Current Trends in Restaurants

ASSIGNMENT SUBMISSION COVER SHEET Submission date: 10 October 2008 Abstract: This paper reports the trends in operation, targeted customers and design in restaurant around the world. CURRENT TRENDS IN RESTAURANTS OVER THE WORLD Contents {text:bookmark-start} INTRODUCTION {text:bookmark-end} Service style Operating hours Menu and Customer Site and Design Technology {text:bookmark-start} TRENDS IN SERVICE STYLES {text:bookmark-end} â‚ ¬Million Top 5 Foodservice Operators in Europe (2006) {text:bookmark-start} COMMON TRENDS IN OPENING HOURS {text:bookmark-end} {draw:frame} text:bookmark-start} WHAT IS HOT ON RESTAURANT MENUS AND MAIN GROUP OF CUSTOMERS {text:bookmark-end} As the population is getting older, the restaurant menus must follow the needs of the elderly whose sense of taste is no longer precise. By that way, there are a large number of menus containing strong-flavour foods, especially spicies. In beverage area, people now are coming back with beer. According to a survey by Gallup, in 2006, 41% of American drinkers said they drink beer most often. text:bookmark-start} DESIGN AND EQUIPMENTS {text:bookmark-end} {draw:frame} To satisfy the need of casual and warm place for eating of customers, nowadays, the naturally looking materials are being used for restaurant instead of glass and metal. Besides, warm colours like light gray or chocolate brown are also used to create warm and familiar dining room. In the kitchen, the multi-purpose equipments are the most famous style. 33% of chefs of American Culinary Federation thought that those equipments are the hottest trend in the year 2007 and in the future. text:bookmark-start} TECHNOLOGY IS A PART OF RESTAURANT {text:bookmark-end} Quick service operators are using technology to satisfy the demand of guest and optimize their efficiency. A recent survey by National Restaurant Association showed that 63% of customers want to get quick electronic service at their table. {draw:frame} The ever-rising price of food cost that went up 7. 2% in August presses the restaurant managers to find more solutions for cost saving. The most popular way is to use the high-technique cooking machine that can reduce the waste of energy. The modern and widely used gas fryer, for instance, can save up to 50% for gas and 80% for electricity. {text:bookmark-start} CONCLUSION {text:bookmark-end} {text:bookmark-start} REFERENCE {text:bookmark-end} REPORT & SURVEY Rowe, M. (2007) Chew on this, Restaurant Hospitality Dining Insight Study 2007 National Restaurant Association, (2007) What’s Hot & What’s Not Chefs survey ARTICLES LaFave, C. (2008) Business: All Night Long, Restaurants & Intuitions Magazine Panitz, B. 2002) Food Trends: Tracking What's Hot and What's Not, Restaurants USA magazine Hamaker, S. S. (2000) Delicious by Design: Creating an Unforgettable Dining Experience, Restaurants USA magazine PODCASTS WEBSITES Horizons news, top 100 food service operators in Europe, horizonsforsuccess. com Foodservice Industry News, (2008) Food inflation continues to take its toll on foodservice margins, horizonsforsuccess. com (2006) Beer back on top, Realbear. com (2007) Current Trends in Foodservice, escoffier. c om (750 words)

Translations by Brian Friel

Leaving Cert Comparitive study : Translations by Brian Friel Translations is a three-act play set in the tumultuous nineteenth century country of Ireland. The action takes place in a hedge-school where students are faced with the invasion of English speaking soldiers. One of these soldiers falls in love with an Irish girl and then mysteriously goes missing. The son of the master of the hedge-school is forced to go into hiding to keep from being condemned for the crime, although he is not responsible for the soldier's disappearance. Translations is a play about love, tradition, and the circumstances that force the break with these traditions.Characters Manus Cares for people at the beginning of the play. Intelligent and educated. Runs away at the end. Lacks ambition and vision. Owen Friendly with everyone. Takes Manus' place at the end in caring for Sarah and Hugh. Betrays Ireland with the English. Ran away for six years, like Manus does at the end. Yolland Wants to learn Irish and un derstand the people. Doubts moral validity of what he is doing. Overly romantic about Ireland and its language. Cannot face up to authority. Hugh Agrees to help Maire at the end. Uses Manus and blatantly prefers Owen. Sometimes pretentious.Major Areas of Study: Language and power†¦ Language and communication†¦ Language and identity (both cultural and individual)†¦ Progress†¦ Friendship and love†¦ The past and mythology†¦ Education†¦ Sample Questions 1. Why do you think that Friel gave his play the title Translations? 2. The play is set in 1833. How does Friel make its themes relevant to a modern day audience? 3. Do you agree that Translations is more concerned with the fate of individuals than the fate of nations? 4. â€Å"The play is about the characters' search for their true identities. † Do you agree?

Critical Analysis of Mrs Lazarus Essay

Next line portrays that she must have got married on the day that her husband died if she had ripped her wedding clothes from her body. This stanza provides the reader with physicality by the use of the words â€Å"ripped†, â€Å"howled†, â€Å"shrieked†, â€Å"clawed†, â€Å"retched† etc. – onomatopoeic – portray a violent narrator. â€Å"howled†, â€Å"clawed† – anthropomorphic. Repetition – â€Å"over and over†, â€Å"dead, dead†. – symbolise that she thought of him repeatedly. This stanza displays as her almost hating him because he died. Sentence Structure – Short sentence to start – illustrates immediacy. Long sentence follows – symbolising how long she has grieved over the one she had lost – how long the process of recovery had been. Language – emotional, aggressive, sinister, chilling. Overall tone – depressing, graphic/gruesome. Themes – death, sorrow, aftermath. Stanza 2 Remains in past tense. â€Å"Gutted† – associated with gutting fish – unpleasant – symbolising destruction of her home. Colour change from â€Å"white† to â€Å"dark† – conveys â€Å"white† as being before he died (symbol of purity, holiness), and â€Å"dark† as the world she is in now that he is gone (symbol of evil, desperation) Symbolism of isolation – â€Å"Single cot† (relates to Mrs Quasimodo i. e. â€Å"Single silver fish†), â€Å"widow†, â€Å"one empty glove†, â€Å"half† – sense of her feeling incomplete. â€Å"White femur†Ã¢â‚¬â€œ bones – â€Å"dust† – ashes – relates to the fact that her husband is now reduced to this because he is dead. â€Å"Stuffed dark suits into black bags† – implies a murder? Could reveal her suicidal nature – her husband’s death had, inevitably, driven her to her own death. â€Å"noosed the double knot of the tie round my bare neck† – the only way she can dispel the isolation is to kill herself. â€Å"double† – sense of being whole again. Sense that her grieving continues. bare neck† refers back to the 1st stanza where she had stripped herself of her clothes. Sentence Structure – Short, simplistic, reflecting a child’ s dialect i. e. â€Å" Gone home† Language – unemotional – could symbolise her method of recuperation Overall tone – graphic, angry, vengeful, remorseful Themes – neglect, isolation, suicide Stanza 3 Continues on from second stanza. Religious reference – â€Å"gaunt nun† – reference to her imposed celibacy (duty to stay faithful to her dead husband). â€Å"Stations of Bereavement† – relates to Stations of the Cross – symbolising that she, like Jesus, has to struggle. icon of my face† relates to statues and figures in churches – also implies that her facial expression remains the same since the day of her husband’s death. â€Å"touching herself† – conveys that the only pleasure she is able to achieve would be by touching herself. Following lines imply that these were the only memories that she had of him i. e. he â€Å"dwindled† away. Her only memories of him were of his illness. â€Å"shrun k to the size of a snapshot† – modernisation – a picture remains only a memory, as had Mrs Lazarus’s husband. Sentence Structure – Long – broken with commas – symbolises constant bereavement Language – religious, frustrated yet sorrowful, modern Overall tone – frustrated, resentful Themes – celibacy, religion Stanza 4 Continues from third stanza with repletion of â€Å"going† – displays the fact that she does not feel as though he is gone yet. Tangible memories of Lazarus i. e. the hair fallen from his head, his scent – both vanishing – â€Å"the last hair†, â€Å"his scent went†. Imagery of their disappearing marriage – no value, no meaning. â€Å"ring† – supposed to symbolise eternal love – conventional meaning is diminished in this case. He is no longer worth anything to her as he is now only a â€Å"small zero†. Sentence Structure – Becoming shorter as she begins to forget about him. She is beginning to dismiss him from her life. Language – dismissive, unemotional Overall tone – guilt-free, disgusted Themes – independence Stanza 5 â€Å"Then he was gone† – simplistic – sense of immediacy, perhaps unexpected – he exists no more. â€Å"legend† – forgotten – he became just words – â€Å"language†. â€Å"schoolteacher† – perhaps he had taught her something in her life? â€Å"man’s strength† – protection But I was faithful for as long as it took† – as long as what took? Perhaps premeditated murder? Religious reference â€Å"faithful† – to whom? God? Lazarus? â€Å"Until he was a memory† – it took quite a while for her to come to terms with everything – perhaps she was trying to remain celibate? Sentence Structure – varied length – symbolise the normality of her life now. Language – settled (i. e. no anger, no strong emotion) Overall tone – defensive – â€Å"But I was faithful for as long as it took† Themes – deceit Stanza 6 Setting of scene – â€Å"field†, â€Å"moon† – night time Personification of atmosphere – â€Å"fine air† Observing and admiring landscape. â€Å"shouting† – disruption of new â€Å"healed† life. Were the men coming for her? Why were they shouting? Sentence Structure – Long, flows – illustrate the calm serenity of her current life – until the interruption of shouting men. Language – calm, descriptive Overall tone – serene Themes – admiration of the simple things in life Stanza 7 Continues from stanza 6. Images of people chasing her. Building up of tension – repetition of â€Å"I knew†. Personification of light – â€Å"sly† – even the light had betrayed her – labelled her as the wife of an ill man. shrill eyes† – piercing into her – evil – undeserved – highlights that the community had a prejudice of her husband because of his illness. Overwhelmed by crowds of people – feels consumed by the â€Å"hot tang† and the â€Å"hands bearingâ₠¬  her. Sentence Structure – varied. Broken with commas to illustrate the break in her normality. Language – anxious Overall tone – fearful Themes – betrayal Stanza 8 Illustrates the resurrection of her husband. â€Å"He lived† – shock, disbelief. â€Å"the horror on his face† – even he was terrified of her situation. She cannot escape the memory of him, no matter how far away he may seem. saw†, â€Å"heard†, â€Å"breathed† – use of the senses – immediacy – â€Å"rotting†. This stanza could be her mind revisiting the memory of Lazarus’s dead body. This could symbolise her reuniting with him – her escape from isolation. From beyond the grave, Lazarus maintains control over Mrs Lazarus – she is unable to rid him from her mind – eternally married to him – so she must be faithful. Does love defy death? Sentence Structure – Long – symbolise the return of bereavement. Language – graphic/gruesome – to describe disfigured body/their love Overall tone â₠¬â€œ depressing, horrific

