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255
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256
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269
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270
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271
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272
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273
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276
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280
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281
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282
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283
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284
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285
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286
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287
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288
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289
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290
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291
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292
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293
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294
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295
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296
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297
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299
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300
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301
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302
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304
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305
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306
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307
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308
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309
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310
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311
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312
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313
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314
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315
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316
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317
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318
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319
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320
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321
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322
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323
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324
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325
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326
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327
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328
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329
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330
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331
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332
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333
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334
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335
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336
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337
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338
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339
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340
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341
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343
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344
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345
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346
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347
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348
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349
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350
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351
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352
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353
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354
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355
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356
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357
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358
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359
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360
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361
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362
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363
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364
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365
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366
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367
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368
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369
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370
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371
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372
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373
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374
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375
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376
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377
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378
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379
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380
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381
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382
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383
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384
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385
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386
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387
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388
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389
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390
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391
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392
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393
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394
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395
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396
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397
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398
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399
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400
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401
00:21:34,354 --> 00:21:34,763

402
00:21:34,732 --> 00:21:35,081

403
00:21:35,053 --> 00:21:36,098

404
00:21:36,021 --> 00:21:39,480

405
00:21:39,410 --> 00:21:39,812

406
00:21:39,734 --> 00:21:40,457

407
00:21:40,440 --> 00:21:41,422

408
00:21:41,336 --> 00:21:41,676

409
00:21:41,653 --> 00:21:43,775

410
00:21:43,771 --> 00:21:45,454

411
00:21:45,372 --> 00:21:46,097

412
00:21:46,010 --> 00:21:47,310

413
00:21:48,254 --> 00:21:50,790

414
00:21:50,691 --> 00:21:52,005

415
00:21:51,971 --> 00:21:52,443

416
00:21:52,362 --> 00:21:52,709

417
00:21:52,684 --> 00:21:53,640

418
00:21:53,571 --> 00:21:57,047

419
00:21:57,033 --> 00:21:58,129

420
00:21:58,053 --> 00:21:59,022

421
00:21:58,953 --> 00:22:01,471

422
00:22:01,391 --> 00:22:03,087

423
00:22:02,991 --> 00:22:04,973

424
00:22:08,373 --> 00:22:09,664

425
00:22:09,591 --> 00:22:10,316

426
00:22:10,292 --> 00:22:14,742

427
00:22:14,712 --> 00:22:15,789

428
00:22:15,672 --> 00:22:16,252

429
00:22:16,182 --> 00:22:16,844

430
00:22:16,891 --> 00:22:18,531

431
00:22:18,433 --> 00:22:18,973

432
00:22:19,012 --> 00:22:20,686

433
00:22:20,612 --> 00:22:22,074

434
00:22:23,491 --> 00:22:26,593

435
00:22:27,211 --> 00:22:27,622

436
00:22:27,591 --> 00:22:27,814

437
00:22:27,911 --> 00:22:28,872

438
00:22:28,872 --> 00:22:32,063

439
00:22:32,261 --> 00:22:32,686

440
00:22:32,583 --> 00:22:33,837

441
00:22:33,812 --> 00:22:34,261

442
00:22:34,193 --> 00:22:34,476

443
00:22:34,513 --> 00:22:36,632

444
00:22:36,622 --> 00:22:38,314

445
00:22:38,223 --> 00:22:38,948

446
00:22:38,862 --> 00:22:40,133

447
00:22:44,123 --> 00:22:44,897

448
00:22:44,823 --> 00:22:45,228

449
00:22:45,211 --> 00:22:45,552

450
00:22:45,534 --> 00:22:46,557

451
00:22:46,492 --> 00:22:49,568

452
00:22:49,893 --> 00:22:52,073

453
00:22:52,133 --> 00:22:54,007

454
00:22:54,053 --> 00:22:54,248

455
00:22:54,243 --> 00:22:55,458

456
00:22:55,842 --> 00:22:57,650

457
00:22:58,732 --> 00:22:59,633

458
00:23:04,042 --> 00:23:07,583

459
00:23:07,510 --> 00:23:08,547

460
00:23:08,463 --> 00:23:09,501

461
00:23:09,426 --> 00:23:09,678

462
00:23:09,682 --> 00:23:11,722

463
00:23:11,662 --> 00:23:11,896

464
00:23:11,857 --> 00:23:13,538

465
00:23:13,454 --> 00:23:14,179

466
00:23:14,103 --> 00:23:15,325

467
00:23:16,344 --> 00:23:17,368

468
00:23:20,054 --> 00:23:21,660

469
00:23:25,125 --> 00:23:26,160

470
00:23:26,082 --> 00:23:27,105

471
00:23:27,044 --> 00:23:27,382

472
00:23:27,363 --> 00:23:29,282

473
00:23:29,283 --> 00:23:29,530

474
00:23:29,475 --> 00:23:30,713

475
00:23:31,082 --> 00:23:31,801

476
00:23:31,725 --> 00:23:33,007

477
00:23:33,962 --> 00:23:36,589

478
00:23:37,675 --> 00:23:39,413

479
00:23:39,344 --> 00:23:42,816

480
00:23:42,733 --> 00:23:43,078

481
00:23:43,053 --> 00:23:43,788

482
00:23:43,762 --> 00:23:44,346

483
00:23:44,277 --> 00:23:44,972

484
00:23:44,976 --> 00:23:46,602

485
00:23:46,512 --> 00:23:47,123

486
00:23:47,093 --> 00:23:48,776

487
00:23:48,694 --> 00:23:49,417

488
00:23:49,333 --> 00:23:51,646

489
00:23:51,576 --> 00:23:54,170

490
00:23:54,077 --> 00:23:59,905

491
00:24:00,094 --> 00:24:00,382

492
00:24:00,413 --> 00:24:00,639

493
00:24:00,673 --> 00:24:01,947

494
00:24:02,274 --> 00:24:02,616

495
00:24:02,594 --> 00:24:04,793

496
00:24:04,713 --> 00:24:06,402

497
00:24:06,313 --> 00:24:07,089

498
00:24:07,013 --> 00:24:08,228

499
00:24:09,193 --> 00:24:10,271

500
00:24:11,694 --> 00:24:13,368

501
00:24:13,295 --> 00:24:18,022

502
00:24:17,973 --> 00:24:18,314

503
00:24:18,295 --> 00:24:20,016

504
00:24:19,964 --> 00:24:20,199

505
00:24:20,214 --> 00:24:22,210

506
00:24:22,132 --> 00:24:22,393

507
00:24:22,332 --> 00:24:23,440

508
00:24:23,413 --> 00:24:24,011

509
00:24:23,932 --> 00:24:24,717

510
00:24:24,632 --> 00:24:26,834

511
00:24:26,814 --> 00:24:29,611

512
00:24:30,533 --> 00:24:30,980

513
00:24:30,976 --> 00:24:31,190

514
00:24:31,233 --> 00:24:35,667

515
00:24:35,582 --> 00:24:36,030

516
00:24:35,914 --> 00:24:36,654

517
00:24:36,614 --> 00:24:37,603

518
00:24:37,514 --> 00:24:40,021

519
00:24:39,945 --> 00:24:42,304

520
00:24:42,182 --> 00:24:43,471

521
00:24:47,445 --> 00:24:48,219

522
00:24:48,146 --> 00:24:48,809

523
00:24:48,852 --> 00:24:53,080

524
00:24:53,214 --> 00:24:54,831

525
00:24:54,764 --> 00:24:55,260

526
00:24:55,135 --> 00:24:55,486

527
00:24:55,384 --> 00:24:56,196

528
00:24:56,534 --> 00:24:56,880

529
00:24:56,853 --> 00:24:57,137

530
00:24:57,173 --> 00:24:57,588

531
00:24:57,623 --> 00:24:57,823

532
00:24:57,884 --> 00:24:58,131

533
00:24:58,265 --> 00:24:58,512

534
00:24:58,523 --> 00:24:58,798

535
00:25:01,095 --> 00:25:01,350

536
00:25:06,800 --> 00:25:07,965

537
00:25:08,064 --> 00:25:14,129
the participants to be seated

538
00:25:14,024 --> 00:25:16,144
so with that shortly

539
00:25:18,134 --> 00:25:18,664

540
00:25:18,703 --> 00:25:19,195

541
00:25:19,153 --> 00:25:24,388
good afternoon everyone good afternoon sessions so please take your seats

542
00:25:24,335 --> 00:25:30,553
if the staff can tell the people outside to please come in and take our take your seats we can start doing the

543
00:25:30,742 --> 00:25:31,385

544
00:25:31,384 --> 00:25:34,188
the start of the principality I mean yeah

545
00:25:34,017 --> 00:25:37,969
this afternoon

546
00:25:40,736 --> 00:25:43,815
2 keynote speeches

547
00:25:43,884 --> 00:25:44,112

548
00:25:44,135 --> 00:25:47,225
uh from where

549
00:25:47,143 --> 00:25:47,409

550
00:25:47,273 --> 00:25:47,496

551
00:25:47,404 --> 00:25:47,624

552
00:25:47,535 --> 00:25:48,060

553
00:25:48,103 --> 00:25:51,483
so we'll start with Dr basa from Malaysia

554
00:25:51,573 --> 00:25:52,046

555
00:25:52,085 --> 00:25:52,280

556
00:25:52,215 --> 00:25:53,511

557
00:25:53,553 --> 00:25:54,822
so Dr basher

558
00:25:54,574 --> 00:25:54,926

559
00:25:54,965 --> 00:26:00,344
from Malaysia and she's going to talk about uh how to teach uh parents

560
00:26:00,214 --> 00:26:00,434

561
00:26:00,342 --> 00:26:02,793
take care of cock implanted kids

562
00:26:02,972 --> 00:26:06,067
ABT how do we get the parents to

563
00:26:06,054 --> 00:26:08,704
motivate the parents to get the kids

564
00:26:08,804 --> 00:26:14,521
doing what I have to do correct good this ant teachers yeah but mainly parents

565
00:26:14,444 --> 00:26:18,247
parents have to have involvement because if parents don't do the work teachers

566
00:26:18,605 --> 00:26:24,486
you know can't do much from Philippines no no

567
00:26:24,563 --> 00:26:26,614
keynote is doctors are changing

568
00:26:26,294 --> 00:26:29,229
Ah that's draining

569
00:26:29,494 --> 00:26:32,364
uh is the president of workability Thailand

570
00:26:32,505 --> 00:26:36,451
so he'll be talking to us about uh fostering community

571
00:26:36,343 --> 00:26:42,791
integration and creating meaningful opportunities for youth with disabilities so he'll be our second Keynote

572
00:26:42,694 --> 00:26:48,038
day and in between we'll have guests from uh overseas giving

573
00:26:48,014 --> 00:26:49,647
paper presentation

574
00:26:49,614 --> 00:26:53,103
uh Dr Jennifer Lynn Reverend Father Peter

575
00:26:53,063 --> 00:26:57,164
will be joining us by Zoom

576
00:26:57,494 --> 00:27:03,311
uh Dr John Sherman uh Miss sen-yung Dr John shervin from uh

577
00:27:03,055 --> 00:27:04,166
from the Philippines

578
00:27:04,024 --> 00:27:04,234

579
00:27:04,284 --> 00:27:08,470
uh Mr Yogen Turned Down is from Vietnam

580
00:27:08,509 --> 00:27:10,449
and then consult

581
00:27:10,295 --> 00:27:16,366
uh Steve is the vice president of the cock implant community in Thailand so he'll be talking about the

582
00:27:16,135 --> 00:27:18,659
broccoli implants being done here in Thailand

583
00:27:18,694 --> 00:27:22,657
so that's our uh you know our program for this option is quite

584
00:27:22,536 --> 00:27:27,517
integrated it's very knowledgeable I think we'll get a mix and match of many things today

585
00:27:27,596 --> 00:27:30,902
so hopefully people start coming in so we can start

586
00:27:31,058 --> 00:27:36,338
Symposium after lunch you know they're getting sleepy probably

587
00:27:36,313 --> 00:27:42,167

588
00:27:42,076 --> 00:27:45,033

589
00:27:44,964 --> 00:27:45,733
juice

590
00:27:46,056 --> 00:27:47,958
though should we wait or should we start

591
00:27:47,777 --> 00:27:48,181

592
00:27:48,355 --> 00:27:49,490
me

593
00:27:49,445 --> 00:27:49,665

594
00:27:49,765 --> 00:27:53,874
okay all right we'll start our session

595
00:27:53,934 --> 00:27:54,254

596
00:27:54,315 --> 00:27:55,358

597
00:27:55,784 --> 00:27:56,024

598
00:27:55,977 --> 00:27:56,452

599
00:27:56,495 --> 00:27:57,713
um

600
00:27:58,026 --> 00:27:58,239

601
00:27:58,215 --> 00:28:03,913
our session this afternoon empowering children with hearing loss starts with equipping the

602
00:28:03,664 --> 00:28:04,633
professionals

603
00:28:04,435 --> 00:28:05,889
the support them

604
00:28:06,164 --> 00:28:11,618
what are the essential skills and knowledge that Educators and therapists need to help these

605
00:28:11,355 --> 00:28:12,151
children

606
00:28:12,054 --> 00:28:12,269

607
00:28:12,505 --> 00:28:13,408

608
00:28:13,596 --> 00:28:18,485
we are honored to have Dr basa otman with us today a true leader

609
00:28:18,465 --> 00:28:20,411
in professional development

610
00:28:20,515 --> 00:28:26,506
as a habilitation manager cocka Asia growth market and former program coordinator

611
00:28:26,284 --> 00:28:28,543
the professional certification

612
00:28:28,529 --> 00:28:32,631
in auditory verbal therapy Dr otman has shaped the skills

613
00:28:32,615 --> 00:28:34,475
of countless practitioners

614
00:28:34,615 --> 00:28:36,346
representation

615
00:28:36,404 --> 00:28:43,238
supporting students with hearing loss a guide for teachers on transitioning to school with auditory verbal

616
00:28:43,005 --> 00:28:44,067
therapy

617
00:28:44,099 --> 00:28:47,240
will provide invaluable insights for everyone

618
00:28:47,226 --> 00:28:48,455
working with children

619
00:28:48,896 --> 00:28:51,532
welcome Dr basa we're ready when you are

620
00:28:51,525 --> 00:28:51,864

621
00:28:51,975 --> 00:28:54,862

622
00:28:56,199 --> 00:29:00,781
thank you very much Madame chairperson for the introduction

623
00:29:00,684 --> 00:29:00,914

624
00:29:02,416 --> 00:29:05,959
a very good afternoon now I'll come everyone

625
00:29:06,000 --> 00:29:07,812
sadika

626
00:29:07,734 --> 00:29:12,849
uh I'm basa from Malaysia and I'm the habilitation manager

627
00:29:12,918 --> 00:29:15,812
for Cochlear Asia growth Market

628
00:29:16,504 --> 00:29:16,734

629
00:29:16,634 --> 00:29:17,086

630
00:29:16,954 --> 00:29:19,225
this is my disclaimer

631
00:29:19,135 --> 00:29:24,999
I am a Cochlear employee and my participation is this conference is fully

632
00:29:24,774 --> 00:29:27,928
sponsored by cochlear Limited

633
00:29:29,255 --> 00:29:30,043

634
00:29:30,405 --> 00:29:33,571
let's begin by

635
00:29:33,618 --> 00:29:38,966
asking ourselves why mainstream education entry

636
00:29:39,068 --> 00:29:41,317
is a crucial point

637
00:29:42,148 --> 00:29:42,424

638
00:29:42,396 --> 00:29:44,191
firstly

639
00:29:50,025 --> 00:29:55,887
that children with hearing loss and their families have the

640
00:29:55,668 --> 00:29:56,706
option

641
00:29:57,006 --> 00:29:59,195
whether going mainstream

642
00:29:59,247 --> 00:30:03,932
or going for special education school or class

643
00:30:03,925 --> 00:30:06,200
before this recent decade

644
00:30:06,487 --> 00:30:13,722
it's by default that all our children with hearing loss go to special education

645
00:30:14,176 --> 00:30:16,518
that's no longer the case now

646
00:30:17,187 --> 00:30:18,283
but

647
00:30:18,339 --> 00:30:23,493
just wearing a device that's wearing cocka implant

648
00:30:23,407 --> 00:30:27,340
automatically means that they will

649
00:30:27,437 --> 00:30:29,700
succeed in mainstream

650
00:30:31,288 --> 00:30:38,476
you know the answer mainstream is challenging despite using COA implant

651
00:30:38,276 --> 00:30:38,626

652
00:30:39,295 --> 00:30:44,139
and these students they need accommodation

653
00:30:44,038 --> 00:30:46,041
in teaching and learning

654
00:30:46,027 --> 00:30:50,916
they need extra assistance in teaching and learning

655
00:30:51,527 --> 00:30:52,326

656
00:30:52,358 --> 00:30:53,528

657
00:30:53,907 --> 00:30:58,483
of the biggest challenge is learning to read

658
00:30:58,257 --> 00:30:58,460

659
00:30:58,638 --> 00:30:58,978

660
00:30:58,956 --> 00:31:03,103
and the haze say that

661
00:31:04,666 --> 00:31:08,805
sorry for pre literacy skills to develop

662
00:31:08,889 --> 00:31:09,105

663
00:31:09,146 --> 00:31:11,294
children

664
00:31:11,266 --> 00:31:14,744
20,000 hours of listening

665
00:31:14,716 --> 00:31:16,372
as a foundation

666
00:31:16,895 --> 00:31:22,655
now if you have a child who only just started listening at 5

667
00:31:22,407 --> 00:31:24,321
seeks your

668
00:31:24,398 --> 00:31:24,617

669
00:31:24,646 --> 00:31:29,746
will they have 20,000 hours estia Foundation

670
00:31:29,836 --> 00:31:33,085
estia basis for literacy skills

671
00:31:33,746 --> 00:31:38,411
it's also reported that many of our children with hearing loss

672
00:31:38,489 --> 00:31:42,051
the underachieve in mathematical subjects

673
00:31:42,396 --> 00:31:48,907
they frequently fail to pass the grapes and therefore they are at risk

674
00:31:48,797 --> 00:31:54,655
of lower educational achievement and later on employment

675
00:31:54,697 --> 00:31:55,834
in life

676
00:31:57,709 --> 00:31:58,881

677
00:31:58,866 --> 00:32:02,875
so how can teachers help

678
00:32:02,896 --> 00:32:08,111
auditory verbal therapy students but before that

679
00:32:08,597 --> 00:32:14,830
I will not assume that everybody is familiar with auditory verbal

680
00:32:14,676 --> 00:32:17,792
therapy so let me give you

681
00:32:18,017 --> 00:32:22,654
a 1 minute crash course on what avt is

682
00:32:23,466 --> 00:32:24,326

683
00:32:24,427 --> 00:32:31,446
auditory verbal therapy facilitates optimal acquisition of spoken language

684
00:32:31,478 --> 00:32:33,806
through listening

685
00:32:33,908 --> 00:32:39,687
so it is a unique model way of acquiring

686
00:32:40,057 --> 00:32:41,849
oral language

687
00:32:46,398 --> 00:32:48,343
10 young children

688
00:32:48,517 --> 00:32:48,729

689
00:32:48,636 --> 00:32:51,603
who are deaf or hard of hearing

690
00:32:51,907 --> 00:32:52,240

691
00:32:52,229 --> 00:32:56,043
it certainly promotes early diagnosis

692
00:32:56,008 --> 00:32:56,258

693
00:32:56,137 --> 00:32:58,076
1 on 1

694
00:32:58,117 --> 00:33:04,239
personalized therapy and the latest audiologic management

695
00:33:04,205 --> 00:33:04,475

696
00:33:04,466 --> 00:33:06,726
and the latest technology

697
00:33:07,158 --> 00:33:07,756

698
00:33:07,797 --> 00:33:12,190
1 Hallmark of auditory verbal therapy is that

699
00:33:12,336 --> 00:33:15,574
parents or caregivers

700
00:33:18,037 --> 00:33:24,933
pay in the therapy process because they are the primary language facilitator

701
00:33:24,706 --> 00:33:27,431
is for the child at home

702
00:33:27,456 --> 00:33:27,679

703
00:33:27,648 --> 00:33:33,796
and this can happen through guidance coaching and demonstration

704
00:33:33,999 --> 00:33:37,227
of their auditory verbal therapists

705
00:33:37,399 --> 00:33:43,056
the goal of EVT is for our child to have the

706
00:33:42,957 --> 00:33:46,556
access to a full range of academic

707
00:33:46,618 --> 00:33:47,683
social

708
00:33:47,835 --> 00:33:52,610
and career choices and must be conducted

709
00:33:52,568 --> 00:33:56,382
in adherence to the principles of listening

710
00:33:56,418 --> 00:34:00,951
spoken language specialist in auditory verbal therapy

711
00:34:02,057 --> 00:34:04,293
so that is avt

712
00:34:04,556 --> 00:34:10,078
I'm sure you've heard about cock implant just giving you a very

713
00:34:10,067 --> 00:34:11,181
quick

714
00:34:11,219 --> 00:34:17,204
idea about how cocka implant works very differently

715
00:34:17,107 --> 00:34:19,215
compared to hearing aid

716
00:34:19,037 --> 00:34:19,265

717
00:34:19,228 --> 00:34:21,532
hearing

718
00:34:21,787 --> 00:34:24,367
will amplify the sound

719
00:34:24,349 --> 00:34:30,107
and we are lucky in the year 2025 the technology of hearing

720
00:34:29,798 --> 00:34:35,209
eats are so Advanced that it is not just simply meaning

721
00:34:35,309 --> 00:34:40,724
cranking up the volume or intensity of the sound there are a lot of

722
00:34:40,557 --> 00:34:46,688
programs that is data logging in hearing aids however 1 thing that hearing

723
00:34:46,519 --> 00:34:48,142
still

724
00:34:48,046 --> 00:34:53,594
cannot achieve is the amplification and the clarity of sound

725
00:34:53,877 --> 00:34:59,272
especially in the higher frequencies meaning that

726
00:34:59,520 --> 00:35:04,538
voiced sorry unvoiced positives and fricative sounds

727
00:35:04,578 --> 00:35:07,890
these are often cannot be achieved

728
00:35:07,788 --> 00:35:09,985
the signal clarity

729
00:35:09,897 --> 00:35:11,240
via hearing a

730
00:35:11,047 --> 00:35:11,527

731
00:35:11,946 --> 00:35:19,431
and that is when we need cochlear implant where the indication in Thailand in Malaysia and many other

732
00:35:19,189 --> 00:35:25,674
Southeast Asian country is from severe or Worse hearing level

733
00:35:26,677 --> 00:35:33,568
cocka incline is not uh similar to hearing aids in the way that

734
00:35:33,597 --> 00:35:37,100
it is an electrical stimulation

735
00:35:37,190 --> 00:35:41,097
the implant happens in the cochlear

736
00:35:41,289 --> 00:35:41,504

737
00:35:41,476 --> 00:35:46,959
and therefore when the COA is stimulated by the implant

738
00:35:46,916 --> 00:35:52,729
then the signals will be processed by the external sound processor

739
00:35:52,559 --> 00:35:53,660
processor

740
00:35:53,716 --> 00:36:00,099
and this will be processed by the brain because

741
00:35:59,997 --> 00:36:03,180
signals that are sent by the implant

742
00:36:03,067 --> 00:36:06,684
goes via the auditory nerve and

743
00:36:06,659 --> 00:36:08,127
goes to the brain

744
00:36:10,817 --> 00:36:14,683
now let's go back to our students with avt

745
00:36:14,858 --> 00:36:20,514
before they enter our schools this is what happened to them

746
00:36:21,078 --> 00:36:23,082
hopefully

747
00:36:22,996 --> 00:36:28,479
and I know there are cases where babies start to be diagnosed

748
00:36:28,560 --> 00:36:32,382
Ed with Device start intervention

749
00:36:32,347 --> 00:36:39,182
in Thailand and I'm so happy to hear that but this is an exception

750
00:36:39,138 --> 00:36:46,376
not yet to be the norm let's hope that this will be the norm in about 10 years from now

751
00:36:46,567 --> 00:36:51,340
so when these kids are young between 1 to 3 years old

752
00:36:51,310 --> 00:36:57,600
sorry between babies to 3 years old they are diagnosed they are fitted with

753
00:36:57,329 --> 00:36:58,394
device

754
00:36:58,612 --> 00:37:00,232
or cock implant

755
00:37:00,080 --> 00:37:03,191
and then they start auditory verbal therapy

756
00:37:03,231 --> 00:37:06,569
I remember my youngest patient

757
00:37:06,488 --> 00:37:09,397
came in start intervention

758
00:37:09,368 --> 00:37:11,256
2 and a half months old

759
00:37:12,199 --> 00:37:13,300

760
00:37:13,348 --> 00:37:17,898
and then as they grow older they go to kindergarten

761
00:37:17,887 --> 00:37:20,075
mainstream kindergarten

762
00:37:19,949 --> 00:37:25,235
they we try we try and we try as therapists

763
00:37:25,199 --> 00:37:29,355
to work so hard so that these children will catch up

764
00:37:29,236 --> 00:37:32,341
with their listening and spoken language skills

765
00:37:32,436 --> 00:37:34,108
so

766
00:37:34,157 --> 00:37:38,301
they are listening and spoken language skills

767
00:37:38,400 --> 00:37:43,022
at or near each appropriate

768
00:37:43,199 --> 00:37:48,945
it's not enough for them to just talk but at which level are they

769
00:37:48,837 --> 00:37:49,814
talking

770
00:37:49,729 --> 00:37:52,442
that is crucial

771
00:37:53,068 --> 00:37:55,753
because when

772
00:37:55,687 --> 00:37:55,931

773
00:37:55,882 --> 00:38:01,720
enter mainstream school at 6:07 years old depending on

774
00:38:01,518 --> 00:38:06,418
school they go to we want them to enter School

775
00:38:06,319 --> 00:38:11,879
at each appropriate language or at the very worst

776
00:38:11,708 --> 00:38:11,958

777
00:38:12,030 --> 00:38:17,731
2 years gap of language age between their peers

778
00:38:17,600 --> 00:38:17,873

779
00:38:17,858 --> 00:38:20,765
and their language functioning level

780
00:38:22,080 --> 00:38:24,724
so for teachers

781
00:38:24,907 --> 00:38:30,134
often people will ask what is the main thing when you have a child

782
00:38:30,088 --> 00:38:32,444
who is mainstream

783
00:38:32,788 --> 00:38:34,617
in the classroom

784
00:38:34,638 --> 00:38:39,107
often we talk about seating yes seating is important

785
00:38:39,189 --> 00:38:43,896
look at the access black blue

786
00:38:43,868 --> 00:38:46,004
green and red

787
00:38:46,557 --> 00:38:51,834
red is a total no no because it's near the corridor

788
00:38:51,751 --> 00:38:53,244
near the window

789
00:38:53,348 --> 00:38:54,787
that is noisy

790
00:38:54,878 --> 00:39:00,382
we have other classes and children would run and talk and whatever across along the

791
00:39:00,269 --> 00:39:05,602
Corridor that will be distracting uh uh that's not where we put our child

792
00:39:06,376 --> 00:39:07,997
green

793
00:39:08,208 --> 00:39:12,068
that's good why that's right at the front

794
00:39:12,561 --> 00:39:15,625
however the child

795
00:39:15,577 --> 00:39:18,972
who is sitting in the green spot

796
00:39:22,122 --> 00:39:24,572
of what their friends are doing

797
00:39:24,927 --> 00:39:31,005
it will be better if they are having more peripheral or

798
00:39:30,888 --> 00:39:33,693
sorry rather visual cues

799
00:39:33,839 --> 00:39:37,584
meaning that blue is much better

800
00:39:37,740 --> 00:39:37,937

801
00:39:37,877 --> 00:39:39,077
there are still

802
00:39:39,278 --> 00:39:44,286
quite at the front and have the students at the front row

803
00:39:44,148 --> 00:39:47,538
to help them to get visual cues

804
00:39:47,870 --> 00:39:49,788
black

805
00:39:49,848 --> 00:39:50,086

806
00:39:50,170 --> 00:39:53,670
that is right in front of the teacher's desk

807
00:39:54,209 --> 00:39:54,564

808
00:39:54,722 --> 00:39:59,303
but how many of you teachers when you teach in the classroom

809
00:39:59,269 --> 00:39:59,506

810
00:39:59,519 --> 00:40:05,156
you are just sitting like me at the teacher's desk and do not get up at all

811
00:40:06,261 --> 00:40:07,921
do you do that

812
00:40:08,040 --> 00:40:13,654
I think if you do that right from your training days you'll be disqualified from being

813
00:40:13,490 --> 00:40:16,856
teacher because you are supposed to get up

814
00:40:17,078 --> 00:40:22,454
can be around the class so no black is not the spot you want blue

815
00:40:23,361 --> 00:40:27,553
if you have any other seating arrangement

816
00:40:27,592 --> 00:40:30,339
Circle or round table

817
00:40:30,210 --> 00:40:31,644
is a good 1

818
00:40:31,618 --> 00:40:36,746
or have a semicircle or horse shoe formation

819
00:40:36,811 --> 00:40:39,021
that is also a good 1

820
00:40:39,308 --> 00:40:44,346
so that your child will be able to see everyone

821
00:40:44,239 --> 00:40:47,700
as of their visual cue but

822
00:40:47,569 --> 00:40:52,938
that alone is not enough seating arrangement is not the

823
00:40:52,829 --> 00:40:53,868

824
00:40:53,788 --> 00:40:55,215
of the story

825
00:40:57,195 --> 00:40:59,104
acoustics

826
00:40:59,289 --> 00:41:04,819
how many of you now sitting in this haul you really want to listen

827
00:41:04,869 --> 00:41:10,352
to me but the person next to you or behind you or in front of you are talking

828
00:41:10,829 --> 00:41:12,966
and you can't hear me well

829
00:41:12,939 --> 00:41:17,018
don't put up your hand I don't want to offend people in the audience

830
00:41:16,847 --> 00:41:17,200

831
00:41:18,389 --> 00:41:18,623

832
00:41:18,517 --> 00:41:22,764
imagine if you wear cochlear implant

833
00:41:22,997 --> 00:41:28,299
and you try to listen to the teacher but find it hard to listen

834
00:41:28,187 --> 00:41:30,140
hard to understand

835
00:41:30,037 --> 00:41:31,865
because there are noises

836
00:41:31,961 --> 00:41:37,808
so if possible whenever possible identify the source of

837
00:41:37,537 --> 00:41:38,473
noise

838
00:41:38,308 --> 00:41:41,335
put it far from the child

839
00:41:41,578 --> 00:41:43,951
it can be the fan

840
00:41:44,398 --> 00:41:46,855
I can hear some worrying

841
00:41:47,080 --> 00:41:52,824
not worry worrying of machine behind me put it behind the child

842
00:41:53,037 --> 00:41:58,728
and for Cochlear brand cochlear implant the child can have forward Focus

843
00:41:58,937 --> 00:42:01,268
where wherever the child

844
00:42:01,436 --> 00:42:06,097
move the head the focus of the listening will be

845
00:42:05,986 --> 00:42:11,447
in front noise from the back will be automatically attenuated

846
00:42:12,131 --> 00:42:17,387
don't put noises to the next to our student with avt

847
00:42:17,449 --> 00:42:20,167
you will know who is the noisy

848
00:42:20,198 --> 00:42:23,978
a bit naughty and cheeky student in the classroom

849
00:42:23,857 --> 00:42:28,182
please put them a bit away from our student with ADT

850
00:42:28,397 --> 00:42:34,449
look around in the classroom if there are hard shiny

851
00:42:34,429 --> 00:42:35,799
surfaces

852
00:42:35,706 --> 00:42:39,462
these are the ones that are bad for acoustics

853
00:42:39,555 --> 00:42:44,205
let's put some soft materials be it curtains

854
00:42:44,098 --> 00:42:46,688
uh paper posters

855
00:42:46,799 --> 00:42:53,638
cork boards or something soft to absorb the sound waves and reduce River

856
00:42:53,318 --> 00:42:54,345
ation

857
00:42:54,156 --> 00:42:54,440

858
00:42:54,407 --> 00:43:00,729
if you are not sure reach out to the audiologist reach out if the child is an

859
00:43:00,627 --> 00:43:06,007
1 user especially for their brand reach out to tune our bank card

860
00:43:05,889 --> 00:43:11,476
sorry our Thailand country manager who can help with class

861
00:43:11,267 --> 00:43:15,637
from physical accommodation for noise reduction

862
00:43:17,420 --> 00:43:22,378
this is a little bit technical but I need to

863
00:43:22,475 --> 00:43:26,268
say this that we need to understand about

864
00:43:26,376 --> 00:43:29,156
signal to noise ratio

865
00:43:29,455 --> 00:43:34,836
regular classroom anywhere in the world where the children are

866
00:43:34,636 --> 00:43:36,490
King and speaking

867
00:43:36,378 --> 00:43:42,747
mainstream classroom the noise is around 50 to 60 DB SPL

868
00:43:44,319 --> 00:43:44,668

869
00:43:44,894 --> 00:43:51,647
then when the teachers is talking our regular voices without the mind

870
00:43:52,076 --> 00:43:56,751
when I talk like this which you cannot hear of course

871
00:43:57,517 --> 00:44:04,198
the best is around 70 Del but you cannot do this throughout the day are the

872
00:44:03,917 --> 00:44:06,721
device will be abusing your vocal cord

873
00:44:07,694 --> 00:44:13,124
so because usually teachers voices around 65 decide

874
00:44:12,886 --> 00:44:13,667

875
00:44:13,593 --> 00:44:16,803
classroom noises around 60 Del

876
00:44:17,568 --> 00:44:19,447
the difference

877
00:44:19,674 --> 00:44:25,149
for the signal for the teacher's voice to reach the child's desk is only

878
00:44:25,066 --> 00:44:26,522
class 5

879
00:44:27,174 --> 00:44:30,269
that's all the increment

880
00:44:30,375 --> 00:44:35,084
teachers voice that arrived at the child's device

881
00:44:35,505 --> 00:44:38,377
that enough no

882
00:44:39,024 --> 00:44:43,738
student with normal hearing they need plus 6 decibel

883
00:44:43,637 --> 00:44:47,758
students with hearing loss without mini mic

884
00:44:47,473 --> 00:44:53,331
they need about plus 15 to plus 20 decibel

885
00:44:53,055 --> 00:44:55,778
for good signal to noise ratio

886
00:44:56,272 --> 00:45:01,993
but is it realistic to always tell the class be quiet

887
00:45:01,837 --> 00:45:03,833
be quiet be quiet

888
00:45:05,156 --> 00:45:08,442
you can't do that it's not realistic so

889
00:45:08,494 --> 00:45:13,216
remember there is such a thing as remote microphone

890
00:45:13,674 --> 00:45:14,103

891
00:45:13,804 --> 00:45:14,052

892
00:45:14,193 --> 00:45:17,913
for Cochlear brain we have mini mic

893
00:45:17,843 --> 00:45:23,341
for hearing aid users there's some FM system or Roger

894
00:45:24,063 --> 00:45:25,167
system

895
00:45:25,156 --> 00:45:28,880
the mini mic will help our student

896
00:45:28,793 --> 00:45:29,040

897
00:45:28,925 --> 00:45:34,336
to focus to teachers voice because they will hear the voice

898
00:45:34,313 --> 00:45:38,911
directly going into their processor

899
00:45:39,436 --> 00:45:43,344
this will have to reduce their auditory fatigue

900
00:45:43,156 --> 00:45:43,428

901
00:45:43,663 --> 00:45:49,364
but teachers need to familiarize yourself with the device

902
00:45:49,757 --> 00:45:55,323
either get help from the family the parents or again reach out to 2

903
00:45:55,075 --> 00:45:56,350
in Thailand

904
00:45:56,413 --> 00:46:02,021
or anywhere you come from each country will have a popular representative

905
00:46:01,982 --> 00:46:08,135
and get help how do I teach myself to familiarize with this minimize

906
00:46:08,394 --> 00:46:15,571
so that wherever you are in the classroom your voice will reach the child's

907
00:46:15,313 --> 00:46:15,562

908
00:46:15,504 --> 00:46:16,825
processor

909
00:46:16,713 --> 00:46:19,878
as if you are talking right next to it

910
00:46:20,883 --> 00:46:21,111

911
00:46:21,075 --> 00:46:26,435
1 thing though remember to return the microphone that you use

912
00:46:26,325 --> 00:46:27,826
to the child

913
00:46:28,195 --> 00:46:33,601
so that the child can give the microphone to the next teacher that comes into

914
00:46:33,378 --> 00:46:39,045
teach I have had some cases where teachers wear the microphone

