Tuesday, September 2, 2014

Nalanda University

Nalanda: Old and New
When the most ancient European university, the University of Bologna, was founded - this was in 1088 - the centre for higher education at Nalanda was already more than six hundred years old.  The Old Nalanda university - a Buddhist foundation - was located about 55 miles south east of Patna in Bihar.  It was founded in the fifth and the sixth centuries, expanded rapidly thereafter, and flourished for more than seven hundred years, and then towards the end of the twelfth century, it was violently destroyed in an Afghan attack in 1193.  The destruction of Nalanda happened shortly after the beginning of Oxford University and shortly before the initiation of Cambridge.  To be sure, Nalanda as an educational centre was not entirely extinguished then and there in 1193, and there are records that some teaching revived over the following century, and students, particularly from Tibet, continued to come to Nalanda.  But Nalanda had lost its on-going institutional base, its tradition of excellence, and not least, its reputation as a centre for higher education.
The Old Nalanda

Nalanda was a residential university, and had at its peak 10,000 students, studying various subjects, and close to 2,000 teachers or professors.  Only about a tenth of the vast areas where the ruins of Nalanda can be found has been so far excavated.  We know, however, that the campus had eight separate compounds in the seventh century, and a large number of class rooms and meditation halls or study rooms, and well-organized lakes and parks, and of course a remarkable cluster of dormitories.  Jeffrey Garten, the former Dean of the Yale School of Management, has suggested that Nalanda might have been the first educational institution in the world to have dormitories for students.
Chinese students in particular, such as Xuanzang and Yi Jing in the seventh century, wrote extensively on what they saw and what they particularly admired about the educational standards in Nalanda.  Nalanda is, in fact, the only academic institution outside China to which any Chinese scholar went for higher education, in the history of ancient China.
I turn now to what can be called the Nalanda tradition.  In assessing this, it is important to understand that there was a larger educational culture to which Nalanda belonged.  While Nalanda was certainly very special, it was still a part of a larger nexus of organized higher education that developed in that period in India - in Bihar in particular.  In addition to Nalanda, there were in the vicinity other institutions of higher learning, such as Vikramshila and Odantapura, closely aligned to Nalanda.  There is evidence that these institutions interacted and collaborated - and even competed - with each other, and they formed, taken together, something like a higher educational network in ancient Bihar.  We can describe that network as the Nalanda complex, not just because of Nalanda's seniority in the cluster, but also because the educational establishments founded later were all influenced by the success of Nalanda's pioneering initiatives.  Nalanda not only educated and trained students, it also inspired and motivated other educational institutions.
What subjects were taught in the old Nalanda? In answering this question, we do have a problem, since the documents in Nalanda were indiscriminately burnt by the invaders in the late twelfth century.  We do know, however, that the Buddhist fascination with "enlightenment" (even Buddha means "the enlightened one") made room for a multiplicity of subjects on which old Nalanda offered education.  And, furthermore, Nalanda was not conceived of as just a centre only for religious instruction.  The subjects on which teaching occurred in Nalanda included, in addition to religion, such fields as history, law, and linguistics, but also medicine, public health, architecture and sculpture, as well as astronomy.  The tall observatory, which Xuangzang described as towering over the fog on misty mornings in seventh-century Nalanda, is a rather graphic evidence of astronomical education in Nalanda.    
What about mathematics?  We do know that logic was a subject that was taught in Nalanda, and this is close to mathematics proper.  But no less importantly, the pursuit of astronomy almost certainly linked with studies in mathematics, in particular trigonometry.  Indeed, when astronomers were recruited from India for work in China (one of the recruited astronomers, called Gautama Siddhartha, even became the head of the powerful Chinese Board of Astronomy in the eighth century), the Chinese looked particularly for astronomers with mathematical knowledge and skills.  And as it happens, a number of the Indian mathematicians, including the great founder of the Indian school, Aryabhata, in early fifth century, were based in Kusumpur in Pataliputra, or Patna, only about fifty miles away from Nalanda.  My expectation is that eventually evidence would firmly emerge on the mathematical components in the curriculum in Nalanda, as the unexcavated remnants - nine-tenths of the ruins - are excavated.
