Cochlear Implants

Illustration of a cochlear implant

The sound and the fury

Today’s article was going to be a pretty straightforward technological exposition. I was going to describe a procedure that can improve hearing in ways that conventional hearing aids cannot, mention some of the limitations and risks involved, and pretty much leave it at that. Then I got an email from a friend wondering if I was planning to cover the political issues cochlear implants raise for the Deaf community. Um…political issues? I hadn’t known there were any. But after a bit of research, I discovered that the controversy surrounding this procedure is at least as interesting as the procedure itself, which has been called everything from a miracle cure to genocide.

Can You Hear Me Now?

First, a bit of background. There are many different types and causes of deafness. Some kinds of hearing loss can be compensated for very adequately with just a bit of amplification—namely, a hearing aid. However, if there is a defect or damage in the inner ear, a hearing aid may do no good. Our perception of sound results from the vibrations of tiny hairs lining the cochlea, a spiral, fluid-filled organ in the inner ear. When the hairs move, the hair cells convert the movement into nerve impulses, which are then sent to the brain for decoding. If the vibrations never reach the cochlea, or if the hair cells themselves are damaged, no neural stimulation occurs and deafness results.

However, if most of the underlying nerve fibers themselves (and the neural pathways to the brain) are intact, they can be stimulated electrically, producing a sensation interpreted by the brain as sound. A cochlear implant places a series of electrodes inside the cochlea to do just that; a wire connects these electrodes to a small receiver with its antenna placed under the skin. Outside the skin, a device that looks somewhat like a hearing aid picks up sounds with a microphone, digitizes them in such a way that they produce meaningful signals for the electrodes, and transmits them via radio waves to the receiver. The net result is the perception of sounds picked up by the microphone, but because this apparatus completely bypasses the eardrum and middle ear, it’s really an artificial ear rather than a hearing aid. The technology was developed by Dr. Graeme Clark at the University of Melbourne in the 1960s and 1970s; the first implant was performed in 1978.

Although any number of technological innovations have occurred in the decades since, cochlear implants are still by no means perfect. They vary greatly in their effectiveness, depending on a large number of variables. And the effect they produce, while auditory in nature, is not identical to what would be experienced with a fully functional ear. In addition, patients with cochlear implants require months or years of training to associate their new perceptions with sounds as they are usually known. In the most successful cases, implant recipients can eventually understand someone talking on the phone—but there is no guarantee of that level of hearing. Still, tens of thousands of people around the world have received the implants, and the procedure is rapidly gaining in popularity.

You Will All Be Assimilated

To a hearing person such as myself, all this sounds very rosy and optimistic. Of course, the surgery is rather delicate and carries with it the usual risks associated with putting holes in one’s head; plus, the cost of the procedure and rehabilitative therapy is quite high. But these are not the primary concerns of the Deaf community. Although the controversy has diminished greatly in recent years, cochlear implants—particularly for children—were strongly opposed by many deaf people for some time because of a fear that they would destroy the Deaf culture in general and the use of sign language in particular.

On the surface, this argument may seem sort of silly to hearing persons. But the Deaf community has a unique culture and language that they rightly consider quite valuable; the thought of losing such a culture to technology is understandably offensive. One of the key beliefs of the Deaf community is that deafness is simply another perfectly valid way of life, not a problem that needs to be fixed. So the intimation that deafness is a “disease” for which cochlear implants are a “cure” smacks of assimilationism: “You must all be like us.” (The 2000 documentary film Sound and Fury examines the controversy over cochlear implants in detail as it follows members of two families through their decisions about whether or not to undergo the procedure.)

Even detractors of cochlear implants allow that this must be an individual decision, and that implants may be a reasonable choice for people who have lost hearing later in life (and who therefore may not have integrated themselves into the Deaf community). But when it comes to implants for children, the story is different. If a deaf child does not receive an implant, he or she is likely to learn sign language easily and adopt the Deaf culture. With an implant, the child is more likely to be treated as a hearing child. However, the imperfect nature of “hearing” provided by the implants may make it difficult to learn spoken English; meanwhile, because the parents have little incentive to raise the child as a deaf person, the child may never learn sign language. The result is that the child has less ability to communicate than if the implant had not been performed. In addition, if the child has partial hearing, the implant may eliminate any possibility of later using a conventional hearing aid by impeding normal functioning of the cochlea.