Competitive Analysis Essay Example | Topics and Well Written Essays - 1000 words

Competitive Analysis - Essay Example Its cost only includes market research, advertising and promotion hence enabling the company to minimize on the cost of production. On the other hand, bottlers are provided by syrup by the concentrators’ where they then they mix it with sugar, treat with local water and carbonate it. Finally, they bottle it and then deliver it to the retailer. All these activities make the bottling business capital intensive as it requires high technology in production. Returns received by concentrate producers greatly differ from those received by the bottlers due to various reasons. The main factors as indicated in the above paragraph are the financial cost incurred by both companies (Fleisher & Bensoussan, 2007). Bottlers for instance incurs low cost of production as it only concentrates mainly on advertising, market research and product development whereas bottlers activities involve investment of huge amount of capital as its main concern is to archive its main goal of improvement and mod ernization of the bottling lines which as a results requires high amount of capital (Fleisher & Bensoussan, 2007). Secondly, the other cause of variance in returns is the availability of raw materials. The concrete producers require fewer raw materials hence its major spending is on purchase of cheap inputs like citric acid, natural flavors and also caffeine; on the other hand bottlers require large number of production materials. They invest in purchase of inputs such as packaging materials like cans, bottles and also sweeteners such as aspartame which prove to be expensive hence reducing their profitability as they are unable to reduce on the outflow of money (Fleisher & Bensoussan, 2007). The returns received by bottlers are also less than those received by the concentrate producers due to the risk levels each of the company face. Concentrate producers are responsible for the brand promotion and also invest hugely on trademark to stimulate sales; on the other hand, bottlers have little risk in their operations as they already have an advantage i.e. have a famous name which is well known all over the world .This development provide them with stable returns and low risk (Bensoussan & Fleisher, 2008).

Marketing Planning- Kit Kat Essay Example | Topics and Well Written Essays - 2000 words

Marketing Planning- Kit Kat - Essay Example Companies give substantial importance to the desires and wants of the potential customers. Marketing Plans in the current economic system always succeed in a free market economy. The prices of the goods and services must be determined by the free forces of market demand and supply. Any state of disequilibrium in the market would be stabilized automatically by the free forces of market mechanism. Companies often adopt â€Å"go to market† concept that helps organizations to achieve unique value proposition to their targets. These propositions depend on the way the company focuses on its investments and business solutions. This strategy usually responds to whom, what, how much, how and where a company would operate and cater its services. Q 1.2 Nestle accounts a sale of over 1 billion Swiss francs from 29 major branded goods manufactured under it (Dibb, 2001). It is a giant food producing firm generating about 339,000 employments in the economy. Its assets are now worth 126.22 bi llion as estimated in 2012 (Qin, 2010).. Jamal and Prahalad in 1996 stated that strategic planning is not strategic; the future is assumed to be more or less same as the present. The planning must be subversive. The top managers are most resistant to change and they fail to provide people different responsibilities to manage changes. The senior managers should observe activists as positive. The organizations must always use all their knowledge to discover the unconventional ideas. Business strategies can often give surprises. The business strategies must be democratic (Kew and Stredwick, 2005). Therefore in the context of Nestle, Kit Kat being a common chocolate produced by the company, the focus should be on product quality. The company must enhance its quality so that it can uphold its reputation in the current competitive chocolate industry Q 1.3-1.4 There are various techniques of organizational auditing. Out of the major techniques this essay concentrates on the PEST technique of organizational auditing (Strauss, 2010). It means it would concentrate in the Political, Economic, Social and Technological aspects that affect the business of Nestle featuring its product Kit Kat. The success of a marketing plan largely depends on the internal working culture of a business firm; like the precise relationships between the top managers and employees at different levels. If a firm maintains a good financial and accounting system then they are likely to introduce successful marketing plans. The level of research and development also influences the competitive power of a business firm. The resources and capabilities of a business firm largely influence the extent accomplishment of marketing plans. Image and brand equity are also important determinants of a good marketing plan. The essay will now hypothetically assume a case study about Kit Kat’s business in China. The country has a socialist market economic system; thus sate excise strong control over the acti vities of the private organizations. If the Chinese government increases the level of taxes in chocolates; the company may be forced to increase the selling price of the product and thus will shift the incidence of taxation on the consumers. In such a situation the demand for the product would fall. Rather tastes and preferences of the consumers are changing and buyers who are empowered are demanding more from the products. The country accounts for a growth of about 10% in terms of GDP, thus the

Personal Training in Chad Evermore ompany Case Study

Personal Training in Chad Evermore ompany - Case Study Example These activities will make sure that there are stronger bones, long drive and more power. Cardiovascular evaluation such as step test and walk test should also be considered. Another important factor to consider in order to produce exemplary good performance is to create and stick to the training program. The latter should include some repetitions and exercises; specific needs that would help grow and maintain quality standards in terms of performance of the body and on the field. In addition, the creation of a periodized training program in weekly basis is important such as the one below: Nutrition is the basic or key to any fitness success. This therefore clearly tells us how important it is to uphold excellent nutrition by taking care of what the client takes into the body as food. There are some basic nutritional strategies and more so, food supplements that have been considered in the recent years to boost immune and general body health. This includes 3 meals a day and 2 smaller snacks in between. Multivitamin and fish oil is advantageous too (Walter & Meir,  2003).

The Objective of Investment Essay Example | Topics and Well Written Essays - 1500 words

The Objective of Investment - Essay Example Investors now believe that real estate is an important investment opportunity and increasingly investors are investing in real estate (IPF, 2007). There are fluctuations not only in the asset or equity markets but even real estate investment have their own fluctuations as well. So, it is important for investors to analyze the rise and fall in the market of real estate. Therefore considering the changes in the market, the report aims to understand how the commercial property business operates as an investment and analyze the internal and external factor that influence the prices of properties. The main the purpose of the report is to understand how to maximize income on properties through purchasing the right product at the right time and how the capital value is influenced by that. The second part of the statement  will identify how to maximize the revenue in term of capital value and income revenue through ‘ProActive‘ Management, it will provide further knowledge towar ds the way management overall affect or improve the value of a property. Investment in commercial properties is defined as buying and purchasing of commercial properties with the objective of earning returns or buying commercial properties for the purpose of renting it. Adair et. al (2009) have published a report in which the properties of United Kingdom has been analyzed and from the analysis, it has been found that the value of the commercial properties in the  UK accounts to  £762 billion. However, the value of the residential properties is equal to  £3,400 billion. From the  £762 billion invested in the commercial properties, it has been found that almost 90% of the investors or owners of the properties are using their properties with the aim of achieving returns by giving their properties for rent to the tenants.

Chessington World of Adventure, Essay Example | Topics and Well Written Essays - 2000 words

Chessington World of Adventure, - Essay Example And if they involve themselves in fun filled group activities, it will surely relax their mind and will bring down their stress levels to bare minimum. This is where the concept of amusement or theme parks comes into the picture. Even though, in amusement parks, there will be physical activities, it can be carried out in a relaxed and fun filled way. So, it will surely relax the physical and the mental part of the body. Because of this role, the amusements parks will be flocked by many people. Thus, it becomes an important duty of the amusement park administration or management to maintain the park optimally. That is, they should provide all the necessary facilities and features, with quality and safety inbuilt in it. So, this paper will analyze Chessington World of Adventure Chessington World of Adventure is a theme park located on the Surrey town of Chessington in United Kingdom. It is considered to be enjoyable place catering to the needs of people of all ages. Inside, Chessington World of Adventures and Zoo, there are ten different park areas, each with their own unique theme and rides as Beanoland, Chessington Zoo, forbidden kingdom, Land of the Dragons, Market Square, Mexicana, Mystic East, Pirate cove, Toytown and Transylvania. In recent years it has become increasing popular for an organisation to produce a mission statement and/or its ‘vision’ that sets out the purpose and general direction for the organisation (Mullins). The main mission of Chessington park is: ‘†¦create an unforgettable place of adventure for our guests and provide our customers a great day out †¦Ã¢â‚¬â„¢ With this mission as its main plank, Chessington World has put into actions its different departments to run the company successfully. The different departments, which are aiding Chessington to actualize its mission, are marketing department, followed by Human Resources, Finance, Quality, Customer Service etc. Among the many departments, which

Effective vs. Ineffective Language Essay Example | Topics and Well Written Essays - 250 words - 1

Effective vs. Ineffective Language - Essay Example Ineffective language happens as a result of failure of attainment of certain goals set, as a result of stress and pressure in the process of work. Such stress leads to use of a communal language that develops in the setting where there is stress. Language and euphemism develop in form of group terms from group thinking such as ‘credibility and cultivating a ‘you attitude.’ In organizations, the jargon is useful for developing motivation among workers to work toward a certain cause and goal. It is an effective language in creating motivation among workers. Such jargons are useful for stirring self-drive in places of work. They are especially effective where users and learners of language are involved. Creating a ‘you attitude’ may serve in more than one field as means of development. Use of language like this and jargon among a group of people creates a communication platform for the workers and new users of a language to develop unity and understanding among themselves. The jargon develops into other modes of language that acts like the first language for the group involved. It provides authenticity and as sense of belonging and extends further to the use of aid in achieving communication through language different from the norm but which is understood among peers, colleagues or other groups that need to communicate amongst

