Clinical Development Evidence For Clinical Effectiveness

Clinical Development Evidence for Clinical Effectiveness There were various clinical trials completed and revived, only made possible by the preclinical work. These were done under various conditions at differing dosages and times of infusion and under different conditions. The ECLIPSE trials were made up of 3 studies to test clevidipine against 3 common perioperative antihypertensives which were nitro-glycerine, sodium nitroprusside, and nicardipine (which is usually a postoperative drug due to long half-life) in 1:1 ratio of clevidipine patients to other drug patients. Necessary ethics and control methods were implemented among the patients, 579 patients who were in the sodium nitroprusside vs. clevidipine study; 546 in the nitro-glycerine study and 381 in the nicardipine study (total 1506 patients only 1410 were eligible for analysis). [1] [2] The studies found that less clevidipine was needed to achieve the same effects as nitro-glycerine and nicardipine. Similar amounts were used to achieve similar effects verses sodium nitroprusside, but a secondary hypertensive tended to be need more often in the sodium nitroprusside-traded group versus the clevidipine group. The studies also found little differences in the mortality or adverse out comes with-in 30 days. The trials reported that clevidipine was significantly more effective at maintaining BP within a healthy range. The end conclusion drawn was that clevidipine was a safe and effective means of treating acuteShow MoreRelatedAnalysis And Application Of Clinical Practice Guidelines Essay1337 Words   |  6 PagesAnalysis and Application of Clinical Practice Guidelines: Prevention of Pressure Ulcers Pressure Ulcers are a common issue for hospitals and long-term nursing facilities nationwide. Annually an estimated cost of $143 million is spent on hospital acquired conditions which include pressure ulcers (Kandilov, Coomer, Dalton, 2014). 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Typhoon Pablo Hits Philippines - 1675 Words

Name: Jo-ann Abantao Year and Course: BSHRM-1A ‘TYPHOON PABLO’ The world we live in today is always changing, whether it be technology or the land. As these changes take place, society must adapt to them. Many things begin to change as a result of this and society beings to turn into something completely different. One of the most overlooked changes that takes place is that of the environment and landscape. The landscape is one of the most important parts of our societys culture and has a great effect on how we live. It seems that nowadays, many individuals are taking advantage of the land and nothing appreciating it for every thing that it is worth. Its true that not everyone is going to look at the environment and†¦show more content†¦The storm has also caused massive damage to infrastructure and agriculture, destroying large tracts of coconut and banana trees, said Ramos. Without power Power is still being restored in many of the typhoon-hit areas. Many areas in Cagayan de Oro, Malaybalay City, Valencia City, and Misamis Oriental are still without power. Power is also out in some parts of Davao Oriental and Compostela Valley due to downed electrical posts. The National Disaster Risk Reduction and Management Council (NDRRMC) placed the total amount of damage from typhoon Pablo at over P24 billion, P16 billion were lost in agriculture including high-value crops such as bananas, coconuts, rubber, and cacao. At this time, authorities continue to provide relief assistance to typhoon victims, the NDRRMC said. Food and non-food items were continuously being sent to devastated areas in Davao Oriental and Compostela Valley. The Department of Health has sent water filtration equipment to Boston, Davao Oriental as well as in New Bataan, Compostela Valley. On December 12, the Department of Trade and Industry also implemented a price ceiling to calamity-affected areas. The Philippines is hit by about 20 major storms or typhoons each year that occur mainly during the rainy season between June and October. â€Å"Damage by Pablo would represent 0.3 percent ofShow MoreRelatedMalnutrition Among Poor Families in the Philippines1701 Words   |  7 PagesMalnutrition among poor family in Mindanao Philippines Curbing malnutrition in North Cotabato and Maguindanao Source: http://www.unicef.org/philippines/reallives_19053.html#.UTMVUjfJSKU By Dr. Paul Andrew Zambrano UNICEF Nutrition Officer for Emergencies The nutrition of children in conflict-affected areas in Mindanao continues to be a serious concern for us at UNICEF. Recurring emergencies due to armed conflict and natural disasters in this region – combined with challenges on appropriate infantRead MoreArchival Research Paper - Philippine Typhoons10190 Words   |  41 PagesDegree of Loss and Destruction: A Look into the Impact of Typhoons that Hit the Philippines from 2008 - 2011 December 2012 Table of Contents Title Page †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ i Table of Contents †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ ii Chapter 1 – Introduction Background of the Study †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 1 Statement of the Problem †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.... 