The New University
A new Nalanda University, close to the old site, is now being established through an Act of the Indian Parliament, on a proposal of the East Asia Summit, with the cooperation of China, Japan, Korea, Singapore, Thailand, and other countries included in the East Asia Summit.  It has very strong support from the Bihar Government, which originally proposed the move, and which also secured the valuable support of Abdul Kalam, then the President of India, who advised the project, as the first Visitor of the planned establishment.
The reestablishment of Nalanda today has several important objectives.  First, even though Asia, including India, had a long tradition of higher education, the great universities of today are primarily in the West.  It would be absurd to expect that Nalanda would burst into excellence within a very short time, but that is the kind of a long-run goal that the new Nalanda can pursue.  The old Nalanda can be a great inspiration for that.
Second, the old Nalanda was an excellent example of pan-Asian cooperation.  There was a network of educational institutions spread across Asia which had links with Nalanda. For example, some Chinese scholars learnt Sanskrit in what was then called Srivijaya, in what in now mainly Sumatra, on their way to India - and to Nalanda - by the sea route.  The revival is also a pan-Asian initiative.  There is already a functioning Nalanda-Srivijaya Centre in Singapore, and proposals for cooperation with universities in China, Korea, Japan, Thailand and elsewhere are being explored.
Third, Asian countries have many differences in political outlook and practice, and those differences are not going to disappear any time soon.  But it is also important to live with each other in peace, and cooperate in areas in which joint action is possible.  This applies particularly well to cooperation in education and research, involving all the countries of the Asian region.
Fourth, in addition to the broadly global perspective, new Nalanda can play a constructive role in the immediate locality and neighbourhood.  Even though for nearly a thousand years, Bihar was the cradle of what we can call the Indian civilization, it is now very much a backward part of a rapidly advancing India.  Bihar needs development with great urgency, and Nalanda can be more than an inspiration for this, and act as an active agent of change.  This effort will be particularly helped by the teaching in new Nalanda on information technology, environmental studies, management and development studies, and other subjects of immediate relevance to the problems of Bihar.
The Vision and the Challenge
Old Nalanda clearly had a passion for propagating knowledge and understanding.  This was one reason for its keenness to accept students from abroad.  Xuangzang as well as Yi Jing mentions the warm welcome they received as they arrived in Nalanda from China.  Indeed, Xuangzang invoked this commitment to the spread of knowledge in an argument with the faculty in Nalanda when he was asked - and pressed - to stay on as a faculty member in Nalanda, after he had completed his studies.  He mentioned his commitment, and here he invoked Buddha himself, to spread enlightenment "to all lands."  He asked the rhetorical question: "Who would wish to enjoy it alone, and to forget those who are not yet enlightened?"
If Xuangzang was working for spreading the Nalanda tradition across geographical boundaries, the revival efforts in which we are now engaged can be seen as an attempt to spread that tradition also over time - indeed over many centuries - along with its global spread.  The modern world has much to offer from which people in the past would have been thrilled to learn.  But the past too has some great examples of intellectual breakthrough that can both inspire and inform us today, and contribute to our academic and social regeneration.
Nalanda is one such spectacular example - that of initiative, energy, commitment, and vision.  There is something truly exciting in our efforts to rise to the challenge of working for a new Nalanda University based on that grand academic vision that used to inspire such a huge part of the globe.  We need the help of everyone who can contribute to the realization of this vision.
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Notes
Jeffrey Garten, "Really Old School," The New York Times, December 9, 2006.

See Amartya Sen, "Passage to China," The New York Review of Books, December 2, 2005.