915
00:46:39,144 --> 00:46:43,144
because they forget to give back the microphone to the student

916
00:46:43,363 --> 00:46:49,377
wear it to the toilet where it when they go gossiping about their family

917
00:46:49,263 --> 00:46:52,955
and our students with Clay implant knows all the

918
00:46:58,308 --> 00:47:03,976
speak in a natural clear voice at a regular

919
00:47:03,932 --> 00:47:04,519

920
00:47:04,313 --> 00:47:04,977

921
00:47:05,082 --> 00:47:12,288
and do these facing the class 1 thing that you need to be very very

922
00:47:12,074 --> 00:47:14,015
where is

923
00:47:13,924 --> 00:47:18,231
it is very hard for the child to follow your teaching

924
00:47:18,351 --> 00:47:19,196

925
00:47:19,113 --> 00:47:19,400

926
00:47:19,432 --> 00:47:19,705

927
00:47:19,751 --> 00:47:20,099

928
00:47:20,146 --> 00:47:20,365

929
00:47:21,102 --> 00:47:25,791
remember the traditional chalk and talk teaching

930
00:47:26,031 --> 00:47:29,217
the teacher faces the chalkboard

931
00:47:29,432 --> 00:47:35,754
and talk while writing uhuh that doesn't work with our a student

932
00:47:35,645 --> 00:47:36,113

933
00:47:36,428 --> 00:47:40,929
when the our child does not understand

934
00:47:40,951 --> 00:47:46,040
your sentences you need to repeat or rephrase

935
00:47:46,415 --> 00:47:52,007
and you need to do this when other students are commenting or asking

936
00:47:51,913 --> 00:47:57,568
or speaking you need to again repeat or rephrase what the other student is saying

937
00:47:58,071 --> 00:48:01,848
to the class because you have the minimum

938
00:48:01,913 --> 00:48:04,724
but other students do not have the minimum

939
00:48:05,043 --> 00:48:09,558
so you need to tell it again so your avt student can hear

940
00:48:09,793 --> 00:48:10,028

941
00:48:10,041 --> 00:48:10,281

942
00:48:11,264 --> 00:48:17,107
hopefully you have the chance when you want to give new instructions

943
00:48:16,963 --> 00:48:22,704
then asked the class to be quiet first and then you give instruction

944
00:48:22,532 --> 00:48:23,184

945
00:48:24,072 --> 00:48:28,078
and I've talked about don't give your back

946
00:48:27,982 --> 00:48:33,970
facing the class when you are talking because this will be hard for our child to follow

947
00:48:36,052 --> 00:48:41,412
use what we call gearing up to listen phrases

948
00:48:41,951 --> 00:48:45,044
because if you start talking

949
00:48:45,021 --> 00:48:49,152
by just giving instruction for example

950
00:48:49,315 --> 00:48:49,540

951
00:48:49,440 --> 00:48:51,882
you start talking and you just say

952
00:48:51,814 --> 00:48:53,912
turn to page 55

953
00:48:54,433 --> 00:48:54,708

954
00:48:54,691 --> 00:48:59,924
and by the time the child wants to listen to you the sentence has already ended

955
00:49:00,841 --> 00:49:07,241
so you need to have the gearing up phrases like now everyone listen up

956
00:49:07,761 --> 00:49:11,956
and you get the attention turn to page 55

957
00:49:12,633 --> 00:49:15,931
so use this gearing up phrases

958
00:49:16,220 --> 00:49:21,611
when child doesn't understand say it in another way

959
00:49:22,370 --> 00:49:26,993
try not to repeat the same sentence over and over

960
00:49:27,113 --> 00:49:32,919
because the child may get a better idea of what you are saying

961
00:49:33,135 --> 00:49:34,955
if you rephrase it

962
00:49:37,504 --> 00:49:42,875
right key information on the board so that the child can

963
00:49:42,990 --> 00:49:46,463
what you write and what they hear from you

964
00:49:46,910 --> 00:49:50,389
consider having a body system

965
00:49:50,490 --> 00:49:56,697
put a friend next to the child who can help with rephrasing or

966
00:49:56,582 --> 00:50:00,481
repeating what he said in the class

967
00:50:01,391 --> 00:50:04,633
Choose Wisely who is the body

968
00:50:04,710 --> 00:50:09,900
don't choose a child who is the smartest in the class

969
00:50:09,840 --> 00:50:10,028

970
00:50:10,030 --> 00:50:16,305
who has the highest IQ in the class because usually very smart students

971
00:50:16,111 --> 00:50:17,872
they are impatient

972
00:50:18,360 --> 00:50:24,170
they cannot deal with a lot of questions and they cannot understand why some people are

973
00:50:23,931 --> 00:50:24,996
so it's slow

974
00:50:25,209 --> 00:50:30,395
I remember my best friend in school before would turn to me and said

975
00:50:30,590 --> 00:50:35,443
you are on that question do I've already finished and there were 30 questions

976
00:50:36,176 --> 00:50:40,259
but she was still my best friend she is still my best friend until today

977
00:50:40,911 --> 00:50:46,453
so don't pick the smartest student in the class don't pick the

978
00:50:46,291 --> 00:50:53,326
a student either because we don't want the weakest student to be the role model for our AB

979
00:50:53,155 --> 00:50:54,251
student

980
00:50:54,230 --> 00:50:57,193
Peak student who is in the middle

981
00:50:57,881 --> 00:50:59,175

982
00:50:59,110 --> 00:51:02,250
with a lot of compassion

983
00:51:04,481 --> 00:51:10,262
with a lot of understanding of how to interact communicate

984
00:51:10,312 --> 00:51:10,528

985
00:51:10,510 --> 00:51:15,629
and Foster friendship with a friend who has hearing loss

986
00:51:16,994 --> 00:51:22,275
and also what teachers can do is orientate your class

987
00:51:22,480 --> 00:51:28,009
oriented the other hearing students on how to make listening and

988
00:51:27,741 --> 00:51:29,021
medication

989
00:51:28,830 --> 00:51:32,192
easier for your ABT students

990
00:51:32,480 --> 00:51:39,134
the things that I've mentioned before about speaking clearly and speaking directly

991
00:51:39,075 --> 00:51:40,385
do the same

992
00:51:40,550 --> 00:51:45,470
teach other students to do the same with their EVT friend

993
00:51:45,800 --> 00:51:49,820
when they want to talk with their EVT friend

994
00:51:49,710 --> 00:51:55,219
ask them to stand closely don't shout from across the room

995
00:51:55,031 --> 00:51:58,652
shouting doesn't help them to hear it better

996
00:51:59,261 --> 00:52:04,658
if they want to talk with their EVT friend tell them to get the attention

997
00:52:04,579 --> 00:52:05,844
confessed

998
00:52:06,179 --> 00:52:13,054
and when they're talking to your avt friend tell them not to run while talking that doesn't help

999
00:52:13,548 --> 00:52:14,709
be still

1000
00:52:15,211 --> 00:52:16,813

1001
00:52:16,750 --> 00:52:18,091
always

1002
00:52:18,092 --> 00:52:22,589
watch and if they think that every friend looks lost

1003
00:52:22,511 --> 00:52:24,032
looks confused

1004
00:52:24,049 --> 00:52:28,197
need help just approach him or her and asked

1005
00:52:28,345 --> 00:52:30,354
would you like me to help you

1006
00:52:30,780 --> 00:52:33,138
this just doesn't

1007
00:52:36,559 --> 00:52:42,442
to have this accommodation but these strategies also help the other hearings

1008
00:52:42,180 --> 00:52:44,465
students in the mainstream class

1009
00:52:44,294 --> 00:52:44,832

1010
00:52:44,612 --> 00:52:49,992
to have more understanding of how it is to live with

1011
00:52:50,063 --> 00:52:51,312
fell

1012
00:52:51,149 --> 00:52:55,177
students or fellow friends with different abilities

1013
00:52:57,185 --> 00:52:57,384

1014
00:52:57,300 --> 00:52:57,533

1015
00:52:57,681 --> 00:53:01,627
so what's needed for successful mainstreaming

1016
00:53:02,870 --> 00:53:07,905
mainstreaming is not just about the child the teacher and the school

1017
00:53:08,062 --> 00:53:11,105
we need the team

1018
00:53:11,011 --> 00:53:13,686
that worked with the child previously

1019
00:53:13,948 --> 00:53:20,357
parents have to be there the therapist the audiologist If the child had

1020
00:53:20,112 --> 00:53:25,719
occupational therapist or physical therapist or special education specialist

1021
00:53:25,611 --> 00:53:25,830

1022
00:53:25,803 --> 00:53:33,341
or the Ministry of Education officers all these people need to work together and

1023
00:53:33,111 --> 00:53:36,708
Kate I just go straight to The Orange Box

1024
00:53:36,631 --> 00:53:39,774
they need to communicate with each other

1025
00:53:40,919 --> 00:53:46,472
does the child have undergone has the child undergone

1026
00:53:46,311 --> 00:53:46,585

1027
00:53:46,499 --> 00:53:49,108
teach appropriate goals

1028
00:53:48,988 --> 00:53:51,355
throughout the intervention

1029
00:53:52,011 --> 00:53:57,456
and if yes is this carried out continuing when the

1030
00:53:57,318 --> 00:54:02,864
child is in school this includes current level of functioning

1031
00:54:02,639 --> 00:54:06,342
individualized goals precise assessment

1032
00:54:06,231 --> 00:54:09,439
and measurement across all aspects of the

1033
00:54:09,238 --> 00:54:10,234
development

1034
00:54:10,269 --> 00:54:11,751
remember

1035
00:54:11,802 --> 00:54:17,033
for the whole child management is not just speaking and listening

1036
00:54:17,633 --> 00:54:24,692
what about self-help skills what about daily living activities what

1037
00:54:23,069 --> 00:54:25,626
psychosocial development

1038
00:54:27,198 --> 00:54:31,509
this is something that I must stress

1039
00:54:31,919 --> 00:54:39,217
for a child to go to mainstream they need to have age appropriate language you will hear me

1040
00:54:39,028 --> 00:54:41,299
repeating this again and again

1041
00:54:41,401 --> 00:54:46,586
if it's not at each level at least near age level

1042
00:54:46,520 --> 00:54:51,549
because for them to access the curriculum in a mainstream setting

1043
00:54:51,459 --> 00:54:56,749
via listening they need each appropriate language

1044
00:54:57,103 --> 00:55:03,997
and then needs to be pre and post teaching of Concepts and again I must stress

1045
00:55:03,879 --> 00:55:07,276
usage of remote microphone

1046
00:55:07,472 --> 00:55:10,271
when teaching and learning occurs

1047
00:55:12,020 --> 00:55:15,627
just to give you the idea

1048
00:55:15,671 --> 00:55:17,942
of what is needed

1049
00:55:18,040 --> 00:55:24,526
before this child if it student enters school they need

1050
00:55:24,771 --> 00:55:28,180
the learning to listen period

1051
00:55:28,478 --> 00:55:29,547
this 1

1052
00:55:30,222 --> 00:55:30,418

1053
00:55:30,353 --> 00:55:34,825
so infancy to break in the garden this what happened

1054
00:55:35,150 --> 00:55:35,491

1055
00:55:35,472 --> 00:55:41,027
hopefully when they have enough adequate and good quality of learn

1056
00:55:40,721 --> 00:55:42,743
to listen period

1057
00:55:42,639 --> 00:55:45,432
then they can go to kindergarten

1058
00:55:45,329 --> 00:55:50,115
they enter our schools with the skills to listen

1059
00:55:50,009 --> 00:55:51,302
to learn

1060
00:55:51,608 --> 00:55:59,535
if this doesn't happen or this happened poorly or this happened in a very short period

1061
00:55:59,809 --> 00:56:04,799
because they only started habilitation or intervention at the age of 5

1062
00:56:04,809 --> 00:56:06,308
at the age of 6

1063
00:56:06,349 --> 00:56:09,979
there isn't enough time for them to learn to listen

1064
00:56:10,072 --> 00:56:12,498
what happened when they entered this phase

1065
00:56:12,428 --> 00:56:12,663

1066
00:56:13,345 --> 00:56:19,900
it's hard or almost impossible for them to use listening to learn because listening

1067
00:56:19,740 --> 00:56:21,375
did not exist

1068
00:56:23,321 --> 00:56:23,564

1069
00:56:24,278 --> 00:56:28,353
let me share you some data from Malaysia

1070
00:56:29,149 --> 00:56:34,433
this is an old data because this was when I was still working with University

1071
00:56:34,343 --> 00:56:34,808

1072
00:56:35,372 --> 00:56:36,157

1073
00:56:36,328 --> 00:56:40,447
the merely 400 children

1074
00:56:40,870 --> 00:56:46,627
implanted by you the university we found that 60% of these children

1075
00:56:46,449 --> 00:56:47,874
use oral language

1076
00:56:47,728 --> 00:56:48,458

1077
00:56:48,692 --> 00:56:53,338
now compare that with education placement

1078
00:56:53,310 --> 00:56:56,444
we have 60% here in mainstream

1079
00:56:56,842 --> 00:56:57,032

1080
00:56:57,018 --> 00:57:00,766
not quite but nearly 60

1081
00:57:00,667 --> 00:57:03,081
what happened to the 2% you ask

1082
00:57:03,428 --> 00:57:03,634

1083
00:57:03,810 --> 00:57:10,024
the 2% in the in Special School cute speech school or integrated

1084
00:57:09,959 --> 00:57:15,913
in Malaysia integrated School meaning that is special education class

1085
00:57:15,860 --> 00:57:22,075
within a mainstream school so that when the child in special class

1086
00:57:22,068 --> 00:57:23,261
improves

1087
00:57:23,218 --> 00:57:23,495

1088
00:57:23,469 --> 00:57:26,529
they can do semi inclusion

1089
00:57:26,489 --> 00:57:26,760

1090
00:57:26,618 --> 00:57:34,225
hopeful inclusion when the child actually reaches the level that enables them to function in

1091
00:57:34,239 --> 00:57:35,273
mainstream

1092
00:57:35,460 --> 00:57:37,542
so they don't have to change School

1093
00:57:38,790 --> 00:57:39,677

1094
00:57:39,678 --> 00:57:45,138
that what what this means is that the mode of communication that we

1095
00:57:44,941 --> 00:57:46,676
2 is for the child

1096
00:57:46,598 --> 00:57:50,018
very crucial because it will decide

1097
00:57:49,939 --> 00:57:51,817
where the child will go

1098
00:57:52,238 --> 00:57:58,247
the second thing that we learned is that just because the child uses Auto language

1099
00:57:57,948 --> 00:58:02,660
which doesn't mean that the child will become mainstream school student

1100
00:58:03,449 --> 00:58:08,978
it is harder to be mainstream compared to learning to

1101
00:58:08,829 --> 00:58:09,908
talk

1102
00:58:10,562 --> 00:58:10,781

1103
00:58:10,748 --> 00:58:15,597
and this brings me to the second data that I want to share

1104
00:58:15,879 --> 00:58:19,360
again from Malaysia when I was still there

1105
00:58:20,110 --> 00:58:20,518

1106
00:58:20,618 --> 00:58:26,103
with every 1 month delay of cochlear implantation

1107
00:58:25,938 --> 00:58:26,518

1108
00:58:26,450 --> 00:58:30,521
the odds of our child to be able to

1109
00:58:30,429 --> 00:58:34,925
speak will be reduced by 2.6%

1110
00:58:34,837 --> 00:58:35,055

1111
00:58:35,668 --> 00:58:38,571
you time this by 12

1112
00:58:38,631 --> 00:58:44,008
to know if we delay COA implantation by 12 months

1113
00:58:43,869 --> 00:58:45,177
for 1 year

1114
00:58:45,468 --> 00:58:46,445

1115
00:58:46,381 --> 00:58:46,614

1116
00:58:46,568 --> 00:58:48,835
what is the

1117
00:58:49,768 --> 00:58:52,155
decreased probability

1118
00:58:52,068 --> 00:58:54,538
for this child to talk

1119
00:58:55,857 --> 00:59:02,035
usually you don't delay by 1 month some parents say oh we need to look for money

1120
00:59:01,939 --> 00:59:04,848
funding and all that we don't have that wonderful

1121
00:59:04,758 --> 00:59:10,272
the Federation and things like that like what you have here in Thailand we don't have such things

1122
00:59:10,269 --> 00:59:11,151
Malaysia

1123
00:59:12,188 --> 00:59:15,280
sometimes they delay by 1 and a half years

1124
00:59:15,388 --> 00:59:21,194
so imagine how much reduction of probability for the child to speak

1125
00:59:21,989 --> 00:59:26,375
now to enter mainstream school is much harder

1126
00:59:26,539 --> 00:59:32,501
everyone months decreased sorry every 1 month delay

1127
00:59:33,269 --> 00:59:35,386
of implantation

1128
00:59:35,388 --> 00:59:35,722

1129
00:59:36,027 --> 00:59:39,752
the odds of going to mainstream School

1130
00:59:39,669 --> 00:59:42,903
will be reduced by 3.3%

1131
00:59:43,589 --> 00:59:45,902
time this by 12

1132
00:59:46,269 --> 00:59:49,248
how much reduction of probability

1133
00:59:49,219 --> 00:59:52,272
the child will have to go to mainstream School

1134
00:59:52,428 --> 00:59:55,762
if we delay the implant by a year

1135
00:59:58,456 --> 00:59:58,789

1136
00:59:59,670 --> 00:59:59,919

1137
01:00:00,052 --> 01:00:02,886
let that sink in for a second

1138
01:00:04,528 --> 01:00:04,892

1139
01:00:05,228 --> 01:00:05,956

1140
01:00:06,070 --> 01:00:06,274

1141
01:00:06,319 --> 01:00:12,545
so there is a Continuum of how our children with hearing loss

1142
01:00:12,470 --> 01:00:13,962
communicate

1143
01:00:15,028 --> 01:00:19,944
I'm so happy to today to see quite a number of people

1144
01:00:20,550 --> 01:00:23,948
in our audience who uses sign language

1145
01:00:24,271 --> 01:00:30,226
many of our children with hearing loss will also use sign language and they are

1146
01:00:29,958 --> 01:00:30,812

1147
01:00:30,858 --> 01:00:31,999
or here

1148
01:00:32,270 --> 01:00:35,885
they are fully visual or mostly visual

1149
01:00:35,789 --> 01:00:37,139
communicator

1150
01:00:37,198 --> 01:00:42,859
if they are fully visual they you signing only if they are mostly visual

1151
01:00:42,708 --> 01:00:45,675
it probably will use a lot more sign

1152
01:00:45,658 --> 01:00:47,543
and some oral language

1153
01:00:47,507 --> 01:00:48,323

1154
01:00:48,539 --> 01:00:53,443
will they be in mainstream school without interpreter

1155
01:00:54,558 --> 01:01:00,107
probably not they need interpreter in school how many Bangkok

1156
01:00:59,947 --> 01:01:03,689
schools have sign language interpreter in mainstream class

1157
01:01:05,197 --> 01:01:08,173
9 the same with Malaysia

1158
01:01:08,469 --> 01:01:13,902
children who use sign language cannot be in mainstream schools in both

1159
01:01:13,718 --> 01:01:16,987
Malaysia and also Thailand I know that

1160
01:01:17,121 --> 01:01:18,589
so

1161
01:01:18,520 --> 01:01:24,027
our children who are more visual despite using hearing aids

1162
01:01:23,909 --> 01:01:27,108
despite using even colea implant

1163
01:01:26,909 --> 01:01:32,377
they are here they are not supposed to be in Main Street

1164
01:01:32,109 --> 01:01:32,630

1165
01:01:33,449 --> 01:01:36,889
even with implants

1166
01:01:38,128 --> 01:01:43,254
currently in plan really good habilitation then they

1167
01:01:43,117 --> 01:01:48,584
most probably will end up being fully auditory in communication

1168
01:01:48,567 --> 01:01:50,816
they're listening and speaking

1169
01:01:50,809 --> 01:01:54,764
or maybe mostly auditory

1170
01:01:55,110 --> 01:01:55,540

1171
01:01:55,297 --> 01:02:00,983
their language level may be not age appropriate but just slightly delayed

1172
01:02:00,928 --> 01:02:03,125
about 2 years delay

1173
01:02:03,243 --> 01:02:05,854
then this grew

1174
01:02:06,247 --> 01:02:07,538
can be

1175
01:02:08,361 --> 01:02:10,755
in mainstream setting

1176
01:02:11,378 --> 01:02:16,172
if you try to put this group in mainstream setting you can

1177
01:02:16,948 --> 01:02:21,569
and then you will realize after 6 months 1 year what will happen

1178
01:02:21,498 --> 01:02:21,733

1179
01:02:21,691 --> 01:02:24,440
they need to be replaced

1180
01:02:24,829 --> 01:02:27,351
in special education setting

1181
01:02:27,517 --> 01:02:30,751
you are setting the child up for failure

1182
01:02:33,087 --> 01:02:39,282
let's Ponder on several points let's take

1183
01:02:39,561 --> 01:02:41,369
as something

1184
01:02:41,417 --> 01:02:41,635

1185
01:02:41,869 --> 01:02:47,313
food for thought you just had lunch you had food for your stomach now food for your brain

1186
01:02:48,413 --> 01:02:50,140
and I'm talking

1187
01:02:50,068 --> 01:02:55,316
from the heart of a habilitation looking after

1188
01:02:55,387 --> 01:03:01,153
southeast Asia region especially Thailand my nearest neighbor to Malaysia

1189
01:03:00,829 --> 01:03:01,234

1190
01:03:03,267 --> 01:03:04,615
first 1

1191
01:03:05,698 --> 01:03:06,233

1192
01:03:06,467 --> 01:03:06,670

1193
01:03:06,717 --> 01:03:12,184
do we know when our child enters school what has been the

1194
01:03:11,979 --> 01:03:17,329
survey of progress in the listening and spoken language

1195
01:03:17,998 --> 01:03:21,091
beginning of the child's intervention

1196
01:03:21,007 --> 01:03:24,150
to just before the child enter School

1197
01:03:24,400 --> 01:03:25,926
as a teacher

1198
01:03:25,882 --> 01:03:28,451
do we know as a teacher

1199
01:03:28,381 --> 01:03:29,748
do we ask

1200
01:03:30,230 --> 01:03:34,632
if we don't you better do now because Dr basa has told you

1201
01:03:34,720 --> 01:03:35,844
to do so

1202
01:03:36,768 --> 01:03:37,129

1203
01:03:37,149 --> 01:03:37,815

1204
01:03:38,049 --> 01:03:42,507
do you know if the child has any additional diagnosis

1205
01:03:43,633 --> 01:03:47,167
sometimes parents do not tell you

1206
01:03:47,079 --> 01:03:52,441
why because they are afraid if they come clean and tell everything

1207
01:03:52,533 --> 01:03:56,734
to you you will be so overwhelmed when you said look

1208
01:03:56,628 --> 01:04:02,422
maybe you should just send your child to special education class without even starting

1209
01:04:02,200 --> 01:04:04,559
to teach the child first

1210
01:04:07,008 --> 01:04:12,470
that's why talking to the team managing the child is important

1211
01:04:12,258 --> 01:04:12,589

1212
01:04:14,757 --> 01:04:18,901
do you know what is the child's language and listening levels

1213
01:04:18,788 --> 01:04:21,884
near the entry to school

1214
01:04:22,187 --> 01:04:26,409
again you know this by talking to the therapist

1215
01:04:26,287 --> 01:04:28,161
or to the audiologist

1216
01:04:29,358 --> 01:04:35,071
School Readiness skills like I mentioned before it's not just about listening it's not just

1217
01:04:34,870 --> 01:04:36,681
about talking

1218
01:04:36,600 --> 01:04:42,116
can the child go to the toilet independently can reach a bite things from the school canteen

1219
01:04:42,237 --> 01:04:43,412
independently

1220
01:04:43,388 --> 01:04:48,961
does the child know how to problem solve does the child know how to establish

1221
01:04:48,648 --> 01:04:52,253
friendship and maintain friendship

1222
01:04:52,488 --> 01:04:57,938
does the child can can the child play with other children well in the playground

1223
01:04:58,507 --> 01:04:59,924
do we know this

1224
01:05:00,048 --> 01:05:01,545
do we observe this

1225
01:05:03,957 --> 01:05:04,876

1226
01:05:05,427 --> 01:05:11,227
this may be a raw point but I asked this question not just in Thailand

1227
01:05:11,069 --> 01:05:13,272
but in other countries as well

1228
01:05:14,078 --> 01:05:17,315
here my audience

1229
01:05:17,802 --> 01:05:18,963

1230
01:05:18,877 --> 01:05:23,377
people who are very close to Ministry of Education am I right

1231
01:05:24,589 --> 01:05:24,796

1232
01:05:25,347 --> 01:05:28,917
do we talk to people in the Ministry of Health

1233
01:05:29,390 --> 01:05:34,653
is there any formal or informal communication cable

1234
01:05:34,638 --> 01:05:36,775
between m o e

1235
01:05:36,698 --> 01:05:38,461
and m o h

1236
01:05:38,547 --> 01:05:42,484
if there isn't when are we going to start

1237
01:05:42,388 --> 01:05:42,676

1238
01:05:42,907 --> 01:05:48,287
knowing that it is important for our child to Transit

1239
01:05:48,097 --> 01:05:48,330

1240
01:05:48,347 --> 01:05:48,575

1241
01:05:48,547 --> 01:05:53,326
from their Early Intervention which is mainly under MO

1242
01:05:53,228 --> 01:05:57,052
cool cool which is under Ministry of Education

1243
01:05:59,324 --> 01:05:59,575

1244
01:05:59,691 --> 01:06:01,239
last question

1245
01:06:01,548 --> 01:06:02,223

1246
01:06:02,259 --> 01:06:06,633
do we know how involved is the child's parents

1247
01:06:06,609 --> 01:06:12,027
during intervention before the child started school because

1248
01:06:12,193 --> 01:06:17,198
that is an indication of how much these parents will be involved when the child

1249
01:06:17,190 --> 01:06:18,865
is in school

1250
01:06:19,109 --> 01:06:22,017
from your experience you already know

1251
01:06:21,919 --> 01:06:28,037
parents who are involved with the child's academic help not help them with their home

1252
01:06:27,746 --> 01:06:29,921
God forbid um

1253
01:06:29,867 --> 01:06:35,620
takes interest about the child's performance and making sure that the child

1254
01:06:35,510 --> 01:06:35,692

1255
01:06:35,627 --> 01:06:36,536
Cooling

1256
01:06:36,527 --> 01:06:41,849
uh experience is well taken care of these are the students

1257
01:06:41,979 --> 01:06:44,132
that are more likely to succeed

1258
01:06:44,088 --> 01:06:46,539
whether they have disabilities or not

1259
01:06:47,229 --> 01:06:52,901
you need to find out the history of these parents involvement during intervention

1260
01:06:52,740 --> 01:06:54,489
because

1261
01:06:54,911 --> 01:06:55,448

1262
01:06:55,619 --> 01:06:59,410
the parental input of language

1263
01:06:59,467 --> 01:07:05,030
is the best predictor of the child's language and the child's

1264
01:07:04,837 --> 01:07:06,110
native outcome

1265
01:07:08,061 --> 01:07:13,014
children who use listening and spoken language at home

1266
01:07:13,748 --> 01:07:13,977

1267
01:07:14,066 --> 01:07:19,564
intensively and using the right avt techniques they are the

1268
01:07:19,317 --> 01:07:22,361
1 who have better language course

1269
01:07:22,588 --> 01:07:22,802

1270
01:07:23,167 --> 01:07:27,906
compared to those who use speaking and signing or total communication

1271
01:07:28,667 --> 01:07:29,143

1272
01:07:29,188 --> 01:07:34,795
parents who are well coached well guided during intervention

1273
01:07:34,628 --> 01:07:39,134
will become active Learners will become the primary

1274
01:07:39,188 --> 01:07:39,435

1275
01:07:39,381 --> 01:07:41,460
language facilitators

1276
01:07:41,429 --> 01:07:42,624
for their child

1277
01:07:42,508 --> 01:07:48,055
and they will continue to do so when their child enters school age

1278
01:07:50,138 --> 01:07:55,710
parent and child conversation in particular they are taking turns

1279
01:07:55,459 --> 01:07:56,962
conversation

1280
01:07:56,931 --> 01:07:57,141

1281
01:07:57,059 --> 01:07:59,971
will influence the child's verbal

1282
01:08:00,000 --> 01:08:02,726
language and cognitive skills

1283
01:08:02,632 --> 01:08:08,356
and these skills between 18 and 24 months the more

1284
01:08:08,138 --> 01:08:10,862
conversational turns happen then

1285
01:08:10,757 --> 01:08:10,968

1286
01:08:10,950 --> 01:08:15,231
will predict their skills 10 years later

1287
01:08:16,082 --> 01:08:18,605
the effect is long-lasting

1288
01:08:18,709 --> 01:08:24,119
those of you who are young parents who have very very young children or babies

1289
01:08:24,150 --> 01:08:28,203
make sure you have a lot of conversational turns

1290
01:08:28,318 --> 01:08:29,955
is your young children

1291
01:08:31,329 --> 01:08:33,983
so hopefully

1292
01:08:33,950 --> 01:08:39,506
with the right direction early intervention the right device the right therap

1293
01:08:39,338 --> 01:08:41,550
with the right Knowledge and Skills

1294
01:08:41,901 --> 01:08:46,234
and I would if it is student goes through school

1295
01:08:46,188 --> 01:08:49,882
from primary to secondary and then tertiary

1296
01:08:50,480 --> 01:08:52,671
hopefully this is

1297
01:08:52,787 --> 01:08:55,704
they will become I will show you

1298
01:08:55,869 --> 01:08:56,099

1299
01:08:56,119 --> 01:09:01,648
1 of my previous patient I don't call them student because I was a therapist

1300
01:09:01,889 --> 01:09:03,978
who was

1301
01:09:04,639 --> 01:09:09,750
8 years old when I first met him he was with another therapist before

1302
01:09:10,150 --> 01:09:10,403

1303
01:09:10,469 --> 01:09:16,018
so from being my patient now he is my colleague at coccia Malaysia

1304
01:09:16,489 --> 01:09:19,739
he is a head engineer

1305
01:09:20,149 --> 01:09:22,926
at the repair department

1306
01:09:22,900 --> 01:09:28,464
in cocka Malaysia even though it's COA Malaysia the repair for speech

1307
01:09:28,278 --> 01:09:30,235
in Malaysia

1308
01:09:30,198 --> 01:09:32,463
from all over the world

1309
01:09:32,378 --> 01:09:32,592

1310
01:09:33,471 --> 01:09:33,688

1311
01:09:33,857 --> 01:09:39,413
and he is the head engineer there let's listen to his experience

1312
01:09:39,427 --> 01:09:43,421
then he went to University and he shared this with

1313
01:09:43,270 --> 01:09:48,575
this with parents during uh seminar that we held at the University before

1314
01:09:52,558 --> 01:09:53,284

1315
01:09:53,908 --> 01:09:57,122
I'm sorry I don't get the sound

1316
01:09:58,346 --> 01:10:02,264
from this video can I get technical help

1317
01:10:04,279 --> 01:10:04,540

1318
01:10:05,690 --> 01:10:05,942

1319
01:10:05,947 --> 01:10:07,200

1320
01:10:07,108 --> 01:10:07,392

1321
01:10:07,549 --> 01:10:08,211

1322
01:10:08,190 --> 01:10:08,595

1323
01:10:08,828 --> 01:10:09,049

1324
01:10:09,727 --> 01:10:09,967

1325
01:10:09,990 --> 01:10:10,906

1326
01:10:10,877 --> 01:10:11,100

1327
01:10:11,070 --> 01:10:11,293

1328
01:10:11,708 --> 01:10:11,968

1329
01:10:15,428 --> 01:10:15,714

1330
01:10:15,748 --> 01:10:16,134

1331
01:10:15,947 --> 01:10:17,778

1332
01:10:17,873 --> 01:10:21,581
there is no sound from here

1333
01:10:21,828 --> 01:10:22,049

1334
01:10:22,928 --> 01:10:23,168

1335
01:10:23,191 --> 01:10:25,548
I'll try again

1336
01:10:27,029 --> 01:10:27,495
okay

1337
01:10:27,469 --> 01:10:27,948

1338
01:10:29,519 --> 01:10:29,762

1339
01:10:29,708 --> 01:10:29,930

1340
01:10:29,838 --> 01:10:30,079

1341
01:10:29,970 --> 01:10:30,191

1342
01:10:30,097 --> 01:10:30,755

1343
01:10:31,127 --> 01:10:31,672

1344
01:10:32,597 --> 01:10:32,822

1345
01:10:32,859 --> 01:10:33,143

1346
01:10:33,047 --> 01:10:33,510

1347
01:10:34,328 --> 01:10:35,182

1348
01:10:35,671 --> 01:10:36,139

1349
01:10:36,698 --> 01:10:36,912

1350
01:10:38,122 --> 01:10:38,347

1351
01:10:38,867 --> 01:10:39,357

1352
01:10:39,390 --> 01:10:39,735

1353
01:10:39,709 --> 01:10:40,002

1354
01:10:40,230 --> 01:10:40,583

1355
01:10:40,798 --> 01:10:41,278

1356
01:10:41,308 --> 01:10:41,660

1357
01:10:41,759 --> 01:10:42,348

1358
01:10:42,471 --> 01:10:43,766

1359
01:10:43,808 --> 01:10:44,028

1360
01:10:45,091 --> 01:10:45,314

1361
01:10:45,917 --> 01:10:46,168

1362
01:10:46,178 --> 01:10:46,585

1363
01:10:47,198 --> 01:10:47,661

1364
01:10:47,590 --> 01:10:47,811

1365
01:10:47,735 --> 01:10:48,797
test

1366
01:10:48,678 --> 01:10:50,682

1367
01:10:50,667 --> 01:10:51,001

1368
01:10:50,991 --> 01:10:53,034

1369
01:10:56,309 --> 01:10:56,576

1370
01:10:56,497 --> 01:10:56,835

1371
01:10:57,197 --> 01:10:57,440

1372
01:10:57,709 --> 01:10:57,914

1373
01:10:57,909 --> 01:10:58,143

1374
01:10:59,697 --> 01:11:00,942

1375
01:11:00,910 --> 01:11:01,197

1376
01:11:01,491 --> 01:11:01,759

1377
01:11:02,127 --> 01:11:02,593

1378
01:11:02,827 --> 01:11:03,556

1379
01:11:03,597 --> 01:11:03,858

1380
01:11:03,867 --> 01:11:04,148

1381
01:11:04,189 --> 01:11:04,467

1382
01:11:05,078 --> 01:11:09,676
yeah yeah

1383
01:11:14,429 --> 01:11:19,783
yeah

1384
01:11:22,060 --> 01:11:24,702
any update Kelvin try again

1385
01:11:26,348 --> 01:11:28,398
okay let me try again

1386
01:11:28,789 --> 01:11:28,980

1387
01:11:29,038 --> 01:11:29,296

1388
01:11:29,810 --> 01:11:30,046

1389
01:11:30,068 --> 01:11:30,312

1390
01:11:30,448 --> 01:11:31,761

1391
01:11:31,729 --> 01:11:31,939

1392
01:11:32,240 --> 01:11:32,463

1393
01:11:33,011 --> 01:11:33,546

1394
01:11:33,517 --> 01:11:33,763

1395
01:11:33,711 --> 01:11:33,931

1396
01:11:34,289 --> 01:11:34,525

1397
01:11:34,480 --> 01:11:34,697

1398
01:11:34,798 --> 01:11:35,581

1399
01:11:35,509 --> 01:11:35,789

1400
01:11:36,211 --> 01:11:36,447

1401
01:11:36,729 --> 01:11:36,974

1402
01:11:37,748 --> 01:11:37,971

1403
01:11:37,878 --> 01:11:38,121

1404
01:11:38,137 --> 01:11:38,393

1405
01:11:38,779 --> 01:11:39,119

1406
01:11:39,868 --> 01:11:40,092

1407
01:11:40,247 --> 01:11:40,852

1408
01:11:41,268 --> 01:11:42,364

1409
01:11:42,298 --> 01:11:42,580

1410
01:11:42,547 --> 01:11:42,767

1411
01:11:42,868 --> 01:11:43,526

1412
01:11:43,510 --> 01:11:43,796

1413
01:11:44,468 --> 01:11:44,842

1414
01:11:45,887 --> 01:11:46,174

1415
01:11:46,212 --> 01:11:47,676

1416
01:11:48,525 --> 01:11:48,774

1417
01:11:49,218 --> 01:11:49,435

1418
01:11:49,411 --> 01:11:51,478

1419
01:11:51,517 --> 01:11:51,802

1420
01:11:51,779 --> 01:11:52,187

1421
01:11:53,069 --> 01:11:53,595

1422
01:11:53,768 --> 01:11:56,652

1423
01:11:57,883 --> 01:11:58,145

1424
01:11:58,247 --> 01:11:58,765

1425
01:11:59,018 --> 01:11:59,298

1426
01:11:59,268 --> 01:12:00,494

1427
01:12:00,998 --> 01:12:03,854
I

1428
01:12:04,017 --> 01:12:09,312
sorry I know I have a problem

1429
01:12:09,267 --> 01:12:10,948
obviously

1430
01:12:10,937 --> 01:12:11,343

1431
01:12:11,580 --> 01:12:14,465

1432
01:12:14,518 --> 01:12:17,907

1433
01:12:19,330 --> 01:12:22,419
um they don't have a huge problem

1434
01:12:22,911 --> 01:12:23,518

1435
01:12:23,487 --> 01:12:23,736

1436
01:12:23,748 --> 01:12:24,465

1437
01:12:24,387 --> 01:12:29,422
from study information all about and if she was surprised that

