Processing Handout Segment 2 Gail Richard
9/28/2020Auditory and LanguageProcessing Disorders:Assessment & InterventionGail J Richard, PhD, CCC‐SLPgjrichard@eiu.edu1Speaker Disclosure Financialo Receive royalties from ProEd publications The Source ‐ Processing Disorders The Language Processing Test Language Processing Treatment Activities Differential Screening Test for Processing Disorders That’s Life Language Cardso Revenue share from MedBridge courseso Royalties from Dynamic Resourceso Honorarium and travel reimbursement Nonfinancialo Author of several book chapters and articles on processing2Adequate Processing InvolvesContinuum of Skills Intact peripheral auditory system – perceiveand receive acoustic stimulus Intact CANS – transmit through brainstem toupper cortex Phonemic knowledge to discriminateaspects of the acoustic stimulus Linguistic knowledge to decode message Executive function skills to attend, organize,execute behavioral response31
9/28/2020Continuum of ProcessingAuditory ProcessingaudiologistLanguage Processingspeech-language pathologistTransition AreaAcoustic / Phonemic Processingaudiologist and speech-language pathologistRichard, 2017, 20014AUD and SLP Team Approach Differentiate auditory versus languageaspects of disorder Auditory aspects assessed by audiologist Language aspects assessed by speech‐language pathologist Need to determine level of breakdown toprogram effective intervention5Philosophy of CAP CANS responsible for transferringauditory signal through brainstemto cortex Signal reaches brain intact normalCAP Signal distorted or compromisedwhen reaches brain CAPD62
9/28/2020The geography of the auditory system Peripheral systemo Hearing sensitivity and acoustic reflexes Brainstem systemo Acoustic reflexeso Binaural interaction Cortical systemo Discriminationo Dichotic listeningo Temporal processing7 Hearing sensitivity and reflex actiono Signal collection – outer earo Signal transmission – middle earo Signal detection – inner earo Signal transformation – 8th nerve8Central AuditoryNervous System (CANS) Transfer stimulus from inner ear to cortex Extremely complex system Six different points to deal with auditoryinformation Four different pathways Four cross‐over points One million cells Eight different cellular responses Six different cell types93
9/28/202010Central Auditory Processing Premise Purpose Assess brainstemand corticalfunction Stress the systemby eliminatingredundancy orcompromisingthe signal Brain looks for consistency inprocessing auditory signal If confusing signal, abnormalbehavioral response Meaning derived from signalnot dependent on receivingevery formant Acoustic info combines withlinguistic context to attachmeaning11AUDITORY SYSTEM athwaycontralateralpathwaysLeft CochleaRight Cochlea124
9/28/2020CAPD Test Battery Minimize influence of language, cognition &other sensory skills on performance Maximize function of CANS Results examined re:o central auditory processes being taxedo anatomical sites subserving those skills13Example Acoustic Skills Binaural processing Auditory Localization Speech in Noise Temporal processing Temporal pattern discrimination/recognition Temporal recognition/manipulation of multipletargets Auditory Vigilance14 Test results help professionals develop deficit‐specific management strategies Effective intervention of CAPDs includes:RemediationManagementNeuroscientific foundations155
9/28/2020ManagementRemediation Modification of thecommunicativeenvironment Formal and informaltherapy to developdeficient skills AND Use of compensatorystrategies Teach compensatorystrategies Minimizes adverseeffect of disorder ofclient’s life Designed to reduce orresolve deficit16Intervention TripodDirect Remediationfocus on listenerEnvironmental Modifications –focus on environmentCompensatory Strategies –focus on message17Focus on the listener: remediation Based on neural plasticity researcho Plasticity is brain’s ability to organize/reorganize in response to stimulation Includes bottom‐up programs to improvespecific skills and top‐down programs toteach/reteach compensatory strategies186
9/28/2020Remediation for CAPDs Auditory skills training: bottom‐up therapyo based on plasticity theoryo stimulus‐driven, adaptive, repetitive Teaching strategies: top‐down therapyo based on neurocognitive theoryo concept‐driven, use metacognitive andmetalinguistic strategiesFor most CAPDs ‐ will likely use a combinationof bottom‐up AND top‐down therapies19Example Acoustic Skills Binaural processing––––Auditory LocalizationSpeech in NoiseDichotic listeningInterhemispheric integration Temporal processing– Temporal pattern discrimination/recognition– Temporal recognition/manipulation of multipletargets Auditory Discrimination– Frequency related tasks– Timing related tasks20Improving auditory discrimination Designed to improve auditory system’s ability to extractacoustic cues from within speech spectrum Targets include CVs/VCs, words, spondees/trochees,multisyllabic words, words in sentences, nonsense and realsentences, connected discourse, nonspeech targets Uses adaptive minimal pairs discrimination, identificationand recognition training with targets altered to “tax”systemo Temporal and/or frequency discrimination, recognitionin noise Computer‐assisted programso Fast ForWordo Earobics and HearBuildero Customized Learning: Exercises for Aural Rehabilitation(clEAR)o Listening and Communication Enhancement (LACE)217