2 Significance of the Study †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 3 Scope and Limitations †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 4 Chapter 2 – Conceptual Framework Objectives of theRead MoreTimeline of Philippine History6991 Words   |  28 Pageshilippine History ------------------------------------------------- Timeline of Philippine history From Wikipedia, the free encyclopedia This is a  timeline of  Philippine  history, comprising important legal and territorial changes and political events in the Philippines and their predecessor states. 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What Events Led to the Civil War - 2154 Words

What events led to the Civil War? During the Revolutionary Era from 1765-1815, slavery existed in thirteen colonies. Maryland went from white servants to slaves. There was an agricultural economy that existed in the South that was dependent on the labor of slaves. Although slavery did not exist in the North exclusively; New York, Philadelphia, and New England were involved in the trade of slaves; so although the South was exclusively using slaves as an economic gain, the North also had financial benefits as a result of the existence of slavery. In the aftermath of the Revolution, slavery began to cease in the North. In Massachusetts they ruled slavery as not in concordance with the state. Other northern states like New York and New†¦show more content†¦In response to Calhoun s defense, the notion of Political Sovereignty is introduced by Douglas (Senator of Illinois) which states: let the people who are in the territories decide, Calhoun is dissatisfied, but the political parties see this as a safety net aga inst succession. The doctrine was incorporated in the Compromise of 1850 and four years later was an important feature of the Kansas-Nebraska Act. In the Compromise of 1850, Southerners wanted to make a Fugitive Slave Law more extreme because the Northerners were not sending back runaway slaves. Douglas decided to help pass this bill by breaking it up into five components in order to form a coalition; the bill passes. The bills consisted of these compromises: Utah and New Mexico dealing with Popular Sovereignty, Slave trade banned in Washington D.C., California gets in free and a new Fugitive Slave Bill passed. In 1854, the Kansas Nebraska Act once again fueled the act of Popular Sovereignty. Douglas wanted to run a trans-continental railroad out of Chicago going west. The problem was that the railroad would thus pass through unorganized territory. Douglas had to get the territory organized before he could construct his railroad. However, the issue of slavery was at hand yet again, and the unorganized territoryShow MoreRelatedThe American Civil War981 Words   |  4 PagesThe American Civil War was one of the major events in history that helped develop America to what it is today. Many people think that the American Civil War was fought over the issue of slavery alone, but in reality it was caused by many disagreements and events between the northern free states and southern slave states that occurred prior to the war. Monetary alterations were one of the main reasons the North and South had many conflicts and differences in beliefs. 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However, what most people don’t understand, is that most of the events leading up to the Civil War were related to slavery.  Slavery was the core of the North and South’s conflict, which led to a very vicious feud.   The immediate cause of the war was slavery. Southern states, including the 11 statesRead MoreAnalysis Of The Book Crossroads Of Freedom By James M. Mcpherson1167 Words   |  5 Pagescause of the Civil War. While McPherson argued this he also argues that the Civil War had many other turning points and was not settled by just one battle. McPherson’s targeted audience would have to be those interested in the Civil War and the events that led to it. McPherson wrote this great book which came to be an important contribution to our collective historical knowledge and understanding because this book explains the important arguments that took place and made the Civil War happen and stopRead MoreThe Events That Caused The Civil War1688 Words   |  7 Pages The Events That Caused the Civil War One could argue that the true causes of the Civil War were states’ rights and