Health & Social Care Essay Example for Free

Health Social Care Essay Physical abuse is classed as the hitting, shaking, choking, biting or other physical attack on an individual. It can lead to bruising, cuts, scratches burns, fractures and internal injuries. As well as these more immediate injuries, there can also be longer term ones. Someone who is being physically abused may show signs of it, but they may not be noticed by others if the victim is hiding the abuse. Signs and symptoms of physical abuse are cuts, brusies, burns grip marks, unusual pattern or location of injury, depression, fearfulness, withdrawn and anxiety. Sexual abuse Sexual abuse involves any sexual behaviour directed toward an adult without that adult’s knowledge and consent. Sexual abuse can happen to people of all ages, including the elderly. Sexual abuse is a way that a person tries to have control over someone and has nothing to do with consenting sex between adults. Sexual abuse is another form of physical and emotional control of one person over another person, and it has nothing to do with consensual sex between adults. Read more: Explain the roles of different agencies in safeguarding and protecting individuals from abuse  essay Signs and symptoms of sexual abuse are pain, itching or bruises around breasts or genital area, torn stained or bloody underclothing, sexually transmitted diseases, vaginal/anal bleeding, depression, withdrawal from regular activities, fear and anxiety. Emotional/psychological abuse – Emotional abuse can be as painful and damaging as physical abuse because it diminishes an adult’s sense of identity, dignity and self-worth. Emotional abuse is when a person is verbally assaulted, insulted, yelled at, threatened or humiliated by someone close to them or by a caregiver. The abuser often confines a person or isolates them by preventing them from having visits from family and friends or by denying them the chance to attend doctor or other personal care appointments. Signs and symptoms of emotional/psychological abuse are depression, fear, anxiety and behaviour changes when a carer enters or leaves a room. Financial abuse – financial abuse involves the improper, illegal or unauthorized use of an adult’s resources for the benefit of another. Signs and symptoms of financial abuse are unpaid bills, no money for food, clothing, or medication, unexplained withdrawal of money from someone’s bank account, family member or representative refuses to spend money on the adult’s behalf, possessions disappear, family member or another person forces an adult to sign over Power of Attorney against their own will. Institutional abuse – Institutional abuse refers to mistreatment of someone living in a facility for older persons. This includes nursing homes, foster homes, group homes, or board and care facilities. For example the abuse refers to the ‘home’ and staff having set meal times, set places a resident can eat their meals, a certain time everyone must get up Rigid, routines, Inadequate staffing, Insufficient knowledge base within service etc. Signs and symptoms of institutional abuse could be Inability to make choices or decisions, agitation if routine broken, disorientation, patterns of challenging behaviour. Self neglect – Adults are neglected when a caregiver does not provide the essential daily living needs of an adult dependent upon them, for things such as food, clothing, shelter, bathing, medication, health care, and doctor visits. Self-neglect happens when an adult can no longer take care of their own basic daily living needs. Signs and symptoms of neglect and self-neglect are malnourishment, dehydration, confusion, inappropriate clothing, under or over medication, skin sores, poor hygiene, absence of required aids, canes and walkers. Aiii / Aiv) If someone makes an allegation of abuse to you, the first and most important response is that you must believe what you are told. You must reassure the person that you believe what you have been told also reassure them that it is not their fault and that they are in no way to blame. Once youve reassured the person that you believe them, you should report the allegation immediately to a senior member of staff. Make sure you then make an accurate record of as much detailed information. Av) If the abuse is physical, no attempt should be made to clean anything such as clothes or residence. The client should be dissuaded to wash. Other people should be kept out of the way. With financial abuse, evidence could be paperwork such as bank statements so these should not be thrown away. You should only remove anything that could be evidence if you suspect the abuser might dispose of it before the authorities can see it. Avi) The national polices that relate to safeguarding and protection from abuse are the safeguarding board, the social services. The child protection agencies like the NSPCC Childline. The H.uman rights act 1998 and the Equalityact of 2000. Avii / Aviii) Different agencies and professionals play critical roles when involved in safe guarding individuals for example, Medical professionals such as GP, AE staff, nurses, doctors they can examine, diagnose treat, they can record. The local authority Social Services would carry out an assessment of needs. Safeguarding Team, within Social Services dept investigates and ensures safety, work with other agencies such as police. A Safeguarding Protection Officer would lead the Adult Protection Alert. Police to investigate/prosecute, to work with other agencies, to provide support to victims, to raise awareness of crimes, crime prevention. Care Quality Commission to regulate inspect care providers. Independent Safeguarding Authority. Aix) When seeking advice, support and information to help care workers understand their role in safeguarding good sources would be social workers, advocaces, further training, management, relevant laws and policies, CQC guidelines, care plans including risk assessments.

Enviromental Impact Assessment Of New Kuantan International Airport Engineering Essay

