Rehabilitation and education issues with implanted children: perspectives from a panel of clinicians and educators.
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Biomedical subjects
Publications and source records attributed to S Jorgensen.
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Children without an auditory brainstem evoked response can benefit from an auditory-oral hearing habilitation program. This study focuses on 31 such children enrolled at the Houston School for Deaf Children. Eleven had excellent auditory-oral skills, with language ability equal to normal-hearing children of a similar age, and speech easily intelligible to a familiar listener. A statistically significant factor associated with success was hearing acuity at 250 Hz. Other important factors included age at enrollment at the school, duration of enrollment, degree of parental support, and absence of middle ear disease.
An overview of deaf education as it relates to the needs of the cochlear implant child is given. More specific information concerning the developmental approach to successful listening is described. The progress of specific youngsters is discussed following application of this "approach".
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Model investigations were performed on a canister containing 600 g of Sodasorb indicator soda lime in a transparent lime compartment used in the Hafnia circle. The CO2 input was 300 ml per min. Carbon dioxide will be efficiently eliminated from the gas mixture conveyed to the patient connection in this system for at least 4 h, irrespective of the rate of fresh gas flow. There was proportionality between the fresh gas inflow and the duration of effective CO2 elimination. The relative efficacy of the CO2 absorption was investigated at different levels in the canister. The temperature in the axis of the lime compartment was 43-52 degrees C, and the temperature of the gas mixture conveyed to the patient attachment 30-35 degrees C. The colour shift in the lime charge was a reliable indicator of the efficiency of CO2 elimination. The canister should be replaced when the colour shift has progressed to 2/3 of the lime charge. The canister contains no disposable parts except for the lime charge. All the components of the circle system should be taken apart and cleaned after each anaesthesia.
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An open reservoir for the collection and evacuation of anaesthetic gases permits leakage to room air. The use of a closed reservior for the removal of overspill gas from anaesthetic circuits is described. Calibrated gas evacuation is carried out through an ejector flowmeter from the anesthetic circuit or from a closed reservoir, where the gas is collected via a relief valve. In order to eliminate the risk of high or low pressure in the reservoir employed, a relief valve and a dumping valve is included in the system.
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