Disease Specific Program

In this paper, we would be discussing the application of self-management concepts involved in improving the health and quality of life for people with chronic Diabetes Mellitus. Diabetes Mellitus is a complex disorder of carbohydrate, protein, and fat metabolism in which a relative or absolute insulin deficiency is the essential feature, Drury (1986). Diabetes is recognized as a model of broader based communicable disease control programs, WHO (1991 – 1998).The metabolic derangement is frequently associated with permanent and irreversible functional and structural changes in the cells of the body, those of the vascular system being particularly susceptible. The changes lead in turn to the development of well-defined clinical entities, the so-called ‘complications’ of Diabetes which most characteristically affect the eye, the kidney and the nervous system. Introduction It is not too distant past one of the critical tests of the skill of a nurse was the ability to m eet the needs of a patient with an acute infectious disease such as Typhoid fever or pneumonia.When the patient recovered, the nurse could rightly take credit for having made an important contribution. As infectious diseases have been brought under control, the incidence of chronic illness has risen so that they now account for a significant portion of morbidity and morality. Chronically ill patients often have a wider range of problems and need a greater variety of services than are needed to meet the needs of the acutely ill.Res ¬toration of the patient to optimum status and preven ¬tion of progress of the illness often demands the con ¬tinued efforts of the patient, family, nurse, physician, and other health and welfare personnel as well as the members of the community. With patients in whom progress toward recovery is slow and in whom control or prevention of the progression of disease is the goal rather than complete recovery, the nurse may not be able to see immediate re sults of her or his efforts. Instead of a relatively brief and intense relationship in which the patient is dependent on the nurse, the nurse often has a more or less pro ¬longed relationship.This relationship with the pa ¬tient changes from time to time, from dependence to independence to interdependence. To meet the needs of the patient, the nurse should be able to identify clues indicating the type of relationship best suited to the needs of the patient at a given time and to adapt her or his behavior accordingly. A Clinical Nurse Specialist (CNS) is described as an administrator, leader, manager, collaborator, practitioner, advanced clinician, consultant, educator and researcher (Wilson-Barnett, 1994; Dunne, 1997; McCarthy, 1996).Literature Review Today the test of the skill of the nurse is the ability to meet the needs of the chronically ill patient. If a single disease was to be selected as the modern day test of nursing knowledge and skill, diabetes mel ¬litus would und oubtedly receive many votes. There are many reasons that this is true. Diabetes mellitus has a relatively high incidence. It affects all age groups. Its complications are many and serious. There are, however, effective means for its detec ¬tion, diagnosis, and treatment.With modern methods of therapy, persons with diabetes mellitus can live almost as long as those who do not have diabetes. Even more important, they can have full and useful lives with few restrictions on their activi ¬ties. Persons with diabetes mellitus have been Rhodes scholars, mountain climbers, hockey players, television stars and statesmen. They marry, bear and rear children, and can lead successful, vigorous, productive, lives-a far cry from the predictable fate of the diabetic before the era of insulin therapy. The nurse is always concerned about the epide ¬miology of disease.Understanding the distribution and dynamics (epidemiology) of a disease serves as a basis for meeting objectives of disease detec tion and for education of patient, family, and community. Because diabetes and other chronic diseases are not reportable, they are not subjected to the type of surveillance used for communicable diseases. As sur ¬veys and techniques of detection and diagnosis im ¬prove, reporting will increase and it may be possible to identify and to improve preventive measures.According to the 1975 National Health Interview Survey, a rate of 20.4 per 1,000 population or an estimated 4. 8 million persons in the United States reported diagnosed dia ¬betes. Between 1965 and 1975, the prevalence of diabetes increased by 50 per cent in the United States (Guthrie & Guthrie, 2002; Flarey & Blancett, 1996). There is some question if there is a true in ¬crease in the frequency. The data may represent an increase in recognition due to increased use of automated blood chemistry laboratory techniques.Diabetes mellitus occurs in all age groups and in both sexes. The prevalence rate increases with age, from 1.3/1,000 (1 in 77) for persons under 17 years of age to 78. 5/1,000 (1 in 12) in persons over the age of 65. Diabetes is reported more frequently in females (2. 4 per cent) than in males (1. 6 per cent). Females have a prevalence rate of 24. 1/ 1,000. This is a 50 per cent increase from 1965 data when it was 16. 1 /l, 000. The prevalence rate for males is 16. 3/1,000. The most dramatic changes in preva ¬lence of reported diabetes is the increase of diabetes in nonwhites under the age of 45. This group has a percentage change of 150 per cent.Non ¬whites are 20 per cent more likely than whites to have diabetes (Dunning, 2003). Incidence is the frequency of new cases of a disease developed during a specified time period. In 1963, 17 years after the first Oxford study, 65. 7 per cent of the residents aged 34 to 55 years who lived in Oxford during the first study were re ¬studied. The percentage of diabetics was found to be the same in the second as in the first study (O†™Sulli ¬van, 1969). In the 1930s and 1940s there was marked improve ¬ment in the life expectancy of diabetics. Since that time, there has been little improvement.This may be due to the fact that Diabetes patients are living long enough to develop the more dangerous concomitants (Kessler, 1971). Reasons for failure to prevent the concomitants of Diabetes are one of the problems being studied intensively today. The Management of Diabetes Mellitus The ideal treatment for diabetes would allow the patient lead a completely normal life to remain not only symptom-free but in positive good health, to achieve a normal metabolic state, and to escape the complications associated with long-term diabetes.Nowadays diabetic patients rarely die in ketoacidosis in any number, but the major problem which has emerged is the chronic invalidism, due to disease of both large and small blood vessels, of many of those whose duration of life has been extended. It is well known that diabetics show an i ncreased propensity to fall due to visual impairment and neuropathy, as well as foot problems (Wallace et al, 2002; Keegan et al, 2002) and presumably accelerated cognitive decline (Gregg et al, 2000).Data from clinical studies strongly suggest that although genetic factors affect the susceptibility to develop complications, the incidence of serious retinopathy is related to the degree of diabetic control achieved (Clark & Cefalu, 2000). It is therefore incumbent on all those who are involved in looking after diabetic patients to strive in every way to achieve as good control as is practicable in terms of blood glucose concentration. The management of diabetes demands a broad range of professional skills, which include communication, counseling, leadership, teaching and research to name but a few.The Diabetes Nurse Specialist has the expertise and specialist knowledge to incorporate these skills into practice and so develop standards of care that benefits the patient (Daly, 1997). T he Diabetes Nurse Specialist (DNS) plays a pivotal role within a multidisciplinary team. The recognition of the contribution of the Diabetes Nurse Specialist in helping patients achieve good diabetes control highlights his/her essential role in diabetes care, (DCCT,1995; UKPDS, 1998). Metcalfe (1998) states that a Diabetes Nurse Specialist works in collaboration with a team to ensure continuity of care, lends towards more successful management.Types of Treatment There are three methods of treatment, namely diet alone, diet and oral hypoglycemic drugs and diet and insulin. Each obliges the patient to adhere to a life long dietary regimen. Approximately 60% of new cases of diabetes can be controlled adequately by diet alone, about 20% will need an oral hypoglycemic drug and another 20%, mainly younger patients, will require insulin (Long, et al, 1995). A patient may pass from one group to another – temporarily or permanently. Role of the Nurse in Prevention and DiagnosisNurses have numerous opportunities to assist the identification of persons who either have diabetes or are potential diabetics. The CNS is prepared beyond the level of a generalist (The Report of The Commission on Nursing, 1998). Review of the etiologic factors gives the nurse clues as to the target populations. In addition she or he, regardless of the field of practice, must always be alert to the signs and symptoms of diabetes. Any individual with symptoms suggesting diabetes mellitus should be encouraged to seek medical attention. The Suspicion of the school nurse should be aroused when a child develops polyuria and polydipsia.The public health nurse who visits in the home should be alert to the possibility of diabetes in family members. Some patients are discovered to have diabetes after they are admitted to the hospital. Most hospitals have a rule that before a patient can undergo any type of surgical procedure, the urine must be checked for glucose. The nurse can also assist in commu nity screening programs. In addition to opportunities for the nurse to participate in programs for the identification of persons who have diabetes mellitus, nurses have a role in the prevention of the disease.Because of the frequency with which diabetes in the middle-aged person is associated with obesity, individuals are encouraged to avoid overweight by diet and exercise. The preventive aspects related to genetic counseling are less clear. Persons with diabetes or persons with families in which there is a known history of diabetes should be acquainted with the risks involved when planning marriage. Psychological Aspects Fink (1967) has proposed a model of the processes of adaptation to stressful situations. He proposes that psychological phases follow a sequential pattern as follows:Stage 1: Shock; in this phase the person's cognitive structure is characterized by disorganiza ¬tion. There is inability to plan or to reason. Stage 2: Defensive retreat characterized by denial. Stag e 3: Acknowledgment, giving up the past, and starting to face reality. Stage 4: Adaptation, acceptance. of the modification in health. Planning to care for self and to prevent complications. When a person learns that he or she has diabetes mellitus, even when its presence was suspected, he or she experiences disbelief and then grief. The degree of shock will depend on the individual and what the diagnosis and treatment mean to him or her.Any preexisting problem can be expected to be intensified. The pa ¬tient and family can be expected to react to knowl ¬edge of the diagnosis as they do to other crisis situa ¬tions in life. The patient compares dia ¬betes with health and prefers health. The nurse can usually be of more help to the patient if she or he