Saturday, March 28, 2020

The Open Boat and To Build a Fire

Introduction Naturalism was an offshoot of determinism and Darwinism. These schools of thought held that man had minimal control over his fate because the environment shaped his life. ‘The Open Boat’ and ‘To Build a Fire’ epitomize this literary movement. Not only do the writers use practical and succinct language that is typical of this school, but they also place greater emphasis on processes over people. This approach was in keeping with their reverence for neutrality.Advertising We will write a custom essay sample on ‘The Open Boat’ and ‘To Build a Fire’ specifically for you for only $16.05 $11/page Learn More How the two narratives exemplify naturalism Naturalists often make conservative use of language in their narrations and these two books are no exception. These authors detached themselves from their characters as well as the human situations. ‘The Open Boat’ describes the four men ’s adventures with a great degree of temperance. The author had opportunities to exaggerate their accomplishments as well as their failures, but he did not. The desperate nature of the characters is consistent with their dreary settings, so every stylistic choice matches developments in the story. One should also note that only one of the characters in the story has a name –Billie. This level of detachment testifies to the realism that naturalists liked. Similarly, the writing in ‘To Build a Fire’ was objective and concise. London stays away from the emotions and insecurities of his protagonist. Nothing sets him apart as a special individual. In fact, the hard language in the narration and the twists and turns of the story make the man seem like a sideshow. The author’s language is objective and factual. For instance, he talks about the number of matches that the man used and why ice froze on his beard (London 36). This stylistic choice was in tande m with his naturalist thought. He wanted to furnish the audience with objective information such that they can competently assess the environment. Naturalism also explains why London did not name his central character. Doing so would have detracted readers from the subject matter. As the name implies, naturalism was a school of thought that focused on nature. It dwelt on ‘what is’ rather than ‘what should be’. Therefore, when pioneers of the intellectual school wrote about something, they gave precedence to the environment rather than the people in them. For instance in ‘To Build a Fire’, readers can find a lot of information about nature. London talks about springs, creeks, fires, snow and how each of these natural processes can change and affect the elements surrounding them. In the book, one understands the repercussions of exposing one’s cheeks to extremely cold weather.Advertising Looking for essay on american literature? Let's see if we can help you! Get your first paper with 15% OFF Learn More Likewise, the same description of all things natural can be found in ‘The Open Boat’. Most of the discussions in the piece dwell on how the sea operates; its waves and tides can change dramatically and thus affect those who are standing on its way. At the beginning of the story, the sea seemed like a merciless monster that the men personified. However, towards the end of the story, they soon realize that the sea is a natural object (Crane 14). It has no intentions and does not inflict deliberate harm. Crane wanted to prove that nature is ‘what is’. Man is the one that gets too preoccupied with what it should be. Naturalists ascribed to Darwinian and determinist thought. Darwin led the determinist school by demonstrating how evolution occurred. The scholar affirmed that the environment shapes organisms over extremely long periods of time. It caused them to develop different physic al characteristics (mutate) from those of organisms within the same species. In subsequent times, groups that had favorable traits survived while the ones with unfavorable ones died. Determinism proved that man was helpless against his environment. His free will had little to do with what occurred to him (Sorrentino 104). These themes are present in both narrations. In ‘The Open Boat’, the waves are frequently changing; the men have little control over these waves even after spending a substantial amount of time at sea. Man can do little to change the forces of nature. Therefore, he must accept this condition and only focus on reacting to what nature presents. Naturalists believed in the insignificance of free will. Likewise, the author of ‘To Build a Fire’, wanted to show how even intellectualism could not save many from nature. The man had a map and was set on hunting for gold. However, he later had to abandon these ambitions because of the harsh weather. The dog had a higher chance of survival than the man because it understood its place in the natural world. It reacted to its environment and thus outlived the man. However, the protagonist did not respect the power of the natural world and thus subjected himself to danger. The deterministic environment altered his goals and thus triumphed over his free will. Many naturalists acknowledge the determinism of the environment, but they do not believe in its divinity. Nature was neither against or for man; it was simply present. Therefore, one should not expect moral judgment from nature as this will not materialize (Bender 92).Advertising We will write a custom essay sample on ‘The Open Boat’ and ‘To Build a Fire’ specifically for you for only $16.05 $11/page Learn More London does not blame the man for the fall in the snow, and neither does he blame the snow. If one must ascribe