Sunday, August 31, 2014

Throat and chest disease treatment

This disease from impaired kinti sore too, any infection, in its most achi claims turmeric.Like sore pain, kharas, the sore is a sharp, tonsillitis, sore throat mucus was deposited;These are all bimarion in ½ TSP open raw turmeric juice and pour into the throat, is north-facing and then go sit up awhile Juda Hoke the turmeric will plunge below the neck with saliva; And in a dose will not all need to put again the disease well. They donotice the bacho; Bacho is neither tensile of give when Shredder we have them cotweetoperation cookware; Not all of those times is OK the turmeric.

Throat and chest is like a few linked burma; It has an antidote so raw turmeric juice which is recovering from the neck tutant no matter how too loud to be curious. The second claim is ginger, This is the ginger small piece is north-facing in a tutant like taphi chuso rakhlo and will stop. If the red face was send to someone khaste khaste ginger juice got in a little Pan juice and take a spoonful and harmonize a little bit in both a good or health. Now taking it a little warmer by p, which has had its face red khaste khaste great will be tied in one minute. And achi claims, Pomegranate juice is OK the hot drink by a sizeable instantly. Pepper has pepper put into it is north-facing chabalo, drink hot water from the back so will be great Affairs, pepper is still fairly the chuso Affairs.

Some of bimariya such as asthma, asthma, chest bronkiol asthma, these three is the best medicine cow urine disease; 1/2 cup fresh urine drink is OK the asthmatic thesabere, asthma is OK, bronkiol asthma is OK. And urine from TB pine also goes well,have to drink five consecutive practices month. Asthma Asthma and boasts a achicinnamon, this powder daily, half teaspoon in the morning empty stomach with hot water or good health milake asthma asthma is doing fine.

Thursday, August 7, 2014

Signs of Cancer

If you notice any of the following unexplained warning signs, don’t delay—make the time to consult a doctor promptly.

Unexplained weight loss.

While most people would be happy to drop pounds without dieting, unexplained weight loss (of 10 or more pounds) or sudden loss of appetite are among the most common warning signs of cancer, says Dr. Shepard. This symptom is most likely to occur with cancers of the pancreas, stomach, esophagus or lung, reports the American Cancer Society (ACS). It may turn out not to be cancer—there are a number of other serious health conditions that may cause this symptom, including an overactive thyroid, diabetes, liver disease, and depression.

Persistent low-grade fever.

This can be the first symptom of certain cancers, particularly leukemia, Hodgkin’s disease or non-Hodgkin’s lymphoma. Low-grade fever—meaning a temperature between 99.8 and 100.8—can also be caused by a wide range of infections.

Worsening fatigue.

“If you suddenly can’t get through the day without taking a 3-or 4-four nap, when you never need one before, that can be suggestive of cancer,” says Dr. Shepard. According to the ACS report, this symptom is particularly likely to occur with leukemia, as well as cancers that cause blood loss, such as colon cancer or stomach cancer. Other medical conditions that cause profound exhaustion include anemia, sleep disorders, heart problems, diabetes, fibromyalgia, and arthritis.

A sore that doesn’t heal or skin changes.

You probably know that moles that are asymmetrical (one half doesn’t match the other), have irregular borders, contain a variety of colors, or are larger than a pencil eraser can be warning signs of melanoma, the deadliest form of skin cancer. What’s not well known, however, is that skin sores or changes (including a persistent rash) can also herald other forms of cancer. Dr. Shepard had a patient whose first symptom of colon cancer was a sore on his scalp that didn’t heal. He has also had patients with lung cancer and lymphoma whose symptoms included persistent rashes.

9 Early Signs of Lung Cancer

Trouble swallowing or chronic hoarseness.

These symptoms, along with lip sores that don’t heal, unusual bleeding, pain or numbness in the mouth, and chronic sore throat, can herald oral cancer. Other reasons for chronic hoarseness can include gastroesophageal reflux disease (GERD), allergies, cancer of the throat or laryngx, smoking, and underactive thyroid, reports the National Institute of Health. A wide range of esophageal disorders can impair swallowing.