On the whole, decades of experience with cochlear implants in thousands of children have not borne out these worries, so resistance to implants in children is decreasing somewhat. Conventional wisdom holds that someone with a cochlear implant is still deaf, and many people with implants—children and adults alike—continue to learn and use sign language, participating actively in the Deaf culture. If cochlear implants, in a roundabout way, can promote both bilingualism and biculturalism, that may be their most compelling advantage.

Note: This is an updated version of an article that originally appeared on Interesting Thing of the Day on October 14, 2004.

Image credit: BruceBlaus [CC BY-SA 4.0], via Wikimedia Commons


Go to Source
Author: Joe Kissell

That Bagel Recipe, Morality, and Accreditation

Having been accused by some people of being immoral and unethical, I feel the need to defend myself.

As the author of a few published cookbooks who had recipes stolen and put in other published cookbooks without the slightest accreditation myself, I know just how awful that is. When I’ve created original content, figuring out some awesome things by myself and had my content literally copied


Go to Source
Author: Penniless Parenting

Quantized Time

An old clock

Split-second thinking

The whole notion of time fascinates me endlessly—speaking metaphorically, of course. Numerous articles here at Interesting Thing of the Day have involved time or timekeeping in one form or another. In one of these articles, about analog clocks, I made what I thought was a commonsense and uncontroversial remark:

…time itself is continuous, not an infinite series of discrete steps…. Units like seconds, minutes, and hours are just a convenient, arbitrary fiction, after all—they don’t represent anything objectively real in the world.

A reader wrote in to suggest that I wasn’t up to date on my quantum physics, according to some theories of which time is indeed quantized, or fundamentally composed of very tiny but indivisible units.

At first, I had a hard time getting my head around this notion, and after considerable research…I still have a hard time getting my head around this notion. Although I try to keep generally abreast of the latest developments in the world of science, I can’t claim to do anything more than dabble in theoretical physics, and complex equations simply make my eyes glaze over. Nevertheless, it’s not only true that many scientists take the notion of quantized time for granted, there was also a fairly major uproar in the early 2000s when a young upstart from New Zealand published a paper that dared to challenge this notion with a theory that says, in effect, that there’s no such thing as an indivisible moment in time.

Second Thoughts

To understand what it would mean for time to be quantized, think of a unit of time, such as a second. You can divide that in half, getting two shorter periods of a half-second each. You can go much smaller, too, dividing a second into a thousand parts called milliseconds, a million parts called microseconds, a billion parts called nanoseconds, a trillion parts called picoseconds, and so on. A trillionth of a second is, to me, such an unimaginably short period of time that I’d be happy to consider it, for all practical purposes, indivisible—an “atom” of time, as it were. But that’s nothing. A trillionth of a second is a decimal point, 12 zeroes, and a 1. Some scientists say that meaningful distinctions in time can be made down to 10–44 second, or 44 zeroes after the decimal point before you reach that 1. But the question is: how low can you go? Is there some point, some number of zeroes, beyond which time cannot be divided any further?

One of the fundamental notions of calculus, and of physics, is that one can determine a moving object’s exact position at some instant in time. That there should be such a thing as an “instant” is taken as a given. An instant effectively doesn’t have duration; that would imply that a moving object changes its position between the start of that instant and its end—in other words, that its position can’t be known precisely. However, seemingly it can, or at least that operational assumption has served calculus well all these centuries. But is the notion of an instant merely a convenient fiction, or does it in some sense represent reality?

Among scientists studying quantum theory, and particularly among those working on the quixotic task of unifying general relativity with quantum physics, the question of whether time is truly continuous or not is of particular interest. Some scientists say that, as far as general relativity goes, time is continuous, but that in order to create a Grand Unified Theory, we might have to accept that it can be treated as a succession of temporal quanta (or chronons), in much the same way that light can be treated as either a wave or a particle. Others say that time is not merely a fourth dimension, but is itself three-dimensional, so from our point of view time is continuous, but from a point of view that encompasses time’s other dimensions, it’s quantized.

But all kinds of mysterious things happen in the quantum realm. What about the macro world we’re all familiar with?

