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  1. Osseointegrated Implants
  2. Integration
  3. Preminger and Yoo Lacked this Making Them Unable to Conclude their Data
  4. Intended Benefits of CI
  5. Post-Lingual Bimodal Adults
  6. Message Factors
  7. Audiologic Evaluation for CI
  8. Family Focused Model
  9. Unilateral CI
  10. Consonant Nucleus Consonant
  11. Anger
  12. Three CI COmpanies
  13. Hearing in Noise Test
  14. Hybrid CI
  15. Environmental Factors
  16. Impact of Acquired HL
  17. The Average Time an Adult with a HL waits before seeing Help
  18. 1990
  19. Condition that Improved Slowest Over Time in Bergeson Study
  20. Monosyllabic word lists
  21. Electrode Array
  22. Processor
  23. Questionnaires Evaluate
  24. In Preminger and Yoo's Study this Group had the Best Quality of Life
  25. Benefits of self-report questionnairs in AR
  26. Bargaining
  27. Counseling Process
  28. Adults who are deafened face these challenges
  29. Advantages of Bimodal Hearing (CI+HA)
  30. Sound Delivered in Hybrid CI
  31. Abbreviated Profile of Hearing Aid Benefit
  32. Speech Feature Conveyed Best via Speech Reading
  33. Coarticulation
  34. AzBio
  35. Hybrid CI Candidates
  36. HINT
  37. Bimodal
  38. Device Stimulation
  39. Parts of Internal CI
  40. Acceptance
  41. Counseling Basics by Wallace
  42. Imaging for a CI
  43. Viseme
  44. Integration and Age of Implantation
  45. Parents often Find that They change this with their HL Child
  46. Emotional Development
  47. Counseling with Children
  48. How you know a Parent Trusts You
  49. Educational Issues
  50. Percentage of Speech that is Distinguished Visually
  51. Homophenes
  52. Audiovisual Integration
  53. Microphone
  54. Three Reasons Speech Perception Scores have Improved for CI Recipiants
  55. Guilt
  56. Risks of CI Surgery
  57. Satisfaction of Amplification in Daily Living
  58. False
  59. Speechreading
  60. Factors with Bimodal Hearing
  61. Visual Cues for Speechreading
  62. Bilateral Simultaneous CI
  63. Need this for True Membership in the Deaf Community
  64. Aging adults may experience greater speech perception difficulties than
  65. What is a CI
  66. APHAB
  67. Grief Cycle
  68. Single Sided Deafness
  69. 1998
  70. Traditional Child CI Candidate
  71. Residual Hearing
  72. Conclusion of SSD
  73. Adults with high frequency hearing Loss
  74. Implant/Receiver
  75. Counseling Pitfalls
  76. Acquired Hearing Loss
  77. Most effective way to use research to demonstrate that aural rehabilitation program works
  78. 2000
  79. Members of a CI Team
  80. Subtests of APHAB
  81. Disadvantage of Two CI's
  82. Bottom-Up Cues
  83. CI Criteria for Children 2-18 for Aided Speech
  84. Optimal Distance Between Speaker and LIpreader
  85. Benefits of Acoustic and Electric Hearing
  86. Auditory Stimulation by CI
  87. McGurk Effect
  88. When conducting consonant recognition training, when whould the AR therapist provide feedback?
  89. Kubler-Ross
  90. Adult Sequential Implantation
  91. CI's and MRIs
  92. Where should Talker be Located for a Speechreader
  93. Length Factors
  94. Why the Minimal Auditory Capabilities (MAC) Battery was developed
  95. Reasons people seek help for HL
  96. Bilateral Sequential CI
  97. Types of Hybrid CI
  98. Contralateral Routing of Offside Signal
  99. How would a clinician use the self-report measure, the COSI, to help a client during the AR process?
  100. CNC
  101. Seeing how Others Cope with HL may help others
  102. Depression
  103. Skills Kids with HL Struggle With
  104. Speechreading in AR
  105. Parts of External CI
  106. Client Oriented Scale of Improvement
  107. Assessing Speechreading
  108. Absence of VIIIth Nerve
  109. Position Factors
  110. Telemetry
  111. Adult Simultaneous Implantation
  112. Transmitter Coil
  113. AV Integration Theory
  114. Types of copping behaviors demonstrated by adults with HL
  115. CI Candidacy
  116. Doyle
  117. 4 Subscales of SADL
  118. 1985
  119. Auditory Visual Speech Recognition
  120. Semantic Factors
  121. Evaluation for a CI
  122. Older Implanted Children did better on Common Phrase than younger, in Bergerson Explain Discrepancy
  123. What is the Limitation Bergeson Described
  124. Infants and Integration
  125. Self-Concept
  126. Luterman
  127. Presbycusis
  128. Cochlear Implant Surgery
  129. Why Shouldn't we use 70 dB for Presentation Level for Implant Candidacy
  130. Counseling
  131. Articulatory Style
  132. Gender Factors