moral responsibility on a party, then it should be p laced on man since he can predict the consequences of his actions. Nature is also indifferent to man in ‘The Open Boat’. The men initially blame the sea for their predicaments. In one occasion, they claim that the sea is hissing and snarling. However, the narrator later learns that nature was not against them when one large wave carries him to shore. One can thus deduce that nature is not a partisan party if it can rescue and cause harm at the same time. Adherents of the naturalism movement favored members of the lower classes. Alternatively, their characters became classless in the wake of environmental forces. In ‘To Build a Fire’, the protagonist is probably one such character because he leaves his home for a dangerous expedition, in hostile weather, so as to hunt for gold (London 8). Conversely ‘Open Boat’ has an oiler, a correspondent, a cook as well as a captain. None of these titles matter in the grueling and unpredictable sea; all that counts is their survival. Conclusion Naturalists strongly espoused neutrality. This is evident in their succinct and factual language as well as their focus on plot rather than the people in their narrations. The authors under analysis show that man’s free will is irrelevant, and even his intellectualism cannot fight nature. Conversely, London and Crane acknowledge the impartiality of nature and its inability to wield moral judgment over man. Works Cited Bender, Bert. Sea-Brothers: The Tradition of American Sea Fiction from Moby-Dick to the Present. Philadelphia: University of Pennsylvania Press,1990. Print. Crane, Stephen. 2011. The open boat and other tales of adventure. 2011. Web. †¹https://archive.org/details/openboatothertal00cranuoft/page/n6†º London, Jack. 2012. To build a fire. 2012. Web.Advertising Looking for essay on american literature? Let's see if we can help you! Get your first paper with 15% OFF Learn More Sorrentino, Paul. Stephen Crane Remembered. Tuscaloosa: University of Alabama Press, 2006. Print. This essay on ‘The Open Boat’ and ‘To Build a Fire’ was written and submitted by user Obi-Wan to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Saturday, March 7, 2020

Case Management for Breast Cancer Patients

Case Management for Breast Cancer Patients Tumours are diseases that can be characterized with little percentage of preventive measures taken to forecast the condition of a patient or analyze the possibility of inherited genomes to provoke development of cancer tumours. In this respect, preventive measures should be taken in order to decrease the mortality rates all over the world in terms of cancer illness and breast cancer in particular. Advertising We will write a custom essay sample on Case Management for Breast Cancer Patients specifically for you for only $16.05 $11/page Learn More The changes should be made in the area of preventive approaching the breast cancer as a chronic illness in institutions addressing the healthcare providers’ professional competencies and the way patients, families, and communities perceive this illness and prevent its appearance. Breast cancer as a chronic disease Breast cancer is a chronic illness because it is a recurring one and, as a rule, it progresses sl owly. Mammary neoplasms are treated as a chronic illness if neoplasms occur constantly even after the use of invasive method and chemotherapy sessions and demonstrate a low progress. In this respect, it needs a completely different approach than a single instance of breast cancer tumour that can be extracted and a tumour can happen to occur no more. Another case that can be considered in breast cancer treatment is the fast or inoperative instance of mammal neoplasm. Inherited propensity and different external factors (smoking, eating carcinogenic products, and others) can accelerate the risk of cancer occurrence. However, sometimes, people live with cancer tumours all life long and undergo a number of chemotherapy sessions that slow down the development and spreading of infected cells. So, a patient should be screened for a breast cancer and appropriate measures should be taken if a patient has an inherited propensity of breast cancer. As reported by Perry et al. (2007), in June 2 003, the European Parliament called for establishment of a programme by 2008 which should lead to a future 25% reduction in breast cancer mortality rates in the EU and also a reduction to 5% in the disparity in the survival rates between member states† (p.615). So, this can be considered the first set of measures to be taken for improving the treatment incorporation of preventive measures into practice as an alternative for supportive measures. Though supportive measures are necessary for patents that have been diagnosed advanced breast cancer tumour, it is necessary to think about alternative ways to decrease the rate of mortality caused by breast cancer and various complications. Advertising Looking for essay on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More Thus, Blamey et al. (2007) have studied the survival of invasive breast cancer which presupposes supportive taken for patients that were diagnosed adv anced breast cancer tumour and have to perceive some treatment in the form of surgical invasion followed by chemotherapy sessions. In this respect, breast cancer can be characterised as a chronic illness that needs preventive measures to be introduced for healthcare providers and for patients and their families as an alternative to supportive measures. Supportive care contrasted to preventive measures As supportive measures were taken for breast cancer patients in the late 20th century, it