taxations. Although this played a large part in the start of the Civil War, slavery was the ultimate factor that led to this event in history. Economic and social differences between the north and the south, fights between slave and non-slave proponents, the growth of the abolition movement, and the election of Abraham Lincoln are all events having to do with slavery in the United StatesRead MoreThe Civil War Of The United States1233 Words   |  5 Pagespolitical beliefs, which led to many disagreements and conflicts between the states. Many events occurred as a result of this conflict. These events caused the southern states to secede from the Union and ultimately led to the Civil War. The Civil War was the bloodiest battle recorded in American history. It caused hundreds of thousands of deaths and injuries. The cause of this significant war has been a question in limbo for the past 100 years, as there are many theories as to what the main cause mightRead MoreSlavery And The American Civil War1125 Words   |  5 PagesSanjani Prodduturu Slavery and Civil War Throughout history, it has been commonly misconceived that slavery and the abolishment of slavery has been the sole cause of the American Civil War. Whereas the institution of slavery has been a major cause of the war, the differences in ideologies and beliefs between the North and the South also play a role in the origins of the Civil War. The origins of the Civil War can also be attributed to the political, economical, social, and cultural differences betweenRead MoreWhat Events Sparked The Civil War?779 Words   |  4 Pages Mrs. McGee English 2 27 April 2015 What Events Sparked the Civil War? â€Å"We here highly resolve that these dead shall not have died in vain.† Abraham Lincoln spoke this during the time the Civil War had ended. There were several major events that helped spark the Civil War; Uncle Tom’s Cabin, John Brown’s Raid, Lincoln’s Election, and the Battle at Fort Sumter. The Civil war was one of the hardest fought battles in American history. In 1852, Uncle Tom’sRead MoreEssay about The Revolutionary War1417 Words   |  6 PagesThe Revolutionary War The Revolutionary War started on April 19, 1775 at Lexington and Concord. America was very much unprepared with no central government or army. The congress stepped up as the government and began to organize an army. The Revolutionary War did not end until September 3, 1783 with the signing of the final peace treaty between America and Great Britain. The victory in the Revolution War led to the birth of a new independent nation. After the Revolution it was a timeRead More1968 Was a Turning Point for the United States. Assess the Validity of This Statement652 Words   |  3 Pageswas going through many important and crucial events. From the Vietnam War to national politics, and even civil rights, our country was changing a lot. In particular, the year 1968, was when our country went through a major turning point, especially when you take in consideration the major events that involved the Vietnam War and the civil rights movement such as the â€Å"Tet Offense†, violent protests, and the Civil Rights Act being passed. The Vietnam War is still a very controversial subject to this

The Art Of A Short Story Ernest Hemingway Essay Example For Students

The Art Of A Short Story Ernest Hemingway Essay Ernest Miller Hemingway was born on July 21, 1899, in Oak Park, Illinois. His father was the owner of a prosperous real estate business. His father, Dr. Hemingway, imparted to Ernest the importance of appearances, especially in public. Dr. Hemingway invented surgical forceps for which he would not accept money. He believed that one should not profit from something important for the good of mankind. Ernests father, a man of high ideals, was very strict and censored the books he allowed his children to read. He forbad Ernests sister from studying ballet for it was coeducational, and dancing together led to hell and damnation. Grace Hall Hemingway, Ernests mother, considered herself pure and proper. She was a dreamer who was upset at anything which disturbed her perception of the world as beautiful. She hated dirty diapers, upset stomachs, and cleaning house; they were not fit for a lady. She taught her children to always act with decorum. She adored the singing of the birds and the sme ll of flowers. Her children were expected to behave properly and to please her, always. Mrs. Hemingway treated Ernest, when he was a small boy, as if he were a female baby doll and she dressed him accordingly. This arrangement was alright until Ernest got to the age when he wanted to be a gun-toting Pawnee Bill. He began, at that time, to pull away from his mother, and never forgave her for his humiliation. The town of Oak Park, where Ernest grew up, was very old fashioned and quite religious. The townspeople