Stroke Research: An Introduction

Stroke Research: An Introduction Introduction Research studies the quality of data that produces an outcome to provide knowledge in which can explicate results of intangible and tangible benefits. Developing medical improvements, evaluation is done to suggests a beneficial effect for medical facilities or existing facilities and for use by people to reduce uncertainties, improve effectiveness, and make decisions (Patton, 2008, p. 39). Evaluation is an implementation of valuable data which can gather information and further analyzation from outcome. It employs accurate, visible analyzation to further develop future findings. Several methodologies were employed including Economic Evaluation, Enterprise Systems, Study Selections, meta-evaluations and content analysis of national documents. Furthermore, creating guidelines for greater impact on the body of knowledge for the program specially in health sector. Evaluations helps to attain more accurate and feasible information to improve the effectiveness. Influencing the result of the perspective study for human resource, internal processes, on external opportunities and on management (Diana, 2015). This paper will analyze four evaluative research containing a wide range of data that are used to calculate the impact, outcome, process, economical and output to the society and how it can improve later research or currents studies that are done towards Cerebrovascular accident. Background of the Study Cerebrovascular accident as defined by Department of Neurology and Cerebrovascular Center (2013) is a form of transient ischemic attack that causes potential death, loss of movement or even more complication in the future if not have been treated correctly to the patients. There are several aspects that can cause cerebrovascular accident such as hypertension, diabetes and blockage of blood flow. In a study of the current status of acute stroke in Korea (2008) report that studies in a web-based database of consecutive stroke cases from 12 participating centers. A total of 14,792 ischemic stroke cases were enrolled from the span of 4 years (Rohan, 2014). The study shows that the rate of risk factor that more than 80% are caused by hypertension and diabetes. Revascularization were performed on 1,736 subjects and 34% were endovascular (MOH, 2016). This paper will analyze 5 stroke research as using data across the globe to evaluate the health evaluation towards stroke focusing on their significance, method and quality. Main purpose is to create a data base than can help future findings and to provide a stronger knowledge towards Cerebrovascular accident. Evaluation Studies Economic Evaluation in Stroke Research: An Introduction This review is to assess the relevance of the economic evaluations towards the cost of stroke in different countries. The researcher considered several studies to calculate the future, current data and sensitivity analysis to find intangible and tangible results. Due to governments wanting to reduce expenditure while health care sector are going through interventions due to the increased demand through demographic changes (Sylvia, 2001). The method that was used in this study is mixed method, cross-sectional audit was used to identify the costs-to-costs expenditure and retrospective audit to check the constant changes in the aging population (Sylvia, 2001). The significance of this study concluded that the need of transparent reporting and to carefully clarify these results when decision making. Moreover, this study can also contribute to find the data that can both exploit the cost and successful data that can be used to help make more tangible decisions towards the expenditure for stroke (Sylvia, 2001). Evaluation of the Heart and Stroke Foundation of Canada Research Scholarship Program: research productivity and impact. This review is to assess the relevance comparison of both funded and unfunded group in Canada. The researcher considered the unsuccessful and successful funding in the years of 1980/81 to 1989/90 and the productivity and its impact on the individuals. Due to consistency in multiple indicators provides strong evidence that within the 10 years of studies, individuals that are funded has more greater productivity and impact in the body of knowledge in the area of heart and stroke (Armstrong, 1997). The method used in this study is quantitative method, to qualify the understanding of which group is more productive and has a greater knowledge in the area of heart and stroke (Armstrong, 1997). The significance of this study is to determine the unequivocally relation between funding and research success it indicated suggests a beneficial effect. Lastly, this relevance of this study is to have greater knowledge if given with funds to do more research (Armstrong, 1997). Current status of acute stroke management in Korea: a report on a multicenter, comprehensive acute stroke registry. This review is to assess the relevance of diagnostics and variation treatments studies in