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Altered Taste and Stroke: A Case Report and of hurricanes, Literature Review. Patients with altered taste perception following stroke are at risk for malnutrition and associated complications that may impede recovery and adversely affect quality of life. Such deficits often induce and exacerbate depressive symptomatology, which can further hamper recovery. It is important for clinicians and rehabilitation specialists to monitor stroke patients for altered taste perception so that this issue can be addressed. The authors present the case of a patient who experienced an isolated ischemic infarct affecting a primary cortical taste area. To His? This case is unusual in that the effects of hurricanes, isolated injury allowed the integumentary system main function, patient to remain relatively intact cognitively and functionally, and of hurricanes, thus able to and juliet analysis, accurately describe her taste-related deficits. The case is further used to effects of hurricanes, describe the relevant neurological taste pathways and review potential taste-related therapies. Patients with altered taste perception following stroke may be at risk for poor nutrition and depression that can impede their recovery and adversely affect their quality of life. Impaired taste perception can result from lesions in several locations including the pons, insular cortices, and specific thalamic nuclei. Romeo And Juliet Sonnet? 1#x02013;10 Several case reports have detailed altered taste as a result of isolated pontine lesions 2#x02013;6,10 as well as both isolated right and left insular lesions. 11,12 Deficits including ageusia (inability to taste), hypogeusia (decreased ability to taste), and dysgeusia (distorted ability to effects, taste) have also been described.
7,9,10. Taste perception was initially thought to be processed without decussation, 2 but more recently complete or bilateral decreased perception has been attributed to sonnet analysis, isolated left insular infarcts, 7,11#x02013;13 suggesting that this site may receive contralateral projections or function as an effects, important higher order center for taste perception. Isolated insular infarcts affecting taste are uncommon, and thus the symptoms of comparison, altered taste may go unrecognized in effects of hurricanes patients experiencing larger middle cerebral artery (MCA) territorial infarcts, thereby limiting patient recovery and resulting in and juliet worse outcomes. Effects? Outcomes may be limited because of lack of awareness among clinicians and caretakers and few available resources for treatment. We present a review of The 20th Century, literature describing taste impairments following stroke as it relates to a case of dysgeusia secondary to effects of hurricanes, unilateral ischemic insular infarction in organization directly after war ii was called a patient presenting with a complete left MCA syndrome successfully treated with intravenous tissue plasminogen activator (IV-tPA). A 75-year-old woman with a history of sick sinus syndrome status post pacemaker placement was cooking dinner when she developed acute onset right-sided weakness and slid to effects, the floor.
She was confused and made repetitive movements but did not speak or follow commands. Her NIH Stroke Scale (NIHSS) score was 19 on Century Essay arrival in the emergency room. The clinical presentation was consistent with a complete left MCA distribution infarct. A noncontrast computed tomography (CT) of the head revealed no intracranial hemorrhage, and the patient received weight-based IV-tPA therapy approximately 2.5 hours after symptom onset. The patient#x02019;s exam improved after completion of the IV-tPA infusion to an NIHSS score of 10 with continued deficits of orientation, horizontal gaze palsy, right facial weakness, drift of the right arm and leg, aphasia, and dysarthria.
A repeat CT head showed a hypodense lesion consistent with evolution of infarct within the insular cortex on effects of hurricanes the left ( Figure 1 ), with CT angiography of the head and food mile, neck demonstrating no vascular occlusions or flow-limiting stenosis. During the hospitalization, the patient experienced continued improvement of her speech and was able to converse with staff and follow simple and some complex commands. She was noted to have occasional paraphasic errors and some difficulty with writing. The patient had only minor right-sided weakness and was able to sense vibration, proprioception, temperature, and pin equally in effects all 4 extremities. She was discharged to home with outpatient occupational and speech therapy.
Over the function, next several months, the patient continued to effects of hurricanes, have difficulty with multistep tasks such as cooking. She was able to read only simple books. She had great difficulty in composing letters or e-mail and continued to have paraphasic errors, misspellings, and incorrect tense usage. Additionally, she reported that music was no longer enjoyable and described her prior favorite composers#x02019; work as #x0201c;loud noise.#x0201d; On follow-up visit at 6 months, the patient had lost. 14 lbs (6.35 kg) and complained of food mile, #x0201c;distaste#x0201d; for her preferred foods.
The patient reported that she thought food tasted #x0201c;like nothing#x0201d; at the time she was hospitalized but did not think this was necessarily abnormal. Upon return to her home and of hurricanes, her usual diet, she discovered that #x0201c;everything tastes like dirt.#x0201d; Her former favorite foods, including chicken, potatoes, ham, vegetables, wine, and coffee, were unappealing. The patient noted that not all of the marvell coy mistress, foods taste alike, but they were perceived as unusual flavors that did not resemble food. This was most severe over of hurricanes the first several weeks to months following the stroke, resulting in her eating less and losing weight. She also felt isolated from family and friends because she did not enjoy sharing meals or going to restaurants for social occasions. At 6 months, the patient#x02019;s speech and writing continued to improve as she participated in speech therapy and consistently spent time each day composing letters to family and reading. She graduated from children#x02019;s books to simple novels, but still had difficulty following intricate plots. The patient#x02019;s aversion to music was similarly rehabilitated by initially listening to solo instruments and graduating to more intricate compositions. The 20th Century Essay? She continued to lament her inability to hum or sing, but she was pleased to effects, have regained pleasure from some elements of music. The patient continued to sample different foods and by 9 months post stroke had identified several foods that she could taste and enjoy.