can help in identifying and expressing feelings rather than telling the patient how lucky he or she is. During the period immediately following diagnosis, the patient and family require psychological support. This should start with the patient’s admission to the office of the physician, to the clinic, or to the hospital.The type and amount of support will vary with each individual. Both the patient and family have a right to expect professional personnel to try to understand their feelings and to accept their behavior as having meaning (Otong, 2003). The nurse should try to convey to the patient that, while understanding or trying to understand his or her feelings, the patient will be able to learn to do what must be done and will be provided with the necessary assistance. Control of Diabetes Mellitus Successful management of diabetes mellitus depends on the intelligent co-operation of the patient and the family.Unlike recovery from an acute infectious disease, recovery from Diabetes does not follow a period of acute illness. Diabetes Mellitus is permanent. Remissions can and do occur, but even these patients should not think of themselves as cured. The fundamental methods used in the treatment are diet, insulin or hypoglycemic agents, exercise, and education. The continued management and con ¬trol of diabetes mellitus depend on the patient. Edu ¬cation as to the nature and behavior of the disease is required so that the patient understands the rea ¬sons for what he or she must do and develops the skills required for it.Diet The keystone for management of the diabetic is dietary control. In most respects the goals of the diet for the diabetic patient are similar to those for the non-diabetic. They are to provide sufficient calories to establish and maintain body weight. The number will vary with the age, sex, body size, activity, and growth and development requirements along with an adequate intake of all nutrients, including minerals and vitamins. Modifications in amounts and types of foods as required in the control of complications of diabetes and other diseases.Meal spacing so that absorption coincides with peak levels of insulin in the blood and protects from hypog lycemia during the night. For patients on intermediate-acting insulin, food is usually dis ¬tributed in five meals-three main meals with a small meal about 4 P. M. and another at bedtime. For the patient who is taking insulin, it is essential that a regular meal schedule be observed. Integration of exercise and diet with medications is essential. Most diabetic diets contain 50 to 60 per cent carbohydrates with 10 to 15 per cent in the form of Disaccharides and monosaccharide.Fats should comprise no more than 35 per cent of the total calories. The remaining calories are protein (Arky, 1978). Patients are encouraged to select unsatu ¬rated fats as recommended by the American Heart Association. Concentrated sweets and refined sugars should be avoided. Insulin Treatment with exogenous insulin is indicated in the following situations: diabetic ketoacidosis, juvenile diabetes, diabetes developing before the age of 40, unstable diabetes, oral hypoglycemic failure, diet therapy failures , and during stress of pregnancy, infections, major surgery.For the ketosis-prone individual and the unstable adult an exogenous insulin supply is always required. For the others it may be an intermittent requirement (Bonar, 1977) that is required during periods of stress. In the non-diabetic, insulin is released in response to food intake. The beta cells have the ability to release approximately 40 units daily, and there are another 200 units stored for emergency (Ellenburg et al, 2002). The diabetic does not have an endogenous supply, and an exogenous form is provided. Various types of insulin preparations have been developed.They fall into three general categories: fast-acting (regular and semilente), intermediate (NPH and lente), and long-acting (PZI and ultra lente). The actions of each preparation vary as to time of onset, duration of action, and peak activity time. Hypogly ¬cemic reactions are most likely to occur at time of peak action. Regular insulin is the only form giv en intravenously, and it has a clear appearance. The other insu ¬lin preparations have a turbid appearance. Each type of insulin comes in three concentrations; U-40, U-80, and U-I00. This refers to the concentration of insulin per milliliter.U-40 has 40 units per ml, U-80 has 80 units per ml, and U-100 has 100 units per ml. Syringes are specially calibrated for each concentration. Eventually, the only concentration available will be the U-100 strength (Joshu, 1996). This will decrease confusion and cut down on errors. The objective of insulin therapy is to enable the individual to utilize sufficient food to meet nutri ¬tional needs and, within limits, the desire for food. For many patients this objective can be achieved by a single injection of protamine zinc insulin or one of the intermediate-acting insulin, either alone or in combination with crystalline insulin.The ideal preparation of insulin would be one in which the insulin is released in response to hyperglycemia. At this time there is no such preparation. Persons who require less than 40 units of insulin per day often do very well on a single injection of Protamine Zinc Insulin. Insulin-Equipment and Administration The patient must know the type of insulin, concen ¬tration (U-80, U-100), and the prescribed dosage. It is essential that the appropriate syringe be used for the insulin concentration prescribed.Diabetic pa ¬tients on insulin may use either disposable or reusa ¬ble syringes. The former are used one time only and then discarded. Patients find them highly desirable because they do not require sterilization. Although minimal, cost may be considered a disadvantage. If reusable syringes and needles are used they should be sterilized by boiling before each injection. Boiling is simplified by placing the separated barrel and plunger of the syringe and the needle in a metal strainer. The strainer is placed in a saucepan of cold water and boiled for 5 minutes.When the syringe is removed fro m the water, care should be taken not to contaminate any part of the needle or syringe that comes in contact with the insulin or is intro ¬duced into the patient. When the syringe and needle are kept in alcohol, the alcohol container should be emptied, washed, and boiled at the time the syringe is sterilized. Before the syringe is filled with insulin, alcohol should be removed from the barrel by mov ¬ing the plunger in and out of the barrel a number of times. The skin over the site of injection should be clean, and just before the injection is made, it should be cleansed with alcohol.The hour at which the patient takes the insulin will depend on the type of insulin, the severity of the diabetes, when blood sugar is highest, and the practices of the physician. The most common time is 20 to 30 minutes before breakfast for patients re ¬ceiving one injection a day. Modified insulin con ¬taining a precipitate should be gently rotated until the sediment is thoroughly mixed with th e clear solu ¬tion. Vigorous shaking should be avoided to prevent bubble formation. Insulin, though usually called a protein, is a poly ¬peptide and is digested in the alimentary canal. It must therefore be administered parenterally.The usual method is by subcutaneous injection into loose subcutaneous tissues. Because daily, or more fre ¬quent, injections are required over the lifetime of the individual, care should be taken to rotate the sites, so that one area is not used more often than once each month. Conclusion The nurse has major responsibilities in the care of the diabetic patient. She or he must provide instruction, guidance and understanding for the control and management of the condition. The nurse must be prepared to provide nursing care for the patient if acute or chronic complications should occur.Last but not least, the nurse must recognize that the diabetic is not exempt from other diseases. She or he must be prepared to evaluate the impact of a concurrent illn ess on the diabetes and the impact of the diabetes on the concurrent illness. The sick diabetic has all the problems of any person who is ill and they are compounded by the diabetic state. The special needs of the diabetic must be recognized and met. The nurse who assists in the care of the diabetic patient has the satisfaction of knowing that the quality of life of the diabetic can be improved by intelligent nursing care. References Arky, R.A. 1978. â€Å"Current Principles of Dietary therapy of Diabetes Mellitus,† Med. Clin. North Am., 62, 655-62. Bonar, J. 1977. Diabetes: A Clinical Guide, Flushing, N.Y.: Medical Exam Publishing Co, pp.20-22. Clark, Nathanial Goodwin & Cefalu, William T. 2000. â€Å"Medical Management of Diabetes Mellitus,† CRC Press. Daly F. 1997. â€Å"The Role of the Diabetes Nurse specialist,† Irish Medical times, 14(17), 18. Diabetes Control and Complications Trial (DCCT). 1995. â€Å"Annals of Internal Medicine,† 122: 561-568. Drury. 1986. â€Å"Diabetes Mellitus,† 2nd Ed, Blackwell & Scientific Publications. Dunne L.1997. â€Å"A literature review of advanced clinical nursing practice in the United States of America,† Journal of Advanced Nursing, 25: 814-819. Dunning. 2003. â€Å"Care of People with Diabetes: A Manual of Nursing Practice, p.65-69.† Ellenberg et al. 2002. â€Å"Ellenberg and Rifkin's Diabetes Mellitus,† McGraw-Hill Professional, p.82. Fink, SL. 1967. â€Å"Crisis and Motivation: A Theoretical Model,† Arch. Phys. Med. Rehab., 592–97. Flarey, Dominick L & Blancett, Suzanne Smith. 1996. â€Å"Case Studies in Nursing Case Management: Health Care Delivery in a World of Managed Care,† Jones and Bartlett Publishers. Gregg et al. 2000. â€Å"Is diabetes associated with cognitive impairment and cognitive decline among older women?† Study of Osteoporotic Fractures Research Group, Arch Intern Med, 160:174–180. Guthrie, Richard A & Guthrie, Diana W. 2002. â€Å"Nursing Management of Diabetes Mellitus: A Guide to the Pattern Approach,† Springer Publishing. Joshu, Debra Haire. 1996. â€Å"Management of Diabetes Mellitus: Perspectives of Care across the Life Span,† Mosby, 2nd ed. Keegan et al. 2002. â€Å"Foot problems as risk factors of fractures,† Am J Epidemiology, 155:926–931. Kessler, IJ. 1971. â€Å"Mortality experience of diabetic patients,† Am.J.Med., 51, p.724. Long, Barbara C et al. 1995. â€Å"Adult Nursing: A Nursing Process Approach,† Elsevier Health Sciences. McCarthy. 1996. â€Å"Advantages and Disadvantages of Specialism in nursing,† Paper presented to An Bord altranais Conference, Continuing Education for Nurses. Metcalf L. 1998. â€Å"Ensuring continuity of care for diabetic patients attending hospital,† Journal of Diabetes Nursing, 2(5):135-138. O’Sullivan, JB. 1969. â€Å"Population re-tested for diabetes after 17 years: New Prevalence Study,† Diabetologia, 5:4, 211-14. Otong, Deoborah Antai. 2003. â€Å"Psychiatric Nursing: Biological and Behavioral Concepts,† Thomson Delmar Learning. Report of the Commission on Nursing. 1998. â€Å"Government Publications,† Section 6.33, page 105. United Kingdom Prospective Diabetes Study (UKPDS). 1998. British Medical Journal 317(7160): 703-713. Wallace et al. 2002. â€Å"Incidence of falls, risk factors for falls, and fall-related fractures in individuals with diabetes and a prior foot ulcer,† Diabetes Care, 25:1983–1986. Wilson-Barnett J & Beech S. 1994. â€Å"Evaluating the Clinical Nurse Specialist: A review,† International Journal of Nursing Studies, 13 (6): 561-571. World Health Organization Publications.1991-1998.

