Tag Archives: ADHD

EXECUTIVE FUNCTION: tips

EXECUTIVE FUNCTION suggestions:
* ask teachers to check if child wrote assignments in agenda
* post schedules and directions and SAY THEM OUT LOUD
* give step by step directions and HAVE CHILD REPEAT THEM
* use checklist and color-coded supplies
* break projects into smaller pieces with OWN DEADLINES
* use graphic organizers or mind-mapping software
* follow daily schedules with built-in times for breaks
* with your doctor, consider ADHD medication
 
source: http:www.understood.org, adapted from Thomas E Brown PhD
Reading / writing tutor in Columbus OH: Adrienne Edwards 614-579-6021 or email aedwardstutor@columbus.rr.com

+ Expert: Signs of ADHD Evident by PreSchool

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Early identification of issues improves odds for social and academic success later.

It is important to recognize and treat ADHD early because the condition has a profound effect on learning and academic development, according to Dr. Mark Mahone, director of the department of neuropsychology at Kennedy Krieger Institute in Baltimore.

He says

Children whose symptoms begin in early childhood are at highest risk for academic failure and grade repetition.

Research shows that children with ADHD have abnormal brain development, meaning that ADHD has a biological basis that often makes it a lifelong condition.

According to Mahone, parents should pay close attention to the behavior of their young children.  In children aged 3 to 4, the following behaviors are often associated with a diagnosis of ADHD by the time children reach school age:

  • Avoids or dislikes activities that require more than one or two minutes of concentration
  • Loses interest in activities after a few minutes
  • Talks a lot more and makes more noise than other children the same age
  • Climbs on things despite being told not to
  • Unable to hop on one foot by age 4
  • Almost always restless and insists on getting up after being seated for only a few minutes
  • Acts fearless, which results in dangerous situations
  • Warms up to strangers too quickly
  • Behaves aggressively with friends
  • Has been injured after moving too fast or running after being told to slow down

If parents observe these symptoms, and have concerns about their child’s development, they should consult with their pediatrician or another developmental expert, says Mahone.

“There are safe and effective treatments that can help manage symptoms, increase coping skills and change negative behaviors to improve academic and social success.”

Mahone and his colleagues used neuroimaging.  They found that children with ADHD have a smaller caudate nucleus  (which is a small structure in the brain associated with thinking and motor control) than other children their age.  The researchers hope their research leads to earlier interventions for children with ADHD to improve educational outcomes.

Although the causes of ADHD aren’t really known, studies suggest that genes play a role.  Scientists are also looking into whether brain injuries, diet and social environment contribute to the disorder.

For more information on ADHD, visit http://www.cdc.gov

Source: http://medicalxpress.com

Orton-Gillingham tutoring in Columbus OH:  Adrienne Edwards  614-579-6021 or email aedwardstutor@columbus.rr.com

+ Free Community Parent Seminars at Central Ohio’s Marburn Academy

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Marburn Academy, central Ohio’s premier K-12 school for bright children with learning challenges, continues its free parent seminars.

  • Tuesday, June 12
  • 7-9 pm
  • “Understanding the Problems of ADHD Children”

The following week:

  • Tuesday, June 19th
  • 7-9 pm
  • “Improving Self-Management Skills for ADHD Students”

Are you a parent or grandparent who needs to know more about how to help a child with ADHD succeed?  Families of children who are impulsive and distractible often find school to be more difficult than expected.  But ADHD children can learn to do well if parents truly understand and know the right strategies to apply.

If you would like to know more, consider attending Marburn’s Free Community Parent Seminars — the information just might make all the difference in the life of your family.

Reservations: let them know to expect you.  Email bdavidson@marburnacademy.org or phone 614-433-0822.

Marburn Academy is located at 1860 Walden Drive, Columbus OH 43229.  Visit their website at www.marburnacademy.org.

Orton-Gillingham tutoring in Columbus OH:  Adrienne Edwards  614-579-6021 or email aedwardstutor@columbus.rr.com

+ ADHD: Therapy Better Than Drugs?

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Since the 1970s, stimulant drugs have been seen as the dominant way to help ADHD students focus.  But research now suggests that behaviorally-based changes are more effective in the long run.