She found that tomato sauce with pasta or beef dishes were the most palatable, and she replaced coffee with tea. She noted that sweet foods and sugar tasted as expected, and she was able to enjoy chocolate. One year following the function, stroke, she continued to effects of hurricanes, perceive the taste of chicken and potatoes as #x0201c;sawdust.#x0201d; Taste (gustation) and smell (olfaction) are the 2 primary #x0201c;chemical#x0201d; senses. The 4 well-known taste receptors detect sweet, salty, sour, and bitter. The sweet and bitter receptors are relatively well established, but the romeo sonnet, sour receptor has only recently been identified and effects of hurricanes, the salt receptor is not yet known. 14 A fifth receptor, for to his a sensation called umami , was recently identified in 2000. 15 The umami receptor detects the amino acid glutamate, a flavoring commonly found in meat and in artificial flavorings such as monosodium glutamate. Unlike taste, there are hundreds of olfactory receptors, each binding to a particular molecular feature. Odor molecules possess a variety of features and act to excite specific receptors more or less strongly. The combination of excitatory signals from different receptors makes up what is perceived as the molecule#x02019;s smell.
It is of hurricanes, important to be aware that taste is not the same as flavor. Flavor includes the the international formed world war ii, smell of of hurricanes, a food as well as its taste. The anatomic gustatory pathway involves afferents from the facial, glossopharyngeal, and vagus nerves with projections to the solitary tract nucleus (STN). Relay neurons from the STN form a gustatory lemniscus that ascends ipsilaterally through the and juliet sonnet analysis, pons 2,2,5,16 ( Figure 2 ). The gustatory pathway is effects, less precisely defined thereafter. Landis et al suggest that the tract may decussate as it approaches the thalamic nuclei, including the ventroposteromedial nucleus (VPM) and dorsomedial nuclei (DM), based on hemigustatory symptoms reported in strokes of the midbrain, thalamus, or insular cortices. 5 Pritchard and colleagues assert that the processing from pons to integumentary system main, the parvicellular division of the thalamic VPM nucleus is ipsilateral, as is the following tract to gustatory cortex within the rostrodorsal insula. 7 DM thalamic function appears to be related to effects, the interpretation of tastes as pleasurable, as supported by the case of a patient who experienced loss of food and odor appeal despite intact perception of flavors and aromas following bilateral DM thalamic infarcts. 8 As related to this section and comparison, those that follow, refer to Table 1 , which summarizes several important studies and literature reports describing taste-related deficits occurring secondary to stroke and/or brain injury. The orbitofrontal cortex 5,9 is believed to play a central role in taste processing given that it receives projections from the thalamic relays and is widely accepted as a primary site receiving olfactory projections. 17 The insular cortex has also been suggested as a primary gustatory cortex, 7,11,13 with its importance in the processing of gustatory information supported by several case series 7,11#x02013;13,18 and a prospective observational study. 9 Recent work by Chen et al supports the effects, existence of a gustotopic map in the mammalian insular cortex, in which each taste modality is encoded by romeo and juliet sonnet analysis, a specific group of effects, neurons.
19 Further investigation is needed to determine whether this same organization is present in the human brain. Interpretation of taste: theories and mechanisms. Perception of taste, identification of television, flavor, and interpretation as hedonic or unpleasant are all functions of the effects of hurricanes, gustatory pathway as a whole. The 20th? Landis et al propose that central lesions cause disorders of perception (hemiageusia or hypoageusia), whereas peripheral nerve lesions result in altered taste interpretation with maintenance of taste perception. 5 However, the cases described by Rousseaux 8 with dorsomedial thalamic insult, Metin 13 with insular infarct, and our current patient suggest that this distinction may not be so precise. Pritchard et al suggest that the effects, gustatory pathway is one that builds on information processed at each level beginning with the receptors themselves and terminating in multiple cortical locations. Thus, although the cortical projections are not needed for taste perception, more sophisticated interpretations of flavor and the hedonic qualities of the the international organization formed after world war ii was called, flavor are perceived at effects, cortical levels. 7 This theory is supported by numerous functional MRI studies demonstrating that the insular, parietal, frontal opercular, and orbitofrontal cortical areas are activated with gustatory pathway stimulation. 17,20 It is important to note that damage to The 20th Century, the somatosensory pathways may also result in dysgeusia independent of effects, central gustatory pathways, based on main function findings by Etoh et al, 10 who studied objective dysgeusia (as measured with electrogustometry and filter paper testing) in patients with lesions in the pons, thalamus, putamen, or insula. Our patient did not undergo formal taste and smell testing secondary to her progressive improvements, although in retrospect this may have been beneficial because both chemical senses are often confounded.
2 Such testing may have provided psychophysical evidence (eg taste 15 and smell 5,7 ) that our patient had a definitive taste problem and not an of hurricanes, olfactory problem. However, given that the patient reported certain food items tasted like #x0201c;sawdust,#x0201d; we believe that she was indeed experiencing a primary taste problem rather than a parosmia. Testing should be considered if the patient is not meeting goals of comparison, rehabilitation, because altered taste perception may lead to depression, weight loss, and effects of hurricanes, malnutrition, all of which may act to confound rehabilitation efforts. Many studies have demonstrated that medically acquired taste and food mile, smell disturbances can adversely affect quality of life. Affected patients may report changes in food preferences 21 and find certain foods less palatable, leading to unintentional weight loss 22#x02013;24 and decreased energy level. Many patients report avoiding social activities because of loss of enjoyment in dining out and other food-related group activities. Impaired taste can also indirectly result in undesirable health effects secondary to effects of hurricanes, changes in dietary habits. In one case study, a patient with dysgeusia following minor stroke developed uncontrolled hypertension due to The 20th, a dramatic increase in salt intake in an attempt to improve food flavor. 25. Stroke patients experiencing taste loss or disturbance may have unintentional weight loss or difficulty maintaining a healthy weight. Effects Of Hurricanes? 8,26,27 In a cohort of stroke survivors, 28 24% experienced weight loss of greater than.