Meaning of Ceteris Paribus Essay

In economics and finance,  the term is used as shorthand for indicating the effect of one economic variable on another, holding constant all other variables that may affect the second variable One of the disciplines in which ceteris paribus clauses are most widely used is economics, in which they are employed to simplify the formulation and description of economic outcomes. When using ceteris paribus in economics, assume all other variables except those under immediate consideration are held constant, . In effect all extra variables remain unchanged and there are no outside influences on the variables being looked at. The only variables being considered are price and demand. It does not take into account any other things, such as inflation, product improvements, etc. This allows for the explanation, examination and understanding of basic economic rules. This operational description intentionally ignores both known and unknown factors that may also influence the relationship between price and quantity demanded, and thus to assume ceteris paribus is to assume away any interference with the given example. Such factors that would be intentionally ignored include: the relative change in price of substitute goods, (e. g. , the price of beef vs pork or lamb); the level of risk aversion among buyers (e. g. , fear of mad cow disease); and the level of overall demand for a good regardless of its current price level (e. g. a societal shift toward vegetarianism) In this example, the clause is used to operationally describe everything surrounding the relationship between both the price and the quantity demanded of an ordinary good. when  discussing the laws of supply and demand, one could say that  if demand for a given product outweighs supply, ceteris paribus, prices will rise. Here, the use of â€Å"ceteris paribus† is simply sayin g that as long as all other factors that could affect the outcome (such as  the existence of a substitute product) remain constant, prices will increase in this situation. For example as the price of Pepsi cola rises, the quantity demanded of Pepsi cola falls, ceteris paribus. If the price raise of Pepsi-cola and nothing else changes, in other words, people’s preferences stay the same, the recipe for Pepsi-cola stays the same, and so on, then in response to the higher price of Pepsi-cola, people will buy less Pepsi-cola. In a nutshell the term ceteris paribus is used to define the law of demand and supply and it literally means all other things remain constant and nothing else changes.

Death Essay

Death, to many who believe in reincarnation is passing into another life. The quality of this life could be well dependent on the, â€Å"karma† or the deeds that one has carried out in previous birth. Death thus need not be the end of life but just a new beginning. Reincarnation is generally thought to be an Eastern belief predominantly prevalent in Buddhism. Karma, some believe is an ancient Hindu cliche increasingly picked up by Buddhist scriptures which provide a cause – effect link to our actions. Reincarnation takes these links further and seeks to provide a relation between our actions and its outcomes in this birth to our karma in the previous birth. Karma is generally said to be unseen to the common man but ancient Hindu mythology believes that it is evident to the wise and knowledgeable sage. There are many such believers of this phenomenon in the West as well. Stevenson (1980) has even supported it with extensive scientific reasoning and examples. The instances quoted are of children who are said to have taken to speaking about their earlier life immediately after they had started talking. There are some studies which link birth marks or defects with past lives. These defects are seen as the wounds on a person of previous birth, who is remembered in the embryo, wounds which could possibly have been fatal. (Stevenson, 1997). Rationalists and particularly rational biologists would not believe that the biological deformities which are found at birth such as defective speech, hearing or blindness could have been a cause of an accident in previous life rather than defective growth of the embryo in its formative stage. There has thus been extensive skepticism about reincarnation particularly amongst the rationalist of the West. However there are numerous believers of incarnation who quote a number of examples which are there in the Bible including the teachings of Jesus where John the Baptist is considered as a reincarnate of Elijah the prophet. What then is the reality?

The Beginnings of Feminist Oppression Essay Example | Topics and Well Written Essays - 500 words

The Beginnings of Feminist Oppression - Essay Example The transgressions of sexual behavior have been attributed to Eve and have resulted in the subjugation of women for 2,000 years. The story of the Garden of Eden has been characterized by sexual overtones and depicts sex as sinful. Yet, it has forever been the greater sin for the woman. Eve was the temptation that Adam succumbed to. Paul writes in Corinthians that, "Let those who have wives live as though they had none" (17). Paul preaches that marriage and therefore women are a necessary evil. According to the original scriptures as taught by Paul and later Augustine, woman's only purpose is procreation. Laws were written and the foundation of the church was based on this institutional bias against women.The monopoly on morality has been used by individuals as well as the church to maintain power. Augustine declares that Adam's sin, the sin of the carnal knowledge of Eve, transformed the "structure of the universe itself". The eventual result was the punishment of death. To validate its authority the Catholic Church adopted Augustine's belief that "death comes to us by will, not by necessity" (145). The continued belief that sex equates to sin, and henceforth death, has been handed down and promotes the church as the only moral authority and our only hope for salvation.Elaine Pagel's book, Adam, Eve, and the Serpent, is a straightforward explanation for the bias we see in our laws and prejudices towards women. It helps to explain why a woman's sexuality may be condemned.

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Returning to college - Essay Example It is not going to be easy for me to prepare myself for the transition from a family person to a student. Though once I was a student, at that time, I never had any constraints for my studies. Well, I did not grow up with good study habits, I used to spend most of my free time playing video games, watching movies and listening to music and hardly doing my homework when I was a student. Since I got married now and have an infant daughter, my burdens have increased a lot. So the problem is how to prepare myself mentally for the transition from a house wife to a student without sacrificing the needs of my infant and husband. The very first step I am taking is to make sure that, my home is a good place to study. For any positive results to be attained in studying at home, the home environment should be made conducive for thinking. In order to make my home suitable for studies, I have to manage my daughter and husband judiciously. It is clear to me that, I can only concentrate on one thing at a time and for that purpose the home environment should be free from noise and distraction. The time management of my daughter is going to be a big issue in my pursuit of completing a college degree. She is in her early pre-teen period and hence it is compulsory for me to take care of her because of the presence of mother is essential for the child development at infancy period. So apart from my studies, I have to spend as much as time with her in order to satisfy her needs. It is difficult for me to convince her regarding the importance of my studies because of her small age. It is better for me to utilize more time for my studies while my daughter is sleeping. I can also ask my husband to take her to some parks or to entertain her in some ways when I am studying. The second challenge of course may arise from my husband. Like all other husbands, he also requires my company in order to maintain the

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Mosques in America - Research Paper Example However with the emergence of Christianity and Islam, the technological development, particularly in the area of transportation and distribution of ideas, people started moving around the world more intensively, settling in other countries and bringing their religion with them. As a result, the societies which used to be homogeneous in terms of ethnicity and religion now included foreign elements. At the present moment this phenomenon can be easily observed world wide. It may be necessary to narrow the analysis down to a particular religion and country to perform a detailed examination of the issue. Thus, this paper will show mosques in the United States of America feature a considerable number of peculiarities which can be explained by the relationship between this country and the Arab world. To begin with, it may be particularly important to pay attention to those who visit mosques, namely the believers. According to a recent study, it is suggested that the number of Muslims in the United States may be underestimated. Indeed, it has been pointed out that only a million and a half people who live in America are to be seen as followers of Islam; however, it was found that Eid Prayer which is one of the major holidays in the Islamic world was attended by over two and a half million people in 2011 (Bagby, 2011, p. 4). It is quite obvious that this number may not be used as a rough estimation, but it surely casts a shadow on the previous estimates. There is no doubt that during census people might not have stated their religion or did not take part in it at all. However, one should put emphasis on the fact that the presence of Muslims in the United States is surely being underestimated. This holds important implications when it comes to the number of mosques as well as their value since there more there are Muslims, the more

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Red Blood Cells Cytoskeleton Article Example | Topics and Well Written Essays - 250 words

Red Blood Cells Cytoskeleton - Article Example The membrane of a red blood cell is a lipid bilayer with transmembrane proteins and a myriad of filamentous proteins along the whole membrane. In the membrane cytoskeleton, spectrin is the most commonly found protein, forming long and elastic heterodimers, that join head to head to form heterotetramers, the tails of which are composed of F-actin, protein 4.1, and actin-binding proteins called dematin, adducin, tropomyosin, and tropomodulin (Stokes). This whole meshwork of proteins is attached to the cytoskeleton at two places: â€Å"one mediated by ankyrin that couples spectrin to Band 3 and the other mediated by protein 4.1 that couples the junctional complex to Glycophorin C† (Stokes, para.2). So, we see that human red blood cells are deficient in actin–myosin–microtubule cytoskeleton, which is helpful in cell shape determination, according to a recent research (Acton 69). The proteins of the cytoskeleton plasma membrane interact to form a barrier for toxins, b ut help the ions and information signals to pass in and out of the cell membrane. Stokes, David. â€Å"Architecture of the Cytoskeleton in Red Blood Cells.† Laboratory of David Stokes. NYU School of Medicine, 2011. Web. 18 Nov 2012.

