the effective scientific presentation blake papsin
TRANSCRIPT
Introduction
goals connect with your audience direct and hold attention promote understanding and
memory
psychological principles
Introduction
interpose perceptual and cognitive psychology i.e. figure/ground
viewer extracts this way
presenter presents this way
Visual Attention
saccades scan visual environment many factors involved industry knows this motivation important
Visual Attention
saccades scan visual environment many factors involved industry knows this motivation important
Presentation Goals and Underlying Principles
connect principle of relevance principle of appropriate
knowledge
direct and hold attention principle of salience principle of discriminability principle of perceptual
organization
promote understanding and memory principle of compatibility principle of informative
changes principle of capacity
limitations
Principle of Relevance
enough information to transfer the message figure in relation to ground cognitive dissonance not all the work you did!
Cochlear Implant in Children with Normal Cochlear Anatomy
we implanted normal children for 5 years mean age 4.384 (Std. Dev.= 2.34, range 3.54-
9.32) 64 males:62 females 7.6 % complication rate (3.2% major, 4.4%
minor) one device type in all but 4 other medical illness in 17% (one had IDDM) 3 had siblings with deafness, subsequently
determined to be connexin mutations
Papsin BC, Bailey CM, Albert DA, Bellman SC: Surgical aspects of paediatric cochlear implantation. The Journal of Laryngology and Otology 1997: 1.11: pp 240-244deJong A, Nedzelski J, Papsin BC: Surgical outcomes of paediatric cochlear implantation: The Hospital for Sick Children's experience. Journal of Otolaryngology 1998: 27(1): pp 26-30. Gysin C, Papsin BC, Daya H, Nedzelski J: Surgical outcome after paediatric cochlear implantation: Diminution of complications with the evolution of new surgical techniques. Journal of Otolaryngology 2000: 29(5): pp 285-289.
Principle of Appropriate Knowledge
identify you audience
build on their prior knowledge jargon short forms attach to known concepts expand from known to unknown
Cochleovestibular Anomalies
103 (35%) of implanted children had anom. cochleovestibular anatomy
Cochleovestibular Anomalies Number
cc 8
hc 16ip 42vae 37
bilateral sequential straight electode – cc
deformity
Principle of Salience
attention drawn to large perceptual changes size, colour, motion, brightness superior colliculus – attentional reflex
(shifting attention develops later) relative to other elements
works with pitch and loudness too*
Principle of Salience
when you read THIS, “this” is salient
but
WHEN YOU READ THIS, “THIS” IS NO LONGER SALIENT
Principle of Salience
when you read THIS, “this” is salient
but
WHEN YOU READ THIS, “THIS” IS NO LONGER SALIENT
.....suppose I am trying desperately to get you to want to understand
information essential to the concept being presented...tell me what would be the best way you would try to pull
information from a series of data points and form a story.
.....suppose I am trying desperately to get you to want to understand
information essential to the concept being presented...tell me what would be the best way you would try to pull
information from a series of data points and form a story.
Normal cochleovestibular
anatomy (n=195)
Abnormal cochleovestibular
anatomy (n=103)
Common Cavity (n=8)
Hypoplastic Cochlea (n=16)
Incomplete Partition (n=42)
Vestibular Aqueduct
Enlargement (n=37)
Gender (M:F)
103:92
56:47
7:1
7:9
22:20
20:17
Mean Age (st. dev.) in
years
4.9 (3.9)
6 (4.4)
4.0 (4.2)
5.2 (4.1)
7.2 (4.7)
5.6 (4.1)
Mean Duration
(st..dev.) of Implantation
in months
52.9 (3.8)
33.4 (35.4)
31.7 (22.6)
36.2 (24.7)
26.2 (18.1)
40.6 (30.6)
Progressive Hearing
Loss/ (%)
46 (24%)
32 (31%)
2 (25%)
3 (19%)
20 (49%)
7 (18%)
Pre-operative
meningitis/ (%)
23 (11%)
8 (8%)
0
0
3 (7%)
5 (13%)
Other medical
conditions/ (%)
26 (13%)
14 (14%)
2 (25%)
6 (38%)
0
6 (16%)
CHARGE association
0
6
0
3
3
0
Summary Data as a Function of Cochleovestibular Anomaly
Summary Data as a Function of Cochleovestibular Anomaly
Normal cochleovestibular
anatomy (n=195)
Abnormal cochleovestibular
anatomy (n=103)
Common Cavity (n=8)
Hypoplastic Cochlea (n=16)
Incomplete Partition (n=42)
Vestibular Aqueduct
Enlargement (n=37)
Gender (M:F)
103:92
56:47
7:1
7:9
22:20
20:17
Mean Age (st. dev.) in
years
4.9 (3.9)
6 (4.4)
4.0 (4.2)
5.2 (4.1)
7.2 (4.7)
5.6 (4.1)
Mean Duration
(st..dev.) of Implantation
in months
52.9 (3.8)
33.4 (35.4)
31.7 (22.6)
36.2 (24.7)
26.2 (18.1)
40.6 (30.6)
Progressive Hearing
Loss/ (%)
46 (24%)
32 (31%)
2 (25%)
3 (19%)
20 (49%)
7 (18%)
Pre-operative
meningitis/ (%)
23 (11%)
8 (8%)
0
0
3 (7%)
5 (13%)
Other medical
conditions/ (%)
26 (13%)
14 (14%)
2 (25%)
6 (38%)
0
6 (16%)
CHARGE association
0
6
0
3
3
0
Principle of Discriminability
two properties must differ by a large enough proportion or they will not be distinguished lateral inhibition increases contrast – perceive edges
Lateral Inhibition
the capacity of an excited neuron to reduce the activity of its neighbours
sharpens edges
0
10
20
30
40
50
60
70
80
90
100
pre post
WIP
I Sco
re
Normal VAS IP Hypo Comcav
0
1
2
3
4
5
6
7
8
pre post
TAC
Lev
el
Normal VAS IP Hypo Comcav
0
0.5
1
1.5
2
2.5
Normal VAS IP Hypo Comcav
Ra
te o
f C
han
ge (
WIP
I S
co
re/M
on
ths
)
0
0.02
0.04
0.06
0.08
0.1
0.12
0.14
0.16
0.18
Normal VAS IP Hypo Comcav
Ra
te o
f C
han
ge (
TA
C L
ev
el/
Mo
nth
s)
Speech Perception Tests in Anomalous Cochleae
Principle of Perceptual Organization
humans group elements into units increase capacity/enhance memory group elements/group concepts
laws of “grouping” psychological and perceptual
Psychological Grouping Laws
proximity similarity continuation good form
common fate
XXX XXX
vs.