forbad the word virgin from appearing in school books, and the word breast was questioned, though it appeared in the Bible. Ernest loved to fish, canoe and explore the woods. When he couldnt get outside, he escaped to his room and read books. He loved to tell stories to his classmates, often insisting that a friend listen to one of his stories. In spite of his mothers desire, he played on the football team at Oak Park High School. As a student, Ernest was a perfectionist about his grammar and studied English with a fervor. He contributed articles to the weekly school newspaper. It seems that the principal did not approve of Ernests writings and he complained, often, about the content of Ernests articles. Ernest was clear about his writing; he wanted people to see and feel and he wanted to enjoy himself while writing. Ernest loved having fun. If nothing was happening, mischievous Ernest made something happen. He would sometimes use forbidden words just to create a ruckus. Ernest, though wild and crazy, was a warm, caring individual. He loved the sea, mountains and the stars and hated anyone who he saw as a fake. During World War I, Ernest, rejected from service because of a bad left eye, was an ambulance driver, in Italy, for the Red Cross. Very much like the hero of A Farewell to Arms, Ernest is shot in his knee and recuperates in a hospital, tended by a caring nurse named Agnes. Like Frederick Henry, in the book, he fell in love with the nurse and was given a medal for his heroism. Ernest returned home after the war, rejected by the nurse with whom he fell in love. He would party late into the night and invite, to his house, people his parents disapproved of. Ernests mother rejected him and he felt that he had to move from home. He moved in with a friend living in Chicago and he wrote articles for The Toronto Star. In Chicago he met and then married Hadley Richardson. She believed that he should spend all his time in writing, and bought him a typewriter for his birthday. They decided that the best place for a writer to live was Paris, where he could devote himself to his writing. He said, at the time, that the most difficult thing to write about was being a man. They could not live on income from his stories and so Ernest, again, wrote for The Toronto Star. Ernest took Hadley to Italy to show her where he had been during the war. He was devastated, everything had changed, everything was destroyed. Hadley became pregnant and was sick all the time. She and Ernest decided to move to Canada. He had, by then written three stories and ten poems. Hadley gave birth to a boy who they named John Hadley Nicano Hemingway. Even though he had his family Ernest was unhappy and decided to return to Paris. It was in Paris that Ernest got word that a publisher wanted to print his book, In Our Time, but with some changes. The publisher felt that the sex was to blatant, but Ernest refused to change one word. Around 1925, Ernest started writing a novel about a young man in World War I, but had to stop after a few pages, and proceeded to write another novel, instead. This novel was based on his experiences while living in Pamplona, Spain. He planned on calling this book Fiesta, but changed the name to The Sun Also Rises, a saying from the Bible. This book, as in his other books, shows Hemingway obsessed with death. In 1927, Ernest found himself unhappy with his wife and son. They decided to divorce and he married Pauline, a woman he had been involved with while he was married to Hadley. A year later, Ernest was able to complete his war novel which he called A Farewell to Arms. The novel was about the pain of war, of finding love in this time of pain. It portrayed the battles, the retreats, the fears, the gore and the terrible waste of war. This novel was well-received by his publisher, Max Perkins,but Ernest had to substitute dashes for the dirty language. Ernest used his life when he wrote; using everything he did and everything that ever happened to him. He nevertheless remained a private person; wanting his stories to be read but wanting to be left alone. He once said, Dont look at me. Look at my words. A common theme throughout Hemingways stories is that no matter how hard we fight to live, we end up defeated, but we are here and we must go on. At age 31 he wrote Death in the Afternoon, about bullfighting in his beloved Spain. Ernest was a restless man; he traveled all over the United States, Europe, Cuba and Africa. At the age of 37 Ernest met the woman who would be his third wife; Martha Gellhorn, a writer like himself. He went to Spain, he said, to become an antiwar Correspondent, and found that war was like a club where everyone was playing the same game, and he was never lonely. Martha went to Spain as a war correspondent and they lived together. He knew that he was