Enviromental Impact Assessment Of New Kuantan International Airport Engineering Essay This environmental impact assessment (EIA) has been prepared by Gemilang Alam Sekitar (M) Sdn. Bhd. as appointed consultant by the Government to evaluate a complete environmental impact assessment on New Kuantan International Airport (KIA) in Kuantan, Pahang. This report is prepared for the authorities review, accounting Malaysia Government guidelines and regulation under Environmental Quality Act 1974 Act 127. This report has been produced firmly based on: Environment Impact Assessment (EIA) Field visits to the Project site, and, Few discussions with State government and related Federal government officials with environmental responsibilities. To carry out EIA process, some methods are used including; Meetings and discussions with Federal and State government officials, Visit to the Project site and surrounding areas, Discussions with citizens near the Project site, Surround noise, air quality and surface water quality, Sampling and testing the sample taken in the field and in the laboratory, and, Gathering the methods with professionals knowledge, expertise and experiences. PROJECT DESCRIPTION The rapid economic development and tourism industry in Kuantan, Pahang has resulted in a growing demand for air transportation. The capital city of Pahang, Kuantan occupied with more than a half million of citizens, approximately 607,778 people. This 9th largest city in Malaysia has 57% Malays, 32% Chinese, 4% Indian and 7% other races. Kuantan is currently served by air mainly by Sultan Ahmad Shah Airport but it is more on military purposes. Public passenger and cargo loading are no more available. The nearest airport for public air transportation can be accessed from Sultan Mahmud Airport in Kuala Terengganu, about 207km or 4 hours journey on road. A small airport in Kerteh which called Kerteh Airport is located 115km from Kuantan city centre and it takes almost two hours to reach the small airport. Kerteh Airport operations are restricted to oil-rig labours whose working for anchor national petroleum company, PETRONAS. This proposed Project is to design and construct a new international airport for Kuantan in order to re-operate the public passenger and cargo air transportation in the city, thus rejuvenate and induce the tourism industry into higher level. Site location studies were conducted in 2005 by appointed consultant, Megah Hijau (M) Sdn. Bhd. and the subject to run the EIA process was identified. In 2007, about 250 hectares (ha) of land was purchased by Federal Government of Malaysia to construct the KIA. Based on Megah Hijaus study, site clearing was completed in 2008 by local contractor within 6 months. The clearing process was under contract with the Department of Civil Aviation Malaysia. The KIA development phase at first will meet the forecasting air traffic demand for the year 2010. This will engage large turboprop aircraft with relevant range to cover numerous destinations locally and internationally. The development process takes in the improvement of soil and earthworks preliminarily to construct a runaway with 4000m length and 50m width. The Project also will embrace the construction of: Passenger and cargo terminal Access road and car park Control tower Rescue building Airport staff residences Waste water management system Electricity generator unit and Fuel farm Airport navigational aid and safety equipments ENVIRONMENT DESCRIPTION OF THE PROJECT SITE Physical Resources and Environment Project Location The Project location is in flat areas with small hills, which typically the topography of Kuantan located near to the Titiwangsa range. Elevation on the project site is range between 20 and 53m above the mean sea level. The soil of the Project site consists of muddy clay with less organic material. The condition of the soil sufficiently fit the requirements of constructing the embankment. The embankment is used to flat the terrain areas. Luckily, the Project site is free from earthquake and soil erosion hazard. The climate at the Project site is warm and wet, typical with the climate of Peninsular Malaysia which located proximity to the equator. Rain falls throughout the year, with heavy rain normally in November to March due to northeast monsoon. The average monthly rainfall in Kuantan is 250 mm. Meanwhile, the monthly temperature during the day is between 29 °C 35 °C, and 26 °C 29 °C at night. Kuantan average monthly wind velocity is 4km/hour directed to the Southwest, hence there is no typhoon recorded so far. The EIA performed the monitoring test for the air quality and noise in three locations, where two on the Project site and one in the Kuantan city centre. The results are shown in the table below. Parameter Unit Sample Point 1 2 3 Wind direction From SW `SW SW Wind speed m/s 4 3 7 Temperature  °C 31 33 35 Humidity % 89 91 83 Atmospheric Pressure cmHg 71 71 71 Suspended Particulate Matter ÃŽ ¼g/m3 34 32 36 Oxide Nitrogen (NO2) ÃŽ ¼g/m3 5 6 14 Sulphur Dioxide (SO2) ÃŽ ¼g/m3 1 1 5 Carbon Monoxide (CO) ppm 0.101 0.112 0.173 Hydrocarbon ppm 0.020 0.017 0.031 Noise dBA 34-41 36-43 45-67 Air Quality Standard is based on Recommended Malaysian Air Quality Guidelines (RMAQG) Department of Environment, Malaysia. Sample point 1 and 2 are taken from two different spots at the Project site, whereas the 3rd point is located in the Kuantan city centre. We can see the different in the test results at different location. The air quality in each location was better than the recommend national standard. The volume of hydrocarbon and Carbon Monoxide were higher in the city centre compare to the other sample points. On the Project site and surroundings, there is no river, stream, or lake identified. So, there will be no impact of water pollution in the area. For this reason, the quality of the groundwater undoubted with minimal treatment and can be used to supply water to the Project facilities rather than taking the water directly from nearest river which may considerably higher in cost. Ecological Resources The flora and fauna on the Project site are commonly found in most Peninsular forest. So, they are not endangered or protected species. Animals like snakes, wild boars, and typical local birds are the group of animal inhabit in the Project site. The flora in the site consists mainly with brushes and grasslands with no canopy trees. There site currently has no sign of logging activity as the trees available are not suitable to log. Furthermore, there is no agricultural activity on the Project site with more arable land available. Economic and Human Development The KIA project site is located in an area with low population volume. No indigenous population found in the area. There are about 500 families living in two villages, Kampung Melayu dan Kampung Cina, within a range of 10-15 km from the Project site. These residence areas are dwelling by migrants within past 20 years. They come from different places in the Peninsular Malaysia. Moreover, there is no mineral resources on the site, so that, there is no mining industry. The residents in the area are mostly working in the town as government servants, self-working, small businessman and housewife. There are mixture income backgrounds of the dwellers in the area. Overall, the income level in the area is in middle range. Kuantan, as with the rest of major capital city in Malaysia, is the one of the main focus of the Federal Government to develop the city with more economical value. Federal Government in the East Coast Economic Region (ECER) has identified the tourism industry potential in Kuantan. So, the Federal Government take this opportunity through the plan to coordinate an appropriate approach to enhance Kuantan attraction by constructing KIA. Quality of Life Values On the site, there are no historical, wildernesses, archaeological, cultural or protected resources, or in proximity to the site. Public facilities such as school, health care centre, power line, telephone line, are not located in the Project site area or within 8km from the site. Most of the facilities are located near to the residential areas. The main roads to be access are East Coast Highway and basic access road provided by the authorities near to the neighbourhood. ANTICIPATED ENVIRONMENTAL IMPACTS AND MITIGATION MEASURES In this section, we will disclose the potential impact of the KIA development project on the surrounding environment and suggest mitigation measures. The report will cover the potential impacts associated with design, location, construction and operation. Briefly, the impacts are summed in the next table. Other additional impact on environment also will be discussed out of the table. Loss of Ecological, Cultural, or Other Resources Action Affecting Environmental Resources and Values Possible Effects on the Environment Significance of Possible Effects Not significant Significant Low Medium Impact of KIA Design Flooding Downstream flooding, erosion X Slope erosion Siltation of caught water affecting surface water quality X Human and petroleum waste disposal Pollution of surface and groundwater X The construction of KIA will create a solid surface in the area its covers. There will be less significant impact on slope erosion and flooding or flash flooding. A proper design of the airport base and cutting-edge construction technology will alleviate adverse impact on the drainage system. The embankment that will be built at the runway strip potentially mitigates slope erosion effect. Wastewater treatment plant will be place at the site project to reduce the effect of bacteria and turbidity from human waste. KIA will use recent human waste treatment technology with environment friendly processes. It is undeniable that there will be fuel spilling occurring during the aircraft refuelling. So it is crucial to trap and treat these wastes before the wastes enter the main drainage system. To mitigate the impact, KIAs drainage system will be designed properly to channel the waste into the subsurface drains which contain trapping system to filter out the petroleum waste. Then, the petroleum waste streams to the wastewater treatment plan to break the hydrocarbon bonds which it initiated. Action Affecting Environmental Resources and Values Possible Effects on the Environment Significance of Possible Effects Not significant Significant Low Medium Impact of KIA Location Disruption of groundwater Changes in hydrologic regime Pollution by spoils leach ate impairment of profits impairment of drinking water source irrigation usage X X X Resettlement Disruption of houses X Changes in nearby land values Increases land values around the KIA and general area X Environmental aesthetics degradation environmental aesthetics values decrease X Loss of archaeological, cultural, or historical sites Loss of significant sites X The groundwater will not disrupt by the project because the level of the groundwater is 10-12 metres below the surface level of the KIAs construction site. So the Project would not impair drinking water resources and irrigation usage. The nearest residential area located about 10km outside the Project site and adequately far from airport operation. So, there is no necessary to relocate they settlement. It will be minor appreciation of land value, particularly the land that closest to the Project site and main road access, East Coast Highway and basic road access to the Project location. This impact can be mitigated by a strict regulation by the local government who may control the development project off the site. Planning, zoning and appropriate permits could help avoiding unnecessary development. Action Affecting Environmental Resources and Values Possible Effects on the Environment Significance of Possible Effects Not significant Significant Low Medium Impact during KIA Construction Sediment runoff Damage to aquatic ecology and/or flooding problems X Workers safety Hazards to workershealth and safety X Endemic communicable disease hazards Damage to workershealth X Malarial disease hazards Damage to workershealth X Slum creation hazards Slums forming in construction housing after completion X Cultural differences hazards Social disruption X Escape of hazardous materials Damage to health of nearby residents X Escape of air pollutants and dust Damage to health and nuisance X Noise and vibrations Damage to health and nuisance X Quarrying/blasting Blasting hazards Failure to restore quarry site Hazards to safety of workers and nearby residents Loss of environmental aesthetics and land values X X Disruption of nearby utilities Disruption to services X Blocking of traffic/access to the KIA Disruption of through highway traffic X During the Project construction, there are expected to subject minimal impacts, provided that the construction will adopt environment friendly and high technology design and construction practises and procedures. A contractual guarantee between the contractors and the local government will be signed before the works begin, as this agreement will be the provision to mitigate environmental impacts. Special conditions and specification will be detailed in the contract to drive the construction projects undertakings in a good manner with no unduly effect to the natural environment. The impact of sedimentation and siltation will be mitigated by structuring silt barriers and sediment ponds. These temporary retention ponds practically useful to produce topsoil for agricultural purposes because the topsoil is enriches with organic matter. There will be no quarrying activity near to the site or on the site. The noise and vibration from the construction works will be minimal as no piling and drilling activities expected. Since the residential areas are 10km away from the Project site, it is expected that dust from the main construction operations and the noise from the machinery will not affect the villagers prominently. The local government regulated that there is no construction operation allow at night, as a part of the mitigation measures. Worker safety is one of the main factor should be highlighted by the developers. The workers will be protected by a contract and insurance policy. Good construction practise guidelines must be complied to implement safe site undertakings. Apparently, there is no hazard from aircrafts onto the workers as KIA is a new airport project. Workers health will be monitored by the panel health care centres appointed by the developer companies. To mitigate traffic congestion in main access roads, contractors will construct a temporary lane especially for the trucks and heavy equipments to access easily into the Project site. Also there is no disruption of utilities expected because the Project will be powered by special generator. Action Affecting Environmental Resources and Value Possible Effects on the Environment Significance of Possible Effects Not significant Significant Low Medium Impact during KIA Operation Noise disturbance Hazard or nuisance to nearby residents X Vibration disturbance Damage to nearby residents X Water pollution Damage to surface and groundwater quality X Air pollution Hazard or nuisance to nearby residents/buildings X Erosion from newly completed earthworks Risks to aquatic ecology or flooding X Pollution from normal highway runoff Risks to aquatic ecology X Highway spills of hazardous materials Risks to residents and passerby X Escape of sanitary wastes Health hazards to passengers or nearby residents X Congestion at airport access or exit points Loss of time/air pollution X Hazards to traffic on highways near KIA from proximity to planes landing/taking off Highway accidents X As the KIA operates, there will be minimal effect of noise and vibration to residential area nearest to the airport. During the EIA study, the 10km away residents are just subject to 36-43 decibels from daily vehicle traffics. The noise analysis has been implemented using approved methods by the International Civil Aviation Organization with the help by Department of Civil Aviation of Malaysia. The analysis proved that the aircraft noise would not bring significant impact to the residential area as anticipated earlier. The sanitary wastes will be treated in the wastewater treatment plan. Therefore, there is no issue of contaminated water around the Project site. Furthermore, Malaysia has adequate experience in managing sewage treatment operation and maintenance in KIA as the plant system adopted and improved Kuala Lumpur International Airport (KLIA) wastewater management system. The system meets the World Health Organization (WHO) standards as part of the Project requirements. As explained earlier, there is minimal air pollution around the KIA site. The absence of industry around the site area minimizes the impact. Carbon emission from the operated aircrafts will not massively alter the condition. It is anticipated that during the KIA operation, the quality of life of the nearest population to be much better compare to existing life. The construction of KIA more-or-less will contribute to the advancement in the socioeconomic to the area near the KIA as well as city of Kuantan and other neighbouring districts, Pekan and Rompin. In addition, the infrastructure and public facilities indisputably will be improved due to the operation of KIA. COST BENEFIT ANALYSES Items Description Internal Rates of Return Estimated economic rate of return is 15%. Financial internal rate of return is 4.5%. An increase in financial rate is due to increase in airport rates and charges. Economic Benefits Increase in net visitor expenditure Savings travel time Value to foregone passengers and cargo traffic Savings cost in domestic aviation operation. Reduce hazards to aircrews and passengers. Generate employments Increase property values at nearest land. Project Costs Civil works Equipment and its installation works Consultation costs Supervision costs Environmental conserving costs Monitoring and Reporting Costs Monitoring environmental impacts costs Consultant and Supervision costs Maintenance costs Nonquantified Environmental Impacts Noise pollution Air pollution Surface and groundwater pollution Monitoring Program The impacts on environment of the proposed KIA Project are expected to be less significance. However, a delicate monitoring program is required to make sure the environments are not arbitrarily harmed by the irresponsible personnel. Monitoring program started as early as the Project begins. Monitoring during the construction process primarily highlighted on controlling the sedimentation and soil erosion. Water quality, worker safety and traffic smoothness also will be covered. After the project finished, estimated 4 years, monitoring program will be continued during the operational phase. Water flow and quality, noise and vibration and air quality will be checked on monthly basis. Department of Civil Aviation and Malaysia Airports Holdings Berhad are the bodies that responsible to monitor the construction process so that the Project construction progress well. Department of Environment and local authorities are responsible to monitor regulations on environmental issues. The bodies must ensure that the contractors carry out necessary controls and mitigation measures as written and signed in the contracts. Monthly progress reports on environmental monitoring process will be prepared by the appointed consultant, Gemilang Alam Sekitar (M) Sdn. Bhd. the reports will be handed to the authorities for revision. CONCLUSION From the EIA process, the KIA construction will not adversely affect the environment of the Project site, significantly. The usage of approved construction techniques will mitigate the impact of soil erosion, in fact improved the soil condition. Minor negative environment impacts can be avoided by cutting-edge technologies, good management on the Project site and appropriate regulations. Monitoring program is necessary to review the construction works from the pre-construction until the post-construction phases. In order to make sure the monitoring program succeeded, consultants and government bodies must play their role well, so that, there will be no more harm to the environment.