  133. How long a CI procedure takes
  134. Kricos wanted Clients to do this
  135. WATCH
  136. Types of CI Users
  137. Benefits of Binaural Hearing
  138. Why have 2 CI's
  139. Lipreading
  140. Importance of No Ceiling Effect for Tests
  141. Problems with BAHAs
  142. People with HL May Have Difficulty Understanding Speech
  143. Programming CI
  144. Denial
  145. Conclusion of Modal Hearing
  146. Traditional Adult CI Candidate
  147. Djourno and Eyries
  148. CI Criteria for Adults of Aided Speech Perception
  149. SADL
  150. Basic Listening Skills
  151. Prelingually deaf Bimodal CHildren
  152. Four Factors of Speech Reading
  153. Therapy that Emphasizes Speechreading
  154. COSI
  155. Arizona Bioindustry
  156. Context Factors
  157. Bilateral CI vs Unilateral CI
  158. How to Talk to a Person Needing SPeechreading
  159. First FDA Approved CI
  160. Alessandro Volta
  161. According to Gifford what Questionnaire is most used for Assessing Auditory Skills Birth-3
  162. Most Psychologic Problems Result From
  163. Expression Factors
  164. International Audiences of CI Research
  165. Talker Factors
  166. Bergeson said these kids best
  167. Top-Down Cues
  1. a Listen to what they say to you
    Be honest: Be fair, objective, yet understanding
    Provide information: Regulate level, amount, level of understanding on parents part
    Focus on what family does well
    Respect family decision
    Seek information if you do not know
    Agree to try something
    Watch jargon use
    Give families time
    be sensitive to culture
    Reiterate, Rephrase, Repeat
  2. b Not representative for Real World listening Situation
    May inflate Scores
    Exclude people who would benefit from CI
  3. c Helps determine teaching methods
    May predict CI benefit in kids
    Live speech test preferred
    Want visual acuity
  4. d Segmental and Suprasegmental
    Auditory Cues
    Visual Cues
  5. e Use minimal encouragers (uh-hh, hmm) keeps person talking
    Paraphrase-this helps lead to solutions without directly acknowledging them
    Acknowledge/ reflect feelings
    HL children don't have feeling vocabulary
  6. f Face-to-Face or 45 degree angle
    to the speakers right is prefered
  7. g 7 years
  8. h 1964
    Inserted an array of electrode into a cochlea of a totally deaf person
    Patient was able to repeat phrases with lipreading cues
  9. i Focus on supporting personal adjustment
    May need to refer to a professional
    We only focus on the HL
  10. j FDA lowers age to 18 months
  11. k Earlier implanted children do better on outcome measures
    Kids were 3 years older than early implanted children at the time of testing
    had small sample group of early implanted group
  12. l Evaluated the performance n individuals with profound HL
  13. m Only attending to position and movement of lips
  14. n Need both signals for optimum recognition and comprehension
    Use sight to help in loud environments
  15. o To be Deaf
  16. p Place of Articulation
  17. q 50% or less in implanted ear
    60% or better in unimplanted ear
  18. r House (HEI)
    Michelson (UCSF)
    Simmons (Stanford)
    Graeme Clark (Melbourne)
  19. s Need to remove internal magnet before MRI because MRI would disrupt internal magnet placement
  20. t Good for children
    Bad for Adults it doesn't test thier everyday listening
  21. u Quality of sound
    Speech in noise
    Directional Hearing
    Natural Hearing Experience
    Ease of listening
    Still have functioning ear if one device breaks down
    Helps avoid auditory deprivation
  22. v Cope with their HL in an AR Therapy
  23. w Process of using hearing and eyes to understand speech
    AV scores are better than A and V alone
    Do not add A and V to get AV
  24. x Perception with auditory or visual stimuli
    Integrate auditory and visual cues
    Applying cognitive and linguistic constraints
    Working memory
  25. y Loss of residual hearing in implanted ear
    Risk associated with every surgery
  26. z Speech Processor
    Transmitter Coil
  27. aa Don't assume their HA fits
    May need to remove HA to acclimate CI
    Fit independently
  28. ab Immediately after the client's response
  29. ac Varied among individuals
    Many people are reluctant to seek treatment
    People don't want to look old
    Social withdrawal
  30. ad Cost
    Two devices
    Might have poor fusion of auditory signal
  31. ae Receives input from external device and sends it to electrode array
  32. af APHAB