Korea. The researcher considered the data on the exploit of diagnostics and the variation of treatments at the national level in Korea for acute stroke care. Due to clinical research centers studies aim to describe the stroke statistics and quality of care in Korea and to apply its quality indicators (ByungJin, 2008). The methods used in this study is quantitative method, to qualify the understandings of quality of care and to cover the pretreatment demographics. Due to the high numbers of ischemic stroke cases, the researcher explores the causes of acute stroke in this study (ByungJin, 2008). The significance of this study is to determine the quality of stroke care across South Korea and compare it with that of other countries. Moreover, this study can also be used to understand the main causes of heart stroke and the procedures that are taken (ByungJin, 2008). Adopting CVA To Evaluate Es Benefits Impact On Organisational Effectiveness In Australia This review is to assess the relevance of Enterprise System and the benefits impact it provides in Australia. The researcher of this study needs to consider whether the research of this study has an impact in both internally and externally organizations. Due to the evaluation was based on human resource, internal processes, external opportunities and on management to ensure that competing value approach can have an impact on Enterprise System. This role include knowing the major contribution of competing value approach (Leon, 2012). The methods used in this study is quantitative method, to quantify the benefits of competing value approach towards Enterprise System the researcher explores internally and externally addressing intangible and tangible benefits (Leon, 2012). The relevance of this study is to equally evaluate the benefits of tangible and intangible from both internal and external organization. But this study can also contribute to understand impact on competing value approach towards organization via case studies (Leon, 2012). An evaluation of stroke rehabilitation within Greater Manchester This review is to assess the relevance of the quality of stroke rehabilitation services towards patients and to evaluate the stakeholders opinions in greater Manchester. The researcher of this study considered several methodologies including literature review, case note audit and questionnaires for patients, staff and commissioners. Due to the evaluation studies was to aim to understand the rehabilitation of patients and the difference in priorities and accountability from localities (Alison, 2013). The methods used in this study is qualitative method, to determine the feelings of patients that are being treated with stroke and the rehabilitation process (Alison, 2013). This research is responsible in giving information of how patients feel towards stoke rehabilitation and improvements can be done. Moreover, this study can also contribute to create and understand a better life style for patients who is suffering from a stroke but to also improve its process in the future studies (Alison, 2013). Evaluative reasoning in public-sector evaluation in Aotearoa New Zealand: How are we doing? This review is to assess the relevance of meta-evaluation towards the public-sector in Aotearoa New Zealand. The researcher of this study needs to consider the snapshot of evaluation practice and to insight further investigation. Due to the lack of argument and evidence further research is needed to qualify if the results of the study is confirmed. These factor includes context, funding, time constraints and commissioner requirements (Heather, Robin, and Karen, 2015). The method used in this study is qualitative method, to understand if meta-evaluation or evaluative reasoning practices can be an accredited profession in Aotearoa New Zealand. Due to the importance of evaluative reasoning the researcher explores the relevance reports lack an argument and text that are ambiguous (Heather, Robin, and Karen, 2015). The significance of this study allows researchers find where we are at towards evaluative reasoning and it can also contribute to a more warranted conclusion (Heather, Robin, a nd Karen, 2015). Audit and Evaluation Processes Economic Evaluation in Stroke Research: An Introduction The researcher make use of economical evaluation to determine the expenses of stroke in different countries. Tracking of the record of the costs and consequences to analytically evaluate an outcome. The care cost for cerebrovascular diseases had an increased and governments are looking at wanting to cut cost, but the health care sector are demanding an increase due to demographic changes (Sylvia, 2001). As the main purpose of economical evaluation is to increase an impact on clinical practice, terms of pricing, coverage and imbursement. The study showed an outcome that can maximize the effectiveness for the individual patient and to reduce cost. Why I think the researcher use this type of evaluation is to help make transparent reporting for both cost and effectiveness of decision