Patients With Post Stroke Dysphagia Health And Social Care Essay

Patients With Post Stroke Dysphagia Health And Social Care Essay This chapter deals with discussion, summary and conclusions drawn. It clarifies the limitations of the study, the implications and recommendations given for different areas in Nursing practice, Education, administration and research. DISCUSSION The present study was designed to assess the effectiveness of Selected Nursing Interventions among patients with Post Stroke Dysphagia at KMCH, Coimbatore-14. The researcher carried out the study among 30 patients and adopted pre-experimental research design with single group pre test post test design. The researcher used non probability purposive sampling technique to select the 30 subjects. The researcher conducted this study to assess the effectiveness of Shaker Exercise and Hyoid Lift Maneuver on Swallowing and Feeding Performance among patients with Post Stroke Dysphagia. DEMOGRAPHIC DESCRIPTION OF SUBJECTS The demographic variables included in the study were Age, Sex, Education and Habits. The mean Age of the subjects was 60. Half of the subjects were in the Age group 50-70 years. Almost equal numbers of subjects were in the 30-50 and above 70 years Age groups and it was about 23 and 27 percent respectively. Regarding the Sex, nearly equal numbers of subjects were in the male and female Sex group and it showed 53 and 47 percent respectively. On the basis of their Educational Status, 67 percent of the subjects were studied up to secondary Education. About 33.33 percent of the subjects completed any one of the graduate degree course. In accordance with their Personal Habits, 53.33 percent had no bad Habits like Smoking and Alcoholism. Ten percent of subjects had the habit of Tobacco use. Seven percent of subjects were consuming Alcohol. Thirty percent of the subjects had the habit of both Tobacco and Alcohol consumption. CLINICAL DESCRIPTION OF SUBJECTS The clinical variables include Type of Stroke and Co-morbid Illness. In consistent with the Type of Stroke, 10 percent of the subjects had Stroke due to the problem in anterior circulation, 40 percent of the subjects had Stroke due to problem in middle circulation and 50 percent of the subjects had Stroke due to problem in the posterior circulation. With reference to the Co-morbid Illness, 13.33 percent of the subjects had No Co-morbid Illness. About 10 and 40 percent of the subjects had the complaints of Diabetes Mellitus and Hypertension respectively. Remaining 36.67 percent of the subjects had both Hypertension and Diabetes Mellitus. The major findings of the study were discussed according to the objectives: The first objective was to assess the Swallowing and Feeding Performance of patients with Post Stroke Dysphagia. In the pre test assessment of the Swallowing Performance using GUSS Score indicates 23.33% of the subjects had Mild Dysphagia, 40% of the subjects had Moderate Dysphagia and 36.67% of the subjects had Severe Dysphagia. The post-test assessment of Swallowing Performance explains that 16.67% of the subjects were improved to the No Dysphagia stage with good Swallowing and Feeding Performance. About 26.67% of the subjects had Mild Dysphagia and 23.33% of the subjects had Moderate Dysphagia. Remaining 33.33% of the subjects had severe Dysphagia with various improvements in the Swallowing Performance. The pre test and post test Feeding Performance Score using FOIS describes equal number of subjects in the Tube Dependent (36.67%) and Total Oral Intake category (63.33%). Despite the result revealed an equal number of subjects in the pre and post test assessment, the subjects had an improvement in the Feeding Performance during the post test assessment from no oral intake level to tube supplement with consistent oral intake level in the Tube Dependent category. Likewise, subjects showed an improvement from the intake of single consistency to the total intake with no restriction in the Total Oral Intake category. The present study was supported by Trapl et al., who conducted study in 2002 and described that out of 30 patients, 30 to 50% had Severe Dysphagia and showed significantly higher risk of aspiration with liquids compared with semisolid textures (p=0.001). Therefore they confirmed the subsequent sequence of GUSS. The second objective was to determine the effectiveness of Selected Nursing Interventions on Swallowing and Feeding Performance in patients with Post Stroke Dysphagia. With reference to the Swallowing Performance based on the GUSS Score, the mean pre-test SwallowingS among subjects was 12.50 and the mean post-test Swallowing Score was 13.87 based on the GUSS tool. Paired t test was used to compute the mean difference. The t value for this mean difference between pre and post test Swallowing Score was 6.150. The t value obtained at .001 level of significance and at 29 degrees of freedom. Hence there is a significant difference exist between the mean pre and post test Swallowing Scores. It further implies that the Swallowing Score in the post test was higher than the pre test Swallowing Score. This improvement was due to the Selected Nursing Interventions such as Swallowing Exercises and Positioning while Swallowing. So the Swallowing Exercises such as Shaker Exercise and Hyoid Lift Maneuver found to be effective in improving the Swallowing Performance in Stroke patients. The final result concluded that 22 subjects (73.3%) expressed improvement after the treatment. Remaining 8 subjects (26.7%) had no changes in their Swallowing Performance after the therapy. The median of pre-test Feeding Score among subjects was 5 and the median of post-test Feeding Score was 6.5. Sign test was computed to find out the difference between the pre and post test median Scores of Feeding. The sign test Score showed the p value 0.000 which was significant at .001 level. It showed that, a significant difference present between the pre and post test Feeding Scores. It further implies that the Feeding Score in post test was higher than the pre test Feeding Score. This improvement in the Feeding Performance was due to the Selected Nursing Interventions. So the Swallowing Exercises were effective in improving the Feeding Performance in Stroke patients having Dysphagia. Median test was used to compare the effect between the pre test and post test group instead of mean as because the FOIS was a 7 point likert scale. As the variables did not follow the normality and the highest Score was 7, parametric test was not applicable. Hence non parametric sign test was adopt ed which is equivalent to paired t test to find out the effectiveness. The result of the present study was substantiated with a study conducted by Mepani et al., in 2005 on augmentation of deglutitive thyrohyoid muscle shortening by the Shaker Exercise. The study involved the effect of 6 weeks shaker exercise in 11 dysphagic patients; six patients were randomized to control group and 5 patients to the Shaker Exercise group. After the therapy the change in thyrohyoid distance among Shaker Exercise group was significantly greater compared to the control group (p=0.034), this subsequently improve the swallowing function of the patients. Association of the Swallowing and Feeding Performance with selected Demographic and Clinical variables among patients with Post Stroke Dysphagia The Fisher exact test was used to associate the selected Demographic and Clinical variables with the Swallowing and Feeding Performance of the patients with Post Stroke Dysphagia. The calculated p values for the association between the Swallowing Performance of Post Stroke patients with the selected Demographic and Clinical variables such as Sex, Habits, Type of Stroke and Co-morbid Illness were not significant and hence there exist no association between them. The calculated p values for the association between the Feeding Performance of Post Stroke patients with selected Demographic and Clinical variables such as Sex, Habits, Type of Stroke and history of Co-morbid Illness were not significant and hence there is no association between them. SUMMARY The aim of the present study was to assess the effectiveness of Selected Nursing Interventions on Swallowing and Feeding Performance among patients with Post Stroke Dysphagia, for which the following objectives were formulated; To assess the Swallowing and Feeding Performance of patients with Post Stroke Dysphagia. To determine the effectiveness of Selected Nursing Interventions on Swallowing and Feeding Performance in patients with Post Stroke Dysphagia. To associate the Swallowing and Feeding Performance with selected Demographic and Clinical variables. The study was based on Ernesteine Wiedenbachs helping art of clinical nursing theory (1970). The research design applied for the study was pre experimental single group pre test-post test design. Study was conducted in KMCH. 30 samples were selected by non probability purposive sampling technique. The tool used for data collection consists of Demographic and Clinical variables, Gugging Swallowing Screen (GUSS) and Functional Oral Intake Scale (FOIS) to assess the Swallowing and Feeding Performance in Post Stroke Dysphagic patients. The data were collected for a period of 6 weeks. Descriptive and inferential statistics were used in statistical analysis, to assess the effectiveness of Selected Nursing Interventions among patients with Post Stroke Dysphagia. Fisher exact test was used to find out the association between the selected Demographic and Clinical variables with the Swallowing and Feeding Performance in patients with Post Stroke Dysphagia. Major findings of the study On the basis of Gugging Swallowing Screening (GUSS), the investigator observed the degrees of improvement in Swallowing difficulty after the therapy among patients with Post Stroke Dysphagia. About 16.67% of the subjects had No Dysphagia, 26.67% had Mild Dysphagia, 23.33% had Moderate Dysphagia, and 33.33% had Severe Dysphagia. In accordance with the Functional Oral Intake Scale (FOIS), 36.67% of the subjects were in Tube Dependent category and 63.33% were in Total Oral Intake category with sustained improvement in the Feeding Performance. The mean pre test score of the Swallowing Performance using Gugging Swallowing Screening (GUSS) tool was 12.50. The mean post test Score of the Swallowing Performance using GUSS evaluation tool was 13.87. There was a significant difference between the mean pre-test and post-test Swallowing Performance Score. The t value obtained was 6.150 which is significant at 0.001 level and at 29 degrees of freedom. The final result explained that, 22 subjects (73.3%) expressed Swallowing improvement after the treatment. Remaining eight subjects (26.7%) had no changes in their Swallowing Performance after the therapy. Median test was used to compare the Feeding Performance Score of the pre and post test groups. The median pre test Feeding Performance of the patients with Post Stroke Dysphagia was 5 with a range of 1 to 6 and that of post median test was 6.5 with a range of 1 to 7. The non parametric sign test was used to find out the effectiveness of the therapy on Feeding Performance. The obtained p value was 0.000 at 0.01 level of significance. This revealed a significant improvement in the Feeding Performance of Post Stroke Dysphagic patients. The final result revealed that 24 respondents (80%) showed an improvement in their Feeding Performance after the therapy and was assessed by FOIS scoring. But remaining six respondents (20%) showed no changes in the Feeding Performance when assessed by FOIS. There was no significant association exist between the Swallowing and Feeding Performance of the Post Stroke Dysphagic patients with the selected Demographic and Clinical variables. CONCLUSION The study was tested and accepted the hypothesis that there is a significant difference in Swallowing and Feeding Performance before and after the implementation of Selected Nursing Interventions in Post Stroke patients with Dysphagia. The result concluded that the study group had better outcome than the others. There was a significant improvement in the Swallowing and Feeding Performance of the Post Stroke Dysphagic patients after the Exercise and Positioning therapy. The participants had reduced the risk of aspiration and aspiration related complications after the therapy. Hence, Selected Nursing Interventions such as Swallowing Exercises like Shaker exercise and Hyoid Lift Maneuver and positioning during Swallowing can be recommended for the patients with Post Stroke Dysphagia. IMPLICATIONS The present study has its own implications in nursing practice, nursing education, nursing administration and nursing research. Nursing practice: Dysphagia is one of the major complications among Post Stroke patients. This study implies the effectiveness of Selected Nursing Interventions in the improvement of Swallowing and Feeding Performance among the Post Stroke Dysphagic patients. This study creates awareness among the nursing personnel about the importance of the various complications after the Stroke and its various evidence based management. The present study shows that the exercise intervention for the Post Stroke Dysphagic patients can prevent the risk of aspiration and aspiration pneumonia. The result shows that, Selected Nursing Intervention for the Post Stroke patients can reduce the risk of malnourishment. Nurses can gain skill for providing Swallowing Exercises in the Post Stroke Dysphagic patients to improve their quality of life. Nursing Education: The nurse educator can create awareness among the health care professionals about the complicated effects of Stroke and its various evidence based management. The nurse educator can arrange in-service Education programs to update their knowledge regarding the new techniques and modalities to manage the Post Stroke Dysphagia. The nurse educator can teach the students about the present study findings and its implication in patients with Post Stroke Dysphagia. This will help to improve the knowledge of the students on Swallowing Exercises. The nurse educator can motivate the nursing personnel and students to use this Swallowing Exercises and positioning in the improvement of Swallowing and Feeding Performance and in the reduction of aspiration risk in Post Stroke Dysphagic patients. Nursing administration: Nurse administrator should aware of the problem experienced by the clients after the Stroke. Nurse administrator can provide continuing education or short term courses in the clinical area for preparing the nurses with competence in managing the after effects of Stroke especially Dysphagia. Nurse administrator can plan and organize seminars, workshops and conferences about Selected Nursing Interventions for the improvements of Swallowing and Feeding Performance among patients with Post Stroke Dysphagia. Nurse administrator can formulate protocol to incorporate the study findings in nursing intervention. Nursing research: This study provides a basis for further studies. The findings of the study can be a foundation for conducting the study on large sample to strongly support the efficacy. The implications of the study can be used as a motivation for nurses to conduct research in India, where the health care system is advancing. This study helps to update the knowledge and proper utilization of resources in the field of nursing practice. LIMITATIONS OF THE STUDY The study was limited to small sample size of 30 subjects. The study was limited to a single setting. The study was conducted using a single group. RECOMMENDATIONS A similar study can be conducted with large number of subjects to generalize the research findings. A study can be conducted at different settings. Similar study can be undertaken using different Swallowing and lingual exercises. This study can be conducted with experimental and quasi experimental design. A comparative study can be conducted between different types of Swallowing Exercises in Post Stroke Dysphagic patients. A similar study can be done to assess the effectiveness of Swallowing Exercises among patients with Dysphagia who are receiving head and neck radiation for cancer. ABSTRACT The present study entitled Effectiveness of Selected Nursing Interventions on Swallowing and Feeding Performance among patients with Post Stroke Dysphagia at KMCH, Coimbatore-14. This study was undertaken during the year 2012-2013, in partial fulfillment of requirement for the degree of Master of Science in Nursing at KMCH College of Nursing, Coimbatore, which is affiliated to the Tamilnadu Dr. M.G.R. Medical University, Chennai. Objectives: 1.To assess the Swallowing and Feeding Performance of patients with Post Stroke Dysphagia. 2. To determine the effectiveness of Selected Nursing Interventions on Swallowing and Feeding Performance in patients with Post Stroke Dysphagia. 3. To associate the Swallowing and Feeding Performance with selected Demographic and Clinical variables. Research Design: Pre experimental design with single group pre test-post test design. Setting: Neuro inpatient and outpatient department of Kovai Medical Center and Hospital, Coimbatore. Samples: All Post Stroke Dysphagic patients. Sample Size: The sample size was 30. Sampling Technique: Non probability purposive sampling. Conceptual framework: Ernestine Widenbachs Helping Art of Clinical Nursing Theory (1970) was adopted. Intervention: Selected Nursing Interventions such as Swallowing Exercises and Positioning during the swallowing were incorporated. The clients were instructed to do the Shaker Exercise and Hyoid Lift Manoeuvre 3 to 6 times a day for a period of 6 weeks. The subjects were instructed to elevate or down the chin and tilt the head towards stronger side while Swallowing. Outcome Measures: Swallowing and Feeding Performance was assessed by Gugging Swallowing Screen (GUSS) and Functional Oral Intake Scale (FOIS) respectively. Results: The mean difference between pre and post test Swallowing Score was 6.150 and which was significant at 0.001 level. The p value obtained for Feeding Score was 0.000 at 0.001 level of significance. The result showed a significant improvement in the Swallowing and Feeding Performance. Conclusion: This study proved that the implementation of Selected Nursing Interventions rather than the other conventional treatment will improve Swallowing and Feeding Performance among Post Stroke patients with Dysphagia. Hence the Swallowing Exercises and Positioning can be recommended in clinical practice to improve the Swallowing and Feeding Performance in Post Stroke Dysphagic patients.

