Monday, September 30, 2019

Health Promotion & Alcohol

The majority (31%) of deaths from alcoholic liver disease were among those geed 50-59 years. My rationale for picking the target group under ass's is because I want to try & prevent under ass's from the onset of dying of alcoholic liver disease because 40 upwards It may be too late to prevent people from alcohol abuse. Pittance et al 2006 states that Simply delaying onset of alcohol consumption from early to late adolescence is an important goal for preventing alcohol misuse and also for preventing long term alcohol related diseases.According to Alcohol concern a very scary thought is that In London, hospital admissions for liver disease caused by drinking among the under-thirties have risen y 112 per cent in the past decade, with doctors saying professional women in their twenties and thirties, who might only consider themselves ‘social' drinkers, have played a major part in this rise. Slide 2: Health† Health Is defined In the WHO constitution of 1948 as So then what Is health promoteHealth promotion, public health, health education and health improvements are widely, and often imprecisely, defined. Tangential (2009) argues that there are so many definitions that the term health promotion' has become meaningless. According to Green & Tones 2010, Health promotion is†¦ And More recently The WHO , 2014, has defined Health promotion as † the process of enabling people to increase control over, and to improve, their health. It moves beyond a focus on individual behavior towards a wide range of social and environmental Interventions .I was surprised while doing my research on health promotion to discover how Benton (2008) pointed out that even in successful areas, such as tobacco control and raising issues related to health inequalities, health promotion has received no credit no acknowledgement. This is where us nurses of the future come Into play. It Is our Job to make promoting health an everyday occurrence using every opportunity we can wh en in contact with patients. Ã'›â€ ¦ People who drink excessively do not perceive themselves as being unhealthy.The Department of Health 201 3, supports this by saying 83% of people who regularly drink above the guidelines don't think their drinking is putting their long-term health at risk. The health Belief Model which was originally developed by Rosenstein In 1966 fits very well into this conception of behavior change requiring a state of readiness to susceptibility to a particular health condition. Slide 3: Factors influencing health: Health is shaped by many different factors & Effective health promotion influences the determinants of health.The ‘determinants' of health† are people's values, cultural, social, economic and environmental living conditions According to Davies, 2012, The influence of social norms on alcohol misuse include peer pressure, perceived expectation, gaining respect and cultural acceptance. Lifestyle: for students: no money so they binge d rink: Many adolescents engage in ‘binge drinking, defined by as a high intake of alcohol in a short pace of time.Finance: Although London is home to many higher income residents as is parts of chloroformed, it also has its share of of poverty and disadvantaged populations. A high income individual can drink coffee and smoke a pack of cigarettes Just as often as the individual with a low income. I think as nurses it is important to consider the reasons why and understand the contextual factors such as the environment, the societal structure and the capacity to make good health decisions Socio-Economic conditions such as: Housing: One major impact on the health and well-being of people is where and how they live.Not only is the physical and social environment important, but the home is also the setting within which care is increasingly provided by both family and community based health and social care. Poor housing can affect people's health. Employment: According to Marmot & Wi lkinson 2006, Work is the area where many of the important influences on health are played out. This includes both employment conditions and the nature of work itself. Culture:According to the Poverty statistics. Org. K, 2014 (Black and minority ethnic groups) are more likely to report ill health, and experience ill health earlier tawniest British people. Bio-psycho-social needs: Clear association between Mental health and drinking. Depression. According to the WHO , 2009, Inequities in relation to alcohol, Worldwide causes 1. 8 million deaths. Unintentional injuries alone account for about one third of the 1. 8 million deaths. We have become all too accustomed to much of the global burden of disease which is unavoidable & therefore unacceptable. It is inequitable.Same can be said for the unavoidable deaths as a result of alcohol abuse. According to the UPCHUCK 2007, The highest burden of alcohol-related disease in the world is in the region of he former Soviet Union and Central Asi a, where it amounts to 13% of the total disease burden Slide 4: Effects of Alcohol So what is alcohol†¦.. †¦Ã¢â‚¬ ¦.. According to Drug free world. Org Alcohol is a drug. It is classed as a depressant, meaning that it slows down vital functions?resulting in slurred speech, unsteady movement, According to Davies, 2012, In large quantities, alcohol is neurotic.Sustained high consumption above the recommended safe intake can destroy brain cells. Excess alcohol can affect your brain and cause depression. Certain types of cancer such as mouth, pharynx, larynx and esophageal anger have also been linked to drinking too much alcohol. Drinking excessively may also increase your risk of bowel and breast cancer. Research has found that women who drink 2-5 units a day are 41% more likely to get breast cancer than those who don'.!!!!!!!!!!!!!!! Stomach ulcers are more common if you regularly drink more than the recommended daily amount.Heavy drinking is also associated with stomachache . Liver cirrhosis and fatty liver disease are directly linked to excessive drinking, as is liver cancer. Alcohol can cause pancreatic. This is when the pancreas becomes inflamed and doesn't work as it should. You also have a greater risk of high blood pressure which can lead to stroke. Heart problems like coronary heart disease and the heart beating irregularly (arrhythmia) are also linked to excessive drinking. Damage to your heart muscle (cardiopulmonary) can cause it to pump blood around your body less effectively. Diet: †¦.. Induce hunger†¦Ã¢â‚¬ ¦

Organized sport Essay

There are multiple benefits of playing an organized sport in school and it definitely help you out in life. Confidence is a huge part of being part of an organized sport. When you improve and keep improving you will start to feel better about yourself. Your coach will tell you the same thing when you are doing well and that should be a great feeling and will greatly increase your confidence. Sportsmanship is another benefit of playing sports. When someone makes you angry when you are playing you need to be able to stay composed and don’t let it get to you. It’s the same way when you are not playing a sport. You shouldn’t need to start anything with anyone. Playing organized sports will also help you with getting along with people. You need to be able to get along with your teammates especially. It is part of team chemistry and if it isn’t there then the team might not be as good as they could be if you just got along. If you don’t like them you still need to get along with them while playing your sport or it wont work. Students who participate in organized sports tend to work harder in school and have greater educational aspirations. It can also be an incentive to get better grades in school. Some schools require minimum grade point averages and attendance to be eligible. Parents can also set certain requirements for their kids. When children participate in these types of activities they learn to communicate and work better with their peers and adults. Organized sports are usually made up of kids who have a lot of different social backgrounds. Which can help teach them about diversity and give them the opportunity to make new friends. It teaches you a strong work ethic as well. They are more likely to be active and hard working students. Organized sports teach kids how to be disciplined during practice and how to focus to the task they are doing at the moment, and how to be patient when things get a little rough. Athletes also have to be able to achieve balance between their schoolwork and sports. There are many ways that benefit kids who participate in organized sports. Perseverance will make them stronger and the will gain the willpower to be the best athlete they can possibly be.