White patches in your mouth.

Also known as leukoplakia, these thickened whitish or gray patches on the gums, inside of the cheeks, or the tongue are often mistaken for thrush (an infection that causes white patches). Unlike thrush, which can be scraped away, leukoplakia cannot be removed in this manner. While the condition isn’t always harmful, oral cancer often occurs near leukoplakia patches, the Mayo Clinic reports, and the patches themselves can develop cancerous changes.

Blood in the toilet.

This symptom is frequently dismissed by patients, says Dr. Shepard. “People are quick to think that the problem is a urinary tract infection even if they’ve never had one before. However, blood in the urine can also be a sign of bladder cancer and needs to be investigated by a urologist. Oftentimes, bladder cancer isn’t diagnosed until it reaches an incurable stage because people wait so long to see a doctor.” Similarly, it can be a dangerous mistake to dismiss blood in the stool as being triggered by a hemorrhoid, since it could also be a warning sign of colon cancer, as is any change in your normal bowel habits.

Unexplained pain.
This can be an early symptom of testicular or bone cancer. A headache that doesn’t get better with treatment, such as taking an over-the-counter pain reliever, may signal a brain tumor, while back pain can mark colon or ovarian cancer, the ACS reports. “Unexplained pain is one of the more common symptoms of cancer and always warrants a consultation with your doctor,” says Dr. Shepard.

A lump or thickening.

Several types of cancer, including those of the breast, testicles, and lymph nodes can be felt through the skin. A lump or thickening can either be an early or late sign of cancer,

The signs mentioned above are the most common ones. if you feel like there's something wrong with the way your body works or if some problem takes longer to cure,you should immediately consult a doctor and so have a better chance of surviving cancer , because the treatment works best if it's diagnosed early.

Sunday, April 27, 2014

6 packs diet

This is what I followed for almost 5 months: 

Work outs only for men: 

Wake up at 5 am. 
One apple and juice apple before workout. 
2 hours in the gym. 1 hour cardio and 1 hour weights. 

5 to 10 mins of stretching and warm up.

20 mins treadmill
20 mins elliptical 
20 mins twister 

5 types of exercise for each muscle.
4 set each. Counts 25,22,20,18 respectively.
Weights not to exceed 15 kgs. More counts and less weights helps build lean muscle and bring more muscle definition.

Merge 2 muscle parts for faster and better results. 

Chest and triceps 
Back and biceps
Shoulder and deltoids 
1 full day for legs. 

Diet only for men: 

Breakfast one hour after workout:

Apple, cucumber, 10 eggs white, carrot and cucumber mix juice, oats with honey, and orange. Whey optimum protein shake. 

Brunch at 11 am :

Raw apple or any fruit. Carrot, beet root, Kellogs. 

Lunch at 1 pm :

Rice (handful), 3 to 4 pieces of fish curry or chicken (upon availability). Some vegetable side dish. Fruit juice.

Evening : 

Cardio or weights either of them for same duration no change in routine. One chocolate bar is good 

Dinner maximum before 8 pm: 

Chicken full alfam (my fav) 
Vegetable salad 
Mint line juice

8 hours of minimum sleep which means sleep by max 10 pm. 

Religiously follow the routine for 6 months for jaw dropping result. 