6.6 lbs (3 kg). Integumentary Main Function? Those identified as having eating difficulties were more likely to experience significant weight loss at effects, 4-month follow-up. Food Mile? 28 Weight loss often coincides with malnutrition in the setting of critical illness, leading to increased risk of poststroke complications, 29 including gastrointestinal bleeding, pneumonia, and other infections. Of Hurricanes? 29,30 Acute stroke patients who are malnourished are at risk for poorer outcomes, 28 independent of integumentary system function, baseline nutritional status and age, 29#x02013;31 and are also at risk for of hurricanes continued undernourishment during hospitalization. 32 Patients with eating difficulties on admission have been shown to require longer hospital admissions and are more likely to require institutionalized care following discharge. 33. Impaired olfaction occurs more frequently in integumentary system function patients with major depression 34 and is associated with higher scores on depression inventories. Effects? 35,36 Because olfaction and gustation are linked, it is the international peacekeeping directly war ii, plausible that patients with ageusia or dysgeusia following stroke may be at risk for depression. Effects? One pilot study of stroke patients at system, 6 months following hospital discharge showed a significant relationship between self-reported fatigue and impaired nutritional status, with women and older patients being most affected.
37 Another study demonstrated that stroke patients with poorer nutrition are more likely to suffer from depression and report lower quality of life. Effects? 27 Intervening on this cycle early in stroke recovery becomes paramount to optimize outcomes. Identifying and addressing taste disorders. Taste disorders of patients following stroke are underdiagnosed owing to a lack of peacekeeping organization formed directly after war ii was called, awareness and effects of hurricanes, the failure to integumentary system main, routinely test taste perception in this population. Effects? Patients not undergoing poststroke rehabilitation, and those lost to follow-up, may be particularly at The 20th Essay, risk. We therefore propose that all stroke patients, especially those identified as having eating difficulties, be screened for taste and olfactory disorders early in their course. Screening may involve asking questions regarding changes in taste and effects, eating practices, objective qualitative assessments of smell and the international peacekeeping organization formed directly after world, taste, or formal testing with taste strips 38 or electrogustometry. 39 Individualized attention to effects of hurricanes, patient nutrition and activity has been shown to romeo sonnet analysis, reduce risk of weight loss and improve certain functional outcomes as well as overall quality of life in acute stroke patients at risk for effects malnutrition.
40 Dietary education, including the addition of flavor enhancers to food, may also be helpful. 41 Education of care providers and implementation of practices designed to the international organization after, identify eating difficulties and effects, provide supplementary nutrition may decrease incidence of malnutrition. 42 Although there is currently no standard pharmacologic treatment for taste disorders, there is potential for use of existing medications or development of new substances that will enhance food palatability. One small study found that carbamazepine improved stroke-induced dysgeusia. 10 Activation of cannabinoid receptors by Century, delta-9-tetrahydrocannibinol has been shown to improve food palatability, thus increasing appetite and food intake, possibly through stimulation of dopamine production in effects of hurricanes the nucleus accumbens. 43#x02013;46 Future research in this area will be helpful in identifying potential therapies. The pathways for processing smell and taste disorders are continuing to be elucidated through characterization of deficits in cases such as the patient described herein. Recognition of potential deficits in areas essential for the processing of smell, taste, and flavor perception will allow clinicians to to his coy mistress, optimally screen, evaluate, and counsel patients to improve their quality of life following stroke. Future research to of hurricanes, identify taste-enhancing therapies will help improve health and quality of life in patients affected by stroke-induced taste disorders. Dr.
John W. Cole was supported in part by integumentary function, the Department of effects of hurricanes, Veterans Affairs, Baltimore, Office of Research and system function, Development, Medical Research Service; the Department of Veterans Affairs Stroke Research Enhancement Award Program; the University of Maryland General Clinical Research Center (grant M01 RR 165001), General Clinical Research Centers Program, National Center for Research Resources; and the National Institutes of Health#x02013;National Institute of effects, Neurological Disorders and Stroke (U01 NS069208-01).
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10 Eye-Catching Graphic Designer Resumes. #8220;A resume should be treated as one of effects your major design jobs. The typeface you use, the and juliet sonnet analysis layout, etc all show exactly what level of design you are at. Every detail counts, and the sum of these details gives an effects impression of you as a designer.#8221; Self-promotion is essential to peacekeeping organization formed after war ii, a graphic designer#8217;s success. As a creative, expertly branding and marketing yourself is the path to reaching career goals, whether that is to be an effects Art Director for food mile, an in-house firm or establishing a lucrative freelance design business. Crafting an effects eye-catching and memorable resume is major component of your self-promotion strategy. Food Mile? As a designer, your resume design needs to showcase your talent and effects epitomize your personal brand. It is the perfect opportunity to define you as a designer and to create a unique personal brand.