Saturday, September 28, 2019

Noland. Dance Reaserch

The Human Situation on Stage: Merce Cunningham, Theodor Adorno, and the Category of Expression Carrie Noland Dance Research Journal, Volume 42, Number 1, Summer 2010, pp. 46-60 (Article) Published by University of Illinois Press DOI: 10. 1353/drj. 0. 0063 For additional information about this article http://muse. jhu. edu/journals/drj/summary/v042/42. 1. noland. html Access Provided by University of Manchester at 07/08/10 10:18PM GMT Photo 1. Merce Cunningham in his Sixteen Dances for Soloist and Company of Three (1952).Photographer: Gerda Peterich. 46 Dance Research Journal 42 / 1 summer 2010 The Human Situation on Stage: Merce Cunningham, Theodor Adorno, and the Category of Expression Carrie Noland here is expression in Cunningham’s choreography? Are the moving bodies on stage expressive? If so, what are they expressing and how does such expression occur? Several of the finest theorists of dance—among them, Susan Leigh Foster, Mark Franko, and Dee Reynolds—have already approached the question of expressivity in the work of Merce Cunningham.Acknowledging the formalism and astringency of his choreography, they nonetheless insist that expression does indeed take place. Foster locates expression in the â€Å"affective significance† as opposed to the â€Å"emotional experience† of movement (1986, 38); Franko finds it in an â€Å"energy source . . . more fundamental than emotion, while just as differentiated† (1995, 80); and Reynolds identifies expression in the dancing subject’s sensorimotor â€Å"faculties† as they are deployed â€Å"fully in the present† (2007, 169). Cunningham himself has defined expression in dance as an intrinsic and inevitable quality of movement, indicating that his search to capture, isolate, and frame this quality is central to his choreographic process. 2 As a critical theorist (rather than a dance historian), I am interested in expression as a more general, or cross-media, c ategory and therefore find the efforts by Cunningham and his critics to define expression differently, to free it from its subservience to the psyche, refreshing, unconventional, and suggestive.I have become increasingly convinced that Cunningham’s practical and theoretical interventions can illuminate more traditional literary and philosophical discourses on the aesthetics of expression and that they have particular resonance when juxtaposed with the approach to expression developed by Theodor Adorno in his Aesthetic Theory of 1970.Similar to Cunningham, Adorno complicates the category of â€Å"expression† by shifting its location from Carrie Noland is the author of Poetry at Stake: Lyric Aesthetics and the Challenge of Technology (Princeton University Press, 1999) and Agency and Embodiment: Performing Gestures/Producing Culture (Harvard University Press, 2009). Her taste for interdisciplinary work has resulted in two collaborative ventures: Diasporic Avant-Gardes: Ex perimental Poetics and Cultural Displacement (Palgrave, 2009), co-edited with Language poet Barrett Watten, and Migrations of Gesture (Minnesota University Press, 2008), co-edited with Sally Ann Ness.She teaches French and comparative literature at the University of California, Irvine, and is an affiliate faculty member in the Department of Anthropology, a fellow of the Critical Theory Institute, and director of Humanities-Arts, an interdisciplinary undergraduate major combining the practice and analysis of art. Dance Research Journal 42 / 1 summer 2010 47 W subjectivity, understood primarily as a psychic phenomenon, to embodiment, understood as a function of locomotion and sensual existence (in Franko’s words, â€Å"something more fundamental than emotion, while just as differentiated† [1995, 80]).Adorno’s Aesthetic Theory, at once rough around the edges and sparkling with insights, is arguably the most important book on aesthetics since Immanuel Kant’s Critique of Judgment (1790) and Georg Wilhelm Friedrich Hegel’s Lectures on Aesthetics (1835), the two works that serve as Adorno’s point of departure. The German-born musician and philosopher advances along the lines established by Kant and Hegel, but he consistently raises questions about art’s function in society. Adorno belonged to a group of early to mid-twentieth-century philosophers who submitted the classical Enlightenment tradition to Marxist critique.Along with Walter Benjamin, Max Horkheimer, Herbert Marcuse, Georg Lukacs, and Bertolt Brecht, Adorno entertained suspicions with regard to the notion of subjective expression; he wondered if the artistic languages identified as â€Å"expressive† hadn’t become conventionalized to the point where it was necessary to break them down, subject them to permutation, distortion, or â€Å"dissonance† by means of practices he associated with the category of â€Å"construction† (Adorno 19 70/1997, 40–44 and 156).Traditionally, â€Å"expression,† he argued, presupposed a self-identical subject to be expressed; but if the subject were in fact a reification of something far more volatile, responsive, and delicate, if the subject were, as he put it, something closer to the â€Å"shudder† of â€Å"consciousness,† then the nature of â€Å"expression† in artworks would have to be rethought (331).It is not my intention in this essay to conduct a full analysis of Adorno’s theory of expression, nor do I intend to â€Å"apply† Adorno to Cunningham, thereby implying that one is more theoretically sophisticated than the other. Instead, I want to initiate a dynamic engagement between the two in an attempt to discern and highlight what I believe to be an incipient theory of expression that is embedded in Cunningham’s practice and that secretly informs Adorno’s account of modernist aesthetics as well.The theory of expres sion I am referring to is one that is not fully articulated in Adorno’s aesthetics. However, implicit in his debate with the Kantian tradition is an incipient theory of art’s engagement with the sensorium; focusing on art’s attention to and dialogue with the sensory and motor body produces an aesthetics arguably in conflict with the traditional aesthetics of disinterested beauty or the cerebral sublime.This new theory of the aesthetic as implicated in human embodiment can be drawn out most effectively if we read Adorno in conjunction with watching (and learning more about) Cunningham’s dance. Although my concerns are primarily theoretical in nature, I am intrigued by the opportunity to explore how a choreographic and dance practice can go where aesthetic theory has never gone before. Neither the technical, discipline-specific language that Adorno employs, nor the schematic idiom Cunningham prefers, can, in isolation, be made to divulge a persuasive altern ative account of expression.However, when the two are juxtaposed and intertwined, and when practice itself is analyzed as theoretically pertinent, then a new definition of â€Å"expression† begins to emerge. The question that immediately arises when one juxtaposes Cunningham with Adorno is â€Å"Why doesn’t Adorno ever mention dance? † Although, as has been well documented, dancers and choreographers were fellow travelers of the authors and artists Adorno treats, 48 Dance Research Journal 42 / 1 summer 2010 e never discusses a single choreographer during the entire course of Aesthetic Theory. Dance is simply not part of Adorno’s history, his chronological treatment of modern works; nor is dance included in his theory, his speculations on how artworks relate to what they are not (nature, material conditions, the human subject). Dance only makes a few cameo appearances as the putative origin of all art, a mimetic form related to magic and ritual practices ( 1970/1997, 5, 329). For Adorno, as for Walter Benjamin, dance coincides with the emergence of art in the caves; it is the earliest practice whereby humans mime nature and, by miming, interpret, displace, and stylize nature, even as they attempt to become one with it (Benjamin 1986). In their treatments, dance remains stuck in that cave, never entirely modern, because it is more intimately connected to practices related to the organic body and the sensorium. It may be that what is intrinsic to dance, its address to the body, surreptitiously characterizes all the other art forms that putatively emerged out of it. This is a path of inquiry I am currently pursuing. ) For now, it is sufficient to note that dance cum dance—that is, as a tradition of corporeal practice that evolves over time, that has its own schools, and that inspires its own critical discourses—never figures as a subject of study in Aesthetic Theory. The historical trajectory Adorno establishes for art in g eneral—its increasing autonomy and formalism as a result of industrialization and secular â€Å"disenchantment†Ã¢â‚¬â€is neither applied to nor tested in any rigorous way against a concrete example of modernist (or any other kind of ) dance.Thus it could be said that, in the strict sense, Adorno ignores dance. At the very least, he finds no place for it in modernism. While other scholars have not been as blind to dance’s contributions as Adorno, they do have difficulty assimilating it into a standard chronology of twentieth-century art. In Ecstasy and the Demon, Susan Manning sums up the critical consensus: Dance stands in an a-synchronous relation to all other twentieth-century forms of expression.It does not evolve at the rhythm it should, or else the story is more messy than one would like (Manning 1993). For example, we cannot say with any certitude that Graham is to romantic ballet as Beckett is to Baudelaire, or as Schoenberg is to Beethoven, or as Malevi ch is to David. Whereas art, writing, and music all seem to pass through the same moments at roughly the same time—late Romanticism; early modernism; late modernism or postmodernism—choreography appears to lag behind, or follow a different route.A typical rendering is provided by Jill Johnstone, who argues that â€Å"not until Cunningham appeared [in the 1950s] did modern dance catch up with the evolution of visual art traced by Clement Greenberg† (qtd. in Manning 1993, 24). In other words, during the era of cubism, when a constructivist aesthetic was clearly gaining ground in painting, writing, and musical composition, Isadora Duncan was still performing supposedly natural gestures and emoting supposedly lyric passions on the international stage.My goal here is not to figure out whether Cunningham is modern or postmodern, or why twentieth-century choreography evolved the way it did. What I want to think about is whether that a-synchronicity, the messier story o f dance (and its absence from Kantinspired aesthetics), tells us something about the inadequacy of the Greenberg-Adorno model. How might Cunningham’s work shed some light on Aesthetic Theory—its lacunae but also its possibilities? How might Aesthetic Theory—despite its inadequacies—be made to say something of value about dance?Dance Research Journal 42 / 1 summer 2010 49 To approach these areas of questioning intelligently, we must first recall that Adorno treats modernism not simply as a matter of increasing self-reflexivity and formalism but also as a struggle—explicitly—with expression. His chronology of secular art could be encapsulated in the following way (and here comes my speed train version of Aesthetic Theory, which I hope summarizes clearly the vital points of the dialectic): The institutional critique responsible for late impressionist and then cubist rt engenders a suspicion with respect to illusionism; the abandonment of illusi onism then heralds the embrace of expressionism as a kind of anticonventionalism (think of the German art movement of the 1920s, the Neue Sachlichkeit or New Objectivity); the subsequent rejection of psychological narrative and subjective emotion, however, entails a critique of expressionism, which then leads ineluctably to an astringent, objective constructivism (minimalism, permutational procedures, chance operations, and so on). At each moment, expression remains—how could it not? but it is reworked through different forms of critique. For Adorno, the tension between expressionism and constructivism becomes paradigmatic of late modernist art. A close reading of Aesthetic Theory reveals further that for its author, this tension is productive of art itself. The salient points of convergence between Adorno and Cunningham are that they both show a marked preference for construction and they both reject psychological narrative, yet they simultaneously rescue expression as an in evitable component of man-made things.In their respective and utterly idiosyncratic ways of thinking they both manage to re-define expression—and they do so in surprisingly compatible ways (although this may not at first seem to be the case). For Cunningham, no movement performed by the human body can ever be lacking in expressive content, either because the human body always communicates some kind of dynamic or because the audience member maps onto the moving body a personal meaning (see Brown 2007, 53). For Adorno, in contrast, expression in art â€Å"is the antithesis of expressing something† (1970/1997, 112; emphasis added).True expression, he argues, is intransitive; there is no object for the verb â€Å"to express. † As with the verb â€Å"to move,† there is a transitive form: one can â€Å"move furniture† as one can â€Å"express a liquid†Ã¢â‚¬â€say, juice from an orange. But when referring to dance (as opposed to painting), to be an intransitive form of expression means that a body must move and thus express without an external object to be expressed. Put differently, the expressive movement is not trying to illustrate anything (even the music).And here is where Cunningham and Adorno converge: an artistic act can be conceived as antinarrative, apsychological, and yet fully expressive. The dance can move its audience without relying on pathos embedded in plot, or energy framed as categorical emotion. There is no external referent that the body’s movement refers to; it is not expressing more than it is (or, rather, more than it is doing). On this reading, expression is borne by a materiality—the moving body—it can only transcend by losing itself.David Vaughan, Cunningham’s archivist, has defined Cunningham’s project in terms that resonate in this context: â€Å"It goes without saying,† he writes, that Cunningham has not been interested in telling stories or exploring psy chological relationships: the subject matter of his dances is the dance itself. This does 50 Dance Research Journal 42 / 1 summer 2010 not mean that drama is absent, but it is not drama in the sense of narrative— rather, it arises from the intensity of the kinetic and theatrical experience, and the human situation on stage. (1997, 7; emphasis added)By â€Å"intensity of the kinetic and theatrical experience,† Vaughan is probably referring to the audience’s experience; he is alluding to John Martin’s famous theory that we, as spectators, empathize kinesthetically with the dancers (a theory developed by Expressionist dancers of the 1920s, or Ausdruckstanz). (He may also be thinking of Cunningham’s aforementioned claim that members of the audience are free to introduce their own meaning into the performed motions. ) What is more interesting in this passage, however, is the notion of a â€Å"human situation on stage. What, precisely, does Vaughan mean by a â€Å"human situation on stage†? What would a â€Å"human situation† consist of? How could non-narrative dance produce â€Å"drama† and remain expressive? Expressive of what? To illustrate what a â€Å"human situation on stage† might be, how it solicits an intransitive expression, and thus how it illuminates the hidden corners of Adorno’s theory of expression, I want to turn to a particular moment in Cunningham’s development as a choreographer, the period roughly from 1951 to 1956. During these years, Cunningham was just beginning to experiment with the chance procedures he learned from John Cage.The two dances that are most pertinent in this regard are Sixteen Dances for Soloist and Company of Three, a fifty-three-minute work first presented in 1951; Suite by Chance (1952–1953); and Solo Suite in Time and Place of 1953, which later became Suite for Five (performed in 1956). The first one, Sixteen Dances, is historic for several reasons: it demonstrated the influence of Hindu aesthetics, which Cage had been exploring since at least 1946, when he first mentions Ananda Coomaraswamy’s The Transformation of Nature (Nicholls 2007, 36).The piece depicts the nine â€Å"permanent† emotions described in the Natyasastra, the sourcebook of Hindu/Sanskrit classical theater. These emotions were, as Cunningham recast them, Anger, Humor, Sorrow, Heroic Valor, the Odious (or disgust), Wonder, Fear, the Erotic, and Tranquility (or Peace). Moreover, Sixteen Dances (accompanied by a composition Cage wrote bearing the same name) contained what might very well be the first dance sequence based on the use of chance operations. 