9/28/2020Resources for therapy www.linguisystems.com - Differential ProcessingTraining Program – auditory, phonologic andlinguistic goals www.acousticpioneer.com – dichotic listeningand temporal patterning training www.neurotone.com – LACE: Listening &Communication enhancement – for adults www.clearworks4ears.com – activities thatenhance an array of auditory & related skills www.brainHQ.com- activities to enhance auditory,visual and thinking/reasoning skills22Computer Applications Auditory Discrimination HearBuilder www.hearbuilder.com; www.superduperinc.com cLear – Customized Learning: Exercises for Aural Rehabilitationwww.clearworks4ears.com Fast ForWord www.scilearn.com Temporal Processing Zoo Caper Skyscraper dichotic listening programwww.acousticpioneer.com CAPDOTS dichotic listening training www.capdots.com Insane Earplane www.acousticpineer.com Listening Skills www.smartyearsapps.com www.hamiguchiapps.com www.interactivemetronome.com23Focus on the environment Noise & reverberation (echo) Distance & lighting Direct signal enhancement via assistivelistening technology (ALDs)248
9/28/2020Focus on the message Clear speech Visual cues Clear Language25Acoustic Processing –Modifications and Strategies Gain visual attention before beginning to presentverbal directions Position yourself in good light and facing thestudent Eliminate/reduce distracting background noise Direct signal enhancement via assistive technology Use Clear Speech It’s all about improving access to acoustic signal26Effective intervention of CAPDs Summary Deficit in skills subserved by CANS Can affect academics, communication, well‐beingand can co‐exist with other conditions Diagnostic results help define nature and clarifyimpact of deficit Intervention MUST be deficit‐specific AND includemodifications, compensation, remediation to beeffective Should reassess skills at periodi
SCAN Screening test for auditory processing Differential Screening Test for Processing (DSTP) Goldman‐Fristoe‐Woodcock Phonological Awareness Test (PAT) Comprehensive Test of Phonological Processing (CTOPP) Test of Auditory Processing Skills (TAPS) 34 35 36. 9/28/2020 13 Linguistic Processing
NOTICE INVITING EXPRESSION OF INTEREST (EOI) Ref.: GAIL CBG23 Date: 29/01/2021 SUPPLY OF COMPRESSED BIO GAS (CBG) TO GAIL (India) Limited & its CGD JVs and GAIL GAS Limited & its JVs 1. GAIL (INDIA) LIMITED is the largest Natural Gas Transmission and Marketing Company in India. Further, GAIL along with its CGD JVs / Subsidiaries and its JVs are .
Sep 01, 2011 · segment bisector bisect In the Geo-Activity, M is called the midpoint of AB&*. The of a segment is the point on the segment that divides it into two congruent segments. A is a segment, ray, line, or plane that intersects a segment at its midpoint. To a segment means to divide the segment into two congruent segments. M is the midpoint of AB&*.
IHS/CSM Segment NHTSA Segment Representative Model Tailpipe CO 2 (g/KM) Fuel Economy (mpg) B-segment Car Compact Car Chevrolet Sonic 78 61.1 D-segment Car Mid-Size Car Buick Regal 88 54.9 E-segment Car Full-Size Car Cadillac XTS 102 48.0 C-segment Truck Small SUV Chevrolet Equinox 102 47.5 D-segment Truck Mid-Size CUV Ca
Faculty use anecdotal notes to remember observations . Handout 2 – Sample Adequate Nursing Care Plan, pages 14-15 Handout 3 – Faculty Evaluation of Sample Nursing Care Plan, page 16 Handout 4 – Poor Concept Map, page 17 Handout 5 – Faculty Evaluation of Poor Concept Map, page 18 Handout 6 – Concept Care Map, page 19 Handout 7 – Faculty Evaluation of Good Concept Map, page 20 For .
Day 2 1. PB&J Algorithm handout 2. Algorithmic Bias handout 3. Reflection handout 4. Cats and Dogs Dataset cards 5. Playing Cards 6. Instructor Laptop and Projector 7. Student Laptops 8. Robots 9. USB Webcams Day 3 1. Ethical Matrix handouts 2. Final Project Brainstorm handout 3. Final Project Research handout 4. Reflection handout 5.
SUMMARIZING, PARAPHRASING, AND QUOTING WORKSHOP CONTENTS Lesson Plan Handout 1: "The Shanghai Secret" Handout 2: Model Citations Handout 3: A Response to "The Shanghai Secret" Handout 4: When to Use/Effective Features of Each Type of Citation Handout 5: Citations for Improvement Handout 6: "Gilmore Girls: A Girl-Power Gimmick" Reference Sheet: A Response to "The Shanghai Secret"
a) Diet b) Supplements c) Other considerations d) Clinician Handout: GERD Treatment Summary 6. IBD/IBS-D a) Diet b) Supplements c) Medications d) Patient handout: Paleo Low-FODMAP Diet e) Patient handout: GAPS Diet f) Patient Handout: How to Manage Your Stress g) Clinician Handout: IBD Remiss
Business cases are developed in line with Treasury’s advice on evidence-based decision making set out in the Green Book and use its best practice five case model approach. 1.2 . This approach shows whether schemes: are supported by a robust case for change that fits with wider public policy objectives – the ‘strategic case’; demonstrate value for money – the ‘economic case’; are .
