Educators are also under increasing pressure to deliver a quality education experience within the context of fiscal restraint. In, the BC Minister of Education commissioned a Task Force to explore rural education in BC with respect to challenges and opportunities, best practices and innovative solutions, and the role of e-learning. According to the Ministry of Education, educating the 21 st Century learner will require a focus on the needs and interests of each student, will require an approach that is more interdisciplinary and applied to real life problems and issues, and will include an increase in community-based learning. While family atmosphere, personalized learning and community links continue to represent strengths, a number of other issues continue to present challenges for rural educators. Qualitative findings suggest the experiences of rural schools vary widely according to context i.

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Unlike methylphenidate and dextroamphetamine, which act primarily by blocking the reuptake of dopamine, atomoxetine is a selective norepinephrine reuptake inhibitor. Safety: The most significant safety concerns for children are weight loss and slowing of growth. Tolerability: The most commonly observed adverse effects in clinical trials, with an incidence at least twice that of placebo, are dyspepsia, nausea, vomiting, fatigue, decreased appetite, and mood swings. Effectiveness: Atomoxetine is more effective than placebo for the treatment of ADHD in children and adults. Twice-daily dosing will double the cost. Average wholesale costs are based on Red Book, Montvale, N. Simplicity: Atomoxetine is not a controlled substance, and it does not require observance of the stringent prescribing rules necessary for Schedule II drugs, such as methyl-phenidate and dextroamphetamine. Dosing of atomoxetine, unfortunately, is not straightforward because of the potential for excessive dosing in patients who are slow metabolizers. Children should be started at a low dose of 0. If tolerated, the dose can be increased after at least three days to a target daily dose of 1.

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