4 Thus, Sixteen Dances, the very choreography in which chance procedures are introduced for the first time, is explicitly about the emotions and their expression.There is some confusion concerning precisely how—and to what extent—Cunningham applied chance procedures to Sixteen Dances. However, his comments in â€Å"A Collaborative Process between Music and Dance† and his rehearsal notes (in the Cunningham archive at Westbeth) indicate that in at least one segment (the interlude after Fear), he used charts and tossed coins to determine the order of the movement sequences (phrases), the time intervals, and the orientations and spatial arrangements of the dancers.In â€Å"A Collaborative Process† he writes The structure for the piece was to have each of the dances involved with a specific emotion followed by an interlude. Although the order was to alternate light and dark, it didn’t seem to matter whether Sorrow or Fear came first, so I tossed a coin. And also in the interlude after Fear, number 14, I used charts of separate Dance Research Journal 42 / 1 summer 2010 51 movements for material for each of the four dancers, and let chance operations decide the continuity. (qtd. in Vaughan 1997, 58; qtd. in Kostelanetz 1998, 140–41).A gain, in â€Å"Two Questions and Five Dances,† Cunningham specifies: â€Å"the individual sequences, and the length of time, and the directions in space of each were discovered by tossing coins. It was the first such experience for me and felt like ‘chaos has come again’ when I worked in it† (qtd. in Vaughan 1997, 59). It is clear that the first dance Cunningham choreographed entirely through the application of chance procedures was Suite by Chance in 1953. Cunningham’s published accounts of Suite by Chance are much more specific with respect to the use of charts and coin tossing than his accounts concerning Sixteen Dances (Cunningham 1968, n. . ; see also Brown 2007, 39; and Charlip qtd. in Vaughan 1997, 62, 70). Carolyn Brown has indicated that in Sixteen Dances it was the order of the movement phrases that was determined by chance, not the individual movements or positions within the movement phrase. 5 The continuity at stake in Sixteen Dances, t hen, would be the continuity between phrases, not individual movements. And yet, in an unpublished note from the archive, Cunningham indicates that he was already interested—at least conceptually—in separating phrases into individual movements and enumerating their various possibilities.In other words, the logic generating his later procedures—the breaking up of phrases into individual movements that were then charted and ordered into sequences selected by chance—already existed in an embryonic state. Anticipating a practice he would soon refine, Cunningham provides the following list of potential movement material in his rehearsal notes: â€Å"Legs can be low, middle or high in air; legs can be bent or straight; legs can be front, side, or back† (Cunningham 1951). The schematic rendering of movement choices (into what he calls â€Å"gamuts of movement†) foreshadows the kinds of taxonomies he would develop later (Vaughan 1997, 72).Photograph ic representations suggest that at this point in his career, Cunningham was still choosing movement material thematically. That is, the types of movement selected for any given emotion had a culturally conventional relation to that emotion. Describing Sixteen Dances, Cunningham writes: â€Å"the solos were concerned with specific emotional qualities, but they were in image form and not personal—a yelling warrior for the odious, a man in a chair for the humorous, a bird-masked figure for the wondrous† (qtd. in Vaughan 1997, 59).Unfortunately, there is no video or film record of the dance, but from the extant photographs, it is apparent that Cunningham was working with a modernist vocabulary; there is something reminiscent of Martha Graham or Ted Shawn in the dramatic poses, the off-center leaps, and the contracted upper body that we do not see in his work later. In Cunningham’s rehearsal notes (1951) for the piece—and there is no way of knowing if these re flect the completed piece as it was ultimately performed—he jots down the idea of introducing a conventional balletic vocabulary for the final quartet on â€Å"tranquility. â€Å"Finale to proceed from balletic positions, and return to them at all cadences!!! † he exclaims. I believe Cunningham so emphatically chooses balletic positions as starting and termination points, as tranquil â€Å"rests,† because they offer movement material that is less associated 52 Dance Research Journal 42 / 1 summer 2010 Photo 2. Merce Cunningham in his Sixteen Dances for Soloist and Company of Three (1952). Photographer: Gerda Peterich. by convention—at least, by Graham convention—with particular emotional states.As Cunningham writes about the period: â€Å"It was almost impossible to see a movement in modern dance during that period not stiffened by literary or personal connection† (qtd. in Vaughan 1997, 69). If â€Å"tranquility,† the ninth emotion f rom the Natyasastra, signifies the transcendence of emotion, then perhaps a ballet vocabulary would be appropriate, especially against the background of the earlier eight, more conventionally expressive, â€Å"images† used for the solos and the erotic duet. During the years 1951–1956, Cunningham was obviously making discoveries that would become consistent elements of his practice for years to come.In works such as Sixteen Dances and Solo Suite in Space and Time (1953), not only does he introduce chance operations but he also develops an approach to the body as an expressive organ. He chooses movement material that might be considered conventionally expressive as well as movement material based on classroom exercises, but he elects (or engenders through chance operations) a sequence of phrases or poses that is not conventional. In Sixteen Dances newly minted chance operations allow him to experiment with the order of the movement material in a way that endangers the co ntinuity of the dance. But what he learns by endangering that more conventional Dance Research Journal 42 / 1 summer 2010 53 form of continuity is that another form of continuity can emerge. As he underscores in his rehearsal notes for the 1956 Suite for Five (an extension of Solo Suite in Space and Time with added trio, duet, and quintet): â€Å"Dynamics in movement come from the continuity† (Cunningham 1951; emphasis in the original). What would supply this continuity if not the acquired syntax of traditional dance forms, if not the momentum of propulsive movements?Over the course of a year of rehearsals for Sixteen Dances (the time it took to mount the duets, trios, and quartets on Dorothea Brea, Joan Skinner, and Anneliese Widman) Cunningham found his answer. The continuity melding one movement to another would be derived from the dancer herself, that is, from the way she found to string together movements previously not linked by choreographic or classroom practices. In â€Å"Two Questions and Five Dances,† Cunningham describes his pleasure as he watched Joan Skinner take a notoriously difficult sequence of movements and thread them together seamlessly with her own body.Skinner introduced â€Å"coordination, going from one thing to another, that I had not encountered before, physically† (qtd. in Vaughan 1997, 59). His comments introduce what emerges as a constant in his choreography. According to Carolyn Brown, Although the overall rhythmic structure and tempi were Merce’s, he wanted me to find my own phrasing within the sections. . . . Unlike what happens in ballet, there is no other impetus, no additional source of inspiration or energy, no aural stimulus . . . There is only movement, learned and rehearsed in silence.In order for Cunningham dancers to be â€Å"musical,† they must discover, in the movement, out of their own inner resources and innate musicality, what I call, for want of a better word, the â€Å"song. à ¢â‚¬  . . . There is a meaning in every Cunningham dance, but the meaning cannot be translated into words; it must be experienced kinesthetically through the language of movement. (2007, 195–96; emphasis in the original) Dynamics are thus not preconceived by the choreographer but instead emerge from the dancer’s creation of unscripted, â€Å"discovered† transitions leading from one movement, or one movement sequence (phrase), to the next.These transitions providing continuity are forged by the dancer’s own coping mechanism, her way of assimilating each movement into a new sequence, a new logic, that only the body can discover in the process of repeated execution. In Sixteen Dances Skinner provided him with a crucial insight (reinforced by Carolyn Brown soon after), namely, that the expressivity of the body is lost neither when the elements of an expressive movement vocabulary, a set of â€Å"image forms,† are re-mixed or forcibly dis-articulated, nor when the elements re-mixed are themselves as neutral and unburdened by cultural associations as possible.So what is the â€Å"human situation on stage†Ã¢â‚¬â€to return to our earlier question—and in what way can it be considered expressive? I believe that what Cunningham was beginning to uncover in his work during this period, and that he fully realizes in Suite for Five of 1956, is that the human body is doubly expressive: it can be expressive transitively, in an easily legible, culturally codified way, and it can be expressive intransitively, simply by exposing its dynamic, arc-engendering force. This intransitive expressivity belongs to an animate form responding at what Adorno calls the â€Å"proto† subjective level (1970/1997; 112).That is, the continuity-creating, coping body is relying on an order of sensorimotor 54 Dance Research Journal 42 / 1 summer 2010 sensitivity that is itself an expressive system, one that underlies and in fact renders possib le what we identify as the familiar signifying system of conventional expressive â€Å"images† and â€Å"personal† emotions. 7 The â€Å"human situation on stage† can therefore be summed up as a set of kinesthetic, proprioceptive, weight-bearing, and sometimes tactile problems to be solved. In the rehearsal notes for Suite for Five (1952–1958), these problems are enumerated succinctly.Cunningham composed this piece by relying on movement materials whose sequences were determined by the imperfections appearing on a sheet of paper. (Here, he was imitating Cage, who invented the process with Music for Piano, which accompanied the Solo Suite. ) Cunningham tells us that the dancers had to worry about (1) â€Å"where† they are; (2) â€Å"then where to† (where they have to get to); and (3) â€Å"if more than one person [is] involved,† how the movements they make will be affected by the other’s presence on the stage. In short, the spat ial and interpersonal relationships present the problems and constitute the â€Å"human situation on the stage. The dancers are called on not to express a particular emotion, or set of emotions, but instead to develop refined coping mechanisms for creating continuity between disarticulated movements while remaining sensitive to their location in space. They must keep time without musical cues; sense the presence of the other dancers on stage; know blindly, proprioceptively, what these other dancers are doing; and adjust the timing and scope of their movements accordingly, thereby â€Å"expressing† the â€Å"human situation† at hand.All this work is â€Å"expressive†Ã¢â‚¬â€it belongs to the â€Å"category of expression†Ã¢â‚¬â€insofar as it is demanded by a human situation on a stage and insofar as human situations on stages (or otherwise) constitute an embodied response to the present moment, an embodied response to the utterly unique conditions of exis tence at one given point in time. In an interview with Jacqueline Lesschaeve, Cunningham puts it this way: â€Å"You have to begin to know where the other dancer is, without looking. It has to do with timing, the relationship with the timing. If you paid attention to the timing, then, even if you weren’t facing them, you knew they were there.And that created a relationship† (Cunningham 1991, 22). Relationships, engendering inevitably the â€Å"human situation,† are defined as body-to-body relationships, or really moving-body-to-moving-body relationships. As Tobi Tobias has suggested, â€Å"perhaps movement is at the core, the body’s response preceding the psyche’s† (1975, 43). Contemporary neuroscience is in fact beginning to confirm this point of view: relationships are forged kinetically, and thus the human drama begins at a prepsychological, perhaps even presubjective level of interaction with the world.The work of Antonio Damasio (1999) and Marc Jeannerod (2006) in particular emphasizes the degree to which largely (although not entirely) nonconscious operations of the sensorimotor system—including visuomotor functions and kinesthetic, proprioceptive, haptic, and vestibular systems—constitute the very conditions of possibility for the emergence of â€Å"higher level† processes of conscious thought, symbolization (language), and feeling. These scientists dub the former, more somatic (and evolutionarily prior) layer of activity the â€Å"protoself. This protoself is related to homeostasis and the fundamental intelligence that discerns the boundary between the subject’s body and other bodies; it is thus the corporeal substrate of subjectivity understood as an awareness of being a separate self. 8 If we return to Cunningham’s statement, quoted above, we can see that a relationship Dance Research Journal 42 / 1 summer 2010 55 forged simply by occupying the same duration of time produce s a â€Å"human situation† insofar as two bodies are obliged to remain aware of each other’s presence.This awareness is not necessarily colored with affect; that is, the â€Å"human situation on stage† is not necessarily charged with emotion. To that extent, we can say that Cunningham’s choreographic procedure attends to intimacies occurring on the level of the presubjective layer of interaction between human beings; â€Å"presubjective† would not mean pre-individual or pre-individuated but rather singular embodiment in an intersubjective milieu before that embodiment enters a narrative, a conventional, socially defined relation to the other.The relation to the other, as Cunningham points out, is structured by time; in a duet, for instance, the choreographic imperative is that bodies should be doing particular things at particular moments in a predetermined sequence. Yet at the same time, the cohabitation of that temporal and spatial dimension that is the stage creates a situation—a â€Å"human situation†Ã¢â‚¬â€in which two or more bodies must become aware of one another’s movements; they thereby enter into a relation on the â€Å"presubjective,† or prepsychological, level.In Aesthetic Theory Adorno defines precisely this presubjective layer of existence as the origin of expressive behavior: that is, the prepsychologized body, related in his mind to the human â€Å"sensorium,† is itself the source of expressive content. Beyond—or underlying—the explicit, conventionalized content of artworks is another content: the sensorium’s â€Å"objective† consciousness, as he puts it, of the surrounding world that it probes. In their expression, artworks do not imitate the impulses of individuals, nor in any way those of their authors†; instead, he continues, artworks are imitation (mimesis) â€Å"exclusively as the imitation of an objective expression† (1970/199 7, 111–12; emphasis added). This objective expression is best captured by the musical term â€Å"espressivo,† he continues, since it denotes a dynamic that is entirely intransitive, â€Å"remote from psychology,† although generated by a human subject.Significantly for our purposes, he adds that the â€Å"objective expression† of subjectivity is continuous with the layer of existence â€Å"of which the sensorium was perhaps once conscious in the world and which now subsists only in artworks† (112). This â€Å"sensorium†Ã¢â‚¬â€a â€Å"consciousness† not yet self-reflexive yet nonetheless a consciousness—is composed of a set of receptors relating intimately to the external world.The layer of existence captured by the sensorium may be considered the objective aspect of subjectivity, the world-sensitive, outer-directed, knowledge-seeking, coping body that is the foundation on which a psychic subjectivity, a personality, builds. Ult imately, for Adorno, it is the experience of this objective layer of being (the â€Å"consciousness† of the sensorium) that artworks seek to â€Å"express. † â€Å"Artworks,† Adorno writes, â€Å"bear expression not where they communicate the subject, but rather where they reverberate with the protohistory of subjectivity† (112).Another fruitful way to think of the relation between the â€Å"protohistory of subjectivity† and expression can be found in the work of Charles Darwin. As unlikely as it may seem, there is a continuum leading from Darwin’s The Expression of the Emotions in Man and Animals (1872/1965) through Merleau-Ponty’s Phenomenology of Perception ([1962] where he relies heavily on Darwin for his understanding of the expressive body), to Adorno’s Aesthetic Theory and its notion of a primordial sensorimotor apprehension captured mimetically in art.Adorno’s sensorial â€Å"consciousness† or â€Å"presu bjective† layer of being in the world looks surprisingly like Darwin’s understanding of â€Å"corporeal intensities†Ã¢â‚¬â€muscular 56 Dance Research Journal 42 / 1 summer 2010 contractions, accelerated circulation, and their various manifestations on the faces and bodies of animals and humans. These â€Å"corporeal intensities† are forms of expression—or â€Å"proto† expression, if you like—that serve as the precondition for the development of more culturally legible, codified expressive gestures (such as the wince or the smile).In The Expression of the Emotions in Man and Animals, Darwin’s theory of expressivity links the development of what we call emoting to primary neurological and physiological responses generated by a sensorimotor intelligence. What we identify as rage, he writes, is actually caused by a response generated in animals by the autonomic circulatory system; behavior that comes to be designated as anger (for the observer) begins with an accelerated flow of blood, while behavior identified as joy or vivid pleasure is underwritten, so to speak, by the quickening of the circulation.What we identify as â€Å"suffering† is expressed through the contraction of a wide variety of muscle groups. Over the course of time, muscular contraction in general comes to be associated with angst, although the specific groups of muscles contracted might vary from culture to culture. For instance, one culture might associate suffering with the contraction of the facial muscles, for example, in a grimace. A different culture—or really, a subculture, such as modern dance—might associate suffering with the contraction of muscles in the abdominal cavity, sternum, and pelvis.In both cases, the adaptive behavior, muscular contraction, can be observed as distinct from the social significations it comes to acquire. Animals and humans both exhibit behaviors that are closely associated with emotio ns, but theoretically it should be possible—and this is Darwin’s goal—to dissociate the protosubjective expressiveness of the body (muscle contractions, autonomic responses) from the conventionalized, codified gestures into which this expressivity has been conjugated.Adorno and Cunningham both target—the first to theorize, the second to achieve—this primary order of protosubjective expressiveness contained in, but potentially dissociable from, the conventionalized gestures to which it gives rise. The â€Å"human situation on stage† that is so â€Å"dramatic† or â€Å"expressive† (in Cunningham’s vocabulary) is one in which human bodies have been released from the prefabricated shapes and congealed (â€Å"stiffened†) meanings imposed by a given choreographic vocabulary or gestural regime (qtd. n Vaughan 1997, 69). Cunningham trusts that by preventing the conventional sequencing of movements within a phrase (through the application of chance procedures) he will coax dancers to exhibit dynamics that are at once more â€Å"objective†Ã¢â‚¬â€in the sense that they are generated by coping mechanisms rather than emotional states—and utterly idiosyncratic—radically subjective, we might say, in the sense that they are generated by the singular body of the dancer confronting an utterly unique â€Å"human situation on stage. In â€Å"The Impermanent Art† (1952), Cunningham comes very close to naming Darwin’s â€Å"corporeal intensities† when he evokes an order of muscular dynamics released from association with conventional emotions, such as passion and anger. Here he writes that Dance is not emoting, passion for her, anger against him. I think dance is more primal than that. In its essence, in the nakedness of its energy it is the source from which passion or anger may issue in a particular form, the source of energy out of which may be channeled the energy t hat goes into the various emotionalDance Research Journal 42 / 1 summer 2010 57 behaviors. It is that blatant exhibiting of this energy, i. e. , of energy geared to an intensity high enough to melt steel in some dancers, that gives the great excitement. (qtd. in Vaughan 1997, 86) The â€Å"blatant exhibiting† of an intensified corporeal energy bears a relation to what Darwin calls the exhibition of â€Å"corporeal intensities† by animals that can only be said to be â€Å"angry† or â€Å"ashamed† if we anthropomorphize their movements.Cunningham seems acutely attuned to what Darwin also notes: our tendency to interpret (anthropomorphize) animal behaviors, a tendency he implicitly identifies with the public’s desire to read psychological meaning into the intensified corporealities of the dancers on stage. One could even say that Cunningham attempts to de-anthropomorphize our understanding of human behavior on stage; that is, he wants us to de-reify, to extract from the conventionalized, psychologizing modes of dance spectatorship, the movement behavior â€Å"blatantly† exhibited in his choreography.He asks us to experience even the graceful, plangent duet of Suite by Chance without sentimental overlay, as though it were simply an instance of protosubjective expressivity displayed by two moving bodies implicated in a â€Å"human situation on stage. † Perhaps not incidentally, Cunningham’s most suggestive evocation of this â€Å"protosubjective† layer of expressivity appears in a passage on animals and music—and it is with this passage that I would like to conclude. Cunningham is talking about his reasons for separating music from his horeography, explaining why he avoids giving his dancers musical cues with which to time the duration of their movements or generate their expressive dynamics. At pains to offer a positive rendering of what he is seeking, he notes instead that the polar opposite of what he aspires to in his collaborations with Cage may be â€Å"seen and heard in the music accompanying the movements of wild animals in the Disney films. [This music] robs them of their instinctual rhythms,† he claims, â€Å"and leaves them as caricatures.True, [the movement] is a man-made arrangement, but what isn’t? † (qtd. in Vaughan 1997, 10). Let us imagine for a moment the Disney animator as cave painter, miming—like the â€Å"primitive† dancer of Benjamin’s â€Å"On the Mimetic Faculty†Ã¢â‚¬â€the power of the animal totem. In an act of sympathetic response, troubling the boundary between mime and mimed, the animator studies the animal, acquiring its rhythmic gait, the expressive dynamic of its way of howling or extending a paw.Without knowing exactly what the animal means, how that howl or extension signifies in an animal world, the animator copies, uses whatever conventions and images—whatever man-made arrangementsà ¢â‚¬â€she has to approach the original in its presubjective, prepsychologized movement state. That, for Cunningham, is what can be freed through the disruption of continuity, through the imposition of the strict, unforgiving disciplines of permutation and chance.The protosubjective order of the wild gesture is what we might see if it were unencumbered by narrative, if it could be captured without the omnipresent, strip-mall swelling music of the Disney world in which we all too often bathed. Ultimately, the â€Å"human situation on stage† is, despite years of rehearsals and revivals, a set of â€Å"wild gestures† expressing what it is like to be a sensorium moving on stage. The challenge that remains is to determine both how Cunningham’s choreographic practice divulges the work of the proto-self and how that work informs (and is balanced by 8 Dance Research Journal 42 / 1 summer 2010 the exigencies of ) the construction of artworks, that is, the construction of dances for audiences in specific historical settings with demands of their own. Another challenge arises with respect to Adorno and my allied project of reading dance back into Aesthetic Theory. If, as he claims, artworks—not dances, but paintings, sonatas, and poems—â€Å"reverberate with the protohistory of subjectivity,† then where is this â€Å"reverberation† to be located?Where (or when) in the process of art making does protosubjectivity intervene as an agent, as a constituting force? And if, as Adorno implies, we are no longer sensuously alive (â€Å"the sensorium was perhaps once conscious in the world,† he writes), then how do we recognize the presence of the sensorium’s influence on the composition of artworks? What remains of the sensorium in art, of the sensorium in dance? These questions inform the next phase of my research, the contours of which I have only begun to outline.Notes 1. Jose Gil provides several fine articulations of Cunningham’s project in â€Å"The Dancer’s Body† (2002). I agree with Gil that, in an attempt to â€Å"make grammar the meaning,† or â€Å"make body awareness command consciousness† (121), Cunningham â€Å"disconnects movements from one another, as if each movement belonged to a different body† (122); however, I do not believe that the actual dancer ends up with a â€Å"multiplicity of virtual bodies† (123), a â€Å"body-without-organs† (124).As I document later in this essay, Cunningham’s most successful dancers (in his eyes and my own) have been those who are able to absorb the movement sequences into their own body; the grammar’s inflection, the sequence’s assimilation through the body’s singular dynamics, is what ultimately lends the dance â€Å"meaning† in the way Cunningham intends. 2. See â€Å"The Impermanent Art,† first published in Arts 7, no. 3 (1955) and reproduced in Ko stelanetz (1989) and Vaughan (1997). 3.See especially the appendices to Adorno’s Aesthetic Theory. The work was not finished during Adorno’s lifetime (Adorno died in 1969. ) 4. Sixteen Dances for Soloist and Company of Three was first performed in Milbrook, New York. It contained the following sequence: solo, trio, solo, duet, solo, quartet, solo, quartet, solo, duet, solo, trio, solo, quartet, duet, quartet. See Vaughan (1997, 289). 5. Carolyn Brown, personal communication with the author, June 24, 2009. 6. Cunningham presents what he is getting at as ollows: â€Å"You do not separate the human being from the actions he does, or the actions which surround him, but you can see what it is like to break these actions up in different ways, to allow the passion, and it is passion, to appear for each person in his own way† (qtd. in Vaughan 1997, 10). 7. Mark Johnson (1987) and Daniel Stern (1985/2000) also believe that our ability to be expressive in the more familia r way—to display human emotions such as anger or pity—is predicated on a presubjective capacity to organize experience into â€Å"image schemata† ( Johnson) or â€Å"vitality affects† (Stern).The neuroscientist Antonio R. Damasio has more recently argued that a protoself, or neural substrate of sensory feedback, is the condition of possibility for emotions per se (1999). What is â€Å"expressed† by this protoself is movement, a nonthematized awareness of orientation, a sense of balance. Cunningham’s choreography appears to be calling on its dancers to â€Å"express† precisely these functions; they are what provide the continuity, the dynamic, that is so moving to watch. On the sensorimotor protoself and our access to it, see my Agency and Embodiment (2009). 8. See Damasio (1999) and Jeannerod (2006).Damasio insists that the protoself is entirely nonconscious, but Jeannerod provides persuasive evidence that kinesthetic awareness is oft en available to the conscious self. See also Joseph LeDoux (2002) for a similar account. Dance Research Journal 42 / 1 summer 2010 59 Works Cited Adorno, Theodor W. 1970/1997. Aesthetic Theory, edited by Gretel Adorno and Rolf Tiedemann. Translated and introduced by Robert Hullot-Kentor. Minneapolis: University of Minnesota Press. Benjamin, Walter. 1986. â€Å"On the Mimetic Faculty. † Reflections: Essays, Aphorisms, Autobiographical Writing, edited by Peter Demetz, 333–36. New York: Schocken.Brown, Carolyn. 2007. Chance and Circumstance: Twenty Years with Cage and Cunningham. New York: Knopf. Cunningham, Merce. 1951. Rehearsal Notes. Merce Cunningham Archives, Westbeth, New York City, New York. ———. 1952–1958. Rehearsal Notes. Merce Cunningham Archives, Westbeth, New York City, New York. ———. 1968. Changes: Notes on Choreography. Edited by Frances Starr. New York: Something Else Press. ———. 1991. Th e Dancer and the Dance: Merce Cunningham in Conversation with Jacqueline Lesschaeve. New York: Marilyn Boyars. Damasio, Antonio R. 1999. The Feeling of What Happens: Body and Emotion in the Making of Consciousness.New York: Harcourt Brace. Darwin, Charles. 1872/1965. The Expression of the Emotions in Man and Animals. Chicago: University of Chicago Press. Foster, Susan Leigh. 1986. Reading Dancing: Bodies and Subjects in Contemporary American Dance. Berkeley: University of California Press. Franko, Mark. 1995. Dancing Modernism/Performing Politics. Bloomington: Indiana University Press. Gil, Jose. 2002. â€Å"The Dancer’s Body. † In A Shock to Thought: Expression after Deleuze and Guattari, edited by Brian Massumi, 117–27. London: Routledge. Jeannerod, Marc. 2006. Motor Cognition: What Actions Tell the Self. Oxford: Oxford University Press.Johnson, Mark. 1987. The Body in the Mind: The Bodily Basis of Meaning, Imagination, and Reason. Chicago: University of Chica go Press. Kostelanetz, Richard. 1989. Esthetics Contemporary. Buffalo, NY: Prometheus. ———, ed. 1998. Merce Cunningham: Dancing in Space and Time 1944–1992. New York: Da Capo. LeDoux, Joseph. 2002. The Synaptic Self. New York: Viking. Manning, Susan A. 1993. Ecstasy and the Demon: Feminism and Nationalism in the Dances of Mary Wigman. Berkeley: University of California Press. Merleau-Ponty, Maurice. 1962. Phenomenology of Perception. Translated by Colin Smith. New York: Routledge. Nicholls, David. 2007.John Cage. Urbana: University of Illinois Press. Noland, Carrie. 2009. Agency and Embodiment: Performing Gestures/Producing Culture. Cambridge, MA: Harvard University Press. Reynolds, Dee. 2007. Rhythmic Subjects: Uses of Energy in the Dances of Mary Wigman, Martha Graham, and Merce Cunningham. Hampshire, England: Dance Books. Stern, Daniel. 1985/2000. The Interpersonal World of the Infant. New York: Basic. Tobias, Tobi. 1975. â€Å"Notes for a Piece on Cu nningham. † Dance Magazine 42 (September). Vaughan, David. 1997. Merce Cunningham: Fifty Years. Edited by Melissa Harris. New York: Aperture. 60 Dance Research Journal 42 / 1 summer 2010