An  article in Scientific American on May 15 2012 reports that a new synthesis of behavioral, cognitive and pharmacological findings emerged when experts in ADHD research presented their work at an Experimental Biology meeting in San Diego.

The findings suggest that behavioral and cognitive therapies focused on reducing impulsivity, and reinforcing positive long-term habits, may be able to replace current high doses of stimulant treatment in children and young adults.

Recently, surveys have shown that 9 percent of all children in the US have been diagnosed with ADHD.  The core symptoms of ADHD include hyperactivity, inattention, inability to perform monotonous tasks, and a lack of impulse control.

Such children have difficulty in school as well as in forming relationships.  Nearly sixty percent will continue to suffer from the disorder well into adulthood.

By 2007, 2.7 million children were being treated with stimulant drugs.  Psychologist Claire Advokat of LSU has looked into the effects of stimulant medications in college students.  She is interested in finding what improves with medication and what does not.

She found, to begin with, that people diagnosed with ADHD have lower grades and lower ACT scores.  In addition, they drop more courses than their peers.

She also found that these issues were not improved by stimulant medication treatment.

Instead, Advokat discovered that — naturally — ADHD students divided into those who had good study habits and those who did not, regardless of treatment.  It appeared that those with good study habits did not need medication to bolster their grades.

She hypothesizes that it is not that medication has no effect, but that “it may be that the medication can help, not in helping you remember, but in helping you form the good study habits.”  Her findings suggest that if ADHD patients could learn good study habits early on, medication would become less necessary.

Other research examined the role of behavioral interventions, not only for children, but also for their parents.

Parents of children with ADHD exhibit more parenting-related stress and difficulties than parents of students who are not afflicted.  After training parents in stress management, and giving them behavioral tools to help their children, says psychologist Bill Pelham of Florida International University, he and his colleagues saw significant improvement in the youngsters’ ADHD-related behavior, such as  frequency of classroom disturbance.

Pelham has also shown that behavioral therapy  for the children themselves produces equivalent results to those seen from medication.  He feels that his data suggests that a lower drug dosage, combined with behavioral therapy, may provide a far better outcome  than either medication or therapy alone.

Additionally Julie Schweitzer and colleagues, at the MIND Institute at UC Davis, published  a 2011 PLoS ONE paper, with results showing extra activity in brain areas associated with “task-irrelevant” information during working memory tasks.  It appears that such students have less efficient cognitive control.  Schweitzer’s recent work indicates that cognitive therapy could improve control, thereby potentially reducing the need for medication to “drown out” extraneous information.

At the San Diego meeting, Advokat, Schweitzer, Pelham and others agreed that behavioral therapies deserve renewed focus.  Therapies come with no drug tolerance; they offer no fear of subsequent substance abuse.

The trick, they feel, will be in identifying which of the new therapies are most effective and, additionally, making those therapies affordable.  While stimulant medications are much cheaper and faster at the moment, the “long run” is what matters most to those involved.

Visit: http://www.scientificamerican.com/article.cfm?id=adhd-behavioral-therapy-more-effective-drugs-long-term&print=true

Orton-Gillingham tutoring in Columbus OH: Adrienne Edwards  614-579-6021 or email aedwardstutor@columbus.rr.com 

+ Central Ohio Free Parent Seminar at Marburn Academy June 14

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Marburn Academy offers free parent seminars from time to time on various topics relating to learning , dyslexia, study skills, student support and other related issues.

On June 14, at 7:00 p.m., the topic will be “Understanding the problems of ADHD Children” (part 1 of a series).

Reservations are required.  Call Barbara Davidson at 614-433-0822, or email bdavidson@marburnacademy.org.

Marburn Academy is Central Ohio’s premier K-12 school for bright children with learning challenges.  It is located at 1860 Walden Drive, Columbus 43229.

tutoring in Columbus OH:  Adrienne Edwards 614-579-4021 or email aedwardstutor@columbus.rr.com

+ The Science of Concentration

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John Tierney reviews a book, “Rapt: Attention and the Focused Life,”  by Winifred Gallagher.  The book is a guide to the science of paying attention.

After she learned she had a nasty form of cancer, Gallagher chose the theme of the book.  It is borrowed from William James: “My experience is what I agree to attend to.”  