The Sarbane-Oxley Act (SOA) Essay -- Corporate Governance

INTRODUCTION "The Public Company Accounting Reform and Investor Protection Act" was signed into law by President Bush on July 30, 2002. The law is now known as The Sarbane-Oxley Act (SOA). The SOA has eleven titles within the act and numerous sections, pertaining to ethics, accounting, financial reporting, responsibilities of officers, whistleblower protection, and increased criminal penalties built upon prior securities laws. SOA is the most comprehensive securities legislation written since the 1940s. In the early part of the twentieth century companies did not have the sophistication and abilities of the modern company in regard to information technology, number of accountants, advisors and analysts. This legislation is a big step toward keeping U.S. law up to date with modern business practices. The Sarbane-Oxley Act was necessary to protect the U.S. economy and restore investor confidence after the many years of dishonest business practices by ENRON, WORLDCOM, TYCO and other companies. The practitioners of shady accounting and greed brought about a collapse in stock prices, shook investor confidence and hurt the credibility of all publicly traded companies. A mass "bail-out" by large stockholders ensued; however the average small investor held on, hoping that the stock would stabilize and believing the reassurances of companies, that claimed they were financially well-off when they were actually worth less than what they owed. In the end, investors and lower-rung employees of these companies were devastated financially. The underhandedness and greed of these corporate officers had the potential to hurl the U.S. economy out of control. The small investors, who are registered voters demanded action. This paper will review the sections of The Sarbane-Oxley Act, highlight their broad implications and discuss compliance. Compliance will cost all publicly traded companies a great deal of money. ?Deloitte's Point of View? will be used to illustrate that compliance, when embraced properly and approached positively can bring rewards for companies in the long term. SECTIONS The sections that follow are a simplification of the Sarbane-Oxley legislation. There are many niches that will require attorneys, accountants and advisors. Keep in mind all prior SEC (securities exchange commission) legislation such as (The Securities Act of 1933, Securiti... ...s Point of View, Sarbanes-Oxley Compliance. (Online). 8 Pages. Retrieved January 16, 2003 from: http://www.deloitte.com/dtt/section_node/0%2C2332%2Csid%25253D5601%2C00.html PriceWaterhouseCoopers. (2003). Key Elements of Antifraud Programs and Controls, A White Paper. 29 Pages (Online). Retrieved January 16, 2003 from: http://www.pwcglobal.com/Extweb/NewCoAtWork.nsf/docid/D0D7F79003C6D64485256CF30074D66C Securities and Exchange Commission. (2002). Proposed Rule: Certification of Disclosure in Companies? Quarterly and Annual Reports. 6 Pages (Online). Retrieved January 17, 2003 from: http://www.sec.gov/rules/proposed/34-46300.htm Securities and Exchange Commission. (2003). The Laws That Govern the Securities Industry. 5 Pages, (Online). Retrieved January 17, 2003 from: http://www.sec.gov/about/laws.shtml#secact1933 Securities and Exchange Commission. (2003). Summary of SEC Actions. 3 Pages, (Online). Retrieved January 17, 2003 from: www.sec.gov/news/press/2003-89a.htm Worthen B. (2003, December 1). A Funny Thing Happened on the Way to Compliance. CIO Magazine, Retrieved January 15, 2003 from: http://www.cio.com/archive/120103/oxley.html