hurting Pauline, but like his need to travel and have new experiences, he could not stop himself from getting involved with women. In 1940 he wrote For Whom the Bell Tolls and dedicated it to Martha, whom he married at the end of that year. He found himself traveling betwe en Havana, Cuba and Ketchum, Idaho, which he did for the rest of his life. During World War II, Ernest became a secret agent for the United States. He suggested that he use his boat, the Pillar, to surprise German submarines and attack them with hidden machine guns. It was at this time that Ernest, always a drinker, started drinking most of his days away. He would host wild, fancy parties and did not write at all during the next three years. At wars end, Ernest went to England and met an American foreign correspondent named Mary Welsh. He divorced Martha and married Mary in Havana, in 1946. Ernest was a man of extremes; living either in luxury or happy to do without material things. Ernest, always haunted by memories of his mother, would not go to her funeral when she died in 1951. He admitted that he hated his mothers guts. Ernest wrote The Old Man and the Sea in only two months. He was on top of the world, the book was printed by Life Magazine and thousands of copies were sold in the United States. This novel and A Farewell to Arms were both made into movies. In 1953 he went on a safari with Mary, and he was in heaven hunting big game. Though Ernest had a serious accident, and later became ill, he could never admit that he had any weaknesses; nothing would stop him, certainly not pain. In 1954 he won the Nobel Prize for Literature. Toward the end, Ernest started to travel again, but almost the way that someone does who knows that he will soon die. He suddenly started becoming paranoid and to forget things. He became obsessed with sin; his upbringing was showing, but still was inconsistent in his behavior. He never got over feeling like a bad person, as his father, mother and grandfather had taught him. In the last year of his life, he lived inside of his dreams, similar to his mother, who he hated with all his heart. He was suicidal and had electric shock treatments for his depression and strange behavior. On a Sunday morning, July 2, 1961, Ernest Miller Hem ingway killed himself with a shotgun. Rice Production and Consumption Trends in Negros O EssayErnest Hemingway takes much of the storyline of his novel, A Farewell to Arms, from his personal experiences. The main character of the book, Frederick Henry, often referred to as Tenete, experiences many of the same situations which Hemingway, himself, lived. Some of these similarities are exact while some are less similar, and some events have a completely different outcome. Hemingway, like Henry, enjoyed drinking large amounts of alcohol. Both of them were involved in World War I, in a medical capacity, but neither of them were regular army personnel. Like Hemingway, Henry was shot in his right knee, during a battle. Both men were Americans, but a difference worth noting was that Hemingway was a driver for the American Red Cross, while Henry was a medic for the Italian Army. In real life, Hemingway met his love, Agnes, a nurse, in the hospital after being shot; Henry met his love, Catherine Barkley, also a nurse, before he was shot and hospitalized. In both cases, the relationships with these women were strengthened while the men were hospitalized. Another difference is that Hemingways romance was short-lived, while, the book seemed to indicate that, Henrys romance, though they never married, was strong and would have lasted. In A Farewell to Arms, Catherine and her child died while she was giving birth, this was not the case with Agnes who left Henry for an Italian Army officer. It seems to me that the differences between the two men were only surface differences. They allowed Hemingway to call the novel a work of fiction. Had he written an autobiography the book would probably not have been well-received because Hemingway was not, at that time, a well known author. Although Hemingway denied critics views that A Farewell to Arms was symbolic, had he not made any changes they would not have been as impressed with the war atmosphere and with the naivete of a young man who experiences war for the first time. Hemingway, because he was so private, probably did not want to expose his life to everyone, and so the slight changes would prove that it was not himself and his own experiences which he was writing about. I believe that Hemingway had Catherine and her child die, not to look different from his own life, but because he had a sick and morbid personality. There is great power in being an author, you can make things happen which do not necessarily occur in real life. It is obvious that Hemingway felt, as a young child and throughout his life, powerless, and