Thanks

Saturday, April 26, 2014

Boondein lyrics silk route by mohit chouhan

Khoi ho
Yaadon mein
Palko pe boondein liye
Aaeina bani
Yeh aankhen teri
Dheemi si
Khusbu hai
Haawao ke jhokon ne jo
Chhuke tujhe
Churaaayeee....
Saanson ki
Raahon mein
Kya mile sakenge kabhi
Dhoonde tujhe
Nigahe meri
Saathi they
Janmo se
Rahon mein kyu kho gaye
Manzil humein
Bulane lagi
Nagma ho
Bhiga sa
Ya tum ho koi gazal
Har pal jise
Gungunata rahu
Hoton se
Hole se
Sargam jo bahne lagi
Aane lagi
Chahe meri

Tuesday, April 22, 2014

Books for UPSC Civil Services Preliminary Exam Preparation

1. Indian History – India Struggle for Independence by Bipin Chandra; NCERT Books ( XI & XII )
2. Geography – Spectrum
3. Indian Polity – DD Basu, Constitution of India by Bakshi
4. Indian Economy – 11th & 12th Books (NCERT), Pratiyogita Darpan Special Edition
5. General Science – Tata Mc Graw Hill Guide Books of 9th and 10th Standard.
6. Mental Ability – Quantitative Apitude by R.S. Aggarwal
7. Current Affairs – Some magazines and Newspapers
8. India- Yearbook Published from Publication Division
Some newspapers/magazines you may count in:
i. The Hindu/The Times of India 
ii. Frontline
iii. Civil Service Chronicle
iv. Chanakya
v. Competition WIZARD
vi. Civil Services Today
Guides You may Like to Read:
1. Tata McGraw Hill for GS
2. Arihant for CSAT
2. Spectrum
3. Unique
Topic Wise Reference On General Studies
Books on Indian History & Culture:
NCERT (+ 2 level) — Ancient India, Medieval India, Modern India.
Publication Division : Gazetteer of India (Vol 2 : History & Culture)
Gandhi Nehru Tagore & Ambedkar — Gopal Krishna
Bipin Chandra – Modern India
A.C.Banerjee – History of Modern India Raghavan Aiyer — Mahatma Gandhi
Books on Geography:
NCERT : Physical Geography of India for X – XII Std
A Good School Atlas
Sharma & Cotinho : Economic and Commercial Geography of India.
Khullar : India- A Comprehnsive Geography
Charles Farro : General Principles of World Geography
Charles Farro : Monsoon Asia Reports published by Centre for Science and Enviornment And Tata Energy Research Institute
National journal – Kurukshetra, Yojana etc.
Down to earth
Books on Indian Economy:
NCERT (+1 level)—Evolution of Indian Economy(I C Dhingra).
Mishra & Puri or Dutt & Sundaram – Indian Economy
Economic Survey
The Economic Times,Business Standard
Yojana
Books on Social and National Issues:
Social Problem – Ram Ahuja
Social Welfare Magazine – Published by ministry of social welfare
Yojana/Kurukshetra
IIPa Journal
Books on Indian Polity:
NCERT (+1 level)—Indian Political System
N.L. Madan : Bhartiya Rajya Vyavastha
D.D. Basu—Indian Constitution
Kashyap—Constitution of India
Publication Division—Subhash C. Kashyap : Our Parliament
P.M. Bakshi—Indian Constitution
Our Constitution : Subhash C. kashyap
Perspective on Constitution : S.C. Kashyap
Frontline Magazine
IIPa Journal
Books on Science & Technology:
NCERT : (10 level) : Science, (+2 level) : Biology.
Popular Science Series (CSIR)
Reports Of the Ministry of Science and Technology Yojana
Science Reporter
Science and Technology in India – Spectrum
Books on Statistics:
(NCERT +1 level) Elementary Statistics
S.C.Gupta : Statistical Methods
Books on India and the World :
Journal of peace Studies
World Focus
Strategic Analysis
South Asian Journal
Other Books for General Studies:
1. India Year Book latest
2. One competitive Magazine
3. Guides like Tata Mc Graw Hill