Property law exam questions Essay Example | Topics and Well Written Essays - 1500 words

Property law exam questions - Essay Example Garcia and other persons or entities that may later on claims interest on the property. By virtue of its nature, an annotation on the Torrens Title is indefeasible. Where there is clear showing that the property is held under the Torrens Title, the argument in Garcia shall not be applicable. Reliance on the mortgage and guarantee executed over the couple’s home as evidence by the annotation in the Torrens Title is enough to bind the couple and other interested persons. a. My advice to Ms. Tomasina Jones is to seek redress in court based on the argument of prior right over the property and the fact that it was sold without her consent and authority. She can file a case against Ms. Thompson for fraud and recovery of property. Since Ms. Esther Asterix have not registered the sale and could not be held the absolute owner thereof thus Ms. Jones can claim prior right. Furthermore, since Ms. Thompson unduly enriched herself on the expense of Ms. Asterix, she shall be liable to return the money to Ms. Asterix plus damages. To best understand how the case metamorphosed, let us go back to the facts. Ms. Jones is a holder in fee simple where she has all the rights towards the property. In the case at bar, she employed Thomson Thompson to manage the far in her absence. Unfortunately, Ms. Thompson found the certificate of title concealed in an old Tim Tam Indulgence tin and used the same to sell the land to Esther Asterix. Ms. Asterix paid the valuation on a walk-in-walk-out basis, which is valid under the Conveyancing Act 1919. At the time of the sale Ms. Asterix have no idea that Ms. Thompson was not really the true owner of the property, making her a purchaser in good faith2 under Section 29B of the Conveyancing Act 1919. Under this section, â€Å"an instrument purporting to exercise a legal or equitable power of appointment over property, which, in

Holocaust in the Middle East, and Muslim-Jew Relations Essay

Holocaust in the Middle East, and Muslim-Jew Relations - Essay Example It might seem rather surprising but Jews and Muslims were not so hostile to each other in the earlier centuries, rather they lived peacefully and harmoniously with each other but something transpired in between that vitiated their mutual relations and ties to a point of no return. At a first glance it seems Jews and Muslims are poles apart and there is absolutely nothing in common between them, rather they are so disparate that possibly mutual hatred is the only shared thread that binds them. But, a deeper look at these two religions would, quite surprisingly, bring out certain common strains that indicate these two religions have much similarity with each other. Both these religions have a common origin in Abraham. While Jews consider Muslims as true followers of ‘Seven Laws of Noah’, it might be a revelation to many that Quran refers to the inhabitants of Israel at least forty three times with Exodus of Jews led by Moses being given special importance. Judaism and Islam also share several broad common perspectives about religious outlook and practice and this theological proximity has over the last 1400 years, notwithstanding last ninety or so years’ hostility, woven certain bridges that neither Muslims nor Jews can ignore. Thus it seems more perplexing that these two religious groups that share the same geographical origin have become bitter enemies of one another (Prager and Telushkin). The most common similarities in religious practices between these two religions are circumcision, prohibition of homosexuality and consumption of pork. While Islam prescribes five times a day prayer, Judaism also insists on five times a day prayer that might however be reduced to twice daily under certain specific circumstances. Any honest student of history must admit that while there have been aberrations in the course of centuries, Jews have by and large lived peacefully and prospered under

Human’s Wisdom from Environment Essay Example for Free

Human’s Wisdom from Environment Essay The relationship between the Bangal tiger Richard parker and Pi Patel is the main focus in the novel ‘Life of Pi’.Their relationship are continually changing and it is the struggle for survival makes them need to change.A long time ago,human are weaker than animal as they don’t have strong body as animal .They do not have the sharp claws as Richard Parker does to protect themselves. However,as time going on ,human starts to dominate the earth by creating their own technology and weapon to protect themselves.The change of the relationship between Pi and Richard Parker can be seen as how human developed their skill from learning skill from the animals. In the beginning of the surivial adventure,Richard Parker is always the one who dominate the boat ,he can walk wherever he likes and to scare Pi to get off the boat because he has a much stronger power than Pi has. However,at the end,Pi is actually the one who takes control over Richard Parker and force Richard to follow his command.He does it by using the method which our ancestors used before in history.He used his weapon for attack,turtle shells for defence and his whistles for calling people to come rescue.This can shows human’s wisdom over the animal. The other thing which interested me in this novel is how Pi can adapt the new environment so quickly,he losts a lot of thing that we think we need to use in our daily life,he doesn’t have a phone,map or anything to guide him the direction or call for help.However,he reverted to the animals ways which his ancestors did before.When he arrived on the island , he started to analyze the environment and realize that the water is acidic there and it is dangerous for him to stay there . Also ,he marked down all the animal ‘s rountine.He learned some habits from Richard Parker and he did the same thing as Richard does.He adapt to become something Richard can used to live with.This remind me one extrodinary person in history which is Darwin.Charles Robert Darwin is an English naturalist.He established that all species of life have descended over time from common ancestors.The thing amaze me is Darwin did the same thing as Pi does,both of them do journal to record down what they experience and learned.When we looked back to the beginning of the novel, the zebra couldn’t adapt because it was injured ,and become the first animal to dead . Then the orangutan couldn’t adapt to the foreign environment so he was eaten by the hyena.Lastly the hyena couldn’t adapt to the new threat ,which is the tiger,therefore it get killed by Richard.However, for Pi ,he worked in zoo before so he know some of the animals behavior and that’s why he can prepare the protection for himselves first.This show s human can be adaptable to the nature as if they have enough knowledge of the environment and animal ,and the knowledge come from the analyze towards animal’s habit,that’s what make huaman on top of the food chain. Of course,it is not necessary for us to go to an island and learned all those skills because we can learn those skill from our biology book now.We should really thankful for those people who does the research before.Throughout this novel,the author Yann Martel shows us what do we need to adapt through conflict,which can also apply to our life.When we have difficulty towards our life,we should not feel panic,instead ,we should keep calm and analyze the problem we have in order to find out the solution for it.

Nutrition and Vegetables Essay Example for Free

Nutrition and Vegetables Essay Vegetables are a very important part of our diet. Vegetables are an excellent source for fiber, vitamins A and C, potassium, calcium, and iron. Researchers have discovered that having a good diet of fruits and vegetables can lower blood pressure, reduces the risk of heart disease, stroke and possibly some types of cancers. It can also lower your risk of eye problems and digestive problems. Vegetables are eaten in a variety of ways such as main meals or for snacks. The nutritional content in vegetables can vary considerably. Most vegetables do not contain protein or fat. The dried beans, peas, and lentils are a good source of complex carbohydrates and can have high protein content. Sometimes these types of vegetables can be used to some extent as a meat substitute. Potatoes and corn are very starchy vegetables. These types of vegetables turn into sugar. Vegetables have a variety of colors. They can range from dark green to a beautiful orange color. The dark green vegetables are usually the leafy vegetables, and squash, pumpkin, and sweet potatoes are examples of the orange family. Some vegetables have a red/blue coloring such as eggplant and red cabbage. Many articles today have different ideas on the amount or servings of vegetables a person should eat per day. The amounts can range from two (2) up to nine (9) servings per day. The majority of nutrition specialists suggest 2-1/2 cups per day. Potatoes do not count in your servings per day! The best bet for servings are the dark leafy greens, tomatoes, and anything that is yellow, orange, or red color. According to the National Cancer Institute, not enough fruits and vegetables are produced or imported to supply all of the people in the United States for a healthy diet of five servings per person per day. Another problem affecting vegetable growth is bugs and insects. Scientific studies have been conducted that support the claim that insects attack plants that do not receive the proper balance of nutrients. The number of documented outbreaks of human infections associated with raw vegetables and unpasteurized fruit juices has increased in recent years. Most of the outbreaks were identified primarily as Salmonella. Tomatoes, seed sprouts, cantaloupe, apple juice and orange juice are the most recent vegetables to be linked to the Salmonella bacteria. The E. coli infection has been found in lettuce, sprouts, and apple juice. It is very hard to determine the source of contamination for the bacteria for vegetables. Unlike beef and chicken that are thoroughly inspected, methods for fresh produce are not as advanced. The contamination could occur at any point throughout the production process. Some of the potential sources of contamination include soil, feces, irrigation water, dust, insects, and human handling. Recently the Center for Disease Control has had a nationwide recall on alfalfa sprouts with the Salmonella bacteria and for romaine lettuce containing the E. coli bacteria. In conclusion, people have been consuming meats and vegetables since the beginning of time. I am sure many people died back in the beginning of time from the diseases and bacteria we have discovered today. We must consume meats and vegetables to survive. Humans cannot live on water alone. If individuals today will use common knowledge on preparing meats and vegetables, a lot of issues such as the contamination and bacteria would not exist. All in all the meats and vegetables today are safe and nutritious. If consumed in the right amounts, we will have a healthy, long, enjoyable life.

