Thursday, September 12, 2019

Infrastructure Issues in India Term Paper Example | Topics and Well Written Essays - 1250 words

Infrastructure Issues in India - Term Paper Example This paper attempts to evaluate existing infrastructural issues in India and how they affect the country’s overall economic prospects. India’s poor infrastructure is a huge obstacle towards the country’s overall economic growth prospects. In essence, India is among the fastest growing economies in Asia and the world in general though its huge growth projects have been hindered by the extremely poor infrastructure found in the subcontinent. The paper further examines the relevant frailties in India’s infrastructure evaluating the available options for improvement and better performance. To underscore the infrastructural issues of India and its needs, the paper will conduct a comparative analysis between India and China as regards infrastructure. Conceivably Indian infrastructural planning has been below the standards resulting into substandard infrastructures. Economic growth requires adequate and quality infrastructure, which serves as a huge aid towards d evelopment and economic activity. Poor infrastructure, on the other hand, hinders basic economic activities and dilutes government’s attention on crucial economic matters. For better economic performance, it is essential to have an infrastructure that can support the economy and its business activities. Therefore, it is of great importance that India elevates its infrastructure to an advanced level that can support its economic and growth perspectives. In essence, India needs to consider the investment in power, energy, healthcare, water/waste management and address policies supporting the development of infrastructure. Such an approach will go along way in boosting the country’s infrastructural levels providing it with the necessary impetus to pursue its ambitious economic endeavors. Statistically, more than half of India’s shipment and 80 percent of traveler traffic moves on the freeway network, which largely comprises two-lane roads. The country has 700 kilom eters of thruways, mostly reserved for cars, buses and trucks. Most of the expressways with four lanes run through Ahmedabad and Vadodara as well as between Pune and Mumbai. China, on the other hand, has 74,000 kilometers of superhighways up from 147 kilometers in 1989 (Huang 3). Therefore, is far much behind China in the road network and though India’s has ambitious infrastructural projects it will take a long time for the subcontinent to catch up with China. In August 2009, Indian Prime Minister Manmohan Singh developed a goal of constructing 20 kilometers of new highways a day as a fraction of efforts to advance infrastructure graded below Kazakhstan’s and Guatemala’s, according to the World Economic Forum. The daily standard was 4.5 kilometers in 2011, according to PricewaterhouseCoopers LLP. India endeavors to expend as much as $1 trillion in five years on power plants, roads, and ports (Sundaram 1). India may use $5.3 billion tripling the span of its expre ssway network to reduce traffic jams that are slowing commerce, wasting fuel, in addition to sapping economic growth. The country proposes to add approximately 1,600 kilometers (1,000 miles) of highways with at least six lanes. In an interview, Raghav Chandra -who is the joint secretary at the Ministry of Road Transport and Highways- confirmed that India has great plans to refurbish its road network so as to create an enabling environment for trade and overall economic

Wednesday, September 11, 2019

Ageing and managing health Essay Example | Topics and Well Written Essays - 1750 words

Ageing and managing health - Essay Example 5. Instruct the patient’s family members to keep all pathways in the patient’s home free from any cluster. 6. Intruct the patient’s family members to place a non-skid mat inside the patient’s shower room. 7. Encourage the patient to participate in gait training exercise programme once she has been discharge from the hospital. 1. Environmental factors such as dim light or poor lighting, unsafe stairways, irregular floor surface, and the presence of hazardous things like loose rugs, slippery or wet floors and telephone wires that scattered around the house will increase the patient’s risk of accidental falls (Timby, 2009, p. 424). 2. The installation of handrails or grab bars inside the shower room, around the bedroom, stairs, and bathroom will help reduce the patient’s risk of accidental falls (Timby, 2009, p. 424). 3. Placing a strip of light-colored adhesive tape on the edge of each stair will help increase the patient’s visibility of the stairs (Timby, 2009, p. 424). 4. Wearing non-skid soles will help reduce the risk of accidental falls (Timby, 2009, p. 424). 5. Freeing the pathways from clusters will reduce the risk wherein the patient’s Zimmer frame might accidentally touch other things causing her to loose her balance (Timby, 2009, p. 424). 6. The use of non-skid mat inside the patient’s shower room will help prevent the patient from falling (Gulanick and Myers, 2011, p. 63; Timby, 2009, p. 424). 7. Studies show that patients who are active in exercise can strengthen their muscles, improve their ability to balance and coordinate their body movements, increase their bone density which are all necessary in terms of reducing the patient’s risk for falls (Gulanick and Myers, 2011, p. 63). Problem Goal Intervention Rationale The patient... Discharge care plan is pertaining to the process of developing a plan for the transfer of patient from the hospital to his designated place to stay.It is equally important to know that the patient is no longer in pain at the time the patient is about to leave the hospital. It is equally important to know that the patient is no longer in pain at the time the patient is about to leave the hospital. To ensure that the patient is properly being taken cared of after being discharged from the hospital, the student nurse should focus on identifying continuing care that the patient will be needing to improve her overall well-being. After analyzing the case of Mrs. Jones, the following discharge care plan was created: Problem Goal Intervention Rationale Other than the history of falls, the patient is suffering from postural hopotension due to the intake of bendroflumethiazide. Postural hypotension increases the patient’s risk of accidental fall due to dizziness and inability to balance and coordinate her body movements. Other risk factors of accidental falls include: poor eye sight or impaired vision, neurological disorder, decreased lower muscle strength, brittle bones due to osteoporosis and ageing (Timby, 2009, p. 423). To reduce all factors that can increase the patient’s risks of falls. 1. Assess and teach the patient’s family members to modify the home environment of the patient by removing all things that can increase the patient’s risk of falling (Gulanick and Myers, 2011, p. 63). 2. The patient prefers to microwave and eat frozen meals for lunch. To ensure that the patient is receiving proper nutrition.