Sunday, April 20, 2014

Father still Saves Money

पिताजी आज भी पैसे बचाते है ….
पुरानी पेंट रफू करा कर पहनते जाते है, Branded नई shirt
देने पे आँखे दिखाते है
टूटे चश्मे से ही अख़बार पढने का लुत्फ़ उठाते है, Topaz के
ब्लेड से दाढ़ी बनाते है
पिताजी आज भी पैसे बचाते है ….
कपड़े का पुराना थैला लिये दूर की मंडी तक जाते है,
बहुत मोल-भाव करके फल-सब्जी लाते है
आटा नही खरीदते, गेहूँ पिसवाते है..
पिताजी आज भी पैसे बचाते है…
स्टेशन से घर पैदल ही आते है रिक्सा लेने से कतराते है
सेहत का हवाला देते जाते है बढती महंगाई पे
चिंता जताते है
पिताजी आज भी पैसे बचाते है ....
पूरी गर्मी पंखे में बिताते है, सर्दियां आने पर रजाई में
दुबक जाते है
AC/Heater को सेहत का दुश्मन बताते है, लाइट
खुली छूटने पे नाराज हो जाते है
पिताजी आज भी पैसे बचाते है
माँ के हाथ के खाने में रमते जाते है, बाहर खाने में
आनाकानी मचाते है
साफ़-सफाई का हवाला देते जाते है,मिर्च, मसाले और
तेल से घबराते है
पिताजी आज भी पैसे बचाते है…
गुजरे कल के किस्से सुनाते है, कैसे ये सब जोड़ा गर्व से
बताते है पुराने दिनों की याद दिलाते है,बचत की अहमियत
समझाते है
हमारी हर मांग आज भी,फ़ौरन पूरी करते जाते है
पिताजी हमारे लिए ही पैसे बचाते है ...
Really awsm dedicated to dad

Sunday, April 13, 2014

Unmarried women

A regular day at home starts with mother blaming father for not getting his daughter married. Cousins and friends who are my age and even younger are married with more than one kid. My parents, though supportive of my study and career aspirations, are not able to swim in a society where they have a daughter who has crossed the ‘marriageable’ age.
My neighbours who watch me tie my shoe laces daily when I get ready to go for a jog seem to murmur: “She is overweight, that’s the reason why she is not married yet. She wants to reduce her weight so that a guy would accept her.” My uncle calls up and asks my father if his daughter is in love with an ‘other-caste’ person and whether the delay stems from any consequent disputes.
I walk into my cousin’s wedding, but being unmarried I’m not allowed to participate in most of the rituals. Silently I sit back, trying to relax my over-worked mind. People gather around me to find out if I believe in the institution of marriage, in having children, and whether I’m at all interested in men. Before they get any answers, one of the aunties from the crowd advises me to try a facial so that my complexion should not be a hindrance for marriage. Another aunty asks me to perform some vrata so that the goddess who is in charge of getting girls married would be pleased and the moment would come in my life. A few aunties and uncles go straight to my parents to suggest matches they find around.
My ophthalmologist suggests that I go for Lasik surgery so that I can get rid of the glasses, and without glasses my chances of getting married would improve.
My parents thought of a better option: an astrologer. He says I suffer from kuja dosha; that’s why I am not married yet. And, if I am not married before November by performing a special puja, I won’t get married at all.
Well, the reasons are pretty legitimate in this country not to get married. But I am not married yet as I have chosen not to, yet. My reasons are personal, taking the many dimensions of my career into consideration. But, really, do I need a reason for not getting married? I just don’t feel like getting married yet. Isn’t that good enough? I would like to get married when I feel like it and when I find the right person when I have to.
I’m very clear about my objectives. I teach underprivileged kids for free in my leisure hours. I planned a city tour for them which I thought would be enjoyable and informative to them. But I had no idea my marital status would become a problem to the parents of some of those kids to send them along with me. The stereotyping of a 28-year-old unwed female was clear.
I’m left wondering: If a marriage involves a man and a woman, why isn’t that a man is ostracised for being unmarried? And if the sex ratio is declining at this rate, logic dictates that men should suffer it manifold when compared to women!
Wishing for a time when men sit down and perform vrata for marriage.

Stuttering and It's Treatment

What is stuttering?