  33. ag 3 Major Sections, including specific needs degree of change, and final ability
    Reliable, Normed, Valid
  34. ah Sends the electric signal from the external device to the internal device
  35. ai CI in one ear
    Normal hearing in the other
  36. aj Exaggerated mouth movement is harder to understand
    Mumbling is hard because you can't see articulator placement
    Accents are a struggle as well
  37. ak Visemes can change depending on neighboring phonemes
    Limits perception
  38. al CNC
  39. am Words relate to each other if we have a good vocabulary it is easier to fill in the blanks
  40. an Most central aspect of counseling is listening
    Delay Judgement
    Accept what the client has to say
  41. ao Stimulates auditory nerve
  42. ap Parent that is around the child has the most
    Reaction to loss
    Rage directed towards child, family, professionals
    Professional response: Acknowledge frustration, depersonalize attack
  43. aq SADL
  44. ar 50% of Words
  45. as Woman are easier then men
    Facial Hair is an issue because they hide the mouth
  46. at Two CI's implanted in 1 surgery
    Patient has two "working" cochleas now
    Helps with localization of sound
    Insurance may not cover second CI
  47. au IT MAIS
  48. av More related with communication problems rather than the HL
  49. aw Ease of Communication (EC)
    Reverberation (RV)
    Background Noise (BN)
    Aversiveness (AV)
  50. ax AzBio
  51. ay Positive Effects
    SErvice and Cost
    Negative Features
    Personal Image
  52. az Electronic Hearing for High frequencies by CI
    Acoustic hearing with amplification for low frequencies
  53. ba Facial Expression and events help you predict what is being said
  54. bb Each ear needs to meet CI candidacy individually
    Does insurance cover this surgery?
  55. bc With self, God
    Superparent Syndrom
    Professional Response: Help parents establish realistic goals
  56. bd Bone Anchored Hearing AId
    Called this for insurance reasons
  57. be Activity Limitations posed by HL
    Participation restrictions posed by HL
    Efficacy of AR Groups
  58. bf Patient is deaf in both ears
    CI attached to one cochlea
  59. bg Good hearing at low frequencies
    Poor hearing at high frequencies
  60. bh Picks up acoustic signal
  61. bi Advancement in internal/external Components
    Speech Coding Strategies
    More liberal criteria for who can get a CI
  62. bj Medical Contradiction to getting a CI
    Need this to send audio signal to the brain
  63. bk Communication Stratagies and Psychosocial training Group
  64. bl Two different surgeries to get two CI's
    Helps with localization of sound
    Insurance may not cover the second CI
  65. bm Ceiling Effects
  66. bn 20% of words are recognized through vision alone
    Place is visible
    Voicing and manner are invisible
  67. bo If client gets 100% you don't know what they have difficulty with
  68. bp System Information: SpEd laws, available services
    General Information: Child's prognosis, treatment options
    Parents role at home
    Family assistance: Counseling network
    Resources: Financial, medical, emotional, respit care
  69. bq Hard to localize sound
    CROS and OI do little to restore binaural auditory processing
  70. br Perception of sound through CI differs from acoustic hearing
    People report a tactile sensation rather than hearing initially
    People need time to adjust to CI
  71. bs Doesn't restore binaural hearing
    Provide no improvement in sound localization
    Modest improvement in SNR
    CI is only method to restore auditory perception to deafened ear
  72. bt AKA Mapping
    Requires frequent adjustments "tune-ups"
    Many things affect a persons success with a CI
    Need to readjust after every appointment to CI
  73. bu 10 and older clients
    Tested unaided and aided
    Available in other languages
    Reliability and validity not mentioned
    very realistic
    Easily Administerred
  74. bv Most common in High Frequencies
    With a SNHL
    Progresses gradually
  75. bw Addresses communication problems of people with HL
    Serve as guide for developing signal processing strategies
    Framework of AR
  76. bx Something they/you did caused the problem
    Multicultural differences: Religious, cultural
    Punishment for transgression
    Don't condeme, provide scientific rationale
  77. by Converts the acoustic signal from the microphone to an electric signal
  78. bz Children with HL struggle to "read" people