You can lead a misrable life by obsessiong on problems, or you can recognize your brain’s finite capacity for processing information and accentuate the positive.

Tierney spoke to Gallaher and one of the experts cited in her book, Robert Desimone, a neuroscientist at MIT, who has been doing experiements tracking the brain waves of macaque monkeys and humans as they stare at video screens lokking for certain flashing patterns.

When something bright or novel flashes, it automatically tends to win the competition for the brain’s attention. 

But that involuntary bottom-up impulse can be voluntarily overridden through a top-down process called “biased competition.”  

Desimone is director of the McGovern Institute for Brain Research at MIT.  He and his colleagues found that neurons in the prefrontal cortex — the brain’s “planning center” — start oscillating in unison and send signals directing the visual cortex to heed something else.

These oscillations are gamma waves that are created by neurons’  firing on and off at the same time — a feat of neural coordination Tierney likens to getting strangers in a stadium to start clapping in unison, thereby sending a signal that induces people on the other side of the stadium to start clapping along.

However, in a “noisy” environment, these signals can have difficulty getting through.  Says Desimone

It takes a lot of your prefrontal brain power to force yourself not to process a strong input like a television commercial.  If you’re trying to read a book at the same time, you may not have the resources left to focus on the words.

Now that this synchronizing mechanism in the brain has been identified, researchers have started work on therapies to strengthen attention.

In the current issue of Nature, researchers from Penn, MIT and Stanford report that they directly induced gamma waves in mice by shining pulses of laser light through tiny optical fibers on to genetically engineered neurons. 

And in the latest issue of Neuron, Desimone and colleagues report progress in using this “optogenic” technique in monkeys.

Ultimately says Desimone, it may be possible to improve your attention by using pulses of light to directly sychronize your neurons as a form of direct therapy. 

This might help people with schizophrenia and attention-deficit problems (and might have fewer side effects than drugs).  If it could be done with low-wavelength light that penetrates the skull, you could simply put on — or take off — a tiny wirelessly controlled device that would be a bit like a hearing aid.

And in the nearer future, neuroscientists might also help us focus by observing our brain activity, and providing biofeedback as we practice improving our concentration.

Researchers have already observed higher levels of synchrony in the brains of people who regularly meditate.

Winifred Gallagher advocates meditation to increase focus, but she says there are also simpler ways to put the researchers’ information to use. 

For example, once she learned how hard it was for the brain to avoid paying attention to sounds, particularly other people’s voices, she began carrying ear plugs.  If you’re trapped in a noisy subway or a taxi with a TV that won’t turn off, Gallagher says you have to build your own “stimulus shelter.”

She also recommends starting your work day concentrating on your most important task for 90 minutes. 

At that point your prefrontal cortex probably needs a rest; this is when you can answer email, return calls and caffeinate (this does help attention).  But don’t get distracted until that first break — it takes 20 minutes to reboot after an interruption.

(For more advice, got to www.nytimes.com/tierneylab.)

Says Gallagher

Multitasking is a myth.  You cannot do two things at once.  The mechanism of attention is selection: it’s either this or it’s that.

She points to calculations that the typical person’s brain can process 173 billion bits of information over the course of a lifetime.

People don’t understand that attention is a finite resource, like money.  Do you want to invest your cognitive cash on endless Twittering or Net surfing or couch potatoing?   You’re constantly making choices, and your choices determine your experience, just as William James said.

sole source:  John Tierney’s article on 5/5/09 in the nytimes.  www.nytimes.com   “Rapt: Attention and the Focused Life,” by Winifred Gallagher, Penguin Press, $25.95.  ISBN 9781594202100.

tutoring in Columbus OH:   Adrienne Edwards   614-579-6021   or email  aedwardstutor@columbus.rr.com  

+ Central Ohio: Free Parent Seminar on ADHD and Medication

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Marburn Academy, Columbus Ohio’s premiere K-12 school for children with learning challenges, is offering another of its Free Community Parent Seminars.

  • Tuesday April 7th at 7:00 pm.
  • Marburn Academy 1860 Walden Drive, Columbus OH 43229
  • Title: ADHD Students and the Role of Medication.

