Old Man and the Sea1297 Words   |  6 PagesComparing the Film and the Novel of Hemingways Old Man and the Sea After having read the Hemingways Old Man and the Sea as a book in class, we also watched the film which was made afterwards because of the storys enormous popularity. As always, there are some ways in which the book differsRead MoreEssay on Santiago as Code Hero in The Old Man and the Sea1619 Words   |  7 Pages In Ernest Hemingway’s novel, The Old Man and the Sea, Santiago demonstrates the traits of the code hero. The Hemingway’s code hero covers the principal ideals of honor, courage, and endurance in a misfortune life. Throughout the novel, Santiago shows a contrast between opposite attitudes and values which associate his behavior with the guidelines of the code. In this case, the depiction of conflicting values, such as dignity despite humility, perseverance despite despair, and victory despite defeatRead MoreComic Books And Television Gave Birth To A Fascination950 Words   |  4 Pagespeople with extraordinary powers or financial privileges who defend civilization against crimes and villains of all kinds without hesitation. For example, Batman is a superhero who solved riddles and defeated an enemy who sought to deceive people and bring about their demise. He fought and defeated several other arch-nemeses who desired to destroy the city of Gotham and slaughter its resid ents. In The Dark Knight trilogy, Batman fought his final battle, and died a substitutionary death. He carriedRead More Old Man and the Sea Essay1214 Words   |  5 PagesErnest Hemingway wrote The Old Man and the Sea to show how you can push through the hardest of times and still not be defeated. The story shows how an old fisherman overcame an unlucky slump with the support from a young boy that loved and helped Santiago named Manolin. Santiago fought through the discrimination of the other old fisherman and refused to give up. Through Santiago’s struggles when trying to catch the great marlin, he kept pursuing his goal. Through sweat and tears Santiago never givesRead MoreAnalysis Of Ernest Hemingways The Old Man And The Sea852 Words   |  4 PagesThe will to keep on going even though there is a good chance of dying just to have a chance at getting something that might not be worth it. That is shown in the novella The Old Man and the Sea by Ernest Hemingway. When the O ld man who is known as Santiago decides to go fishing alone without the help of his friend who is a boy, and Santiago is greeted by a massive fish. That he then tries to kill since he has the massive fish hooked. The battle against Santiago ,and the fish lasted for days, whichRead MorePerseverance In Ernest Hemingways The Old Man And The Sea1379 Words   |  6 PagesThe Old Man and the Sea â€Å"But man is not made for defeat, he said. A man can be destroyed but not defeated. (Hemingway 103).† This quote, written by Ernest Hemingway in the short story The Old Man and the Sea, captures the theme perseverance in numerous ways. This quote describes when the old man Santiago was struck down physically, with the injuries of his hands and the pain of staying awake for a number of days. However, he mentally kept pushing forward, leading to his ultimate survival and his

Thursday, December 12, 2019

Marianas Trench - Masterpiece Theater free essay sample

Marianas Trench, a Canadian rock group, released the album â€Å"Masterpiece Theater† over a year ago after a two-year wait, despite pressure from fans and their record company, 604 Records. The album features the bands outstanding musicianship, along with poetic and meaningful lyrics. The CD also shows how the band has matured from their debut, â€Å"Fix Me.† With this CD they have remained popular without abandoning their powerful rock style, which truly makes this album a masterpiece. The musical compositions are well crafted, and feature the bands best assets. Lead singer Josh Ramsay uses his large vocal range and upper register to enhance the lyrics as well as musical riffs, though it is guitarist Matt Webb whose impeccable plucking makes these riffs catchy and enjoyable. With drummer Ian Casselmans strong rhythms, and bassist Mike Ayleys fantastic harmonies, the band captures genuine emotions that make their music exceptional. The lyrics by Ramsay prove him to be an ingenious artist. We will write a custom essay sample on Marianas Trench Masterpiece Theater or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page They go beyond the words on the page, with deep meaning behind them. Even in pop-punk songs like â€Å"Celebrity Status,† and â€Å"Cross My Heart,† Ramsay manages to create meaningful and powerful messages. â€Å"Masterpiece Theater† has also shown how they have matured since their first album in 2006. â€Å"Fix Me† had meaningful lyrics and compelling musicality, but it used profanity to complete its message. On their second album there is no swearing, which perhaps indicates how the band has worked through their insecurities, and no longer relies on dirty lyrics to make songs popular. In conclusion, â€Å"Masterpiece Theater† is a heart-wrenching album for all rock fans. It is spectacular in both lyrical and musical aspects, and shows growth yet consistency.