    Harder to make friends
    Language abilities effect perception
  79. ca HINT
  80. cb How they are using their body and help add redundancy to message
  81. cc Slightly slower speech
    exaggerated lip movement
  82. cd Stereotyping what a response might be
    Transference: Strong reaction possitiveor negative to parent
    Projecitons; Responding ot predicaments as if they were our own
    Implicit Expectation
  83. ce FDA lowers age to 12 months
  84. cf 1984
    House-3M Single electrode Array for adults
  85. cg Shorter electrode array
    Stimulates only basal end of cochlea
    Preserves residual hearing of low frequencies
    FDA clinical trials
    Profound HL > 1500 Hz
  86. ch Initial reaction, helps them mobilize
    HL is invisible
    Professional Response: Accept and offer service to child and family
  87. ci Determined by an array of exams
    Steady state evoked potential
    More test on children to see if they have residual hearing
  88. cj Change their own verbal behavior
  89. ck Have better balance and localization when using both CI and HA
    Some stop using HA and cite interference
  90. cl FDA lowers the approved age to 2 years
  91. cm Unilateral CI and Deaf
    Bilateral CI
    Unilateral CI and HI (Bimodal)
    Unilateral CI and Normal Hearing (SSD)
    Hybrid CI
  92. cn Varies on CI manufacturers and Health Insurance
  93. co Auditory stimulation might prevent deterioration of auditory pathways on non implanted ear
    Helps with localization
    Increases SNR
  94. cp Maintaining Positive relationships
    Self Control
    Knowing the Feelings of Others
  95. cq Visual Only
  96. cr S12=10 mm
    L24=24 mm
  97. cs Cognitive/Linguistic Information
  98. ct COSI
  99. cu Ci's introduced in clinical trials
    Only implant post-lingual adults
    Bilateral profound SNHL and 0% speech perception
    Received 1 CI
  100. cv Elderly make up majority of people with HL
    Accidents, Illness, Age factors of HL
  101. cw CROS
    HA that transmits sound from bad ear to good ear
  102. cx Implant/Receiver
    Electrode Array
  103. cy General Anesthesia
    2-4 hours in length
    Typically overnight stay for observations
  104. cz 2-4 hours
  105. da Audiologic Evaluation
    Otological Examination
    CT/MRI to see for abnormalities
    For children: Require a 3 month HA trial and Speech/Language Evaluation
  106. db 12 months of age
    Profound bilateral HL
    Receive minimal benefit from HA
  107. dc Americans want their child to succeed
    Will my child talk?
    Certain values are more important than others depending on the family
  108. dd Improve sound awareness
    Improve speech perception and production
    Improve language development
  109. de 1790
    First person to stimulate auditory nerve electrically
    Connected a battery of 30 couples to two metal rods and inserted them into his ears
  110. df 10 lists of 50 words
    60 dBA
    Client Repeats
    Whole word correct or phoneme correct
  111. dg Help Child/parent tell their story
    Help them to clarify their problems
    Help children to take responsibility for listening problems
    Help them establish goals
    Develop an action plan
    Implement the plan
    On going reassesment
  112. dh Present ~20 weeks old
    Prefer when auditory matches visual cues
  113. di Length
    Morphosyntax and semantic constraints
  114. dj Denial
  115. dk W-Watch Talker's Mouth
    A-Ask Specific Questions
    T-Talk about HL
    C-Change the situation
    H-Healthcare knowledge
    Use during the HA fitting Process
  116. dl California Consonant Test is sensitive to speech perception problems for this population
  117. dm Depends more on clients percpetions of limitations on activities and articipation restrictions than the actual degree of HL
    If they feel like an outcast they will seek help
  118. dn Words that look a like when spoken even though they sound different
    Lips and tongue look the same
    Different speech sounds that look the same
  119. do Randomized Controlled Trial
  120. dp Insures that "the best" ear will be implanted
    Increases access to sound
    Helps with sound localization and speech understanding
  121. dq Encourage HA use for maximum language exposure
    Want to keep ear stimulated for future technology
  122. dr 30% or Less W0rd Recognition Measures
  123. ds Advanced Bionics
    Cochlear Corp
  124. dt Grief Cycle, Stages of Grieving
    Often seen as a re-cycling
    Pattern and reaction to loss