Friday, September 27, 2019

Pregnancy and anorexia Research Paper Example | Topics and Well Written Essays - 750 words

Pregnancy and anorexia - Research Paper Example Even though they are skinny but they can be easily convinced to be overweight and displays an intense fear of becoming fat. This results in dieting habits, excessive exercise, intake of laxatives and not eating. Majority of the cases reported are adolescent girls especially belonging to higher socio-economic class (Anorexia). Anorexia is turning out to be a serious disease that can be critical and more harmful during pregnancy. It may result in premature labor, low birth weight, still birth or fetal death and complications during delivery (Anorexia). The reported incidence of eating disorder is constantly showing a rise in the past 30 years. The disease could take a severe form and may result in hospitalization and death. It is affecting the females between the age-group of 14- 24 years; adolescent and child bearing age (Chizawsky, 2006). Diagnostic criteria: Loss of at least 3 consecutive menstrual periods (in women), do not want or refuse to eat in public, anxiety, weakness, brittle skin, shortness of breath, obsessivness about calorie intake (Anorexia). Medical Consequences: Shrunken bones, mineral loss, low body temperature, irregular heartbeat, and permanent failure of normal growth, development of osteoporosis and blumia nervosa. To have a healthy baby, a pregnant women must gain 25-25 pounds, but if this is told to anorexic she will take it as if she has to gain 100 pounds (Anorexia). This is the psychology which is becoming the root cause of all related complications in pregnancy and therefore anorexic pregnant women face trouble in carrying a baby to the term. Moreover, if the female is underweight and is not eating proper balanced food then the baby is in danger resulting in miscarriages or premature birth, also, this puts the baby at risk for medical complications (Anorexia). The method for undertaking this study encompasses examination of nulliparous nonsmoking women previously diagnosed with eating disorders and

Thursday, September 26, 2019

Correctional Educational Programmes Essay Example | Topics and Well Written Essays - 1500 words