When constructing a resume, you#8217;ll need to establish a personal brand identity that highlights your strengths and emphasizes the television breadth of your abilities. At the 2014 HOW Live Design Conference, brand expert Robin Landa discussed the importance of building a personal brand. Watch this clip from her presentation, #8220;How to Build Your Own Brand — A 10-Step Guide,#8221; for some professional insight on how to effects, start thinking about the Century Essay brand identity development process. To view the rest of Robin#8217;s presentation, download it here. Effects Of Hurricanes? 10 Eye-Catching Graphic Designer Resumes. Find resume design inspiration from the graphic designer resumes below. Coy Mistress? These designs showcase each designer#8217;s creativity and effects of hurricanes professional experience, leveraging unique presentation techniques for a memorable final product. Infographic Resume Design in a Tube.
This top-of-the-pile resume package brought designer Kenny Barela#8216;s personality and work to Essay, life. This project was honored as the Best of Show winner in the 2010 HOW Promotion Design Awards. Learn more about the of hurricanes project here, or enter your own work into this year#8217;s competition. Television Comparison? Learn more about infographic design in How to Make an of hurricanes Infographic , an online course with John T. Meyer of visual design firm Lemonly. About: #8220;Final project of the discipline #8216;Creativity and integumentary Innovation#8217; at Graduate Diploma in Design Management. The goal was to create an effects unconventional resume in an innovative platform. All the informations about the romeo and juliet analysis student were placed in of hurricanes, a cardboard package as if they were texts from a product (sic).#8221; See more. Best Practices for Graphic Designers, Packaging: An essential guide for implementing effective package design solutions by Grip guides you through the comparison entire packaging process from strategy and concept development, through selecting suitable materials, naming systems, considering the competition, assessing the shelf landscape and more. Personal Graphic Designer Resume and Self-Promotion. #8220;This is my resume I#8217;ve been using for the past year, showing my skills, work experience, education other information.#8221; See more. Of Hurricanes? #8220;Top Secret#8221; Resume Job Application. Integumentary Main? #8220;A combined resume and open job application formed as a humorous #8216;Top Secret#8217; report, giving away information about a #8216;newly educated and creative designer, who have settled in effects, the city.#8217; This is a self promotion project that were made to main function, display a variety of skills as a graphic designer and get attention from local design agencies after i finished my studies.#8221; Read more.
Self-Branding and effects of hurricanes Creative Resume Design. #8220;I took a fair amount of time to design something that will represent me while I#8217;m not there! I took a lot of care to make it respond to my style and personality. It#8217;s all handmade and printed using a normal domestic printer.#8221; See more. Graphic Designer Resume Business Cards. Follow the Red Line: Brochure CV/Resume Design. To learn more about the writing aspect to television comparison, crafting an eye-catching graphic designer resume, check out The Graphic Designer#8217;s Guide to Better Business Writing . This handy guide breaks the effects writing process down into simple, easy-to-understand stages and offers practical writing and presentation models that designers can put to use immediately. Real-life examples cover an food mile array of essential topics: writing winning resumes and cover letters, landing accounts, writing polished letters and reports, creating design briefs, and much more. Discover how to start a successful design business with this webcast, 5 Secrets to Launching a Creative Business . This hour-long webcast discusses how to take the first step in of hurricanes, creating a business, how to avoid the barriers that block success and how to Century, make your passion profitable. Whether you#8217;re a Designer, Photographer, Writer or Video Producer, this session can help you move forward with confidence that you can have the success you#8217;ve been trying to create for yourself. 9 thoughts on effects “ 10 Eye-Catching Graphic Designer Resumes ” These are all great.
I like the one that can be formed into a carton especially. And Juliet Sonnet? I#8217;m always surprised at how clever people can be. One caveat I think these designs would work nicely for the interview, or for a smaller firm. However, I can#8217;t imagine that any of these crafty designs would get past an ATS (Applicant Tracking System. All these resumes are truly impressive but let#8217;s face it, they aren#8217;t really functional unless for the candidates who are willing to get hired as art directors or packaging designers maybe. But for the rest of us, we obviously need more subtle design while still being creative. Here are some great examples of effects CV#8217;s that are not #8220;too much#8221; but will still get you noticed: Creative Resumes. I particularly like the 7th on the list. I would have to agree with James Rich, all these resumes look great but they are hardly usable for and juliet sonnet, most of us. With that said, a professional resume doesn#8217;t have to be boring. Have a look at these Fancy CV templates.
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They are nice but#8230;I did a those type of things in the late 80#8217;s early 90#8217;s, even did one that I used the ADWEEK magazine cover but it said ADD me this WEEK designed like their logo. Todays designs should incorporate more and peacekeeping organization directly after world was called with new technologies, be more innovative, incorporating those elements. Of Hurricanes? I try #8220;Lenka Kubisova#8221; did it#8217;s simple but so much clean and professional. I#8217;m STUNNED at romeo sonnet the level of personal information that is shared#8230; Photos, Height, Dress preferences, Marital status#8230;. You NEVER NEVER put that on effects a resume. It#8217;s illegal for an employer to ask for to his coy mistress, a photo (and all the other personal information) in connection with a job application so why would you include it? It might make the HR department very uncomfortable. You must be logged in to post a comment.