Time for a Kiwi

In 2003, a then-27-year-old student from New Zealand named Peter Lynds published a paper in the peer-reviewed journal Foundations of Physics Letters that caused a great deal of controversy. Lynds claimed, essentially, that the whole notion of an instant is flawed, because if there were such a thing, a moving object measured and observed at that instant would appear to be static, and thus indistinguishable from a genuinely static object measured at that same instant. Since the two measurements clearly represent objects with different states, Lynds argued, it must be the case that there really aren’t any instants, only intervals (though those intervals might be very tiny). If true, this means that a moving object’s position can only ever be approximated—whether at the macro level or at the quantum level. And for this very reason, most of Zeno’s paradoxes turn out not to be paradoxical after all. Lynds went on to claim that time doesn’t flow because flow presumes an ongoing series of instants, that there is no “now” as such, and that our perception of time is just an odd consequence of the way our brains are wired.

The term “snapshot” is frequently used to describe the instant of time at which an object’s position might be determined, but I think it actually helps to make Lynds’s point. If you’re taking a picture of something that’s moving, you need a fast shutter speed to “freeze” the action, and the faster your subject is moving, the faster the shutter speed has to be. But if you set your shutter to, say, 1/4000 of a second and the photograph shows an arrow in mid-flight, with no blurring to suggest motion, that still doesn’t mean the arrow didn’t cover any distance during that tiny portion of a second the shutter was open. Of course it did. It’s just that the distance was sufficiently small, given the resolution of the camera and the human eye, to create the illusion of being frozen. So even if your hypothetical “shutter speed” is a zillionth of a second long, so that your measurement appears to give an exact, fixed location, that, too, is merely an illusion. The object in fact occupies more than one position during that time. Nothing mysterious about that at all.

Instant Controversy

When I heard Lynds’s idea, I thought it made perfectly good sense, and what I couldn’t comprehend was how scientists claimed, with considerable fervor, that they either couldn’t understand it or thought it was wrong-headed. I confess that I have not followed the debate about Lynds’s paper very closely in the years since its publication, and that I can understand only part of what I’ve read. However, it seems to me that many criticisms tend to mention either or both of two facts. First, critics note that Lynds was uncredentialed—he only had six months of university study at the time, so who was he to gainsay PhDs with years of experience? And second, if he were correct, that would mean that calculus as we know it must be essentially wrong or at least incomplete. And we all know it’s right. Right?

As to the matter of Lynds’s erstwhile lack of an advanced degree, all I have to say is: if he’s correct, that doesn’t matter, and those who say otherwise take themselves, and their formal education, way too seriously. As for the supposed assault on calculus, well, Lynds implies that calculus is not exactly wrong so much as very slightly inaccurate. Calculus as it stands appears to be right, but then, so are Newton’s laws of physics. Except they aren’t always: Newtonian physics breaks down both at the quantum level and when objects approach the speed of light. It seems to me—and again, I’m speaking as a nonmathematician here—that the very same thing could be true in this case. Calculus can be right at one level, and the absence of quantized time can be right at another level.

Of course, those are not the only criticisms, and the debate between Lynds’s supporters and detractors has gone through so many rounds of rebuttals and rejoinders that I can no longer keep track of who thinks what. But on the whole, the debate has made me feel even more secure in my personal, nonscientific belief that time is continuous, and I’m not going to doubt that for one instant.

Note: This is an updated version of an article that originally appeared on Interesting Thing of the Day on July 21, 2006.

Image credit: Illymarry [CC BY-SA 4.0], via Wikimedia Commons


Go to Source
Author: Joe Kissell

Divorce tips to help you avoid future complications

Divorce is a complex, emotionally charged process, and it is not always easy to make smart choices during this time. When both parties are amicable and resolved to work together on a reasonable, mutually beneficial agreement, it can make the process smoother and less stressful, but it is still necessary to work to protect your rights. Being prepared for what is ahead can make it easier to complete your divorce.

Most people spend several thousand dollars during the divorce process, even in non-litigious divorces. If you are concerned about finances, you can take steps that will reduce your costs and save time. In your effort to do this, you may find that you can reduce your divorce-related stress and anxiety as well.

