Podcast
Questions and Answers
What is the purpose of changing the 'Display' to Ani-Streamer?
What is the purpose of changing the 'Display' to Ani-Streamer?
What should the patient choose on Netflix to watch?
What should the patient choose on Netflix to watch?
What happens if the percent reward is consistently above 80?
What happens if the percent reward is consistently above 80?
What should you do if the percent reward is below 40?
What should you do if the percent reward is below 40?
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Can you pause the session?
Can you pause the session?
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What percentage should they be averaging in for you to lower the z threshold?
What percentage should they be averaging in for you to lower the z threshold?
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What is the ideal position of the chair in relation to the screen?
What is the ideal position of the chair in relation to the screen?
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What percentage of screen dimness is recommended for most patients?
What percentage of screen dimness is recommended for most patients?
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What does the Z-score represent in the context of patient data?
What does the Z-score represent in the context of patient data?
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Why is it important to minimize artifacts during data collection?
Why is it important to minimize artifacts during data collection?
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What should be done with the 'Z Threshold' before beginning the neurofeedback session?
What should be done with the 'Z Threshold' before beginning the neurofeedback session?
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How often should the screen be dark?
How often should the screen be dark?
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Why is it necessary to check that the brain waves look clean before starting the session?
Why is it necessary to check that the brain waves look clean before starting the session?
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What are the forms of feedback we have?
What are the forms of feedback we have?
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How should you have the transition range?
How should you have the transition range?
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Which statement about the sound settings is true during the neurofeedback session?
Which statement about the sound settings is true during the neurofeedback session?
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What impact does the 'Transition Range' setting have during the session?
What impact does the 'Transition Range' setting have during the session?
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Should the patient be focusing/thinking about anything to make it more effective?
Should the patient be focusing/thinking about anything to make it more effective?
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If someone reaches a z threshold of 1 a few sessions in a row, what should you do?
If someone reaches a z threshold of 1 a few sessions in a row, what should you do?
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What should be changed to ensure the neurofeedback session has appropriate difficulty?
What should be changed to ensure the neurofeedback session has appropriate difficulty?
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What is the purpose of NFB?
What is the purpose of NFB?
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When the screen is dark is that a bad thing?
When the screen is dark is that a bad thing?
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How many sessions does it take for people to feel a difference?
How many sessions does it take for people to feel a difference?
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What is the size order of caps from smallest to largest?
What is the size order of caps from smallest to largest?
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How do you know what size cap someone should wear?
How do you know what size cap someone should wear?
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What is the point of the ear clips?
What is the point of the ear clips?
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Which Brodmann areas do you select?
Which Brodmann areas do you select?
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What can you do if T3 looks messed up?
What can you do if T3 looks messed up?
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What can you do if the artifacts do not go away and the reading still looks messy?
What can you do if the artifacts do not go away and the reading still looks messy?
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Which ports will be messy if the patient is blinking?
Which ports will be messy if the patient is blinking?
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How much gel should you put in each cap hole?
How much gel should you put in each cap hole?
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What should the patient watch if they have a history of seizures?
What should the patient watch if they have a history of seizures?
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What do you 'dock' during NFB?
What do you 'dock' during NFB?
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During the initial setup of neurofeedback, which of the following is NOT a step listed?
During the initial setup of neurofeedback, which of the following is NOT a step listed?
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What should you do with a broken cap?
What should you do with a broken cap?
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Study Notes
Running Neurofeedback
- Set up the patient for an eyes open QEEG, then lower the TV to its lowest level and ensure clean brain waves.
- Access the neurofeedback main page by going to "COLLECTION" > "NEUROFEEDBACK" > "swLORETA NEUROFEEDBACK".
Settings Adjustment
- Change the "Z Threshold" to 5.00, "Method" to Z-Tunes, and "Display" to Ani-Streamer.
- Under the Session Rounds tab, set "Number of Rounds" to 1, "Round Duration" to 20, and Intra-Session Data Type to "Percent Reward".
Session Preparation
- Open Netflix on Google Chrome and have the patient choose a show to watch, ensuring it won't cause anxiety.
- Click the Netflix tab, return to ANI Streamer Settings, and confirm Netflix is displayed under "Window to Stream".
- Click "Dock" to display the Netflix show on the TV screen, then maximize the show on both the TV and computer.
Final Settings and Session Start
- On the ANI Streamer Settings page, set "Sound" to Fixed Volume and "Transition Range" to 75%.
- Click "Begin Session" on the neurofeedback main page to start the dynamic session, which adjusts difficulty based on the patient's progress.
Monitoring Progress
- Go to the "Progress" tab on the neurofeedback main page and check the graph on the percent reward, aiming for 40-80%.
- If the percent reward is consistently above 80, lower the Z Threshold by 0.25 until it's within range.
- If the percent reward is below 40, increase the Z Threshold until it's within range.
Special Considerations
- For patients with a history of seizures, change the "Display" to Cz-Head and the "Sound" tab to Bell, and adjust the percent reward accordingly.