Thursday, December 5, 2019

Operation Surgical Procedure Was Performed â€Myassignmenthelp.Com

Question: Discuss About The Operation Surgical Procedure Was Performed? Answer: Introduction The paper deals with the case study of the Mrs Nancy Andrews. She is 77-year-old female. The patient was initially admitted for the endovascular repair of a 6 cm infra renal abdominal aortic aneurysm. On the third day after operation, the patient had intense abdominal pain. On the fourth day post operation second surgical procedure was performed. After the surgical procedure the patient was diagnosed with Acute Kidney Injury or AKI. Currently, she is prescribed Continuous Veno-Venous Hemo Dialysis. In response to the case study, the paper discusses acute kidney injury and explains the criteria, in this patient that is suggestive of acute kidney injury. The choice of therapy prescribed for the patient is critically evaluated. Acute Kidney Injury Acute kidney injury can be defined as a decrease in the kidney function abruptly that results in the dysregulation of the extracellular volume and electrolytes, and the retention of nitrogenous waste products and the urea (Zuk and Bonventre 2016). Criteria in patient that is suggestive of AKI The criterion for the patient that is suggestive of AKI is the endovascular aneurysm repair or EVAR. Since acute kidney injury is characterised by the decrease in the glomerular filtration rate and increase in the serum creatinine and urea nitrogen. The same was observed in the case of Mrs Andrews. Her creatinine was 310 instead of 50-100. Her urea concentration was 22 instead of 2.7 8. Decreased haemoglobin was indicative of increased fluid volume and acute kidney failure. Mrs Andrewss haemoglobin was 87 instead of 115-155. AKI could also occur due to increase in infection, which in case of Mrs Andrews is evident from WCC of 18.2 instead of 4-11. The cause of infection could be the Arterial and CVP line were inserted during the procedure in her (Saratzis et al. 2015). According to Bang et al. (2014), the patients who underwent the complex EVAR procedure are at risk of AKI. Further, the emergence of AKI after EVAR is documented in various studies. Age is the major risk factor for the AKI. For patients older than 70 years aneurysm and AKI are highly prominent (Saratzis et al. 2013). Mrs Andrews is 77 year old and was highly susceptible to the AKI after EVAR. Long time of operation is also found to increase the risk of AKI, in this case this may have also caused the AKI in the patient (Bang et al. 2014). According to Ronco et al. (2015), severe cardiac disease, hypercholesterolemia and large abdominal aortic aneurysm diameter increases the surgical intervention and associated complications. Among the complication, the main one is the AKI. In this case study the patient has endovascular repair of a 6 cm infra renal abdominal aortic aneurysm. Further, the patient also has the history of the coronary artery disease, hyperlipidaemia which, is suggestive of AKI in this case. In addition, the angiography results showing the renal perfusion defects indicate the risk of AKI. However, in the case Mrs Andrews, the angiography at the completion of the procedure revealed no graft or endovascular leaks. The other physiological data suggests of AKI. Choice of therapy for this patient CVVHD is the appropriate treatment for the AKI. This process involves the use of a pump-driven venovenous circuit. This method works on the principle of both diffusion and ultra-filtration. In this technique a dialysate solution is run at a low rate counter-current t the flow of the blood. This technique maximises the diffusion based solution removal. It permits blood flows better than that provided by the arteriovenous circuit. The blood flow is more constant and higher. In addition, it eliminates the need of a large-bore arterial catheter. This eliminates the risks of arterial thrombosis and arterial bleeding associated with it. The benefits of the therapy include good clearance of small solutes urea, water, creatinine and electrolytes. Due to continuous haemodialysis, it is efficient in removing the low molecular weight solutes. It is thus used clinically for regulating the serum concentration of the small solutes (Symons 2017). It helps to maintain the stable hemodynamic status and the nutritional requirements of the patients. It is useful to eliminate the large amount of plasma ammonia (Pistolesi et al. 2016). Currently the status of the patient shows that the urine output is 0-2 mls per hour. Her renal ultrasound 1800 reveals adequate flow through renal arteries. The medical events of Mrs Andrews in ICU show that she has periods of hypotension. Using the therapy of CVVHD, the chance of hypotension can be removed as ultrafiltration can be done at slow rate. Even if the hypotensive episodes are brief, there is high probability that kidney may be further damaged. Recovery from AKI is slowed by multiple hypotensive episodes, in patients who are critically ill. Thus, this method is appropriate for Mrs Andrews considering her present condition. Mrs Andrews is meeting the criteria for the haemodialysis therapy. Fluid resuscitations are performed on her with infusions of crystalloid packed cells and colloids. Inf usions of Dobutamine