Please RSVP to Barbara Davidson.  bdavidson@marburnacademy.org, or 614-433-0822. 

For information about Marburn Academy, visit www.marburnacademy.org.

tutoring in columbus OH:   Adrienne Edwards   614-579-6021   or email  aedwardstutor@columbus.rr.com

+ “The Fonz” Statue to be Unveiled on Milwaukee’s Riverwalk

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Actor Henry Winkler and cast members of the 1950’s era sitcom “Happy Days” will be present when the bronze statue of “the Fonz” is unveiled in Milwaukee on August 19th, 2008.

Winkler, who played Arthur Fonzarelli in the TV series, says “I think it’s one of the greatest honors for me.  It’s right up there with putting my jacket in the Smithsonian Institution.”  The Fonz’s leather jacket was a signature prop, always associated with his bad-boy, “king of cool” character.

There will be autograph signings, free frozen custard, a parade and ceremonies before the Milwaukee Brewers-Houston Astros game.  A poster of “the Fonz” will be sold to benefit the Boys and Girls Clubs of Greater Milwaukee.

The statue will be a constant reminder that the TV series, which was produced from 1974 to 1984, is part of Milwaukee’s cultural heritage.

Henry Winkler, as many people know, has published 15 books about “Hank Zipzer: The Mostly True Confessions of the World’s Best Underachiever.”  The books are based on Winkler’s harrowing experiences as a boy with dyslexia and ADHD.  He has become a national speaker on dyslexia and the impact it had on his life.

As for the character of the Fonz, Winkler used the character to send positive messages to millions of TV viewers about serious issues such as bigotry and illiteracy, says Anson Williams, who played Potsie on the show.

Recalling an episode where Fonzie got a library card, Williams says a few days after the episode aired libraries across the country reported a huge spike in the number of people applying for cards.

“He used the show as a platform to teach morals and values and yet he was still cool,” says Williams.  “That staue is well deserved because 50 to 100 years from now, that character will still be cool.  Everyone loves a rebel at heart.”

sole source: Peg Masterson Edquist’s article in the Business Journal of Milwaukee on 8/13/08.  www.milwaukee.bizjournals.com

tutoring in Columbus OH:   Adrienne Edwards   614-579-6021   or email  aedwardstutor@columbus.rr.com

+ Valuable Site Offers Back to School Suggestions for Parents

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A great resource: www.schoolpsychologistfiles.blogspot.com , a Special Education Support blog created by Erin N King, a nationally certified school psychologist.  Go there for parental support, information about special education procedures,  and parent rights matters.

Subscribe to her free monthly newsletter.

The latest includes back to school advice for parents of struggling students.  At this time, when emotions may be running high, she suggests

Talk to the Teacher:

  • keep the conversation brief and focus on the most important matter (the rest will surface as the year progresses )
  • let the teacher know your child’s specific strength as well
  • let the teacher know you want to be a partner
  • don’t call the teacher during summer break (she may not remember specifics)
  • don’t criticise old teachers (who knows who her best friend is?)

Help your Child Get Involved in an Activity:

  • choose one he’ll be successful in
  • let her have input into the selection
  • don’t push the child into an activity that replaces school work in terms of time demands

Other Ideas:

  • write a one page summary of the IEP accommodations
  • see if the child can view the schoolroom a day or two before school begins

Visit the site for much much more: for example, how a school district determines if a student qulifies for services; concerns about preschooler development; disability categories within Special Education; classroom interventions for children with ADHD.

tutoring in Columbus OH:   Adrienne Edwards   614-579-6021   or email  aedwardstutor@columbus.rr.com

+ Attention: There’s Evidence That It’s Teachable

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This is Maggie Johnson’s article in the Boston Globe:

IN THE FAST-PACED, distraction-plagued arena of modern life, perhaps nothing has come under more assault than the simple faculty of attention. We bemoan the tug of war for our focus, joke uneasily about our attention-deficit lifestyles, and worry about the seeming epidemic of attention disorders among children.

The ability to pay careful attention isn’t important just for students and air traffic controllers. Researchers are finding that attention is crucial to a host of other, sometimes surprising, life skills: the ability to sort through conflicting evidence, to connect more deeply with other people, and even to develop a conscience.