1438
01:12:29,767 --> 01:12:33,657
disability

1439
01:12:33,610 --> 01:12:33,834

1440
01:12:33,999 --> 01:12:35,513
as you know it's something

1441
01:12:35,856 --> 01:12:37,337
and then she said that

1442
01:12:37,333 --> 01:12:37,620

1443
01:12:37,587 --> 01:12:38,915
are you calling now

1444
01:12:38,799 --> 01:12:43,947
like

1445
01:12:44,057 --> 01:12:44,315

1446
01:12:44,631 --> 01:12:44,881

1447
01:12:44,832 --> 01:12:45,426

1448
01:12:45,467 --> 01:12:45,693

1449
01:12:45,907 --> 01:12:47,466

1450
01:12:47,388 --> 01:12:47,621

1451
01:12:47,581 --> 01:12:47,958

1452
01:12:47,830 --> 01:12:51,130
was surprised and she's really to teach me

1453
01:12:51,107 --> 01:12:51,837

1454
01:12:52,387 --> 01:12:52,846

1455
01:12:52,830 --> 01:12:53,045

1456
01:12:53,030 --> 01:12:54,721
on Facebook

1457
01:12:54,432 --> 01:12:55,454
you just need to

1458
01:12:55,519 --> 01:12:58,057
teachers that you have a problem

1459
01:12:58,286 --> 01:12:58,694

1460
01:13:00,968 --> 01:13:05,354
who was my patient and now my dear

1461
01:13:05,388 --> 01:13:07,413
younger brother because

1462
01:13:07,508 --> 01:13:12,105
we both our both our families considered each other as related now

1463
01:13:13,138 --> 01:13:18,362
so let's hope that that inspires you to really

1464
01:13:18,587 --> 01:13:20,139
assist

1465
01:13:20,950 --> 01:13:22,149
and

1466
01:13:22,168 --> 01:13:24,948
really guide your a student

1467
01:13:24,930 --> 01:13:26,053
in your classroom

1468
01:13:26,657 --> 01:13:27,046

1469
01:13:26,852 --> 01:13:28,524
thank you for your attention

1470
01:13:28,450 --> 01:13:31,674

1471
01:13:31,850 --> 01:13:32,148

1472
01:13:32,169 --> 01:13:32,377

1473
01:13:32,428 --> 01:13:32,639

1474
01:13:33,001 --> 01:13:33,468

1475
01:13:33,508 --> 01:13:33,791

1476
01:13:33,769 --> 01:13:34,139

1477
01:13:34,537 --> 01:13:34,775

1478
01:13:34,787 --> 01:13:39,761
thank you Dr basa uh that was very informative um

1479
01:13:40,107 --> 01:13:43,529
of me I uh anybody has questions for Dr Basa

1480
01:13:45,228 --> 01:13:45,416

1481
01:13:45,619 --> 01:13:46,970
the longer you

1482
01:13:47,218 --> 01:13:47,917

1483
01:13:48,071 --> 01:13:51,328

1484
01:13:51,577 --> 01:13:51,807

1485
01:13:52,027 --> 01:13:53,233
yes

1486
01:13:53,427 --> 01:13:55,830
oh

1487
01:13:55,799 --> 01:13:56,069

1488
01:13:56,002 --> 01:13:56,222

1489
01:13:56,320 --> 01:13:56,541

1490
01:13:57,154 --> 01:13:58,759

1491
01:13:59,652 --> 01:14:00,188

1492
01:14:00,353 --> 01:14:01,941

1493
01:14:05,549 --> 01:14:06,593

1494
01:14:06,570 --> 01:14:06,787

1495
01:14:06,826 --> 01:14:08,347

1496
01:14:08,358 --> 01:14:09,096

1497
01:14:09,259 --> 01:14:09,793

1498
01:14:10,277 --> 01:14:10,558

1499
01:14:10,727 --> 01:14:10,933

1500
01:14:11,178 --> 01:14:11,402

1501
01:14:11,427 --> 01:14:11,648

1502
01:14:12,328 --> 01:14:12,741

1503
01:14:12,719 --> 01:14:13,068

1504
01:14:13,228 --> 01:14:18,053
uh hello good afternoon everyone and thank you

1505
01:14:17,971 --> 01:14:18,195

1506
01:14:18,288 --> 01:14:20,994
uh your presentation is very great

1507
01:14:20,989 --> 01:14:25,213
and uh I know especially me I have learned a lot

1508
01:14:25,339 --> 01:14:27,722
from your presentation so thank you so much

1509
01:14:28,292 --> 01:14:29,842
uh

1510
01:14:34,371 --> 01:14:37,620
how often do you assess a child with EVD

1511
01:14:37,771 --> 01:14:42,273
the learning challenges in the schools or any issues how often do you

1512
01:14:42,122 --> 01:14:42,467

1513
01:14:42,507 --> 01:14:45,336
as students when you talk about assessment

1514
01:14:45,127 --> 01:14:49,405
we will usually do in in Bhutan like us we do assessment

1515
01:14:49,227 --> 01:14:49,597

1516
01:14:49,547 --> 01:14:52,739
2 types of this is men 1 is a clinical assessment

1517
01:14:52,627 --> 01:14:53,527
1 is

1518
01:14:53,470 --> 01:14:55,253
functionality assessment

1519
01:14:55,190 --> 01:14:57,967
so how how often do you do

1520
01:14:57,948 --> 01:15:03,195
the clinical assessment and how often do you do the functionality assessment of the child

1521
01:15:03,139 --> 01:15:03,734

1522
01:15:03,647 --> 01:15:05,595
EVT this is 1 question

1523
01:15:05,628 --> 01:15:06,165

1524
01:15:06,147 --> 01:15:10,297
and uh the the second question is the parents

1525
01:15:10,509 --> 01:15:11,833
I can't give

1526
01:15:11,716 --> 01:15:14,377
the families and the teachers are so important

1527
01:15:14,278 --> 01:15:14,488

1528
01:15:14,469 --> 01:15:14,694

1529
01:15:15,178 --> 01:15:19,055
uh if you really wanted to see children Guru and learn

1530
01:15:19,409 --> 01:15:24,806
very important is these are the important stakeholders and how often do you

1531
01:15:25,167 --> 01:15:28,793
actually build the capacity of these stakeholders

1532
01:15:28,759 --> 01:15:30,329
for the better life of the children

1533
01:15:30,429 --> 01:15:31,076
thank you

1534
01:15:31,509 --> 01:15:32,629

1535
01:15:32,668 --> 01:15:32,890

1536
01:15:32,791 --> 01:15:38,521
thank you very much it it's probably the first time I'm interacting with

1537
01:15:38,428 --> 01:15:39,981
professional from Bhutan

1538
01:15:39,841 --> 01:15:45,865
so lovely lovely experience today okay the first 1 is how often the assessment

1539
01:15:45,478 --> 01:15:46,001

1540
01:15:46,310 --> 01:15:50,031
buy right if the child is managed by

1541
01:15:49,959 --> 01:15:51,850
an EV therapist

1542
01:15:51,889 --> 01:15:57,209
it should be every 6 months at least so the same with what you mentioned

1543
01:15:57,710 --> 01:16:01,857
however usually when the child goes to school

1544
01:16:01,948 --> 01:16:07,705
their relationship with avt their avt therapist becomes a lot more

1545
01:16:07,586 --> 01:16:08,052

1546
01:16:08,029 --> 01:16:13,324
because the child is now under the um

1547
01:16:13,218 --> 01:16:15,773
responsibility of the school

1548
01:16:16,111 --> 01:16:18,945
so schools

1549
01:16:18,917 --> 01:16:20,655
from where I come from

1550
01:16:20,588 --> 01:16:26,413
the teachers are not equipped with the terms of time resources or skills to do language

1551
01:16:26,418 --> 01:16:27,393
investment

1552
01:16:27,762 --> 01:16:28,228

1553
01:16:28,354 --> 01:16:31,832
so usually the language assessment will come in

1554
01:16:31,730 --> 01:16:36,608
when the teachers feel that the child needs to be relocated

1555
01:16:36,788 --> 01:16:39,393
from mainstream to special ed

1556
01:16:39,609 --> 01:16:45,427
so in order to justify the request the teacher will reach out to the therapist

1557
01:16:45,567 --> 01:16:46,535
and ask

1558
01:16:46,529 --> 01:16:47,767
for assessment

1559
01:16:48,198 --> 01:16:52,133
so although by right even during school years they need

1560
01:16:52,168 --> 01:16:53,785
regular assessment

1561
01:16:54,031 --> 01:16:55,513
in practice

1562
01:16:55,431 --> 01:16:56,913
that doesn't happen

1563
01:16:57,621 --> 01:17:00,707
okay the other question

1564
01:17:01,067 --> 01:17:06,715
is about family involvement parents involvement and how do we force

1565
01:17:06,387 --> 01:17:07,931
this is this what the

1566
01:17:07,667 --> 01:17:08,530
question is

1567
01:17:08,509 --> 01:17:08,723

1568
01:17:08,629 --> 01:17:13,846
this topic is very close to my heart I spend

1569
01:17:14,208 --> 01:17:18,908
about 5 and a half years of my lifestyle doing this for my doctorate

1570
01:17:19,268 --> 01:17:19,524

1571
01:17:19,589 --> 01:17:19,836

1572
01:17:19,781 --> 01:17:20,616
um

1573
01:17:20,800 --> 01:17:21,052

1574
01:17:20,999 --> 01:17:24,927
so what I looked at is how therapists

1575
01:17:24,968 --> 01:17:25,795

1576
01:17:25,737 --> 01:17:26,910
parents

1577
01:17:26,887 --> 01:17:29,018
relate to each other

1578
01:17:29,268 --> 01:17:31,965
what model do they

1579
01:17:31,949 --> 01:17:33,446
operate on

1580
01:17:33,487 --> 01:17:33,716

1581
01:17:33,618 --> 01:17:35,793
and this is Malaysian parents

1582
01:17:35,918 --> 01:17:36,776

1583
01:17:36,818 --> 01:17:42,511
therapist in Malaysia at that time my PhD was between 2000

1584
01:17:42,268 --> 01:17:47,991
5 to 2010 and you can guess what my age is unless I did my PhD when I was 10 years old

1585
01:17:48,434 --> 01:17:49,950
um

1586
01:17:50,269 --> 01:17:50,485

1587
01:17:50,533 --> 01:17:55,599
therapist in Malaysia who work with families who have with children with hearing loss

1588
01:17:55,658 --> 01:18:01,321
they know they believe working with families is super important it's very crucial

1589
01:18:01,158 --> 01:18:01,515

1590
01:18:01,550 --> 01:18:01,829

1591
01:18:01,869 --> 01:18:05,407
as long as the

1592
01:18:05,200 --> 01:18:10,083
keep their mouth shut and just obey whatever the therapist said

1593
01:18:09,938 --> 01:18:10,209

1594
01:18:11,419 --> 01:18:11,695

1595
01:18:11,608 --> 01:18:11,980

1596
01:18:11,929 --> 01:18:15,340
if you have good therapy if the good Knowledge and Skills

1597
01:18:16,151 --> 01:18:21,696
maybe that's a good thing but still it's not Democratic at all it's very autocrat

1598
01:18:22,501 --> 01:18:27,944
like what if you have a therapist God forbid who have very poor skills and knowledge

1599
01:18:27,688 --> 01:18:28,116

1600
01:18:28,533 --> 01:18:31,711
and do not like when parents ask questions

1601
01:18:31,850 --> 01:18:35,220
or Heaven forbids these disagree with them

1602
01:18:35,758 --> 01:18:37,042
you don't like it

1603
01:18:37,171 --> 01:18:40,494
so it's not really family centered

1604
01:18:40,428 --> 01:18:40,678

1605
01:18:41,328 --> 01:18:46,841
they they treat the family as important but as long as

1606
01:18:46,779 --> 01:18:48,562
they listen to the tarp

1607
01:18:48,248 --> 01:18:48,903

1608
01:18:49,271 --> 01:18:55,287
so my career Mission and also life mission if you like

1609
01:18:55,751 --> 01:18:58,361
is to change

1610
01:18:58,442 --> 01:18:59,599
paradigm

1611
01:18:59,471 --> 01:18:59,705

1612
01:18:59,589 --> 01:19:05,935
to shift this Paradigm among professionals when they start working with family

1613
01:19:05,870 --> 01:19:07,556
understand that

1614
01:19:07,727 --> 01:19:10,559
we as the professionals are trained

1615
01:19:10,422 --> 01:19:11,658
how many

1616
01:19:11,627 --> 01:19:17,182
several years that you are trained 4 years in bachelor's degree probably and then you

1617
01:19:17,077 --> 01:19:19,588
go on into specialization

1618
01:19:19,899 --> 01:19:24,338
to be an expert in your speech and language and hearing

1619
01:19:24,509 --> 01:19:31,199
and you come and meet the parents who is the expert in their child in their family

1620
01:19:31,039 --> 01:19:33,564
India strength in their needs

1621
01:19:34,698 --> 01:19:40,258
the family did not study for 4 5 6 7 years to become a parent

1622
01:19:40,198 --> 01:19:42,735
an expert of a child with hearing loss

1623
01:19:42,709 --> 01:19:46,315
this is not a journey that they have chosen

1624
01:19:46,349 --> 01:19:51,704
you can certainly hear my advice goes my voice goes up because when I talk about this I cannot help

1625
01:19:51,548 --> 01:19:54,167
but be very passionate about it

1626
01:19:54,870 --> 01:20:00,177
parents did not choose to be to be a parent of a child with hearing loss we

1627
01:20:00,709 --> 01:20:02,913
shows our profession

1628
01:20:03,328 --> 01:20:03,551

1629
01:20:03,590 --> 01:20:09,233
be kind and considerate especially at the entry

1630
01:20:08,967 --> 01:20:11,046
point of their Journey

1631
01:20:10,949 --> 01:20:12,687
during diagnosis

1632
01:20:12,617 --> 01:20:12,832

1633
01:20:12,809 --> 01:20:15,080
many of the teachers here

1634
01:20:15,439 --> 01:20:21,984
you've seen the child and the family after so many years of their Journey

1635
01:20:21,717 --> 01:20:23,428
in hearing loss

1636
01:20:24,029 --> 01:20:29,778
we do not know that some parents are still grieving at the fact that

1637
01:20:29,790 --> 01:20:34,959
child cannot hear I do not want a child who is deaf

1638
01:20:34,847 --> 01:20:35,067

1639
01:20:36,069 --> 01:20:36,335

1640
01:20:36,898 --> 01:20:42,373
because for many reasons some parents they have gone through this grieving Journey with

1641
01:20:42,729 --> 01:20:45,134
the help from their professionals

1642
01:20:44,967 --> 01:20:45,204

1643
01:20:45,289 --> 01:20:48,737
because this happens in any country

1644
01:20:48,817 --> 01:20:52,519
audiologist only see the device and only see the ear

1645
01:20:52,588 --> 01:20:58,693
our ENT only see the pathology of the ear and then put implant and close the head and that's

1646
01:20:58,487 --> 01:20:59,135

1647
01:20:59,068 --> 01:21:05,268
therapies on the do the speech and language and communication we work in silos we don't

1648
01:21:05,030 --> 01:21:09,093
talk to each other and the child have this fragments

1649
01:21:08,987 --> 01:21:10,923
I suppose it help

1650
01:21:10,859 --> 01:21:12,706
and who helped the parents

1651
01:21:13,348 --> 01:21:14,576
nobody

1652
01:21:16,037 --> 01:21:16,900

1653
01:21:16,868 --> 01:21:19,466
we need this paradigm shift

1654
01:21:19,379 --> 01:21:24,732
especially those who meet with the family right at day 1

1655
01:21:24,629 --> 01:21:29,228
in the beginning of their Journey the day they get the diagnosis

1656
01:21:29,558 --> 01:21:32,702
where working with the family

1657
01:21:32,630 --> 01:21:38,076
starts if you want to talk me to talk about this I can talk about it for 1 month

1658
01:21:37,949 --> 01:21:39,034
every

1659
01:21:39,299 --> 01:21:41,368
and it still doesn't end

1660
01:21:41,408 --> 01:21:43,758
I hope I have answered your question

1661
01:21:44,431 --> 01:21:45,838

1662
01:21:49,667 --> 01:21:52,343
in my head because I'm a parent

1663
01:21:52,559 --> 01:21:56,561
and nobody came to me at that time so that was ages ago

1664
01:21:56,588 --> 01:22:01,503
so thank you for bringing that into light and I see a lot of professionals here I was talking to Dr deed

1665
01:22:01,717 --> 01:22:06,902
who is help is helping people who are blind in provinces

1666
01:22:06,518 --> 01:22:10,196
but after he goes who's going to help them further so I think this

1667
01:22:10,238 --> 01:22:17,279
seeing professionals wanting to help parents have a sense of relief so thank you from the bottom of our hearts

1668
01:22:16,968 --> 01:22:21,451
to all the professionals here who want to make a change thank you so much

1669
01:22:24,399 --> 01:22:28,650
Dr basa can you please come down because uh Dr maliwan

1670
01:22:28,429 --> 01:22:30,770
as something new she wants to give you

1671
01:22:31,058 --> 01:22:31,302

1672
01:22:31,308 --> 01:22:31,748

1673
01:22:31,438 --> 01:22:33,150
Dr money 1 please

1674
01:22:33,107 --> 01:22:33,367

1675
01:22:33,308 --> 01:22:33,510

1676
01:22:33,559 --> 01:22:33,821

1677
01:22:33,749 --> 01:22:34,104

1678
01:22:34,070 --> 01:22:35,483

1679
01:22:35,419 --> 01:22:37,823
oh sorry

1680
01:22:37,659 --> 01:22:39,683
oh sorry there's another question

1681
01:22:39,579 --> 01:22:39,994

1682
01:22:39,769 --> 01:22:40,209

1683
01:22:41,309 --> 01:22:42,996

1684
01:22:42,977 --> 01:22:43,521

1685
01:22:43,488 --> 01:22:44,331

1686
01:22:44,258 --> 01:22:44,469

1687
01:22:44,451 --> 01:22:46,050

1688
01:22:49,900 --> 01:22:50,896
I

1689
01:22:50,919 --> 01:22:51,143

1690
01:22:51,108 --> 01:22:51,601

1691
01:22:51,627 --> 01:22:52,938
hearing

1692
01:22:52,778 --> 01:22:53,881
ability

1693
01:22:53,927 --> 01:22:54,592

1694
01:22:54,627 --> 01:22:55,484
then

1695
01:22:57,330 --> 01:22:57,551

1696
01:22:58,288 --> 01:22:58,699

1697
01:22:58,814 --> 01:22:59,043

1698
01:22:59,188 --> 01:22:59,432

1699
01:22:59,438 --> 01:22:59,701

1700
01:22:59,828 --> 01:23:02,655

1701
01:23:02,828 --> 01:23:06,324
so it was taken to a hospital

1702
01:23:06,358 --> 01:23:08,433
and the doctor said that that

1703
01:23:08,352 --> 01:23:11,555
the cock clear is broken was broken

1704
01:23:14,370 --> 01:23:15,012

1705
01:23:14,949 --> 01:23:16,381
if you're interested

1706
01:23:16,608 --> 01:23:16,982

1707
01:23:16,988 --> 01:23:20,345
you can have cocoa implants I would like to

1708
01:23:20,324 --> 01:23:21,741
but my

1709
01:23:21,670 --> 01:23:22,659
family

1710
01:23:22,701 --> 01:23:23,871
did not want to

1711
01:23:23,978 --> 01:23:24,326

1712
01:23:24,170 --> 01:23:29,299
up until now my family doesn't accept that

1713
01:23:29,289 --> 01:23:29,632

1714
01:23:29,608 --> 01:23:32,091
so so I use a hearing aid

1715
01:23:32,178 --> 01:23:34,688
and and also speech therapy

1716
01:23:34,989 --> 01:23:36,255
now

1717
01:23:36,208 --> 01:23:36,426

1718
01:23:36,400 --> 01:23:38,505
I still use the hearing aids

1719
01:23:38,708 --> 01:23:41,446
I just want to share my experience

1720
01:23:41,398 --> 01:23:42,783
uh to the speaker

1721
01:23:42,747 --> 01:23:42,951

1722
01:23:43,070 --> 01:23:43,489

1723
01:23:43,324 --> 01:23:43,795

1724
01:23:43,771 --> 01:23:43,979

1725
01:23:44,922 --> 01:23:46,100

1726
01:23:46,328 --> 01:23:46,624

1727
01:23:46,589 --> 01:23:47,637

1728
01:23:48,072 --> 01:23:48,315

1729
01:23:48,258 --> 01:23:48,536

1730
01:23:48,709 --> 01:23:48,981

1731
01:23:49,027 --> 01:23:49,246

1732
01:23:49,277 --> 01:23:49,632

1733
01:23:49,672 --> 01:23:49,878

1734
01:23:49,857 --> 01:23:50,079

1735
01:23:50,047 --> 01:23:50,310

1736
01:23:50,179 --> 01:23:50,382

1737
01:23:50,371 --> 01:23:51,226

1738
01:23:51,330 --> 01:23:51,604

1739
01:23:51,589 --> 01:23:52,694

1740
01:23:52,871 --> 01:23:56,123
the app has started hearing loss

1741
01:23:56,139 --> 01:23:58,782
uh he went to see uh

1742
01:23:58,571 --> 01:23:58,788

1743
01:23:58,905 --> 01:24:01,406
doctor and the doctor said

1744
01:24:01,390 --> 01:24:05,200
yeah if you want the cooking plan then it can be done

1745
01:24:05,488 --> 01:24:07,923
but during that time uh the

1746
01:24:07,990 --> 01:24:11,496
his family also doesn't want to have their surgery

1747
01:24:11,508 --> 01:24:14,421
and then he decided that he would continue

1748
01:24:14,389 --> 01:24:16,597
uh with the sign language and

1749
01:24:16,758 --> 01:24:20,346
right now he's also wearing the hearing aid

1750
01:24:19,777 --> 01:24:21,913
and he's uh happy about that

1751
01:24:22,529 --> 01:24:23,279
okay

1752
01:24:23,228 --> 01:24:24,663
that just want to share

1753
01:24:25,727 --> 01:24:26,191

1754
01:24:26,177 --> 01:24:26,518

1755
01:24:26,560 --> 01:24:27,222

1756
01:24:27,270 --> 01:24:27,501

1757
01:24:27,469 --> 01:24:27,676

1758
01:24:27,720 --> 01:24:27,972

1759
01:24:27,909 --> 01:24:28,631

1760
01:24:28,619 --> 01:24:28,894

1761
01:24:28,940 --> 01:24:29,355

1762
01:24:29,190 --> 01:24:32,474
if I can just add on to that

1763
01:24:32,708 --> 01:24:32,990

1764
01:24:33,159 --> 01:24:33,951

1765
01:24:34,059 --> 01:24:34,339

1766
01:24:34,440 --> 01:24:37,537
thank you for sharing your journey

1767
01:24:37,709 --> 01:24:43,751
and I am so glad that you continue with another mode

1768
01:24:43,542 --> 01:24:45,163
of communication

1769
01:24:45,077 --> 01:24:45,328

1770
01:24:45,343 --> 01:24:49,461
using sign language is just as good as speaking

1771
01:24:49,427 --> 01:24:49,648

1772
01:24:49,561 --> 01:24:51,968
because you do have the community

1773
01:24:51,997 --> 01:24:56,437
you have the system you have the schools where

1774
01:24:56,417 --> 01:25:00,381
the choice of your communication will support

1775
01:25:00,268 --> 01:25:01,826
the sign language

1776
01:25:02,060 --> 01:25:02,355

1777
01:25:02,378 --> 01:25:03,751
and

1778
01:25:03,717 --> 01:25:06,187
1 thing that we need to remember

1779
01:25:06,220 --> 01:25:08,547
that did we

1780
01:25:08,659 --> 01:25:15,867
manage the management of hearing loss the way that the technology has evolved

1781
01:25:15,568 --> 01:25:15,781

1782
01:25:15,760 --> 01:25:17,513
it's very different

1783
01:25:18,068 --> 01:25:23,288
compared to 20 years ago 15 years ago even 5 years ago

1784
01:25:23,318 --> 01:25:25,913
what happened when I started working

1785
01:25:25,888 --> 01:25:26,102

1786
01:25:26,079 --> 01:25:26,331

1787
01:25:26,340 --> 01:25:29,382
is very different compared to now

1788
01:25:29,669 --> 01:25:31,678
I have worked for nearly

1789
01:25:31,588 --> 01:25:33,727
for 24 years actually

1790
01:25:33,637 --> 01:25:34,439

1791
01:25:34,467 --> 01:25:35,984
so

1792
01:25:36,648 --> 01:25:42,133
probably if your story of sudden hearing loss happen in

1793
01:25:42,029 --> 01:25:43,687
2025

1794
01:25:44,268 --> 01:25:47,184
the journey might have been very different

1795
01:25:47,087 --> 01:25:47,311

1796
01:25:47,469 --> 01:25:47,664

1797
01:25:47,860 --> 01:25:48,088

1798
01:25:48,429 --> 01:25:53,949
when this happened 10 years ago or 15 years ago I don't know how long ago your sudden

1799
01:25:54,012 --> 01:25:55,294
hearing loss happen

1800
01:25:55,162 --> 01:25:55,406

1801
01:25:55,988 --> 01:25:58,031
the management was quite different

1802
01:25:58,237 --> 01:25:58,431

1803
01:25:58,498 --> 01:26:02,951
and this again different depending on where we are

1804
01:26:03,110 --> 01:26:05,182
Bangkok management

1805
01:26:05,089 --> 01:26:08,068
will be quite different from say

1806
01:26:09,012 --> 01:26:14,969
why I don't know I'm I'm just trying to draw a comparison see with Malaysia

1807
01:26:14,709 --> 01:26:20,674
which is the capital city management will be very different compared to

1808
01:26:21,109 --> 01:26:24,047
uh Village in Bono

1809
01:26:24,832 --> 01:26:25,170

1810
01:26:25,268 --> 01:26:28,431
so all this depends where you are

1811
01:26:28,350 --> 01:26:30,617
when this happens

1812
01:26:30,530 --> 01:26:33,499
whether there is a system to manage

1813
01:26:33,407 --> 01:26:36,105
sometimes it's just a stroke of luck

1814
01:26:36,287 --> 01:26:40,226
but again I have a lot of respect

1815
01:26:40,199 --> 01:26:42,131
and a lot of um

1816
01:26:42,439 --> 01:26:42,864

1817
01:26:42,757 --> 01:26:46,213
um

1818
01:26:43,983 --> 01:26:48,754
admiration for you and the journey that you've gone through thank you for sharing

1819
01:26:49,245 --> 01:26:49,453

1820
01:26:49,487 --> 01:26:52,331

1821
01:26:52,500 --> 01:26:55,405

1822
01:26:55,707 --> 01:26:58,800

1823
01:26:59,365 --> 01:27:00,660
so I like

1824
01:27:00,569 --> 01:27:03,100
share my experience

1825
01:27:05,759 --> 01:27:06,166

1826
01:27:06,208 --> 01:27:06,487

1827
01:27:06,719 --> 01:27:11,941
oh my experience from my school

1828
01:27:12,359 --> 01:27:15,267
after I have a implant called clear

1829
01:27:15,238 --> 01:27:15,642

1830
01:27:15,627 --> 01:27:15,864

1831
01:27:15,819 --> 01:27:17,783
calculate implant I like to

1832
01:27:17,670 --> 01:27:19,064
to be mainstream

1833
01:27:18,887 --> 01:27:20,969
that is a waste of opportunity

1834
01:27:21,069 --> 01:27:23,690
but you still study in the

1835
01:27:23,570 --> 01:27:24,905
uh

1836
01:27:24,788 --> 01:27:24,995

1837
01:27:25,358 --> 01:27:25,635

1838
01:27:25,751 --> 01:27:27,245

1839
01:27:27,409 --> 01:27:29,435
special school with the deaf people

1840
01:27:29,338 --> 01:27:29,527

1841
01:27:29,473 --> 01:27:30,277

1842
01:27:30,228 --> 01:27:31,152

1843
01:27:31,187 --> 01:27:33,527

1844
01:27:33,502 --> 01:27:33,735

1845
01:27:33,628 --> 01:27:35,795
be put in the mainstream

1846
01:27:35,738 --> 01:27:41,628
rather than going to the side language school in order to develop uh

1847
01:27:41,377 --> 01:27:42,775
and spoken language

1848
01:27:42,977 --> 01:27:43,316

1849
01:27:43,303 --> 01:27:43,950

1850
01:27:43,938 --> 01:27:44,704
but he's

1851
01:27:45,353 --> 01:27:45,609

1852
01:27:45,869 --> 01:27:49,694
thank you for that I agree

1853
01:27:49,769 --> 01:27:55,492
and I'd like to also draw the attention if you can remember now I'm testing who among you

1854
01:27:55,152 --> 01:28:00,924
paid attention to my talk just now the Continuum of communication

1855
01:28:01,878 --> 01:28:03,504
whether the child

1856
01:28:03,608 --> 01:28:05,354
fully visual

1857
01:28:05,270 --> 01:28:05,528

1858
01:28:05,471 --> 01:28:08,701
or the child is fully auditory

1859
01:28:09,072 --> 01:28:09,395

1860
01:28:09,378 --> 01:28:12,543
sometimes we give cock implant

1861
01:28:12,389 --> 01:28:16,703
but we give clay implant when the child is already 5 and a half years old

1862
01:28:17,071 --> 01:28:21,070
there's only 1 and a half years before the child started school

1863
01:28:21,347 --> 01:28:26,843
we want the child to enter mainstream school with language level

1864
01:28:26,798 --> 01:28:31,113
that is adequate to survive and thrive

1865
01:28:31,027 --> 01:28:33,559
in mainstream School

1866
01:28:33,009 --> 01:28:39,854
If the child starts implant only starts hearing only start speaking at 5 and a half

1867
01:28:40,628 --> 01:28:44,618
what do you think will be the child language age at 7

1868
01:28:44,741 --> 01:28:45,119

1869
01:28:45,058 --> 01:28:45,279

1870
01:28:45,569 --> 01:28:51,362
If the child comes to see me this is probably a bragging point I'm sorry I probably can

1871
01:28:51,148 --> 01:28:57,678
try to get the child to get at least 2 years of language within 1 and a half

1872
01:28:57,486 --> 01:28:59,044
yes in calendar

1873
01:28:59,107 --> 01:28:59,506

1874
01:28:59,598 --> 01:29:00,842
am I making sense

1875
01:29:00,749 --> 01:29:06,327
so it's not just 1 year calendar 1 year progress uh uh we need to speak

1876
01:29:06,267 --> 01:29:11,503
up if we are driving any of you remember driving in a manual car

1877
01:29:11,898 --> 01:29:14,368
we need to go to

1878
01:29:14,528 --> 01:29:15,493
6

1879
01:29:16,391 --> 01:29:20,125
6 we need to go fast

1880
01:29:20,868 --> 01:29:22,042
then

1881
01:29:22,018 --> 01:29:27,401
even if as fast as I can do 1 and a half years I can only do probably

1882
01:29:27,718 --> 01:29:29,918
2 years of language

1883
01:29:30,029 --> 01:29:31,902
from zero language

1884
01:29:31,892 --> 01:29:37,175
so this child will enter school with language age of 2

1885
01:29:37,518 --> 01:29:42,005
be among friends with language age and hearing

1886
01:29:42,139 --> 01:29:44,719
of 7 years old

1887
01:29:45,529 --> 01:29:48,051
do we want to put this child

1888
01:29:48,161 --> 01:29:51,531
with 2 years old of language with 7 years old

1889
01:29:51,941 --> 01:29:54,694
do you think this child will

1890
01:29:54,879 --> 01:29:56,104
thrive

1891
01:29:55,981 --> 01:29:58,503
survive mainstream education

1892
01:29:58,538 --> 01:29:58,793

1893
01:29:59,048 --> 01:29:59,835
no

1894
01:30:00,269 --> 01:30:00,484

1895
01:30:00,521 --> 01:30:05,433
so that depends on principle yes I agree

1896
01:30:05,656 --> 01:30:10,391
that is what I would fight for but that depends

1897
01:30:11,088 --> 01:30:11,334

1898
01:30:11,798 --> 01:30:17,013
thank you very much thank you Richard Dr basa thank you for all your questions

1899
01:30:17,050 --> 01:30:19,365

1900
01:30:21,414 --> 01:30:21,672

1901
01:30:21,859 --> 01:30:22,102

1902
01:30:22,498 --> 01:30:22,719

1903
01:30:23,012 --> 01:30:23,284

1904
01:30:23,388 --> 01:30:24,115

1905
01:30:24,480 --> 01:30:24,821

1906
01:30:25,250 --> 01:30:25,596

1907
01:30:25,568 --> 01:30:25,919

1908
01:30:25,948 --> 01:30:27,175

1909
01:30:28,131 --> 01:30:28,538

1910
01:30:28,268 --> 01:30:28,610

1911
01:30:28,838 --> 01:30:29,067

1912
01:30:29,098 --> 01:30:29,327

1913
01:30:29,306 --> 01:30:29,552

1914
01:30:29,418 --> 01:30:29,883

1915
01:30:29,868 --> 01:30:30,209

1916
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sections is

1940
01:30:53,889 --> 01:30:56,462
deferred paper speaker

1941
01:30:56,579 --> 01:30:58,218
of

1942
01:30:58,310 --> 01:30:58,558

1943
01:30:58,561 --> 01:31:04,009
the person today and uh ladies and Gentlemen please tell me you're welcome

1944
01:31:04,388 --> 01:31:04,856

1945
01:31:04,781 --> 01:31:06,406
paper speaker

1946
01:31:06,310 --> 01:31:07,661
um

1947
01:31:07,788 --> 01:31:12,496
Dr John shervin Dean for the Philippines

1948
01:31:12,657 --> 01:31:14,225
he's going to

1949
01:31:14,319 --> 01:31:20,062
uh printed about uh the leveraging technology for Low Vision

1950
01:31:20,351 --> 01:31:21,697
we have

1951
01:31:21,631 --> 01:31:23,073
he likes

1952
01:31:22,969 --> 01:31:23,612
what

1953
01:31:23,480 --> 01:31:25,340
um we have

1954
01:31:25,149 --> 01:31:25,868

1955
01:31:26,049 --> 01:31:31,586
limitation I'm sorry and life skill developments in resource Limited

1956
01:31:32,508 --> 01:31:34,483
setting welcome

1957
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1994
01:32:02,427 --> 01:32:08,024
um good afternoon everyone thank you for joining us today at the ninth

1995
01:32:07,688 --> 01:32:10,593
National Symposium on special education

1996
01:32:10,952 --> 01:32:15,423
I'm Dr John Dean um optometrist and founder of

1997
01:32:15,308 --> 01:32:17,800
JD in gisha care in the Philippines

1998
01:32:17,621 --> 01:32:17,974

1999
01:32:18,000 --> 01:32:22,669
today I will be discussing leveraging technology for Low Vision

2000
01:32:22,803 --> 01:32:27,469
Rehabilitation and life skills development in resource limited settings

2001
01:32:28,121 --> 01:32:28,337

2002
01:32:28,308 --> 01:32:28,654

2003
01:32:29,020 --> 01:32:33,469
before we delve into the details uh we want to be fully transparent