making (Sylvia, 2001). Adopting CVA To Evaluate Es Benefits Impact On Organizational Effectiveness In Australia The researcher make use of impact and outcome evaluation to determine the effectiveness of competing value approach (CVA) on enterprise system and to establish an outcome on human resource, internal processes, on external opportunities and management (Leon, 2012). The study is about the impact of Competing Value Approach(CVA) in the last ten years towards the Enterprise System on the whole organizations (Leon, 2012). The main purpose of the impact evaluation is to equally evaluate Enterprise System (ES) impact and Competing Value Approach (Leon, 2012). The outcome of this study is to create tangible and intangible benefits on both internal and external organization (Leon, 2012). Why I think the researcher use this type of evaluation is to help address the impact of Enterprise system on the whole organization and to also provide a more understanding of Competing Value Approach on Enterprise Systems (Leon, 2012). Evaluation of the Heart and Stroke Foundation of Canada Research Scholarship Program: research productivity and impact. The researcher make use of impact and outcome evaluation to determine whether funded or unfunded individuals can be more productive and have greater body knowledge in heart and stroke area. The study consist of the funding years 1980/81 to 1989/90 inclusive, number of peer reviewed publications and data were collected on 192 individuals to determine a result (Armstrong, 1997). The main purpose of this study is evaluate both funded and unfunded individuals to see which individuals has more impact on the knowledge and productivity (Armstrong, 1997). The outcome of this study shows that funded individuals has more impact on the knowledge and are more productive than individuals that are not funded. Why I think the researcher use this type of evaluation is to determine the unequivocally relation between funding and research success, it indicate a suggestive beneficial effect (Armstrong, 1997). Current status of acute stroke management in Korea: a report on a multicenter, comprehensive acute stroke registry. The researcher make use of input and outcome evaluation to determine the care of stroke patients in Korea at national level. The study had Clinical Research Center for Stroke in April 2008 and to look into covers pretreatment demographics, medical and stroke severity measures, diagnostic evaluation, hyper-acute revascularization, in-hospital management, discharge disposition, quality indicators and long-term functional outcomes (ByungJin, 2008). The main purpose of this study is to evaluate the stroke statistic, quality of care in Korea and to apply its quality indicators. The study showed that it can be used to understand the main causes of heart stroke and the procedure that are taken and how it can improve the quality of stroke care across South Korea (ByungJin, 2008). Why I think the researcher use this type of evaluation is to compare the quality of stroke care towards other countries and how it can improve its quality. Moreover, is to also help future studies to have a better understanding of what improvement and procedure can be taken (ByungJin, 2008). An evaluation of stroke rehabilitation within Greater Manchester The researcher make use of impact and outcome evaluation to determine the rehabilitation services and evaluate the stakeholders opinion. The study analysis 214 separate recommendations from 15 documents. Of these are 21 were relevant to every patient receiving stroke rehabilitation, 13 to overall service provision and 8 related to specific aspects of patient care. These were converted to standards and used to audit the 10 stroke rehabilitation services in Greater Manchester. Patients, staffs and commissioners completed questionnaires to determine the national recommendations of services (Alison, 2013). The main purpose of this study is to evaluate the feeling of stroke rehabilitation for patients and what improvement can be taken (Alison, 2013). Study shows information that will describe the feelings of patients towards rehabilitation, improvements can be done in future studies and reason why I think the researcher use this evaluation is to create future studies and to improve more towards rehabilitation experience, giving satisfaction to patients (Alison, 2013). Evaluation Model PRECEDE-PROCEED Evaluation Model The Predisposing, Reinforcing and Enabling Constructs in Educational Diagnosis and Evaluation and Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development (Precede-Proceed) evaluation model is designed for cost-benefit evaluation framework. To help health program planner, policy makers and other evaluators to analyze and design health programs systematic. It gives a comprehensive structure to asses health and quality of life and to design, apply and evaluate health promotions and public health programs. The systematic use of the evaluative model uses a series of clinical and field trials to confirm the