Tuesday, September 10, 2019

International Business Management Essay Example | Topics and Well Written Essays - 1000 words - 1

International Business Management - Essay Example For example, cost of wages paid to casual employees in a company. Indirect labor refers to labor that is not directly related to converting raw material to finished products. An expense refers to all cost incurred in the production of finished goods other than material and labor costs (Drury, 2008: p28). Revenue is an increase in the net worth resulting from a transaction. In business, revenue is the money received from selling products or services. It is collected when it is earned. Revenue consists of three items; total revenue, average revenue and marginal revenue (Jain, 2011: p43). Total revenue (TR) is the total income of the firm. TR= Quantity * Price. If a firm sells 1000 blankets at a price of $200 each then the TR will be $200,000. Average revenue (AR) is the revenue per unit of sold output. AR= TR/Quantity. For example if the revenue for sell of 1000 blankets @ $200 is $200,000 then AR= 200,000/1000. AR= $200. Marginal revenue (MR) refers to additional revenue incurred from the sale of additional output. For example, if the TR realized in the sell of 1000 blankets id $200,000 and that from the sale of 1001 is $200,400 the MR of the 1001st blanket is MR= $200,400 – 200,000. MR= $400. Managers need to scan for factors that affect the viability of their organization in order to maximize their profits and remain competitive. These factors are both internal and external. They include politics and law, technological factors, culture, and governance. The success of the organization is dependant on how managers strategize these factors in order to achieve prosperity. In the current global marketplace, culture is a key influence on the success of the firm. Culture influences the entrance and sustainability of an organization in the international market (Hill, 2012: p 235). Managers have to learn and understand cultural differences with their international suppliers and consumers in order to create a direct contact.  

Monday, September 9, 2019

Safe use of Health Information Technology Research Paper

Safe use of Health Information Technology - Research Paper Example Poor workflow and inefficient communication inevitably create more health IT sentinel events. Although communication and workflow are vital, the clinical content must also be well-structured to enable effective communication (The Joint Commission, 2015). For example, health records managers must be supplied with relevant and cogent information because they enter clinical data into systems on an as-is basis. Wrong or illegible data creates problems during retrieval. The success of any health IT framework also depends on internal organizational policies, procedures and cultures. These three aspects should be congruent with the overall objectives of the health IT system. Some cultures, policies and procedures hinder the efficient operation of the system, leading to health sentinel IT situations (Johnson, 2014). The level of training received by health staff determines their effectiveness in their duties. However, training is merely a means to an end. Employees should be taught to follow set policies and procedures or their training will be futile. The type of hardware and software used in a specific health IT framework determines the frequency with which sentinel events occur. To this effect, hardware and software must be relevant, usable, and adaptable (The Joint Commission, 2015). External factors, including vendor and other issues occurring in the external environment can also cause a health sentinel IT event. In some cases, legal and social challenges (e.g., culture) can increase the number of health sentinel IT situations (Balgrosky, 2014). Research shows that regular system appraisal and monitoring significantly reduces the probability of critical situations

