Questions and Answers
What is the purpose of changing the 'Display' to Ani-Streamer?
What should the patient choose on Netflix to watch?
What happens if the percent reward is consistently above 80?
What should you do if the percent reward is below 40?
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Can you pause the session?
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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?
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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?
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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?
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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?
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What are the forms of feedback we have?
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How should you have the transition range?
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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?
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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?
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What should be changed to ensure the neurofeedback session has appropriate difficulty?
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What is the purpose of NFB?
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When the screen is dark is that a bad thing?
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What is the file we click for auditory feedback?
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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?
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How do you know what size cap someone should wear?
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What is the point of the ear clips?
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What do we "Load" when setting up nfb?
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Which Brodmann areas do you select?
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What should you do if there is an artifact?
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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?
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Which ports will be messy if the patient is blinking?
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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?
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What does the patient watch during Zukor?
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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?
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What shouldn't be noted in the chart?
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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.