advantage and predictive of the model. The main purpose of this evaluation model is to directly put attention to outcomes rather than inputs. It allows planners to start with the desired outcome then work backwards to identify strategies to achieve those objectives (Andrea, Gielen, Tiffany, and Gary, 2017). Source: Surveillance, Planning and Evaluating for Policy and Action : Precede-Proceed Model (2006) The essential components of the evaluation model- is to apply theories of health problems and to design programs to address public health problems underlying important risk and protective factors. The PRECEDE-PROCEED model has been a utility program for practice settings and researchers conducting health changes (Lawrence, and Judith, 2006). The context evaluation main purpose is to evaluate the growing recognition of the health education to enclose policy, regulatory and related ecological/environmental factors, determining health and health behaviors, to improve and to increase scholarly productivity among health education faculty. Furthermore, the evaluative model is not to predict or explain the relationship among factors thought to be associated with an outcome of interest. Rather, the main purpose of it is to provide a structure for applying theories and concepts systematically for planning and evaluating health behavior change programs (Lawrence, and Judith, 2006). This evaluation model may contribute for CVA all around the world, especially for Ministry of Health of New Zealand. It can improve its study target starting from a diverse array of assessment such as social, behavioral, educational and existing policies. Furthermore, auditing the CVA cases can be implemented through predisposing, reinforcing and enabling the studies. Eventually, cases will be evaluated to enhance the quality of life (Lawrence, and Judith, 2006). Conclusion Evaluation research is needed in all aspects of healthcare implementing programs or project to improve an overall effectiveness. It is very important to use the right tools, followed by numbers of reviews and research towards the improvement or success of the organization. This involves education, managers and staffs feedback can develop a thorough guidelines to help improve their systems and policies. Overall, the evaluation research can improve the common good and development of the organization and community can benefit from the outcome and achieving objectives in most efficient ways. References   Ã‚   Alison, M. (2015) An evaluation of stroke rehabilitation within Greater Manchester. Retrieved from :http://usir.salford.ac.uk/30967/1/An_evaluation_of_stroke_rehabilitation_within_Greater_Manchester_submitted.pdf Armstrong, P. (1997) Evaluation of the Heart and Stroke Foundation of Canada Research Scholarship Program: research productivity and impact. Retrieved from : http://europepmc.org/abstract/med/9179090 Andrea C., Gielen E. M., Tiffany L., Gary L. R., (2017), Ecological Models of Health Behavior. Retrieved from : https://www.ruralhealthinfo.org /community-health/health-promotion/2/program-models/community-organization ByungJin, K. (2008) Current status of acute stroke management in Korea: a report on a multicenter, comprehensive acute stroke registry. Retrieved from : https://www.ncbi.nlm.nih.gov/pubmed/24256115 Diana H (2015). Research Evaluation Scope Statement. Retrieved from : http://www.oxfordjournals.org/our_journals/rev/about.html Heather N., Robin P., and Karen W., (2015) Evaluative reasoning in public- sector evaluation in Aotearoa New Zealand: How are we doing? Retrieved from : http://www.nzcer.org.nz/system/files/EM2015_1_137.pdf Leon, T. (2012) Adopting CVA To Evaluate Es Benefits Impact On Organisational Effectiveness In Australia. Retrieved from : http://aisel.aisnet.org/pacis2012/77/ Lawrence W. G., Judith M. P., (2006). A Framework for planning and evaluation: Precede-proceed evolution and application of the Model. Retrieved from : http://www.eldis.org/vfile/upload/1/document/0803/id2188.pdf

Realities on Teen Pregnancy in America

Although the rate of teenage pregnancy in the United States has declined greatly within the past few years, it is still an enormous problem that needs to be addressed. These rates are still higher in the 1990's than they were only a decade ago. The United State's teenage birthrate exceeds that of most other industrialized nations, even though American teenagers are no more sexually active than teenagers are in Canada or Europe. Recent statistics concerning the teen birthrates are alarming. About 560,000 teenage girls give birth each year. Almost one-sixth of all births in the United States are to eenage women are to teenage women. Eight in ten of these births resulted from unintended pregnancies. (Gormly 347) By the age of eighteen, one out of four teenage girls will have become pregnant. (Newman 679) Although the onset of pregnancy may occur in any teenager, some teens are at higher risk for unplanned pregnancy than others. Teenagers who become sexually active at an earlier age are at a greater