Sunday, September 8, 2019

Macro and Micro Economics. What is the subject matter of economics Essay

Macro and Micro Economics. What is the subject matter of economics - Essay Example The scope of Economics revolves around many things some of which are factor pricing, product pricing, income, demand, economic growth and welfare. The study of economics attempts to gain a glimmer of light on how and why the wealth of the world gets produced, distributed and finally consumed. It not only examines the local market, but it also everything at the global levels. Class structures and wealth distribution, the role of government and politicians, demand and supply of products and services, division of labor and other countless factors are all encompassed in economics. It attempts to explain the production system in the world and why they function the way they do (ILO, 2013). Arguably, one of the most inalienable factors in the definition of the subject matter of economics is division of labor. According to International Labour Organization, the current distribution of labor is a positive factor contributing to the economic climate today. Labor gets distributed not only betwe en companies and countries but also within a company. Wage disparity occurs between the laborers and capitalists, a condition that results from division of labor. The laborers will thus have low buying powers in comparison to the business owners. This means that their economic standard will always be lower than that of capitalists. Division of labor is thus effective as a clear vision of the subject matter of economics. Economics study is not effective if we fail to discuss the two main divisions of economics namely macroeconomics and microeconomics. Macroeconomics is a branch of economics which looks into, the behavior, decision-making and performance of an economy as a whole and not as individual markets. The World Trade Organization makes use of GDP, unemployment and price indices in a bid to understand how the economy functions. In macro economics, models get used to explain the relationship between such factors like national income, output, consumption, unemployment, savings, i nflation and international finance (IMF, 2013). Macro economics is such a broad field of study and there are two main areas of research considered emblematic of the discipline. This is the attempt to give an account of the causes and consequences of short-run fluctuations in the national income (the business cycle) and an attempt to understand the determinants of a long-run economic growth. In most cases, macroeconomic models and their focuses get utilized by governments to assist them in their development and evaluation of economic policies. Some of these policies include the monetary policies, fiscal policies and comparison policy. Further, macroeconomics encompasses output and income, unemployment and inflation & deflation as the three major variables of its research (IMF, 2013). Thus, the subject matter of macroeconomics revolves around the three aspects of national aggregates; stability, growth and stability of the community at large. Most variables of macroeconomics get relate d with employment, inflation, unemployment issues and import and export matters of a nation or between nations. Microeconomics is the branch of economics that analyzes market behaviors at a level of individual consumers and firm. This it does in the attempt to understand the underlying decision-making processes of firms and households. It majorly concerns itself with the interaction between individual buyers and sellers (IMF, 2013). In particular, macro economics mainly focuses on supply and demand patterns, as well as price and output determination at these individual markets. The strength of microeconomics crops from the simplicity of its underlying structure and its closeness in contact with the

Saturday, September 7, 2019

Questions for Case at the Dimensional Fund Advisors (The Size Effect Study

Questions for at the Dimensional Fund Advisors (The Size Effect and The Value Effect) - Case Study Example DFAs business practices of trying of avoid the lemons problem while not doing any fundamental analysis suggest that they believe strong form of market efficiency but worried that semi-strong form of market efficiency might fail (Cohen 4). These sentiments can be illustrated by the dedication to the principle of market efficiency where over any given time frame; no investor has the ability to pick stocks that would beat the market in its performance. Its main concern was the presence of negative private information known to the seller but not to the market. According to Cohen, the Fama-French -three factor type of efficient market brings into consideration three products; size, value, and market risk factor in the capital asset pricing model (13). With the deterioration of the small stocks in the 1980s and 1990s, these small stocks managed to outperform small stock indexes and small cap funds due to purchase discounts which were combined with the avoidance of adverse selection. It is true to say that due to the size effect, smaller stocks tend to do better than large stocks as in the case of LinkedIn and Google where the former has higher returns than the latter. Conversely, according to the value effect, since Google has a higher book to market ratio as compared to LinkedIn, this means that in this case, Google gunners more returns (Cohen 19). In consistence to the hypothesis that market price is efficient, we can conclude that small firms and value firms on average have high returns. However, investors are not crazily excited about the small and value investment products that DFA recently offered, which exactly focus on earning the high returns of small and value