2004
01:32:33,698 --> 01:32:37,067
JD visual care has no financial interest

2005
01:32:37,028 --> 01:32:39,203
in or affiliation

2006
01:32:39,201 --> 01:32:42,183
with any of the specific app Developers

2007
01:32:42,149 --> 01:32:45,193
or Brands mentioned in this presentation

2008
01:32:45,672 --> 01:32:50,904
these Technologies are highlighted solely based on their General availability

2009
01:32:51,121 --> 01:32:53,448
their accessibility features

2010
01:32:53,359 --> 01:32:57,923
and their observed utility in our low vision Rehabilitation practice

2011
01:32:58,231 --> 01:33:01,522
our aim is purely educational and

2012
01:33:01,500 --> 01:33:02,528
informational

2013
01:33:03,929 --> 01:33:09,252
so let's start by acknowledging the immense Global challenge we face

2014
01:33:10,034 --> 01:33:15,377
over 2.2 billion people worldwide live with some form of vision impairment

2015
01:33:16,429 --> 01:33:21,283
disturbingly at the least 1 billion of these cases are either preventable

2016
01:33:21,620 --> 01:33:24,722
or remain unaddressed so that's still a big number

2017
01:33:24,823 --> 01:33:25,221

2018
01:33:25,649 --> 01:33:30,977
this burden this proportionately affects children in resource limited settings where

2019
01:33:31,099 --> 01:33:33,267
access to care is scarce

2020
01:33:33,979 --> 01:33:39,428
personally we had this experience in the Philippines we visit different provinces and we go

2021
01:33:39,298 --> 01:33:40,072

2022
01:33:40,393 --> 01:33:43,668
places wherein they never had eye exams

2023
01:33:43,778 --> 01:33:49,149
we had a case wherein uh a person's like 75 80 years old never had an eye exam

2024
01:33:49,562 --> 01:33:51,057
ever in his life

2025
01:33:51,148 --> 01:33:53,548
so it's across all ages

2026
01:33:54,550 --> 01:33:56,736
the impact is profound

2027
01:33:56,792 --> 01:34:02,277
we see significant educational delays and limited opportunities for these children

2028
01:34:02,868 --> 01:34:05,539
they often experience social isolation

2029
01:34:05,691 --> 01:34:07,526
reduced Independence

2030
01:34:07,800 --> 01:34:11,534
and the severe lack of access to traditional specialized

2031
01:34:11,518 --> 01:34:14,416
services and costly assisted devices

2032
01:34:14,718 --> 01:34:17,520
by assisted devices I mean the traditional

2033
01:34:17,544 --> 01:34:20,543
low vision devices the magnifiers and other

2034
01:34:20,747 --> 01:34:21,668
sort of stuff

2035
01:34:22,410 --> 01:34:22,885

2036
01:34:23,047 --> 01:34:28,298
recognizing these barriers our study at JD and visual care is focused on ident

2037
01:34:28,369 --> 01:34:29,136

2038
01:34:29,138 --> 01:34:30,661
an accessible solution

2039
01:34:30,930 --> 01:34:36,256
our objective is to demonstrate how readily available and affordable

2040
01:34:36,190 --> 01:34:37,030
ology

2041
01:34:37,080 --> 01:34:42,561
can Empower children and adolescents with low vision in these challenging

2042
01:34:42,469 --> 01:34:43,484
environments

2043
01:34:43,229 --> 01:34:43,481

2044
01:34:44,130 --> 01:34:46,567
to give you my experience

2045
01:34:46,499 --> 01:34:47,331
um

2046
01:34:47,390 --> 01:34:52,224
whenever we do the low vision assessment we explain the management plan to

2047
01:34:52,137 --> 01:34:54,612
the the parents the families

2048
01:34:54,629 --> 01:35:00,138
and then to the point wherein we say this is the best solution um your child needs

2049
01:35:00,080 --> 01:35:01,270
that expensive

2050
01:35:01,298 --> 01:35:06,613
uh digital magnifier the the answer will always be it's too expensive

2051
01:35:06,610 --> 01:35:07,866
we cannot afford

2052
01:35:08,030 --> 01:35:08,927
so

2053
01:35:08,918 --> 01:35:10,718
as a practitioner

2054
01:35:10,713 --> 01:35:13,544
it it is a burden with that we need to uh

2055
01:35:13,468 --> 01:35:16,072
need to always carry so we have to find some way

2056
01:35:16,030 --> 01:35:17,931
like you know to help these people

2057
01:35:17,949 --> 01:35:23,122
our core approach involves leveraging existing smartphones

2058
01:35:23,200 --> 01:35:28,631
and simple do-it-yourself or DIY adaptations for Effective Rehabilitation

2059
01:35:31,222 --> 01:35:36,645
and vital life skills development this this approach directly addresses and the challenges

2060
01:35:36,788 --> 01:35:42,083
specific to Resource constrained areas aiming for interventions that are both scalable and

2061
01:35:42,230 --> 01:35:48,298
sustainable so smartphones are you know very widely used nowadays uh we had patients

2062
01:35:48,132 --> 01:35:49,819
been using smartphones

2063
01:35:49,731 --> 01:35:53,380
but not to a point that they can maximize the feature so

2064
01:35:53,508 --> 01:35:56,221
that gave us an idea hey that's maximized that

2065
01:35:57,233 --> 01:36:01,061
let's look at how these affordable Technologies translate into action

2066
01:36:01,258 --> 01:36:04,031
smartphones are Central to our strategy

2067
01:36:04,070 --> 01:36:04,320

2068
01:36:04,334 --> 01:36:08,275
they are built-in accessibility features like magnification

2069
01:36:08,432 --> 01:36:12,223
screen readers such as voice over in iOS and Apple

2070
01:36:12,469 --> 01:36:14,347
and talk back on Android

2071
01:36:14,588 --> 01:36:16,655
and high contrast modes

2072
01:36:16,569 --> 01:36:16,824

2073
01:36:16,759 --> 01:36:20,780
are incredibly powerful and often underutilized

2074
01:36:21,251 --> 01:36:21,677

2075
01:36:21,949 --> 01:36:26,925
Beyond built-in features dedicated mobile apps offers specialized functions

2076
01:36:27,069 --> 01:36:31,987
if you will go to your app store or uh I don't know Play Store and search

2077
01:36:31,882 --> 01:36:32,369

2078
01:36:32,709 --> 01:36:38,837
low vision apps or or Vision AIDS you will see lots of these apps but uh for for the interest of

2079
01:36:38,608 --> 01:36:41,201
presentation I just featured the the 3 of them

2080
01:36:41,302 --> 01:36:41,554

2081
01:36:41,678 --> 01:36:45,199
seeing AI by Microsoft excels at reading texts

2082
01:36:45,470 --> 01:36:50,132
identifying objects and describing scenes in real time

2083
01:36:50,271 --> 01:36:50,483

2084
01:36:50,652 --> 01:36:53,522
essentially giving a voice to the visual world

2085
01:36:54,308 --> 01:36:57,271
look out by Google offer similar assistance

2086
01:36:57,189 --> 01:37:00,159
with reading and environmental exploration

2087
01:37:00,579 --> 01:37:03,182
making daily tasks more accessible

2088
01:37:03,589 --> 01:37:09,062
and of course be my eyes connects users to a Global Network of cited

2089
01:37:09,104 --> 01:37:11,502
volunteers via live video call

2090
01:37:11,670 --> 01:37:14,120
for real-time visual assistance

2091
01:37:14,028 --> 01:37:18,611
which is invaluable for Unique situations

2092
01:37:18,328 --> 01:37:21,091
so the technology right now is

2093
01:37:21,078 --> 01:37:24,515
very different from what we had like 5 10 years ago

2094
01:37:25,500 --> 01:37:29,395
the the challenge right now is for us to maximize the technology

2095
01:37:29,539 --> 01:37:31,744
these resources to help people

2096
01:37:32,290 --> 01:37:36,821
and I think that's you know the same across the disciplines that we have today

2097
01:37:37,479 --> 01:37:37,763

2098
01:37:37,929 --> 01:37:43,375
Beyond sophisticated apps simple DIY adaptations can make a significant

2099
01:37:43,248 --> 01:37:43,494

2100
01:37:43,441 --> 01:37:43,728

2101
01:37:43,698 --> 01:37:44,108

2102
01:37:44,591 --> 01:37:49,368
a smartphone itself can be a portable digital magnifier

2103
01:37:49,271 --> 01:37:51,460
utilizing its camera zoom

2104
01:37:51,448 --> 01:37:54,556
for close-up viewing of texts or objects

2105
01:37:54,909 --> 01:37:58,269
now with the integration of AI we can do so much more

2106
01:37:58,490 --> 01:38:02,157
not just with the magnification and there are lots of things that we can

2107
01:38:02,078 --> 01:38:02,971
discover

2108
01:38:03,170 --> 01:38:05,924
high contrast textile markers

2109
01:38:06,240 --> 01:38:11,128
easily made from common materials can be applied to appliances or containers

2110
01:38:11,310 --> 01:38:14,400
greatly enhancing Independence in daily living

2111
01:38:14,949 --> 01:38:17,847
and finally simply optimizing lighting

2112
01:38:18,160 --> 01:38:20,763
strategically using natural light

2113
01:38:20,792 --> 01:38:24,446
or affordable lamps can dramatically improve visibility

2114
01:38:24,510 --> 01:38:26,166
various tasks

2115
01:38:26,109 --> 01:38:30,943
and the Philippines we after the assessment um part of the rehabilitation is to help

2116
01:38:31,161 --> 01:38:35,394
um people with the orientation and Mobility training wherein

2117
01:38:35,198 --> 01:38:36,662
we teach them skills

2118
01:38:36,667 --> 01:38:40,918
how to navigate inside the house how to uh cook

2119
01:38:41,099 --> 01:38:46,121
are you seeing these tactile markers um using their other senses to make sure that

2120
01:38:46,030 --> 01:38:47,184
if it is safe

2121
01:38:47,310 --> 01:38:51,141
and their their efficient and effective in working around

2122
01:38:51,150 --> 01:38:52,260
their places

2123
01:38:53,142 --> 01:38:53,348

2124
01:38:53,648 --> 01:38:53,869

2125
01:38:54,868 --> 01:38:55,118

2126
01:38:56,018 --> 01:39:01,422
our work at JD visual care is an observational case series drawing Upon Our

2127
01:39:01,212 --> 01:39:03,408
extensive clinical experiences

2128
01:39:03,391 --> 01:39:03,752

2129
01:39:03,768 --> 01:39:06,400
we focus on a diverse participant

2130
01:39:06,398 --> 01:39:10,791
group children and adults has been very slow vision ethology

2131
01:39:11,068 --> 01:39:12,632
because in low vision

2132
01:39:12,549 --> 01:39:17,835
um we say that they are visually appeared but there are different kinds of visual impairment

2133
01:39:17,667 --> 01:39:22,941
so it's it's always a case-to-case basis we have to make sure that our solution

2134
01:39:23,249 --> 01:39:25,714
it's the specific case of

2135
01:39:25,679 --> 01:39:25,942

2136
01:39:25,938 --> 01:39:27,107
of that person

2137
01:39:27,280 --> 01:39:27,555

2138
01:39:27,918 --> 01:39:31,751
our trading approach is Hands-On directly educating both

2139
01:39:31,769 --> 01:39:34,531
participants and their caregivers

2140
01:39:35,031 --> 01:39:39,447
by caregivers I mean their families uh even the teachers

2141
01:39:39,594 --> 01:39:45,121
because based on our experience after providing these the assessment after giving the uh

2142
01:39:45,218 --> 01:39:45,948

2143
01:39:46,890 --> 01:39:49,605
they need support on a daily basis

2144
01:39:49,768 --> 01:39:53,426
and the people who can provide that would be their families

2145
01:39:53,419 --> 01:39:55,106
would be the teachers

2146
01:39:55,088 --> 01:39:59,421
so we have to make sure that the solution the management is is continuous

2147
01:40:00,928 --> 01:40:06,530
we emphasize community-based models and collaborative strategies to ensure the sustain

2148
01:40:06,431 --> 01:40:07,265

2149
01:40:07,258 --> 01:40:09,135
of these interventions

2150
01:40:09,369 --> 01:40:12,629
our data collection involves careful observational

2151
01:40:12,638 --> 01:40:13,643
notes

2152
01:40:13,670 --> 01:40:16,229
qualitative feedback from families

2153
01:40:16,291 --> 01:40:19,262
and relevant clinical metrics to track progress

2154
01:40:22,074 --> 01:40:28,023
so let's illustrate this with a transformative case uh Maria a 12 year old

2155
01:40:27,757 --> 01:40:30,489
female diagnosed with congenital cataract

2156
01:40:30,640 --> 01:40:34,745
underwent surgery with iol or intraocular lens implantation

2157
01:40:35,000 --> 01:40:35,263

2158
01:40:35,188 --> 01:40:40,670
so for both eyes with cataracts and then they were the the cataracts were removed and

2159
01:40:40,569 --> 01:40:40,774

2160
01:40:40,700 --> 01:40:42,061
replaced with

2161
01:40:41,983 --> 01:40:43,676
the artificial limbs

2162
01:40:43,908 --> 01:40:44,305

2163
01:40:44,034 --> 01:40:44,318

2164
01:40:44,480 --> 01:40:48,423
before our intervention Maria struggled significantly

2165
01:40:48,388 --> 01:40:51,295
she was in a special education class

2166
01:40:51,201 --> 01:40:54,350
unable to catch up with mainstream education so

2167
01:40:54,355 --> 01:40:59,492
even with the the special education class um the teacher reported that

2168
01:40:59,859 --> 01:41:03,630
um she's having difficulty identifying letters and numbers

2169
01:41:03,509 --> 01:41:06,354
and and that's difficult for Maria

2170
01:41:06,320 --> 01:41:10,084
you know to have that confidence in in the class

2171
01:41:10,634 --> 01:41:15,913
despite trying eyeglasses for additional hand magnifiers and large print materials

2172
01:41:16,188 --> 01:41:20,554
she reported persistent reading difficulties and saw no significant Improvement

2173
01:41:20,480 --> 01:41:20,885

2174
01:41:20,928 --> 01:41:21,362

2175
01:41:21,252 --> 01:41:23,084
um just on a side note

2176
01:41:23,302 --> 01:41:28,129
most of the patients that we've handled aside from the visual impairment

2177
01:41:28,171 --> 01:41:29,227
we

2178
01:41:29,189 --> 01:41:33,516
you know we always hear that they are having that confidence issues

2179
01:41:34,003 --> 01:41:39,860
they they they hear that people are talking about them um there there's this barrier

2180
01:41:40,284 --> 01:41:42,646
that they face on a daily basis

2181
01:41:42,709 --> 01:41:48,339
so as I Care Professionals we we have to always remind ourselves that we're not just

2182
01:41:48,221 --> 01:41:49,453
treating the eyes

2183
01:41:49,628 --> 01:41:51,691
we're helping a whole person

2184
01:41:52,828 --> 01:41:53,434

2185
01:41:53,471 --> 01:41:58,760
at her initial visit to JD in visual care Maria had difficulty identifying letters and numbers

2186
01:41:58,859 --> 01:42:03,661
necessitating the use of Leia shapes so instead of letters and numbers we use the shapes

2187
01:42:03,589 --> 01:42:03,817

2188
01:42:03,848 --> 01:42:06,802
make sure that we are we're getting a a credible

2189
01:42:06,798 --> 01:42:07,685
measurement

2190
01:42:07,759 --> 01:42:08,021

2191
01:42:08,208 --> 01:42:08,463

2192
01:42:09,490 --> 01:42:14,893
her near visual Acuity with updated glasses was about 3.2 M at 30 cm

2193
01:42:14,748 --> 01:42:20,123
for reference this is as big as the large print materials for for children's books

2194
01:42:19,989 --> 01:42:20,218

2195
01:42:20,441 --> 01:42:22,706
that's how big it is that's the best

2196
01:42:22,690 --> 01:42:23,592
she can have

2197
01:42:23,647 --> 01:42:23,875

2198
01:42:23,971 --> 01:42:27,281
we introduced her to smartphone based magnification

2199
01:42:27,229 --> 01:42:29,274
um specifically the visor app

2200
01:42:29,148 --> 01:42:29,498

2201
01:42:29,473 --> 01:42:33,428
at that initial assessment here near visual Acuity with the visor app

2202
01:42:33,391 --> 01:42:39,253
was 1.0 M at 30 cm so that's equivalent to a regular size

2203
01:42:39,674 --> 01:42:44,562
text the the printouts that we have in our in our handles right now so that's how big it is

2204
01:42:44,980 --> 01:42:47,234
so initially it is good

2205
01:42:47,159 --> 01:42:50,273
it looks significant really nice

2206
01:42:50,171 --> 01:42:51,450
however

2207
01:42:51,710 --> 01:42:54,101
we have to consider that

2208
01:42:54,200 --> 01:42:56,448
Maria say with other

2209
01:42:56,449 --> 01:43:00,096
person with visual impairment will use their vision of daily basis

2210
01:43:00,174 --> 01:43:01,715
there will be fatigued

2211
01:43:01,698 --> 01:43:06,428
there will be environmental issues elements that we have to anticipate

2212
01:43:06,829 --> 01:43:11,582
so what we did is um we provided a 4-week plan

2213
01:43:12,148 --> 01:43:15,996
so every week the parent would have to

2214
01:43:16,370 --> 01:43:17,866
work together with us

2215
01:43:18,098 --> 01:43:23,462
series of exercises with Maria introducing her with different visual Target

2216
01:43:23,610 --> 01:43:26,194
to make sure that the vision is being stimulated

2217
01:43:27,269 --> 01:43:29,539
so aside from the tool

2218
01:43:29,443 --> 01:43:33,566
we make sure that there's this approach which will help her

2219
01:43:33,543 --> 01:43:33,745

2220
01:43:33,793 --> 01:43:35,591
um build the skills for it

2221
01:43:36,549 --> 01:43:36,774

2222
01:43:36,940 --> 01:43:42,252
just 1 month after implementing the visor app and integrating it into her daily

2223
01:43:42,248 --> 01:43:42,837

2224
01:43:43,210 --> 01:43:45,788
we observe transformative results

2225
01:43:45,968 --> 01:43:49,810
her near visual Acuity with a visor app significantly improved

2226
01:43:49,547 --> 01:43:50,266

2227
01:43:50,206 --> 01:43:53,397
1.0 to 0.8 m

2228
01:43:53,788 --> 01:43:55,977
so for reference

2229
01:43:56,349 --> 01:44:00,899
we started with the target as big as a large print material for children

2230
01:44:01,149 --> 01:44:02,039
very big

2231
01:44:02,498 --> 01:44:07,835
right and then after 1 month she started identifying as small as those telephone

2232
01:44:07,869 --> 01:44:11,137
directories nowadays we don't have them anymore we have the smart folks

2233
01:44:10,888 --> 01:44:11,235

2234
01:44:11,788 --> 01:44:12,275

2235
01:44:13,131 --> 01:44:13,384

2236
01:44:13,262 --> 01:44:17,219
beyond the numbers the qualitative impact was profound

2237
01:44:17,488 --> 01:44:21,102
clinicians observed a significant Improvement in her near vision

2238
01:44:21,589 --> 01:44:26,061
and she became Marley more confident in recognizing letters and numbers

2239
01:44:26,268 --> 01:44:29,718
performing significantly better than her last visit

2240
01:44:30,245 --> 01:44:33,484
uh we also asked the teacher about her

2241
01:44:33,831 --> 01:44:35,766
interaction with the classmates

2242
01:44:35,680 --> 01:44:39,076
so we're happy to hear that she became more confident

2243
01:44:40,243 --> 01:44:45,683
this led to enhanced Independence Maria started catching up with class discussions

2244
01:44:45,549 --> 01:44:48,464
was more confident interacting with peers

2245
01:44:48,750 --> 01:44:52,789
her goal of being included in mainstream education became more realistic

2246
01:44:53,300 --> 01:44:55,276
so 1 month is

2247
01:44:55,409 --> 01:44:56,444
not enough

2248
01:44:56,750 --> 01:45:00,250
it's not enough it it it's a continuous process

2249
01:45:00,363 --> 01:45:00,604

2250
01:45:00,600 --> 01:45:03,642
so we have to make sure that we are there to support

2251
01:45:03,740 --> 01:45:04,732
um

2252
01:45:04,700 --> 01:45:06,616
uh the people who needs our help

2253
01:45:07,839 --> 01:45:13,104
so in conclusion our study highlights affordable technology offers

2254
01:45:13,281 --> 01:45:14,975
highly promising and scalable

2255
01:45:14,832 --> 01:45:16,881
approach for Low Vision Rehabilitation

2256
01:45:17,000 --> 01:45:20,860
and life skills development particularly in resource limited settings

2257
01:45:20,782 --> 01:45:21,185

2258
01:45:20,908 --> 01:45:21,111

2259
01:45:21,158 --> 01:45:25,818
we offer key uh 3 key recommendations for impact first

2260
01:45:25,780 --> 01:45:27,848
for the Educators and practitioners

2261
01:45:27,759 --> 01:45:27,940

2262
01:45:28,079 --> 01:45:30,557
integrate these accessible Technologies

2263
01:45:30,588 --> 01:45:32,601
into your practice and curriculum

2264
01:45:32,510 --> 01:45:32,981

2265
01:45:32,954 --> 01:45:35,553
for the organizations and policy makers

2266
01:45:35,579 --> 01:45:38,023
invest in Awareness campaigns

2267
01:45:38,138 --> 01:45:42,986
accessible digital literacy programs to support broader adoption

2268
01:45:43,139 --> 01:45:45,909
and of course for Community engagement

2269
01:45:46,021 --> 01:45:46,273

2270
01:45:46,402 --> 01:45:51,753
Foster strong local Partnerships I think this is 1 of the key ingredients really

2271
01:45:52,109 --> 01:45:55,072
and training initiatives for sustainable impact

2272
01:45:55,570 --> 01:45:55,809

2273
01:45:55,828 --> 01:46:01,336
empowering individuals with low vision to unlock their full potential is a

2274
01:46:01,070 --> 01:46:02,887
shared responsibility

2275
01:46:02,870 --> 01:46:05,353
leading to more inclusive features

2276
01:46:06,840 --> 01:46:12,140
thank you for your attention and we are committed to fostering Clarity and comfort for those with low vision

2277
01:46:12,552 --> 01:46:14,942
welcome any questions you may have thank you once again

2278
01:46:15,300 --> 01:46:15,571

2279
01:46:15,428 --> 01:46:20,529
thank you Dr Dean um

2280
01:46:20,621 --> 01:46:22,817
just uh please don't stop

2281
01:46:23,052 --> 01:46:25,439
with your passion keep going on

2282
01:46:25,479 --> 01:46:27,183
a lot of kids need you

2283
01:46:27,079 --> 01:46:30,081
please continue with your passion thank you so very much

2284
01:46:29,971 --> 01:46:30,316

2285
01:46:30,291 --> 01:46:30,591

2286
01:46:30,549 --> 01:46:33,822

2287
01:46:34,129 --> 01:46:34,347

2288
01:46:34,709 --> 01:46:34,945

2289
01:46:35,408 --> 01:46:36,468
our next

2290
01:46:36,379 --> 01:46:40,260
speaker is uh Mr nugan Tran

2291
01:46:40,089 --> 01:46:43,720
from the National Institute of Education Sciences in Vietnam

2292
01:46:43,739 --> 01:46:46,952
let's give him a round of applause thank you very much

2293
01:46:47,270 --> 01:46:47,794

2294
01:46:47,780 --> 01:46:48,241

2295
01:46:48,479 --> 01:46:49,329

2296
01:46:49,698 --> 01:46:50,167

2297
01:46:50,341 --> 01:46:50,552

2298
01:46:51,040 --> 01:46:51,263

2299
01:46:52,072 --> 01:46:52,340

2300
01:46:52,839 --> 01:46:53,186

2301
01:46:53,159 --> 01:46:53,392

2302
01:46:53,350 --> 01:46:54,098

2303
01:46:54,248 --> 01:46:55,810

2304
01:46:55,848 --> 01:46:56,486

2305
01:46:56,428 --> 01:46:58,109

2306
01:46:58,089 --> 01:46:58,679

2307
01:46:58,673 --> 01:46:59,461

2308
01:46:59,750 --> 01:47:00,236

2309
01:47:00,270 --> 01:47:00,511

2310
01:47:00,592 --> 01:47:00,861

2311
01:47:00,909 --> 01:47:01,314

2312
01:47:01,361 --> 01:47:01,640

2313
01:47:01,679 --> 01:47:01,913

2314
01:47:02,073 --> 01:47:02,270

2315
01:47:02,192 --> 01:47:03,085

2316
01:47:03,222 --> 01:47:03,473

2317
01:47:03,599 --> 01:47:04,929
please

2318
01:47:04,691 --> 01:47:05,555

2319
01:47:05,649 --> 01:47:07,715

2320
01:47:07,699 --> 01:47:09,077

2321
01:47:09,110 --> 01:47:09,366

2322
01:47:09,373 --> 01:47:10,165

2323
01:47:10,199 --> 01:47:10,737

2324
01:47:10,842 --> 01:47:12,973

2325
01:47:12,949 --> 01:47:13,402

2326
01:47:13,209 --> 01:47:13,484

2327
01:47:13,470 --> 01:47:14,672

2328
01:47:16,541 --> 01:47:17,927

2329
01:47:18,150 --> 01:47:21,676

2330
01:47:21,601 --> 01:47:21,818

2331
01:47:21,791 --> 01:47:22,883

2332
01:47:22,823 --> 01:47:27,797

2333
01:47:27,820 --> 01:47:28,411

2334
01:47:28,592 --> 01:47:30,515

2335
01:47:30,455 --> 01:47:34,871

2336
01:47:34,928 --> 01:47:35,542

2337
01:47:35,761 --> 01:47:37,196

2338
01:47:37,169 --> 01:47:37,406

2339
01:47:37,429 --> 01:47:39,287

2340
01:47:39,349 --> 01:47:42,247

2341
01:47:44,541 --> 01:47:46,039

2342
01:47:46,199 --> 01:47:48,267

2343
01:47:48,192 --> 01:47:52,425

2344
01:47:52,550 --> 01:47:53,081

2345
01:47:53,379 --> 01:47:54,746

2346
01:47:54,978 --> 01:47:56,396

2347
01:48:01,146 --> 01:48:01,986

2348
01:48:02,149 --> 01:48:03,000

2349
01:48:02,995 --> 01:48:03,732

2350
01:48:03,818 --> 01:48:04,611

2351
01:48:04,779 --> 01:48:08,765

2352
01:48:08,948 --> 01:48:10,061

2353
01:48:10,161 --> 01:48:10,699

2354
01:48:10,994 --> 01:48:11,213

2355
01:48:11,311 --> 01:48:11,722

2356
01:48:11,829 --> 01:48:12,421

2357
01:48:12,592 --> 01:48:15,223
all good

2358
01:48:18,433 --> 01:48:21,520
a bit of an IT glitch sorry everyone

2359
01:48:21,499 --> 01:48:21,873

2360
01:48:22,469 --> 01:48:22,674

2361
01:48:22,719 --> 01:48:23,200

2362
01:48:23,430 --> 01:48:23,663

2363
01:48:23,620 --> 01:48:23,836

2364
01:48:23,941 --> 01:48:24,527

2365
01:48:24,449 --> 01:48:24,861

2366
01:48:25,030 --> 01:48:27,519

2367
01:48:28,549 --> 01:48:30,210

2368
01:48:32,069 --> 01:48:32,275

2369
01:48:32,198 --> 01:48:32,450

2370
01:48:32,461 --> 01:48:32,769

2371
01:48:32,711 --> 01:48:35,002

2372
01:48:35,790 --> 01:48:36,517

2373
01:48:36,488 --> 01:48:37,032

2374
01:48:37,392 --> 01:48:38,169

2375
01:48:38,218 --> 01:48:38,431

2376
01:48:38,413 --> 01:48:38,754

2377
01:48:39,060 --> 01:48:40,803

2378
01:48:40,849 --> 01:48:41,044

2379
01:48:41,038 --> 01:48:41,303

2380
01:48:41,231 --> 01:48:42,542

2381
01:48:42,640 --> 01:48:46,060

2382
01:48:46,230 --> 01:48:47,795

2383
01:48:47,830 --> 01:48:49,768

2384
01:48:49,819 --> 01:48:51,377

2385
01:48:51,349 --> 01:48:54,959

2386
01:48:54,999 --> 01:48:55,358

2387
01:48:55,332 --> 01:48:55,866

2388
01:48:55,839 --> 01:48:58,619

2389
01:48:58,588 --> 01:48:58,876

2390
01:48:58,849 --> 01:49:00,148

2391
01:49:00,188 --> 01:49:03,011

2392
01:49:02,949 --> 01:49:03,674

2393
01:49:03,849 --> 01:49:05,274

2394
01:49:05,318 --> 01:49:05,576

2395
01:49:05,449 --> 01:49:08,146

2396
01:49:09,031 --> 01:49:09,679

2397
01:49:09,611 --> 01:49:12,482

2398
01:49:12,631 --> 01:49:14,115

2399
01:49:14,290 --> 01:49:16,853
good afternoon everyone

2400
01:49:16,790 --> 01:49:17,064

2401
01:49:17,111 --> 01:49:21,257
yes uh my name is I'm working under the

2402
01:49:21,400 --> 01:49:24,629
National Center for special education in Vietnam

2403
01:49:24,670 --> 01:49:27,657
uh under the ministry of educational and training

2404
01:49:27,932 --> 01:49:33,429
so uh I'm parents so you are also parents and will be parents

2405
01:49:33,310 --> 01:49:34,032
future

2406
01:49:34,269 --> 01:49:38,954
so my research is on the skills of the parent

2407
01:49:38,890 --> 01:49:41,410
in Vietnam

2408
01:49:41,709 --> 01:49:47,444
so in my opinion I think that if we improve the balance skill

2409
01:49:47,669 --> 01:49:53,198
in interacting with the children with autism so the children with autism will develop

2410
01:49:53,560 --> 01:49:58,541
so that's my research um and I'm very honored to be here to

2411
01:49:58,553 --> 01:50:02,278
is then 1 of our research during 3 years

2412
01:50:02,720 --> 01:50:08,115
uh with the and research content the methodology and

2413
01:50:08,102 --> 01:50:08,985
writings

2414
01:50:08,802 --> 01:50:09,032

2415
01:50:09,133 --> 01:50:14,356
so the the amount of our research is is my the current state that

2416
01:50:13,989 --> 01:50:16,362
and invention skill

2417
01:50:16,302 --> 01:50:20,649
quality and with ASD through 3 to 6 years

2418
01:50:20,869 --> 01:50:23,554
who are diagnosed with ISD

2419
01:50:23,353 --> 01:50:23,794

2420
01:50:23,604 --> 01:50:25,998
and for the sample

2421
01:50:25,980 --> 01:50:30,616
and the population so you can see on the slide that we

2422
01:50:30,590 --> 01:50:34,773
we do the research on total 280

2423
01:50:34,953 --> 01:50:36,371
parents

2424
01:50:39,622 --> 01:50:41,088
and high city

2425
01:50:41,223 --> 01:50:45,572
so you can see that we do some uh methodology that like

2426
01:50:45,773 --> 01:50:47,531
we have the IND

2427
01:50:47,562 --> 01:50:49,097
uh assessment

2428
01:50:49,031 --> 01:50:52,410
we do the survey form and we

2429
01:50:52,311 --> 01:50:55,842
we will have the observation for the parent

2430
01:50:55,630 --> 01:50:57,602
who have children with

2431
01:50:57,810 --> 01:51:03,175
I actually in in Vietnam so for example the statistic of

2432
01:51:03,130 --> 01:51:04,962
the parent who

2433
01:51:05,111 --> 01:51:07,403
do the questionnaire by the

2434
01:51:07,173 --> 01:51:09,325
providing in the city

2435
01:51:09,223 --> 01:51:10,837
and um

2436
01:51:11,782 --> 01:51:17,677
is very important that uh most of the parents in Vietnam when we do the research

2437
01:51:17,424 --> 01:51:17,702

2438
01:51:17,743 --> 01:51:21,550
they have the intervention for the children at home

2439
01:51:21,453 --> 01:51:21,695

2440
01:51:21,643 --> 01:51:26,310
like them for at the 85% of the balance

2441
01:51:26,960 --> 01:51:29,678
determine that they do the

2442
01:51:29,782 --> 01:51:31,677
intervention for the children

2443
01:51:31,643 --> 01:51:36,227
at home in the night Knightly activities and

2444
01:51:36,064 --> 01:51:41,048
they get the children go to the Early Intervention Center is very important

2445
01:51:40,994 --> 01:51:41,220

2446
01:51:41,251 --> 01:51:46,260
so mostly the children with autism in Vietnam are in the Wind

2447
01:51:46,051 --> 01:51:46,865
now

2448
01:51:46,823 --> 01:51:47,088

2449
01:51:47,143 --> 01:51:52,545
uh but uh there are some factors that affect the effective the intervention of the

2450
01:51:52,274 --> 01:51:53,280
hands

2451
01:51:53,162 --> 01:51:56,281
for example the balance in the v method

2452
01:51:56,182 --> 01:52:01,554
they don't have enough methodology to to teach and to intervene their children

2453
01:52:01,364 --> 01:52:06,176
home um they have some they don't know uh

2454
01:52:06,175 --> 01:52:07,533
what is the

2455
01:52:07,451 --> 01:52:11,526
specific security of the children for example the language

2456
01:52:11,551 --> 01:52:13,611
the behaviors and

2457
01:52:13,602 --> 01:52:15,053
some of the

2458
01:52:15,202 --> 01:52:20,673
the diagnose although this other for example they don't have the economics

2459
01:52:20,463 --> 01:52:21,427
call distance

2460
01:52:22,064 --> 01:52:26,538
apparently to work all day so they don't have time to teach the children at home

2461
01:52:26,921 --> 01:52:31,125
so on our surveys and our M skill

2462
01:52:30,963 --> 01:52:32,906
we focus on the fact

2463
01:52:33,073 --> 01:52:36,816
so you can see on the slide and there are some

2464
01:52:37,248 --> 01:52:42,695
main group a skill that the parent need to have when they have the children with autism

2465
01:52:42,432 --> 01:52:43,088

2466
01:52:43,002 --> 01:52:45,707
for example they need to focus on the child

2467
01:52:46,272 --> 01:52:49,135
they need to adjust the communication

2468
01:52:49,352 --> 01:52:50,803
they need to create the

2469
01:52:50,696 --> 01:52:52,579
opportunity to

2470
01:52:52,484 --> 01:52:56,256
to have more connection with their children at all the time

2471
01:52:56,143 --> 01:52:58,518
and they need to teach the new skill

2472
01:52:58,384 --> 01:53:01,093
quality and and they said the skill

2473
01:53:00,944 --> 01:53:04,241
for all the activity in the whole day

2474
01:53:05,302 --> 01:53:11,452
so that's fine group of skill that we do the research on the pattern for example when we do the

2475
01:53:11,322 --> 01:53:11,910

2476
01:53:11,902 --> 01:53:14,487
still buy on the focus on the child skill

2477
01:53:14,393 --> 01:53:17,349
so for um the post season

2478
01:53:17,152 --> 01:53:19,731
also the position that the parent

2479
01:53:19,592 --> 01:53:21,243
uh often use

2480
01:53:21,517 --> 01:53:25,381
for example they they see face to face to the children

2481
01:53:25,418 --> 01:53:29,090
and the the the ice level

2482
01:53:29,003 --> 01:53:29,932
and

2483
01:53:29,833 --> 01:53:32,958
and the object they take out of the children

2484
01:53:33,169 --> 01:53:38,489
so most of the baron is the position very very good in Vietnam

2485
01:53:38,673 --> 01:53:44,152
so uh so other people will sit behind the children to bribe

2486
01:53:44,193 --> 01:53:48,153
Provide support or see at the same level of the children

2487
01:53:48,923 --> 01:53:50,979
and uh the

2488
01:53:51,043 --> 01:53:52,460
parent

2489
01:53:52,394 --> 01:53:53,588
often

2490
01:53:53,603 --> 01:53:59,140
any test the interaction between their children for example they will let the children play first and then

2491
01:53:59,315 --> 01:54:05,969
they follow the chair and lead and in the involvement with the children but uh but you can see here

2492
01:54:06,473 --> 01:54:10,495
most of the parent of often questioning

2493
01:54:10,454 --> 01:54:16,048
and giving instruction to the children even they the children don't understand what

2494
01:54:16,093 --> 01:54:26,093
they answer and the question

2495
01:54:20,970 --> 01:54:30,970
um sometimes the the parent will imitate the body