risk primarily because young teenagers are less likely to use birthcontrol. African-American and Hispanic teenagers are twice as likely to give birth as are white teenagers. Whites are more likely to have abortions. Teenagers who come from poor neighborhoods and attend segregated schools are at a high risk for pregnancy. Also, teenagers who are doing poorly in school and have few plans for the future are more likely to become parents than those who are doing well and have high educationsl and occupational expectations. Although the rate of teenage pregnancy is higher among low- income African-Americans and Hispanics, especially those in inner city ghettoes, the number of births to teenagers is highest among white, nonpoor young women who live in mall cities and towns. (Calhoun 309) In addition to the question of which teenagers become pregnant, interest is shown in the social consequences of early parenthood. Adolescent parents (mostly mothers) may find that they have a â€Å"lost or limited opportunity for education. (Johnson 4) The higher a woman's level of education, the more likely she is to postpone marriage and childbearing. Adolescents with little schooling are often twice as likely as those with more education to have a baby bafore their twentieth birthday. Some 58% of young women in he United States who receive less than a high school education give birth by the time they are twenty years old, compared with 13% of young women who complete at least twelve years of schooling. (Tunick 11) Teens who become pregnant during high school are more likely to drop out. Calhoun 310) A teen mother leaves school because she cannot manage the task of caring for a baby and studying, and a teen father usually chooses a job over school so that he can pay bills and provide for his child. (Johnson 4) Teen mothers usually have fewer resources than older mothers because they have had less time to gather avings or build up their â€Å"productivity† through work experience, education, or training. (Planned Parenthood 1) Because of this, teen mothers are generally poor and are dependent on government support. Newman 679) The welfare system is usually the only support a teen parent will receive. Welfare benefits are higher for families with absent fathers or dependent children. (Calhoun 309) In some cases, teen mothers may also receive help like Medicaid, Food Stamps, and â€Å"Aid to Families with Dependent Besides educational and financial problems, teenage mothers may face a great deal f emotional strain and may become very stressed. Teen mothers may have limited social contacts and friendships because they do not have time for anything other than their baby. Lack of a social life and time for herself may cause the teenage mother to become depressed or have severe mental anxiety. (Johnson 5) Depression may become worse for a teenage mother because she usually does not know much about child development or about how to care for their children. Children who are born to teenage mothers usually suffer from poor parenting. (Berk 188) Also, children of teenage parents start being exually active before their peers and they are more likely to become teenage parents themselves. These children may also suffer from financial difficulties similar to that of their parents. Children whose mothers are age seventeen or younger are three times as likely as their peers to be poor, and are likely to stay poor for a longer period of time. † (Calhoun 311) The children born to teenage mothers sometimes score lower on development tests than the children of older mothers. It seems that â€Å"rather than declining over time, educational deficits increase in severity and the children show lower academic chievement, higher drop out rates, and are more likely to be held back in school. † Teenage pregnancy comes with not only a child, but also many consequences. Teen mothers face greater health risks than older mothers, such as anemia, pregnancy induced hypertension, toxemia, premature delivery, cervical trauma, and even death. Many of these health risks are due to inadequate prenatal care and support, rather than physical immaturity. The teenage mother is more likely to be undernourished and suffer premature and prolonged labor. (Calhoun 311) The death rate from pregnancy omplications are much higher among girls who give birth under age fifteen. (Gormly 347) Poor eating habits, smoking, alcohol and drugs increase the risk of having a baby with health problems. Johnson 3) The younger the teenage mother is, the higher the chances are that she and her baby will have health problems. This is mainly due to late prenatal care (if any) and poor nutrition. (Planned Parenthood 1) An adolescent mother and her baby may not get enough nutrients and, because the mother's body is not fully mature, she may have many complications throughout the duration of the pregnancy. Along with the mother, the children of teenage parents too often become part of a cycle of poor health, school failure, and poverty. Infants born to teenage mothers are at