Learning Disabilities Essay Example for Free

Learning Disabilities Essay Puzzling is the term teachers use to describe students with learning disabilities.   They tell us that these students look entirely normal, seem intelligent, carry on intelligent conversations – that they don’t appear to any different than other students. Yet these students have difficulty doing certain tasks – not all- in school.   Some have difficulty reading; others perform poorly in spelling; still others make frequent mistakes in math.   Teachers in many schools tell us that these students are very hard to teach – that they simply do not learn in the same ways or as easily as others their age.    They tell us that these students have special needs and are not easy to teach in large classes in which most other students perform reasonably well.   They tell us that modifying instruction so that these students can profit from teaching is an intricate process. Because of the heterogeneous nature of this group of children, the concept of specific learning disabilities has been hard to define or describe in few sentence or by a numerical score such as an IQ or by a decibel loss. Furthermore, because the field has been of interest to educators, psychologists, psychiatrists, neurophysiologists, pediatricians, ophthalmologists, optometrists, speech pathologists, and others, the problem has been viewed in each of those disciplines from different perspectives. Hence there is really the need for several definitions for learning disabilities and thus we can conclude that its definition is defined in â€Å"case to case† basis. Definition of Learning Disabilities Historically, the following terms were used to name children with Learning disabilities: ââ€"   perceptually handicapped ââ€"   brain injured ââ€"   neurologically impaired Then, there came two broad aspects of concern in defining and or identifying those children: biological etiology- â€Å"minimal brain dysfunction†, psychoneurological learning disorders. behavior – â€Å" developmental disparity in psychological processes†, developmental imbalance† The definition of learning disabilities in an educational term has derived its heritage from: ââ€"   neurology ââ€"   psychology ââ€"   speech pathology ââ€"   ophthalmology ââ€"  Ã‚   remedial reading      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Wiederholt (1984) has traced the history of Learning disability and has delineated three dimensions of disorders namely: (1) disorders of the spoken language studied primarily by neurologists and ophthalmologists such as; ââ€"   Samuel Kirk developed a test, the Illinois Test of Psycholinguistic Abilities, for use in describing language functioning and developing remedial programs. disorders of written language represented mostly by psychologists, speech pathologists, and educators such as; ââ€"   Grace Fernald established a clinic at UCLA where she perfected remedial reading and spelling techniques. disorders of perceptual and motor behaviors studied mostly by a number of disciplines such as; ââ€"   Goldstein, Werner and Strauss as pioneers of the field which listed the following behavioral characteristics that differentiated between those with and those without brain injuries: excessive motor activity, hyperactivity, awkwardness and consistently poor motor performance, erratic behavior, poor organization, high distractibility and faulty perceptions (like reversals) and ââ€"   Samuel Orton was a neurologist who believed that lack of cerebral dominance was a cause of language disorders. (In normal individual either the left or right side of the brain has dominance in controlling specific functions.) ââ€"  Ã‚  Ã‚   Cruickshank focused his efforts on the study of brain-injured children, specifically children with cerebral palsy. ââ€"   Getman, Marianne Frostig, Newell Kephart, and Ray Barsch focused on the correlation of perceptual disorders and developed remedial procedures ranging from optometric eye exercises, tracing and copying patterns, and differentiating figure from background in a puzzle, to making angels in the snow.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Today, there are various provinces in Canada that have established programs for learning disabilities which was instituted for example by ââ€"   The Ontario Ministry of Education ââ€"   Saskatchewan Department of Education ââ€"   Halifax Board of Education and ââ€"   Quebec Ministry of Education But the most widely used definitions is the one incorporated by the Learning Disabilities Association of Canada or LDAC (2002) which state that, the term â€Å"Learning Disabilities refer to a number of disorders which may affect the acquisition, organization, retention, understanding or use of verbal or nonverbal information. These disorders affect learning in individuals who otherwise demonstrate at least average abilities essential for thinking and/or reasoning. As such, learning disabilities are distinct from global intellectual deficiency. Learning disabilities result from impairments in one or more processes related to perceiving, thinking, remembering or learning. These include, but are not limited to: language processing; phonological processing; visual spatial processing; processing speed; memory and attention; and executive functions (e.g. planning and decision-making)†. Further, LDAC mentioned that learning disabilities range in severity and may interfere with the acquisition and use of one or more of the following: oral language (e.g. listening, speaking, understanding); reading (e.g. decoding, phonetic knowledge, word recognition, comprehension); written language (e.g. spelling and written expression); and mathematics (e.g. computation, problem solving). Further, the U.S. Department of Education regulation further states that a student has a specific learning disability if: the student does not achieve at the proper age and ability levels in one or more of several specific areas when provided with appropriate learning experiences; the student has a severe discrepancy between achievement and intellectual ability in one or more of these seven areas: (a) oral expression, (b) listening comprehension, (c) written expression, (d) basic reading skill, (e) reading comprehension, (f) mathematics calculation, and (g) mathematics reasoning. To summarize, all these definitions of learning disabilities, it includes the following major concepts: The individual has a disorder in one or more of the basic psychological processes.   Ã‚  Ã‚   (These processes refer to intrinsic prerequisite abilities, such as memory, auditory   Ã‚  Ã‚  Ã‚   perception, visual perception, oral language, and thinking.) The individual has difficulty in learning, specifically, in speaking, listening, writing, reading (word-recognition skills and comprehension), and mathematics (calculation and reasoning.) The problem is not primarily due to other causes, such as visual or hearing impairments; motor handicaps; mental retardation; emotional disturbance; or economic, environmental, or cultural disadvantage. A severe discrepancy exists between the student’s apparent potential for learning and   Ã‚  Ã‚  Ã‚   his or her low level of achievement.   In other words, there is evidence of   Ã‚  Ã‚  Ã‚   underachievement.