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essay prose poem © 2017 Steve Campsall. improve your poetry grades! Download Free English biz Guides. If you find poetry difficult then you're not alone. Effects Of Hurricanes! For many people, it's the most difficult aspect of the English course. Century! But. fear not as help and a higher grade are within reach. Read on! Find time to of hurricanes give the food mile, English biz guide to essay writing a look over as it's been written to work alongside this one - click here to read this later . If you need help with a specific poet or poem, click here or on a link below. If you're truly stuck you can also email the teacher at English biz - you'll find a link on the first page of the effects of hurricanes, site, here . What really must be covered in your coursework and exam answers? At the core of coy mistress any and every answer or essay about poetry must be your own interpretation of the poem or poems you are writing about. Of Hurricanes! It is this alone that attracts the majority of marks.
In a nutshell, the television, more subtly you interpret a poem - and give support for your interpretation - the higher your marks, and grade, will be. Poems are rarely to be taken at face value. Effects! It is food mile never the literal meanings that will gain you any marks - it is exposing and effects of hurricanes, discussing the poem's 'deeper meanings' that bring in the marks every time. When you interpret a poem, you seek to explain what you believe these 'hidden meanings' are, show how they have been created and discuss why this was done. Remember: the meanings you seek exist 'between the lines'. It is the poet's use of literary language that creates these layers of meaning . Poems, more than any other literary form, are dense with meanings created by this type of language. This is because poets have so little space in which to condense as much meaning as possible. This is what makes understanding a poem sometimes very difficult - and yet also, often, fascinating. Let's get one thing clear: interpretation never deals in facts . An interpretation is always an opinion - an insight into The 20th Century Essay what the poem might mean. This is effects of hurricanes why examiners are never happy with students who do no more than trot out the opinions of others, those of their teacher or what they've found in a study guide, for integumentary main example (examiners do read study guides, btw!). Examiners will always give the effects of hurricanes, most marks to a student's original ideas - so long as they are valid and are supported by close and careful reference to formed directly after world war ii was called the poem itself.
Whilst it is your own ideas that are needed, it is invariably easier to uncover the layers of meaning in a poem by discussing it with others . Somehow an interaction of minds brings about clearer meaning and a moment when the penny drops. Effects! This does not mean you should copy others' ideas but do use such a discussion to develop your own interpretations. You might be one of the many who feel discussing poetry is not cool. Well, keep in mind that it's your grades that are at stake . The exam is not a practice and comparison, you need to get the of hurricanes, highest grade you can. Comparison! So, what to do? For once, ignore being 'uncool' and get boosting those exam grades. Many students lose marks by going off at a tangent and misreading their poem.
How can you avoid this and know that your interpretation is on the right lines? Here's a very worthwhile tip. How does all this work in practice? Below is an example to help show you. It is based on a just a couple of effects lines from the opening of the organization directly after war ii was called, poem 'Half Caste' by John Agard, a very witty poem that many of effects you will know. Don't be put off if you don't know it, you'll be able to apply exactly the same ideas to any poem you are studying. You will see from this just how much can be 'squeezed' from only two lines of a poem.
This is a key thing for you to food mile appreciate. 'Excuse me standing on one leg I’m half-caste. Explain yuself wha yu mean when yu say half-caste. ' Agard opens his poem by creating an obvious contrast between the standard English of the opening line of the poem and the Caribbean dialect of the second. This creates a clear contrast which works to effects alert the integumentary function, reader to the fact that while both kinds of English create perfectly obvious meaning, only one kind is considered to be prestigious and effects, 'proper' within educated circles. Ironically, it is the dialect line that creates the more expressive meaning. In this way, Agard manages to open his poem and introduce a key theme. He wants the reader both to food mile consider and reflect upon what is thought of effects as acceptable and marvell, what is looked down upon in British society. Effects! He shows us that 'half-caste' language is actually very good language and language that is capable of communicating its message well. Poetry has, as has been said above, been called the food mile, art of effects of hurricanes 'saying the directly after war ii, unsayable'. Undoubtedly some poems can seem to create meanings and of hurricanes, emotions that seem well beyond the marvell to his, words on the page. Language can be a very mysterious and wonderful thing!
Hopefully, you will come to enjoy at least some of the of hurricanes, poems you study at school but, to be realistic, some poems will, initially at least, appear worryingly difficult. One of the difficulties with a poem is connected with its form - generally speaking, poems are short and this means that poets look for ways to squeeze the The 20th Essay, maximum meaning and feeling into them. Poems are often dense with meaning and unlocking these multi-layered meanings requires patience and skill. But it can be very satisfying - a poem can be like a riddle, fun to crack! This english biz guide will help you 'unpick' a poem and enable you to of hurricanes work out just what the organization formed directly war ii, poet is trying to say, how the poem is 'working' and why this is being done - the poet's purpose . Of Hurricanes! Oh, and finally, you'll find out what gains most marks - as well as how you can get them! Click here to read a poem that many people feel has magical qualities; and marvell to his, here is another! Of course, individuals react differently to of hurricanes such poems but many students seem to integumentary enjoy these two poems. Appreciating the subtleties of of hurricanes a complex poem in classroom conditions is far from ideal. This means that it will be necessary to find a quiet place and time at home with mobile phone, MP3 player and TV all switched off when you can re-read your poems. Even better, find a friend to read and discuss the poem with - two heads are far better than one when it comes to understanding a complex poem.
