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Showing papers in "Revista Cefac in 2016"


Journal ArticleDOI
TL;DR: A Triagem Neonatal mostrou ser um instrumento valido e confiavel, assegurando acuracia no diagnostico das alteracoes do frenulo lingual em bebes.
Abstract: RESUMO Objetivo: verificar as propriedades psicometricas de validade e confiabilidade, bem como a sensibilidade, especificidade e valores preditivos da Triagem Neonatal proposta a partir do Protocolo de Avaliacao do Frenulo da Lingua em Bebes. Metodos: estudo experimental retrospectivo, utilizando os dados de 100 bebes. Os bebes foram avaliados nas primeiras 48 horas por meio da triagem e com 30 dias utilizando o Protocolo de Avaliacao do Frenulo da Lingua em Bebes. As imagens e dados de todos os bebes foram coletados pela fonoaudiologa (A1) e analisados pela fonoaudiologa (A2). Os casos com alteracao do frenulo foram submetidos a frenotomia, reavaliados 30 dias apos o procedimento e acompanhados ate o 6o mes. Os dados foram utilizados para as etapas de validacao: analise de concordância entre examinadores; analise de concordância intra-examinador; validade de criterio; analise da validade de construto; analise de sensibilidade, especificidade, valores preditivos positivo e negativo. Os dados foram submetidos ao tratamento estatistico. O estudo foi aprovado pelo Comite de Etica em pesquisa sob o numero CAAE 40784315.9.0000.5538. Resultados: a Triagem Neonatal identificou os bebes com alteracao do frenulo e as mudancas ocorridas apos a frenotomia e apresentou bons indices de sensibilidade, especificidade e valores preditivos. A confiabilidade entre e intra-examinadores permite afirmar que os dados obtidos com a triagem sao confiaveis e podem ser reproduzidos. Conclusao: a Triagem Neonatal do Protocolo de Avaliacao do Frenulo da Lingua em Bebes mostrou ser um instrumento valido e confiavel, assegurando acuracia no diagnostico das alteracoes do frenulo lingual em bebes.

32 citations


Journal ArticleDOI
TL;DR: Both external factors (exposure to noise) and aspects related to health and voice (allergies, respiratory infections and the intensive use of voice) interfere in vocal production.
Abstract: Purpose: to associate vocal symptoms and their possible self-reported causes, which were referred by teachers from public schools in the city of Joao Pessoa, PB state. Methods: 121 teachers from four primary and secondary public schools responded to the Teacher Vocal Production Condition self-perception questionnaire. In this questionnaire, personal data (age, gender, marital status, education); functional status (workload and teaching time) and vocal aspects, mainly related to symptoms and causes, were analyzed. Data analysis was performed using the chi-square association test. Results: the most reported vocal symptoms were hoarseness, voice failure, deep voice, weak voice and breathlessness. The most cited reasons were extensive use of voice, stress, allergies and noise exposure. It was found that, in the opinion of teachers, hoarseness is associated with intensive use of voice and respiratory infection; voice loss is associated to the intensive use of voice; breathlessness is associated with allergy; voice failure is associated with the intensive use of voice; and weak voice is associated with respiratory infection, exposure to noise and the intensive use of the voice. Conclusion: therefore, this study data indicate that teachers participating in this survey perceive that both external factors (exposure to noise) and aspects related to health and voice (allergies, respiratory infections and the intensive use of voice) interfere in vocal production.

20 citations


Journal ArticleDOI
TL;DR: In this article, Canguru compreender a forma como ocorre a assistencia ao recem-nascido prematuro, conforme preconiza a politica publica de saude Metodo Cangurus, a partir da percepcao dos profissionais envolvidos na assistencia.
Abstract: Objetivo: compreender a forma como ocorre a assistencia ao recem-nascido prematuro, conforme preconiza a politica publica de saude Metodo Canguru, a partir da percepcao dos profissionais envolvidos na assistencia. Metodos: trata-se de um estudo descritivo de delineamento qualitativo. Foram realizadas entrevistas com profissionais da area da saude, sobre a assistencia a saude de bebes prematuros. Participaram da pesquisa dezoito profissionais da saude. Destes, tres eram assistentes sociais, quatro enfermeiras, dois fonoaudiologos, dois nutricionistas, dois psicologos, quatro tecnicos de enfermagem e um medico. Todos os entrevistados eram do sexo feminino. As entrevistas foram encerradas a partir da saturacao das respostas, pois nao houve mais elementos significativos. A realizacao das entrevistas ocorreu na Secretaria Municipal de Saude, no Consorcio Intermunicipal de Saude e no Hospital Santa Casa, todas as instituicoes de um municipio do estado do Parana. A tecnica utilizada para analise dos dados, mediante Analise do Conteudo, foi a Analise Tematica. Resultados: foram elencados dois nucleos tematicos para a discussao: A fragmentacao do cuidado ao prematuro e as familias; Contradicoes entre as praticas profissionais e a politica publica instituida. Considera-se nao haver acompanhamento efetivo para os prematuros e questiona-se a continuidade nos atendimentos, para uma assistencia integral. Observa-se que os profissionais desconhecem o que a politica publica preconiza, e valorizam a atencao e cuidado hospitalar. Conclusao: os desajustes sao claros em todos os servicos de saude, e entao, nao ha o cumprimento da politica.