Correctional Educational Programmes - Essay Example Louis Theroux identifies them as child molesters. Traditionally, incarcerated population has among the lowest levels of educational attainment and literacy in any society. There is an argument in correctional literature that correctional education programmes can break the cycle of reincarceration by providing prisoners with an opportunity to gain skills that are practical in the workplace and the community. From the critical perspective, correctional education programmes act as agents of social change. If they are effective, the programmes can greatly assist inmates with overcoming social pathologies often found in many of the communities in which they come from. There are many barriers that prevent adequate expansion of corrections education programmes. Budget cuts, high staffing costs, programme staff cuts, and poor accountability are just a few (Coley and Barton, 85). A major barrier also rests in ideological views of the role of the criminal justice system. This has resulted in a great divide in ideology: those who favor prison rehabilitation and those who favor punitive measures. Skeptics of rehabilitation often claim that research thus far fails to portray a strong link between educational programmes and post release outcomes. On the other hand, proponents of educational programmes claim that there is an inherent value in educating prisoners, and that the benefits of an education will be realized by inmates upon release and obtainment of work (Coley and Barton, 89). Education in prisons provides many unique advantages to both inmates and prisons. For example, prison education programmes provide an opportunity for the facility to keep inmates occupied and engaged. These programmes also foster improving individual skills by socializing inmates with other inmates and teachers (Mentor, 115). All of these factors can contribute to better levels of order and security within the facility. On the outside, prison education programmes are empirically linked to reduced recidivism rates, and enhanced opportunities to acquire work upon release. Given thousands of inmates are released from prison annually, the role of prison education programmes in reducing recidivism rates and improving social conditions is a vital component of the reentry process (Mentor,

'Twitter has made a significant contribution to citizen journalism' Essay

'Twitter has made a significant contribution to citizen journalism'. Do you agree Argue your case with reference to at least 2 - Essay Example Citizen journalism has emerged as a contemporary innovation in the spectrum of journalism. To this end, it encompasses the new role played by ordinary citizens in the collection, reporting and dissemination of information (Anwar, 2012). Evidently, the efficacy of citizen journalism in reporting has been shaped due to its potential in inspiring the participation of a large target audience locally, nationally and internationally. Moreover, citizen journalism envisions a system in which persons can report pertinent issues that are relevant to an area or locality. The growth of citizen journalism has largely been influenced by technological advancement in the social media networks such as Twitter and Facebook. In reference to Twitter, it has emerged as a revolutionary social media tool whereby an increasing number of people are acting as citizen journalists. Moreover, Twitter has equally captured the attention of mainstream media houses. Consequently, an increasing number of media houses have embraced the use Twitter handles in the reporting of citizen journalistic news. To this end the plethora of media news handles dedicated to citizen journalism includes; Blottr, NowPublic, iReport for CNN, GroundReport, Demotix and many more (Rosen, 2012). According to a research finding by Infographic Labs, the popularity is evident from the 175 million tweets daily and the consequent 31 billion tweets recorded annually. Moreover, the increasing use of Twitter by citizen journalists has been spurred by several positive attributes of the social media technology. These include; its flexible posse power and high speed in sharing of information. In addition, it ensures efficiency whereby information can be received on time and edited accordingly. Furthermore, Twitters offers the luxury of simplicity, and flexibility in use by the citizen journalists. Over and above this, Twitter is a totally free social media service that is available to the majority of users (Knight Community New s Network, n.d.). To this end, Twitter has been used as a tool for citizen journalism in influencing contemporary activism, reporting on natural disasters and shaping of political landscapes. In particular, Twitter played a critical played a critical role in reporting of the political and social mandarins during the Arab Spring uprising. The Arab spring uprising that began in earnest in Tunisia and Egypt, was largely propelled by the use of social media communication via Twitter. Evidently, citizen journalists utilized Twitter in the organization of mass action protests. Moreover, mobilization and the spreading of awareness concerning the revolution were done via Twitter and Facebook. Evidently, during the Egypt revolution, 1.4 million tweets were recorded on the hashtag or search item ‘Egypt.’ Moreover, the hashtag ‘Jan 25’ recorded 1.2 million posts (Huang, 2011). A survey conducted on over 200 people during the uprising in Tunisia and Egypt revealed that they received updates via Twitter. To this end, 88% and 94% in Egypt and Tunisia respectively received information updates concerning the revolution through Twitter (Huang, 2011). Another survey during the Arab spring showed that the popularity of Twitter within the Arab world had increased astronomically. Consequently, there was a record of over two million tweets during the month of November 2010 (France-Presse, 2012). This by contrast, was a marked increase from 99,000 tweets in the month of October 2010

Wednesday, September 25, 2019

Value Creation - Mergers and Acquisitions in the Banking Industry Thesis

Value Creation - Mergers and Acquisitions in the Banking Industry - Thesis Example The dominance of the US and Europe in the current global financial services landscape means that most European and American banks enter new markets outside their region through transatlantic M&As. These developments are not lost on bank CEOs, who must keep a watchful eye on competitors’ strategies and assess what these acquisition moves mean to their own bank’s position. With their massive increases in market capitalization due to mergers, leading banks are in a strong position to invest heavily in new products or services and to make even larger acquisitions. This would pose a significant competitive threat that would require other banks to respond. Indeed, all acquisitions will result from value enhancing unless there exists some element of market inefficiency, i.e., imperfect competition in either the product and/or labour market and/or agency conflicts. Most large mergers and acquisitions fall short of achieving the desired synergies. In January 1999, The Economist reported that study after study of past merger waves has shown that two of every three deals have not worked. And at least 50% of major mergers since 1990 have eroded shareholder returns. Reasons for failed mergers are diverse and complex, but most can be attributed to losing something: critical people, customers, market confidence. Uncontrolled costs, hidden losses, unrealized benefits, avoiding decisions, cultural barriers, and power struggles can also undermine the most promising unions. Despite the high failure rate, M&As that succeed can pay large dividends. The most successful acquiring firms have clearly established and well-understood acquisition processes, both for ensuring good strategic decisions before the acquisition decision is made and for integrating the acquired firm once the deal is complete. This has created an interest amongst other banking firms to make a research on the M&As and the reasons behind their success or failure.  Ã‚  

Tuesday, September 24, 2019

Finance for Managers; Writing Essay Assignment Example | Topics and Well Written Essays - 750 words

Finance for Managers; Writing Assignment - Essay Example The study measures issues accomplished by the first holders of vehicles following three years. It has climbed one space in the not so distant future, to fifth, however drivers are eager to attempt different brands. "Youre getting adequate levels of value, unwavering quality and steadfastness from essentially every maker," said Jack Nerad, article executive of Kelley Blue Book. "That takes an enormous shaft out of Toyotas quiver." Toyotas are additionally not holding their resale esteem and they did before the reviews. For the 2011 model year, Kelley Blue Book predicts that all Toyota brands will be worth a normal of 39 percent of their buy cost following five years. In the 2009 model year, Toyotas were required to hold 47 percent of their worth following five years. Reserve directors, all different things being equivalent, as to put resources into "great organizations". Toyota had a solid record of developing incomes and benefits over a long period. Moreover, examination uncovered solid focal points – the celebrated generation framework, for instance, and a leaner expense structure during a period when outside adversaries were weighed down with benefits and medicinal services costs for previous workers. There were fascinating new items advancing, and an appearing lead in new crossover motor innovations, for example, those utilized as a part of the prominent Prius. A qualitative examination of their focused position and track record, of the sort a store director would perform on any stock, recommended that Toyota verifiably had been a "decent organization" previously. To address the inquiry of whether Toyota was still a "decent organization", speculators inclined intensely on the gathering with Toyotas administrators. The nations main two, Honda and Toyota, have headed the route in expanding the general piece of the overall industry for Japanese stocks by a normal of almost 60 percent. While the stocks have altogether dropped a

Monday, September 23, 2019

Taking a Closer Look at Thailands Free Trade Agreement Essay

Taking a Closer Look at Thailands Free Trade Agreement - Essay Example The term "free trade" has become very politically loaded, and it is not uncommon for so-called "free trade agreements" to impose additional trade restrictions. Such restrictions on trade are often due to domestic political pressure by powerful corporate, environmental or labor interest groups. Free trade agreements are a key element of customs unions and free trade areas. The details and differences of these agreements are covered in their respective articles (Wikipedia Website). The spate of Thailand's bilateral FTAs had sprung from its intense need to supply more markets for its own exports after the failure of the WTO negotiations in the Doha Development Round. For others, this represents a shift in the Thai trade policy from multilateralism that Thailand advocated for two decades since it became a GATT member in 1982. Either way, new challenges abound for all parties due to this recent policy change leaning towards bilateralism and regionalism instead of multilateralism (Chirathivat & Mallikamas, 2004 p. 37). Before this, Thailand already built bilateral and regional trade ties with a number of trading partners in Asia and the world. In further improving the nature of its FTA policy, there will be implications for the country since many businesses there are not broadly multilateral. With regards to the impact of the FTAs, costs and benefits, and adjustment mechanisms are still being scrutinized. However, the government is strongly determined to realize these alternative liberalization paths and incorporate it as an integral part of Thailand's new trade strategy. To elaborate more on Thailand's pivotal decision of adapting new strategies in its FTA, Chirathivat & Mallikamas (2004, p. 40) mentioned that the financial crisis of 1997-98 could be the main reason. Thailand and generally the East Asian region felt the need to promote closer economic co-operation. Although regionalism is regarded as the second-best policy, many countries have started to explore this alternative. The effect of competitive liberalization contributed in a way to the rise in regionalism worldwide and also in East Asia and Thailand. The advantages should maintain "competitive liberalization" that would open up favorable markets and ease the regulations within the group, which would put an outsider country in a possible unfavorable situation. As a result, foreign companies with a presence in Thailand are currently shifting strategy to take advantage of its FTAs. For instance, Toyota Motor Corp. is shipping manual transmissions for pickup trucks from India to Thailand, and sending Corolla knockdown kits back the other way for assembly in India. Both items benefit from the lower tariffs of the FTA and greatly help increase Toyota's price competitiveness (Nagao, 2005). In addition, Japan is pressuring Thailand to eliminate import tariffs on cars with 3000cc engines and luxury cars over 3000cc before the seven-year period offering by Thailand. It seems Japan wants to increase import quotas of Japanese cars by 1-3 per cent of total production in Thailand. In fact, Japan has warned Thailand that its proposal on luxury cars is the most important