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The various definitions of learning disabilities have several elements in common: neurological dysfunction uneven growth pattern difficulty in academic and learning tasks discrepancy between potential and achievement exclusion of other causes Identification of Learning Disabilities In identifying individuals with learning disabilities, the following common characteristics must be observed: ââ€"   Disorders of attention: Hyperactivity, distractibility, poor concentration ability, short attention span; ââ€"   Poor motor abilities: Poor fine and gross motor coordination, general awkwardness and clumsiness, spatial problems; ââ€"   Perceptual and information processing problems: Difficulty in discrimination of auditory and visual stimuli, auditory and visual closure, and sequencing; ââ€"   Oral language difficulties: Problems in listening, speaking, vocabulary, and linguistic competencies; ââ€"   Failure to develop and mobilize cognitive strategies for learning: Lack of organization, active learning set, metacognitive functions; ââ€"   Reading difficulties: Problems in decoding, basic reading skills, and reading comprehension; ââ€"   Written language difficulties: Problems in spelling, handwriting, and written composition; ââ€"   Mathematics difficulties: Difficulty in quantitative thinking, arithmetic, time, space, and calculation facts; and ââ€"   Inappropriate social behavior: Problems in social skills deficits, emotional problems, and establishing social relationships. There are also other practical classification schemes that are useful: (1) the academic learning disabilities ( reading, arithmetic, handwriting, spelling, and written expression) (2) the developmental learning disabilities: ( attention, memory, perceptual skills, thinking skills, and oral language skills) A somewhat more systematic way to look at characteristics of students with learning disabilities is to look at those factors referenced in screening devices.   The following outline reflects the types of difficulties often observed in learning disabled students: (1) significantly different classroom behaviors difficulty in beginning or finishing tasks difficulty in organizing inconsistent in behavior difficulty in peer relationships (2) significantly below-average performance in auditory comprehension and listening difficulty in following directions difficulty in comprehending or following class discussions inability to retain information received aurally difficulty in understanding or comprehending word meanings (3) significantly below-average performance in spoken language use of incomplete sentences or unusual number of grammatical errors use of immature or improper vocabulary or very limited vocabulary difficulty in recalling words for use in self-expression difficulty relating isolated facts, scattered ideas difficulty in relating ideas in logical sequence (4) significant academic problems difficulty in reading fluency difficulty in associating numbers with symbols incorrect ordering of letters in spelling confusion of manuscript and cursive writing avoidance of reading confusion of math concepts – addition, multiplication (5) orientation difficulties poor time concept, no grasp of meaning of time difficulty in â€Å"navigating† around building or school grounds poor understanding of relationships (big, little, far, close, under, on, near) inability to learn directions (north, south, left, right) motor disabilities or significant underdevelopment for age poor coordination very poor balance awkward, poorly developed manipulative or manual dexterity lack of rhythm in movements III. Intervention for Learning Disabilities. This knowledge of the characteristics of learning disabled students is one basis for intervention. Thus, we have seen that children with learning disabilities compose quite a diverse group.   It should be no surprise then to find that the teaching and strategies approaches designed to help those children are also quite a diverse. But it is possible to cluster the various approaches into three broad educational strategies: task training, in which the emphasis is on the sequencing and simplication of the task to be learned. ââ€"   Ysseldyke and Salvia (1984) have advanced tow theoretical models namely: (a) analyzing the child’s abilities and disabilities and (b) analyzing the task and the direct training of the terminal behavior or task. This view is supported by behavioral analysts who advocate (1) finding out what the child can and cannot do in a particular skill, (2) determining whether or not the child has the behaviors needed to succeed in the task, (3) defining the goals in observable terms, and (4) organizing a systemic remedial program using reinforcement techniques. The applied behavior analysts do not infer processes or abilities that underlie difficulties but rely solely on the child’s interactional history and the current behavior and environmental situation.   They feel that their approach, which is task oriented and observable, is the most parsimonious approach, and to some it is the only approach needed. ability or process training, in which the focus is on the remediation and simplification of the task to be learned. Quay (1983) discussed the relative efficacy of ability or process training.   He stated that three approaches to remediation have evolved: (1) remediating a disability so that learning will be facilitated at a later date, (2) training and ability or process for its own sake, and (3) direct training of the task.   He concludes that the direct instruction method (task training) should be tried first and then discarded in favor of other methods if direct instruction is not successful. ability – or process-task training, in which the first two approaches are combined and integrated into one remedial program. Raschke and Young (1986) support this approach.   They compared the behavior – analysis model with the diagnostic-prescriptive model. They state that neither approach alone has the answer and propose what they call a dialectic-teaching approach into one system. Essentially the model assesses the abilities and disabilities of the children (intraindividual diffences), makes task analyses of the skills to be learned, and prescribes remediation in the functions and skills to be developed. This dialectic system they maintain â€Å"permits the teacher to assess, program, instruct, and evaluate the child’s psycholinguistic characteristics in the same system as his skill competencies and consequential variables†. Hence, the task of developing a definition of learning disabilities proved to be a formidable challenge.   Indeed, defining this population is considered such an overwhelming task that some have likened learning disabilities to Justice Potter Stewart’s comment on pornography: impossible to define, â€Å"but I know it when I see it.† Thus, defining learning disabilities in a way acceptable to all has continued as a debatable issue since the inception of the field.   Although a number of definitions have been generated and used over the years, each has been judged by some to have some shortcomings.  