Multichannel Cochlear Implant: The New York University/Bellevue Experience

1987 ◽  
Vol 96 (1_suppl) ◽  
pp. 139-140
Author(s):  
N. L. Cohen ◽  
S. B. Waltzman ◽  
W. Shapiro
Keyword(s):  
New York ◽  
Cochlear Implant ◽  
Single Channel ◽  
Medical Center ◽  
Word List ◽  
Speech Discrimination ◽  
Scala Tympani ◽  
New York University ◽  
Closed Set ◽  
Open Set

A total of nine patients have been implanted at the New York University/Bellevue Medical Center with the Nucleus multichannel cochlear implant. The patients ranged in age from 21 to 62 years, with a mean age of 38.7 years. All were postlingually deafened with bilateral profound sensorineural hearing loss, and were unable to benefit from appropriate amplification. Each patient was implanted with the 22-electrode array inserted into the scala tympani, using the facial recess technique. Seven of the nine patients have functioning 22-channel systems, whereas one patient has a single-channel system and one had 14 electrodes inserted because of an unsuspected obstruction in the scala tympani. All patients are regular users of the device and none have been lost to follow-up. Seven patients have completed the prescribed Nucleus training program, and two patients are in the early stages of training. All nine patients have shown a restoration of hearing sensation in response to acoustic stimuli and a recognition of a wide variety of environmental sounds. All seven patients who have completed training and are using the multichannel stimulation have shown an improvement in their vowel and consonant recognition scores when the implant is used in conjunction with lipreading. Mean speech-tracking scores for these patients show an improvement from lipreading alone to lipreading with implant of 28.8 to 60.6 words per minute. Patients also demonstrated a consistent increased ability to use suprasegmental information and to obtain closed set work recognition on portions of the Minimal Auditory Capabilities test battery. Several of the patients have shown an ability to understand significant amounts of open set speech without lipreading. Two patients can comprehend noncoded telephone conversation; one scores an average of 42% on open set speech discrimination testing and the other 20% using the W22 word list with audition only.

Telephone Speech Comprehension with Use of the Nucleus Cochlear Implant

1989 ◽  
Vol 98 (8_suppl) ◽  
pp. 8-11 ◽  
Author(s):  
Noel L. Cohen ◽  
Susan B. Waltzman ◽  
William H. Shapiro
Keyword(s):  
New York ◽  
Cochlear Implant ◽  
Medical Center ◽  
Significant Degree ◽  
Speech Comprehension ◽  
New York University ◽  
Monosyllabic Word ◽  
Long Distance ◽  
Good Communication ◽  
Communication Ability

The reported telephone usage by cochlear implant recipients has become a major issue of controversy. Although patients and clinicians report good communication skills via the telephone, no standardized tests have been used and no quantifiable results have been reported. In an effort to determine the extent to which our better-performing patients can use the telephone, we established a clinical protocol to assess their ability to recognize speech, taking into consideration the problems inherent in telephone testing. Eight cochlear implant recipients were administered the NU-6 Monosyllabic Word Test and the City University of New York Topic Related Sentences under the following listening conditions: soundfield in a soundproof suite and via telephone within the hospital, locally, and long-distance. Twenty-three percent of the patients implanted at New York University Medical Center demonstrated a significant degree of telephone communication ability.

scholarly journals Engaging and Educating Older Adults and Caregivers in Age-Friendly Healthcare

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 686-686
Author(s):  
Erin Emery-Tiburcio ◽  
Rani Snyder
Keyword(s):  
Older Adults ◽  
New York ◽  
Health System ◽  
Medical Center ◽  
Health Resources ◽  
Primary Care Providers ◽  
Care Providers ◽  
New York University ◽  
The Us ◽  
Treatment Plans

Abstract As the Age-Friendly Health System initiative moves across the US and around the world, not only do health system staff require education about the 4Ms, but older adults, caregivers, and families need education. Engaging and empowering the community about the 4Ms can improve communication, clarify and improve adherence to treatment plans, and improve patient satisfaction. Many methods for engaging the community in age-friendly care are currently in development. Initiated by Health Resources and Services Administration (HRSA)-funded Geriatric Workforce Enhancement Programs (GWEPs), Community Catalyst is leading the co-design of Age-Friendly Health System materials with older adults and caregivers. Testing these materials across the country in diverse populations of older adults and caregivers will yield open-source documents for local adaptation. Rush University Medical Center is testing a method for identifying, engaging, educating, and providing health services for family caregivers of older adults. This unique program integrates with the Age-Friendly Health System efforts in addressing all 4Ms for caregivers. The Bronx Health Corps (BHC) was created by the New York University Hartford Institute of Geriatric Nursing to educate older adults in the community about health and health behaviors. BHC developed a method for engaging and educating older adults that is replicable in other communities. Baylor College of Medicine adapted and tested the Patient Priorities Care model to educate primary care providers about how to engage older adults in conversations about What Matters to them. Central to the Age-Friendly movement, John A. Hartford Foundation leadership will discuss the implications of this important work.

NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽  
1949 ◽  
Vol 4 (1) ◽  
pp. 142-144
Keyword(s):  
New York ◽  
Medical Center ◽  
Associate Professor ◽  
Johns Hopkins Hospital ◽  
State University ◽  
New York University ◽  
Louisiana State University ◽  
School Of Medicine ◽  
National Foundation ◽  
Infantile Paralysis

The National Foundation for Infantile Paralysis has awarded postgraduate fellowships in the fields of scientific research, physical medicine and public health. Three of the new fellows will devote their time to research projects in the field of pediatrics. Dr. John J. Osborn, of Larchmont, N.Y., has already begun his project at New York University—Bellevue Medical Center under Drs. L. Emmett Holt, Jr., Professor of Pediatrics, and Colin MacLeod, Professor of Microbiology; Dr. Paul Harold Hardy, Jr., of Baltimore, Md., and Dr. David I. Schrum, of Houston, Texas, will start their work July 1, respectively, at Johns Hopkins Hospital, under Drs. Francis F. Schwentker, Pediatrician-in-Chief, and Horace L. Hodes, Associate Professor of Pediatrics; and at Louisiana State University School of Medicine under Drs. Myron E. Wegman, Professor of Pediatrics, and G. John Buddingh, Professor of Microbiology.

Auditory Training and Speech Discrimination

1970 ◽  
Vol 13 (4) ◽  
pp. 839-855 ◽  
Author(s):  
Daniel L. Bode ◽  
Herbert J. Oyer
Keyword(s):  
Auditory Discrimination ◽  
Auditory Training ◽  
Speech Discrimination ◽  
Training Material ◽  
Closed Set ◽  
Open Set ◽  
Speech Reception ◽  
Hearing Aid Use ◽  
Response Formats ◽  
Respective Type

Thirty-two adults with sensorineural hearing loss participated in a short-term auditory training program. The listeners were assigned to one of four matched groups which were equivalent in pure-tone sensitivity, speech-reception threshold, PB discrimination in quiet and in noise, intelligence, age, education, duration of loss, sex, and hearing-aid use. Each group responded during training to a different combination of listening condition (S/N varied or S/N-constant) and speech material (closed-set or open-set response formats). Statistically significant increase in auditory discrimination was shown on the W-22 and Rhyme tests, while the increase revealed by the Semi-Diagnostic test was not significant. Results indicated that the two listening conditions were equally effective. Similarly, the two types of training material brought about equivalent increases in overall speech discrimination. Trends suggested that open-set and closed-set training each had most effect on the respective type of speech discrimination. In addition, improvement in auditory discrimination was associated with those individuals who were oldest, with those who had highest intelligence, and with those who responded to training material at the most intense presentation level. Finally, listeners who reported the most hearing handicap also tended to show the greatest loss in speech reception and in speech discrimination in noise.

Assessment and Outcome in Non-Traditional Cochlear Implant Candidates

2016 ◽  
Vol 21 (6) ◽  
pp. 383-390 ◽  
Author(s):  
Rebecca L. Heywood ◽  
Deborah A. Vickers ◽  
Francesca Pinto ◽  
George Fereos ◽  
Azhar Shaida
Keyword(s):  
New York ◽  
Speech Perception ◽  
Cochlear Implant ◽  
Predictive Factors ◽  
Speech Intelligibility ◽  
Age At Onset ◽  
Patient Expectations ◽  
Speech Discrimination ◽  
Profound Deafness ◽  
The Mean

The objectives of this study were to assess: (i) patient expectations met as a measure of outcome in early-deafened, late-implanted (non-traditional) cochlear implant recipients and (ii) pre-implantation predictive factors for postoperative speech perception. The notes of 13 recipients were retrospectively reviewed. The mean age at onset of profound deafness was 1.5 years (range 0-6). The mean age at implantation was 37 years (range 22-51 years). Patient expectations were assessed pre-operatively and 1 year after implantation. They were met or exceeded in 129/140 (92%) domains overall. A higher Speech Intelligibility Rating and audiovisual City University of New York sentence score before implantation were found to be positive predictive factors for improved speech discrimination after cochlear implantation.

Efficacy of and potential morbidities associated with the use of antacid medications in preterm neonates

2017 ◽  
Vol 45 (8) ◽  
Author(s):  
Uday P. Patil ◽  
Sean M. Bailey ◽  
Elena V. Wachtel ◽  
Evan Orosz ◽  
Rebecca Zarchin ◽  
...  
Keyword(s):  
New York ◽  
Preterm Infants ◽  
Chart Review ◽  
Medical Center ◽  
Bacterial Flora ◽  
Retrospective Chart Review ◽  
Gastric Ph ◽  
Preterm Neonates ◽  
Gastrointestinal Function ◽  
New York University

AbstractObjectives:Antacid medications are frequently administered to preterm infants. These medications can change gastric pH levels and can affect regular gastrointestinal function and gut micro-bacterial flora. We hypothesized that preterm infants exposed to antacid medications are at a greater risk of necrotizing enterocolitis (NEC) and sepsis, and set out to determine any association, as well as to assess the clinical efficacy of these medications.Materials and methods:Retrospective chart review of preterm infants ≤30 weeks’ gestational age or birth weight ≤1250 g over a 2-year period at New York University Langone Medical Center. Subjects were divided into two groups: those who had been treated with antacid medications and those who had not. We then examined for any difference in NEC (≥Bell stage 2) or culture proven sepsis.Results:The study comprised 65 eligible neonates, 28 in antacid treatment group and 37 in control. The incidence of NEC (21.4% vs. 2.7%, P=0.04) was significantly higher in the antacid group, but these infants tended to be born more prematurely than control subjects. There was a trend toward more culture proven sepsis cases in the antacid group. We found no difference in signs generally associated with neonatal reflux (apnea, bradycardia, and desaturation events) in subjects treated with antacid medications after treatment began.Conclusions:Treatment of preterm infants with antacid medications is potentially associated with a higher risk of NEC, and possibly sepsis, while appearing to provide little benefit.

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