Analyse Nestles Outsourcing Strategies Marketing Essay

Analyse Nestles Outsourcing Strategies Marketing Essay Nestle is world leading food and beverage company in the world. Nestle made up of merging with a number of food companies, Nestlà ©, the Anglo-Swiss Condensed Milk Company and Rowntrees of York. Henri Nestles story started in Switzerland in 1986 by milk producing for infant. Then the companys products have become successful so they expanded products and sales until in 1905 Nestle merged with the Anglo-Swiss Condensed Milk Company. In 1988 Nestlà © acquired Rowntrees, the famous British confectioners (Nestle, 2012).Nestle has produced a wide range of products and services, such as, baby foods, bottled water, cereals, chocolate and confectionery, coffee, culinary, chilled frozen food, dairy, drinks, food service healthcare nutrition, ice cream, pet care, sport nutrition, weight management. In addition, it has several brands, including Hà ¤agen-Dazs, Nescafà ©, Coffeemate, Maggi, Kitkat, Milo. Nestles headquarter is located in Vevey, Switzerland, but the company has 450 factories a nd operations in 86 countries (Nestle, 2012). In 2012, Nestles sales was 92.2 billion Swiss Franc (Martello And Child-Villiers 2012). Nestle sets their mission that Good Food, Good Life which means nestle offers their customers the excellence tasting and plentiful nutrition including healthy and wellness from every morning to night (Nestle, 2012). Because Nestle is a world company and produce a wide range of product, many processes are complicated, so the company cannot run all processes by itself. One of the supporters is outsourcing which help the company in several aspects such as cost reduction, unnecessary task reduction. In this report shows analyse Nestles outsourcing strategies in task 1 and demonstrates Nestles challenges and suggest solutions based on outsourcing theories in task 2. The final section is conclusion. Task 1 Analyse Nestles Outsourcing Strategies Information technology system outsourcing One of the significant tools of outsourcing to help business improve efficiency is information technology (IT). The Nestles objectives of outsourcing are cost reduction and reduce task which is not important, so the company can focus on their core processes.(Nestle, 2012) What Nestle uses to determine that the company should outsource or keep it in-house are how the processes or operations important and capacity of its own according McIvors theory (2008).McIvors theory (2008) explains that if any processes are the core processes of the company and the company is less potential, the company should consider that whether the processes can be copied. If the processes can be easy to replicate, the company should keep in-house, on the other hand, if they are difficult to copy, the company can outsource. Analysing Nestle, Nestle outsources IT system because Nestle which is the food company is less potential in this function when compare with the company which directly respond IT system, so the outsourcing from specialise outsourcing could provide better results. In addition, only IT system is not core competitive advantages for the food company, however, it is critical factor to support Nestle, so outsource IT help Nestle can focus on their core business such as food production. According Han and Mithas (2003) states Information technology (IT) provides the infrastructure for the management of information. IT also provides information visibility across the supply chain; furthermore, helps reduce supply chain information complexity. As a consequence, it brings about communicative reduction between buyer and supplier as well as accurate forecasting demand, improve responsiveness and cost reduction (Willcocks and Fitzgerald 1993). In case of Nestle, they have used OmPrompt EDI services which is an outsourced service that automates the processing of orders, invoices and proof of delivery documentation from any format to any format, no intervention required (OmPrompt, 2013) to improves supply chain efficiency. In addition, OmPrompt also establishes automating communication, connected communities between suppliers, retailers, logistics service provider and distribution centre. However, normally, almost huge manufactures or retailers usually have EDI system in operations, for smaller players about 80% of companies who represent 20% of volume, they cannot afford for EDI system, and so placing the orders from them is still the problem in term of demand forecasting, errors, delays, and unnecessary costs for all partners.To solve the problem for Nesltle by changing invisible data from small retailers to visible, The manufacturer has deployed OmPrompts Intelligent Message Management service to enable them to receive  orders  from smaller retailers in the same format and with the same degree of accuracy as they do from the UKs largest supermarkets (OmPrompt, 2013). David Walker (2013), Nestle customer services manager explains that the results of OmPrompt system were used to compare with the existing manual order entry processes. The output from new system shows that it was highly accurate without any mistake. As a consequence, Nestle has hugely developed accuracy of order replenishment processes. It has influenced on increasing customer satisfaction and the cost of reverse logistics reduction as well (OmPrompt, 2013). The next IT system is RFID. It is a popular technology which has been used to drive supply chain management. It does not only provide benefits as mentioned before but also helps the company can control and become more centralisation. In addition, From RFID is the automated systems; it can reduce a number of employees and tasks, such as receiving and putting away, picking and shipping goods. It also contributes to supply chain flow quicker and reduce risk of holding many of stocks. (Anderson, 2006) For example, Nestle Chile S.A. outsources Ryder to manage its distribution network in South American country. William Beltran (2006) said outsourcing Ryder help Nestle monitors their supply chain from centre easier because Ryder applied radio frequency identification (RFID) devices with transportations and two distribution centres which serve more than six hundreds customers and handle about sixty to eighty vehicles a day. The result was Nestle can see track their vehicles and manage wareho use better (RFID CENTER, 2013), so Nestle can reduce time to launch new product to the market and increase customer satisfaction. Moreover, Macfarlane and Sheffi (2003) describe that RFID can improve product security, track the problems, save cost and energy. For instance, in Italy, Nestle installed RFID tags with ice cream products and readers in trucks, distribution center and retailers freezers or refrigerators to check temperature that it is not too warm or too cold. The data is shown across of logistics process in real time. The company can know whenever any freezer or refrigerator is broken and can protect product spoilage which leads to lose revenue and stock (Wessel, 2008). In addition, RFID can reduce cost and energy. Nestle can identify some freezers and refrigerators they set too cold, so they cause wasting energy and cost. Marasi ,a supply chain ice cream and frozen food project and quality manager at Nestlà © Italy, states, we estimate that the cost for freezer energy across Italy is several million euros. If we just save 5 to 10 percent, this is a big savings and a boost to the environment (Wesse l, 2008). Furthermore, the data which is collected is used to send to improve the potential of the company by research and develop team (Wessel, 2008). Logistics and supply chain outsourcing Nestle outsources Geodis to manage its logistics and supply chain in France. Nestle target is reduced transportation cost which is about 10-15% of finished product (ElAmin, 2006).   In the beginning, Nestle assigned Geodis to study its supply chain flow to identify the area which will be improved. After six months, Geodis sent the result and recommendation solutions to Nestle. After considering the result, Nestle appointed Geodis as its logistics provider for three years for all it transportation flow. In return Geodis has made performance guarantees relating to quality, optimisation and total cost reduction. Geodis will be looking to improve Nestles transport and supply chain flows, logistics, management of service providers and invoice checking, among other factors (ElAmin, 2006)  . Following the agreement Geodis have to manage production flow for six Nestle France plants. The process made up of 17,000 transport orders per year from 182 suppliers and 250 contries (ElAmin, 2006). In term of contracting and relationship, we can notice that Nestle used a short term contract in the beginning to ensure the outsourcing company that can respond Nestles need by assigning the outsourcing company as a third party to identify the Nestle problems and solutions. This step shows relationship between Nestle and Geodis that they are unfamiliar, so Nestle had to measure Geodis performance before they offer larger jobs and long term contract. When Geodis can do the job well, so Nestle was satisfied the result and offer the long term contract and shift relationship with Geodis from 3PL to 4PL to manage its all supply chain. They become more close relationship. However, Renew contracting in the future also depends on Geodiss performance for Nestle. On the other hand, if the result from Geodis after six months is not done well, Nestle can change the company or give recommendation to improve the outsourcing performance. This choice is better than offering long term contract for u nfamiliar company. It also can reduce long term risk, if the outsourcing company is ineffective. In addition, expert outsourcing can support companys strategy and reduce company tasks. When the companys market is expanded, a number of facilities and equipments have to increase to support more inventories. In some aspects the company has to spend more money to support larger markets, therefore using expert outsourcing companies can be an option to reduce cost because they are usually ready in term of competency, equipments and resources. For Nestles example, in the past decade, Nestles products in Malaysia are increased demand several-fold. It is the Nestles reason to change pallet management from doing in-house to outsourcing to CHEP, the worlds leading experts in pallet pooling. Nestlà © Malaysias Group Operations Manager, Supply Chain Division, Zainal Malek Bapoo said CHEP specialises in pallets and the worry for Nestlà © Malaysia is gone, which allows us to concentrate on our core competency (CHEP, 2013). CHEPs strengths understand the processes and are ready to provide enough pallet volume for Nestles need. It helps Nestle get more flexibility in control in peak time such as in festivals or important events which usually has high demands. Nestle and CHEP also cooperate to find solution for the problem as a partner. Whats more, CHEP can support Nestles strategy such as lean management. Nestles lean strategic target is to reduce pallet losses to low level, optimising usage along the supply chain. CHEPs solution can increase supply chain efficiency, reduce cost and losses (CHEP, 2013). Task 2 Nestles Challenges and Solution Corporate social responsibility  (CSR)  and ethic challenge From Nestle is the world company, so ethic and responsibility for social and environment are important. For example, in February 2012 Nestle joined Fair Labour Association to create sustainable supply chain and prevent child labour on cocoa supply chain in Ivory Coast (CNN, 2012). As a result, when Nestle outsources any company, Nestle should identify this standard to the third party or set the criteria in the contract or agreement to the third party following the same way that Nestle responds to social otherwise Nestle might force problems from what outsource do. For instance, when independent investigator examines Nestles cocoa processes in Ivory Coast, they found that Nestles outsourcing using child labours to harvest raw cocoa for a long time (CNN, 2012, Thetimes100, n.d.B). Cost reduction in the supply chain is very critical, but taking advantages from child labour is the issue which many companies around the world such as Coke, KFC,Mcdonald are concerning is one of the CSR whic h the company should show responsibility.(Ronnie,2000 Lobe,2004 Farcic,2012 ). In this case, it also destroyed Nestles reputation and image although Nestle did not do that directly, but it came from what third party or supplier do. Although it is difficult to check all process of outsourcing, Nestle should prepare processes to cross-check outsourcings operation. For example, sending staff to visit the outsource processes and give recommendation to improve and find solution for the problems. The good case study which Nestle can use to be example is IKEA, home furnishing company focusing on sustainability and social responsibility from all processes of supply chain, so IKEA set its vision that to create a better everyday life for many people. IKEA uses suppliers to provide raw material in primary stage to produce products. IKEA checks the environmental impacts and keep an eye on responding to the social at suppliers. Furthermore, IKEA sets conditions such as no allowing child labour, emissions reduction, to the suppliers before sign the contract. Every condition help to develop sustainability and social. To control suppliers, IKEA also analyses documents and records and visit on-site on occasions to make sure its suppliers are still following the agreements. IKEA works with UNICEF to develop community program in India to prevent child and raise awareness (Thetimes100, n.d.A). In addition, Nestle can adapt the result from launch cocoa plan Indonesia, the worlds third largest coffee producing country (CNN, 2012). Nestle assigns research and develop team in France to study about how to improve productivity, and then send their staff to help the farmers improve lives. Nestlà © and partners to train farmers provide plant expertise and support supply chain transparency. It also aims to improve livelihoods by focusing on projects related to nutrition education, water and rural development (Badasha,K, 2012). Nestle can use this concept to launch in Ivory Coast as well. It can help the farmers improve effective and earn more money; on the other hand, Nestle will get more raw materials. It means win-win situation, which can cause sustainability to the supply chain. Supplier Selection Challenge In 2007 Nestle outsourced Barry Callebaut to manufacture its chocolate products while Hersheys and Cadbury which are chocolate companies also chose Barry Callebaut to produce their products. Until 2012 Nestle decided to stop outsourcing from any company and keep production at York where can produce 8000 tons of dark chocolate for Kit Kat (BarryCallebaut, 2012, Nieburg, 2012).   Before outsourcing should be carefully considered in many respects such as Nestles capacity, relationship between outsource company and competitors. When we consider the situation we can see that Nestle is large food company. Chocolate is the popular products and Nestle familiars with productive processes for a long time (Nestle, 2013). Producing chocolate can be the core process and strength of the company, so Nestles potential can support chocolate production by itself. Although outsourcing Barry Callebaut reduced Nestles tasks and boost Nestle performance up, Barrt Callebaut also is outsourced from Hershey and Cadbury which are Nestles competitors. As a result, Nestle should make sure that its important information will not be shared to competitors because many times competitors have close relationship with third party. When Nestle stop outsourcing from Barry Callebaut. Barry Callebaut use knowledge from Nestle to support competitors or create own products to challenge Nestles mar ket. In this case, Nestle should invest to develop its potential at the beginning to keep significant processes in-house or find effective companies which can rely on only Nestle and improve relationship with them, however, Nestle should study more about background of the outsource company including its customer or any company which they are supporting. Supply Chain Challenge Nestle establishes its huge logistics by using two largest UK distribution centre in York and Bardon in Leicestershire. In 2002 Nestle faced problems of over and under utilisation with two distribution centre because it sold off a critical part of Premier food business although Nestle outsourced TDG, one of the greatest supply chain providers to control operation in two hubs. Nestle assigns York to respond Nestlà ©s confectionery products, the rest of products including food section are handled by Bardon. After selling food part, it made Bardon be under utilisation, while York was supporting confectionery products over utilisation. It created unbalancing usage (Total-logistics. n.d.).   Re-engineering to solve the problem One of the possible solutions mitigate under utilisation affect of the food sectors by analyse and redesign function of two distribution centres to balance usage and improve to be regional centres by changing the existing responsibility for each hub from the old pattern to mix products in each distribution centre. It means each distribution centres should be assigned to carry the full range of products, so over utilisation from confectionery products could be shared to under utilisation in Bardon. In addition, it could reduce lead time in supply chain when shift distribution centres to be regional centres because in several cases Nestle negotiate with its customers to pick up the products at Nestles site (Total-logistics. n.d.)  , so Nestle could arrange the shortest distance between customers and its regional centres, on the other hand Nestle can also arrange its transportation and regional centres to suite the customers in each area. It makes Nestle increase responsiveness and save cost al well. However, the two hubs have to be linked in term of information system, processes and transportation. They should be generated by Nestle and TDG cooperation. For example, TDG at Bardon and also covered the AUTOSTORE warehouse management system (WMS) running all product movements at both sites. All of which would need to fit hand in glove with Nestlà ©s SAP enterprise resource planning (ERP) system located at the companys Croydon headquarters (Total-logistics. n.d.).   Conclusion As we can see, many things from outsourcing are support Nestle business such as IT, logistic and supply chain etc. The two main benefits from outsourcing are cost reduction and unnecessary operational reduction to help outsourcer can focus on the core operation of the business. As a result, many factors should be considered before outsource such as core competitive and potential of the company not only outsourcing but also the outsourcer to get the most value from outsourcing and not generate the bad impact to the company. Some perspectives from Nestle reflect and demonstrate outsourcing strategies and challenge from this report and can be studies more in the future.