Ã‚   There are many types of disabilities, each of which may require a unique diagnosis and a unique remedial method. POSITION PAPER   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The definitions of learning disabilities are numerous and so varied that it is difficult to present taxonomy or even a specific list of these different definitions.   The definition of learning disabilities is a problem in much of the nations throughout the world. This problem first came out when some parents in the United States became concerned because their children who were not learning in school were rejected from special education since they were not mentally retarded, deaf or blind, or otherwise handicapped.   Their children were called by various names such as; neurologically handicapped, brain-injured, aphasodic, dyslexic, and perceptually handicapped. In spite of its current widespread use, the term learning disability is vulnerable to misunderstanding and misuse. The condition is difficult to define operationally since the designation learning disability is an umbrella term for a variety of deviations that are not included in traditional categories of exceptional children. Also it has been confused with general learning problems that are common to some degree in most children. In addition, it has been misused to include educational retardation, which is found in slow learning children and in children who have not learned because of poor teaching or absence from school. Another vulnerability of the term comes from the difficulty in drawing an explicit line between normal and abnormal.   Some allowances must be made for biological and psychological diversity, and considerable variation in abilities is accepted as normal. So, the question now is, â€Å"If there are objections to the term learning disabilities, why use it?   Why not use some other term? Well and good, if a better term can be found.   Other terms are either too specific or too broad.   Dyslexia for example, only refers to severe reading disability and it is not the only learning disability.   Brain injury has little or no educational relevance.   Perceptual handicaps exclude children with language disorders. Hence, the label learning disability has evolved to encompass the heterogeneous group of children not fitting neatly into the traditional categories of handicapped children. And that, substantial number of children show retardation in learning to talk, do not acquire other communication skill, do not develop normal visual or auditory perception, or great difficulty in learning to read, to spell, to write, or to make arithmetic calculations. Some of them even, are not receptive to language but are not deaf, some are not able to perceive visually but are not blind, and some cannot learn by ordinary of method of instruction but are not mentally retarded. Although such children are from a heterogeneous group and fail to learn for diverse reasons, they have one thing in common: they do not perform as well in school as they could. Discussing the problem and the difficulties of names for these children, Kirk (1963) explained that sometimes classification labels block our thinking. He further stated that it is better to state that a child has not learned to read than to say the child is dyslexic. So he advised that the name should be functional.   He suggested further that since the parents were interested in service to their children, it might be preferable to use a term related to teaching or learning and that the term learning disability might be preferable over the currently used terms such as cerebral function and brain injured. The term learning disabilities were agreed by these parents and they consider it more appropriate since it implied teaching and learning and since they were interested primarily in service for their children. So, one of the major problems of definition is that a learning disability is not as obvious or homogenous as blindness or deafness. There are many types of disabilities, each of which may require a unique diagnosis and a remedial method may vary differently from another condition also termed a learning disability. It is no wonder that many students, teachers, and parents have become confused about the term learning disability and the characteristics of children so labeled. This confusion appears to be international and is illustrated by the remarks of a teacher who, in testifying to a government committee studying the subject (Learning Difficulties in Children and Adults, 1986), stated:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   I find myself asking the following questions:   What does the term â€Å"learning difficulty† mean?   Does the term â€Å"learning difficulty† mean the same as â€Å"learning disability†? How about the term â€Å"dysfunction†? What does the term â€Å"minimal brain dysfunction† mean? Do they all mean the same? Certainly, all these labels are not necessary, or are they? Does labeling a child with learning problems create more problems? It all becomes a bit confusing†¦The terminology changes often, varies from state to state and from country to country. Out of these definitions, came my own definition of learning disability: Learning disability describes a result rather than the cause of the learning disability.   Therefore, the conditions we call a learning disability is defined in terms of the student’s difficulties – what he can and cannot do in school – and focuses primarily on the academic performance.   So, one cannot be labeled as learning disabled if he has not yet started formal schooling as the label learning disabled indicates that a student is having unusual learning difficulties and involves speculations to possible causes, but it specifically indicates that the primary cause cannot be a condition such as mental retardation, hearing or visual impairment, and so on. Learning disabilities should be identified in the formal school context. Thus, preschoolers should not be labeled as learning disabled as growth rates are so unpredictable at young age,   In addition, very young children who appear to have problems may be identified under a noncategorical label, such as developmentally delayed.   For many children, learning disabilities first become apparent when they enter school and fail to acquire academic skills.   The failure often occurs in reading, but also happens in mathematics, writing, or other school subjects.   Among the behaviors frequently seen in the early elementary years are inability to attend and concentrate; poor motor skills, as evidenced in the awkward handling of a pencil and in poor writing; and difficulty in learning to read.  Ã‚  Ã‚  Ã‚   In the later elementary years, as the curriculum becomes more difficult, problems may emerge in other areas, such as social studies or science.   Emotional problems also become more of an impediment after several years of repeated failure, and students become more conscious of their poor achievement in comparison with that of their peers.   For some students, social problems and inability to make and keep friends increase in importance at this age level. A radical change in schooling occurs at the secondary level, and adolescents find that learning disabilities begin to take a greater toll.   The tougher demands of the junior and senior high school curriculum and teachers, the turmoil of adolescence, and the continued academic failure may combine to intensify the learning disability.   