Illustration of structures involved in speech and voice production.
Structures involved in speech and voice production. View larger image
Stuttering is a speech disorder in which sounds, syllables, or words are repeated or prolonged, disrupting the normal flow of speech. These speech disruptions may be accompanied by struggling behaviors, such as rapid eye blinks or tremors of the lips. Stuttering can make it difficult to communicate with other people, which often affects a person’s quality of life.
Symptoms of stuttering can vary significantly throughout a person’s day. In general, speaking before a group or talking on the telephone may make a person’s stuttering more severe, while singing, reading, or speaking in unison may temporarily reduce stuttering.
Stuttering is sometimes referred to asstammering and by a broader term, disfluentspeech.

Who stutters?

Roughly three million Americans stutter. Stuttering affects people of all ages. It occurs most often in children between the ages of 2 and 5 as they are developing their language skills. Approximately 5 percent of all children will stutter for some period in their life, lasting from a few weeks to several years. Boys are twice as likely to stutter as girls; as they get older, however, the number of boys who continue to stutter is three to four times larger than the number of girls. Most children outgrow stuttering. About 1 percent or less of adults stutter.

How is speech normally produced?

We make speech sounds through a series of precisely coordinated muscle movements involving breathing, phonation (voice production), and articulation (movement of the throat, palate, tongue, and lips) (see figure). Muscle movements are controlled by the brain and monitored through our senses of hearing and touch.

What causes stuttering?

Although the precise mechanisms are not understood, there are two types of stuttering that are more common. (A third type of stuttering, called psychogenic stuttering, can be caused by emotional trauma or problems with thought or reasoning. At one time, all stuttering was believed to be psychogenic, but today we know that psychogenic stuttering is rare.)

Developmental stuttering

Developmental stuttering occurs in young children while they are still learning speech and language skills. It is the most common form of stuttering. Some scientists and clinicians believe that developmental stuttering occurs when children’s speech and language abilities are unable to meet the child’s verbal demands. Developmental stuttering also runs in families. In 2010, for the first time, NIDCD researchers isolated three genes that cause stuttering. More information on the genetics of stuttering can be found in the research section of this fact sheet.

Neurogenic stuttering

Neurogenic stuttering may occur after a stroke, head trauma, or other type of brain injury. With neurogenic stuttering, the brain has difficulty coordinating the different components involved in speaking because of signaling problems between the brain and nerves or muscles.

How is stuttering diagnosed?

Stuttering is usually diagnosed by a speech-language pathologist (SLP), a health professional who is trained to test and treat individuals with voice, speech, and language disorders. The speech-language pathologist will consider a variety of factors, including the child’s case history (such as when the stuttering was first noticed and under what circumstances), an analysis of the child’s stuttering behaviors, and an evaluation of the child’s speech and language abilities and the impact of stuttering on his or her life.
When evaluating a young child for stuttering, a speech-language pathologist will try to predict if the child is likely to continue his or her stuttering behavior or outgrow it. To determine this difference, the speech-language pathologist will consider such factors as the family’s history of stuttering, whether the child’s stuttering has lasted six months or longer, and whether the child exhibits other speech or language problems.

How is stuttering treated?