18 citations


Journal ArticleDOI
TL;DR: This study verified the positive associations between functional health literacy, low education, advanced age, the male gender and low income.
Abstract: The purpose of this study is to review scientific productions concerning the evaluation of functional health literacy, which is associated with quality of life, and methodologically analyze the observational studies about this theme. An integrative review has been produced using scientific articles related to the following themes: functional health literacy and quality of life through searches in the PubMed, Lilacs and "Biblioteca Virtual de Saude" databases. After applying the inclusion criteria, 538 articles were obtained, then, after applying the exclusion criteria, 11 articles were selected. Nine out of the eleven articles are international and the remaining 2 are national. The review consisted of compiling and constructing a historical timeline of the publications with methodological analysis of observational studies and the elaboration of word clouds. Most of the articles have quantitative analysis, adults and elders as target groups and measurements of the levels of functional health literacy. This study verified the positive associations between functional health literacy, low education, advanced age, the male gender and low income. Most scenarios were healthcare environments. Functional health literacy presented an association with social-demographic variables, such as sex, age and education. Most studies presented in this study had the goal of relating literacy to pathologies and were done in clinical environments such as hospitals and health clinics. All eight observational articles included in the review fit the methodological criteria for the elaboration of this type of study.

18 citations


Journal ArticleDOI
TL;DR: In this article, the authors evaluate o nivel de ruido in diversos ambientes of a hospital publico and analyse the effect of different types of ruidos on patients.
Abstract: RESUMO Objetivos: avaliar o nivel de ruido em diversos ambientes de um Hospital Publico e analisar seus efeitos em funcionarios a partir do relato de queixas. Metodos: estudo quantitativo, descritivo e transversal. Utilizou-se para levantamento dos dados um decibelimetro Minipa(r) ajustado na escala de 40 a 130 decibels posicionado em diferentes setores do hospital em turnos diferentes, durante uma semana, e um questionario adaptado que foi aplicado aos funcionarios. Resultados: o nivel de ruidos apresentou valor minimo de 52,5 decibels na Unidade de Terapia Intensiva (UTI) Neonatal e maximo de 85 decibels na Enfermaria Feminina com diferenca significativa entre os diferentes dias da semana durante o mesmo turno. O mesmo ocorreu no Pronto Socorro, mas nao apresentou significância nos demais setores. Os funcionarios sentem desconforto a sons fortes, 74,4%, e 35,5 % sentem mal estar e cansaco devido ao estresse provocado pelo ruido que e produzido por varios dispositivos combinados com os sons de alarmes, obras, horarios de visitas e conversacao entre os funcionarios do hospital. Conclusao: os niveis de ruido estao acima do recomendado nos diferentes setores e os profissionais manifestam desconforto e queixa de zumbido antes e apos a sua exposicao.

16 citations


Journal ArticleDOI
TL;DR: A revisao da literatura levantou publicacoes cientificas nacais e internacionais sobre aquecimento e desaquecimentos vocis da voz falada, by meio das bases of dados Lilacs, MedLine e Scielo, with o objetivo of identifying and descrever os parâmetros metodologicos and the efeitos das propostas de aqueciments and desauçimento vocal descritas.
Abstract: Esta revisao da literatura levantou publicacoes cientificas nacionais e internacionais sobre aquecimento e desaquecimento vocais da voz falada, por meio das bases de dados Lilacs, MedLine e Scielo, com o objetivo de identificar e descrever os parâmetros metodologicos e os efeitos das propostas de aquecimento e desaquecimento vocal descritas na literatura nacional e internacional. Foi realizada a localizacao e selecao dos estudos por meio de levantamento de textos publicados sobre o assunto no periodo de 1999 a 2013. Foram incluidos artigos originais de pesquisa; publicados na lingua portuguesa ou inglesa; que pesquisaram aquecimento e desaquecimento vocal; associados ou nao. O tempo de execucao recomendado para o aquecimento variou de 15 a 30min ou tres series de 15 repeticoes, e para o desaquecimento foi de 5 a 15min. Os exercicios mais utilizados para o aquecimento foram sons fricativos sonoros e vibrantes de lingua ou de labios, em escalas ascendentes, e para o desaquecimento vocal foram sons nasais, fricativos sonoros e vibrantes de lingua e ou de labios, em escalas descendentes. Os exercicios mostraram mudancas vocais positivas, observadas por meio de medidas vocais acusticas e perceptivoauditivas, de autoavaliacao e aerodinâmicas relacionadas a fonacao. Houve unanimidade quanto a importância da realizacao do aquecimento e desaquecimento vocais para profissionais da voz e aos resultados positivos apos a realizacao dos procedimentos. Nao foi encontrada concordância quanto ao tempo de execucao e os exercicios utilizados.