Adolescents are also concerned about life after completing school.   They may need counseling and guidance for college, career, and vocational decisions.   To worsen the situation, a few adolescents find themselves drawn into acts of juvenile delinquency.   Because adolescents tend to be overly sensitive, some emotional, social, and self-concept problems often accompany a learning disability at his age.   Most secondary schools now have programs for adolescents with learning disabilities. Many teachers in Canada suggested that we abolish the label learning disability, and merge it with the emotionally disturbed and the educable mentally retarded and only deal with the child from an instructional point of view by defining learning tasks so that they can be taught step by step.   I strongly opposed with this suggestion.   Though maybe it is possible for the child with severe learning disability, but this approach is not sufficient to mild learning disabilities students. This is one of the greatest sources of controversy about the identification issues. The question of how much academic and learning retardation is evidenced before an individual should be identified as learning disabled.   Aside from identifying children with learning disability, it is very important to judge the extent of a child’s learning disability as either mild or severe.   Determining the level of severity is helpful in placement and in planning teaching delivery.   I strongly suggest that students with mild learning disabilities should be given different remediation from those of students who have severe learning disabilities. At this point, it is very crucial to differentiate the two cases.   Mild learning disabilities describe the problems of many students.   Students with mild learning disabilities usually have a disability in just one or two areas of learning, and although they need supportive help and special teaching, they can probably get along – at least for part of the day – in the regular classroom. So, within the regular classroom, the regular teachers should often make changes in instruction that will benefit these students. On the other hand, students with sever learning disabilities pose a very different problem and they require quite different educational services.   These students are likely to lag significantly in several areas of learning and to have concomitant social, emotional, or behavioral problems.   They need the environment of a special classroom, should contact mainly with one teacher, and should be given special services for most of the day.   Because of the intensity of their problems, the special class should be given fewer students than the regular classroom.   I suggest the 1:3 teacher to student ratio is the best to maximize and hasten the remediation process.   However, students with severe learning disabilities can gradually be mainstreamed for special subjects or activities or placed in the resource room, or even back in the regular classroom as their progress permits.   Because of these definitions; teachers, guidance councilors, and other school personnel, play the biggest role in identifying, diagnosing, remediating or treating this kind of disability within the school context.   So any teaching/service delivery should best meet the requirements needed to serve properly learning disabled students within the regular classroom.   Hence, learning disabled students should be treated or given remediation within the given school context with the greatest help of the regular classroom teacher but the guidance of the learning disabilities specialist.   So, it is implied that each school should have a learning disabilities specialist. With this, a change in the administrative arrangements for the placement for instruction of children with learning disabilities is a must.  Ã‚   It is important to take note that in the past, the rapid growth of special education was in the direction of removing atypical children from the mainstream of regular classroom and placing them into special education programs. Even the regular education supported this movement which maybe because the responsibility of educating children with a variety of learning problems is transferred to the domain of special education, and that would really lighten the work load of regular teachers.  Ã‚   But that should not be the case and I do not support that movement. The trend should be reversed and all students with learning disabilities should be brought back into the regular classroom with the regular students and in the hands of the regular teacher with the help of the learning disabilities specialist.     Ã‚  A number of movements and researches support this claim. The influential movement that supports this claim is the REI or the regular education initiative led by Madeline Will, the director of special education in the U.S. Office of Special Education in 1986.   She stated that this initiative is designed to promote collaborative efforts among regular and special educators and â€Å"shared responsibility† (Will, 1986).   In this initiative, regular and special educators were encouraged to pool their talents and coordinate their efforts in planning and teaching.  Ã‚   I greatly support this initiative as the underlying premise of this concept is that student’s learning disabilities can be more successfully taught in the regular education classroom than in special education classes or resource room. By promoting the merging of special and regular education, the regular education initiative reflects a major change in the way students with learning disabilities are identified, assessed, and educated. The approach is supported by many special educators (Lloyd, Singh, Repp, 1991; Maheady Algozzine, 1991; Biklen Zollers, 1986; Greer, 1988; Reynolds, Wang Walberg, 1997).     Ã‚  A specific example is, more than fifty years ago, Samuel Kirk, in his presidential address to special educators, emphasized that all teachers (regular and special educators) have the responsibility for teaching learning disabled children.   Kirk implored that â€Å"every teacher †¦ is a teacher of learning disabled children† (Kirk, 1941).   He further wrote the following: Actually the education of exceptional children is not wholly the responsibility of any one group of teachers †¦. It is hoped that in the future all special class teachers will not only be responsible for the education of children in their classroom, but will take on the added responsibility of contributing their knowledge and special skill to the regular classroom teacher †¦ who (has0 many learning disabled children in (the) classroom. (Kirk, 1941) In 1968, Lloyd Dunn wrote an influential article about the benefits of having special educators work with regular teachers in serving learning disabled children (Dunn, 1968). Another view to change the administrative arrangement in special education is to group children with different disabilities together for instruction.   This categorical system in special education historically evolved as the field of special education developed.   