Correlation Between Mental Illness and Violence and Crime Essay

Literature Analysis and Research Proposal of the Correlation between Mental Illness and Violence and Crime Over the past few decades, many researches have strived to test and explain the correlation between violence and crime and mental illness. Moore and Hiday (2006) assert that up 22% of inmates has a mental illness, sometimes containing more mental illness patients than many psychiatric units. Due to these statistics it is evident how important it is to understand the causes of the correlations between crime and violence and mental disorders. This proposal wishes to explain and understand the possible correlation and the reasons for such correlation between mental health illnesses and violence and crime. Further research to test these theories of crime and mental disorders will also be presented. Crime can be described combination between both behavior and mental factors. This will prove incredibly crucial in the definition of crime in relation to mental illness. Many of those that commit crimes are not convicted due to their illness so it is important to note, for the purpose of this analysis, that all illegal activity is considered crime, regardless of conviction (Monahan and Steadman 1983). It is evident that those with mental illnesses have an increased likelihood of committing crimes. It is important to note, however, that not all people with mental illnesses commit crimes or violent behavior so a cause is not evident. Substance abuse, a mental disorder, is also seen as a large risk in violent behavior (Silver 2006). Hiday (1995) asks the questions of the direction of this correlation. Does mental illness lead to violence or is it vice versa? THEORETICAL FRAMEWORKS Silver (2006) asserts the importance of using t... ...s.† Law and Human Behavior 30(6):659-674. Powell, Thomas A., John C. Holt and Karen M. Fondacaro. 1997. â€Å"The Prevalence of Mental Illness among Inmates in a Rural State.† Law and Human Behavior 21(4):427-438. Robbins, Pamela Clark, John Monahan and Eric Silver. 2003. â€Å"Mental Disorder, Violence, and Gender.† Law and Human Behavior 27(6):561-571. Silver, Eric. 2006. â€Å"Understanding the Relationship between Mental Disorder and Violence: The Need for a Criminological Perspective.† Law and Human Behavior 30(6):685-706. Silver, Eric and Brent Teasdale. 2005. â€Å"Mental Disorder and Violence: An Examination of Stressful Life Events and Impaired Social Support.† Social Problems 52(1):62-78. Walsh, Zach and David S. Kosson. 2007. â€Å"Psychopathy and Violent Crime: A Prospective Study of the Influence of Socioeconomic Status and Ethnicity.† Law and Human Behavior 31(2):209-229.

Search For My Tongue and Presents From My Aunts In Pakistan :: Poems Poetry Essays

Search For My Tongue and Presents From My Aunts In Pakistan The first poem â€Å"Search† focuses on less visual effects such as language. She writes the beginning and of the poem in English but the middle is made up of Gujerati. Even though we cannot tell what the writing means it doesn’t matter because we still get the same effect from it, the almost angriness and distress from the poet, Sujata Bhatt . The other poem â€Å"Presents† uses visual items like clothes to show the difference in cultures: â€Å"my costume clung to me I was aflame.† Moniza Alvi sees her Pakistani clothes as a â€Å"costume† rather than normal clothes. She calls it this because they are so different to English clothes that when she wears them it’s like she is putting on a play and she is an actress at the weekends. â€Å"I longed for denim and corduroy.† Most people see Pakistani clothes as beautiful creations but she doesn’t like them and would prefer to wear boring English clothes such as jeans. All through the poem â€Å"presents† the poet talks about the difference in the two cultures and explains that she feels she has â€Å"no fixed nationality† and like the other poet wants empathy form the reader and wants the reader to know how it feels to have two separate parts of your life. Moniza Alvi calls her Pakistani clothes her â€Å"weekend clothes† this shows that she doesn’t see them as clothes she wants to wear but clothes she is forced to wear by her parents and relatives so that she remembers her culture in Pakistan. Both poets feel as if they don’t belong in either culture they long to just have a simple background from one country although other people who have that wish that they had different exciting backgrounds. Both poems are autobiographical and talk to you as a the reader not to a group of people. â€Å"You ask me what I mean† is the first line of â€Å"Search for my Tongue† Sujata Bhatt uses the first line to show that she is answering a question, not that anyone has directly asked but that she knows people are thinking. Unlike â€Å"Presents from my aunts† which uses a lot of similes throughout the poem this poem is one big metaphor. â€Å"If you had two tongues in your mouth, and lost the first one.† The poet describes her language all through the poem like she has two tongues in her mouth and Gujerati is her â€Å"mother tongue† and English is her â€Å"foreign tongue† In each poem the poets both want to get rid of their original cultures

Actus Reus Essay -- Law

Actus Reus Introduction The Criminal Law of England and Wales "means the portion of the law of England and Wales, which deals with the components and consequences of criminal acts. The English criminal law is in large part not regulated by law, but in the tradition of common law judge-made law. The offense consists in the English law of Actus Reus and mens rea together. Actus Reus is the Latin term meaning the act of guilt (the outer or objective of a criminal offense). This is an essential element in the determination of a crime. Thus, when no reasonable doubt exists as a result of the demonstration of proof, the act of guilt, shown together with the intention of the individual to commit a crime (mens rea), creates criminal liability of the accused in criminal jurisdictions that follow the system of common law (Canada, Australia, New Zealand, USA, UK, Ireland). Discussion and Analysis Actus Reus literally means conduct of a person. The phrase is used to refer to the element of an offense that involves prohibited conduct. The Actus Reus is one of two elements that make up criminal offenses. The second element is called mens rea or mental state. No crime may legally exist without an Actus Reus, while some regulatory crimes, called strict liability offenses, may exist without a mens rea. Examples of the Actus Reus element of a capital offense would be causing death, causing death while committing another crime, causing the death of a police officer, and causing death by using a bomb. In each of the examples, the mental state of the defendant is not relevant to Actus Reus. The mental state is relevant for the second element, i.e., the mens rea. General Perception The Actus Reus requirement is met if a defendant purpose... ...air, Medico legal Aspects of Automatism, qtd in McClain v. State, 678 N.E.2d 104, 106 (Ind. 1997), pp 56-78 David Ormerod (eds.): Smith and Hogan Criminal Law,12th Edition, Oxford University Press, Oxford 2008, ISBN 978-0199202584, pp 34 David Ormerod, (2009), Smith and Hogan Criminal Law: Cases and Materials, 10th Edition, Oxford University Press, Oxford 2009, ISBN 978-0199218691, pp 45-78 Felson, Marcus (1994), Crime and Everyday Life, Pine Forge, ISBN 0-8039-9029-4, Hirschi, Travis (1969). Causes of Delinquency, Transaction Publishers, ISBN 0-7658-0900-1 Morse, S. J. Diminished rationality, diminished responsibility, Ohio State Journal of Criminal Law vol. 1 (2003), pp. 289–308 Siegel, Larry J. (2003). Criminology, 8th edition, Thomson-Wadsworth., pp. 139 Symposium, Act and crime, University of Pennsylvania Law Review vol. 142, (1994), pp. 1443–1890

