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  1. Auditory Skill (4 levels)
    Part of brain that processes auditory info

          

  2. Formal training vs informal training1. placement
    2. goals
    3. objectives

          

  3. 2 classifications of noiseFatigue, anexiety, social withdrawl, depression, hypertension, stress, sleep disturbances

          

  4. Internal Components of CI
    Speech Processor
    Transmitter
    Cable

          

  5. TWAChild (6-11) listens to words and raises thumb every time hears 'dog'
    15 minutes
    20 monosyllabic words are repeated and arragned to form 96 word list

          

  6. Possible complcationsLoss of residual hearing
    Infection
    Fluid accumulation under incision site
    Irration over site
    Facila Nerve Paralysis
    Post-op middle ear infection
    Pain in implant site
    Facial nerve stimulation during programing
    Risk of anesthesia and surgery
    Leakage in cochlear fuilds
    Risk of menigitis

          

  7. Most difficult consonant feature for a deaf person to identifyPlace

          

  8. What are the 4 design principles of auditory training A.S.A.D?Currier in NY
    Gillespie in Nebraska

          

  9. IdentificationListener able to label auditory stimuli

          

  10. Place (5 places) The man with the van with his thumb in a glove drove the shipBilabial- lip to lip "man"
    Labiodental- teeth to lip "van"
    Linguadental- tongue to lip "thumb"
    Palatal- tongue to palat (roof of mouth) "ship"
    Velar- tongue to back of mouth "glove"

          

  11. How fast does the average person speak?Damage occures in 3-6kHX region of cochlea

          

  12. Talker effectSame sound may look different when spoken by a different person

          

  13. T levelSpeech sounds that appear idential on the lips

          

  14. Health effects of NIHLSame sound may look different when spoken by a different person

          

  15. CI Couneling coversWords that look identical on the lips 47-56% of words in Enlish are homophenes

          

  16. History of CI1790- Volta put eletrode in ear
    1950- Djourno developed electrical auditory prothesis
    1960-1970- Dr. William House and Dr. Graham Clare research wearable device
    1957- Eyries put this in an ear
    1980- C.I widely used
    1990- FDA approves C.I for children

          

  17. Time Compressed SpeechTests temporal processing
    Assesses how CANS processes degrade acoustic stimuli over time
    "Say the word ___"

          

  18. Interleaved pulsatile stimulationCommon with mengitius
    Electrode may be partially inserted

          

  19. Synthetic TrainingType of stimulus unit- training emphasized recognition of individual speech sounds or syllables

          

  20. External Components of CI
    Speech Processor
    Transmitter
    Cable

          

  21. CI Candidacy for AdultsBilateral, SNHL
    50% less sentence rec in ear to be implated
    60% or less in better ear

          

  22. SuprasegmentalVariations in pitch, rate, intensity, prosody (rythm) and duration imposed on segmentals (words and phonemes)

          

  23. Variable affecting performance...

          

  24. Skills that correlate with sucess of speech readingVisual word decoding
    working memory
    lexical identification speed
    phonological processing
    verbal inference making
    assertiveness

          

  25. Candidacy for Children (for Auditory Training)Change in status in hearing due to
    -C.I
    -Trauma
    -Ototoxic drugs

          

  26. Goals with hearing conservation in aural rehabilition planEducate individuals on how to preserve and protect residual hearing

          

  27. C levelMaximum comfort level
    Maximum level sound can be listened at comfortably for a long period of time

          

  28. Stress effectsWhat we hear influences what we see and vice versa (visual intergration)

          

  29. Tonotopical organizedThe cochlea is oranized tonotopical with low frequecies at apex (center) and high frequencies on basal end (part near round window)

          

  30. Vowel Auditory Training Objective-designed to contrast vowels with different formants
    1) vowel awarness 2)distinguish between sounds 3)identitify

          

  31. Auditory Cortex1790- Volta put eletrode in ear
    1950- Djourno developed electrical auditory prothesis
    1960-1970- Dr. William House and Dr. Graham Clare research wearable device
    1957- Eyries put this in an ear
    1980- C.I widely used
    1990- FDA approves C.I for children

          

  32. Neighbor Activation Model (N.A.M)Transient or impulse
    Continuous noises- constant for at least .2 seconds (more damaging)

          

  33. McGurk EffectSame sound may look different when spoken by a different person

          

  34. Symptoms and effectsTTS- muffled hearing, fullness or pressure in ear, tinnitus
    NIHL- loss in HF sounds
    Decreased speech discrimintation
    Tinnitus

          

  35. ComprehensionListener able to understand meaning of spoken message

          

  36. Easiest consonant features for deaf people to distinguishNasal and voice

          

  37. Patter perceptionListener able to understand meaning of spoken message

          