EEG Setup and Configuration
- Ensure the screen is fully lowered to minimize distractions
- Position the chair at a comfortable distance from the screen to prevent unnecessary artifacts
- Optimize the environment to reduce artifacts as much as possible
- For most patients, set the EEG volume to a fixed level with 75% dimming
- The Z-score measures the deviation from the standard deviation in EEG readings
- For Cz-head montage (typically used for seizure patients), add sound to the setup
Neurofeedback Setup and Procedure
- Begin by preparing the patient for an eyes open QEEG.
- Reduce TV volume to the lowest setting; ensure brain waves appear clean, although not as clean as in a QEEG.
- Access the neurofeedback interface: Navigate to "COLLECTION," select "NEUROFEEDBACK," then "swLORETA NEUROFEEDBACK" to bring up the main page.
- Adjust settings: Set “Z Threshold” to 5.00, choose “Method” as Z-Tunes, and select “Display” to Ani-Streamer.
- On the Session Rounds tab, modify “Number of Rounds” to 1, set “Round Duration” to 20 minutes, and select “Percent Reward” for Intra-Session Data Type.
- Click “Apply” on the Protocol tab to open the ANI Streamer Settings page.
- Have the patient choose a calm Netflix show via Google Chrome, avoiding anxious content.
- Verify that Netflix appears under “Window to Stream”; if it does, click “Dock” to display it on the TV.
- Full screen both the TV and computer show. Update two settings in ANI Streamer: set “Sound” to Fixed Volume and “Transition Range” to 75%.
- Initiate the session by clicking “Begin Session” on the neurofeedback main page; the session's difficulty adapts based on the patient's performance.
Monitoring Progress
- Check the “Progress” tab to monitor the percent reward graph. Ideal values are between 40% and 80%.
- If the percent reward exceeds 80%, reduce the Z Threshold to 4.75, adjusting further down by 0.25 as necessary until within range.
- If the percent reward falls below 40%, increase the Z Threshold accordingly to maintain optimal difficulty levels.
Special Considerations
- After completing the session, save the data using the session date format (e.g., 7-11-22).
- For patients with a history of seizures, modify the display setting to Cz-Head and change the sound setting to Bell while keeping other settings similar to the Netflix neurofeedback routine.
- Position the Cz-Head on the TV, maximize it, and begin the session, adjusting percent reward as needed, then save the session.
Neurofeedback Setup and Running Procedure
- Patient preparation involves setting up for an eyes-open QEEG.
- Ensure low TV volume and check brain wave clarity; does not need to be as clear as for a QEEG.
- Navigate to “COLLECTION,” then select “NEUROFEEDBACK” and “swLORETA NEUROFEEDBACK” to access the neurofeedback main page.
- Adjust settings:
- “Z Threshold” to 5.00
- “Method” to Z-Tunes
- “Display” to Ani-Streamer
- On the Session Rounds tab, set “Number of Rounds” to 1 and “Round Duration” to 20, with “Intra-Session Data Type” set to “Percent Reward”.
- Press “Apply” on the Protocol tab to access the ANI Streamer Settings page.
- Have the patient choose a calming Netflix show via Google Chrome.
- Return to ANI Streamer Settings to confirm "Netflix" displays under “Window to Stream”.
- Click “Dock” to display the show on the TV screen.
- Maximize the show on both the TV and the computer before adjusting ANI Streamer settings:
- Set “Sound” to Fixed Volume
- Set “Transition Range” to 75%.
- Begin the session by clicking "Begin Session" on the neurofeedback main page; session responds dynamically to patient performance.
Monitoring and Adjustments
- Access the “Progress” tab to monitor the percent reward graph.
- Ideal percent reward should be between 40% and 80%; consistent values above 80% indicate the session is too easy, requiring a lower Z Threshold.
- Adjust Z Threshold down by 0.25 to keep the percent reward within range if too high.
- If percent reward drops below 40%, increase the Z Threshold until it stabilizes within the desired range.
Special Considerations
- Save the session upon completion, noting the date (e.g., 7-11-22).
- For patients with a history of seizures, modify settings:
- Change “Display” to Cz-Head instead of Ani-Streamer
- Set “Sound” to Bell, maintaining other Netflix session protocols.
- Move Cz-Head to the TV screen and maximize it, then begin the session and adjust percent reward accordingly.
Setting Up Neurofeedback
- Prepare the patient similarly to an eyes-open QEEG setup.
- Lower the TV volume to the minimum; clean brain waves are important, but less strict than for QEEG.
- Navigate through the software: Collection > Neurofeedback > swLORETA NEUROFEEDBACK to access the main page.
Adjusting Settings
- Change “Z Threshold” to 5.00, “Method” to Z-Tunes, and “Display” to Ani-Streamer.
- In the Session Rounds tab, set “Number of Rounds” to 1, “Round Duration” to 20 minutes, and “Intra-Session Data Type” to “Percent Reward.”
- Click “Apply” to open the ANI Streamer Settings.
Preparing the Session
- Open Netflix on Google Chrome; patient should select a non-anxious show.