a high risk of prematurity, fragile health, the need for intensive care, cerebral palsy, epilepsy, and mental retardation. (Johnson 5) Low birth weight is the most immediate health problem. Babies born to teenagers are often born too small, too soon. Low birthweight babies may have immature organ systems (brain, lungs, and heart), difficulty controlling body temperature and blood sugar levels, and a risk of dying in early infancy that is much igher than that of normal weight babies (five and one-half pounds or more). Calhoun 310) â€Å"The death rate for babies whose mothers are under fifteen years of age is double that of babies whose mothers are twenty to thirty years old. † (Johnson 5) Because of these extremely serious problems, many government, as well as local, organizations are fighting to stop the occurence of teenage pregnancy by helping to educate children of the risks involved and the consequences after. Some research indicates that â€Å"the percentage of teenage birthrates has declined simply because fewer eenagers are having sexual intercourse and more adolescents are using contraceptives. Researchers say that the recent trends in sexual activity and contraceptive use are the result of a number of factors, including greater emphasis on abstinence, more conservative attitudes about sex, fear of contracting sexually transmitted diseases, the popularity of long-lasting birthcontrol methods such as the contraceptive implant (Norplant) and the injectable (Depo-Provera), and even because of the economy. In addition, researchers say that young people have become somewhat more conservative in their views about casual ex and out-of-wedlock childbearing. Some attribute this change in attitude mainly to concern about sexually transmitted diseases. Others say that it is because of the involvement of conservative religious groups in the public debate over sexual behavior. Many researchers believe that the strong economy and the increasing availability of jobs at minimum wage have contributed to fewer births among teenagers. (Donovan 32) Americans, however, seem to be against some of the methods used by these various organizations to reduce the teen pregnancy rates. The most controversial aspect of adolescent pregnancy prevention is the growing movement to provide teenagers with easy access to contraceptives. † Most Americans believe that giving teenagers birthcontrol pills and/or condoms is the same as telling them that early sex is allowed. Some studies that were conducted in Europe show that some clinics in Europe that distribute contraceptives to teenagers have the same sexual activity rate as in the United States. However, in these European studies, it is apparent that teen pregnancy, childbirth, and abortion rates are Teenage pregnancy does cause many problems for the mother, child, and economy. There are, however, some incidences where the mother overcomes this down-hill trend and makes a successful life for her and her child. The outcome of teenage pregnancy turns out better if the mother goes back to school after she has given birth. (Berk 190) Staying in school may help to prevent teenage mothers from having a second pregnancy. (Planned Parenthood 2) The outcome is also better if the mother continues to live with her parents so that they can help to raise the child. Young, teen mothers need health care for themselves as well as their children. An adolescent mother also needs a great deal of encouragement to get her to remain in school. Single teenage mothers also need job training so that they can get a good job to support themselves and their children. Teen mothers need to be taught parenting and life-management skills and also need high quality and affordable daycare for their children. Schools that provide daycare centers on campus reduce the incidence of teenagers dropping out of school. These school programs also ecrease the likelihood that the teen mother will have more children. Berk 189) Because the government has begun to take action in preventing teen pregnancies, the rate has continued to decline. The large numbers of young people in America–as well as the values, health, education, skills they gain–will greatly affect the future of society. Therefore, increased attention should be given to the well-being of adolescents. Since greater care is being given to the young people, improvements are already occuring. The level of education that young people receive is much higher than that of their parents, and he â€Å"expectation that young people should obtain at least some secondary schooling† is growing. The numbers of women who have a child during their teen years is declining, and recognizing the impact of childbearing on education, parents and communities are continuing to discourage sexual activity, marriage, and motherhood at a young age. (Tunick 13) These recent trends, if continued, will more than likely educate the adolescent population about the risks and consequences of teenage pregnancy and reduce the incicence of teen pregnancy and childbirth altogether.