2496
01:54:28,032 --> 01:54:36,225
body language and

2497
01:54:28,324 --> 01:54:36,224
facial like passion and the body movement of the children

2498
01:54:31,664 --> 01:54:36,226

2499
01:54:32,436 --> 01:54:36,225
to get the connection between the parent and the children

2500
01:54:35,755 --> 01:54:36,571
so

2501
01:54:36,464 --> 01:54:40,019
uh the children will have more developments

2502
01:54:42,994 --> 01:54:44,033
um

2503
01:54:44,086 --> 01:54:44,383

2504
01:54:44,274 --> 01:54:46,303
the band will um

2505
01:54:46,514 --> 01:54:47,647
in

2506
01:54:47,875 --> 01:54:57,669
we will make more retro and body language for the children and

2507
01:54:53,435 --> 01:54:58,718
may I use the facial expression more and more and the toner The Voice

2508
01:54:57,924 --> 01:55:02,094
will will be used in the chat and interaction with the children

2509
01:55:04,207 --> 01:55:06,970
they um

2510
01:55:07,594 --> 01:55:12,999
about the position that they um put the toys they will um

2511
01:55:12,794 --> 01:55:16,401
select the toy within the children Ed

2512
01:55:17,463 --> 01:55:23,446
and teaching new skill for example the parent will comment often comment on what

2513
01:55:23,235 --> 01:55:24,860
the children is doing

2514
01:55:24,709 --> 01:55:28,540
joying in The Children Play and guiding the children play

2515
01:55:30,915 --> 01:55:32,031
yes

2516
01:55:32,009 --> 01:55:36,447
and I also found that most of the band will

2517
01:55:36,425 --> 01:55:39,130
participate in the trainings

2518
01:55:39,245 --> 01:55:41,581
of the teacher and all the I

2519
01:55:41,359 --> 01:55:45,300
and in Vietnam we also have a very good support

2520
01:55:45,209 --> 01:55:49,916
of the community community live Vietnam autism Network

2521
01:55:50,135 --> 01:55:53,936
live Community for my full parent of special need

2522
01:55:53,728 --> 01:55:54,626

2523
01:55:54,627 --> 01:55:56,059
a blue light

2524
01:55:55,964 --> 01:55:58,458
so the support of the community

2525
01:55:58,396 --> 01:55:59,782
have the parent

2526
01:55:59,679 --> 01:56:02,473
to have more skill and skill to

2527
01:56:02,378 --> 01:56:03,925
to live with the children

2528
01:56:04,106 --> 01:56:05,986
so on on discussion

2529
01:56:06,157 --> 01:56:10,235
so how how can we develop the parent right now

2530
01:56:10,447 --> 01:56:10,667

2531
01:56:10,636 --> 01:56:14,455
not only the policy but also the community

2532
01:56:14,415 --> 01:56:17,179
the committee need to be involved

2533
01:56:17,554 --> 01:56:20,333
intending the skill for the parents

2534
01:56:21,409 --> 01:56:24,778
so that's all my my resource

2535
01:56:24,854 --> 01:56:28,995
so uh if you have any question related to my resource

2536
01:56:28,899 --> 01:56:31,646
all the parents still related to

2537
01:56:31,516 --> 01:56:35,771
the chair then with autism I can answer all the question to you

2538
01:56:35,947 --> 01:56:37,818
thank you very much for listening

2539
01:56:37,676 --> 01:56:41,910

2540
01:56:42,155 --> 01:56:42,398

2541
01:56:42,998 --> 01:56:43,197

2542
01:56:43,435 --> 01:56:44,162

2543
01:56:44,205 --> 01:56:44,435

2544
01:56:44,397 --> 01:56:49,673
thank you very much Mr uh William from Vietnam and um

2545
01:56:51,399 --> 01:56:55,375
our participants so do you have any question for the session

2546
01:56:55,548 --> 01:56:55,801

2547
01:56:56,116 --> 01:57:00,136
no question I'm sorry because we have no time no more time

2548
01:57:00,035 --> 01:57:01,091
like that

2549
01:57:01,969 --> 01:57:07,511
okay and I would like to say thank you very much Dr Union from Vietnam and

2550
01:57:07,335 --> 01:57:09,201
are right now

2551
01:57:09,127 --> 01:57:10,536

2552
01:57:10,476 --> 01:57:11,137

2553
01:57:11,435 --> 01:57:14,461
everybody could you please uh

2554
01:57:14,376 --> 01:57:15,863
and

2555
01:57:15,797 --> 01:57:17,149
QR code

2556
01:57:17,836 --> 01:57:21,699
to if uh evaluate uh our event

2557
01:57:21,617 --> 01:57:24,911
and um give her some feedback

2558
01:57:25,148 --> 01:57:26,590
for 10 minutes

2559
01:57:26,935 --> 01:57:28,038
thank you very much

2560
01:57:28,725 --> 01:57:29,003

2561
01:57:28,987 --> 01:57:29,326

2562
01:57:31,115 --> 01:57:31,508

2563
01:57:31,675 --> 01:57:32,217

2564
01:57:32,198 --> 01:57:32,728

2565
01:57:33,086 --> 01:57:33,303

2566
01:57:33,537 --> 01:57:34,006

2567
01:57:34,177 --> 01:57:40,632
everyone this is really very important uh please scan the QR code and give us your evaluation

2568
01:57:40,586 --> 01:57:42,357
it will help us to do the next

2569
01:57:42,319 --> 01:57:43,099

2570
01:57:43,598 --> 01:57:48,952
uh Symposium thank you very much

2571
01:57:49,105 --> 01:57:53,986
why did they leave feedback

2572
01:57:53,967 --> 01:57:58,671
pack up

2573
01:58:01,076 --> 01:58:01,307

2574
01:58:01,395 --> 01:58:01,806

2575
01:58:01,918 --> 01:58:02,381

2576
01:58:02,746 --> 01:58:02,977

2577
01:58:02,996 --> 01:58:03,398

2578
01:58:03,636 --> 01:58:04,431

2579
01:58:04,606 --> 01:58:04,877

2580
01:58:04,927 --> 01:58:05,168

2581
01:58:05,246 --> 01:58:06,875

2582
01:58:06,846 --> 01:58:09,105

2583
01:58:09,086 --> 01:58:09,494

2584
01:58:09,920 --> 01:58:10,135

2585
01:58:10,177 --> 01:58:10,639

2586
01:58:10,756 --> 01:58:13,339

2587
01:58:13,319 --> 01:58:13,571

2588
01:58:13,518 --> 01:58:13,765

2589
01:58:13,768 --> 01:58:14,015

2590
01:58:14,027 --> 01:58:15,110

2591
01:58:15,118 --> 01:58:17,717

2592
01:58:17,867 --> 01:58:18,245

2593
01:58:18,697 --> 01:58:19,527

2594
01:58:19,526 --> 01:58:20,054

2595
01:58:20,356 --> 01:58:21,334

2596
01:58:21,269 --> 01:58:22,378

2597
01:58:22,357 --> 01:58:22,564

2598
01:58:22,607 --> 01:58:22,853

2599
01:58:22,868 --> 01:58:23,679

2600
01:58:23,756 --> 01:58:26,659

2601
01:58:26,636 --> 01:58:27,242

2602
01:58:27,277 --> 01:58:27,528

2603
01:58:27,536 --> 01:58:27,884

2604
01:58:27,856 --> 01:58:28,393

2605
01:58:28,370 --> 01:58:29,037

2606
01:58:29,206 --> 01:58:29,445

2607
01:58:29,526 --> 01:58:29,785

2608
01:58:29,717 --> 01:58:31,342

2609
01:58:31,387 --> 01:58:32,798

2610
01:58:32,797 --> 01:58:33,390

2611
01:58:33,372 --> 01:58:35,672

2612
01:58:36,187 --> 01:58:36,591

2613
01:58:36,637 --> 01:58:37,168

2614
01:58:37,206 --> 01:58:37,757

2615
01:58:37,989 --> 01:58:38,582

2616
01:58:38,556 --> 01:58:39,806

2617
01:58:39,776 --> 01:58:39,975

2618
01:58:39,906 --> 01:58:41,563

2619
01:58:41,568 --> 01:58:44,209

2620
01:58:44,318 --> 01:58:44,923

2621
01:58:45,156 --> 01:58:46,833

2622
01:58:49,316 --> 01:58:49,791

2623
01:58:49,838 --> 01:58:51,056

2624
01:58:50,988 --> 01:58:51,217

2625
01:58:51,177 --> 01:58:51,607

2626
01:58:51,497 --> 01:58:51,713

2627
01:58:51,756 --> 01:58:51,990

2628
01:58:52,006 --> 01:58:54,602

2629
01:58:54,707 --> 01:58:55,626

2630
01:58:55,597 --> 01:58:56,132

2631
01:58:56,117 --> 01:58:56,331

2632
01:58:56,306 --> 01:58:57,541

2633
01:58:57,588 --> 01:58:57,848

2634
01:58:57,776 --> 01:58:58,723

2635
01:58:58,675 --> 01:58:58,902

2636
01:58:58,866 --> 01:58:59,100

2637
01:58:59,056 --> 01:58:59,268

2638
01:58:59,189 --> 01:59:02,591

2639
01:59:02,516 --> 01:59:05,241

2640
01:59:05,207 --> 01:59:08,619

2641
01:59:08,539 --> 01:59:09,590

2642
01:59:09,627 --> 01:59:10,677

2643
01:59:10,717 --> 01:59:11,194

2644
01:59:11,557 --> 01:59:12,919

2645
01:59:13,157 --> 01:59:15,074

2646
01:59:18,076 --> 01:59:19,493

2647
01:59:19,557 --> 01:59:19,844

2648
01:59:19,818 --> 01:59:20,102

2649
01:59:20,397 --> 01:59:22,311

2650
01:59:22,316 --> 01:59:22,923

2651
01:59:23,016 --> 01:59:24,526

2652
01:59:24,487 --> 01:59:25,573

2653
01:59:28,978 --> 01:59:30,390

2654
01:59:30,837 --> 01:59:33,207

2655
01:59:34,289 --> 01:59:35,571

2656
01:59:37,177 --> 01:59:37,718

2657
01:59:37,946 --> 01:59:38,289

2658
01:59:38,266 --> 01:59:40,195

2659
01:59:41,847 --> 01:59:46,420

2660
01:59:46,786 --> 01:59:47,698

2661
01:59:47,616 --> 01:59:48,147

2662
01:59:48,387 --> 01:59:50,756

2663
02:00:00,444 --> 02:00:02,801

2664
02:00:03,886 --> 02:00:04,121

2665
02:00:04,396 --> 02:00:05,301

2666
02:00:05,237 --> 02:00:05,761

2667
02:00:06,066 --> 02:00:07,095

2668
02:00:07,026 --> 02:00:08,273

2669
02:00:08,246 --> 02:00:12,999

2670
02:00:13,177 --> 02:00:13,521

2671
02:00:13,496 --> 02:00:13,905

2672
02:00:14,008 --> 02:00:14,604

2673
02:00:14,836 --> 02:00:18,128

2674
02:00:18,117 --> 02:00:18,393

2675
02:00:18,437 --> 02:00:18,908

2676
02:00:18,947 --> 02:00:19,288

2677
02:00:19,266 --> 02:00:19,484

2678
02:00:19,588 --> 02:00:19,933

2679
02:00:19,837 --> 02:00:20,244

2680
02:00:20,038 --> 02:00:21,864

2681
02:00:21,959 --> 02:00:22,486

2682
02:00:22,467 --> 02:00:22,859

2683
02:00:22,717 --> 02:00:22,986

2684
02:00:22,848 --> 02:00:23,386

2685
02:00:23,489 --> 02:00:23,883

2686
02:00:23,616 --> 02:00:25,814

2687
02:00:29,766 --> 02:00:30,437

2688
02:00:30,797 --> 02:00:32,236

2689
02:00:32,467 --> 02:00:34,407

2690
02:00:34,386 --> 02:00:34,600

2691
02:00:34,578 --> 02:00:36,158

2692
02:00:36,629 --> 02:00:37,676

2693
02:00:37,647 --> 02:00:39,199

2694
02:00:39,637 --> 02:00:40,364

2695
02:00:40,406 --> 02:00:40,942

2696
02:00:41,236 --> 02:00:43,491

2697
02:00:43,479 --> 02:00:44,597

2698
02:00:44,566 --> 02:00:44,792

2699
02:00:44,887 --> 02:00:45,425

2700
02:00:45,466 --> 02:00:47,610

2701
02:00:47,637 --> 02:00:48,181

2702
02:00:48,408 --> 02:00:50,113

2703
02:00:50,078 --> 02:00:51,050

2704
02:00:50,980 --> 02:00:56,246

2705
02:01:04,749 --> 02:01:05,220

2706
02:01:05,268 --> 02:01:05,645

2707
02:01:05,517 --> 02:01:05,780

2708
02:01:06,037 --> 02:01:06,446

2709
02:01:06,416 --> 02:01:06,827

2710
02:01:06,866 --> 02:01:07,658

2711
02:01:07,637 --> 02:01:09,700

2712
02:01:09,677 --> 02:01:11,670

2713
02:01:12,630 --> 02:01:12,843

2714
02:01:12,818 --> 02:01:13,941

2715
02:01:14,037 --> 02:01:14,514

2716
02:01:14,556 --> 02:01:14,776

2717
02:01:14,878 --> 02:01:15,240

2718
02:01:15,197 --> 02:01:15,536

2719
02:01:15,578 --> 02:01:16,250

2720
02:01:16,562 --> 02:01:18,348

2721
02:01:18,418 --> 02:01:19,983

2722
02:01:20,019 --> 02:01:23,026

2723
02:01:24,502 --> 02:01:25,943

2724
02:01:26,100 --> 02:01:26,504

2725
02:01:26,227 --> 02:01:27,278

2726
02:01:27,318 --> 02:01:28,865

2727
02:01:28,787 --> 02:01:29,464

2728
02:01:29,500 --> 02:01:30,225

2729
02:01:30,269 --> 02:01:30,495

2730
02:01:30,458 --> 02:01:32,512

2731
02:01:32,508 --> 02:01:33,169

2732
02:01:33,337 --> 02:01:33,948

2733
02:01:34,051 --> 02:01:35,962

2734
02:01:35,969 --> 02:01:37,758

2735
02:01:37,700 --> 02:01:40,924

2736
02:01:41,287 --> 02:01:41,628

2737
02:01:41,606 --> 02:01:41,829

2738
02:01:41,800 --> 02:01:42,667

2739
02:01:42,819 --> 02:01:43,044

2740
02:01:42,950 --> 02:01:43,865

2741
02:01:43,850 --> 02:01:47,203

2742
02:01:47,119 --> 02:01:49,869

2743
02:01:50,128 --> 02:01:51,602

2744
02:01:51,727 --> 02:01:56,940

2745
02:01:59,608 --> 02:02:00,460

2746
02:02:00,568 --> 02:02:02,519

2747
02:02:02,502 --> 02:02:04,744

2748
02:02:04,738 --> 02:02:04,996

2749
02:02:04,928 --> 02:02:07,121

2750
02:02:07,357 --> 02:02:07,611

2751
02:02:07,677 --> 02:02:08,025

2752
02:02:08,000 --> 02:02:09,313

2753
02:02:09,277 --> 02:02:10,319

2754
02:02:10,299 --> 02:02:11,783

2755
02:02:12,938 --> 02:02:16,664

2756
02:02:16,578 --> 02:02:17,996

2757
02:02:17,988 --> 02:02:20,008

2758
02:02:20,049 --> 02:02:21,591

2759
02:02:21,520 --> 02:02:22,609

2760
02:02:22,607 --> 02:02:22,832

2761
02:02:22,857 --> 02:02:24,849

2762
02:02:24,849 --> 02:02:27,558

2763
02:02:27,607 --> 02:02:28,636

2764
02:02:28,947 --> 02:02:30,513

2765
02:02:30,546 --> 02:02:33,695

2766
02:02:33,621 --> 02:02:34,941

2767
02:02:34,970 --> 02:02:35,579

2768
02:02:35,549 --> 02:02:36,713

2769
02:02:36,697 --> 02:02:38,167

2770
02:02:40,989 --> 02:02:42,707

2771
02:02:42,978 --> 02:02:44,512

2772
02:02:44,578 --> 02:02:49,583

2773
02:02:49,508 --> 02:02:50,362

2774
02:02:50,278 --> 02:02:50,881

2775
02:02:50,977 --> 02:02:51,172

2776
02:02:51,239 --> 02:02:51,466

2777
02:02:51,497 --> 02:02:51,916

2778
02:02:51,758 --> 02:02:52,472

2779
02:02:52,458 --> 02:02:55,638

2780
02:02:55,598 --> 02:02:59,713

2781
02:02:59,759 --> 02:03:01,370

2782
02:03:01,370 --> 02:03:02,100

2783
02:03:02,198 --> 02:03:07,467

2784
02:03:08,740 --> 02:03:10,916

2785
02:03:10,908 --> 02:03:14,188

2786
02:03:14,109 --> 02:03:15,158

2787
02:03:15,140 --> 02:03:16,357

2788
02:03:16,561 --> 02:03:17,345

2789
02:03:17,318 --> 02:03:19,006

2790
02:03:18,978 --> 02:03:19,656

2791
02:03:19,817 --> 02:03:22,184

2792
02:03:25,648 --> 02:03:26,643

2793
02:03:26,611 --> 02:03:27,342

2794
02:03:27,310 --> 02:03:27,661

2795
02:03:27,817 --> 02:03:30,648

2796
02:03:30,578 --> 02:03:30,818

2797
02:03:30,829 --> 02:03:35,466

2798
02:03:35,448 --> 02:03:35,696

2799
02:03:35,768 --> 02:03:37,332

2800
02:03:37,428 --> 02:03:40,117

2801
02:03:53,526 --> 02:03:54,813

2802
02:03:54,791 --> 02:04:00,087

2803
02:04:02,028 --> 02:04:07,299

2804
02:04:07,418 --> 02:04:10,494

2805
02:04:10,740 --> 02:04:10,933

2806
02:04:10,869 --> 02:04:11,114

2807
02:04:10,999 --> 02:04:11,276

2808
02:04:11,260 --> 02:04:12,478

2809
02:04:12,410 --> 02:04:15,168

2810
02:04:15,098 --> 02:04:16,586

2811
02:04:16,594 --> 02:04:16,858

2812
02:04:18,239 --> 02:04:18,513

2813
02:04:18,499 --> 02:04:18,783

2814
02:04:19,068 --> 02:04:19,307

2815
02:04:19,839 --> 02:04:20,197

2816
02:04:20,098 --> 02:04:20,577

2817
02:04:20,539 --> 02:04:21,175

2818
02:04:21,380 --> 02:04:24,016

2819
02:04:24,579 --> 02:04:24,987

2820
02:04:24,968 --> 02:04:25,625

2821
02:04:25,667 --> 02:04:25,930

2822
02:04:25,929 --> 02:04:26,469

2823
02:04:26,438 --> 02:04:27,808

2824
02:04:27,847 --> 02:04:28,180

2825
02:04:28,679 --> 02:04:29,399

2826
02:04:29,512 --> 02:04:30,049

2827
02:04:30,219 --> 02:04:32,230

2828
02:04:32,268 --> 02:04:32,479

2829
02:04:32,530 --> 02:04:33,678

2830
02:04:33,618 --> 02:04:37,017

2831
02:04:37,462 --> 02:04:37,717

2832
02:04:37,648 --> 02:04:38,189

2833
02:04:38,297 --> 02:04:38,821

2834
02:04:38,869 --> 02:04:40,429

2835
02:04:40,413 --> 02:04:41,380

2836
02:04:41,298 --> 02:04:41,513

2837
02:04:41,618 --> 02:04:42,038

2838
02:04:42,197 --> 02:04:42,449

2839
02:04:42,460 --> 02:04:42,729

2840
02:04:42,713 --> 02:04:43,310

2841
02:04:43,217 --> 02:04:43,825

2842
02:04:43,798 --> 02:04:45,536

2843
02:04:45,461 --> 02:04:45,937

2844
02:04:46,231 --> 02:04:46,596

2845
02:04:46,562 --> 02:04:47,042

2846
02:04:47,068 --> 02:04:47,666

2847
02:04:47,899 --> 02:04:53,808
hi everyone I hope you've had your break

2848
02:04:54,238 --> 02:04:54,470

2849
02:04:54,559 --> 02:04:54,833

2850
02:04:54,760 --> 02:04:55,012

2851
02:04:55,080 --> 02:04:56,347
um

2852
02:04:56,489 --> 02:04:59,966
before we go to this next speaker

2853
02:05:00,199 --> 02:05:05,683
I want you to see this video all of you listen to Dr basa talking

2854
02:05:05,649 --> 02:05:06,939
as a

2855
02:05:06,930 --> 02:05:08,169
a teacher

2856
02:05:08,138 --> 02:05:09,531
teaching

2857
02:05:09,739 --> 02:05:14,080
kids how to use their cock implant and helping parents

2858
02:05:14,099 --> 02:05:14,300

2859
02:05:14,360 --> 02:05:18,552
but this video is is the other version of how a parent

2860
02:05:18,781 --> 02:05:20,279
and what he's done

2861
02:05:20,451 --> 02:05:23,334
to help his child with a cockle implant

2862
02:05:23,258 --> 02:05:26,041
can we please show the video thank you

2863
02:05:26,019 --> 02:05:26,265

2864
02:05:26,339 --> 02:05:26,549

2865
02:05:26,795 --> 02:05:27,011

2866
02:05:26,981 --> 02:05:27,231

2867
02:05:27,232 --> 02:05:27,577

2868
02:05:27,433 --> 02:05:27,634

2869
02:05:27,750 --> 02:05:27,979

2870
02:05:27,940 --> 02:05:28,178

2871
02:05:28,138 --> 02:05:32,756

2872
02:05:33,189 --> 02:05:36,288

2873
02:05:36,208 --> 02:05:36,461

2874
02:05:36,338 --> 02:05:41,717
hello my name is will now I used to a couple in pants I

2875
02:05:41,838 --> 02:05:44,713
uh have that since 3 years old

2876
02:05:45,109 --> 02:05:45,367

2877
02:05:45,429 --> 02:05:48,163
and I start

2878
02:05:48,253 --> 02:05:48,471

2879
02:05:48,439 --> 02:05:52,093
the first side and the left side and later on I

2880
02:05:52,031 --> 02:05:52,938

2881
02:05:52,859 --> 02:05:55,330
the second implant

2882
02:05:55,420 --> 02:05:57,126
letter

2883
02:05:57,020 --> 02:05:57,368

2884
02:05:57,470 --> 02:05:59,067
yeah

2885
02:06:03,052 --> 02:06:03,688

2886
02:06:03,689 --> 02:06:03,944

2887
02:06:03,820 --> 02:06:05,557

2888
02:06:05,479 --> 02:06:09,726
in 3:00 at 3 years old and uh

2889
02:06:09,650 --> 02:06:10,571

2890
02:06:10,538 --> 02:06:10,949

2891
02:06:11,059 --> 02:06:12,680
we

2892
02:06:12,589 --> 02:06:16,291
bring him to a health checkup

2893
02:06:16,631 --> 02:06:17,005

2894
02:06:17,022 --> 02:06:20,220
and at Rhema Hospital

2895
02:06:20,090 --> 02:06:21,974
uh we realize that

2896
02:06:22,390 --> 02:06:22,625

2897
02:06:22,579 --> 02:06:25,793
my son has a hearing impairment

2898
02:06:25,859 --> 02:06:31,559
and that time we are chocked and I and my wife tried to find more information as

2899
02:06:31,421 --> 02:06:37,135
much as possible at the time 15 years ago it has a very limited

2900
02:06:36,939 --> 02:06:40,440
information about quickly implants and

2901
02:06:40,390 --> 02:06:41,443

2902
02:06:41,679 --> 02:06:41,890

2903
02:06:42,129 --> 02:06:47,626
finally we found that the best way is to do the operation and at that time

2904
02:06:47,822 --> 02:06:51,362
we consult with doctor and

2905
02:06:51,424 --> 02:06:53,580
the doctor also check about

2906
02:06:53,660 --> 02:06:57,082
his physical condition his um

2907
02:06:56,979 --> 02:06:58,433
mental

2908
02:06:58,339 --> 02:07:04,766
condition and also uh do assessment and at that time my son only 3 years

2909
02:07:04,609 --> 02:07:05,311

2910
02:07:05,759 --> 02:07:06,712
and

2911
02:07:06,599 --> 02:07:06,801

2912
02:07:06,730 --> 02:07:06,960

2913
02:07:06,979 --> 02:07:08,343

2914
02:07:08,522 --> 02:07:09,943
um

2915
02:07:12,622 --> 02:07:17,504
so his language development is delay comparing to other children

2916
02:07:17,679 --> 02:07:18,147

2917
02:07:18,641 --> 02:07:19,047

2918
02:07:19,025 --> 02:07:25,150
so as fast as he start to hear he can't do a lot

2919
02:07:25,048 --> 02:07:28,782
his language skill

2920
02:07:28,890 --> 02:07:34,358
my mom and my dad really helped me and support me you bring me to

2921
02:07:34,271 --> 02:07:39,565
Center to learn to pronounce the word and he helped correct me

2922
02:07:39,911 --> 02:07:45,298
when I not speak clear and he helped to guide me how to pronounce it

2923
02:07:45,221 --> 02:07:51,530
more properly after I hear after I speak more I began

2924
02:07:51,249 --> 02:07:53,052
to

2925
02:07:52,979 --> 02:07:58,562
relationship with my friend Joy them in many activities I play football with my

2926
02:07:58,421 --> 02:08:04,561
pray and go out and buy things hang out with others I hear many

2927
02:08:04,448 --> 02:08:05,596
things and

2928
02:08:05,344 --> 02:08:05,624

2929
02:08:05,543 --> 02:08:11,239
bring me me attention to other things and I really

2930
02:08:11,042 --> 02:08:13,665
appreciate my support for my mom and my dad

2931
02:08:13,671 --> 02:08:13,877

2932
02:08:14,063 --> 02:08:14,327

2933
02:08:14,249 --> 02:08:14,495

2934
02:08:14,381 --> 02:08:19,965
and if I'm thinking about this situation and I think

2935
02:08:19,761 --> 02:08:22,472
because if I am I'm very glad that

2936
02:08:22,643 --> 02:08:24,267
uh I'm very glad

2937
02:08:24,243 --> 02:08:27,592
and happy with the result I'm glad that

2938
02:08:27,761 --> 02:08:29,728
my son be able to

2939
02:08:29,695 --> 02:08:34,241
um leave his life and

2940
02:08:34,550 --> 02:08:34,752

2941
02:08:34,999 --> 02:08:37,215
the in the beginning

2942
02:08:37,249 --> 02:08:42,137
I see that uh it's not easy and

2943
02:08:42,050 --> 02:08:42,387

2944
02:08:42,499 --> 02:08:44,496
could we also say that

2945
02:08:44,419 --> 02:08:49,893
1 of the success um point for my life is

2946
02:08:49,740 --> 02:08:51,579
be able to get the

2947
02:08:51,461 --> 02:08:55,007
driving license and I also

2948
02:08:55,065 --> 02:08:58,412
be able to drive a car with a license and

2949
02:08:58,319 --> 02:08:58,727

2950
02:08:59,089 --> 02:09:01,201
as a parent

2951
02:09:01,464 --> 02:09:01,671

2952
02:09:01,589 --> 02:09:01,804

2953
02:09:01,781 --> 02:09:07,334
you need to support your child of the cock implant and

2954
02:09:07,481 --> 02:09:13,176
hearing is very important for your children

2955
02:09:13,380 --> 02:09:18,858
when they gain their hearing skill they will be able to continue

2956
02:09:18,821 --> 02:09:20,203
in his life

2957
02:09:20,100 --> 02:09:20,327

2958
02:09:20,301 --> 02:09:20,640

2959
02:09:20,870 --> 02:09:24,722
fluently and I learned about

2960
02:09:24,711 --> 02:09:28,668
the cooking I learned about battery and

2961
02:09:28,561 --> 02:09:28,794

2962
02:09:28,752 --> 02:09:28,997

2963
02:09:29,389 --> 02:09:29,590

2964
02:09:29,581 --> 02:09:32,659
I hear the

2965
02:09:32,720 --> 02:09:38,087
things that moving around in the kitchen and you know here the sound

2966
02:09:38,100 --> 02:09:43,350
when I do cooking it's um make me more enjoy

2967
02:09:43,362 --> 02:09:45,495
and I enjoy

2968
02:09:45,411 --> 02:09:50,802
uh cooking with my friends and I also love to eat a lot of food

2969
02:09:56,810 --> 02:09:59,824

2970
02:10:02,060 --> 02:10:03,430
the thing that

2971
02:10:03,660 --> 02:10:03,908

2972
02:10:04,240 --> 02:10:06,873
we all parents who have

2973
02:10:06,810 --> 02:10:12,878
kids who are in cock that want to happen so Steve's son is a good example is once you have the

2974
02:10:12,701 --> 02:10:14,047
chocolate implant

2975
02:10:13,783 --> 02:10:19,501
you can live a normal life just let me give a little background about Steve before he talks about it

2976
02:10:19,740 --> 02:10:20,567
um

2977
02:10:20,702 --> 02:10:22,820
receive or sorry

2978
02:10:22,821 --> 02:10:23,035

2979
02:10:23,141 --> 02:10:23,740

2980
02:10:23,660 --> 02:10:29,237
your name is very difficult Steve is the vice president of the

2981
02:10:28,971 --> 02:10:30,817
implant Association

2982
02:10:30,959 --> 02:10:32,227
Thailand

2983
02:10:32,303 --> 02:10:34,102
uh and uh

2984
02:10:34,103 --> 02:10:36,976
I am connected with this because of my son

2985
02:10:37,116 --> 02:10:42,432
but the work that Steve and the association is doing to advocate for

2986
02:10:42,622 --> 02:10:45,266
with hearing loss to get a cock implant

2987
02:10:45,373 --> 02:10:46,598
for them to

2988
02:10:46,583 --> 02:10:51,287
go to normal schools for them to have a very normal life is the work

2989
02:10:51,390 --> 02:10:52,502
of our

2990
02:10:52,480 --> 02:10:55,852
uh Association so let's give a hand to Steve

2991
02:10:55,752 --> 02:10:58,586
he can start his presentation thank you

2992
02:11:01,455 --> 02:11:05,218
how the process you know here first thing I have to tell the

2993
02:11:05,045 --> 02:11:10,512
translator behind uh could you be translate my English to be the English

2994
02:11:10,421 --> 02:11:15,831
because of my English is not influence I have to thank you to the

2995
02:11:15,610 --> 02:11:15,975

2996
02:11:16,060 --> 02:11:23,265
Foundation to give out the opportunity invoice our association Commission

2997
02:11:23,041 --> 02:11:23,877

2998
02:11:23,810 --> 02:11:29,330
experience to everyone uh I'm I'm I'm will not talking all the debt

2999
02:11:29,130 --> 02:11:30,837
will follow all

3000
02:11:30,791 --> 02:11:37,307
uh because of you can see all the detail in in the books already but I I going to tell you what

3001
02:11:37,155 --> 02:11:42,841
Association we did we are doing and what is our association

3002
02:11:42,771 --> 02:11:44,287
uh vision

3003
02:11:44,241 --> 02:11:45,142
uh

3004
02:11:45,142 --> 02:11:49,809
in the future and what we are doing in the future uh talking about

3005
02:11:50,142 --> 02:11:52,001
uh 20 years ago

3006
02:11:52,061 --> 02:11:55,172
uh-huh since my son uh was born

3007
02:11:55,262 --> 02:11:56,101
uh

3008
02:11:55,973 --> 02:11:57,441
born

3009
02:11:57,381 --> 02:12:01,780
and during that time there's a we are just realized that the thigh

3010
02:12:01,611 --> 02:12:02,596

3011
02:12:02,572 --> 02:12:05,027
men

3012
02:12:04,811 --> 02:12:05,526
not

3013
02:12:05,700 --> 02:12:09,752
uh subsidi for the operation for the core

3014
02:12:09,622 --> 02:12:10,542
yoohoo

3015
02:12:10,322 --> 02:12:11,254
so

3016
02:12:11,345 --> 02:12:12,582
20 years ago

3017
02:12:12,694 --> 02:12:16,452
my son uh doing the cock clearing pan on the first size

3018
02:12:17,042 --> 02:12:17,238

3019
02:12:17,174 --> 02:12:21,196
at that time the court is 1.2 million B

3020
02:12:21,141 --> 02:12:21,424

3021
02:12:22,042 --> 02:12:23,919
1.2

3022
02:12:24,022 --> 02:12:25,523
but

3023
02:12:25,562 --> 02:12:27,186
so

3024
02:12:27,248 --> 02:12:27,495

3025
02:12:27,550 --> 02:12:33,476
after we did the operate for my son I just talked with my wife hey so this kind of thing is a

3026
02:12:33,251 --> 02:12:34,806
for the social with

3027
02:12:34,661 --> 02:12:37,556
they are not cover all the time people or the

3028
02:12:37,544 --> 02:12:40,146
children so what they are doing

3029
02:12:40,422 --> 02:12:42,662
how how they operate

3030
02:12:42,672 --> 02:12:45,993
so that time we are just and my wife just talking with the

3031
02:12:46,131 --> 02:12:49,354
the ministry uh Governor that

3032
02:12:49,330 --> 02:12:52,820
uh start from the all the global Governor people

3033
02:12:52,981 --> 02:12:55,453
who who have the debt born

3034
02:12:55,801 --> 02:12:57,809
so they better

3035
02:12:58,300 --> 02:12:59,711
Italy and

3036
02:12:59,651 --> 02:13:01,080
so finally

3037
02:13:01,122 --> 02:13:03,442
the ministry and the minister

3038
02:13:03,621 --> 02:13:04,993
they agree

3039
02:13:04,963 --> 02:13:11,822
approved for all the governor during that time that they can reimburse 85% but after that again I just

3040
02:13:11,621 --> 02:13:13,475
tell my wife that I told my wife

3041
02:13:13,294 --> 02:13:16,575
it is unfair also how is normal people

3042
02:13:16,821 --> 02:13:22,511
who work with like a low low slightly they cannot effort for like a 1.2 million but

3043
02:13:22,382 --> 02:13:25,278
so after that I decide to operate

3044
02:13:25,214 --> 02:13:26,061
my son

3045
02:13:25,916 --> 02:13:28,621
on the second size because of

3046
02:13:28,731 --> 02:13:30,218
we need to pushing

3047
02:13:30,140 --> 02:13:31,005
who

3048
02:13:30,900 --> 02:13:36,243
post more the governor or the prime minister at that time and I don't want the people to gossip me that

3049
02:13:36,032 --> 02:13:37,854
uh we are pushing for my son

3050
02:13:37,764 --> 02:13:40,160
so after we operate on the second size

3051
02:13:40,142 --> 02:13:45,486
we are just like lighting the letter to the Prime Minister and the pushing all the ministry in public health

3052
02:13:45,451 --> 02:13:50,052
uh-huh we fighting for almost like a 12 year until last 2 year

3053
02:13:50,190 --> 02:13:51,337
we can get

3054
02:13:51,470 --> 02:13:52,907
the proper law

3055
02:13:53,015 --> 02:13:55,302
they approved all the

3056
02:13:55,316 --> 02:13:59,191
people Everyone that who they born

3057
02:13:59,291 --> 02:14:03,425
they can do the operation 1 side fee of charge

3058
02:14:03,452 --> 02:14:08,297
this is what our association doing but after we

3059
02:14:08,583 --> 02:14:10,026
we realize that

3060
02:14:09,983 --> 02:14:12,536
uh many children

3061
02:14:12,941 --> 02:14:15,835
they did the clay in pan uhuh

3062
02:14:15,692 --> 02:14:18,228
the problem is coming to us

3063
02:14:18,183 --> 02:14:18,567

3064
02:14:18,762 --> 02:14:18,978

3065
02:14:19,141 --> 02:14:20,389
uh not

3066
02:14:20,302 --> 02:14:22,150
not uh how to say

3067
02:14:22,161 --> 02:14:25,151
we just realized the problem is not only the how to

3068
02:14:25,042 --> 02:14:29,315
how to operate how to do the cockpit and but the problem is

3069
02:14:29,721 --> 02:14:31,094
the transition

3070
02:14:31,062 --> 02:14:31,349

3071
02:14:31,190 --> 02:14:33,663
after the call clear implant

3072
02:14:33,753 --> 02:14:37,549
to the normal school to the to the school get the

3073
02:14:37,342 --> 02:14:41,114
get the children to the school most of the parents