Prom Nights from Hell Chapter Twelve

Miranda, dressed in the blue uniform, pushed aside the man she'd just hit over the head with the clock to reach Sibby. She still had handcuff bracelets around her wrists, each dangling a piece of chain. Her wrists, her hands, were shaking. She lifted the unconscious girl gently. â€Å"Sibby, come on, open your eyes.† It wasn't supposed to have taken so long. The plan had been simple: She and Sibby would switch identities by switching outfits. When Deputy Reynolds double-crossed them, like Miranda knew he would, it would be Miranda disguised as Sibby he'd hand over to his crew, and she'd deal with them, then come back and rescue Sibby. At least, that's how it should have gone. â€Å"Okay, Sib, time to wake up,† Miranda said, carrying the girl now, cradling her pressed against her chest as she moved as quickly as possible. She could hear Sibby's heartbeat, but it was faint, and slow. Getting fainter. This is not happening. â€Å"Rise and shine, Sibby,† she said, her voice cracking. â€Å"Up and at 'em.† Miranda hadn't expected to find all five of Deputy Reynolds's goons waiting for her-shouldn't someone have been in the getaway car? – and especially hadn't anticipated the woman he'd picked up from the airport having rhinestone-studded brass knuckles. The blow to the head had given them time to cuff Miranda to a pipe and made her a little weak, so it had taken her longer than it should have to knock them off with a series of roundhouse kicks and one side scissor, then break the chain on the cuffs and free herself. Giving Deputy Reynolds more time with Sibby's esophagus than she'd planned. A lot more. The heartbeat was getting softer, harder to hear. â€Å"I'm so sorry, Sibby. I should have gotten here sooner. I tried my best, but I couldn't get the handcuffs off and I was too weak and I failed and-† Miranda was having trouble seeing and realized she was crying. She stumbled but kept running. â€Å"Sibby, you've got to be okay. You can't go. If you don't come back, I swear I'll never have fun again. Not once.† The heartbeat was just a whisper now, the girl in her arms a pale ghost. Miranda choked back a sob. â€Å"God, Sibby, please-â€Å" Sibby's eyes flickered. Color surged into her cheeks and her heart picked up. â€Å"Did it work?† she whispered. Miranda swallowed the huge lump in her throat and resisted the urge to crush her. â€Å"It worked.† â€Å"Did you-â€Å" â€Å"Clocked him with the clock, as requested.† Sibby smiled, reached her hand up to Miranda's cheek, then closed her eyes again. They didn't reopen until they were in the car with the historical society behind them. She sat up and looked around. â€Å"I'm in the front seat.† â€Å"Special occasion,† Miranda explained. â€Å"Don't get used to it.† â€Å"Right.† Sibby worked her neck back and forth. â€Å"That was a good plan. Trading outfits so they'd think you were me and not worry so much about restraints.† â€Å"They still went all out.† Miranda pushed the cape back. â€Å"I broke the chain, but I can't get the bracelets off.† Thinking for some reason of Kenzi at the prom saying, Are you ready to unshackle yourself from the insecurities of your youth? Are you ready to own your future? â€Å"What happened to Plant Boy?† â€Å"I called in an anonymous tip telling them where to find him and the bodies of the guards he shot. He should be on his way to jail.† â€Å"How did you know you were right? That he was trying to trick us?† â€Å"I can tell when people are lying.† â€Å"How?† â€Å"Different things. Little gestures. Mostly by listening to their heartbeats.† â€Å"Like if they speed up, they're lying?† â€Å"Everyone is different. You need to know how they react when they're telling the truth to know how they react when they're lying. His heartbeat gets slower, more even when he lies, like he's trying to be extra careful.† Sibby looked at her more closely. â€Å"You can hear people's heartbeats?† â€Å"I hear a lot of things.† Sibby took that in. â€Å"When Plant Boy was strangling me because he thought I was you? He called me Princess. And said some people thought you had superpowers like a teen Wonder Woman or something.† Miranda felt her chest get tight. â€Å"He did?† â€Å"And he said there was a bounty on your head. Alive or dead. Although I'm sorry to say that I'm worth ten times as much as you are.† â€Å"It's not nice to brag.† â€Å"Is it true? That you're Wonder Woman?† â€Å"Maybe the lack of oxygen went to your head but Wonder Woman is a comic-book character. Made up. I'm a real, normal person.† Sibby snorted. â€Å"You are definitely not normal. You're totally neurotic.† A pause. â€Å"That wasn't an answer. Are you really a princess with superpowers?† â€Å"Are you really a sacred prophet who knows everything that is going to happen?† Their eyes met. Neither of them said anything. Sibby stretched, sprawling out over the front seat, and Miranda turned up the radio and they drove on in silence, both of them smiling. After a few miles Sibby said, â€Å"I'm starving. Could we stop for a burger?† â€Å"Yeah, but we're on a schedule, so no kissing strange guys.† â€Å"I knew you were going to say that.†

Advantage of Internet Essay

But its all depends on how we use the INTERNET which is simply called as the backbone of world technology.. You might have heard that everything in this world has the other side, if one side is good, another side may be bad. Similarly, if one side is bad, another side will be good. This is the simple example, which may be applicable on the usage of internet. Internet, no doubt has made this world so wonderful, which we had never even dreamt of. For example, I am writing this answer for a person, who is thousands of miles away from my place. It is only internet, which has made our life so comfortable and informative, you name any information, it is just a click away from you. For professionals and students, this new virtual world has become very useful, it is like a sea or information or a reference book, which is always on your fingertips. As I mentioned, everything has the other side, internet too has the other side or negative side, which could badly spoil anyone especially children, who are exposed to many unwanted information like obscenity, sex, violence etc. They also get addicted to many things like online games, cartoons etc, which led to the deviation from studies and behavioral change. At last, I would like to say that parent should always keep watch on their wards and must ensure that their child don’t get exposed to unwanted content on internet, parents’ can also use the child lock or block the websites, which have the explicit content. The advantages are: information, communication and creation. For example, there is a vast amount of info on the Internet which can be used both by children and adults alike. Everyone uses the Internet for e-mail or blog. And everyday lots of new creations such as websites and forums are created and people use them in accordance to the values of the other 2 advantages. The disadvantages are: people can become addicted to the Internet. They will stay inside all day long and not stretch or anything. And, some people have  their head buried in their Blackberries all day long. Another disadvantage is that there are a lot of inappropriate sites on the Internet which children visit. They see things that are too old for them. Personally, i feel like it gives the child motives to study, because theres a lot to know, and the internet makes it seem interesting to know, it makes finding information easy, helps with answering questions, contacting the teachers, and staying in contact with friends, but then again, there are sooo many distractions; if the child doesnt have much self control, they wouldnt get anything done, but only use facebook, ect. And there are always alternatives to the internet, like cell phones to stay in contact, books to learn, and dictionaries to look up words. You dont REALLY need the internet. For an adult, I feel like they can use it to share things with friends, find out what they need to know, advertise, but theres distraction’s always for them too. There are advantages and disadvantages both aspects we find using internet by the children. To know about world’s information they can grab immediately through it and update themselves with the knowledge. The games, notes, puzzles, outdoor/indoor activities to develop their mind and many things are there which are useful to them. But to see computer continue might harm their eyesight, they may go to see towards negative pictures and video clips, give up concentrations towards study and more unusual moves will be created through internet. Internet has made the world narrow and reachable immediately for friendship and planning for new activities, communicating with different cultures and exchanging ideas as well as to know about new places and see in the picture lively. However, the bad aspect is to keep vulgar pictures in sharing and to scold others or threaten through internet has become much easy. Therefore, we might get both the things in the use of internet by the children in this society. The proliferation of Internet technologies has both advantages and  disadvantages. Internet is defined as a collection of various services and resources. Today, Internet has brought a globe in a single room. Right from getting news across the corner of the world to accessing knowledge resources to shopping, everything is at your fingertips. Internet has tremendous potential and a lot to offer in terms of services. However, like every single innovation in science and technology, Internet has its own advantages and disadvantages. And it has some effects also in students in their development socially, psychologically, physically, emotionally and spiritually. There is so much that students can do with the Internet. Not only can they communicate with other students, they can gain from others’ knowledge and experiences, participate in chat rooms, share ideas and solutions and learn about the many diverse cultures out there. And one of its advantages is the email. Email is a quick and easy way to stay in touch with family, friends, business contacts, and strangers. It doesn’t cost the price of a stamp and you don’t have to wait for days to get a response or answer. In the business world, it is any easy, fast way to keep in touch with co-workers and employers. Emails keep us from wasting valuable time being placed on hold when you need to contact someone regarding business or pleasure. Many students also use it to pass their projects via email and it’s because it is fast and reliable. And the other one is the Infinite storage of information. The Internet is a virtual treasure trove of information. Any kind of information on any topic under the sun is available on the Internet. The ‘search engines’ on the Internet can help you to find data on any subject that you need. And for students it could make their work easier like their homework but sometimes the information you get from Internet cannot be 100% right, because everybody can write  on Internet about everything. Entertainment is another popular reason why many students nowadays prefer to surf the Internet. In fact, media of internet has become quite successful in trapping multifaceted entertainment factor. Downloading games, visiting chat rooms or just surfing the Web are some of the uses people have discovered. There are numerous games that may be downloaded from the Internet for free. The industry of online gaming has tasted dramatic and phenomenal attention by game lovers. In fact, the Internet has been successfully used by people to find lifelong partners. When people surf the Web, there are numerous things that can be found. Music, hobbies, news and more can be found and shared on the Internet. And like Youtube where students usually visit to listen music. And when one is bored he could search for games he want and play. But despite its numerous advantages the Internet is not absolutely free of weak points. Thus, alongside with useful and beneficial information the Internet sources, sites that make pornography available to students are all over in the Web. In addition, too often the ease with which the information can be retrieved is not directly proportional to its quality and reliability. Many Internet users indicate as a flagrant problem the potential ability of dangerous strange fellows to make contact with students. Disadvanatages your eyes will be destroyed. no appetite in the food. when you’re having an assignment,you’ll immediately copy and then paste without reading and understanding it carefully pornographies unreliable informations you’re going to be a victim of some social networking sites like hacking, etc.