is necessary to implement some preventive measures. Perry et al. (2007) suggests that even the supportive invasive measures were well-coordinated in case of advanced tumours diagnosis (p.619). In other words, supportive measures are contrasted to timely screening of breast cancer and preventive measures taken for breast cancer patients. When preventive treatment does not work, it is necessary to implement healthcare education for patients and their families. In addition, all types of health care institutions should incorporate preventive measures for patients that have inherited predisposition to breast cancer. Counselling sessions and other ways to inform people that may potentially be diagnosed breast cancer would be primary steps to prevent breast cancer and reduce the mortality rate. As a rule, the reports inform about increase in the spreading rates and the mortality rates. However, the study by Ravdin et al. (2007) offers some evidence of the decrease in breast cancer incidence in breast cancer in the United States in 2003. Perhaps, it is necessary to analyze the measures taken by healthcare providers that year to achieve this result and continue in the same manner. One of the possible ways to increase the awareness of patents in their possible illnesses is to inform the population of the measures to be taken to decrease the effect of various factors on their organism and undergo a set of procedures. Thus, Robson, Offit (2007) report of certain risk assessment and g enetic testing to be taken in case a patient can potentially be diagnosed breast cancer. Besides, there are measures that can be taken to inform the patient and her family members about the risk and risk that exists in this case. A set of preventive measures can be taken if a person is of definite age and can be potentially diagnosed breast cancer due to certain external factors. Advertising We will write a custom essay sample on Case Management for Breast Cancer Patients specifically for you for only $16.05 $11/page Learn More In addition, it is necessary to take some measures such as mammography to prevent the slightest possible percent of being diagnosed breast cancer. However, even if you are diagnosed breast cancer, it woud be more productive to remove the tumour and take non-invasive measures while fighting against the disease. Another study that analyzes management measures that should be taken to prevent occurrence of a disease is the one by Narod Offit (2005). Hereditary illnesses should be opposed to chronic ones. In addition, there should be definite measures taken for patients that have already been diagnosed breast cancer and those who may potentially have it in future. As a rule, it is a matter of time if all female relatives of a patient were diagnosed breast cancer. In this case, preventive therapy is the most appropriate measure that consist in risk assessment, genetic testing, counseling sessions, and other steps including breast examination, mammography, magnetic resonance imaging, ultrasonography, and screening for other cancers, as well as chemoprevention and surgery as parts of strategies for reducing risks. Moreover, the preventive measures for breast cancer include prophylactic mastectomy, analysis of reproductive factors, and oophorectomy for breast cancer risk reduction. As you can see, there are many steps that can be taken but the most appropriate way to fight against the cancer in the earliest stages is to take a combination of those steps and prevent the occurrence of the disease before the patient is diagnosed breast cancer. Conclusion It appears to be more productive to take preventive measures instead f taking invasive measures while dealing with such problem as breast cancer and inherited breast cancer. Advertising Looking for essay on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More When women face such problem, they should receive constructive counselling. Moreover, most women with a possibility to have breast cancer can undergo a set of preventive measures including mammography that would help to screen the tumour when non-invasive measures would be enough. The patents as well as health care providers should be aware of the alternative measures to be taken in every separate case and certain complications and individual peculiarities that should be taken into account while considering preventive measures and certain complications, age, family health history, and other numerous factors. Preventive measures can be introduced on the regular basis to help women with different stages of breast cancer to fight their disease int he most productive way. Reference List Blamey, R.W., Ellisa, I.O., Pindera, S.E., Leea, A.H.S., Macmillana, R.D., Morgana, D.A.L.,†¦ Elstona, C.W. (2007). Survival of invasive breast cancer according to the Nottingham Prognostic Index in cases diagnosed in 1990–1999. European Journal Of Cancer, 4 3, 1548-1555. Narod, S. A., Offit, K. (2005) Prevention and management of hereditary breast cancer. Journal of Clinical Oncology, 23 (8), 1656-1663. Perry, N., Broeders, M., de Wolf, C., Tà ¶rnberg, S., Holland, R., von Karsa, L. (2007). European guidelines for quality assurance in breast cancer screening and diagnosis. Fourth edition – summary document. Annals of Oncology, 19 (4), 614-622. Ravdin, P. M., Cronin, K. A., Howlader, N., Berg, C. D., Chlebowski, R. T., Feuer, E. J., †¦ Berry, D. A. (2007) The decrease in breast-cancer incidence in 2003 in the United States. The New England Journal of Medicine, 356 (16), 1670-1674. Robson, M., Offit, K. (2007). Management of an inherited predisposition to breast cancer. The New England Journal of Medicine, 357 (2), 154-162.