3074
02:14:41,184 --> 02:14:43,954
they don't have like the idea they don't know

3075
02:14:43,942 --> 02:14:46,546
the mindset of the balance that that

3076
02:14:46,571 --> 02:14:51,939
thought that after the children doing the clay and then they can put the children to the normal school

3077
02:14:52,013 --> 02:14:52,991
immediately

3078
02:14:53,361 --> 02:14:55,896
they thought that the student can speak immediately

3079
02:14:55,922 --> 02:14:56,151

3080
02:14:56,436 --> 02:14:59,722
but in fact is no because of

3081
02:14:59,703 --> 02:15:05,838
just like uh the children after the operate they just like a baby just born they just yelling

3082
02:15:06,103 --> 02:15:08,119
they just uh listening

3083
02:15:08,340 --> 02:15:11,523
so they need the time to transition

3084
02:15:11,682 --> 02:15:12,918
study

3085
02:15:12,960 --> 02:15:15,672
how to speak study how to

3086
02:15:15,653 --> 02:15:18,350
read study how to write first

3087
02:15:18,341 --> 02:15:20,317
before get to the normal school

3088
02:15:20,261 --> 02:15:20,515

3089
02:15:20,654 --> 02:15:21,573
so

3090
02:15:21,611 --> 02:15:23,634
we try to push

3091
02:15:23,661 --> 02:15:24,949
everything

3092
02:15:25,134 --> 02:15:28,247
even the to go to talking with the

3093
02:15:28,405 --> 02:15:32,706
uh this is the governor of Bangkok home Metro

3094
02:15:32,623 --> 02:15:34,974
I will Association go to

3095
02:15:34,681 --> 02:15:40,074
meeting with them that's hey we know there are many many school the families who

3096
02:15:39,933 --> 02:15:42,364
under the Bangkok metal present

3097
02:15:42,361 --> 02:15:44,089
already check the

3098
02:15:43,907 --> 02:15:45,578
always check the children

3099
02:15:45,505 --> 02:15:47,342
that doing the calculating time

3100
02:15:47,173 --> 02:15:47,649

3101
02:15:48,323 --> 02:15:54,373
so we just talk with them hey can you do uh like a project of the C

3102
02:15:54,092 --> 02:15:54,369

3103
02:15:54,411 --> 02:15:58,573
for the cocking pain children until that the Lord May

3104
02:15:58,573 --> 02:16:01,729
uh Mr chat right now he

3105
02:16:01,843 --> 02:16:07,490
uh he commit to us and doing the project that the reject uh zero reject

3106
02:16:07,440 --> 02:16:12,299
the cocreate plan of uh of the primary school Under the Bangkok rate of return

3107
02:16:12,542 --> 02:16:14,474
uh

3108
02:16:14,393 --> 02:16:15,632
also

3109
02:16:15,874 --> 02:16:16,140

3110
02:16:16,381 --> 02:16:20,963
uh we we are try to uh make

3111
02:16:20,931 --> 02:16:23,137
our our own project

3112
02:16:23,362 --> 02:16:27,243
under under the how to say under the support

3113
02:16:27,142 --> 02:16:32,108
from uh debt Foundation Dr Mallika that we open our

3114
02:16:32,211 --> 02:16:35,641
ABT not ABT the speed Therapy Center

3115
02:16:35,793 --> 02:16:37,868
in our association

3116
02:16:37,901 --> 02:16:38,097

3117
02:16:38,101 --> 02:16:39,847
offer to all the children

3118
02:16:39,962 --> 02:16:43,648
or uh just doing the calculator and

3119
02:16:43,542 --> 02:16:45,718
need to study to

3120
02:16:45,662 --> 02:16:46,781
to speak

3121
02:16:46,811 --> 02:16:47,010

3122
02:16:47,193 --> 02:16:50,388
so they can come to our association every Saturday

3123
02:16:50,275 --> 02:16:51,554
free of charge

3124
02:16:51,551 --> 02:16:53,025
this kind of thing that

3125
02:16:53,093 --> 02:16:53,434

3126
02:16:53,544 --> 02:16:58,887
uh we our association we have we can we we can support right now but

3127
02:16:58,982 --> 02:17:02,065
a problem another problem that after we talked with the

3128
02:17:02,124 --> 02:17:02,935
uh

3129
02:17:03,081 --> 02:17:05,092
depth Foundation that

3130
02:17:05,331 --> 02:17:08,757
right now in Thailand we don't have much for the speech therapy

3131
02:17:08,595 --> 02:17:08,839

3132
02:17:08,851 --> 02:17:10,399
so we have to set up

3133
02:17:10,382 --> 02:17:12,726
the avt center

3134
02:17:12,764 --> 02:17:13,938
and the

3135
02:17:13,913 --> 02:17:15,971
uh all the people

3136
02:17:16,095 --> 02:17:21,988
to know all the teacher specialized teacher how to know uh to know how to

3137
02:17:21,794 --> 02:17:22,685

3138
02:17:22,822 --> 02:17:25,169
uh the cock in pan children

3139
02:17:25,182 --> 02:17:30,775
this is the project for the future and yesterday that's we went to the

3140
02:17:30,631 --> 02:17:34,152
hospital so I had to talk with them

3141
02:17:34,222 --> 02:17:40,079
because of what she like uh hospital they going to be start from uh they are going to be start

3142
02:17:40,116 --> 02:17:45,595
support check I had the first project for like a center and also talk with

3143
02:17:45,364 --> 02:17:46,376
uh

3144
02:17:46,332 --> 02:17:49,035

3145
02:17:49,021 --> 02:17:52,778
we are try to uh

3146
02:17:52,601 --> 02:17:54,316
not only how to say

3147
02:17:54,463 --> 02:17:58,349
uh try to ask all the pilots of the children

3148
02:17:58,372 --> 02:18:01,792
who did the clay in pan come to learn also

3149
02:18:02,223 --> 02:18:06,053
this is uh the the thing that uh our association

3150
02:18:05,864 --> 02:18:10,756
uh we're going to do in the future so uh

3151
02:18:13,050 --> 02:18:13,333

3152
02:18:13,871 --> 02:18:18,653
so that's all I will Association we are doing thank you

3153
02:18:18,942 --> 02:18:22,163

3154
02:18:22,334 --> 02:18:22,606

3155
02:18:23,483 --> 02:18:23,747

3156
02:18:24,384 --> 02:18:24,629

3157
02:18:24,502 --> 02:18:24,748

3158
02:18:25,216 --> 02:18:25,440

3159
02:18:25,403 --> 02:18:25,804

3160
02:18:25,783 --> 02:18:26,041

3161
02:18:25,924 --> 02:18:26,264

3162
02:18:26,302 --> 02:18:26,585

3163
02:18:26,752 --> 02:18:27,177

3164
02:18:26,941 --> 02:18:29,311
thank you very much and Steve

3165
02:18:31,872 --> 02:18:32,801
thank you

3166
02:18:32,835 --> 02:18:33,311

3167
02:18:33,341 --> 02:18:33,634

3168
02:18:33,984 --> 02:18:34,171

3169
02:18:35,852 --> 02:18:36,131

3170
02:18:36,171 --> 02:18:36,772

3171
02:18:36,872 --> 02:18:37,560

3172
02:18:38,357 --> 02:18:38,574

3173
02:18:38,541 --> 02:18:40,083

3174
02:18:40,013 --> 02:18:41,837
contact

3175
02:18:41,864 --> 02:18:42,596

3176
02:18:42,701 --> 02:18:43,116

3177
02:18:43,152 --> 02:18:43,413

3178
02:18:43,283 --> 02:18:43,560

3179
02:18:43,667 --> 02:18:43,929

3180
02:18:43,983 --> 02:18:44,274

3181
02:18:44,690 --> 02:18:44,965

3182
02:18:45,014 --> 02:18:45,973

3183
02:18:47,184 --> 02:18:47,659

3184
02:18:48,285 --> 02:18:48,488

3185
02:18:48,782 --> 02:18:49,071

3186
02:18:49,042 --> 02:18:49,577

3187
02:18:49,552 --> 02:18:50,557

3188
02:18:51,034 --> 02:18:51,277

3189
02:18:51,485 --> 02:18:51,675

3190
02:18:51,742 --> 02:18:51,989

3191
02:18:52,122 --> 02:18:52,371

3192
02:18:52,443 --> 02:18:53,110

3193
02:18:53,342 --> 02:18:53,862
this

3194
02:18:54,553 --> 02:18:54,788

3195
02:18:55,191 --> 02:18:55,542

3196
02:18:55,642 --> 02:18:55,865

3197
02:18:56,222 --> 02:18:56,506

3198
02:18:56,472 --> 02:18:56,720

3199
02:18:56,663 --> 02:18:56,883

3200
02:18:56,862 --> 02:18:57,104

3201
02:18:57,637 --> 02:18:58,023

3202
02:18:58,392 --> 02:18:59,244

3203
02:18:59,235 --> 02:19:00,098

3204
02:19:00,385 --> 02:19:00,658

3205
02:19:01,664 --> 02:19:01,904

3206
02:19:03,585 --> 02:19:03,985

3207
02:19:04,162 --> 02:19:06,358
okay uh

3208
02:19:10,186 --> 02:19:13,545
from China via Zoom Dr tatone are you

3209
02:19:13,643 --> 02:19:16,615
in Zoom right now can we see you yes

3210
02:19:16,593 --> 02:19:19,642
yes I will

3211
02:19:19,542 --> 02:19:19,990

3212
02:19:21,262 --> 02:19:26,609
oh great so how are you good thank you

3213
02:19:26,713 --> 02:19:29,638
yeah I will share my slide now

3214
02:19:29,462 --> 02:19:29,807

3215
02:19:31,774 --> 02:19:32,392

3216
02:19:34,212 --> 02:19:39,832
can you see me my my my slide yes yes you can see your slide in here as well audio is very

3217
02:19:39,784 --> 02:19:40,460
thank you

3218
02:19:40,743 --> 02:19:45,836
okay thank you so my name is I am

3219
02:19:45,743 --> 02:19:48,453
dat 30 and add content University

3220
02:19:48,623 --> 02:19:51,599
sorry that I can join the meeting

3221
02:19:51,574 --> 02:19:56,266
website because uh today is my outpatient clinic

3222
02:19:56,183 --> 02:19:59,038
is 5 BC to to

3223
02:19:59,005 --> 02:20:01,593
to to travel to Bangkok

3224
02:20:01,506 --> 02:20:02,657
anyway

3225
02:20:02,713 --> 02:20:07,829
uh What uh is it my partner to to be speaking

3226
02:20:07,924 --> 02:20:13,419
for this for this conference uh my title today is from

3227
02:20:13,862 --> 02:20:15,523
ing to learning

3228
02:20:15,593 --> 02:20:21,341
from the uh educational outcomes in their children both corporate

3229
02:20:20,842 --> 02:20:21,987
implantation

3230
02:20:22,831 --> 02:20:24,710
so

3231
02:20:27,777 --> 02:20:28,007

3232
02:20:28,142 --> 02:20:33,483
we know that uh the hearing loss is uh By Appointment problem

3233
02:20:34,232 --> 02:20:37,349
up from the data from the BHO

3234
02:20:37,776 --> 02:20:43,662
uh they found that uh over 1.5 billion people worldwide is have

3235
02:20:43,844 --> 02:20:45,532
some degree of

3236
02:20:45,577 --> 02:20:47,142
having impairment

3237
02:20:47,504 --> 02:20:47,752

3238
02:20:48,155 --> 02:20:48,423

3239
02:20:49,293 --> 02:20:52,259
and in Thailand we also have a study

3240
02:20:52,363 --> 02:20:56,896
uh this uh significant study is conducted by

3241
02:20:57,175 --> 02:20:59,354
for faster

3242
02:20:59,544 --> 02:21:00,379

3243
02:21:00,625 --> 02:21:05,158
uh she uh contact the uh survey in in

3244
02:21:04,982 --> 02:21:09,328
not only in Bangkok but but in the rural area also

3245
02:21:09,533 --> 02:21:11,255
too far that

3246
02:21:11,582 --> 02:21:12,930
in Bangkok

3247
02:21:12,863 --> 02:21:13,802
uh

3248
02:21:13,826 --> 02:21:16,916
3.55 of the

3249
02:21:17,027 --> 02:21:18,320
population

3250
02:21:18,304 --> 02:21:19,773
have

3251
02:21:19,853 --> 02:21:23,377
that's already near say neural

3252
02:21:23,432 --> 02:21:26,364
and file that in the rural area

3253
02:21:26,505 --> 02:21:28,884
the the incident is increasing

3254
02:21:28,694 --> 02:21:30,264
2356

3255
02:21:31,183 --> 02:21:33,743
and so uh in this study

3256
02:21:33,875 --> 02:21:37,398
say that

3257
02:21:37,346 --> 02:21:40,307
the the real different environments

3258
02:21:40,283 --> 02:21:42,632
in Thailand should be around

3259
02:21:42,715 --> 02:21:44,590
2.5

3260
02:21:44,583 --> 02:21:45,677
5%

3261
02:21:45,734 --> 02:21:49,404
operation is that if like surprising time

3262
02:21:50,214 --> 02:21:50,459

3263
02:21:50,665 --> 02:21:56,081
and uh from the previous uh presenter we we already know about the

3264
02:21:56,103 --> 02:21:59,676
operating implant uh the cockran time is the

3265
02:22:00,025 --> 02:22:03,985
uh surgically implant electronic device

3266
02:22:04,114 --> 02:22:09,087
that uh that the 13th insert into the inner ear to let the

3267
02:22:09,053 --> 02:22:10,922
the deaf patient

3268
02:22:11,614 --> 02:22:14,367
looking at again but it is not all

3269
02:22:14,365 --> 02:22:16,505
necessary is not all

3270
02:22:16,865 --> 02:22:19,761
we need to do the rehabilitation

3271
02:22:20,002 --> 02:22:21,555
after the surgery

3272
02:22:21,983 --> 02:22:22,244

3273
02:22:22,373 --> 02:22:22,641

3274
02:22:22,621 --> 02:22:22,874

3275
02:22:23,202 --> 02:22:26,109
it is the

3276
02:22:26,472 --> 02:22:30,703
what we have try to do in in

3277
02:22:30,574 --> 02:22:31,871
in previous

3278
02:22:31,784 --> 02:22:33,482
10 years ago

3279
02:22:33,398 --> 02:22:35,542
is the we try to

3280
02:22:35,765 --> 02:22:40,360
have a great day we call this regret the co-creating primary disease

3281
02:22:40,244 --> 02:22:41,607
of Thailand

3282
02:22:41,916 --> 02:22:45,785
it is the National Database that collect data

3283
02:22:45,886 --> 02:22:46,738

3284
02:22:46,715 --> 02:22:47,946
in the

3285
02:22:48,137 --> 02:22:50,511
University Hospital

3286
02:22:50,434 --> 02:22:51,779
that

3287
02:22:52,166 --> 02:22:52,378

3288
02:22:52,804 --> 02:22:56,293
performed the corporate impact surgery and collect data

3289
02:22:56,194 --> 02:22:57,755
from

3290
02:22:58,006 --> 02:23:02,098
past 10 years we have in this we can see we have

3291
02:23:02,794 --> 02:23:04,103
the

3292
02:23:04,392 --> 02:23:06,897
the database around 500

3293
02:23:06,965 --> 02:23:09,101
uh patient in District

3294
02:23:10,803 --> 02:23:14,879
uh for the outcome that we have a published in

3295
02:23:14,786 --> 02:23:15,048

3296
02:23:15,223 --> 02:23:17,677
2021

3297
02:23:17,723 --> 02:23:23,032
we found that this is the surgical Improvement we found that the killing level

3298
02:23:23,106 --> 02:23:24,503
technically

3299
02:23:24,454 --> 02:23:25,363
improve

3300
02:23:25,472 --> 02:23:28,320
and we also found that the speech

3301
02:23:28,423 --> 02:23:30,789
mailing level is also improved

3302
02:23:30,985 --> 02:23:32,084
also

3303
02:23:34,765 --> 02:23:36,064
that

3304
02:23:36,042 --> 02:23:36,241

3305
02:23:36,685 --> 02:23:39,654
uh that is the surgical outcome

3306
02:23:39,823 --> 02:23:43,251
we don't know about after the surgery

3307
02:23:43,735 --> 02:23:47,609
what is the learning outcome of the patient

3308
02:23:48,169 --> 02:23:54,097
so as we already have the registry

3309
02:23:53,214 --> 02:23:56,713
so we try to use

3310
02:23:56,673 --> 02:23:58,510
uh existing

3311
02:23:59,554 --> 02:24:02,404
to collect the data about the

3312
02:24:03,273 --> 02:24:05,542
the academic performance

3313
02:24:05,642 --> 02:24:08,211
of this patient so

3314
02:24:08,906 --> 02:24:13,881
so the objective of this this study is to

3315
02:24:14,104 --> 02:24:15,374

3316
02:24:15,313 --> 02:24:18,208
welcome of the learning of the pages

3317
02:24:20,521 --> 02:24:22,423
we collect

3318
02:24:22,554 --> 02:24:26,397
the participant from for

3319
02:24:26,588 --> 02:24:29,118
for University contact University

3320
02:24:29,225 --> 02:24:34,284
and we got

3321
02:24:34,143 --> 02:24:38,742
for 47 participants that uh

3322
02:24:38,123 --> 02:24:40,944
that uh agree to participate in

3323
02:24:41,193 --> 02:24:42,956
in the data collection

3324
02:24:45,234 --> 02:24:45,500

3325
02:24:46,193 --> 02:24:50,842
this is the uh H group of the patient that

3326
02:24:50,825 --> 02:24:54,976
agree to pass the pair most of the patient is in the

3327
02:24:55,507 --> 02:24:57,466
early Year from

3328
02:24:57,293 --> 02:24:57,586

3329
02:24:57,482 --> 02:24:58,733
22

3330
02:24:58,633 --> 02:24:59,693
and

3331
02:24:59,594 --> 02:25:00,374

3332
02:25:00,374 --> 02:25:02,249
the next half is from

3333
02:25:02,933 --> 02:25:05,945
12 18 and more than 18

3334
02:25:08,907 --> 02:25:09,173

3335
02:25:09,212 --> 02:25:09,446

3336
02:25:09,724 --> 02:25:14,521
and the female and male is quite far

3337
02:25:14,463 --> 02:25:16,290
50 and 47

3338
02:25:17,283 --> 02:25:17,526

3339
02:25:18,053 --> 02:25:18,334

3340
02:25:18,882 --> 02:25:19,240

3341
02:25:19,262 --> 02:25:22,372
this is what we found from the

3342
02:25:22,593 --> 02:25:26,152
that that current uh GPA

3343
02:25:26,182 --> 02:25:30,237
most of the patient have the GPS

3344
02:25:30,475 --> 02:25:33,031
around 3 to 4

3345
02:25:33,943 --> 02:25:35,263
then

3346
02:25:35,282 --> 02:25:37,150
some of them have

3347
02:25:37,395 --> 02:25:41,424
the TVA from 2 to 3 and

3348
02:25:41,701 --> 02:25:45,565
only a small portion allow 20% have

3349
02:25:45,732 --> 02:25:48,513
the GPA that is not not quite good

3350
02:25:50,032 --> 02:25:55,370
when we as as the uh ml

3351
02:25:55,476 --> 02:25:59,311
we also file file that most of the patient is

3352
02:25:59,703 --> 02:26:01,852
is quite good at Learning

3353
02:26:04,633 --> 02:26:04,846

3354
02:26:05,394 --> 02:26:07,479
so we

3355
02:26:07,394 --> 02:26:12,719
try to use that that TVA pi to during knowing the

3356
02:26:12,970 --> 02:26:15,512
vacation Model 25

3357
02:26:15,393 --> 02:26:16,067

3358
02:26:16,231 --> 02:26:22,123
for from the 77 patient if they have some of the significant

3359
02:26:21,925 --> 02:26:23,004
factor that

3360
02:26:23,274 --> 02:26:24,127
that

3361
02:26:24,233 --> 02:26:26,708
affect the GPA

3362
02:26:27,246 --> 02:26:30,590
he found that only the

3363
02:26:31,282 --> 02:26:32,681
Olive and Factor

3364
02:26:33,332 --> 02:26:36,873
that at the communication method that

3365
02:26:36,914 --> 02:26:37,429

3366
02:26:37,434 --> 02:26:40,323
that is the significant factor for

3367
02:26:40,833 --> 02:26:44,008
to be uh better learn learn

3368
02:26:46,521 --> 02:26:51,842
for the fact getting a intelligent level cap score

3369
02:26:52,102 --> 02:26:55,894
body attending method it's called for training

3370
02:26:55,882 --> 02:26:58,438
Guardian a number of families

3371
02:26:58,586 --> 02:27:03,668
member death family member type of school and this time of

3372
02:27:03,703 --> 02:27:06,033
is not significant

3373
02:27:06,196 --> 02:27:08,777
but uh I would like to say that

3374
02:27:08,822 --> 02:27:10,951
this is the

3375
02:27:11,065 --> 02:27:14,220
eliminate the data from from only

3376
02:27:14,654 --> 02:27:16,669
less than 100 patient

3377
02:27:16,634 --> 02:27:20,963
so uh it may be significant if we

3378
02:27:20,995 --> 02:27:23,511
contact the larger

3379
02:27:23,365 --> 02:27:24,934
study population

3380
02:27:27,073 --> 02:27:32,564
so uh what if can can what we can conclude from this stat

3381
02:27:32,333 --> 02:27:33,084

3382
02:27:33,422 --> 02:27:38,092
uh this is uh just a preliminary data that you saw that

3383
02:27:38,103 --> 02:27:41,893
uh the patient in in our registry is

3384
02:27:41,815 --> 02:27:44,468
put in at Learning

3385
02:27:43,601 --> 02:27:48,291
and file also file that is uh communication working language

3386
02:27:48,091 --> 02:27:49,813
communication is

3387
02:27:49,884 --> 02:27:53,603
the factor that it contribute to improved public

3388
02:27:53,416 --> 02:27:55,041
academic performance

3389
02:27:56,102 --> 02:27:56,832

3390
02:27:56,802 --> 02:27:57,937
okay

3391
02:27:57,892 --> 02:28:00,651
that is out of my presentation

3392
02:28:00,714 --> 02:28:02,526
thank you

3393
02:28:07,692 --> 02:28:07,974

3394
02:28:07,885 --> 02:28:08,285

3395
02:28:08,272 --> 02:28:13,648
thank you Dr pathan uh for your outstanding presentation thank you very much

3396
02:28:13,521 --> 02:28:13,930

3397
02:28:14,803 --> 02:28:15,168

3398
02:28:15,953 --> 02:28:16,303

3399
02:28:16,535 --> 02:28:16,733

3400
02:28:16,992 --> 02:28:17,281

3401
02:28:17,502 --> 02:28:17,999

3402
02:28:19,049 --> 02:28:19,325

3403
02:28:19,353 --> 02:28:19,634

3404
02:28:19,613 --> 02:28:20,016

3405
02:28:20,063 --> 02:28:24,735
no um our next speaker today is uh Dr

3406
02:28:24,992 --> 02:28:26,097
Jennifer

3407
02:28:26,793 --> 02:28:29,445
from uh the Philippines

3408
02:28:29,792 --> 02:28:31,745
welcome to the state

3409
02:28:32,613 --> 02:28:32,969

3410
02:28:32,934 --> 02:28:33,463

3411
02:28:33,772 --> 02:28:34,197

3412
02:28:34,354 --> 02:28:36,042

3413
02:28:36,142 --> 02:28:36,368

3414
02:28:36,714 --> 02:28:36,984

3415
02:28:37,292 --> 02:28:37,533

3416
02:28:37,485 --> 02:28:37,675

3417
02:28:38,192 --> 02:28:38,455

3418
02:28:38,328 --> 02:28:39,182

3419
02:28:39,153 --> 02:28:39,526

3420
02:28:39,472 --> 02:28:42,554

3421
02:28:42,803 --> 02:28:43,069

3422
02:28:43,122 --> 02:28:43,376

3423
02:28:43,636 --> 02:28:43,881

3424
02:28:44,022 --> 02:28:44,320

3425
02:28:44,152 --> 02:28:44,368

3426
02:28:44,591 --> 02:28:44,801

3427
02:28:44,793 --> 02:28:44,982

3428
02:28:44,986 --> 02:28:45,317

3429
02:28:45,872 --> 02:28:46,602

3430
02:28:47,035 --> 02:28:47,291

3431
02:28:47,222 --> 02:28:47,468

3432
02:28:47,412 --> 02:28:47,698

3433
02:28:47,671 --> 02:28:48,699

3434
02:28:49,337 --> 02:28:49,950

3435
02:28:51,003 --> 02:28:51,276

3436
02:28:51,511 --> 02:28:51,710

3437
02:28:52,413 --> 02:28:52,687

3438
02:28:52,791 --> 02:28:52,980

3439
02:28:52,922 --> 02:28:53,202

3440
02:28:53,373 --> 02:28:53,727

3441
02:28:53,692 --> 02:28:54,096

3442
02:28:54,911 --> 02:28:55,255

3443
02:28:55,993 --> 02:28:56,262

3444
02:28:56,191 --> 02:28:56,427

3445
02:28:56,572 --> 02:28:56,854

3446
02:28:56,832 --> 02:28:57,094

3447
02:28:58,242 --> 02:28:58,429

3448
02:28:58,451 --> 02:28:58,787

3449
02:28:58,754 --> 02:28:59,480

3450
02:28:59,522 --> 02:28:59,782

3451
02:28:59,841 --> 02:29:00,252

3452
02:29:00,423 --> 02:29:00,708

3453
02:29:00,741 --> 02:29:00,993

3454
02:29:00,933 --> 02:29:01,212

3455
02:29:01,192 --> 02:29:01,986

3456
02:29:02,084 --> 02:29:03,130

3457
02:29:03,433 --> 02:29:03,628

3458
02:29:03,754 --> 02:29:04,498

3459
02:29:04,711 --> 02:29:06,471

3460
02:29:06,512 --> 02:29:07,249

3461
02:29:07,272 --> 02:29:07,532

3462
02:29:07,533 --> 02:29:09,672

3463
02:29:09,711 --> 02:29:09,919

3464
02:29:10,032 --> 02:29:10,303

3465
02:29:10,411 --> 02:29:10,667

3466
02:29:10,991 --> 02:29:11,352

3467
02:29:11,312 --> 02:29:11,505

3468
02:29:11,432 --> 02:29:12,555

3469
02:29:12,522 --> 02:29:13,156

3470
02:29:13,105 --> 02:29:13,324

3471
02:29:13,292 --> 02:29:16,898

3472
02:29:17,011 --> 02:29:17,262

3473
02:29:17,204 --> 02:29:17,453

3474
02:29:17,522 --> 02:29:19,080

3475
02:29:19,122 --> 02:29:19,371

3476
02:29:19,632 --> 02:29:21,199

3477
02:29:21,361 --> 02:29:23,689

3478
02:29:24,062 --> 02:29:26,053

3479
02:29:25,981 --> 02:29:27,296

3480
02:29:30,613 --> 02:29:32,061

3481
02:29:44,376 --> 02:29:44,968

3482
02:29:44,942 --> 02:29:47,566

3483
02:29:47,703 --> 02:29:49,813

3484
02:29:53,203 --> 02:29:53,838

3485
02:29:53,782 --> 02:29:56,551

3486
02:29:56,473 --> 02:30:01,710

3487
02:30:01,853 --> 02:30:02,884

3488
02:30:07,043 --> 02:30:07,949
point out

3489
02:30:07,874 --> 02:30:10,685
today you got a very interesting experience

3490
02:30:10,952 --> 02:30:15,222
uh at 1:00 you got to got to see Dr Basa

3491
02:30:15,111 --> 02:30:17,105
as a a specialist

3492
02:30:17,101 --> 02:30:18,885
how she's teaching

3493
02:30:18,951 --> 02:30:21,112
a cock implanted kits

3494
02:30:21,143 --> 02:30:27,363
then you got to see the real thing which these presentation how his child is with the cock leaving a

3495
02:30:27,093 --> 02:30:28,338
totally normal life

3496
02:30:28,195 --> 02:30:28,432

3497
02:30:28,526 --> 02:30:33,975
and then to end it we have Dr pathan talking about cock plans are you getting from the medical

3498
02:30:33,826 --> 02:30:34,520
you

3499
02:30:34,526 --> 02:30:38,812
getting from the parent view getting from a specialist view so it's

3500
02:30:38,882 --> 02:30:40,508
complete package today

3501
02:30:40,551 --> 02:30:44,628
so I think we were very lucky today now don't you agree Dr maliwan

3502
02:30:44,524 --> 02:30:46,297
should I call you Dr Mallika

3503
02:30:46,251 --> 02:30:48,886

3504
02:30:49,001 --> 02:30:49,288

3505
02:30:49,393 --> 02:30:49,736

3506
02:30:50,152 --> 02:30:50,388

3507
02:30:50,412 --> 02:30:50,844

3508
02:30:50,794 --> 02:30:51,562

3509
02:30:52,396 --> 02:30:52,630

3510
02:30:52,651 --> 02:30:53,325

3511
02:30:53,873 --> 02:30:56,237

3512
02:30:56,694 --> 02:30:56,915

3513
02:30:57,331 --> 02:30:57,870

3514
02:30:57,972 --> 02:30:59,408
okay

3515
02:30:59,253 --> 02:30:59,501

3516
02:31:03,674 --> 02:31:03,894

3517
02:31:03,873 --> 02:31:04,154

3518
02:31:04,513 --> 02:31:07,029

3519
02:31:07,002 --> 02:31:07,290

3520
02:31:07,713 --> 02:31:07,997

3521
02:31:08,474 --> 02:31:09,082

3522
02:31:09,052 --> 02:31:09,534

3523
02:31:10,914 --> 02:31:11,319

3524
02:31:13,352 --> 02:31:13,601

3525
02:31:13,794 --> 02:31:14,083

3526
02:31:14,695 --> 02:31:14,919

3527
02:31:14,882 --> 02:31:15,089

3528
02:31:15,146 --> 02:31:15,733

3529
02:31:15,715 --> 02:31:16,073

3530
02:31:16,231 --> 02:31:17,630

3531
02:31:19,181 --> 02:31:19,400

3532
02:31:19,433 --> 02:31:19,687

3533
02:31:20,654 --> 02:31:20,925

3534
02:31:21,163 --> 02:31:21,433

3535
02:31:21,745 --> 02:31:24,450
okay we're ready Dr Jen

3536
02:31:43,537 --> 02:31:45,699
good afternoon everyone

3537
02:31:48,071 --> 02:31:53,562
I'm a faculty member at the essential University College of Optometry in the Philippines

3538
02:31:54,093 --> 02:31:55,465
and I'm here

3539
02:31:55,821 --> 02:32:01,603
to present an ongoing collaborative case study with Dr Seline feeble Conte

3540
02:32:01,144 --> 02:32:02,687
entitled

3541
02:32:02,991 --> 02:32:07,412
apologetic in developmental case study of a child with autism

3542
02:32:07,872 --> 02:32:11,924
understanding developmental challenges and interventions

3543
02:32:12,671 --> 02:32:12,923

3544
02:32:13,822 --> 02:32:14,027

3545
02:32:14,072 --> 02:32:17,610
according to World Health Organization

3546
02:32:17,600 --> 02:32:21,688
autism spectrum disorders are a diverse group of conditions

3547
02:32:22,341 --> 02:32:27,692
they are characterized by some degree of difficulty with social interactions and communication

3548
02:32:28,765 --> 02:32:32,237
and about 1 in 100 children has autism

3549
02:32:32,792 --> 02:32:36,651
in the Philippines according to Autism Society Philippines

3550
02:32:37,334 --> 02:32:41,036
also 1 in 100 Filipino childrens

3551
02:32:41,053 --> 02:32:43,109
are on the autism spectrum

3552
02:32:43,672 --> 02:32:46,962
translates approximately 1.2 million

3553
02:32:47,003 --> 02:32:48,034
Filipinos

3554
02:32:48,554 --> 02:32:48,812

3555
02:32:48,742 --> 02:32:49,658

3556
02:32:49,571 --> 02:32:52,152
as an optometrist um

3557
02:32:52,191 --> 02:32:57,722
I know how important to understand how to deal with different types of patients with

3558
02:32:57,584 --> 02:32:58,907
and conditions

3559
02:32:59,503 --> 02:32:59,727

3560
02:32:59,636 --> 02:33:03,044
and um autism is 1 of them

3561
02:33:03,721 --> 02:33:03,940

3562
02:33:04,185 --> 02:33:04,468

3563
02:33:04,435 --> 02:33:09,143
assessing them with the primary goal of improving their quality of life

3564
02:33:10,453 --> 02:33:14,990
enhancing their cooperation during assessment and evaluation

3565
02:33:14,942 --> 02:33:15,244

3566
02:33:15,261 --> 02:33:21,117
to get the most accurate result possible and to provide them with the best

3567
02:33:21,034 --> 02:33:22,183
proper management

3568
02:33:22,754 --> 02:33:27,992
it also promotes inclusivity and equitability

3569
02:33:28,137 --> 02:33:30,506
because everyone has the right to

3570
02:33:31,854 --> 02:33:33,603
quality I Healthcare

3571
02:33:34,411 --> 02:33:37,498
the case study that I'm about to present

3572
02:33:39,792 --> 02:33:41,429
comprehensive assessment

3573
02:33:41,335 --> 02:33:43,128
change his name with autism

3574
02:33:42,991 --> 02:33:43,255

3575
02:33:43,254 --> 02:33:46,956
to identify not only developmental delays

3576
02:33:46,712 --> 02:33:49,496
but also how visual Behavior

3577
02:33:49,343 --> 02:33:51,396
affects overall learning

3578
02:33:51,322 --> 02:33:52,574
and interaction

3579
02:33:52,923 --> 02:33:53,223

3580
02:33:58,055 --> 02:34:03,248
for the patient's profile or CVS a 4-year-old and 4 month

3581
02:34:03,111 --> 02:34:06,481
both meal residing in Venezuela City Philippines

3582
02:34:06,891 --> 02:34:12,388
he underwent his first comprehensive I envisioned examination due to concerns trees

3583
02:34:12,026 --> 02:34:13,529
his grandmother

3584
02:34:14,262 --> 02:34:19,512
it's gone by the reported that the child has always watches very near the television

3585
02:34:19,393 --> 02:34:19,662

3586
02:34:19,581 --> 02:34:21,425
and has 4 eye contact

3587
02:34:23,674 --> 02:34:23,934

3588
02:34:24,704 --> 02:34:30,274
he was born on April 1513 on full-term via cesarean section with no

3589
02:34:30,152 --> 02:34:31,616
started complication

3590
02:34:32,132 --> 02:34:32,425

3591
02:34:32,710 --> 02:34:38,488
the patient is primarily cared for by his grandmother after his parents separated

3592
02:34:38,222 --> 02:34:40,099
said when he was 1 year old

3593
02:34:40,204 --> 02:34:45,476
and his grandmother lacks details on maternal Health practices during pregnancy

3594
02:34:46,552 --> 02:34:51,120
for the early developmental concerns the grandmother

3595
02:34:51,351 --> 02:34:51,653

3596
02:34:51,552 --> 02:34:56,139
reported that she observed significant speech delays

3597
02:34:56,151 --> 02:34:59,465
no thing that he was not the patient is not talking

3598
02:34:59,362 --> 02:35:00,751
by the age of 2

3599
02:35:01,476 --> 02:35:06,880
despite the initial denial by his parents the grandmother insisted on Consulting

3600
02:35:06,725 --> 02:35:09,516
education regarding the patient

3601
02:35:09,293 --> 02:35:10,865
unusual behaviors

3602
02:35:13,001 --> 02:35:13,253

3603
02:35:13,393 --> 02:35:18,136
in May 2017 the patient was diagnosed with autism

3604
02:35:18,133 --> 02:35:23,332
switch delay and communication disorder by a behavioral pediatrician

3605
02:35:23,776 --> 02:35:29,084
he's currently enrolled in a special education School in an apple Learning Center

3606
02:35:29,662 --> 02:35:32,977
reflecting his need for the Lord educational support

3607
02:35:36,078 --> 02:35:41,378
according to his grandmother the patient exhibits 4 eye contact

3608
02:35:41,262 --> 02:35:45,447
prefer solitary play and is drawn to repetitive movements

3609
02:35:45,612 --> 02:35:45,901

3610
02:35:46,513 --> 02:35:52,476
his communication is limited although he has shown improvement with speech therapy verbalizing more