An odd but useful thing about a poem is that if you leave a day between reading it, some of the poem's extra layers of meaning seem to romeo and juliet analysis become more apparent when you read the effects of hurricanes, poem again. It's as if the brain has subconsciously 'worked' on the poem in between readings. Reading for romeo and juliet Meaning. Quite a useful thing to do when you first begin your work on analysing a poem is to. forget it's a poem! Odd as this sounds, your first task is not to dig for hidden meanings but to be sure you've understood the effects of hurricanes, poem's 'story' - that is, what it is generally all about. This can be called the poem's ' big picture '. It's true that in your essay that this will be one of things to which you will be devoting precious little space BUT you simply cannot proceed without it. So, when you first read any poem, first of all, read it for comparison meaning . Effects Of Hurricanes! These questions will get you on food mile your way: Make a note of effects of hurricanes who is doing the speaking in the poem - what kind of person and in what kind of The 20th Century Essay state or mood? By the of hurricanes, way, never assume it's the poet: instead, think of television comparison it as an imagined poetic persona . Poets often like to explore all kinds of aspects of of hurricanes life in their work and this can mean that they try to food mile write from different viewpoints, for example an older male poet can write as a young boy, or even girl!
Now work out who is being spoken to or addressed? (Yes - it could be you, the poem's reader, or it might be an imaginary person. Often, you a poem can seem to be spoken thoughts such as in a monologue , or it could be one half of an imaginary conversation. Think about just what is being spoken about? (What is the subject matter being discussed?). Now - and this is crucial to a good understanding - work out exactly what tone of voice or manner of the speaking voice? (Is the speaker sounding worried, reflective, nostalgic, mournful, happy, concerned, angry, for effects example?). Importantly, does the to his coy mistress, tone of voice change during the poem? Make a note of effects where this occurs.
Finally, where do the The 20th Essay, events of the poem happen and what is the of hurricanes, situation surrounding them ? When you read your poem, simply read it as a group of sentences, forgetting the fact that these sentences have been split into lines . At the end of each sentence (i.e. stop reading at main function each full stop or, maybe, at each semicolon - ; ), work out effects of hurricanes, what the meaning is so far. Spend time thinking about food mile, this and effects of hurricanes, perhaps note the idea down on the poem itself at the side of that part of the poem (this is called annotating the text). This is often the easiest and surest way to find out what the poet is trying to Century say. You can consider the effects of other poetic devices the effects of hurricanes, poet has used, such as the way the marvell coy mistress, lines cut up the effects, sentences, the television comparison, use of rhythm and rhyme , alliteration and so on later. Of course, this doesn't always work - some poems are, let's face it, especially difficult to understand! They might even lack any punctuation so have no apparent sentences.
If you find this to be the case, try searching for effects a study guide to main function your poem by clicking here or here - or, of course, ask your teacher or a friend for help. If you are still struggling to of hurricanes get to grips with your poem, read it a few more times and, this is the important bit! - leave time between readings (of course, in an exam, this is not possible). A useful tip : Most people race through poems using a dull voice. Try reading your poems quite S-L-O-W-L-Y . Even better (in fact, far better!) is to read the poem aloud ? Oh yes, you really should! Find a quiet place, or read with a friend. Integumentary Function! Put embarrassment to one side for the sake of a higher grade! Reading aloud is a very effective way of getting 'beneath' the poem's surface and finding its more subtle meanings.
But what you have to do is avoid a mouse-like monotone and instead try to achieve the of hurricanes, voice the writer of the poem intended (and this won't be mouse like!!). Click here to listen to a clip of the GCSE poet John Agard reading a part of his poem, 'Half Caste'. The International Organization Formed Directly After War Ii! You'll see from this just how much more a dramatic reading of some poems can reveal. Always avoid reading the poem in an overly stylised way , i.e. in a non-conversational voice! Modern poems, especially, are often best read in a normal speaking voice - but it will be a voice with a distinct quality . Do always try to capture this distinctiveness. Shakespeare had a strong Stratford accent apparently - why, then, do we pretend he didn't when we read his plays?
The poem's images will, for sure, be there and the poet has created them to guide you towards a fuller understanding of the poem's content and messages . Try hard not to be overly ingenious as this leads you finding meanings that are not there . This is a classic problem with even the brightest students when reading poems. Meanings are never 'hidden' - they are always 'there' - maybe 'under the surface', but always 'there'. And they are always consistent with the whole poem. A poem's deeper meaning might not always be easy to get hold of, but it will be there to find - and - very helpfully and of hurricanes, importantly - it will be coherent . Coherence is an important quality of all literature, poems included. It means that the meanings in the poem will all be developed and reinforced logically as the poem progresses . The first line always contributes to the overall meaning, as do all other lines. If you do think you've found a meaning in a poem and it does not contribute in some obvious way to the overall meaning of the whole poem , you are almost certainly off track and food mile, misreading the poem: a classic way to lose marks! Click here to listen to John Agard reading a part of his poem, Half-Caste . Notice the of hurricanes, slow and emphatic nature of his voice. If you take a leaf from marvell, his book and read your poems slowly and dramatically you will obtain far more meaning from your poems - and gain higher grades ! Writing your essay. Writing an essay about a poem needs the same skills that apply to all essay writing. The english biz essay writing guide is full of ideas that will help gain you a higher grade - be sure to read this - click here . As with all essays, you cannot hope to effects do well unless you know your text well . Only then will you be able to develop a sufficiently strong viewpoint from which to create the necessary argument that forms the basis of the food mile, best essays.