But for all that, attention remains one of the most poorly understood human faculties. Neither a subject nor a skill, precisely, attention is often seen as a fixed, even inborn faculty that cannot be taught. Children with attention problems are medicated; harried adults struggle to “pay attention.” In a sense, our reigning view of attention hasn’t come far from that of William James, the father of American psychological research, who dolefully asserted a century ago that attention could not be highly trained by “any amount of drill or discipline.”

But now scientists are rapidly rewriting that notion. After decades of research powered by fresh advances in neuroimaging and genetics, many scientists are drawing a much clearer picture of attention, which they have come to see as an organ system like circulation or digestion, with its own anatomy, circuitry, and chemistry. Building upon this new understanding, researchers are discovering that skills of focus can be bolstered with practice in both children and adults, including those with attention-deficit disorders. In just five days of computer-based training, the brains of 6-year-olds begin to act like adults on a crucial measure of attention, one study found. Another found that boosting short-term memory seems to improve children’s ability to stay on task.

It is not yet known how long these gains last, or what the best methods for developing attention may turn out to be. But the demand is clear: Dozens of schools nationwide are already incorporating some kind of attention training into their curriculum. And as this new arena of research helps overturn long-standing assumptions about the malleability of this essential human faculty, it offers intriguing possibilities for a world of overload.

“If you have good attentional control, you can do more than just pay attention to someone speaking at a lecture, you can control your cognitive processes, control your emotions, better articulate your actions,” says Amir Raz, a cognitive neuroscientist at McGill University who is a leading attention researcher. “You can enjoy and gain an edge in life.”

. . .

Attention has long fascinated humankind as a window into the mind and the world in general, yet its workings have historically been murky. Eighteenth-century scientists, who considered unwavering visual observation crucial to scientific discovery, theorized that attention was a “pooling” of nervous fluid. Later, Victorian scientists eagerly probed the limits and vulnerability of attention, treating the subject of their inquiry with a mix of puzzlement and admiration. “Whatever its nature, [attention] is plainly the essential condition of the formation and development of mind,” wrote Henry Maudsley in the early 1830s.

More recently, scientists have used advances in genetics and imaging technologies that can map brain activity to formulate more detailed theories of what, exactly, attention is. It has been compared to a filter, a mental spotlight, and a tool for allocating our cognitive resources. Increasingly however, attention is viewed as a complex system comprising three networks, or types of attention: focus, awareness, and “executive” attention, which governs planning and higher-order decision-making. According to this model, first proposed by University of Oregon neuroscientist Michael I. Posner, the three attentional networks are independent, yet work closely together.

Armed with an improved sense of how attention works, Posner and others have begun researching whether attention can be trained. And their findings have been intriguing.

After years of research into how attention networks develop, Posner and colleague Mary K. Rothbart began experimenting a few years ago with training children’s attention. They targeted children 6 and under, since executive attention develops rapidly between ages 4 and 7. Inspired by computer-learning work with monkeys, Posner and Rothbart created a five-day computer-based program to strengthen executive attention skills such as working memory, self-control, planning, and observation. Building on a known link between this attention network and internal conflict resolution, one exercise challenges a child to pick the larger of two groups of objects, such as apples or numerals. In the latter case, the symbolic and the literal counts conflict, forcing concentrated thought.

After the training, Posner and Rothbart reported that 6-year-olds showed a pattern of activity in the anterior cingulate – a banana-shaped brain region that is ground zero for executive attention – similar to that of adults, along with slightly higher scores on IQ tests and a marked gain in executive attention. The children who were the most inattentive gained the most from the program. The results were published in the Proceedings of the National Academy of Sciences, and have since been replicated in similar experiments by Spanish researchers.

“We thought this was a long shot,” says Posner, a lanky septuagenarian with a deep, rumbling voice. “Now I’ve changed my mind.” Though small-scale, the results from his lab and others have been so remarkable that he and Rothbart are now calling on educators at conferences and in their book, “Educating the Human Brain,” to consider teaching attention in preschool.

“We should think of this work not just as remediation, but as a normal part of education,” Posner said in an address to the American Psychological Association in 2003, when he presented preliminary findings.