Of Mice and Men By John Steinbeck Essay -- English Literature

Of Mice and Men By John Steinbeck 1. How significant is the theme of loneliness in Of Mice and Men? 2. To what extent is it correct that The Great Gatsby, Death of a Salesman and Of Mice and Men explore important, but different aspects of ‘The American Dream’? 3. What is the importance of dreams and dreaming to the success of Of Mice and Men? A. Background Information Describe the historical background to the novel i.e. the USA in the mid/late 1930’s The USA of the mid and late 1930 was still suffering from the Great Depression. Many thousands were unemployed and had lost their homes. These people would often wander around the country, searching for jobs and a place to rest. John Steinbeck clearly outlines the lives of these men, traveling around from one job to the next, in his book Of Mice and Men. The depression had been caused by the stock market crash in 1929. Most Americans blamed President Hoover because he had been the President at the time and did know what to do about it. The Midwest suffered even more as the dust bowl crisis came into play. As the employees were dependant on their jobs employers could easily cut wages or even make them move at their will. When Roosevelt came into office he initiated many government programs supporting the suffering Americans. B. Summary Write a plot summary George Milton and Lennie Small, two migrant workers, arrive south of Soledad and spend a night next to Salinas River. As the two settle down it becomes clear that Lennie, a tall man with a â€Å"shapeless† face, has some sort of mental disability while George is relatively short and seems rather intelligent. Lennie also seems dependant of George as he looks out for him and helps h... ...ackground and makes a fortune. This still does not enable him to reach what he is actually longing for, his love Daisy. He has no reputation and does not belong to the American aristocracy and exactly that is what keeps him from fulfilling his dream. At last he dies in protecting Daisy. This seems extremely unfair and is clearly a criticism on this aspect of the American Dream. All of these three different books have given different views on the American Dream and spotlighted on different aspects of it. Every single one of these aspects is as important as the other ones no matter whether they are critical or have a positive message towards the American Dream. Some of these seem to overlap and contradict but overall it becomes very clear when looking at all three pieces of writing what the flaws of the American Dream are and what is so special about it.

Peer Presure Essay

â€Å"Peer Pressure is an influence that creates or the desire for change.† Most teenagers agree that they will follow a peer’s decision rather than their parents’ or the authority’s. Peers are more influential in a teen’s life and tend to have more power than parents. Peer pressure has always been present and will also always be present. It is not a disease or a crime, it is merely and influence; either a negative or a positive one. WHAT IS NEGATIVE PEER PRESSURE? Negative peer pressure is an influence exerted on a person to do something wrong. This may be stealing, drugs or other. If someone influences you into doing something like this it is considered negative peer pressure. We can help reduce peer pressure by teaching coping skills at an early age. Many teenagers who give in easily to negative pressures had a difficult child hood; low self-esteem, feeling of not belonging, poor communication and judgmental skills. HOW TO RECOGNIZE NEGATIVE PEER PRESSURE Negative peer pressure gives something significant to teenagers. The group is a place where one feels accepted, where he can feel good about himself, where he feels secure. It increases his self esteem, and it also enhances his self-image. SOME NEGATIVE PEER PRESSURE AREAS Negative peer pressure can often be observed in areas such as:+ Sexuality+ Narcotics+ Alcohol+ Cults+ Groups and gangs+ Tobacco products+ Stealing+ School+ Etc†¦ THE NEGATIVE EFFECTS OF PEER PRESSURE During adolescence, a teenager is subjected to lots of peer pressure. This pressure can effect the child mentally, physically and socially. Some of the effects on a person when dealing with negative peer pressure are: Low Self-Esteem: This is the main and most common effect. When a person’s peers mock him/her, or make them feel bad, this person becomes insecure. They begin to feel down and rejected. They feel as if they are worthless to the world. And anybody who has experienced this at one time or another knows that this is one of, if not the, worst feeling you can possess. Substance Abuse: Peers often pressure one another to do something they do not want to do. Offering drugs or alcohol is very common during adolescence. And after constant persisting, and insisting that â€Å"everyone is doing it† and that â€Å"it’s cool to do so† one gives into this horrible disease. And more often than not, a person can become addicted and dependent on this substance. Obsessions or Depression: People are often subjected to constant portrayals of what you are SUPPOSED to look like or act. If a person sees people that are always thin and happy, one becomes obsessed with that image, and thinks that if they do not look or act that way, that nobody will love them. So these people turn to such eating diseases as bulimia nervosa (regurgitating after one eats) or anorexia nervosa (eating too little). They also become seriously depressed and feel that life is not worth living, and think about or attempt committing suicide. Other actions: Teenagers also conform to the people around them very easily and quickly. If a friend decides to skip school, sometimes you decide to join him. However you may think it’s your decision, but in fact it is this person pressuring you simply by implanting the thought into your mind. This is also true for lying to teachers and parents etc., not doing homework/schoolwork and cheating on tests. WHY DO TEENS GIVE IN TO PEER PRESSUREPeople give in to Peer pressure for many different reasons. One of these reasons is low self-esteem. People with low self-esteem, will do almost anything to become a cool guy. Others give in to peer pressure, because people they think are cool say to do something. These people are just hurting themselves, because if that person is really cool, he isn’t going to make you cool, because you are his little helper. Peer pressure is present in one’s life as long as they have peers (school, workplace,†¦). Therefore, it is normal for a person to give in to peer pressure. At the beginning of teenage years, teens develop a sense of independence from their parents. Teens want to shape their identity and experiment new things. One may join a group if he is insecure about himself or if he has low self-esteem or self-worth. SELF-ESTEEM AND SELF-WORTHSelf-Esteem and Self-Worth affect people very deeply. When peer pressure is exerted on people with low self-esteem the reaction is often the same. A person with low esteem for himself will try to raise his self-esteem but often in the wrong way. When someone changes his personality to conform with what others expect from them will always hurt them in the end.Teens must understand that the choices they make today will absolutely affect their future. Teens must also realise that their future is much more important than simply pleasing their friends today. Some things that you or your parents could do to build someones self-esttem are:+ Have frequent discussions with friends or children + Spend quality time with them+ Keep you eyes and ears open for new ways to offer support+ Respect their feelings and encourage him or her to share them with you+ Share your own beliefs and values+ Explain that you learned from your mistakes+ Encourage achievement but avoid adding undue pressure+ Always offer praise when your friends make good decisions HOW TO RESIST PEER PRESSUREThere are many different ways by which one may resist peer pressure. One very effective way is by simply saying ‘no’. Often we feel that they will persist but often an affirmative ‘no’ is enough. However, we must express clearly our choice, we mustn’t express the least sign of indecision. You may also walk away from the situation, no matter how much you want to fit in. You must realise that you are the one who makes the decisions for yourself, not your peers. If you feel uncomfortable with the people you are with, consider finding new friends, some which have a good reputation, which would eliminate any negative pressure. Another alternative would be to hang around many different types of people. That way you reduce the chances of being pressured. It is good to set yourself goals knowing that everything you do affects your future. WHY DO PEER GROUPS HAVE POWERThe main reason why peer groups have so much power over individuals is that they give something significant to a person such as self-esteem, security or even enhances their self-image. Peer groups are so powerful, they overcome the morals of family and society. Teenagers tend to go toward other teens with similar problems and in the same situation as they are. There is a very strong desire to satisfy the need for unity and acceptance. This causes peers to have more influence than parents. THE IMPORTANCE OF PEER PRESSURE Peer pressure plays a very influential role in our everyday lives. It affects, not only adolescents, but children, teens, adults, even senior citizens. Although some people think they aren’t affected by peer pressure, almost everyone is. Resisting even the smallest things is very hard. Peer pressure, affects the way we speak, walk, dress, act, our attitudes, who we hang out with, our friends, and what we do. Although peer pressure is often negative, but along with that negative, is also the positive. Peers, can make you do the smallest things, yet still be a large influence. Although most of the effects heard about are negative, the world would be a much different place without peer pressure, and not necessarily for the better. How would a world of individuals get together? If one group of individuals and another, can’t get together, and therefore proclaim war. How could a couple billion individuals survive together? Nevertheless, some things would get better. If many teenagers start smoking because of peer pressure, without it, fewer teens would probably be smoking. Could we survive without peer pressure? If there were no peer pressure, many things would be changed, the way we speak to friends, would be changed dramatically. We wouldn’t be able to say such common things as, â€Å"Those shoes are really cool,† because they could interpret this be a friend, to mean that wearing those shoes is cool, therefore being pressured. As you can see, peer pressure plays a very important role in our everyday lives. Without it, no one would be the same, a world of total individuals, who didn’t listen to what anyone had to say about everything. Yet with it, a world where teens start smoking at the age of 12, having babies at the age of 14, and stealing to get money to buy drugs at 18. IS PEER PRESSURE REALLY THAT BAD? We’ve established the fact that peer pressure affects everyone, but is it really that bad? There are many, many examples of disastrous consequences to peer pressure. Following is the example of David Duren. David Duren is awaiting execution on Alabama death row. For the last couple years he been asking himself: â€Å"What am i doing here?† By piecing together the events in his life. He says that his real problem was growing up with peer pressure. â€Å"I was a skinny little weekling, a straight kid.† So, for company and fun he hung out with the kids in his apartment complex. He wasn’t accepted at first because he didn’t smoke, drink or curse. But he discovered that if he wanted to fit in he had to do all those things. So, at age 12, he inhaled his first cigarette, drank his first beer, smoked his first joint of pot, and cursed regularly. He then discovered that by succumbing to peer pressure, he surrounded himself with so-called friends who smoked, drank, did drugs and cursed. Bye exposing yourself to the drug world you discover many, many different drugs. Then suddenly, he wasn’t just smoking pot, he was crushing Quaaludes and mixing it with his pot. He then discovered his favorite drug, LSD. He was doing it even when in the army on the average of four or five times a week. One night, he killed a 16 year old girl while he was doing LSD. â€Å"Why All because I gave in to peer pressure! That’s where it all started.† He explains. † Your friends can make you or break you.† David Duren now wishes he had taken the advice of 1Corinthians 15:33, â€Å"Do not be deceived: bad companions corrupt good morals.† Peer pressure is one of the major reasons that teens abuse illegal drugs. Peer pressure is when another person in this age group persuades someone else to do something they don’t want to do. (Williams, Rob) This happens often among friends. In Alcohol, Stepney discuses children mimicking or idealizing friends, family, or T.V. Most people use peer pressure every day. A typical phrase is when someone says, â€Å"It will be fun, trust me.† This could be harmless pressure to try something like a new movie, or a new brand of cookies. It could also be pressure to abuse illegal drugs. Peer pressure is often used in harmful ways. (Doe, John) Teens at a party want to fit in. Many find it is very hard to say no when their peers are doing drugs. It may seem easy to say no, but when a teen feels pressured and wants to fit in, most teens try the drugs in the end. Another form of peer pressure is reverse psychology. This is making it look good for you although it’s bad. If someone changes sides all of a sudden, a teen may change to the other side as well thinking it was their own idea. Greed, according to an electronic source, is another reason for drug abuse among teens, as they get others hooked and sell to them to pay for their own habit. (Guillermo D. Jalil) Peer pressure is probably the main reason most teens abuse illegal drugs. During puberty, many teens suffer with depression. Depression is when a teen is not happy with themselves for real or imagined reasons. They may be suffering from low self-esteem or torment by others, leading to not being happy with their appearance or other physical features. Many teens go through periods of moodiness, inner turmoil, and rebellion (Gilbert, Sara). Depression may also occur in a teen due to family problems. A teen may think a divorce is coming due to parental behavior but the parents may not be thinking that. In How to Live With a Single Parent, Sara Gilbert says, â€Å"It could be worse (29).† This refers to a parent talking about a teen’s father’s death. Family problems are stressful and this stress can lead to depression, thoughts of suicide, and the abuse of illegal drugs. Stress is a physical, chemical, or emotional factor that causes bodily or mental tension (Williams, Rob). When adolescents go through a lot of stress they just want the problems to go away. Some abuse mind-expanding drugs, which make them forget for the time being. According to â€Å"Getting High in Junior High†, youth today are rapidly changing (Doe, John). Many teens do not seem to be able to handle the changes. When they become sober again, they may become depressed. They still have the worries and emotional problems they used to. Loneliness is a feeling many teens go through. Adolescents go through this because during their teen years they become more independent. This causes them to change their lifestyle. Changing lifestyles means they may stay in or out of the house more. They may not hang out with friends as often (Gilbert, Sara). Teens sometimes abuse drugs to pass their time because they are lonely. They do this because it makes them feel good for a short time. Nody Labi writes in â€Å"Amiss Among the Amish† for Time magazine, of an Amish college student saying, â€Å"The ‘thrills’ are not really satisfying. The stability in the Amish community looks more worthwhile† (Labi, Nodi). This Amish college student realized the stability of her community was more satisfying than the thrills of abusing illegal drugs.