3611
02:35:52,401 --> 02:35:52,999

3612
02:35:53,175 --> 02:35:55,793
since his enrollment in educational programs

3613
02:35:59,786 --> 02:36:00,029

3614
02:36:00,152 --> 02:36:00,506

3615
02:36:00,545 --> 02:36:00,756

3616
02:36:01,632 --> 02:36:01,835

3617
02:36:02,521 --> 02:36:05,616
during his visit in the clinic

3618
02:36:05,732 --> 02:36:11,231
it is very um evident that the patient exhibits significant difficulty making

3619
02:36:11,113 --> 02:36:12,113
my contact

3620
02:36:12,524 --> 02:36:12,741

3621
02:36:12,712 --> 02:36:18,006
often staring at certain objects or patterns instead of engaging with people

3622
02:36:19,195 --> 02:36:24,950
upon conducting tests that needs illumination the patient exhibits sensitivity to light

3623
02:36:25,522 --> 02:36:31,332
is pushing or rubbing his eyes and shows fascination with lights and shadows

3624
02:36:31,101 --> 02:36:34,247
indicating possible sensory integration challenges

3625
02:36:34,945 --> 02:36:35,169

3626
02:36:35,194 --> 02:36:35,594

3627
02:36:36,352 --> 02:36:41,788
the patient also demonstrates restrictive and repetitive Behavior such as fixed

3628
02:36:41,601 --> 02:36:43,190
on moving objects

3629
02:36:43,201 --> 02:36:45,654
you're engaging in repetitive motions

3630
02:36:45,582 --> 02:36:48,825
this behavior is reflexes need for your team

3631
02:36:48,782 --> 02:36:52,400
predictability which is typical in autism spectrum disorder

3632
02:36:53,071 --> 02:36:53,308

3633
02:36:54,800 --> 02:37:00,125
these are some of the actual response of the patient during the assessment

3634
02:37:01,335 --> 02:37:06,798
um he becomes upset with slight changes in routine or he makes little or inconsistent

3635
02:37:06,521 --> 02:37:07,817
I contact

3636
02:37:07,871 --> 02:37:12,062
ombre shares enjoyment by pointing out or show showing things

3637
02:37:11,972 --> 02:37:12,221

3638
02:37:12,104 --> 02:37:12,388

3639
02:37:12,292 --> 02:37:13,768
and the others

3640
02:37:14,472 --> 02:37:14,723

3641
02:37:15,872 --> 02:37:21,206
for the assessment results we use The Shining Oak assessment tool which is standard

3642
02:37:21,134 --> 02:37:23,512
adopted for Filipino children

3643
02:37:23,563 --> 02:37:29,117
to assess growth and developmental Milestones which comes from civilian Asia Institute

3644
02:37:29,405 --> 02:37:34,317
which consists of or assess 5 domains which is the motor cognitive language

3645
02:37:34,191 --> 02:37:36,049
self-help and socialization

3646
02:37:35,933 --> 02:37:36,388
deals

3647
02:37:37,022 --> 02:37:40,055
for the motor skills evaluation

3648
02:37:40,792 --> 02:37:46,229
the patient demonstrated significant limitations in motor skills achieving only 2 out of

3649
02:37:46,112 --> 02:37:47,935
16 essential tasks

3650
02:37:47,711 --> 02:37:48,568
such

3651
02:37:48,553 --> 02:37:50,834
working in a balance beam

3652
02:37:50,853 --> 02:37:52,125
jumping

3653
02:37:52,141 --> 02:37:54,989
um forward 10 times

3654
02:37:55,153 --> 02:37:56,497
without falling

3655
02:37:56,436 --> 02:37:56,664

3656
02:37:56,941 --> 02:37:57,172

3657
02:37:57,323 --> 02:37:57,582

3658
02:37:57,585 --> 02:37:57,927

3659
02:37:58,285 --> 02:38:03,938
results in performance rating of 12.5% and this indicates a critical

3660
02:38:03,672 --> 02:38:06,291
need for targeted interventions

3661
02:38:05,841 --> 02:38:08,422
to enhance his growth and fine motor ability

3662
02:38:08,287 --> 02:38:08,588

3663
02:38:11,687 --> 02:38:12,043

3664
02:38:11,933 --> 02:38:15,453
for the cognitive skills assessment

3665
02:38:17,512 --> 02:38:19,530
22 cognitive skills

3666
02:38:20,261 --> 02:38:20,598

3667
02:38:20,582 --> 02:38:25,819
which consists of picking up specified number of objects requested

3668
02:38:25,831 --> 02:38:28,405
copying triangle let's just work

3669
02:38:28,205 --> 02:38:29,321
requested

3670
02:38:29,673 --> 02:38:32,278
the patient show difficulties in

3671
02:38:32,242 --> 02:38:35,979
in structured thinking and task completion

3672
02:38:36,156 --> 02:38:40,404
this cognitive abilities require nurturing through tailored

3673
02:38:40,256 --> 02:38:43,625
educational strategies and cognitive gains

3674
02:38:44,924 --> 02:38:45,180

3675
02:38:45,056 --> 02:38:48,155
for the language skills performance

3676
02:38:48,713 --> 02:38:54,345
the patients scored only 1 out of 14 in language skills it consists of caring

3677
02:38:54,022 --> 02:38:55,078
out

3678
02:38:54,981 --> 02:38:57,492
a series of 3 directions

3679
02:38:57,484 --> 02:39:00,136
telling a familiar story without

3680
02:39:00,362 --> 02:39:01,574
close

3681
02:39:01,961 --> 02:39:02,692

3682
02:39:02,674 --> 02:39:08,009
it represents 7.14% so this is a substantial deficit

3683
02:39:07,923 --> 02:39:09,496
intensive speech

3684
02:39:09,461 --> 02:39:10,561
therapy for

3685
02:39:10,358 --> 02:39:14,402
focusing on vocabulary expansion and sentence structure

3686
02:39:14,273 --> 02:39:16,036
enhancement to facilitate

3687
02:39:16,124 --> 02:39:17,705
effective communication

3688
02:39:20,286 --> 02:39:25,733
for self-help skills treating the patient managed 4 out of 20

3689
02:39:25,675 --> 02:39:27,269
test

3690
02:39:27,143 --> 02:39:29,736
buttoning and unbuttoning um

3691
02:39:29,644 --> 02:39:29,877

3692
02:39:30,152 --> 02:39:34,256
his clothing um combing his hair

3693
02:39:34,702 --> 02:39:35,169

3694
02:39:35,154 --> 02:39:40,431
so it it is a greeting to a performance rating of 17.39% and

3695
02:39:40,274 --> 02:39:43,337
and this suggests a Reliance on caregivers

3696
02:39:43,283 --> 02:39:45,822
for daily activities and emphasizes

3697
02:39:45,651 --> 02:39:46,856
the importance of

3698
02:39:46,812 --> 02:39:48,610
teaching self-care

3699
02:39:48,281 --> 02:39:49,858
self-care routines

3700
02:39:52,312 --> 02:39:57,708
for the socialization skills review the patients achieved the score of 2

3701
02:39:57,512 --> 02:40:03,094
of 9 in socialization skills such as contributing to adult conversations

3702
02:40:03,532 --> 02:40:05,480
differently to 22

3703
02:40:05,962 --> 02:40:11,525
22% so this indicates the struggles of the patients with peer interaction

3704
02:40:11,794 --> 02:40:16,583
highlighting the need for social skills training in cooperative and

3705
02:40:16,531 --> 02:40:17,664
based context

3706
02:40:17,431 --> 02:40:17,766

3707
02:40:19,885 --> 02:40:20,121

3708
02:40:20,063 --> 02:40:23,221
for the intervention plan for child with autism

3709
02:40:24,094 --> 02:40:32,164
our primary goal is of course to identify the primary problem so the primary issue identified by the patient

3710
02:40:32,032 --> 02:40:36,010
significant is the significant line language skills deficit

3711
02:40:36,201 --> 02:40:39,160
impacting his ability to communicate effectively

3712
02:40:39,546 --> 02:40:45,882
so this challenge Necessities are focused approach to facilitate language development in everyday

3713
02:40:45,813 --> 02:40:46,574
context

3714
02:40:51,011 --> 02:40:56,218
for a long-term developmental goals which focus on a long-term process

3715
02:40:56,316 --> 02:41:01,767
to achieve so it is to help the patient achieve optimal developmental milestones

3716
02:41:01,894 --> 02:41:02,224

3717
02:41:02,214 --> 02:41:02,436

3718
02:41:02,401 --> 02:41:05,530
5 areas which is again the cognitive motor

3719
02:41:05,602 --> 02:41:08,311
language self-help and socialization

3720
02:41:08,301 --> 02:41:12,063
and each area will be targeted through tailored interventions

3721
02:41:11,822 --> 02:41:14,029
aiming for each appropriate

3722
02:41:14,121 --> 02:41:15,375
capabilities

3723
02:41:15,921 --> 02:41:16,186

3724
02:41:16,433 --> 02:41:16,723

3725
02:41:19,064 --> 02:41:24,431
for the short term objectives it focuses on immediate achievement

3726
02:41:24,833 --> 02:41:30,171
the goal so it focuses it will be focusing on enhancing the patient's language

3727
02:41:30,142 --> 02:41:30,745

3728
02:41:32,193 --> 02:41:37,172
with supplementary strategies for cognitive motor self-help and social skills

3729
02:41:37,065 --> 02:41:37,473

3730
02:41:37,892 --> 02:41:43,389
so this is um to set tangible measurable objectives that will facilitate tracking

3731
02:41:43,402 --> 02:41:44,810
progress effectively

3732
02:41:44,872 --> 02:41:46,579
over at the

3733
02:41:46,542 --> 02:41:47,366
timeline

3734
02:41:48,202 --> 02:41:48,434

3735
02:41:49,703 --> 02:41:49,935

3736
02:41:49,872 --> 02:41:55,479
for the language skills top goals so it includes enabling the patient to follow

3737
02:41:55,252 --> 02:42:00,028
IAL directions demonstrate understanding of complex sentences

3738
02:42:00,122 --> 02:42:02,818
and engage in conversation

3739
02:42:02,813 --> 02:42:05,529
using each appropriate vocabulary

3740
02:42:05,572 --> 02:42:08,858
active this will focus on naturalistic teaching

3741
02:42:08,835 --> 02:42:11,072
reinforced learning in context

3742
02:42:11,841 --> 02:42:12,099

3743
02:42:13,392 --> 02:42:13,601

3744
02:42:13,584 --> 02:42:19,860
for the cognitive and self-help skills strategies targeted strategies will involve structured

3745
02:42:19,534 --> 02:42:20,977
for cognitive

3746
02:42:20,753 --> 02:42:22,141
acquisition

3747
02:42:22,354 --> 02:42:25,729
and routines that encourage self-help

3748
02:42:25,753 --> 02:42:29,625
independent so this includes enhancing decision making

3749
02:42:29,591 --> 02:42:32,333
and providing opportunities for

3750
02:42:32,222 --> 02:42:34,762
share tasks with verbal and visual cues

3751
02:42:34,522 --> 02:42:34,796

3752
02:42:36,122 --> 02:42:36,329

3753
02:42:37,342 --> 02:42:41,619
for the socialization developmental development plans

3754
02:42:43,873 --> 02:42:45,324
cooperative

3755
02:42:45,222 --> 02:42:45,442

3756
02:42:45,356 --> 02:42:48,607
to improve the patient's ability to engage with peers

3757
02:42:48,491 --> 02:42:54,590
active this will include turn taking games and group tasks designed to Foster communication and

3758
02:42:54,254 --> 02:42:54,720

3759
02:42:54,712 --> 02:42:55,824
social awareness

3760
02:42:57,713 --> 02:42:58,120

3761
02:42:58,162 --> 02:43:00,681
so this is the um

3762
02:43:00,983 --> 02:43:06,596
the example of the upcoming Optimum activities that will be given to the that was given to the

3763
02:43:06,232 --> 02:43:07,157
the patient

3764
02:43:07,073 --> 02:43:11,545
so we're just waiting for the hopefully during the follow-up check up

3765
02:43:11,623 --> 02:43:13,753
um we will see Improvement

3766
02:43:13,923 --> 02:43:15,862
for the to the patient

3767
02:43:16,423 --> 02:43:19,248
so um thank you for

3768
02:43:19,387 --> 02:43:19,581

3769
02:43:19,633 --> 02:43:25,021
for the committee of the International Symposium on special education

3770
02:43:24,942 --> 02:43:25,608

3771
02:43:25,512 --> 02:43:28,888
for giving us the opportunity to present our paper

3772
02:43:30,020 --> 02:43:33,657
can someone do it University Bangkok Thailand

3773
02:43:35,192 --> 02:43:37,708
and again

3774
02:43:37,952 --> 02:43:41,213

3775
02:43:41,913 --> 02:43:42,200

3776
02:43:42,361 --> 02:43:42,580

3777
02:43:42,681 --> 02:43:42,886

3778
02:43:42,942 --> 02:43:43,214

3779
02:43:43,652 --> 02:43:44,242

3780
02:43:44,231 --> 02:43:45,029

3781
02:43:45,513 --> 02:43:50,349
thank you very much Dr Jennifer and I really appreciate

3782
02:43:51,075 --> 02:43:51,365

3783
02:43:51,392 --> 02:43:51,694

3784
02:43:51,592 --> 02:43:51,818

3785
02:43:51,794 --> 02:43:54,728
hearing me

3786
02:43:54,674 --> 02:43:54,951

3787
02:43:54,923 --> 02:43:55,189

3788
02:43:55,182 --> 02:43:55,521

3789
02:43:55,692 --> 02:43:55,912

3790
02:43:55,882 --> 02:44:01,325
Dr Jennifer thank you so much and I really appreciate you accommodating us

3791
02:44:01,143 --> 02:44:03,960
by switching timings I know you were prepared yet

3792
02:44:03,762 --> 02:44:03,952

3793
02:44:03,893 --> 02:44:04,845
thank you again

3794
02:44:04,854 --> 02:44:07,751
a big round of applause for Dr Jennifer please

3795
02:44:12,543 --> 02:44:12,733

3796
02:44:13,051 --> 02:44:13,243

3797
02:44:13,181 --> 02:44:13,716

3798
02:44:14,143 --> 02:44:16,321
our next presenter

3799
02:44:16,716 --> 02:44:17,813

3800
02:44:18,051 --> 02:44:18,281

3801
02:44:18,312 --> 02:44:23,027
our next presenter is Father Reverend Father Peter

3802
02:44:23,045 --> 02:44:24,412
Bora

3803
02:44:24,325 --> 02:44:28,254
CRI I hope I uh pronounce that correctly

3804
02:44:28,044 --> 02:44:28,489

3805
02:44:28,553 --> 02:44:29,152
father

3806
02:44:29,919 --> 02:44:30,125

3807
02:44:30,093 --> 02:44:30,991

3808
02:44:31,632 --> 02:44:31,841

3809
02:44:32,077 --> 02:44:32,283

3810
02:44:32,331 --> 02:44:33,202

3811
02:44:33,878 --> 02:44:34,216

3812
02:44:34,196 --> 02:44:34,921

3813
02:44:35,352 --> 02:44:35,626

3814
02:44:35,794 --> 02:44:37,799
t

3815
02:44:41,827 --> 02:44:44,802
here

3816
02:44:44,633 --> 02:44:47,356
it has uh

3817
02:44:47,453 --> 02:44:48,637
languages

3818
02:44:48,477 --> 02:44:49,998
that we use

3819
02:44:50,023 --> 02:44:50,278

3820
02:44:50,663 --> 02:44:50,998

3821
02:44:50,982 --> 02:44:51,264

3822
02:44:51,232 --> 02:44:51,454

3823
02:44:51,493 --> 02:44:51,714

3824
02:44:51,623 --> 02:44:54,275
I will you speak in Thai

3825
02:44:54,502 --> 02:44:54,838

3826
02:44:54,952 --> 02:44:55,362

3827
02:44:55,713 --> 02:45:01,907
speaking type because data type audience and we speaking in English and uh but I'll be presenting tomorrow as well so

3828
02:45:01,803 --> 02:45:05,095
place to stay tuned and also we have the sign language interpreter

3829
02:45:05,596 --> 02:45:06,542

3830
02:45:07,195 --> 02:45:08,226

3831
02:45:11,369 --> 02:45:16,834
nothing to so I mean I'm my my team is also bringing the best regard

3832
02:45:19,421 --> 02:45:23,135
Catholic

3833
02:45:23,203 --> 02:45:26,352

3834
02:45:26,794 --> 02:45:27,134

3835
02:45:27,173 --> 02:45:31,798
I'll be talking about my lessons learned from the death Catholic Pastor programming Titan

3836
02:45:32,172 --> 02:45:37,366

3837
02:45:37,994 --> 02:45:41,574
the plowing somber what if

3838
02:45:41,914 --> 02:45:47,561
over 2,000 years ago Jesus healed a death man a death man by his own means and said

3839
02:45:47,424 --> 02:45:49,094
Father which means

3840
02:45:48,951 --> 02:45:49,731
be open

3841
02:45:49,915 --> 02:45:55,150
for

3842
02:45:55,234 --> 02:46:00,694

3843
02:46:00,672 --> 02:46:08,499
according to the Catholic Church teachings affirmed that from the moment of conception human life comprises

3844
02:46:08,302 --> 02:46:11,813
body so and and passing for human dignity

3845
02:46:11,832 --> 02:46:15,093

3846
02:46:15,542 --> 02:46:16,962

3847
02:46:16,883 --> 02:46:18,427
comprehensive

3848
02:46:18,165 --> 02:46:18,405

3849
02:46:18,353 --> 02:46:20,997

3850
02:46:21,241 --> 02:46:21,585

3851
02:46:21,633 --> 02:46:27,121
the the death pastoral ministry under the Catholic bishop Conference of Thailand joins in

3852
02:46:27,653 --> 02:46:29,524
I had an answer the quality of life

3853
02:46:29,716 --> 02:46:33,119
and uh for the death individuals opening minds of hearts and

3854
02:46:32,903 --> 02:46:33,771
standing

3855
02:46:33,671 --> 02:46:38,217

3856
02:46:38,284 --> 02:46:41,408
compressor

3857
02:46:41,553 --> 02:46:41,830

3858
02:46:41,803 --> 02:46:46,778
so they enable the deaf people to understand scripture liturgy and church teachings

3859
02:46:46,672 --> 02:46:50,407
through sign language interpretation and inclusive pastoral approaches

3860
02:46:50,454 --> 02:46:54,107
some kind of

3861
02:46:54,042 --> 02:46:54,238

3862
02:46:54,553 --> 02:46:58,180
so the key important thing is about the the sign language

3863
02:46:58,071 --> 02:47:02,277
for

3864
02:47:02,242 --> 02:47:05,191
to enable test people to understand the teachings

3865
02:47:05,511 --> 02:47:09,556
hey

3866
02:47:09,486 --> 02:47:10,027

3867
02:47:10,123 --> 02:47:11,132
okay next up

3868
02:47:11,662 --> 02:47:11,900

3869
02:47:12,362 --> 02:47:12,773

3870
02:47:13,838 --> 02:47:16,177
answer and this

3871
02:47:16,204 --> 02:47:16,808

3872
02:47:16,854 --> 02:47:17,719

3873
02:47:18,586 --> 02:47:18,792

3874
02:47:19,034 --> 02:47:19,244

3875
02:47:19,355 --> 02:47:24,741
um

3876
02:47:25,055 --> 02:47:29,238
comes on

3877
02:47:29,214 --> 02:47:30,491
drops in some Road

3878
02:47:30,683 --> 02:47:36,098
so the ministry we can in 2008 at Our Lady Fatima Church in the

3879
02:47:35,813 --> 02:47:41,342
bank account in response to the individual seeking access to sacrament of the matrimony and faith

3880
02:47:40,993 --> 02:47:42,915
information in the Thai language

3881
02:47:42,862 --> 02:47:45,703
for

3882
02:47:45,743 --> 02:47:48,130
and we use Ty sign language to train them

3883
02:47:47,912 --> 02:47:49,366

3884
02:47:55,110 --> 02:48:00,431
and after that we use uh we have developed and used more Thai language in the mass on Sundays

3885
02:48:00,792 --> 02:48:02,326
randoms or power

3886
02:48:02,656 --> 02:48:03,262
like I'm

3887
02:48:03,105 --> 02:48:03,292

3888
02:48:03,424 --> 02:48:04,068

3889
02:48:03,992 --> 02:48:05,104

3890
02:48:05,024 --> 02:48:05,363

3891
02:48:05,724 --> 02:48:11,095
said all prayers and hymns led by death members

3892
02:48:11,304 --> 02:48:12,869
and income

3893
02:48:14,193 --> 02:48:19,805
and I saw this study about the other Duty a Bible study catches some classes and I saw

3894
02:48:19,433 --> 02:48:22,641
monthly will be called ecclesial Community gatherings

3895
02:48:22,835 --> 02:48:23,176

3896
02:48:32,210 --> 02:48:37,600
as a result deaf Catholics now take active leadership roles in liturgy collaborating with

3897
02:48:37,633 --> 02:48:40,290
and also in cultural death waves

3898
02:48:40,132 --> 02:48:41,535
um

3899
02:48:42,053 --> 02:48:42,326

3900
02:48:42,182 --> 02:48:42,432

3901
02:48:42,312 --> 02:48:42,583

3902
02:48:42,432 --> 02:48:43,143
blow up

3903
02:48:43,143 --> 02:48:44,800

3904
02:48:44,743 --> 02:48:45,330

3905
02:48:45,254 --> 02:48:45,887

3906
02:48:45,892 --> 02:48:46,125

3907
02:48:46,593 --> 02:48:51,317
even serve as mentors and advisors to younger deaf participants

3908
02:48:51,852 --> 02:48:53,350

3909
02:48:53,326 --> 02:48:53,599

3910
02:48:53,454 --> 02:48:53,943
month

3911
02:48:53,833 --> 02:48:54,317

3912
02:48:54,601 --> 02:48:57,027
for

3913
02:48:56,982 --> 02:48:58,007
the camp in

3914
02:48:57,751 --> 02:48:57,969

3915
02:48:57,944 --> 02:48:58,170

3916
02:48:58,077 --> 02:48:58,411

3917
02:48:58,393 --> 02:48:58,587

3918
02:48:58,644 --> 02:49:04,247
so these efforts to build greater confidence and stronger faith and a culture of mutual uh

3919
02:49:03,901 --> 02:49:07,114
uh in carespan and also exemplary leadership among

3920
02:49:06,913 --> 02:49:07,180

3921
02:49:07,101 --> 02:49:08,589
members

3922
02:49:13,908 --> 02:49:16,321
may I may

3923
02:49:16,263 --> 02:49:21,161
the key learning point is that sign language is essential not optional

3924
02:49:21,264 --> 02:49:25,643
so empowerment replies a real opportunities for uh deaf people to actually

3925
02:49:25,482 --> 02:49:26,191
take action

3926
02:49:26,574 --> 02:49:27,865

3927
02:49:32,865 --> 02:49:37,633
interpreters may serve as the breaches but death voices must lead

3928
02:49:37,532 --> 02:49:37,798

3929
02:49:37,983 --> 02:49:38,893

3930
02:49:42,860 --> 02:49:46,420
and also inclusion must be intentional and committed yeah

3931
02:49:46,953 --> 02:49:47,242

3932
02:49:47,396 --> 02:49:48,877

3933
02:49:53,889 --> 02:49:55,341

3934
02:50:01,569 --> 02:50:06,969
so you can see that the our ongoing challenges include a limited number of closure proficient in

3935
02:50:12,910 --> 02:50:14,796

3936
02:50:14,683 --> 02:50:15,126

3937
02:50:17,515 --> 02:50:20,555
I'm able to train satisi language interpreters

3938
02:50:20,396 --> 02:50:24,894

3939
02:50:25,194 --> 02:50:27,608
also talking about the national coverage as well

3940
02:50:27,633 --> 02:50:27,974

3941
02:50:28,016 --> 02:50:33,338
for

3942
02:50:33,396 --> 02:50:34,874

3943
02:50:34,802 --> 02:50:38,030
and also we need more the funding and institutional supports

3944
02:50:38,134 --> 02:50:38,801

3945
02:50:38,902 --> 02:50:40,250
qu

3946
02:50:43,645 --> 02:50:44,964

3947
02:50:52,117 --> 02:50:57,387
looking at the future so we have to train the closure and also lay leaders in order to understand

3948
02:50:58,634 --> 02:51:00,273
and

3949
02:51:03,635 --> 02:51:09,173
in close to stop it placement of the death accessible pastoral symptoms

3950
02:51:08,885 --> 02:51:10,230
I know

3951
02:51:18,043 --> 02:51:23,446
but outside you mean the physically uh deaf people have access uh have the access to any social

3952
02:51:23,236 --> 02:51:25,099
services but what about in

3953
02:51:24,903 --> 02:51:25,297

3954
02:51:25,222 --> 02:51:25,436

3955
02:51:25,473 --> 02:51:29,026
inside them they don't have access to the internal or faith-based

3956
02:51:28,742 --> 02:51:29,203
service

3957
02:51:29,066 --> 02:51:29,274

3958
02:51:29,515 --> 02:51:29,917

3959
02:51:34,457 --> 02:51:39,748
that's why we try to expand our coverage throughout the country

3960
02:51:40,037 --> 02:51:40,808

3961
02:51:40,856 --> 02:51:41,585

3962
02:51:43,473 --> 02:51:48,032
and also we build a clinical and Global partnership across the across the world

3963
02:51:48,223 --> 02:51:49,054

3964
02:51:57,271 --> 02:52:02,625
so recently I have good news that we have the Catholic Network in uh in mainland China

3965
02:52:02,438 --> 02:52:04,580
as joining our Global Network as well

3966
02:52:04,755 --> 02:52:05,862

3967
02:52:11,097 --> 02:52:16,550
because the uh deaf people in China had no access to this kind of information

3968
02:52:17,043 --> 02:52:18,663
loudest I will start to have to

3969
02:52:18,454 --> 02:52:19,219
Global access

3970
02:52:18,962 --> 02:52:19,258

3971
02:52:19,413 --> 02:52:20,364
information

3972
02:52:20,763 --> 02:52:22,037

3973
02:52:32,892 --> 02:52:38,280
so all this is to lead to the uh uh holistic and inclusiveness so everybody

3974
02:52:41,847 --> 02:52:43,799
and

3975
02:52:50,499 --> 02:52:54,028
good for our personal uh social Community developments

3976
02:52:54,012 --> 02:52:57,512

3977
02:52:57,474 --> 02:53:01,839
in order to enhance the uh deaf people to exercise their full capacity

3978
02:53:02,083 --> 02:53:05,854
your room

3979
02:53:05,863 --> 02:53:10,079
staying together in the society with a dignity and without fears

3980
02:53:10,298 --> 02:53:11,245

3981
02:53:11,432 --> 02:53:14,850
all your

3982
02:53:23,369 --> 02:53:24,760
you

3983
02:53:26,044 --> 02:53:28,921
who are at present here today

3984
02:53:31,483 --> 02:53:34,427
for

3985
02:53:34,376 --> 02:53:39,021
this is not only only about the intellectual exchanges but also it's about the

3986
02:53:38,852 --> 02:53:40,954
mentality and also the

3987
02:53:40,775 --> 02:53:44,726
to call emotion and emotion and a Sentimental exchanges as well

3988
02:53:44,682 --> 02:53:48,533
be happy

3989
02:53:49,482 --> 02:53:51,032
up

3990
02:53:57,498 --> 02:54:00,171

3991
02:54:01,024 --> 02:54:01,300

3992
02:54:01,853 --> 02:54:02,110

3993
02:54:02,495 --> 02:54:02,759

3994
02:54:02,683 --> 02:54:03,029

3995
02:54:03,263 --> 02:54:03,517

3996
02:54:06,203 --> 02:54:07,911
thank you very much

3997
02:54:08,003 --> 02:54:11,761
I was very informative presentation thank you so much

3998
02:54:12,032 --> 02:54:12,281

3999
02:54:13,314 --> 02:54:13,659

4000
02:54:13,632 --> 02:54:14,163

4001
02:54:14,214 --> 02:54:15,006

4002
02:54:15,314 --> 02:54:16,768

4003
02:54:17,233 --> 02:54:17,433

4004
02:54:18,064 --> 02:54:18,324

4005
02:54:18,253 --> 02:54:18,466

4006
02:54:18,576 --> 02:54:19,038

4007
02:54:19,215 --> 02:54:19,682

4008
02:54:19,796 --> 02:54:25,379
before we go to our final uh presentation today

4009
02:54:25,683 --> 02:54:29,687
I wanted to tell you a little bit about our our keynote speaker

4010
02:54:30,309 --> 02:54:33,360
we often hear about importance of inclusion

4011
02:54:33,373 --> 02:54:34,862
what does it truly

4012
02:54:35,297 --> 02:54:38,540
look like in practice how can we move forward

4013
02:54:38,947 --> 02:54:39,179

4014
02:54:39,322 --> 02:54:39,582

4015
02:54:40,117 --> 02:54:40,358

4016
02:54:41,064 --> 02:54:41,282

4017
02:54:41,252 --> 02:54:41,475

4018
02:54:41,573 --> 02:54:41,836

4019
02:54:42,532 --> 02:54:43,208

4020
02:54:43,553 --> 02:54:44,347

4021
02:54:44,714 --> 02:54:45,368

4022
02:54:45,416 --> 02:54:46,399

4023
02:54:46,433 --> 02:54:51,357
how can we create more supportive and inclusive communities that Empower youth

4024
02:54:51,372 --> 02:54:51,591

4025
02:54:51,633 --> 02:54:54,481
and with the disabilities to strive

4026
02:54:54,833 --> 02:54:59,366
to explore the vital question we are honored to welcome Dr Sachin

4027
02:54:59,314 --> 02:55:02,296
so I see president of workability Thailand

4028
02:55:02,584 --> 02:55:06,655
Dr sutin dedication to fostering Community integration

4029
02:55:06,683 --> 02:55:10,401
and creating meaningful opportunities for youth with disabilities

4030
02:55:10,525 --> 02:55:12,399
is truly inspiring

4031
02:55:12,396 --> 02:55:16,923
please join me in welcoming Dr Sachin to present on live transitioning

4032
02:55:16,993 --> 02:55:19,620
process in special education

4033
02:55:23,152 --> 02:55:23,563

4034
02:55:24,173 --> 02:55:24,429

4035
02:55:24,304 --> 02:55:24,521

4036
02:55:24,872 --> 02:55:25,803

4037
02:55:25,902 --> 02:55:28,510

4038
02:55:28,853 --> 02:55:29,436

4039
02:55:29,368 --> 02:55:29,765

4040
02:55:29,817 --> 02:55:31,193
magnetic

4041
02:55:30,967 --> 02:55:32,069

4042
02:55:32,118 --> 02:55:32,675

4043
02:55:32,954 --> 02:55:33,295

4044
02:55:34,425 --> 02:55:34,763

4045
02:55:34,746 --> 02:55:35,994

4046
02:55:36,272 --> 02:55:37,123

4047
02:55:37,054 --> 02:55:38,162

4048
02:55:38,142 --> 02:55:38,394

4049
02:55:38,334 --> 02:55:38,565

4050
02:55:38,522 --> 02:55:38,759

4051
02:55:39,168 --> 02:55:39,381

4052
02:55:39,553 --> 02:55:39,828

4053
02:55:40,068 --> 02:55:40,405

4054
02:55:40,892 --> 02:55:41,171

4055
02:55:41,153 --> 02:55:41,361

4056
02:55:41,665 --> 02:55:42,393

4057
02:55:42,872 --> 02:55:43,078

4058
02:55:43,193 --> 02:55:43,677

4059
02:55:43,642 --> 02:55:44,061

4060
02:55:44,222 --> 02:55:44,825

4061
02:55:45,123 --> 02:55:46,383

4062
02:55:46,405 --> 02:55:46,650

4063
02:55:46,665 --> 02:55:47,901

4064
02:55:47,873 --> 02:55:48,396

4065
02:55:48,325 --> 02:55:51,507

4066
02:55:51,713 --> 02:55:51,949

4067
02:55:52,292 --> 02:55:52,540

4068
02:55:52,553 --> 02:55:52,795

4069
02:55:52,673 --> 02:55:55,002

4070
02:55:54,994 --> 02:55:55,190

4071
02:55:55,243 --> 02:55:56,335

4072
02:55:56,336 --> 02:55:56,617

4073
02:55:57,235 --> 02:55:57,509

4074
02:55:57,803 --> 02:56:01,208
good afternoon everybody

4075
02:56:03,063 --> 02:56:03,774

4076
02:56:04,023 --> 02:56:04,696
um

4077
02:56:05,304 --> 02:56:09,434
uh graduate PhD from here

4078
02:56:09,656 --> 02:56:12,245
and Dr marijuana is my advisor

4079
02:56:13,127 --> 02:56:13,463

4080
02:56:14,073 --> 02:56:17,370
today I would like to

4081
02:56:17,794 --> 02:56:22,381
present about a live transitioning process in special education

4082
02:56:24,643 --> 02:56:25,861

4083
02:56:26,443 --> 02:56:26,697

4084
02:56:27,404 --> 02:56:30,627
I am a chairman of the workability Thailand

4085
02:56:30,863 --> 02:56:31,060

4086
02:56:31,312 --> 02:56:33,941
work ability Thailand is the

4087
02:56:34,255 --> 02:56:34,501

4088
02:56:34,455 --> 02:56:34,675

4089
02:56:34,643 --> 02:56:37,993
a group of people a group of person to help

4090
02:56:38,355 --> 02:56:40,365
person with disability

4091
02:56:40,723 --> 02:56:43,626
to get an employment in Thailand

4092
02:56:45,275 --> 02:56:47,638
and then I'm so

4093
02:56:48,413 --> 02:56:52,476
vice president of sport Association for person with disability

4094
02:56:52,393 --> 02:56:53,281
Thailand

4095
02:56:53,735 --> 02:56:57,756
and president volleyball sport for the discipline of Thailand

4096
02:56:57,637 --> 02:56:59,287
sitting volleyball

4097
02:57:00,014 --> 02:57:04,222
and executive manager of China Farm in globally

4098
02:57:05,262 --> 02:57:05,481

4099
02:57:08,795 --> 02:57:13,171
and this is a professor Dr hiloi Okawa

4100
02:57:13,144 --> 02:57:16,246
a chairman of job coach network in Japan

4101
02:57:16,544 --> 02:57:18,353
he is my teacher

4102
02:57:18,333 --> 02:57:19,433

4103
02:57:19,557 --> 02:57:23,155
got the training program about Job coach

4104
02:57:23,195 --> 02:57:25,707
about transition in Japan

4105
02:57:27,494 --> 02:57:29,320
and he

4106
02:57:29,544 --> 02:57:30,017

4107
02:57:30,115 --> 02:57:34,884
my teacher Dr hogic graduate from America 30 years ago

4108
02:57:35,182 --> 02:57:38,159
about a support a Prime in

4109
02:57:38,383 --> 02:57:41,026
and back to Japan and setting up

4110
02:57:41,076 --> 02:57:43,554
system in Japan and successful

4111
02:57:43,706 --> 02:57:45,447
and he helped Thailand

4112
02:57:46,394 --> 02:57:49,127
he went to Malaysia

4113
02:57:49,083 --> 02:57:50,948
about 10 years ago

4114
02:57:51,004 --> 02:57:53,722
to set up a Job Corps Network in Malaysia

4115
02:57:54,393 --> 02:57:57,260
in China in Mongolia

4116
02:57:57,283 --> 02:57:58,479
in Thailand

4117
02:58:00,032 --> 02:58:00,392

4118
02:58:00,438 --> 02:58:00,891

4119
02:58:00,994 --> 02:58:04,384
a carrier escalation as uh

4120
02:58:04,781 --> 02:58:08,854
I got retired from lovely School

4121
02:58:08,753 --> 02:58:09,031

4122
02:58:09,394 --> 02:58:11,516
special education School

4123
02:58:11,882 --> 02:58:12,101

4124
02:58:12,202 --> 02:58:14,260
so I try to

4125
02:58:14,455 --> 02:58:14,725

4126
02:58:14,833 --> 02:58:20,799
to work hard when they when they get when they graduate from my school how

4127
02:58:21,183 --> 02:58:23,141
to make them get an employment

4128
02:58:23,103 --> 02:58:23,808

4129
02:58:23,744 --> 02:58:25,266
person with this really

4130
02:58:25,852 --> 02:58:29,834
especially for intellectual disability and autism