Why Everybody Is Dead Mistaken Regarding Professional Research Paper Writing Service

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Fahrenheit 451 The Struggle For Freedom - Free Essay Example

Sample details Pages: 3 Words: 984 Downloads: 1 Date added: 2019/03/25 Category Literature Essay Level High school Topics: Fahrenheit 451 Essay Ray Bradbury Essay Did you like this example? In the book Fahrenheit 451, written by Ray Bradbury, Montag never got to experience the knowledge and truths held in books, especially because his job was to burn them. This knowledge from books gave you a type of power that no one else could ever achieve without doing one simple thing; reading. This was normal, though, and no one ever really saw reading as an option. Don’t waste time! Our writers will create an original "Fahrenheit 451 The Struggle For Freedom" essay for you Create order People living in this society were taught that books were dangerous, almost poisonous, and everyones freedom of choice was being taken away, without them even noticing, or caring for that matter. Bradbury addresses these struggles through character metamorphosis, wisdom, and character dialogue. Mindless stimulation and titillation do not create lasting satisfaction. This means that living a half-life does not bring happiness. You have to think and process things to be able to live a full life. For example, Montag thought he was happy being a fireman, but realized it was just society telling him he needed to be. This realization came to mind because his friend, Clarisse asked him is he was happy, He felt his smile slide away, melt, fold, over and down on itself like a tallow skin, like the stuff of a fantastic candle burning too long and now collapsing and now blown out. Darkness. He was not happy. He said the words to himself. He recognized this as the true state of affairs. He wore his happiness like a mask and the girl had run off across the lawn with the mask and there was no way of going to knock on her door and ask for it back. Montag admitted to himself that he wasnt happy, and everything changed. Bradbury might be trying to emphasize the wisdom that you cant gain hap piness from a fake type of lifestyle. This moment leads to Montag standing up for himself, fighting for his freedom from societal norms and laws, and his acts of rebellions. Also, Montag, when alone and completely himself, the fake smile we wear and the fake happiness he has completely faded away. He felt his smile slide away, melt, fold, over and down on itself like a tallow skin, like the stuff of a fantastic candle burning too long and now collapsing and now blown out. This shows the transparency of his happiness and how hes almost living a fake life. Some things are worth fighting and even dying for. In time and setting in this book, books are illegal. Although, some people read them anyway, and after discovering ways to find freedom, they would do anything to not have it taken away from them. For example, On the front porch where she had come to weigh them quietly with her eyes, her quietness a condemnation, the woman stood motionless. Beatty flicked his fingers to spark the kerosene. He was too late. Montag gasped. The woman on the porch reached out with contempt to them all and struck the kitchen match against the railing. People ran out of houses all down the street. This part in the book is important to Montag because he started to question everything and wonder things hes never wondered before. He realized that after the woman discovered books, she refused to go back to the world without them. So, after getting caught, she felt she had nothing to live for if her books were to get destroyed. Sooner or later, he would become just like her. Montag, later on, fights for books too by standing up for them. all writhing flame on the lawn as Montag shot one continuous pulse of liquid fire on him. There was a hiss, some great mouthful of spittle banging a red-hot stove, bubbling and frothing as if salt had been poured over a monstrous black snail to cause a terrible liquefaction and a boiling over a yellow foam. Montag was so desperate to fight for books, that he ended up killing Beatty. This affected Montag in many ways and even though he felt guilty, he still felt it was the right thing to do. Montags metamorphosis was drastically changed throughout time. He started off a fireman who burned books and followed societies rule. He never questioned anything and never thought twice about what he was told to do. For example, It was a pleasure to burn. It was a special pleasure to see things eaten, to see things blackened and changed. With the brass nozzle in his fists, with this great python spitting its venomous kerosene upon the world, the blood pounded in his head, and his hands were the hands of some amazing conductor playing all the symphonies of blazing and burning to bring down the tatters and charcoal ruins of history. Montag used to enjoy burning books and burning knowledge because he didnt see the significance in reading them. At the end of the book, Montag reads and enjoys books. He starts to rebel, and that lead to Montag doing unusual, and out of the ordinary things. For example, He hobbled around the ruins, seizing at his bad leg when it lagged, talking and whimper ing and shouting directions at it cursing it and pleading with it to work for him now when it was vital. After killing Beatty, Montag fled town. All these events are a result of his reading books. He struggles for freedom because he wants to be able to read books freely without the fear of getting caught, but his society doesnt allow it. All in all, all of these wisdoms and the knowledge gained contributed to almost every characters metamorphosis. All of the struggles for freedom, such as the oppression of thought, led to the gain of logic and courage, instilled into most of the characters. In the end, the characters that didnt question their society ended up dying, and the ones who did ended up being somewhat successful in finding the freedom they had been desiring.