Each category of disability (such as visual impairment, hearing impairment, mental retardation, orthopedic disabilities, speech disorders, emotional disturbance, and learning disabilities) became established individually over the years when there was sufficient interest in that particular area of exceptionality.   This concept emphasizes the common characteristics among students with disabilities and the common instructional methods for teaching students with various disabilities.   In this system, students with learning disabilities, behavior disorders, and mental retardation are often grouped together. Some parents and special educators are concerned that children with learning disabilities might be lost in the shuffle of this kind of placement, if such classes become a dumping ground for students with a variety of unrelated problems.   The resulting diversity of learning and behavior problems would impede teachers in helping students with learning disabilities. But this view is also opposed by a number of authors and has even provoked unusual levels of confusion, emotion, and debate within the special education community (Jehkins Pious, 2001).   Moreover, other special educators and parents, express concern regarding the regular education initiative movement and caution that more study is needed before making full-scale and far-reaching changes in procedures and policies that will affect the lives of students with learning disabilities (Lloyd et al., 1991; Journal of Learning Disabilities, 1988; Cannon, 1988; Kaufman, Gerber, Semmel, 1998; McKinney Hocutt, 1988, Lerner, 1997). But these opposing views have no substance and should be disregarded altogether.   Fuchs Fuchs (2000) have conducted research on the perceptions of and attitudes toward the regular education initiative among both regular and special educators.   These studies suggest that neither regular nor special education teachers are dissatisfied with the current special education delivery system.   In fact, the teachers favored the resource room model over the consultant model.   Many of the teachers saw no improvement in the achievement levels for either special or regular education students as a result of the regular education initiative reforms.   The success of the initiative depends on the support of regular and special teachers (Semmel, Abernathy, Butera, Lesar, 1991; Coates, 1989).   Moreover, the research prove that merely shifting the responsibility from the resource room teacher to the regular or a consultant is not enough to ensure the success of the reform. Hence, major policy changes in regular education profoundly affect students with learning disabilities.   Several recent national study commissions on the poor quality of schools serving the learning disabled students.   It is my fear that, most school’s pursuit for academic excellence standards will left behind students with learning disabilities – or they will be the losers.   Being unable to meet the educational standards set by the pursuit-of-excellence movement, some students with learning disabilities will be denied a high school diploma and thus be denied the opportunity to complete their schooling.   Further, if regular teachers are held accountable for the academic excellence of their students, they will be reluctant to accept the responsibility for hard-to-teach students.   Some special educators predict that the push for excellence may serve to widen the schism between regular and special education (Pugach Sapon-Shevin, 1997). Hence, it is my challenge to educators and healthcare professionals to undergo another education reform movement where school curriculum requirements for the learning disabled should be added to the current curriculum standards for the regular students. So in this recommendation for curriculum changes, a greater consideration should be given for the learning disabled students.   But this should be within the context of the regular education curriculum. This approach is same with the integration of regular and special education.   Some special educators also are now urging that the integration process should be taken much further – that the current special education system should be drastically restructured and that regular and special education should be merged into a single system (Kauffman Trent, 1991).   Such educators cite several reasons for changing the current system.   Special education, they maintain, is not effective when it occurs outside of the regular classroom.   In addition, the physical separation of students with disabilities is demeaning and degrades instruction.   These special educators maintain that integrated special education is more effective than separate programs. So the delivery options for teaching students with learning disabilities should also include regular classes and resource room classes.   This approach is concomitant to the observation that successful adults with disabilities have learned to function comfortably in society as it exists – an unrestricted environment composed of all people.   To promote experiences in the greater society, it must be ensured that, to the extent appropriate, students with disabilities should have experiences in school with regular (or non-special education) students. Since society includes the family, parents too should not be forgotten as an important element in the entire complex.   Parents are a vital component in the student’s education. These parents of children with learning disabilities need help in accepting their situation.   Mental health professionals should help make parents be aware that the problem must be faced both by the child and by other members of the family.   In addition to an honest acceptance of the disability, there must be recognition that improvement is often a slow process. So any approach concerning children with learning disability should establish healthy parental attitudes and ensure parent-teacher cooperation is of course, very necessary.   Parent support groups and family counseling are effective in assisting parents understand their children and their problems and in finding ways to help their children within the home.   In addition, parent-teacher conference can become a bridge between the home and school and can involve parents in the educational process. Learning disabilities is now at a crossroads, as it seems to have been throughout its thirty-year history.   Many innovative ideas are only in their beginning stages and will develop more fully in the years to come. The approach I suggested as discussed in this paper is one of those ideas.   It is very important for this approach that more students with learning disabilities are served through regular education.   In addition, there should be more collaboration between special and regular educators.   A consequence of all of these shifts is that the responsibilities of learning disabilities teachers will change to meet the new demands. References Bush, W., and Giles, M.(1979).   Aids to Psycholinguistic Teaching. Columbus,   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Ohio: Charles E. Merrill. Clements, S. (1986). Minimal Brain Dysfunction in Children.   Public Health   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Service Publications. Department of Health, Education, and Welfare:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Washington, D.C. 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