16 citations


Journal ArticleDOI
TL;DR: In this paper, the consequences of mouth breathing on the pulmonary function and respiratory muscles were investigated, emphasizing the development of such changes from childhood to adulthood, and it is suggested that the muscular imbalance produced by these changes may contribute for the mechanical disadvantage of the diaphragm muscle and the increase of accessory inspiratory muscles work.
Abstract: The mouth breathing syndrome is characterized by a set of signs and symptoms, which may be present in subjects who replace the adequate and efficient nasal breathing mode by mouth or mixed breathing mode for more than six months. Mouth or mixed breathing mode may be associated to changes in the ventilatory function and mechanics. This review aims to further investigate the consequences of mouth breathing on the pulmonary function and respiratory muscles, emphasizing the development of such changes from childhood to adulthood. Eighteen articles were selected through PubMed and Web of Science databases and they were grouped in the text, covering the following topics:1) Implications of mouth breathing on the pulmonary function and 2)Implications of mouth breathing on the respiratory muscles. Based on the information from the articles analyzed, it can be noticed that a few studies rejected or did not find any relationship between pulmonary changes and mouth breathing. It is suggested that the muscular imbalance produced by these changes may contribute for the mechanical disadvantage of the diaphragm muscle and the increase of accessory inspiratory muscles work. Nevertheless, studies with more judicious methods, including objective and reproducible evaluation of the respiratory muscles are still needed.

15 citations


Journal ArticleDOI
TL;DR: After performing the phonotherapy program with vocal and postural orientation, adequacy of respiratory function and use of the technique of nasal sounds in hyperfunctional dysphonia, significant improvement in body posture, the respiratory tract, the acoustic measurements suggestive of noise to vocal emission and positive effects on the tissue and the closure of the vocal folds are observed.
Abstract: We sought to verify the effects of a phonotherapy program that included vocal and postural orientation, adequacy of respiratory function and the technique of nasal sounds in hyperfunctional dysphonia. We carried out a clinical case, observational, longitudinal, non-controlled study with quantitative approach that analyzed three female subjects with mean age of 31.33 years who presented hyperfunctional dysphonia. The subjects were submitted to: laryngoscopy, vocal, perceptive-auditory and acoustic assessments, collection of maximum phonation time, postural screening and determination of the respiratory tract during speech before and after a therapeutic program which consisted of orientation, awareness and vocal training with nasal sounds during 16 speech therapy sessions, once a week with training at home. The data were analyzed by using the non-parametric Mann-Whitney and Chi-square, with 5% significance level. Post-therapy, we observed that the posture passed from aligned and misaligned and the respiratory type from the upper to the costodiaphragmatic-abdominal; there was a decrease of the acoustic measurements in relation to the degree and to the number of subharmonics in most subjects, besides tissue improvements and reduction of edema in the mucosa of the vocal folds and arytenoid region, as well as glottal closure improvement. After performing the phonotherapy program with vocal and postural orientation, adequacy of respiratory function and use of the technique of nasal sounds in hyperfunctional dysphonia, we observed significant improvement in body posture, the respiratory tract, the acoustic measurements suggestive of noise to vocal emission and positive effects on the tissue and the closure of the vocal folds.

15 citations


Journal ArticleDOI
TL;DR: Some clinical and psychosocial factors are associated in patients with temporomandibular disorder with a significant relationship between clinical diagnoses and the presence of non-specific physical symptoms with pain.
Abstract: Purpose: to analyze the association between the classification of clinical diagnoses (myofascial pain, disk displacement and joint disorder) and chronic pain grade, depression and non-specific physical symptoms in subjects with temporomandibular disorder. Methods: 32 patients, mean age 28.71±4.66 years, were included. The assessment tool used was the Research Diagnostic Criteria for Temporomandibular Disorders - Axis I and II. Regarding the diagnostic group, 88.13% of patients showed mixed conditions, with 43.75% from groups I and III (muscle and joint disorders) and 34.38% from groups I, II and III (muscle and joint disorders, and disk displacement). Results: according to Axis II, 96.88% the participants were classified as having chronic pain, grade I and II (low disability and low intensity; low disability and high intensity). Moderate and severe degrees of depression were observed in 84.38% of the participants. In the assessment of non-specific physical symptoms including and excluding pain, respectively, 59.38% showed severe symptoms and 71.88% had moderate and severe symptoms. There was a significant relationship between the clinical diagnosis of temporomandibular disorder and the degree of non-specific physical symptoms including pain. Conclusion: some clinical and psychosocial factors are associated in patients with temporomandibular disorder, observing a variety of clinical diagnoses with a significant relationship between clinical diagnoses and the presence of non-specific physical symptoms with pain. Complaints of greater severity of physical symptoms were found in patients with multiple clinical diagnoses.

