Home' Trinidad and Tobago Guardian : June 2nd 2015 Contents A26
Guardian www.guardian.co.tt Tuesday, June 2, 2015
SAN JUAN/LAVENTILLE REGIONAL CORPORATION
Tender packages can be obtained from the Tenders Department from Wednesday 3rd June, 2015
located at the ground floor, Administrative Department of the MTS Plaza, Aranguez Main Road
San Juan telephone number 674-5843/638-7391 Ext 122. Upon presenting a receipt showing
that a Non Refundable Tender Deposit of One Hundred Dollars ($100.00) per project, (cash
deposit only) has been paid.
The deposit slips can be obtained from the Accounts Department, the tenderer must then go to
First Citizens Bank, San Juan to make the deposit.
Prospective tenderers or their representatives must attend a pretender meeting in the Council
Chambers, on the ground floor at the Administrative Department of the MTS Plaza, Aranguez
Main Road, San Juan on Monday 8th June, 2015 at 10:00am followed by a site visit so as to ascer-
tain the nature of the works to be executed.
Further information relating to the projects can be obtained from Mr. Azim Bassarath, County
Superintendent at 638-1073 Ext 144.
Envelopes must be deposited in the designated tender box located in the lobby of the
Administrative Office, San Juan Laventille Regional Corporation, MTS Plaza no later than
Tenders would be opened publicly on
and the ten-
derer or his representative may be present at this opening.
The San Juan/Laventille Regional Corporation reserves the right to cancel the bidding process
in its entirety, without defraying any cost incurred by any firm in submitting their tender.
CHIEF EXECUTIVE OFFICER
SAN JUAN/LAVENTILLE REGIONAL CORPORATION
Jiya Bavishi was born deaf. For five years, she
couldn t hear and she couldn t speak at all. But
when one reporter first meet her, all she wanted
to do was say hello.
Jiya is taking part in a clinical trial testing a new
hearing technology. At 12 months, she was given
a cochlear implant.
These surgically implanted devices send signals
directly to the nerves used to hear. But cochlear
implants don t work for everyone, and they didn t
work for Jiya.
"The physician was able to get all of the electrodes
into her cochlea," says Linda Daniel, a certified
auditory-verbal therapist and rehabilitative audi-
ologist with HEAR, a rehabilitation clinic in Dallas.
Daniel has been working with Jiya since she was
a baby. "However, you have to have a sufficient or
healthy auditory nerve to connect the cochlea and
the electrodes up to the brainstem."
But Jiya s connection between the cochlea and
the brainstem was too thin. There was no way for
sounds to make that final leg of the journey and
reach her brain.
Usually, the story would end here. If cochlear
implants don t work, you turn to sign language.
And the Bavishis did---for years they communicated
with their daughter through sign.
But then they heard about an experimental pro-
cedure called an auditory brainstem implant.
It is a very rare procedure, according to Dr Daniel
Lee, director of the pediatric ear, hearing and balance
centre at Harvard Medical School.
"There have been less than 200 of these implanted
worldwide in children," he says.
In the US, auditory brainstem implants are
approved by the Food and Drug Administration for
adults and teenagers who have lost their hearing
due to nerve damage. But they have not been
approved for use in younger children.
Surgeons in Europe have pioneered the use of
the auditory brainstem implant in children who are
born deaf and can t receive a cochlear implant, Lee
says. "And those data look pretty encouraging."
So in 2013, the FDA approved the first clinical
trial in the US for young children. The Bavishis
decided to apply for Jiya.
It wasn t an easy decision. It would involve surgery
to place a tiny microchip into Jiya s brainstem.
"The family was at a crossroads," Daniel says.
Did they want to take a chance on a risky, exper-
imental procedure to give their daughter a chance
to hear? They decided on the procedure and traveled
from their home in Frisco, Texas, to Chapel Hill,
NC, for the eight-hour surgery. The University of
North Carolina is one of four institutions inves-
tigating the implant.
After the surgery, Jiya s mom, Jigna Bavishi, pulled
back her daughter s purple headband to reveal two
of the three parts of the device.
There s the piece that sits on her ear, which works
like a microphone to pick up sounds.
That microphone is attached to a small black
magnet that rests on her head. What you can t see
is what the magnet is connected to. And this is
what makes it different from a cochlear implant.
Below the skin, there s a receiver and down in the
brain stem is the microchip.
The idea is that the sounds picked up from the
microphone on her ear end up in the implant in
Doctors told the Bavishis not to expect any
changes for a year or two.
But Jiya didn t take that long to start recognising
and mimicking sounds.
Doctors will monitor Jiya, and four other children
taking part in the study, for the next few years.
They ll be studying how their brains develop and
incorporate sounds and speech. There are two other
Jiya Bavishi's auditory brainstem implant is helping her hear some sounds for the
first time. PHOTO: LAUREN SILVERMAN
clinical trials investigating auditory brainstem
implants in children; one at Children s Hospital in
Los Angeles, and the other at the New York Uni-
versity School of Medicine. (www.npr.org)
New hearing technology
brings sound to a little girl
YOUR DAILY HEALTH
News and advice
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