Sunday, September 22, 2019

Assessment and Child Essay Example for Free

Assessment and Child Essay Assessments are very important in determining how to teach our children and where they are in terms of development. There are many types of assessments that can be beneficial in helping determine how to approach the learning style of each child as an individual instead of as a whole group. While each assessment is structurally different, they can produce results which give us insight on where our children are during different stages of their lives. There are both formal and informal assessments that can be used. â€Å"Formal assessments are norm-referenced tests that have standardized, formal procedures for administering, timing and scoring. They have been â€Å"normed† or administered to a representative sample of similar age or grade level students so that final test results can be compared to students of similar characteristics. Test results indicate a person’s relative performance in the group. These standardized tests must be administered as specified in the manual to ensure valid and reliable results†(ERIC Clearinghouse on Assessment and Evaluation). There is another type of formal assessment called criterion-referenced test. These type of test measure what the person is able to do and indicate what skills have been mastered. A CRT compares a person’s performance with their past performances. â€Å"In criterion-referenced measurement, the emphasis is on assessing specific and relevant behaviors that have been mastered rather than indicating the relative standing in the group†(ERIC Clearinghouse on Assessment and Evaluation). Formal assessments can prove to be beneficial as far as comparing test scores over a period of time and how the child is developing over that same period. While formal assessments are useful they also have flaws in them. Standardized test can make a child feel like pressure and anxiety. In a lot of situations when a child feels like this they will not do their best on any type of assessment. Another problem with these types of tests is that they use the same set of questions for all the children and are not sensitive to the situations that different children endure. Children who live in poor and underdeveloped environments may not be exposed to certain ways of life and may not have the same advantages of acquiring knowledge as the other children they go to school with. This will automatically put them at a disadvantage in school and on test they may take. There is another way to do an assessment that is better suited for the child and does not make them feel so uncomfortable and that is an informal assessment. An informal assessment focuses on play and observation of the child and not a test of sorts. By observing the child in a certain situation you can record how they act and how they respond to different situations and stimuli that are presented to them. You can use check-list and rating scales to record your findings and document them and file them away in a portfolio. Another way to do an informal assessment is by parent interviews. You can find out a lot of valuable information by asking the parents questions about their child. Over the past few years teachers have placed more emphasis informal testing than formal testing. â€Å"Some districts have increased the use of curriculum-based measurements(CBM). Several samples of a student’s performance are collected, using items drawn from the local curriculum, usually in basic skill subjects of reading, math, spelling and written expression. Such brief tests are called â€Å"probes†(ERIC Clearinghouse on Assessment and Evaluation). One form of an informal assessment is the Battelle Developmental Inventory. â€Å"The Battelle Developmental Inventory is an assessment for infants and children through age seven. It is a flexible, semi-structured assessment that involves observation of the child, interviews with parents and caregivers, developmental and social history, and interaction with the child using game-like materials, toys, questionnaires, and tasks† (Logsdon). This type of assessment is used to make sure that infants and children are reaching their developmental milestones or showing early signs of learning disabilities or developmental delays. This assessment can also be used through examiner/child and parent/child interaction. Examiners observe the child’s responses and score them based on standardized criteria. The parent caregiver input is also important in the assessment because it is used to gather information about the child’s history and interactions that take place beyond the testing session. When this assessment is used to observe the toddler through preschool development it is mostly done by tasks that involve testing the child with games, toys and tasks. They observe how the child follows directions, interacts with others, and how they perform certain tasks. Parent information is used to assess areas that can’t be observed during the testing session. The performance scores are based on standardized criteria. The Battelle is used to assess five components of development. They are adaptive behavior, personal and social skills, communication including expressive and receptive language, gross and fine motor skills, and finally cognitive skills are included. The results of this assessment can be used to determine if there are delays and how significant they are based on the age group the child is in. Another good assessment tool is play-based assessment. This is simply observing the child in their natural environment. By doing this the observer is able to see interactions between the child and their peers as well as how they speak, the language they use and their motor abilities. It is good to record all this information and keep it in an ongoing portfolio. By keeping a written record of what has been observed and any areas of concern you may suspect, you will have more information to share with the parents and find the proper method of dealing with the problems. I feel there is a major advantage when you use an informal assessment as opposed to a formal one. With formal assessments you can never really tell how smart a child really is. These types of assessments are based on statistics of a large group of children not the children as individuals. Just because children do well on a test does not necessarily make them smarter than others, it simply means they have better test taking skills. There are lots of times that the smartest people do horrible on tests just because they suffer from anxiety and get nervous. You can take the same kids that do poorly on a test and give them an informal assessment where they feel comfortable and you will get different results. Standardized tests are not a reliable means of assessing intelligence based on the fact stated above. These types of tests are often overused in this country and they do not take into account the comfort level or socioeconomic background of the child being tested. These play a more important role in test taking than the test itself. This is the number one reason kids are misdiagnosed for having  learning disabilities and other disorders such as ADHD. I also feel that a good relationship with the parents is essential in determining the educational needs of the child. No one knows their children better than the parents or caregivers. They are the ones who spend the most time with the children and can fill you in on patterns of behavior not seen during a certain test taking session. Parents are the most important resources you can obtain information from when dealing with children. I would strive to keep the parents informed of everything that was going on with their child and how to help them with anything that raised a red flag. The parents should always be informed when an assessment is going to be used. A parent could be upset when their child is going to be tested for a development problem without their consent. If you explain the process and how it can help to determine if the child is developmentally behind it can ease the parent’s mind and make everyone more comfortable. I feel that assessments can be beneficial if they are conducted in the proper manner. Making a child feel more comfortable in their environment is the best way to truly assess them and find out if they are lagging in certain areas of development. It is equally important to always keep the parents involved in all decisions affecting their child and the processes used to assess them. The information used by assessments can help make sure children are developmentally on track, just remember the most important factor is the comfort level of the child. Without assessments a plan of action cannot be implemented or executed if the child is behind in any facet of development. Bibliography Logsdon Ann. Testing for Infant and Toddler Development. About. com Guide. http://learningdisabilities. about. com/od/intelligencetests/p/battelledevelop. htm. Accessed on December 10, 2012. ERIC Clearinghouse on Assessment and Evaluation. Assessments for Young Children. 1999. http://www. 1donline. org/article /6040/ Accessed December 10, 2012. Sue C. Wortham (2012). Assessment in Early Childhood Education. 6th ed.