Saving time and money

When you think about divorce, you may picture scenes from movies where two opposing parties are shouting at each other across a family courtroom. This typically is not reality, and it certainly does not have to be what your divorce looks like. Many divorces settle out of court, and this can be a way that both parties can save money. You may be able to negotiate a fair settlement through mediation, negotiations and other means without ever stepping foot inside a courtroom.

Avoiding litigation is one way to keep your divorce costs down, but you could take advantage of other options as well. Consider the following:

  • Seek counseling, or work with a therapist. When you can deal with your feelings in a healthy way, you will be less likely to find yourself involved in unnecessary, and costly, emotionally-motivated disputes.
  • Be honest and upfront about all financial matters. By disclosing everything now, you will be less likely to end up back in court battling over assets and money down the road.
  • Completing your divorce faster is not always better. Take your time to research and explore all options, which could lead to better resolutions and a reduced chance of future disputes.

These are just a few of the ways that you may be able to streamline your divorce and save money. Fear and sadness are normal emotions to have during this process, but they do not have to be the reason why or influence how you make important decisions that will impact your future

A worthwhile expense

You may be concerned about saving money during your divorce, but it is always worthwhile to seek the counsel of an experienced Texas divorce attorney. The terms of your settlement will affect you for years or even decades, and your future is worth protecting. Having knowledgeable guidance is invaluable, and it is worth it for the sake of securing a strong post-divorce future.


Go to Source
Author: On behalf of Katie L. Lewis of Katie L. Lewis, P.C. Family Law

What should I do if my husband/wife is having an affair?

Finding out that your spouse is having an affair can be devastating and place a severe strain on a relationship. Sometimes it spells the end of the marriage. Other times, couples repair the relationship, often making it stronger.

There is no right or wrong answer here. However, if you are married, there are some legal considerations for you if you partner has an affair. So, we asked Gabby Read-Thomas from our Altrincham office to take us through what you need to do if you find out your spouse has / is having an affair.

“Shocked, betrayed and confused are just some of the emotions that I see my clients dealing with when their relationship has broken down due to an affair.

In the beginning, I advise them to allow themselves some time to consider next steps rather than lashing out in an act of retaliation which they may later regret.

Once the initial dust has settled, communication is crucial, whether you want to try and save the relationship or have decided it is over and need to plan a way forward.

Staying together

Relationship counselling can be extremely helpful in supporting couples to open-up, explore the problems between them and get back on track.

There are many counselling services available, such as Relate, and a simple Google search should help you locate someone in your area or try the National Counselling Society, find a counsellor directory.

Separating

If there is no way back following an affair, then I would recommend taking early advice on the divorce process.

In English law there is only one ground to petition for divorce and that is that the marriage has irretrievably broken down. Although there has been a lot in the news about the new era of ‘no fault divorce’, it is likely to take some time for parliament to ratify the necessary legislation.  So for now, to prove this, you must currently rely on one of 5 facts and one of these is adultery.

Specifically, the law states that you can petition for a divorce based on adultery if your spouse has committed adultery and you find it intolerable to live with them.  Importantly however, same-sex spouses cannot use this fact to prove irretrievable breakdown (and would instead need to allege ‘unreasonable behaviour’).  Importantly, adultery can be committed and used for a reason to divorce, even after a married couple have separated.

Even if adultery is applicable, it isn’t necessarily that straight forward. What the court recognise as adultery and what you consider to be an affair are not always the same thing.

The law relating to adultery

The court considers adultery to be the voluntary sexual intercourse between a man and a woman. A close relationship which you may consider inappropriate, involving dates, messages, emails (but without actually having sex with that person) is not recognised legally as adultery.

However, whilst the court would not recognise it as adultery, such behaviour can be used as an example of unreasonable behaviour and a divorce petition can be presented on this basis instead, as it can with same-sex spouses who discover their spouse is conducting a relationship with a third party

It should also be pointed out that if you continue to live with your spouse for a period of 6 months or more after you found out about the adultery then you cannot use that adultery as the basis for a divorce petition, unless that adultery is continuing  If so,  the 6 month period begins to run from the last adulterous incident. If however it was a ‘one-off’ which took place more than 6 months before you found out, or your spouse denies having committed adultery, your safer option is to proceed on the basis of their behaviour.