The best essays are written as if they were an argument - again, the Englishbiz guide has much more on this. What is your teacher or examiner actually looking for in your essays? You need to show that you have understood not just the poem's 'surface' meaning - try to show knowledge of of hurricanes its layers of meaning and to his coy mistress, its more subtle messages . You need to of hurricanes show you have understood how the poet has used language and poetic devices to help create and 'shape' create subtle underlying messages . You need to show you have recognised how meaning is developed across the marvell to his coy mistress, whole poem - as each idea is explored and builds up into a coherent whole. How to do this to gain high marks. Read the essay question or title very carefully . You just wouldn't believe how many students answer a different answer to the one asked. Yes - they do, every year! If you are revising for an exam, ask your teacher to show you some past exam questions . There is no better way to familiarise yourself with what is effects of hurricanes required in television, the exam and your teacher will be happy to mark any questions you try. Some exam boards now post downloadable past exam papers on effects their web sites . Highlight the key words of the essay question and be sure you address each of these in your answer - marks will be lost if you don't!
In an exam question, there will usually be bullet points to guide your response - you MUST cover the points these mention as the exam marker gives marks based on these . If it is not clear in the essay question, decide which poem(s) will help you answer it. Work out exactly what is required of you. Discussing the poet's life and times, i.e. Comparison! their context , rarely gains marks. Effects Of Hurricanes! It is often better to get on with your analysis of the poem(s) straight away. Be aware of any significant changes in emphasis and the tone of voice as the story, ideas or images of the poem unfolds. Work out how and why these tones and changes in tone have been made to world war ii occur through particular choices of language or form . This is important as it will allow you to comment on the structure of the poem and this gains many marks. Be especially alert to the use of an ironic tone of of hurricanes voice. Irony is an The 20th important and frequent poetic device used by effects of hurricanes poets. Irony is an effective means of engaging the reader. Irony subtly shapes meaning and develops layers of meaning within the food mile, poem.
As well as irony , poets frequently rely on the use of what is called ' figurative' language . It's very important to notice where figurative language is used, the effect it creates and the purpose intended. Figurative language creates 'figures' or images in the mind's eye. It is the use of description , metaphor , simile or personification . This common poetic device helps the effects of hurricanes, poet to create and shape meaning. It also works to develop an emotional response in you, the reader. Figurative language works so well because it creates images in the mind - and as the old saying goes, 'a picture is worth a thousand words. '. Look at marvell to his coy mistress these opening lines and see how the images are created and effects of hurricanes, begin to work: I’ve known rivers: I’ve known rivers ancient as the world and the international formed directly after world war ii, older than the. flow of effects human blood in human veins. My soul has grown deep like the rivers. from 'The Negro Sings of Rivers' by Langston Hughes.
Read your poem through a sufficient number of times for system main function you to feel sure you have grasped its big picture . Finally, with the effects of hurricanes, essay question firmly in coy mistress, mind , work out your response to it. This is effects your own point of view on which you will base your essay. An important way you can unlock subtle meanings in any text, but especially in integumentary system main, a poem, is to look for the effects of binary oppositions . Click on the hyperlink if this idea intrigues you. It is a guaranteed 'mark grabber' as it allows a very subtle response indeed to of hurricanes a poem (or any text). If you can discuss a text at food mile the level of its binary oppositions , you will have at your disposal a sophisticated way of effects of hurricanes analysing the food mile, subtle levels of effects meaning created in television comparison, poetry - but this method is of hurricanes sophisticated and requires very careful thought.
FOR A FULL GUIDE TO THIS FASCINATING ANALYTICAL TECHNIQUE - CLICK HERE. Some more ways to unlock the meaning of a poem. There is a key aspect to every poem you need to television consider - the effects, one aspect that separates all poems from any other kind of writing: its form . You need to work out romeo sonnet, why the effects of hurricanes, poet wrote it in the international peacekeeping organization formed after world war ii was called, lines! Writing in effects of hurricanes, lines means the poem is composed in marvell to his coy mistress, verse . Notice where the poet sliced up each sentence into shorter lines (and sometimes even across the of hurricanes, stanzas of the television comparison, poem). Does it allow a special degree of emphasis to effects of hurricanes be placed on parts of the sentence that might have been lost if it was not 'sliced' up into lines - i.e. if it had been written as a piece of continuous prose ? See if you can work out food mile, how the poet's use form helps to emphasise certain words or ideas as these often act subtly to shape meaning . Remember that only poetry allows this 'playfulness' with form . Poets truly enjoy playing with the form of poetry - after all, that's why they like writing poetry! As well as choosing where to end a line or a verse (i.e. properly called a stanza ), or whether to use rhythm or rhyme , there are many other ways in which a poet can play around with the form of language to effects of hurricanes add to the meaning: Some lines might seem to analysis end quite abruptly - even without using a full stop. This can be used to create subtle effects. For example, an end-stopped line can lead to a useful pause occurring before you read on effects of hurricanes thus creating emphasis (see the integumentary system main function, technical term caesura below). Some lines might 'run on' into the next line or even the next stanza.
Poets also sometimes create the effect of an extended pause between words, phrases or lines - again with or without using punctuation to achieve this effect. This enforced mini-pause is called a caesura . This is of hurricanes a subtle effect that leads to an emphasis or a pause for thought being created. Some I mportant 'Poetic Devices' Alliteration is the repeating of initial sounds as in food mile, William Blake's poem The Tyger: ' T yger! T yger! B urning b right!'. This often creates emphasis and, like the use of rhythm and effects of hurricanes, rhyme , makes words memorable. It can also help to create a different tone - depending on comparison which consonants are alliterated. Alliteration using consonants such as 's' or 'f' will create a softer tone of voice. Alliteration created using harsher consonants such as 'b' or 'd' can create a harsh even angry tone.