4131
02:58:30,212 --> 02:58:32,430
when he graduated from my school

4132
02:58:32,962 --> 02:58:35,264
and this is the model

4133
02:58:38,151 --> 02:58:40,819
work in lobby

4134
02:58:40,713 --> 02:58:40,934

4135
02:58:41,033 --> 02:58:41,239

4136
02:58:41,163 --> 02:58:42,582
in the center

4137
02:58:43,083 --> 02:58:46,767
uh special education school we have 4 steps

4138
02:58:47,313 --> 02:58:47,586

4139
02:58:47,446 --> 02:58:49,258
a carrier awareness

4140
02:58:49,682 --> 02:58:52,422
a second step is Carrier expiration

4141
02:58:53,146 --> 02:58:56,937
and it says that with career preparation

4142
02:58:56,795 --> 02:58:59,524
and carry estimation

4143
02:58:59,352 --> 02:58:59,618

4144
02:58:59,551 --> 02:59:02,074
and we have connection with the

4145
02:59:02,245 --> 02:59:05,670
a Medical Institution to help our student

4146
02:59:06,471 --> 02:59:10,472
and we have special education center in Thailand

4147
02:59:10,587 --> 02:59:12,351
for every provinces

4148
02:59:13,646 --> 02:59:16,982
uh vocational college or Vocational School

4149
02:59:17,162 --> 02:59:18,118
to

4150
02:59:18,322 --> 02:59:21,749
uh the place where our student

4151
02:59:21,781 --> 02:59:22,602

4152
02:59:22,671 --> 02:59:22,906

4153
02:59:23,252 --> 02:59:25,544
to work to

4154
02:59:25,622 --> 02:59:28,017
get training from

4155
02:59:27,992 --> 02:59:29,955
vocational College

4156
02:59:30,566 --> 02:59:33,480
and Welfare facilities

4157
02:59:34,200 --> 02:59:37,257
and uh employment office

4158
02:59:38,823 --> 02:59:41,726
and home and parents want

4159
02:59:42,471 --> 02:59:47,026
so they will get a job when they finish my school

4160
02:59:49,772 --> 02:59:53,577
Home Care from family and community

4161
02:59:54,263 --> 02:59:57,076
and Medical Institution services

4162
02:59:58,352 --> 03:00:01,715
early intervention in special education center

4163
03:00:02,521 --> 03:00:08,837
and special education School teaching and learning as follows carry awareness

4164
03:00:08,551 --> 03:00:09,397
do that

4165
03:00:09,383 --> 03:00:10,535

4166
03:00:10,141 --> 03:00:11,506
carry awareness

4167
03:00:11,621 --> 03:00:13,563
carrier expiration

4168
03:00:13,541 --> 03:00:15,630
carrier preparation

4169
03:00:15,720 --> 03:00:18,884
the last is the carrier estimation

4170
03:00:19,501 --> 03:00:20,026

4171
03:00:19,820 --> 03:00:24,519
welfare for Ministry of Social Development and human security

4172
03:00:25,391 --> 03:00:30,005
and uh number 6 is employment support from Ministry of Labor

4173
03:00:30,850 --> 03:00:35,674
and the last 1 Number 7 internship in workplaces around

4174
03:00:35,710 --> 03:00:36,869
my school

4175
03:00:37,753 --> 03:00:38,183

4176
03:00:38,462 --> 03:00:40,767
and today

4177
03:00:43,841 --> 03:00:44,766

4178
03:00:44,553 --> 03:00:45,929
a doubt

4179
03:00:46,401 --> 03:00:50,674
how to make them uh stay with the future life

4180
03:00:50,586 --> 03:00:51,682
happy

4181
03:00:51,985 --> 03:00:55,150
get to work get some job

4182
03:00:56,012 --> 03:00:56,563

4183
03:00:56,336 --> 03:00:56,679

4184
03:00:57,553 --> 03:00:57,914

4185
03:00:59,991 --> 03:01:04,406
sorry it's not clear for H transition model

4186
03:01:05,110 --> 03:01:06,030

4187
03:01:06,141 --> 03:01:06,620

4188
03:01:06,520 --> 03:01:06,862

4189
03:01:07,235 --> 03:01:08,209

4190
03:01:08,191 --> 03:01:13,656
start from high school and and uh generic services

4191
03:01:16,133 --> 03:01:21,053
at a very is not clear so sorry

4192
03:01:21,711 --> 03:01:22,111

4193
03:01:22,355 --> 03:01:27,672
this is a a model that hon said many years ago about how to

4194
03:01:28,110 --> 03:01:29,660
to make

4195
03:01:29,839 --> 03:01:30,185

4196
03:01:30,290 --> 03:01:34,635
them get an employment when they finish school

4197
03:01:35,471 --> 03:01:36,006

4198
03:01:35,789 --> 03:01:36,199

4199
03:01:37,071 --> 03:01:37,431

4200
03:01:39,072 --> 03:01:40,599
okay like

4201
03:01:40,539 --> 03:01:40,894

4202
03:01:42,710 --> 03:01:43,077

4203
03:01:43,671 --> 03:01:44,032

4204
03:01:44,831 --> 03:01:45,246

4205
03:01:46,179 --> 03:01:46,601

4206
03:01:48,356 --> 03:01:48,751

4207
03:01:48,739 --> 03:01:49,147

4208
03:01:49,310 --> 03:01:52,389
uh from the left to right

4209
03:01:52,071 --> 03:01:53,948
Calia awareness

4210
03:01:53,729 --> 03:01:56,011
carrier expiration

4211
03:01:56,360 --> 03:01:58,431
carrier preparation

4212
03:01:58,279 --> 03:02:00,365
and career aspiration

4213
03:02:03,170 --> 03:02:03,511

4214
03:02:03,280 --> 03:02:03,853

4215
03:02:05,330 --> 03:02:10,883
and this is 3 areas of transition emphasis for student with disability

4216
03:02:10,854 --> 03:02:14,336
start from the left post secondary education

4217
03:02:14,622 --> 03:02:18,167
and the center transition usually refer to

4218
03:02:18,070 --> 03:02:21,566
movement from special education in high school

4219
03:02:21,860 --> 03:02:23,039

4220
03:02:22,879 --> 03:02:25,945
and employment to Independent Living

4221
03:02:27,751 --> 03:02:33,347
and how can student be actively involved in determining their

4222
03:02:33,002 --> 03:02:33,924

4223
03:02:34,030 --> 03:02:35,369
from the left

4224
03:02:35,122 --> 03:02:38,096
student elected transition plan

4225
03:02:38,959 --> 03:02:39,383

4226
03:02:39,672 --> 03:02:42,705
and then transition to adulthood

4227
03:02:42,422 --> 03:02:44,260
in the in the

4228
03:02:44,030 --> 03:02:46,889
above parents and family

4229
03:02:47,480 --> 03:02:51,112
uh occupational of physical Therapies

4230
03:02:52,030 --> 03:02:54,887
speech and language therapist

4231
03:02:54,849 --> 03:02:58,321
and under special education teacher

4232
03:02:58,377 --> 03:03:00,794
general of education teacher

4233
03:03:00,492 --> 03:03:03,137
and healthy Medical Specialists

4234
03:03:03,309 --> 03:03:04,823
CTE

4235
03:03:07,079 --> 03:03:08,333

4236
03:03:08,110 --> 03:03:08,478

4237
03:03:09,198 --> 03:03:13,538
a transition or carry education start many years ago

4238
03:03:13,680 --> 03:03:16,968
that's for those individual for 14 years

4239
03:03:16,699 --> 03:03:18,108
our own

4240
03:03:17,910 --> 03:03:20,524
an idea is

4241
03:03:20,220 --> 03:03:22,867
love of the American role

4242
03:03:23,161 --> 03:03:27,549
1997 added a significant

4243
03:03:27,520 --> 03:03:31,984
components to the IEP know as the ITP

4244
03:03:32,128 --> 03:03:34,397
individual transition plan

4245
03:03:34,510 --> 03:03:34,918

4246
03:03:34,760 --> 03:03:38,635
these transition plan address the needs of the student

4247
03:03:39,049 --> 03:03:42,196
is he or she transitions

4248
03:03:42,193 --> 03:03:44,207
into the community

4249
03:03:44,050 --> 03:03:45,764
from the school City

4250
03:03:46,669 --> 03:03:47,004

4251
03:03:47,629 --> 03:03:47,986

4252
03:03:47,893 --> 03:03:48,236

4253
03:03:48,079 --> 03:03:52,969
an idea 2004 state that transition needs

4254
03:03:52,761 --> 03:03:54,994
should be considered

4255
03:03:54,943 --> 03:03:59,911
beginning no later than the first IEP in effect when the child

4256
03:03:59,869 --> 03:04:01,622
16

4257
03:04:02,499 --> 03:04:05,008
that should be updated annually

4258
03:04:05,118 --> 03:04:08,684
this IEP must include number 1

4259
03:04:08,391 --> 03:04:12,345
a list of appropriate measurable

4260
03:04:12,041 --> 03:04:13,924
secondary goals

4261
03:04:13,779 --> 03:04:17,408
that have been developed based upon age

4262
03:04:17,298 --> 03:04:20,778
appropriate transition assessment related to

4263
03:04:20,630 --> 03:04:21,944
training

4264
03:04:22,041 --> 03:04:27,592
education employment and where appropriate Independent Living skills

4265
03:04:30,430 --> 03:04:35,925
number 2 at least after transition services including causes of study

4266
03:04:36,003 --> 03:04:38,620
needed to assist the child

4267
03:04:38,437 --> 03:04:40,090
enraging

4268
03:04:40,113 --> 03:04:44,356
the identify goals and the last 1

4269
03:04:44,268 --> 03:04:48,140
a statement that the child has been informed

4270
03:04:47,860 --> 03:04:49,576
a fit of

4271
03:04:49,331 --> 03:04:52,674
rice transferring 88 of maturity

4272
03:04:53,681 --> 03:04:54,090

4273
03:04:53,938 --> 03:04:54,276

4274
03:04:54,131 --> 03:04:54,478

4275
03:04:54,318 --> 03:04:54,740

4276
03:04:54,589 --> 03:04:57,080
my first impression

4277
03:04:56,830 --> 03:05:02,432
my first impression of my of my work at Liberty School

4278
03:05:02,069 --> 03:05:03,947
intellectual disability

4279
03:05:05,219 --> 03:05:05,540

4280
03:05:05,350 --> 03:05:09,577
become my strong motivation to help person with this really

4281
03:05:09,699 --> 03:05:12,942
the word employment to get employment

4282
03:05:12,780 --> 03:05:14,421
in the community

4283
03:05:14,512 --> 03:05:15,046

4284
03:05:15,081 --> 03:05:18,153
why are they staying home when finished school

4285
03:05:18,989 --> 03:05:22,150
they can work in the community I think

4286
03:05:21,939 --> 03:05:22,331

4287
03:05:22,318 --> 03:05:22,681

4288
03:05:22,579 --> 03:05:22,921

4289
03:05:24,181 --> 03:05:24,517

4290
03:05:24,499 --> 03:05:24,852

4291
03:05:24,817 --> 03:05:30,317
so the detail of transition from school to work or Career Education

4292
03:05:30,388 --> 03:05:31,833
education

4293
03:05:31,351 --> 03:05:31,966

4294
03:05:32,888 --> 03:05:35,800
number 1 1 Step the first step

4295
03:05:36,031 --> 03:05:36,372

4296
03:05:36,157 --> 03:05:37,709
about

4297
03:05:37,568 --> 03:05:40,045
funding to Baho

4298
03:05:40,318 --> 03:05:40,666

4299
03:05:40,848 --> 03:05:41,241

4300
03:05:41,468 --> 03:05:44,101
was not tight

4301
03:05:46,730 --> 03:05:47,770

4302
03:05:47,371 --> 03:05:48,214

4303
03:05:48,007 --> 03:05:49,073

4304
03:05:49,157 --> 03:05:49,518

4305
03:05:49,288 --> 03:05:51,790
Kelly awareness

4306
03:05:51,467 --> 03:05:56,746
begins at the elementary level and is intended to make student aware

4307
03:05:56,979 --> 03:05:59,339
of the existence of

4308
03:05:59,668 --> 03:06:01,562
paid or unpaid

4309
03:06:01,400 --> 03:06:01,750

4310
03:06:01,530 --> 03:06:03,935
get money or not get money

4311
03:06:03,900 --> 03:06:04,237

4312
03:06:04,154 --> 03:06:08,592
and workers and how students will fit into the work oriented

4313
03:06:08,638 --> 03:06:10,722
Society in the future

4314
03:06:11,343 --> 03:06:15,907
carry awareness aspect of human development is occurring during

4315
03:06:15,869 --> 03:06:17,116
yes

4316
03:06:17,229 --> 03:06:19,630
compounding to PO

4317
03:06:19,659 --> 03:06:20,010

4318
03:06:20,039 --> 03:06:20,457

4319
03:06:20,228 --> 03:06:21,107

4320
03:06:21,271 --> 03:06:26,587
and the Second Step the second step is to carry expiration

4321
03:06:26,188 --> 03:06:29,153
how to explore how to find a job

4322
03:06:31,000 --> 03:06:32,663
wish they like

4323
03:06:32,469 --> 03:06:33,013

4324
03:06:32,850 --> 03:06:37,117
Kelly expiration the second stage emphasized

4325
03:06:36,952 --> 03:06:39,265
at the middle school

4326
03:06:39,321 --> 03:06:40,874
Midland School

4327
03:06:41,135 --> 03:06:41,480

4328
03:06:41,377 --> 03:06:43,497
morning

4329
03:06:44,003 --> 03:06:44,475

4330
03:06:44,388 --> 03:06:44,739

4331
03:06:44,903 --> 03:06:50,305
junior high level is intended to help students explore their interests

4332
03:06:50,469 --> 03:06:52,356
in abilities

4333
03:06:52,138 --> 03:06:55,113
in relation to Lifestyle

4334
03:06:55,270 --> 03:06:56,902
a few patients

4335
03:06:56,999 --> 03:07:00,302
students should learn and examine

4336
03:07:00,151 --> 03:07:03,409
their own unique abilities and needs

4337
03:07:03,728 --> 03:07:07,086
be expert to many hands on experience

4338
03:07:07,322 --> 03:07:09,953
and be given the opportunity

4339
03:07:09,948 --> 03:07:13,988
to engage in several Community Based experiences

4340
03:07:16,157 --> 03:07:19,727
and the third step in the

4341
03:07:19,939 --> 03:07:22,304
me

4342
03:07:22,188 --> 03:07:24,299
High School

4343
03:07:29,797 --> 03:07:32,393
is a period for carrier

4344
03:07:31,989 --> 03:07:33,640
decision making

4345
03:07:34,027 --> 03:07:36,508
and skills acquisition

4346
03:07:36,272 --> 03:07:39,336
student should be able to identify

4347
03:07:39,027 --> 03:07:41,104
as a specific interest

4348
03:07:41,409 --> 03:07:44,773
and aptitudes and the type of Lifestyle

4349
03:07:44,860 --> 03:07:47,869
that we meet this characteristic

4350
03:07:49,147 --> 03:07:49,502

4351
03:07:49,597 --> 03:07:51,583
the last step

4352
03:07:51,458 --> 03:07:56,425
can you ask him region is the transition of the students into post

4353
03:07:56,391 --> 03:07:58,544
secondary training

4354
03:07:58,378 --> 03:08:02,738
in community living and working adjustment environments

4355
03:08:02,859 --> 03:08:03,278

4356
03:08:03,189 --> 03:08:07,870
the student should be able to engage in satisfying vocational

4357
03:08:08,240 --> 03:08:12,249
family and Civic volunteer work activities

4358
03:08:12,348 --> 03:08:15,067
as well at gain paid employment

4359
03:08:15,290 --> 03:08:20,708
many student we need continuing education and follow up services at this time

4360
03:08:21,524 --> 03:08:21,868

4361
03:08:21,758 --> 03:08:22,231

4362
03:08:23,167 --> 03:08:26,194
this is uh a transition

4363
03:08:26,369 --> 03:08:29,097
unit a transition chop

4364
03:08:28,997 --> 03:08:31,400
for Loop

4365
03:08:31,191 --> 03:08:33,253
you say de

4366
03:08:33,228 --> 03:08:34,566

4367
03:08:34,309 --> 03:08:36,303
so here in the price

4368
03:08:35,993 --> 03:08:38,052
chop

4369
03:08:38,866 --> 03:08:41,552
and the second 1 is far far

4370
03:08:41,428 --> 03:08:41,769

4371
03:08:41,547 --> 03:08:43,540
which I worked there

4372
03:08:47,389 --> 03:08:48,881
to work there

4373
03:08:48,596 --> 03:08:50,364
to practice

4374
03:08:52,203 --> 03:08:56,659
uh this is the photo of panda transition unit

4375
03:08:56,417 --> 03:08:59,516
transitions internship in Japan which I visited

4376
03:08:59,747 --> 03:09:02,112
and this is the

4377
03:09:05,637 --> 03:09:09,138
there is no transitions in there so the school

4378
03:09:08,978 --> 03:09:11,885
should be a transition Center themselves

4379
03:09:12,629 --> 03:09:15,274
before the student

4380
03:09:14,987 --> 03:09:17,153
graduate from their school

4381
03:09:18,460 --> 03:09:18,931

4382
03:09:18,836 --> 03:09:19,322

4383
03:09:19,161 --> 03:09:19,528

4384
03:09:20,628 --> 03:09:20,970

4385
03:09:21,159 --> 03:09:21,503

4386
03:09:21,466 --> 03:09:27,341
working for the ladies model I was in charge of probably for intellect

4387
03:09:26,787 --> 03:09:27,946
on disability

4388
03:09:27,618 --> 03:09:28,987
so I make

4389
03:09:28,710 --> 03:09:31,680
a reading is a Readiness model

4390
03:09:31,713 --> 03:09:34,060
to make them ready

4391
03:09:33,828 --> 03:09:35,457
to get to work

4392
03:09:35,747 --> 03:09:36,113

4393
03:09:35,946 --> 03:09:39,851
the nasc training system after 2 years of training

4394
03:09:39,659 --> 03:09:41,829
some student got a job

4395
03:09:41,968 --> 03:09:45,076
but many were impossible to find a job

4396
03:09:45,168 --> 03:09:48,434
how far to adjust themselves to real work

4397
03:09:48,430 --> 03:09:50,598
places at the employment

4398
03:09:51,843 --> 03:09:52,228

4399
03:09:53,687 --> 03:09:54,028

4400
03:09:54,836 --> 03:10:00,387
the first step of supported employment in Thailand the first practice of supported employment

4401
03:10:00,736 --> 03:10:01,853
young men

4402
03:10:01,886 --> 03:10:05,020
with intellectual disability in order

4403
03:10:04,897 --> 03:10:08,451
was successfully employed in MKS

4404
03:10:08,108 --> 03:10:09,163
restaurant

4405
03:10:09,449 --> 03:10:11,700
for

4406
03:10:13,157 --> 03:10:13,492

4407
03:10:13,417 --> 03:10:14,082

4408
03:10:14,317 --> 03:10:17,808
the origin of job coach this is the second part

4409
03:10:19,187 --> 03:10:24,563
supported employment was institutional right in the US in 1986

4410
03:10:24,248 --> 03:10:26,275
by The Rehabilitation Act

4411
03:10:26,036 --> 03:10:28,689
amended of 1986

4412
03:10:29,307 --> 03:10:29,726

4413
03:10:30,066 --> 03:10:35,330
a definition of supported employment okay you can read this from a paper

4414
03:10:35,199 --> 03:10:36,506
in your hand

4415
03:10:38,656 --> 03:10:39,595

4416
03:10:39,368 --> 03:10:39,719

4417
03:10:39,879 --> 03:10:40,328

4418
03:10:40,456 --> 03:10:44,584
important terms in the definition of supported employment

4419
03:10:44,487 --> 03:10:47,627
the first thing is started people

4420
03:10:47,949 --> 03:10:52,006
individual with the most significant disabilities

4421
03:10:52,750 --> 03:10:56,824
a second 1 is code competitive employment

4422
03:10:57,050 --> 03:10:57,410

4423
03:10:57,236 --> 03:10:59,758
integrated work setting

4424
03:11:00,117 --> 03:11:02,746
and the last 1 so we

4425
03:11:03,068 --> 03:11:08,043
intensive initial support So visit and also extended services

4426
03:11:09,470 --> 03:11:10,011

4427
03:11:10,307 --> 03:11:15,910
supported in supported employment transformed the focus of vocation

4428
03:11:15,500 --> 03:11:16,339

4429
03:11:16,200 --> 03:11:17,834
Rehabilitation

4430
03:11:18,627 --> 03:11:19,233

4431
03:11:19,206 --> 03:11:25,025
added the first the left in the left assessment and training before employment

4432
03:11:24,977 --> 03:11:26,899
we call share the workshop

4433
03:11:28,507 --> 03:11:29,632

4434
03:11:29,526 --> 03:11:32,247
in the right 1 training

4435
03:11:32,148 --> 03:11:36,243
and continuous support as real works

4436
03:11:35,926 --> 03:11:38,240
we say competitive work

4437
03:11:40,157 --> 03:11:40,767

4438
03:11:40,547 --> 03:11:43,657
traditional vocational rehabilitation

4439
03:11:44,002 --> 03:11:45,878
assessment

4440
03:11:45,869 --> 03:11:47,486
training

4441
03:11:47,469 --> 03:11:49,354
and job placement

4442
03:11:49,577 --> 03:11:50,946
leave them

4443
03:11:51,177 --> 03:11:51,527

4444
03:11:51,821 --> 03:11:53,383
best

4445
03:11:53,297 --> 03:11:55,539
traditional vocational

4446
03:11:55,787 --> 03:11:57,627
Rehabilitation

4447
03:11:58,606 --> 03:11:58,945

4448
03:12:00,338 --> 03:12:00,873

4449
03:12:00,788 --> 03:12:01,123

4450
03:12:01,762 --> 03:12:06,707
a problem in traditional Vocational Rehabilitation strategies

4451
03:12:07,321 --> 03:12:07,671

4452
03:12:08,345 --> 03:12:10,469
the difficulties

4453
03:12:10,271 --> 03:12:12,217
in applying

4454
03:12:12,388 --> 03:12:15,838
work tasks work environments

4455
03:12:15,838 --> 03:12:17,314
pressure

4456
03:12:17,121 --> 03:12:18,818
co-workers

4457
03:12:18,596 --> 03:12:21,918
to many factors and different between them

4458
03:12:21,607 --> 03:12:23,093
that's the problem

4459
03:12:22,946 --> 03:12:24,696
that's the difficulty

4460
03:12:26,476 --> 03:12:26,840

4461
03:12:26,737 --> 03:12:27,581

4462
03:12:27,376 --> 03:12:31,487
from preparation before employment to support after

4463
03:12:31,146 --> 03:12:32,442
employment

4464
03:12:32,626 --> 03:12:35,090
working support by job coaches

4465
03:12:35,318 --> 03:12:36,985
assessment

4466
03:12:36,596 --> 03:12:37,045

4467
03:12:36,726 --> 03:12:41,846
training job placement and assistant for retention

4468
03:12:43,070 --> 03:12:43,472

4469
03:12:44,347 --> 03:12:44,940

4470
03:12:44,926 --> 03:12:46,796
a case study

4471
03:12:49,597 --> 03:12:52,455
is 27 years old

4472
03:12:52,167 --> 03:12:56,460
moderate intellectual disability you know this and audism

4473
03:12:56,389 --> 03:12:56,734

4474
03:12:56,645 --> 03:12:59,371
long years in shelter Workshop

4475
03:12:59,790 --> 03:13:00,139

4476
03:13:00,107 --> 03:13:04,315
the expect expect to work in ordinary companies

4477
03:13:04,397 --> 03:13:07,240
not in childhood condition

4478
03:13:10,868 --> 03:13:11,411

4479
03:13:11,523 --> 03:13:16,683
and uh the loan of job coach like a bridge

4480
03:13:17,276 --> 03:13:17,639

4481
03:13:18,046 --> 03:13:19,811
from

4482
03:13:19,516 --> 03:13:23,543
person with disability and employer co-worker

4483
03:13:23,308 --> 03:13:25,292
job Crossing in the center

4484
03:13:26,378 --> 03:13:27,846
like a bridge

4485
03:13:28,296 --> 03:13:28,973

4486
03:13:28,942 --> 03:13:32,374
how can we work as a bridge between

4487
03:13:32,077 --> 03:13:34,031
person with disability

4488
03:13:33,746 --> 03:13:35,334
and then produce

4489
03:13:38,027 --> 03:13:43,398
this is the photo that's the Box the box as a work

4490
03:13:43,988 --> 03:13:48,041
and football like a person with disability

4491
03:13:48,666 --> 03:13:51,138
how to make them get to the Box

4492
03:13:51,360 --> 03:13:53,721
to make them get a job

4493
03:13:55,461 --> 03:13:56,165

4494
03:13:56,035 --> 03:13:59,115
so job coach is like this man

4495
03:14:00,197 --> 03:14:00,606

4496
03:14:00,386 --> 03:14:06,065
to produce good work environment job coaches should work closely with

4497
03:14:07,886 --> 03:14:09,648
and what do they do

4498
03:14:10,577 --> 03:14:16,234
they want they have they have to know job duties for person with disability

4499
03:14:16,466 --> 03:14:18,027
how to work

4500
03:14:18,011 --> 03:14:19,840
requirement

4501
03:14:19,665 --> 03:14:23,037
physical environments of work site

4502
03:14:23,008 --> 03:14:25,714
co-workers understanding for

4503
03:14:25,380 --> 03:14:26,667

4504
03:14:27,037 --> 03:14:28,633
disabilities

4505
03:14:28,836 --> 03:14:32,597
interpersonal relationships with co-workers

4506
03:14:32,937 --> 03:14:36,787
and work hours and work accelerations

4507
03:14:36,905 --> 03:14:38,609
this job

4508
03:14:38,447 --> 03:14:39,784
help them

4509
03:14:40,106 --> 03:14:40,498

4510
03:14:41,660 --> 03:14:42,196

4511
03:14:42,479 --> 03:14:46,972
and the the home house is the job code how to

4512
03:14:47,097 --> 03:14:49,739
help person with disability

4513
03:14:49,466 --> 03:14:52,326
how to support person with disability

4514
03:14:52,536 --> 03:14:53,053

4515
03:14:52,986 --> 03:14:56,937
the pink 1 is uh the yellow 1

4516
03:14:57,148 --> 03:14:57,490

4517
03:14:57,349 --> 03:15:00,849
before employment for the first 4 step

4518
03:15:01,054 --> 03:15:01,403

4519
03:15:01,186 --> 03:15:04,059
and the Penguin is have to get a job

4520
03:15:04,906 --> 03:15:08,290
the first step in assessment the person with disability

4521
03:15:08,428 --> 03:15:09,759
then

4522
03:15:09,781 --> 03:15:13,577
finding a workplaces and then

4523
03:15:13,428 --> 03:15:16,301
assessment of workplace environment

4524
03:15:16,948 --> 03:15:18,685
and job matching

4525
03:15:18,678 --> 03:15:21,072
a good job matching

4526
03:15:21,049 --> 03:15:22,539
to make them

4527
03:15:22,967 --> 03:15:25,474
uh get a real job

4528
03:15:25,467 --> 03:15:25,821

4529
03:15:25,586 --> 03:15:29,148
and number 5 intensive support at the workplace

4530
03:15:29,827 --> 03:15:33,253
coordination and employment agreement

4531
03:15:33,405 --> 03:15:36,820
support support fading

4532
03:15:36,486 --> 03:15:37,754
fading

4533
03:15:38,150 --> 03:15:40,676
and follow up for the last step

4534
03:15:42,332 --> 03:15:44,476
uh

4535
03:15:49,225 --> 03:15:53,456
type A type B and this job coach

4536
03:15:54,301 --> 03:15:55,453
okay

4537
03:15:56,535 --> 03:15:56,934

4538
03:15:57,949 --> 03:15:58,596

4539
03:15:58,517 --> 03:16:02,298
uh what type A

4540
03:16:05,698 --> 03:16:08,177
that job cost to help

4541
03:16:08,906 --> 03:16:12,560
person with disability in other organization

4542
03:16:13,575 --> 03:16:16,106
NB and type B

4543
03:16:15,826 --> 03:16:17,757
is a job

4544
03:16:17,547 --> 03:16:19,109
in the company

4545
03:16:19,727 --> 03:16:22,248
Job Court in the company

4546
03:16:25,370 --> 03:16:28,922
Municipal like Alberta Alberta

4547
03:16:29,527 --> 03:16:31,507
sorry for speaking

4548
03:16:34,353 --> 03:16:34,748

4549
03:16:34,587 --> 03:16:35,050

4550
03:16:35,226 --> 03:16:35,571

4551
03:16:35,805 --> 03:16:36,147

4552
03:16:36,505 --> 03:16:36,920

4553
03:16:39,137 --> 03:16:39,477

4554
03:16:39,786 --> 03:16:40,836

4555
03:16:40,745 --> 03:16:41,382

4556
03:16:41,125 --> 03:16:41,531

4557
03:16:41,719 --> 03:16:42,499

4558
03:16:42,856 --> 03:16:45,236
uh

4559
03:16:45,288 --> 03:16:45,707

4560
03:16:45,669 --> 03:16:48,057
about Job coach in Thailand

4561
03:16:48,237 --> 03:16:48,713

4562
03:16:48,495 --> 03:16:50,667
work ability Thailand

4563
03:16:50,419 --> 03:16:50,828

4564
03:16:50,606 --> 03:16:54,551
uh and uh Department of skill development

4565
03:16:55,856 --> 03:16:57,988
for

4566
03:16:58,296 --> 03:17:02,842
Ministry of Labour set up 5 days program curriculum

4567
03:17:02,645 --> 03:17:06,064
UK and give training program to

4568
03:17:06,369 --> 03:17:09,280
teachers in special education School

4569
03:17:09,756 --> 03:17:10,117

4570
03:17:10,017 --> 03:17:14,801
stop up Association of Association for the mentally

4571
03:17:14,506 --> 03:17:15,415

4572
03:17:15,341 --> 03:17:16,660
Thailand

4573
03:17:17,189 --> 03:17:17,545

4574
03:17:17,317 --> 03:17:20,574
stop up Bangkok Metropolitan

4575
03:17:21,358 --> 03:17:22,914
I give them

4576
03:17:22,767 --> 03:17:25,872
a program a training program about a job coach

4577
03:17:25,646 --> 03:17:25,988

4578
03:17:25,837 --> 03:17:30,754
and the next step for work ability Thailand

4579
03:17:30,708 --> 03:17:31,721

4580
03:17:31,666 --> 03:17:33,943
for H

4581
03:17:33,714 --> 03:17:36,695
is for the person in the companies

4582
03:17:37,565 --> 03:17:41,161
the job course for the company so they can help

4583
03:17:40,896 --> 03:17:43,160
person with disability in the company

4584
03:17:43,967 --> 03:17:45,579
this is

4585
03:17:45,314 --> 03:17:46,747
job code

4586
03:17:46,538 --> 03:17:49,146
situation in Thailand

4587
03:17:49,866 --> 03:17:50,282

4588
03:17:50,057 --> 03:17:50,454

4589
03:17:50,626 --> 03:17:53,716
thank you for your attention

4590
03:17:56,909 --> 03:17:57,413

4591
03:17:57,166 --> 03:17:57,580

4592
03:17:58,126 --> 03:17:59,372

4593
03:17:59,088 --> 03:18:01,147

4594
03:18:00,946 --> 03:18:01,422

4595
03:18:01,194 --> 03:18:01,603

4596
03:18:02,178 --> 03:18:03,030

4597
03:18:02,936 --> 03:18:06,492
thank you very much Dr suchin uh

4598
03:18:05,945 --> 03:18:08,278
Dr maliwan would you please

4599
03:18:08,627 --> 03:18:13,243
give a gift to Dr Sachin Dr Sachin can you come to the Center thank you very much

4600
03:18:13,887 --> 03:18:14,373

4601
03:18:14,145 --> 03:18:15,432

4602
03:18:19,266 --> 03:18:20,321

4603
03:18:20,110 --> 03:18:20,449

4604
03:18:20,615 --> 03:18:21,730

4605
03:18:21,637 --> 03:18:22,092

4606
03:18:21,958 --> 03:18:22,363

4607
03:18:22,536 --> 03:18:22,940

4608
03:18:22,786 --> 03:18:23,149

4609
03:18:23,046 --> 03:18:23,892

4610
03:18:23,627 --> 03:18:24,025

4611
03:18:23,877 --> 03:18:24,343

4612
03:18:24,195 --> 03:18:24,538

4613
03:18:24,388 --> 03:18:25,505

4614
03:18:25,286 --> 03:18:25,822

4615
03:18:26,117 --> 03:18:27,676

4616
03:18:27,786 --> 03:18:28,451

4617
03:18:28,309 --> 03:18:28,659

4618
03:18:28,557 --> 03:18:29,021

4619
03:18:28,815 --> 03:18:29,604

4620
03:18:29,387 --> 03:18:31,885

4621
03:18:31,887 --> 03:18:36,556

4622
03:18:36,564 --> 03:18:37,423

4623
03:18:37,396 --> 03:18:40,426

4624
03:18:40,145 --> 03:18:40,630

4625
03:18:40,408 --> 03:18:40,816

4626
03:18:40,665 --> 03:18:42,656

4627
03:18:42,328 --> 03:18:43,069

4628
03:18:42,845 --> 03:18:44,638

4629
03:18:45,346 --> 03:18:48,438

4630
03:18:48,285 --> 03:18:53,698
okay so we have reached the end of our first day

4631
03:18:53,797 --> 03:18:57,351
thank you so much everyone

4632
03:18:57,186 --> 03:19:01,582
especially at deaf Community here you stayed right from the morning

4633
03:19:01,357 --> 03:19:04,081
till the last thank you so very much

4634
03:19:05,329 --> 03:19:05,664

4635
03:19:05,585 --> 03:19:07,974
yeah so um

4636
03:19:08,408 --> 03:19:12,088
I take this opportunity to say thank you to everyone

4637
03:19:11,877 --> 03:19:17,325
for today everybody did such a good job right from the beginning till the end

4638
03:19:17,379 --> 03:19:21,672
so let's say goodbye and see you tomorrow

4639
03:19:21,535 --> 03:19:23,481
okay our um

4640
03:19:23,386 --> 03:19:23,735

4641
03:19:23,647 --> 03:19:27,229
foreign delegates will meet at the lobby at 5:30

4642
03:19:27,497 --> 03:19:28,224

4643
03:19:28,007 --> 03:19:31,914
okay everyone thank you bye bye see you tomorrow

4644
03:19:31,786 --> 03:19:32,919

4645
03:19:32,747 --> 03:19:33,107

4646
03:19:32,878 --> 03:19:33,478

4647
03:19:33,330 --> 03:19:33,923

4648
03:19:33,705 --> 03:19:34,627

4649
03:19:34,547 --> 03:19:35,201

4650
03:19:35,755 --> 03:19:36,099

4651
03:19:35,885 --> 03:19:36,304

4652
03:19:36,147 --> 03:19:36,671

4653
03:19:36,715 --> 03:19:41,867

4654
03:19:41,585 --> 03:19:43,086

4655
03:19:47,228 --> 03:19:51,114
at home

4656
03:19:51,066 --> 03:19:52,051
on

4657
03:20:04,600 --> 03:20:07,694

4658
03:20:22,413 --> 03:20:27,950

4659
03:20:27,706 --> 03:20:33,171

4660
03:20:33,097 --> 03:20:38,564

4661
03:20:38,418 --> 03:20:38,772

4662
03:20:38,549 --> 03:20:44,083

4663
03:20:43,786 --> 03:20:49,343

4664
03:20:49,048 --> 03:20:54,455

4665
03:20:54,368 --> 03:20:55,113

4666
03:20:54,819 --> 03:21:00,263

4667
03:20:59,997 --> 03:21:05,464

4668
03:21:05,256 --> 03:21:10,863

4669
03:21:10,575 --> 03:21:16,035

4670
03:21:16,527 --> 03:21:21,994

4671
03:21:21,845 --> 03:21:27,324

4672
03:21:27,486 --> 03:21:32,952

4673
03:21:32,737 --> 03:21:38,297

4674
03:21:38,187 --> 03:21:43,740

4675
03:21:43,506 --> 03:21:43,846

4676
03:21:43,625 --> 03:21:49,072

4677
03:21:48,946 --> 03:21:54,408

4678
03:21:54,137 --> 03:21:59,657

4679
03:21:59,445 --> 03:22:04,914

4680
03:22:04,639 --> 03:22:10,169

4681
03:22:10,090 --> 03:22:15,557

4682
03:22:15,268 --> 03:22:18,188