Getting divorced

Citing adultery in a divorce petition requires the spouse to admit to the adultery in the paperwork. From a practical point of view, it is worthwhile asking their spouse  to sign a  statement confirming their agreement before proceedings are issued. In the long-run this will help reduce the risk of costly defended divorce proceedings. Again, if your spouse is unwilling to sign a statement, you should consider presenting your petition on the basis of unreasonable behaviour.

If you continue with the adultery petition and the divorce is defended it is the court that will decide whether there is evidence to show that the adultery has been committed, and let’s face it, short of hiring a private investigator (which can be done) it  is unlikely that you will have any direct evidence of the adultery.  However, if there is enough circumstantial evidence to show opportunity and an inclination to commit adultery, the court should be able to draw inferences that the adultery has been proved and the petition can proceed on that basis.

If you have concerns your spouse is having an affair and would like some initial legal advice, please contact our Client Care Team here or at the number below. All enquiries are strictly confidential.

 

The post What should I do if my husband/wife is having an affair? appeared first on Stowe Family Law.


Go to Source
Author: Gabrielle Read Thomas

Two weeks in family law: An anniversary, sobering statistics, and inefficient courts

It’s been a predictably quiet couple of weeks in family law, with the Easter break. However, there were one or two interesting stories that cropped up, of which the following are my picks.

To mark the 30th anniversary of the Children Act the Department for Education has announced that children in and on the edge of care will benefit from £84 million of new investment for projects designed to strengthen and support families, reaffirming the Act’s core principle that, where possible, children are best brought up with their parents. Up to 20 councils will receive funding to help improve their practice, supporting families to stay together wherever appropriate, so that fewer children need to be taken into care, and giving them the best chance to succeed in life. Three ‘early adopters’ have been unveiled to deliver one of three landmark projects originally run through the Department for Education’s Innovation Programme: Darlington, Cambridgeshire and Middlesbrough. The launch of the government’s Strengthening Families, Protecting Children programme will start work to roll out the three successful projects to other eligible councils, where there are persistently high numbers of children being taken into care. Commenting upon the announcement Education Secretary Damian Hinds said: “We must assist those parents facing difficulties and work with them to strengthen their family relationships so they can properly support their children. In the year that sees the 30th anniversary of the Children’s Act, we must stay true to its heart – that where possible and safe, children are best brought up, loved and supported by their parents.” Amen to that.

Next, as I reported here, the Department for Work and Pensions (‘DWP’) has published statistics about the separated family population. As I said, the statistics, which are for the period April 2014 to March 2017, show that at any point during that time there were around 2.5 million separated families in Great Britain, which included about 3.9 million children. Sobering stuff. The statistics were produced to provide information on child maintenance arrangements between parents in separated families, showing that in 2016/17 around 48% of those families had a child maintenance arrangement, whether voluntary or arranged through the Child Maintenance Service (‘CMS’). As for the other 52%, who knows?

Still on the subject of child maintenance, the DWP has also published statistics on cases processed under the current child maintenance scheme administered by the CMS, for the period August 2013 to December 2018. The ‘main stories’ revealed by the statistics were that: 671,300 children are covered by CMS arrangements, 432,500 through ‘Direct Pay’ arrangements (where the CMS calculates the amount of maintenance to be paid and the parents arrange the payments between themselves), and 238,800 through the ‘Collect & Pay Service’ (where the CMS collects the maintenance); and that an estimated £237.4 million child maintenance was due to be paid between October and December 2018, £45.8 million more than the same period in 2017. If you are so inclined, you can find the full statistics here.

And finally, you can’t keep a good man down: the former President of the Family Division Sir James Munby has been back in the news. Hearing applications by the Queen’s Proctor for the setting aside of divorce decrees in four different cases on the ground that the petitions had been presented before the expiration of the period of one year from the date of the marriage, Sir James took the opportunity to comment upon how well the regional divorce centres are working (or not, as the case may be). For the uninitiated, the eleven regional centres were established in 2015, taking over the work of dealing with divorce (but not matters ancillary to divorce, such as sorting out finances) from some 110 divorce county courts spread around England and Wales. When that happened, there were concerns expressed by many as to how the centres would deal with their huge workloads, and it seems that those concerns have been proved to be well founded. Sir James commented in the case (which you can read here) that: “It is, unhappily, notorious that some Regional Divorce Units have become bywords for delay and inefficiency, essentially because HM Courts and Tribunals Service has been unable or unwilling to furnish them with adequate numbers of staff and judges.” Ouch.