and Noradrenaline are commenced. A pulmonary artery catheter is inserted at 0400 hours for hemodynamic monitoring. Her initial blood glucose level is 12.1 According to Kakajiwala et al. (2016), it is effective to prevent the kidney problems by providing the patient with lots of fluid and salts or bicarbonates. The alternative therapy could be the Continuous Veno-Venous Hemofiltration(CVVH) is the short-term treatment for the patients in ICU. It is the therapy used when the patient is unable to tolerate the haemodialysis or is having the low blood pressure (Liu et al. 2016). McLaughlin et al. (2017) argued on the basis of the retrospective review that CVVH is not effective in reducing mortality or the length of stay in hospital when compared to the CVVHD. Evidences from other studies showed that when compared to CVVH, CVVHD is effective in terms of diffusion- based principle as it results in greater solute removal. According to Eyler et al. (2014) patients who have undergone the abdominal aortic aneurysm and have been diagnosed with the complication of AKI is also susceptible to the also susceptible to protein calorie malnutrition. In this patients, it is necessary to balance the protein levels by administering a lot of fluids and proteins. Unlike the intermittent haemodialysis, CVVHD addresses the need of the critically ill patients by helping with slow and continuous removal of the toxins and fluids. In the intermittent method the patients fluid and protein intake is limited between the treatments. This helps to prevent the toxic levels of nitrogen and fluid overload. By removing the fluids continuously, the advantage is that the therapy mimics the native kidney. Further, there is no build up of the protein and toxins the patients can receive as much of them to get the optimal nutrition. In the current condition, Mrs Andrews is a critically ill patient, she may not be able to tolerate the int ermittent dialysis. The same is evident from the prescription of fluid removal prescribed at at 100 mls/hr. It is commenced with 2 liter exchanges and a blood flow rate at 200 mls/hr. She require large amount of fluid for various reasons. If there is no hemodynamic compromise, the patient will not be able to tolerate the rapid fluid and electrolyte shifts (RENAL Replacement Therapy Study Investigators 2009). Conclusion In conclusion, the assignment has comprehensively discussed the, criteria in-patient that is suggestive of AKI. The choice of therapy is critically analysed and is concluded that the CVVHD is the appropriate therapy for Mrs. Andrews. References Bang, J.Y., Lee, J.B., Yoon, Y., Seo, H.S., Song, J.G. and Hwang, G.S., 2014. Acute kidney injury after infrarenal abdominal aortic aneurysm surgery: a comparison of AKIN and RIFLE criteria for risk prediction.British journal of anaesthesia,113(6), pp.993-1000. Eyler, R.F., Vilay, A.M., Nader, A.M., Heung, M., Pleva, M., Sowinski, K.M., DePestel, D.D., Srgel, F., Kinzig, M. and Mueller, B.A., 2014. Pharmacokinetics of ertapenem in critically ill patients receiving continuous venovenous hemodialysis or hemodiafiltration.Antimicrobial agents and chemotherapy,58(3), pp.1320-1326. Kakajiwala, A.K., Ferguson, M.A. and Fitzgerald, J.C., 2016. Acute Kidney Injury 11.Fundamentals of Pediatric Surgery, p.75. Liu, D.L., Huang, L.F., Ma, W.L., Ding, Q., Han, Y., Zheng, Y. and Li, W.X., 2016. Determinants of Calcium Infusion Rate During Continuous Veno-venous Hemofiltration with Regional Citrate Anticoagulation in Critically Ill Patients with Acute Kidney Injury.Chinese medical journal,129(14), p.1682. McLaughlin, M.M., Masic, I. and Gerzenshtein, L., 2017. Evaluation of nucleoside reverse transcriptase inhibitor dosing during continuous veno-venous hemofiltration.International journal of clinical pharmacy,39(1), pp.37-40. Pistolesi, V., Di Napoli, A., Fiaccadori, E., Zeppilli, L., Polistena, F., Sacco, M.I., Regolisti, G., Tritapepe, L., Pierucci, A. and Morabito, S., 2016. Severe acute kidney injury following cardiac surgery: short-term outcomes in patients undergoing continuous renal replacement therapy (CRRT).Journal of nephrology,29(2), pp.229-239. RENAL Replacement Therapy Study Investigators, 2009. Intensity of continuous renal-replacement therapy in critically ill patients.N Engl j Med,2009(361), pp.1627-1638. Ronco, C., Ricci, Z., De Backer, D., Kellum, J.A., Taccone, F.S., Joannidis, M., Pickkers, P., Cantaluppi, V., Turani, F., Saudan, P. and Bellomo, R., 2015. Renal replacement therapy in acute kidney injury: controversy and consensus.Critical Care,19(1), p.146. Saratzis, A., Melas, N., Mahmood, A. and Sarafidis, P., 2015. Incidence of acute kidney injury (AKI) after endovascular abdominal aortic aneurysm repair (EVAR) and impact on outcome.European Journal of Vascular and Endovascular Surgery,49(5), pp.534-540. Saratzis, A.N., Goodyear, S., Sur, H., Saedon, M., Imray, C. and Mahmood, A., 2013. Acute kidney injury after endovascular repair of abdominal aortic aneurysm.Journal of Endovascular Therapy,20(3), pp.315-330. Symons, J.M., 2017. Continuous Renal Replacement Therapy (CRRT) and Acute Kidney Injury (AKI). InPediatric Dialysis Case Studies(pp. 271-278). Springer, Cham. Zuk, A. and Bonventre, J.V., 2016. Acute kidney injury.Annual review of medicine,67, pp.293-307.