Saturday, September 21, 2019

Medical Card System Data Warehouse

Medical Card System Data Warehouse Muhammad Nadeem   S.No Title P.No 1 Introduction (What project is about) 3-4 2 System Overview, Data architecture and storage, 5-6 3 ER-Diagram, OLTP-Architecture,Master / Slave Medical Card System 6-10 4 MCS OLTP, MCS data, storage,MCS Business Module or Services process: 11-14 5 Request Flow, Data repository, MySQL 15-19 6 Data warehousing 19-27 7 Service improvement 28 8 Statistical Analysis 29-30 9 Summary, conclusion, Learned 31-35 10 Appendix 36 Introduction: A Medical Card is a plastic card, about the span of a Visa, issued by the HSE. Individuals who hold a Medical Card are qualified for a scope of Health Services for nothing out of pocket. Sometime recently, 2009. Therapeutic card framework was a decentralized and comprising littler wellbeing sheets. Since, they are isolated to each others, It was making taking after oddities. Duplicate Medical cards. GHOST Medical cards System deficiency Increasing Complexity Budget deficit in health budget Lack of staffing and System expertise To determine these issues the HSE, choose to incorporated Medical card framework. They gather master from every wellbeing board and accumulate in Dublin. On framework level, it was a major perplexity mass before centralization. The reason was every wellbeing board has their own medicinal card framework on a few innovations like prophet, SQL server and so forth. A Single Medical card framework was running on ORACLE, SQL, MYSQL and MUMS thus on rely on upon the decision of wellbeing board. There were loads of reports and Hauge paper works was included and it was night horse to handle it. To, determine this issue The HSE made a system to gap information into three databases, for example, ORACLE, MongoDB. Each of the database has there on noteworthiness. The HSE additionally choose to making and dealing with their own information distribution center. There was an alternative accessible for cloud benefits but since of the way of information. The HSE fabricate their own information product house. The HSE utilized Mongo DB since it is a record situated database and what it does, it is intended for even versatility. Because this, if your database develops, you can basically include more equipment or more assets from the cloud. 2.1 MCS System Overview: The Medical card system data were divided into following: The data from new medical card forms was divided in 3 parts. First data was Manual filled application which was later typed in the system. The data come from Legacy system and loaded into new system. That sort of data required big ETL. Third was supporting documents. The size of data was 2 tetra bytes per month 2.2 MCS Data Storage: The data was storing in following technologies: MongoDB Neo4j ORACLE MYSQL hybrid system (HyPer) MongoDB MySQL Oracle Neo4j Document-oriented Cross-platform support Reliable database OLTP Supports JSON format. Stored procedures Advanced Index Compression JSON and XLS format No DBA SQL/PSM Approximate Count Distinct Indexes by using Apache Lucence Flexible replication for shading across nodes. Triggers. Attribute Clustering supports full ACID Multi-version concurrency Cursors Automatic Big Table Caching UI for CQL consistency in complex transactions Updatable views FDA Support for CDBs Native GPE(Graph Processing Engine). Dynamic queries and powerful aggregates. Online DDL Full Database Caching (CRUD) operation Index support and ap/reduce functions Information schema In-Memory Aggregation Access by Java, Spring, Scala 3.1 MCS Database Architecture 3.2 MCS OLTP Architecture   Ã‚   Master / Slave Medical Card System One index per city Growth by shredding into 2 and 3 Master build index every 10 minutes Use indexes and pearl code for to generate XML Build versioning and rollback segment Slave pull the indexes via resync and reload Use pre-forking config Hardware was dual proc, dual core AMD opterons with 32 GB RAM 3.3 MCS OLTP: Medical card OLTP systems are used for order new application, Medical card transactions, customer relationship management (CRM) etc. Such systems have many users who conduct short transactions. Database queries are usually simple, require sub-second response times and return relatively few records. An important attribute of medical card OLTP system is its ability to maintain concurrency. To avoid single points of failure, MCS OLTP systems is decentralized. MCS data-model-self-governing and planned to professionally handle accidental, ad hoc queries in an analytical system environment. We are using Mango DB, Neo4j, Oracle, MySQL along with legacy System like MUMS. The Size of the data per week is 1 tetra byte. We have Online replication. HSE have hot backup and full disaster recovery model implemented. HSE have one cold server run in Waterford region which they used as cold backup. HSE policy to store data in multi places so in case of disaster recovery will be easy. 3.4 MCS Data: It consists on the following: Client personnel and Medical History such as Client name, address, ppsno and GP information GP registered within certain county Hospital information such as OPD, ANE etc. CWO in each area Pharmacies and registered Pharmacies HSE Local offices 3.5 MCS Data storage: MCS data store on different devices and system as following: Quantum StorNext scale-out file system. NetBackup product. NetBackup is integrated with copy data management, Veritas Resiliency Platform and Veritas Information Map. MySQL MangoDB Neo4j Oracle 4.1 MCS Business Module or Services process: FOR NEW APPLICATION FOR RENEWAL APPLICATION 4.2 MCS Request Flow 4.3 MCS Flow 4.4 MCS Data Repositories 4.5 MCS My SQL 5.1 MCS Data Warehousing: Relationships between DSS/BI, database, data management DSS/BI: transforming data into info to support decision making MCS (Medical Card System) operational data and DSS/BI data differ What a data MCS (Medical Card System) warehouse is, how data for it are prepared, and how it is implemented Multidimensional database Database technology for BI: OLAP, OLTP Examples of applications in healthcare 5.2 MCS BI: Extraction of Knowledge from Data 5.3 MCS DSS/BI Architecture: Learning and Predicting 5.4 MCS DSS/BI DSS/BI are technologies designed to extract information from data and to use such information as a basis for decision making Decision support system (DSS) Arrangement of computerized tools used to assist managerial decision making within business Usually requires extensive data massaging to produce information Used at all levels within organization Often tailored to focus on specific business areas Provides ad hoc query tools to retrieve data and to display data in different formats 5.5 MCS DSS/BI Components Data store component Basically, a DSS database Data extraction and data filtering component Used to extract and validate data taken from operational database and external data sources End-user query tool Used to create queries that access database End-user presentation tool Used to organize and present data 5.6 MCS Main Components of A DSS/BI 5.7 MCS DSS/BI: Needs a different type of database A specialized DBMS tailored to provide fast answers to complex queries. Database schema Must support complex data representations Must contain aggregated and summarized data Queries must be able to extract multidimensional time slices Database size: DBMS must support very large databases (VLDBs), Wal-Mart data warehouses is measured in petabyte (1,000 terabyte) Technology: Data warehouse and OLAP emphasize speed, security, flexibility, reduce redundancy and abnormalities. 5.8 MCS Operational vs DSS Data 6.1 MCS Data Warehouse The Data Warehouse is an integrated, subject-oriented, time-variant, non-volatile database that provides support for decision making. Usually a read-only database optimized for data analysis and query processing centralized, consolidated database periodically updated, never removed Requires time, money, and considerable managerial effort to create 6.2 MCS OLAP (Online Analytical Processing) Advanced data analysis environment that supports decision making, business modeling, and operations research engine or platform for DSS or Data Warehouse OLAP systems share four main characteristics: Use multidimensional data analysis techniques Provide advanced database support Provide easy-to-use end-user interfaces Support client/server architecture 6.3 MCS OLAP vs OLTP: Online Transactional Processing (OLTP) emphasize speed, security, flexibility, reduce redundancy and abnormalities. Online Analytical Processing (OLAP) multi-dimensional data analysis advanced database support easy-to-use user interface support client/server architecture 6.4 MCS Multidimensional Data Analysis Goal: analyze data from different dimensions and different levels of aggregation 6.7 MCS Multidimensional Data Analysis Techniques Data are processed and viewed as part of a multidimensional structure Particularly attractive to business decision makers Augmented by following functions: Advanced data presentation functions Advanced data aggregation, consolidation and classification functions Advanced computational functions Advanced data modeling functions 6.8 MCS integration OLAP with Spreadsheet 6.9 MCS easy-to-Use End-User Interface Many of interface features are borrowed from previous generations of data analysis tools that are already familiar to end users Makes OLAP easily accepted and readily used 6.10 MCS Client/Server Architecture Provides framework within which new systems can be designed, developed, and implemented Enables OLAP system to be divided into several components that define its architecture OLAP is designed to meet ease-of-use as well as system flexibility requirements 6.11 MCS OLAP Architecture Designed to use both operational and data warehouse data Defined as an advanced data analysis environment that supports decision making, business modeling, and an operations research activities In most implementations, data warehouse and OLAP are interrelated and complementary environments 6.12 MCS Facts Numeric measurements (values) that represent specific business aspect or activity Normally stored in fact table that is center of star schema Fact table contains facts that are linked through their dimensions Metrics are facts computed or derived at run time 6.13 MCS Dimensions: simple star schema 6.14 MCS Attribute Hierarchies in multidimensional analysis 6.15 MCS Star Schema Representation 6.17 MCS Multi-dimensional database 6.18 MCS Star Schema 6.19 Snowflake schema 7.1 Service improvement MCS Outcome Database Center for Medical Service More than fifty community health centers contributed to this database. 547,719 transactions 13 Outcome indicators, 72,541 episodes of treatment, 17,205 patients, 108 therapists, 48 institution 8.1 Statistical Analysis MCS Difference in Clinical Services Improvement: Young and Old patients 8.2 Compare Cancer Incidence of Dublin County to Carlow County from 1996-2000 9.1 Conclusion: A Medical Card is a plastic card, about the size of a credit card, issued by the HSE. People who hold a Medical Card are entitled to a range of Health Services free of charge. In this project, we have seen a change of centralized medical card system with the help of NOSQL and RDBMS changed the service outcome. HSE have Mongo DB which make it suitable for this kind of project is it is Schema-less. A document can have any number of key/value pairs. Instead of using a schema, documents of the same time (for example, documents representing blog posts) all have a similar set of key/value pairs. Second, a database which HSE have here is Neo4j graph database. The reason why they have used Neo4j because it provides OLTP and supports Jason and XLS format. Another reason to use Neo4j is it is Create, Read, Update and Delete (CRUD) operations working on a graph data model. MCS data-model-self-governing and planned to professionally handle accidental, ad hoc queries in an analytical system environment. We are using Mango DB, Neo4j, Oracle, MySQL along with legacy System like MUMS. The Size of the data per week is 1 tetra byte. We have Online replication. HSE have hot backup and full disaster recovery model implemented. HSE have one cold server run in Waterford region which they used as cold backup. HSE policy to store data in multi places so in case of disaster recovery will be easy. The MCS Data Warehouse is an integrated, subject-oriented, time-variant, non-volatile database that provides support for decision making. Usually a read-only database optimized for data analysis and query processing. centralized, consolidated database, periodically updated, never removed. It is Requires time, money, and considerable managerial effort to create. Relationships between DSS/BI was studied in detail along with, database, data management. We have explored the DSS/BI: transforming data into info to support decision making. The MCS (Medical Card System) operational data and DSS/BI data differ from which we have used to test the system. We have explored what data MCS (Medical Card System) warehouse is, how data for it are prepared, and how it is implemented Multidimensional database. The Database technology for BI: OLAP, OLTP. Examples of applications in healthcare. During this project, we were Combining Data Warehouse (OLAP) and GIS.OLAP: handles large data, fast retrieval multidimensional, multilevel aggregation, analyses/data mining on huge complex databases. IS: visualization and spatial analyses. Visualization and Analysis: Charts and Maps + Statistical Analysis. The outcome we have from the MCS Database is we have center for Medical Service More than fifty community health centers contributed to this database. The transaction span to 547,719 transactions. WE have 13 Outcome indicators, 72,541 episodes of treatment, 17,205 patients, 108 therapists, 48 institutions. 9.2 Learned: During completing this project, I have learned following: NOSQL MongoDB, Neo4j Installation and deployment OLTP in detail I have studied Data Warehouse comprehensively I have Learned about Data Analysis such as Statistical Analysis NoSQL and SQL have both their significance depend on what you want to do. It was a great learning curve and extend my horizon about technology There is a lot to learn the especially field in IT things a rapidly changing. RDBMS are good to work but they will not answer for all your IT needs. MongoDB and Neo4j are emerging technologies and best fit for the system like the medical card. During, my lab I have come across the term like horizontal scalability It is the capability of a system, network, or process to cover a rising sum of work, or it is potential to be magnified in rank to accommodate that increase. For object lesson, it can refer to the capability of a system to increase its total output under an increased load when resources (typically hardware) are added. Another, an inserting term I have discovered is a document database. Although it was covered in a lecture but not so clear. Hereafter working and installing it make quite a sense. 9.3 Problems/Issues For MongoDB, it is hard to work on command prompt Download inteleJ IDEA and configured and that will make the job easier. Available online: https://www.jetbrains.com/idea/download/#section=windows I have tried to install Oracle NOSQL and there were no windows version All process required extra expertise in Linux and Unix and one point I gave up Installing/configuring process in case of MongoDB and Neo4j is very simple and straight forward. Neo4j is quite straight forward to install and work. Once installed the Neo4j you need to look around how to run Neo4j. it is almost hard to run Neo4j on http://127.0.0.1 instead if you run it on http://localhost:7474/browser/ on your browser window. Command structure not so great, as long your system gets complex, the query process of Neo4j is getting complex as well. IT required previous Knowledge of Jason. If there is a problem in query design, Neo4j prompt for the mistake, but if you have query structure problem or logical error there is no error message. Like all technology, you need to memories a lot. There is no toll-like workbench for help. If you have previously worked with RDBMS like oracle or MySQL it will take a while to get a hand on Neo4j. 10.1 Appendix: http://www2.seas.gwu.edu/~bell/csci243/lectures/data_warehousing.pdf http://www.hse.ie/eng/services/list/1/schemes/mc/ http://www.hse.ie/eng/ http://www.businessdictionary.com/definition/data-analysis.html https://www.linkedin.com/pulse/20140728161327-51272350-what-is-collection-in-nosql-databases-specifically-in-mongodb https://Neo4j .com/why-graph-databases/ http://www.w3resource.com/mongodb/nosql.php http://www.tutorialspoint.com/Neo4j /Neo4j _features_advantages.htm http://www.itbusinessedge.com/slideshows/top-five-nosql-databases-and-when-to-use-them.html https://www.youtube.com/watch?v=1uFY60CESlMlist=PL6gx4Cwl9DGDQ5DrbIl20Zu9hx1IjeVhO https://www.youtube.com/watch?v=eE6G5BX8GG0list=PL1zjgLKnHOtga1W4cdyjxRbliw4-n84hR http://dist.Neo4j .org/Neo4j -manual-1.4.M03.pdf https://www.youtube.com/watch?v=eE6G5BX8GG0list=PL1zjgLKnHOtga1W4cdyjxRbliw4-n84hR