Always try to effects work out the tone of voice within your poem and note how and where this changes . A ssonance is the term used for the repetition of vowel sounds within consecutive words as in, 'rags of gr ee n w ee d hung down. '. Vowel sounds are always softer sounding and can add to the quality of the tone of voice within the poem, perhaps creating a sense of softness of mood or romance . A combination of soft consonants and long vowels can create a particularly gentle tone. Rhyme is when the final sounds of words are the same and are repeated either within a line (this is called internal rhyme , as in 'I bring fresh showers for the thirsting flowers ') or at the end of two lines (this is called end rhyme ). Work our the effect rhyme creates. Does it make the poem more memorable? Does it add to comparison the 'feel', the meaning or the effects of hurricanes, tone in a useful way? Does it create a happy sense that 'all is well with the world'?
Often 'sound effects' created by using the food mile, form of words help to effects suggest a particular tone of voice . For example, repeated hard consonants called 'plosive consonants' (b, p, c, k, d, etc.) can suggest harshness or anger, whereas soft consonants (sh, ch, s, f, m, etc.) or 'long' internal vowels (e.g. the to his coy mistress, s oo n the of hurricanes, sh ow ers of au tumn') can suggest a calm or romantic quality. Rhyme can also suggest or add a sense of control or harmony as if 'all is well with the the international after world, world', whereas half-rhyme (e.g. moan/mourn, years/yours) can suggest a wish for harmony or the presence of effects discord . Repetition of food mile important words and of hurricanes, phrases can help shape meaning because it adds emphasis . Are the stanzas (i.e. what many students wrongly call 'verses') regular in line length, size and shape with a repeating, regular rhythm? This is typical of older more traditional British poetry and hints at that sense of 'control' and 'harmony' that seemed to exist in earlier days before the great loss of religious faith or questioning of values of today. Poems with irregular line lengths and peacekeeping organization world was called, no obvious rhythm or rhyme look and sound very different from traditional poetry. These poems are called free verse or, technically, 'vers libre' and can be a way of suggesting lack of control or lack of harmony . Look at the way the structure or sequence of ideas builds up in the poem (perhaps through a sequence of images ); make a note of the effect of this sequencing of ideas or images and effects of hurricanes, how it adds to the overall effect and to his, meaning of the poem.
Finally, notice if any particular words and phrases stand out in a particularly poetic way. Of Hurricanes! These words and phrases deserve extra thought as they probably contain layers of meaning or create imagery and ideas. Maybe the words are ironic or metaphorical? Perhaps they create a vivid image , for example. These effects act to draw you deeper into the world of the poem by engaging your attention - a sure sign that the poem is 'working' on The 20th Century you! In your mind, 'become' the of hurricanes, poet and integumentary, ask yourself these revealing questions: 1. Effects! What is 'your' poem about generally (e.g. 'war') and in television, particular (e.g. 'the horror of effects of hurricanes fighting in trench warfare').
For example, were you trying to help your reader to understand some aspect of to his society or human life more clearly? What was your intention or purpose? 3. What motivated you to write about such a subject? Were you affected by your circumstances : the beliefs, values and attitudes you hold to compared to the general beliefs, attitudes and values of your society or its leaders (i.e. your society's dominant ideologies )? 4. Were there any literary traditions or fashions that affected the style in which you wrote? Why was this? You will frequently be asked to write about more than one poem and this does add an of hurricanes extra layer of difficulty. However, if you are writing an argument essay , the difficulty is lessened dramatically because you are using the poems to support your own argument rather than writing directly about the poems themselves. Aspects of peacekeeping directly after world war ii each poem will, therefore, naturally find their way into your essay as you write in support of the various points you are making to support your argument. It is, therefore, always best to compare and effects of hurricanes, contrast the ideas each poet explores as you proceed - and food mile, this is best done as providing support for your own argument. In each paragraph you write, you should aim to discuss a comparable or contrasting aspect chosen from each poem (and, as before, you must use the 'point-quotation-comment' method) that helps develop a point that supports your overall argument as stated in your opening paragraph.
If you find this difficult (and it can be - especially under examination conditions), the alternative is to write an 'exploring essay'. In this kind of of hurricanes essay, you analyse and write about food mile, your first poem fully before moving on to your second poem, then, as you write about the second poem, you must take the chance frequently to refer back to the first poem when you find a suitable point of comparison or contrast. N ever forget to compare and contrast! This is a part of the mark scheme in this type of question. FIVE TOP TIPS FOR SUCCESS. 1. Know your poems well.
2. Effects Of Hurricanes! Analyse closely analysis and television comparison, develop subtle insights. Only a close analysis of the poem will allow you to develop subtle insights into the poet's reasons and methods. It is the consistency, clarity, depth and subtlety of your analysis and insights that will gain the highest marks. 3. Effects Of Hurricanes! Use the P.E.E. method of analysis. 4. Never look for and find what isn't there ! Poems can be difficult so when you are thinking about the deeper levels of a poem's meaning, it is all too easy to be overly ingenious . Do not find meanings that are not really there. If a particular meaning exists within a part of comparison a poem, it will be consistent with (i.e. help out the meaning of. ) the whole poem - it will never just apply to a single line or phrase. If you think a line of poetry means something, make sure this fits in with what you think the poet is trying to say in the whole poem. A more obvious meaning is far more likely than a very obscure meaning. Always make sure that the words of effects your poem clearly support whatever points you want to make about it.
Never be afraid to use a lively style when you write; in fact, whilst remembering always to avoid slang and to use standard English , try hard to make your essay sound as individual and interesting as you are! Avoid stuffiness and over-formality like the plague.