A parallel line of investigation is based on the close link between attention and memory. “Working memory” is the short-term cognitive storehouse that helps us recall a phone number or the image of a landscape; this type of memory is integral to executive attention. Tapping into this link, cognitive neuroscientist Torkel Klingberg of Sweden’s Karolinska Institute devised computer software to improve executive attention by training working memory in teens and pre-adolescents with attention-deficit/hyperactivity disorder.

Using a training program he calls “RoboMemo,” Klingberg has helped children improve their working memory and complex reasoning skills, according to studies published in the Journal of the American Academy of Child and Adolescent Psychiatry, among other publications. This appears to pay off in attention as well: The children were also reported to be less impulsive and inattentive by their parents, although their teachers largely did not report those behavioral improvements.

Christopher Lucas of New York University, one of the US researchers using Klingberg’s software, used the RoboMemo training program to boost the visuospatial memory of a group of children, and found that as this type of working memory improved, they became more focused and compliant. Lucas, a psychiatrist, cautioned that such memory training isn’t a quick fix for attention-deficit disorders. Working memory “is one of the areas that’s implicated in ADHD,” he says. “I don’t think it’s the whole story.”

Other attention research eschews that kind of technology, instead investigating the attention-boosting potential of something very different: the 2,500-year-old tradition of meditative practice. With a long history but little scientific data on its effects, meditation has begun to intrigue neuroscientists in labs around the country, who are measuring the success of meditative practices that boost skills of focus and awareness.

Lidia Zylowska, an assistant clinical professor in psychiatry at UCLA, cofounded the university’s Mindful Awareness Research Center and is a pioneer in the study of meditation’s impact on human focus and attention.

In one study, Zylowska and colleagues reported that eight weeks of mindfulness meditation – a technique designed to improve attention and well-being largely by focusing on breathing – boosted both powers of focus and self-control in 24 adults and eight teens with ADHD. The work was published in May in the Journal of Attention Disorders. Others are finding similar gains from meditation in those without ADHD. Preliminary results from the largest attention-training study to date, which tracked 64 people meditating full-time for three months, reveal improved sustained attention and visual discrimination, says the lead researcher, UC Davis neuroscientist Clifford Saron, who presented the results at the Cognitive Neuroscience Society’s annual meeting in April.

. . .

If focus skills can be groomed, as research has begun to hint, the important next question is whether, and how, attention should be integrated into education. Will attention become a 21st-century “discipline,” a skill taught by parents, educators, even employers? Already a growing number of educators are showing interest in attention training, mostly through the practice of meditation in the classroom.

Susan Kaiser Greenland, a former corporate lawyer who started the nonprofit InnerKids Foundation in 2001 to teach meditation practices in communities and schools, says demand outstrips her staffing. The Santa Monica, Calif.-based nonprofit works with children ages 4 to 12.

“The kids are stressed out, they are distracted, and they are not able to sit still,” she says. “There are more schools interested in our work than we can possibly serve.”

But with the field of attention training still in its infancy, scientists don’t yet understand if any current teaching has long-lasting gains – or, for that matter, which practices work best. Some researchers, for example, question computer-based efforts as too narrow in scope, arguing that children must be taught attention holistically, as a life skill. No brief training regime is likely to be a magic bullet, they say.

“Part of the problem in today’s society is that people are looking for extremely quick fixes that have no vision. People are looking to lose 20 pounds for the wedding next week,” says Raz at McGill. “But attention training is a slow process.”

Nonetheless, with global use of controversial ADHD medicines tripling since the early 1990s and evidence mounting that attention can be strengthened, researchers are permitting themselves a bit of cautious excitement at the prospect that attention training could work, especially for children.

“Attention is such a basic skill that children need, and to be able to impact that skill, to teach them how to redirect their attention and how to become more aware of themselves, their bodies, emotions, and thoughts – it’s an exciting thing,” says Zylowska. “It’s also critical.”

Maggie Jackson is the author of “Distracted: The Erosion of Attention and the Coming Dark Age,” published this month. 

this is Maggie Jackson’s article in the Boston Globe on 6/29/08.  www.boston.com

tutoring in Columbus OH:   Adrienne Edwards   614-579-6021   or email  aedwardstutor@columbus.rr.com