  38. Battery life of a CI1790- Volta put eletrode in ear
    1950- Djourno developed electrical auditory prothesis
    1960-1970- Dr. William House and Dr. Graham Clare research wearable device
    1957- Eyries put this in an ear
    1980- C.I widely used
    1990- FDA approves C.I for children

          

  39. Variables that effect speaking rate-Emotion
    -Social Etiquette
    -Fatigue
    -Articulation style

          

  40. ACPTTime-weighted average- equates a sound level of 8 hours

          

  41. Mapping CIChild (6-11) listens to words and raises thumb every time hears 'dog'
    15 minutes
    20 monosyllabic words are repeated and arragned to form 96 word list

          

  42. Normal steps taking before a CI surgery...

          

  43. 5db ruleFor each 5b increase in intensity permissible noise exposure is halved

          

  44. Consonant auditory training objectives PVMAuditory training designed to contrast the features of articulation 1)Place 2)Voicing 3)Manner

          

  45. Goals of Auditory Training- Recognize and interpret speech
    - Use residual hearing to maximum capability
    -Will not change hearing but will enhance ability to utilize sound

          

  46. SNR (signal to noise ratio)Common with mengitius
    Electrode may be partially inserted

          

  47. Loundess balancingAdvanced form of babbling, 10 months

          

  48. Audiovisual intergrationAbility to tell if two sounds or different or the same

          

  49. Are vowels visible?+30 million Americans are exposed to hazardous sound levels on daily basis
    -Excessive noise is most commone cause of hearing loss
    -10 million Americans have experianced loss b/c of this

          

  50. Analytic TraniningType of stimulus unit- training emphasized recognition of individual speech sounds or syllables

          

  51. Sound discriminationListener able to label auditory stimuli

          

  52. 3 Major CI companiesCochlear Corp- 1st mult channel device
    Med-EL
    Advanced Bionic

          

  53. Vowels- formants...

          

  54. Auditory Continuous Permformance test ACPT...

          

  55. Vilignace-Intergrates 3 dimensions of attention
    -Alertness- readiness to recieve stimulus
    -Selection- perceiving stimuli as being different and requiring a specific response
    -Effort- effect invest in test

          

  56. PitchrankingDetermind ability to discriminate pitches from stumulation of basal to apical electrodes (two electrodes are stimulated, one after the other, patient says which is higher)

          

  57. VisemesSpeech sounds that appear idential on the lips

          

  58. Cochlear OssificationCommon with mengitius
    Electrode may be partially inserted

          

  59. 3 stages of auditory training?1. placement
    2. goals
    3. objectives

          

  60. Candidacy for Adults (for Auditory Training)Change in status in hearing due to
    -C.I
    -Trauma
    -Ototoxic drugs

          

  61. Canonical babblingSame phoneme may look different when spoken in combination with another, influenced by vowel following consontant

          

  62. What does NIHL look like-Bypasses hair cells in choclea (damaged by SNHL),
    -Stimulates auditory nerve directly
    -Neural impulses are sent to the brain as if the chochlea had been stimulated via acoustic input

          

  63. Who is Raymond Carhart?The "father of audiology," developed programs to help soldiers with hearing loss from WWII

          

  64. Manner (5) F.S.A.GSame sound may look different when spoken by a different person

          

  65. 2 types of noise induced lossAcoustic trauma- permanent
    Temporary Threshold Shift- TSS (may case permanent threshold shift after time- PTS)

          

  66. Electrode pairsListener able to understand meaning of spoken message

          

  67. Difference in Auditory Treatment for post-lingually and pre-lingually deafened children-designed to contrast vowels with different formants
    1) vowel awarness 2)distinguish between sounds 3)identitify

          

  68. Sound AwarenessMost basic auditory skill level- awareness of when a sound is present and when it is not

          

  69. CoarticulationSame phoneme may look different when spoken in combination with another, influenced by vowel following consontant

          

  70. What is the optimal SNR for comprehensionfor people of normal hearing?-Prelingually defeaned
    -Post lingually deafened

          

  71. Intersection densityTiny exposed balls or rings on electrode array wire comprised of positive and negative polarity contacts
    + + ++ + +
    { { { { { {
    - - - - - -

          

  72. Dichotic DigistsSame phoneme may look different when spoken in combination with another, influenced by vowel following consontant

          

  73. Prevalence+30 million Americans are exposed to hazardous sound levels on daily basis
    -Excessive noise is most commone cause of hearing loss
    -10 million Americans have experianced loss b/c of this

          

  74. Which phonmes are more visible than others (consonants)Acoustic trauma- permanent
    Temporary Threshold Shift- TSS (may case permanent threshold shift after time- PTS)

          

  75. What does a CI doDamage occures in 3-6kHX region of cochlea

          

  76. HomophenesWords that look identical on the lips 47-56% of words in Enlish are homophenes

          

  77. What were the first two schools to promote auditory training in the US?Currier in NY
    Gillespie in Nebraska