Have a good weekend.

The post Two weeks in family law: An anniversary, sobering statistics, and inefficient courts appeared first on Stowe Family Law.


Go to Source
Author: John Bolch

The Central–Mid-Levels Escalator

A portion of Hong Kong's Central–Mid-Levels Escalator

Hong Kong’s moving landmark

I have very fond memories of my first (and only, so far) visit to Hong Kong in 2007. I was extremely impressed by the architecture and scenery, and by the vibrant street life on display throughout its many neighborhoods. As a first-time visitor, I also appreciated how easy it was to navigate, and how technology was used to solve problems in novel ways.

I first got a sense of this when I passed through Immigration, and had my body temperature scanned remotely to see if I was running a fever (important for a region that was then dealing with avian flu). I was further impressed with Hong Kong’s technological prowess when I discovered I could purchase a stored-value transit pass, called an Octopus card, which I could not only use on trains, buses, and trams, but could also use to buy snacks from a convenience store or food from certain restaurants. I found out later that locals can also buy rings, watches, and even cell phones that contain the Octopus chip, enabling them to simply wave their hands (or phones) over the special card readers to make a purchase. That may all sound unimpressive nowadays, but it was pretty advanced for 2007, to say nothing of 1997, when it was introduced.

While all these things are wonderful, my favorite piece of technology that makes life easier for visitors (and residents of course) is the Central–Mid-Levels Escalator. Stretching from the Central district of Hong Kong Island up to the heights of the Mid-Levels residential neighborhoods, the escalator is a godsend for footsore travelers.

Escalating the Situation

The Central–Mid-Levels escalator system, which opened in 1993, consists of 18 escalators and three moving sidewalks, and measures 800 meters (1/2 mile) in length, making it the longest outdoor covered escalator in the world. It takes about 20 minutes to ride the escalators from the bottom to the top (or vice versa), but it takes less than that if you walk while they move, as most people do.

The escalators run from 6 A.M. to midnight, descending for the first 4 hours (bringing morning commuters down from upper levels), and then reversing direction around 10:00 A.M. to carry passengers up the hill. There are entrances and exits at each street it intersects, making it easy to stop at whichever level you choose.

Up, Up and Hooray

During the time we spent in Hong Kong, we rode the escalators almost every day, finding them an extremely useful way to get from our hotel midway up the slope of Victoria Peak to the center of activity downtown and back again. One of the things I enjoyed most about riding the escalators was the opportunity to peek at the activity taking place on either side, from apartment life on the upper levels to the bustling bars, restaurants, and stores on the levels closer to the center of the city.

While for many people who rode the escalators alongside us, it was just an ordinary commute to work, we found the journey to be a fascinating glimpse of urban life in Hong Kong. Not only that, but the ease, efficiency, and simplicity of the system made us, foreigners though we were, feel right at home.

Note: This is an updated version of an article that originally appeared on Interesting Thing of the Day on February 26, 2007.


Go to Source
Author: Morgen Jahnke

Homemade Paleo Bagels Recipe — Gluten Free, Grain Free, Vegan Option

I haven’t had a good bagel in far too long. Ever since going gluten free, it’s been hard to get bagels, and when I do, they tend to be the texture of regular bread, just shaped like a bagel. I saw this recipe for gluten free bagels and it looked awesome, especially since it is grain free and paleo friendly, and suitable for the holiday of Passover. Most paleo recipes using almond flour also


Go to Source
Author: Penniless Parenting

How To Secure A Pay Rise

Sometimes if you need to be bringing in more money, you don’t need to find a new job or work more hours. Sometimes all that is necessary is to get your salary increased via a pay raise. Here’s a post from a reader with suggestions as to how to do that.

Getting a pay rise can be one of those things that seems impossible. First of all, you don’t want to ask your boss for one, as you don’t want to


Go to Source
Author: Penniless Parenting