XX XX XX
Pediatric BAHA
0
1
2
3
4
5
6
7
8
9
10
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Age at Initial Surgery
Nu
mb
ero
f P
ati
en
ts
two-stage (N=56) one stage (N=15)
Psychological Grouping Laws
proximity similarity continuation good form common fate
[_ _]
vs.
][ _ _
Principle of Compatibility
message is easiest to understand if it’s form is compatible with its meaning images/text support
each other common sense
large
SMALL
Flow Diagram for Investigating SNHL in Children
identify child
OAE testing
ABR if failed
refer to ENT
audiology prescribes
hearing aids
Principle of Informative Changes
changes in properties carry information colour consistency animation (sounds) information without meaning = distraction minimize ambiguity
Cochlear Implant in Children with Normal Cochlear Anatomy
we implanted normal children for 5 years mean age 4.384 (Std. Dev.= 2.34, range 3.54-
9.32) 64 males:62 females 7.6 % complication rate (3.2% major, 4.4%
minor) one device type in all but 4 other medical illness in 17% (one had IDDM) 3 had siblings with deafness, subsequently
determined to be connexin mutations
Papsin BC, Bailey CM, Albert DA, Bellman SC: Surgical aspects of paediatric cochlear implantation. The Journal of Laryngology and Otology 1997: 1.11: pp 240-244deJong A, Nedzelski J, Papsin BC: Surgical outcomes of paediatric cochlear implantation: The Hospital for Sick Children's experience. Journal of Otolaryngology 1998: 27(1): pp 26-30. Gysin C, Papsin BC, Daya H, Nedzelski J: Surgical outcome after paediatric cochlear implantation: Diminution of complications with the evolution of new surgical techniques. Journal of Otolaryngology 2000: 29(5): pp 285-289.
0
1
2
3
4
5
6
7
8
Me
an
Ag
e o
f D
iag
no
sis
(y
ea
rs)
Screened Referred with highrisk factors
Referred with nohigh risk factors
Referral Group
mild moderate mod-severe severe profound
Age at diagnosis, by severity & route to diagnosis (N=613 with HAs)
Principle of Capacity Limitations
limited capacity to retain and process information four units is ideal
chunking (automating) first and last best retained too much work to
decipher = lost attention
Normal cochleovestibular
anatomy (n=195)
Abnormal cochleovestibular
anatomy (n=103)
Common Cavity (n=8)
Hypoplastic Cochlea (n=16)
Incomplete Partition (n=42)
Vestibular Aqueduct
Enlargement (n=37)
Gender (M:F)
103:92
56:47
7:1
7:9
22:20
20:17
Mean Age (st. dev.) in
years
4.9 (3.9)
6 (4.4)
4.0 (4.2)
5.2 (4.1)
7.2 (4.7)
5.6 (4.1)
Mean Duration
(st..dev.) of Implantation in months
52.9 (3.8)
33.4 (35.4)
31.7 (22.6)
36.2 (24.7)
26.2 (18.1)
40.6 (30.6)
Progressive Hearing
Loss/ (%)
46 (24%)
32 (31%)
2 (25%)
3 (19%)
20 (49%)
7 (18%)
Pre-operative
meningitis/ (%)
23 (11%)
8 (8%)
0
0
3 (7%)
5 (13%)
Other medical
conditions/ (%)
26 (13%)
14 (14%)
2 (25%)
6 (38%)
0
6 (16%)
CHARGE association
0
6
0
3
3
0
Summary Data as a Function of Cochleovestibular Anomaly
We wanted to study our group of children with abnormal cochleae and see if they do as well as normal children
Special Considerations - Colour
circular not linear use colours well
separated avoid red/blue avoid red/green warm colours to the
foreground
Conclusions
anomalous cochleae:
many varieties
comparable outcome*
associated with: increased surgical
challenge higher rate of complication
Conclusions
anomalous cochleae:
many varieties
comparable outcome*
associated with: increased surgical
challenge higher rate of complication