Passage to India Analysis

Stylistics (literature) From Wikipedia, the free encyclopedia | This article's  tone  or style may not reflect the encyclopedic tone used on Wikipedia. See Wikipedia's  guide to writing better articles  for suggestions. (October 2010)| Stylistics  is the study and interpretation of texts from a linguistic perspective. As a discipline it links  literary criticism  and  linguistics, but has no autonomous domain of its own. 1][2]  The preferred object of stylistic studies is  literature, but not exclusively â€Å"high literature† but also other forms of written texts such as text from the domains of  advertising,  pop culture,  politics  or  religion. [3] Stylistics also attempts to establish principles capable of explaining the particular choices made by individuals and social groups in their use of language, such as  socialisation, the production and reception of  meaning, critical  discourse analysis  and  literary criticism.Other featur es of stylistics include the use of  dialogue, including regional  accents  and people’s  dialects, descriptive language, the use of  grammar, such as the  active voice  or  passive voice, the distribution of  sentence  lengths, the use of particular  language registers, etc. In addition, stylistics is a distinctive term that may be used to determine the connections between the form and effects within a particular variety of language. Therefore, stylistics looks at what is ‘going on’ within the language; what the linguistic associations are that the style of language reveals.Contents  Ã‚  [hide]   * 1  Early twentieth century * 2  Late twentieth century * 3  Literary stylistics * 3. 1  Poetry * 3. 2  Implicature * 3. 3  Tense * 3. 4  The point of poetry * 4  See also * 5  Notes * 6  References and related reading * 7  External links| ——————————â⠂¬â€Ã¢â‚¬â€Ã¢â‚¬â€Ã¢â‚¬â€Ã¢â‚¬â€Ã¢â‚¬â€- [edit]Early twentieth century The analysis of literary style goes back to  Classical rhetoric, but modern stylistics has its roots in  Russian Formalism,[4]  and the related  Prague School, in the early twentieth century. In 1909,  Charles Bally's  Traite de tylistique francaise  had proposed stylistics as a distinct academic discipline to complementSaussurean  linguistics. For Bally, Saussure's linguistics by itself couldn't fully describe the language of personal expression. [5]  Bally's programme fitted well with the aims of the Prague School. [6] Building on the ideas of the Russian Formalists, the Prague School developed the concept of  foregrounding, whereby poetic language stands out from the background of non-literary language by means of  deviation  (from the norms of everyday language) or  parallelism. 7]  According to the Prague School, the background language isn't fixed, and the relationship betw een poetic and everyday language is always shifting. [8] ————————————————- [edit]Late twentieth century Roman Jakobson  had been an active member of the Russian Formalists and the Prague School, before emigrating to America in the 1940s. He brought together Russian Formalism and American  New Criticism  in his  Closing Statement  at a conference on stylistics at  Indiana University  in 1958. 9]  Published as  Linguistics and Poetics  in 1960, Jakobson's lecture is often credited with being the first coherent formulation of stylistics, and his argument was that the study of poetic language should be a sub-branch of linguistics. [10]  The  poetic function  was one of six general  functions of language  he described in the lecture. Michael Halliday  is an important figure in the development of British stylistics. [11]  His 1971 study  Lingu istic Function and Literary Style: An Inquiry into the Language of William Golding's ‘The Inheritors'  is a key essay. 12]  One of Halliday's contributions has been the use of the term  register  to explain the connections between language and its context. [13]For Halliday register is distinct from  dialect. Dialect refers to the habitual language of a particular user in a specific geographical or social context. Register describes the choices made by the user,[14]  choices which depend on three variables:  field  (â€Å"what the participants†¦ are actually engaged in doing†, for instance, discussing a specific subject or topic),[15]tenor  (who is taking part in the exchange) and  mode  (the use to which the language is being put).Fowler comments that different fields produce different language, most obviously at the level of  vocabulary  (Fowler. 1996, 192) The linguist  David Crystal  points out that Halliday’s ‘tenorâ⠂¬â„¢ stands as a roughly equivalent term for ‘style’, which is a more specific alternative used by linguists to avoid ambiguity. (Crystal. 1985, 292) Halliday’s third category,  mode, is what he refers to as the symbolic organisation of the situation. Downes recognises two distinct aspects within the category of mode and suggests that not only does it describe the relation to the medium: written, spoken, and so on, but also describes the  genre  of the text. Downes. 1998, 316) Halliday refers to genre as pre-coded language, language that has not simply been used before, but that predetermines the selection of textual meanings. The linguist  William Downes  makes the point that the principal characteristic of register, no matter how peculiar or diverse, is that it is obvious and immediately recognisable. (Downes. 1998, 309) ————————————————- [ edit]Literary stylistics In  The Cambridge Encyclopedia of Language, Crystal observes that, in practice, most stylistic analysis has attempted to deal with the complex and ‘valued’ language within literature, i. . ‘literary stylistics’. He goes on to say that in such examination the scope is sometimes narrowed to concentrate on the more striking features of literary language, for instance, its ‘deviant’ and abnormal features, rather than the broader structures that are found in whole texts or discourses. For example, the compact language of poetry is more likely to reveal the secrets of its construction to the  stylistician  than is the language of plays and novels. (Crystal. 1987, 71). [edit]PoetryAs well as conventional styles of language there are the unconventional – the most obvious of which is  poetry. In  Practical Stylistics,  HG Widdowson  examines the traditional form of the  epitaph, as found on headstones in a cemetery. For example: His memory is dear today As in the hour he passed away. (Ernest C. Draper ‘Ern’. Died 4. 1. 38) (Widdowson. 1992, 6) Widdowson makes the point that such sentiments are usually not very interesting and suggests that they may even be dismissed as ‘crude verbal carvings’ and crude verbal disturbance (Widdowson, 3).Nevertheless, Widdowson recognises that they are a very real attempt to convey feelings of human loss and preserve affectionate recollections of a beloved friend or family member. However, what may be seen as poetic in this language is not so much in the formulaic  phraseology  but in where it appears. The verse may be given undue reverence precisely because of the sombre situation in which it is placed. Widdowson suggests that, unlike words set in stone in a graveyard, poetry is unorthodox language that vibrates with inter-textual implications. Widdowson. 1992, 4) Two problems with a stylistic analysis of poetry are noted by  PM Wetherill  in  Literary Text: An Examination of Critical Methods. The first is that there may be an over-preoccupation with one particular feature that may well minimise the significance of others that are equally important. (Wetherill. 1974, 133) The second is that any attempt to see a text as simply a collection of stylistic elements will tend to ignore other ways whereby meaning is produced. (Wetherill. 1974, 133) [edit]ImplicatureIn ‘Poetic Effects’ from  Literary Pragmatics, the  linguist  Adrian Pilkington  analyses the idea of ‘implicature’, as instigated in the previous work of  Dan Sperber  and  Deirdre Wilson. Implicature may be divided into two categories: ‘strong’ and ‘weak’ implicature, yet between the two extremes there are a variety of other alternatives. The strongest implicature is what is emphatically implied by the speaker or writer, while weaker implicatures are the wider possibilitie s of meaning that the hearer or reader may conclude.Pilkington’s ‘poetic effects’, as he terms the concept, are those that achieve most relevance through a wide array of weak implicatures and not those meanings that are simply ‘read in’ by the hearer or reader. Yet the distinguishing instant at which weak implicatures and the hearer or reader’s conjecture of meaning diverge remains highly subjective. As Pilkington says: ‘there is no clear cut-off point between assumptions which the speaker certainly endorses and assumptions derived purely on the hearer’s responsibility. ’ (Pilkington. 991, 53) In addition, the stylistic qualities of poetry can be seen as an accompaniment to Pilkington’s poetic effects in understanding a poem's meaning. [edit]Tense Widdowson points out that in  Samuel Taylor Coleridge’s poem â€Å"The Rime of the Ancient Mariner† (1798), the mystery of the Mariner’s abrupt appea rance is sustained by an idiosyncratic use of tense. (Widdowson. 1992, 40) For instance, the Mariner ‘holds’ the wedding-guest with his ‘skinny hand’ in the  present tense, but releases it in the  past tense(‘†¦ his hands dropt he. ‘); only to hold him again, this time with his ‘glittering eye’, in the present. Widdowson. 1992, 41) [edit]The point of poetry Widdowson notices that when the content of poetry is summarised, it often refers to very general and unimpressive observations, such as ‘nature is beautiful; love is great; life is lonely; time passes’, and so on. (Widdowson. 1992, 9) But to say: Like as the waves make towards the pebbled shore, So do our minutes hasten to their end †¦ William Shakespeare, ‘60’. Or, indeed: Love, all alike, no season knows nor clime, Nor hours, days months, which are the rags of time †¦ John Donne, ‘The Sun Rising’,  Poems  (1633)This language gives us[who? ]  a new perspective on familiar themes and allows us to look at them without the personal or social conditioning that we unconsciously associate with them. (Widdowson. 1992, 9) So, although we[who? ]  may still use the same exhausted words and vague terms like ‘love’, ‘heart’ and ‘soul’ to refer to human experience, to place these words in a new and refreshing context allows the poet the ability to represent humanity and communicate honestly. This, in part, is stylistics, and this, according to Widdowson, is the point of poetry (Widdowson. 1992, 76).