  125. du Techniques that allow Audiologist to test integrity of Internal Device
  126. dv Easy to administer
  127. dw Use this and visual cues to help understand speaker
  128. dx Speech perception performance in quiet and noisey is similar with CI and CI
    Localizaiton is better with CI-CI
  129. dy Reality is painful
    Reoccurs at life milestones
    Professional response: Listen quietly
    If severe enough may reffere to professional
  130. dz To learn more about the clients' perceptions of restricted activites
  131. ea Controlling the social scene
    Avoiding the social scene
  132. eb Take their time accepting their childs HL
  133. ec If the patient follows their recommendation
  134. ed Classify phonemes by place of articulation and shape of mouth
    Not a 1:1 correspondance
    9-12 groups
  135. ee 5 feet
  136. ef Not much current research because of technology
  137. eg Articulatory Style
    Facial Expression
  138. eh Meet criteria for CI
    Patient has obsolete internal device
    Patient wants benefits of bilateral hearing
  139. ei McGurk Effect
    Seen more in females
    Combine auditory and visual cues and get something in the middle
  140. ej 1957
    Implanted the VIIIth Nerve stump in a patient with bilateral temporal bone resection
    Patient could differentiate between high and low frequencies
  141. ek Is the cochlea an abnormal shape
    Is a cochlea present
    Is an auditory nerve present
    Surgical anatomy anomalies
  142. el Graded phenomenon
    Depends on listener and talker
    Gender: Females integrate more
    Individuals with an array of disorders don't get effected
  143. em Do more than just watch lips
    Look at facial expression
    Use residual Hearing
    Linguistic Constraints
    Modify Environment
  144. en CI in one ear
    HA in the other ear, residual hearing is in this ear
    Helps with localization of sound
    Some people may stop wearing their HA
  145. eo Auditory Oral
  146. ep Control Group
  147. eq Speaker
    Speech reader
  148. er ENT
    Social Worker
    teacher of Deaf/ Hard of hearing
  149. es A prosthesis that provides direct electrical stimulation to auditory never
    Bypasses the ME
    Used with individuals who have severe to profound HL who receive little benefit from HA
  150. et what would be expected based on their audiometric thresholds
  151. eu 12 and Older Clients
    Used for HA and CI
    3-12 Sentences
    Scored by % Correct
    SNR Environment
  152. ev Profound bilateral HL
    Receive minimal "benefit" from HA
    Speech recognition < 50% (private insurance) <40% (Medicare)
  153. ew Questionnaire
    Results may change over time
  154. ex Improved Speech perception abilities
    Better frequency selectivity
    Helps with background noise
    Helps with music
    Helps with sound localizaiton
  155. ey Ultimate goal
    First evidence of resolved grief
    Professional Response: Energies and constructive actions of parent can now be more focused on intervention
  156. ez Longer the message harder to speech read
    Grammar helps with predicatbility
  157. fa No ties to Deaf Community
    Limited Communication Skills
    Can't Speech Read
  158. fb Increasing gain of hearing aid is useful strategy for dealing with phonemic regression because the damage involves peripheral auditory patways
  159. fc Face-to-face is best
    Within 45 degrees of speaker
    To the right of speaker is best
  160. fd Initial fitting 1 month after surgery
    Follow ups 2 weeks after and 1 month after
    Additional follow ups in 3 month intervals for first year
    Then annual visits
    Starts sound signal soft to not scare the patient
    Audiologist slowly increases the sound volume
  161. fe Family based
    Parents more assertive now
  162. ff Greater benefit from two CI
    Duel implantation is more expensive though
    Insurance doesn't reimburse equally for second CI
  163. fg Early implanted children do better at A-only and AV
    Later implanted children do better at V only
    If child gets implanted 2.5 years or later they are more reliant on visual cues
  164. fh Oral Communication
    Audiovisual Testing
  165. fi SNR of -10 dB to begin and adjust until client gets 100% correct
    Surrounded by speakers and locate the sound
    Recorded, Reliable, Valid
  166. fj No HL is the same
    Negative reactions can develop on misperception
    Social Dysfunction perceived
    Harder for children with a HL to socialize
  167. fk Lighting
    Background noise/distractor
    Viewing angle