- Ensure “Netflix” appears under “Window to Stream” on ANI Streamer Settings.
- Click “Dock” and maximize the Netflix show on both the TV and computer.
Finalizing Session Setup
- Change ANI Streamer Settings: set “Sound” to Fixed Volume and “Transition Range” to 75%.
- Click “Begin Session” to start the neurofeedback; the session adjusts dynamically to patient performance.
Monitoring Progress
- Monitor the “Progress” tab to ensure the percent reward graph averages between 40% and 80%.
- If percent reward exceeds 80%, lower the Z Threshold incrementally (starting from 4.75).
- Increase the Z Threshold if percent reward falls below 40% to adjust session difficulty.
Considerations for High-Risk Patients
- For patients with a history of seizures, change the “Display” to Cz-Head and “Sound” tab to Bell.
- Maintain other settings similar to the Netflix session, maximizing the Cz-Head display on the TV screen.
- Begin the session and adjust the percent reward as needed, saving the session with the corresponding date (e.g., 7-11-22).
Running Neurofeedback Procedure
- Set up the patient for an eyes-open QEEG environment.
- Reduce TV volume to the minimum and ensure brainwave readings are clear; perfect clarity is not necessary.
- Navigate to “COLLECTION,” then “NEUROFEEDBACK,” and select “swLORETA NEUROFEEDBACK” to open the main neurofeedback interface.
- Adjust key settings: set the “Z Threshold” to 5.00, choose “Z-Tunes” for “Method,” and select “Ani-Streamer” for “Display.”
- Under Session Rounds, modify settings to: “Number of Rounds” as 1, “Round Duration” to 20 minutes, and set “Intra-Session Data Type” to “Percent Reward.”
- Return to the Protocol tab and click “Apply” to access the ANI Streamer Settings.
- Instruct the patient to select a non-anxiety-inducing show on Netflix via Google Chrome.
- Confirm that the Netflix tab displays in the ANI Streamer Settings, then click “Dock” to show the program on the TV screen.
- Maximize the show on both TV and computer, then adjust settings in ANI Streamer: set “Sound” to Fixed Volume and “Transition Range” to 75%.
- Start the session from the neurofeedback main page, which adapts the session's difficulty based on the patient’s performance.
Monitoring Progress
- Access the “Progress” tab to evaluate the session. Aim for the percent reward graph to oscillate between 40 and 80.
- If percentages stay consistently above 80, reduce the Z Threshold to 4.75; continue lowering it by 0.25 until the desired threshold is met.
- Conversely, if the percent reward dips below 40, increase the Z Threshold until it falls within the acceptable range.
- After completing the session, document the date for record-keeping using the format MM-DD-YY.
Special Considerations
- For patients with a history of seizures, switch the “Display” setting to Cz-Head instead of Ani-Streamer and modify the “Sound” to Bell while maintaining other neurofeedback settings.
- Position the Cz-Head display on the TV, maximize it, and begin the session, adjusting metrics as applicable for the Netflix neurofeedback session. Document the session results.
Broken Cap Management
- Broken cap management involves strategies for addressing discrepancies between a company's market capitalization and its intrinsic value.
- Causes include poor investor sentiment, ineffective communication, economic downturns, and structural issues like excessive debt.
Key Concepts
- Market Capitalization: Total market value of outstanding shares, indicating company size.
- Intrinsic Value: True value based on fundamentals like earnings and growth prospects.
- Value Gap: Difference between market capitalization and intrinsic value, signaling recovery potential.
Management Strategies
- Communication: Improve transparency and investor relations to clarify value proposition.
- Financial Restructuring: Modify capital structure (e.g., reduce debt, share repurchase) to strengthen financial health.
- Operational Improvements: Enhance efficiency and profitability through cost reductions and innovative practices.
- Strategic Partnerships: Collaborate with other firms to bolster market position and boost investor confidence.
Performance Metrics
- Price-to-Earnings (P/E) Ratio: Evaluates stock price in relation to earnings per share, revealing market perception versus performance.
- Return on Equity (ROE): Measures profitability relative to shareholders' equity, reflecting operational effectiveness.
- Debt-to-Equity Ratio: Assesses leverage to understand risk levels and financial stability.
Challenges
- Market Sentiment: External factors significantly affect investor perceptions and market capitalization.
- Short-termism: A focus on immediate outcomes can undermine long-term value creation efforts.
- Competitive Landscape: Industry competition and dynamics impact valuation and recovery strategies.
Outcome Measurement
- Shareholder Value Creation: Assessment of stock performance over time compared to industry benchmarks.
- Earnings Growth: Consistent increases in earnings indicate recovery and financial health.
- Market Revaluation: Tracking changes in market capitalization to gauge effectiveness of management strategies.
Best Practices
- Regularly evaluate capital structure and market positioning.
- Engage with investors and analysts proactively to build confidence.
- Prioritize long-term strategic goals over immediate market reactions.
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Description
Learn how to set up a neurofeedback session, including adjusting settings and accessing the neurofeedback main page. Understand the importance of clean brain waves and correct display settings.