Fall Of Romanian Republic And Julius Caesar History Essay

When people imagine a great imperium, most think of Rome. The Romans had great thoughts and programs which would hold made any current imperium seem bantam. From the great enlargement led by consummate tacticians to the immensely progress authorities which our authorities is modeled after today, the Romans had a fantastic hereafter, if non for its many defects. The early enlargements led to the separation of an already seesawing societal category, the authorities had many holes which rewarded the wealthy and the greed of Lords and people of power weakened a authorities which could hold been to the full polished. The rise of Julius Caesar after the agreement with Pompey would hold been longer lived if the senator ‘s powers were n't relinquished for the â€Å" better of the people. † All of this and more would finally take to the autumn of the Roman Republic and subsequently the Roman Empire. There were many factors which led to the autumn of the Roman Republic which inclu de the battle of authorities breakability, the negative influence of the Gracchi, the First Triumvirate and the absolutism of Julius Caesar. To understand how Rome finally fell, one must get down before the little city state grew. After the concluding Roman male monarch was exiled, Rome attempted to construct a little, but slightly effectual authorities described as an oligarchy or ruled by â€Å" few † ( Asimov 28 ) . As a Republic, the Romans gave power to a leader by electing him into office, similar to what we do today. This official, known as the pretor, was kept in cheque by another pretor who was in office. Efficaciously, nil would go on unless both wholly agreed on an issue which better notes their place as consuls. Today in the American authorities, there are three subdivisions ( Executive, Legislative and Judicial ) which appear to be efficient plenty to properly â€Å" look into † each other. Like our executive subdivision, the Roman consuls were in charge of the military and led them into conflict ( Asimov 24-25 ) . Similarly to the American Judicial subdivision, Romans had their ain Judgess call ed quaestors which overlooked all of the tests. This was the beginning of a suited system of regulating, but the issue was the people who could be elected to keep these places were of a certain category. The two chief societal categories in the early Roman Republic were the patricians and the plebeians, plebs for short. The patrician category consisted of Lords and wealthiest land proprietors. The plebs were the mundane societal category of normal, mundane citizens which included merchandisers, workers, and the hapless. During the beginning of the immature authorities, the lone people who could be elected into the taking places were the patricians. This restriction of power led to a split in the two categories. Basically, the voice of all was non heard because merely the patricians were able make of import determinations affecting mundane activities and lawmaking. Not merely was the state of affairs unfair, but the deficiency of attention for all citizens increased the separation of categories. The illustration Asimov gives is this: â€Å" Why should the patrician attention? He was good plenty off to last the difficult times. And if a common husbandman went into debt, the debt Torahs were so rough that the plebeian would hold to sell himself and his household into bondage to pay off the debt. It would be the patrician landholder to whom he was in debt and for whom he must so break one's back. ( 29 ) This deficiency of attention forced the plebs to seek alternate manner of life. In 494 B.C. , a big population of plebs left Rome to make their ain authorities. This move initiated the patricians to compromise with their overpoweringly big populations of plebs. This via media gave the plebs a voice in the authorities, but was still really limited. The new voice of the plebs were the tribunes. These elected functionaries merely represented other plebeians and could merely voice their sentiment on public issues. The add-on of these new functionaries added another cheque to equilibrate Roman authorities. An illustration of this was the freshly added ability of the tribunes veto an unjust jurisprudence ( Asimov 30 ) . Although it appeared the Roman Lords attempted to be more just, the greed and â€Å" loss of power † to the tribunes made internal discord evident. The tribune ‘s safety became more a big issue after the incident with Coriolanus incident. These and similar events led to the codification of Roman jurisprudence in 450 B.C. This was an effort to forestall the patricians in senate from â€Å" flexing the jurisprudence. † Besides, it gave the tribunes the ability to support both themselves from the unjust advantages established by the patricians and their lives. Ten patrician work forces, called decemvirs, were elected to keep power until the Torahs were finished. The new Torahs were written on bronzy tablets and were therefore called the Twelve Tables which was the foundation of their jurisprudence ( Asimov 32 ) . Again, the adaptative ability of the Romans resulted in another reasonable solution. Whenever a job arose, they were able to decide the issue. The inquiry so is why were at that place so many issues during this epoch? Even after they moved on to a apparently better authorities, the patricians and plebeians arrived at another route block. The decemvirs, harmonizing to Roman tradition, stayed in power even after the Torahs were written. More issues that revolved around the battle of entire control plagued the senate. Again the plebeians wanted to go forth because of these events, but big part of the population forced the patricians to listen and the decemvirs relinquished their place. Soon power would be more equally spread as the plebeians place to better influence legislation increased and the integrating of the two categories in matrimony allowed the less fortunate more chances ( Asimov 33 ) . With more and more chances to go a stable and just authorities, Rome was on the right way. Although they took a measure in front in their adulthood, there was a important reverse many historiographers believed contributed to the autumn of Republic. Tiberius and Gaius Gracchus, better known as the Gracchi, were two brothers who sought extremist reform which many believe increased tenseness in the senate and diminished power due to a big separation of thoughts. Their male parent was both a politician and military leader, which theoretically gave them the tools to win. After his decease in Spain Cornelia, the Gracchi ‘s female parent, made certain her boies were knowing citizens before they were combatants. Her dedication to her lone â€Å" gems † would craft the foundation of a politically strong, but socially destructive dreamers. The older Gracchi, Tiberius, initiated the way to reform after witnessing the horrors of unfairness and societal inequality in Rome. In 134 B.C. he was elected as a tribune and his first effort to convey equality was the thought of a land reform. Basically, his program was to do the available land more evened out to all citizens of Rome ( Asimov 138-40 ) . Although this was a healthy progr am for the plebs, the job began with the current landholders. The patricians, both in senate and out, were angered by this impression. Although there technically was a jurisprudence which supported Tiberius ‘ reform, the affluent patricians would lose a great part of their land ( Asimov 139 ) . To protect their land, his oppositions used their governmental system and pecuniary strength to derive an advantage. Since no new jurisprudence would be pass if a veto by the tribune party was raised, their scheme was to purchase their manner into protection. The other tribune at the clip was a adult male name Marcus Octavius, who was believed to be a friend of Tiberius. After a few payoff from the patricians, Octavius proved to be a friend merely to the highest bidder. The usage of his power to blackball successfully prevented the new reforms to be passed. This caused Tiberius to gesticulate the remotion of his former friend and co-tribune. In fact, this improper move granted the senate more grounds to take this extremist. His decease was at hand after his term so he attempted to hold himself reelected illicitly. This ended ill due to his oppositions claim of Tiberius ‘s effort to be a sovereign. The Republic would hold nil to make with this once more, so Tiberius did non go a tribune once more. After he lost his place in the senate, he was viciously murdered by his oppositions and dumped into the Tiber River ( Asimov 140-41 ) . Finally, Gaius played an of import function for the reformists. After his brother ‘s decease, he was elected a tribune a