Although there is currently no cure for stuttering, there are a variety of treatments available. The nature of the treatment will differ, based upon a person’s age, communication goals, and other factors. If you or your child stutters, it is important to work with a speech-language pathologist to determine the best treatment options.
For very young children, early treatment may prevent developmental stuttering from becoming a lifelong problem. Certain strategies can help children learn to improve their speech fluency while developing positive attitudes toward communication. Health professionals generally recommend that a child be evaluated if he or she has stuttered for three to six months, exhibits struggle behaviors associated with stuttering, or has a family history of stuttering or related communication disorders. Some researchers recommend that a child be evaluated every three months to determine if the stuttering is increasing or decreasing. Treatment often involves teaching parents about ways to support their child’s production of fluent speech. Parents may be encouraged to:
  • Provide a relaxed home environment that allows many opportunities for the child to speak. This includes setting aside time to talk to one another, especially when the child is excited and has a lot to say.
  • Refrain from reacting negatively when the child stutters. Instead, parents should react to the stuttering as they would any other difficulty the child may experience in life. This may involve gentle corrections of the child’s stuttering and praise for the child’s fluent speech.
  • Be less demanding on the child to speak in a certain way or to perform verbally for people, particularly if the child experiences difficulty during periods of high pressure.
  • Speak in a slightly slowed and relaxed manner. This can help reduce time pressures the child may be experiencing.
  • Listen attentively when the child speaks and wait for him or her to say the intended word. Don't try to complete the child’s sentences. Also, help the child learn that a person can communicate successfully even when stuttering occurs.
  • Talk openly and honestly to the child about stuttering if he or she brings up the subject. Let the child know that it is okay for some disruptions to occur.

Stuttering therapy

Many of the current therapies for teens and adults who stutter focus on learning ways to minimize stuttering when they speak, such as by speaking more slowly, regulating their breathing, or gradually progressing from single-syllable responses to longer words and more complex sentences. Most of these therapies also help address the anxiety a person who stutters may feel in certain speaking situations.

Drug therapy

The U.S. Food and Drug Administration (FDA) has not approved any drug for the treatment of stuttering. However, some drugs that are approved to treat other health problems—such as epilepsy, anxiety, or depression—have been used to treat stuttering. These drugs often have side effects that make them difficult to use over a long period of time. In a recent study funded by the National Institute on Deafness and Other Communication Disorders (NIDCD), researchers concluded that drug therapy has been largely ineffective in controlling stuttering. Clinical trials of other possible drug treatments are currently under way.

Electronic devices

Some people who stutter use electronic devices to help control fluency. For example, one type of device fits into the ear canal, much like a hearing aid, and digitally replays a slightly altered version of the wearer’s voice into the ear so that it sounds as if he or she is speaking in unison with another person. In some people, electronic devices help improve fluency in a relatively short period of time. Nevertheless, questions remain about how long such effects may last and whether people are able to easily use these devices in real-world situations. For these reasons, researchers are continuing to study the long-term effectiveness of these devices.

Self-help groups

Many people find that they achieve their greatest success through a combination of self-study and therapy. Self-help groups provide a way for people who stutter to find resources and support as they face the challenges of stuttering.

What research is being conducted on stuttering?

Researchers around the world are exploring ways to improve the early identification and treatment of stuttering and to identify its causes. For example, scientists have been working to identify the possible genes responsible for the types of stuttering that tend to run in families. NIDCD scientists have identified three such genes—one on chromosome 12 and two on chromosome 16—that are the source of stuttering in some study participants in Pakistan, England, and the United States. The three genes, called GNPTAB, GNPTG, and NAGPA, work together to help in the breakdown and recycling of cellular components. Interestingly, other mutations in GNPTAB and GNPTG are tied to two serious metabolic disorders, called mucolipidosis (ML) II and III, which are also caused by problems with cellular recycling. Researchers are now studying how this defect in the recycling of cell components leads to specific deficits in speech fluency.
Researchers are working to help speech-language pathologists determine which children are most likely to outgrow their stuttering and which children are at risk for continuing to stutter into adulthood. In addition, researchers are examining ways to identify groups of individuals who exhibit similar stuttering patterns and behaviors that may be associated with a common cause.
Scientists are using brain imaging tools such as PET (positron emission tomography) and functional MRI (magnetic resonance imaging) scans to investigate brain activity in people who stutter. NIDCD-funded researchers also are looking at brain imaging as a way to help treat people who stutter. Researchers are studying whether volunteer patients who stutter can learn to recognize, with the help of a computer program, specific speech patterns that are linked to stuttering and to avoid using those patterns when speaking.