so he created lives by writing stories. Hemingway acted out his feelings of inadequacy and powerlessness by hunting, drinking, spending lots of money and having many girlfriends. I think that Hemingway was obsessed with death and not too sane. His obsession shows itself in the morbid death of Miss Barkley and her child. Hemingway was probably very confused about religion and sin and somehow felt or feared that people would or s hould be punished for enjoying lifes pleasures. Probably, the strongest reason for writing about Catherine Barkleys death and the death of her child was Hemingways belief that death comes to everyone; it was inevitable. Death ends life before you have a chance to learn and live. He writes, in A Farewell to Arms, They threw you in and told you the rules and the first time they caught you off base they killed you. they killed you in the end. You could count on that. Stay around and they would kill you. Hemingway, even in high school, wrote stories which showed that people should expect the unexpected. His stories offended and angered the principal of his school. I think that Hemingway liked shocking and annoying people; he was certainly rebellious. If he would have written an ending where Miss Barkley and her child had lived, it would have been too easy and common; Hemingway was certainly not like everyone else, and he seemed to be proud of that fact. Even the fact that Hemingway wro te curses and had a lot of sex in his books shows that he liked to shock people. When his publisher asked that he change some words and make his books more acceptable to people, Hemingway refused, then was forced to compromise. I think that the major difference between Hemingway and Henry was hat Henry was a likable and normal person while Hemingway was strange and very difficult. Hemingway liked doing things his way and either people had to accept him the way he was or too bad for them. I think that Hemingway probably did not even like himself and that was one reason that he couldnt really like other people. Hemingway seemed to use people only for his own pleasure, and maybe he wanted to think that he was like Henry who was a nicer person. In the book, Twentieth Century Interpretations of A Farewell to Arms, Malcolm Cowley focuses on the symbolism of rain. He sees rain, a frequent occurrence in the book, as symbolizing disaster. He points out that, at the beginning of A Farewell to Arms, Henry talks about how things went very badly and how this is connected to At the start of the winter came permanent rain. Later on in the book we see Miss Barkley afraid of rain. She says, Sometimes I see me dead in it, referring to the rain. It is raining the entire time Miss Barkley is in childbirth and when both she and her baby die. Wyndham Lewis, in the same book of critical essays, points out that Hemingway is obsessed with war, the setting for much of A Farewell to Arms. He feels that the author sees war as an alternative to baseball, a sport of kings. He says that the war years were a democratic, a levelling, school. For Hemingway, raised in a strict home environment, war is a release; an opportunity to show that he is a real man. The essayist, Edgar Johnson says that for the loner it is society as a whole that is rejected, social responsibility, social concern abandoned. Lieutenant Henry, like Hemingway, leads a private life as an isolated individual. He socializes w ith the officers, talks with the priest and visits the officers brothel, but those relationships are superficial. This avoidance of real relationships and involvement do not show an insensitive person, but rather omeone who is protecting himself from getting involved and hurt. It is clear that in all of Hemingways books and from his own life that he sees the world as his enemy. Johnson says, He will solve the problem of dealing with the world by taking refuge in individualism and isolated personal relationships and sensations. John Killinger says that it was inevitable that Catherine and her baby would die. The theme, that a person is trapped in relationships, is shown in all Hemingways stories. In A Farewell to Arms Catherine asks Henry if he feels trapped, now that she is pregnant. He admits that he does, maybe a little. This idea, points out Killinger, is ingrained in Hemingways thinking and that he was not too happy about fatherhood. In Cross Country Snow, Nick Regrets that he h as to give up skiing in the Alps with a male friend to return to his wife who is having a baby. In Hemingways story Hills Like White Elephants the man wants his sweetheart to have an abortion so that they can continue as they once lived. In To Have and Have Not, Richard Gordon took his wife to that dirty aborting horror. Catherines death, in A Farewell to Arms, saves the authors hero from the hell of a complicated life.