13 citations


Journal ArticleDOI
TL;DR: The results of the study led to the conclusion that tobacco is a risk factor for the central auditory nervous system, interfering with latencies and with BAEP inter-wave latencies in the group of smokers when compared to the Group of non-smokers.
Abstract: Purpose: to perform a comparative study of brainstem evoked auditory potentials between smokers and non-smokers. Methods: the group studied was composed of 40 individuals, being 20 non-smokers and 20 smokers within the range of 20 to 59 years of age. All participants had to present responses to tonal thresholds within normal range and tympanometry type A, with the presence of ipsilateral and contralateral acoustic reflexes. Both groups underwent brain stem auditory evoked potential (BAEP). The parameters used to compare the two groups were the absolute latencies of waves I, III and V, the inter-latency waves I-III, IV and III-V in both ears, the difference between the IV inter-peak latency between the two ears and the inter-aural difference of wave V absolute latency between the two ears. Results: in our results, it was ascertained that the group of smokers showed latency I in the RE (p= 0.036), latency V in the RE (p= 0.007), latency V in the LE (p=0.014), inter-latency III-V in the RE (p=0.015) and LE (p= 0.016) significantly higher than the non-smokers. There was no significant difference in wave V latency between the two ears. Conclusion: the results of the study led to the conclusion that tobacco is a risk factor for the central auditory nervous system, interfering with latencies and with BAEP inter-wave latencies in the group of smokers when compared to the group of non-smokers.

13 citations


Journal ArticleDOI
TL;DR: In this article, caracterizar and comparar as alteracoes de fala relacionadas as alterACoes do frenulo lingual in escolares, the authors caracterize and compare as alteraciós of fala fonetica relacionada with alteracões of the frenulo de lingua.
Abstract: Objetivo: caracterizar e comparar as alteracoes de fala relacionadas as alteracoes do frenulo lingual em escolares, dos 8;6 anos aos 10;11 anos entre grupo controle e pesquisa. Metodos: avaliou-se 52 criancas em idade escolar (8;6 anos a 10;11 anos), de ambos os generos, regularmente matriculadas em Instituto privado, divididas em: grupo controle (sem alteracao do frenulo lingual) e grupo pesquisa (com alteracao do frenulo lingual). As criancas foram avaliadas por meio do Protocolo de Avaliacao em Motricidade Orofacial utilizado em uma Clinica Escola e por meio das figuras utilizadas no Protocolo de Avaliacao em Motricidade Orofacial, MBGR. Os testes utilizados para a analise estatistica foram "Teste de Fisher", "Qui Quadrado" e "Anova", adotando-se como nivel de significância 5% (p<0,05). Resultados: das 52 criancas avaliadas, 26 (50%) apresentaram alteracao do frenulo lingual. Destas, 21 (80,8%) apresentaram tonus de lingua diminuido, 20 (76,9%) apresentaram lingua baixa na cavidade oral e 16 (61,5%) apresentaram problemas de articulacao. Quanto aos demais itens avaliados, nao foram observadas diferencas estatisticamente significantes entre os grupos. Conclusao: o frenulo curto prevaleceu sobre as demais classificacoes da alteracao do frenulo de lingua. O grupo pesquisa apresentou alteracoes estatisticamente significantes quando comparado ao controle, nos seguintes itens: tonus lingual, postura de lingua baixa na cavidade oral e articulacao. Nos demais itens, apesar de nao haver diferenca estatisticamente significante entre os grupos, houve uma tendencia de alteracao maior no grupo pesquisa. Nao foi possivel determinar se as alteracoes de fala fonetica sao iguais para as diferentes alteracoes do frenulo lingual.

Journal ArticleDOI
TL;DR: This paper investigated a contribuicao da consciencia fonologica e nomeacao seriada rapida for a aprendizagem inicial da escrita.
Abstract: Objetivo: investigar a contribuicao da consciencia fonologica e nomeacao seriada rapida para a aprendizagem inicial da escrita. Metodos: participaram do estudo 100 criancas, na faixa etaria de tres a seis anos e onze meses, matriculadas na educacao infantil de uma creche e uma escola municipal da cidade do Recife. Utilizou-se como instrumentos de avaliacao o Teste de Consciencia Fonologica, a tarefa de Nomeacao Seriada Rapida e um roteiro de avaliacao da escrita. Os dados foram transcritos e analisados conforme a estatistica descritiva e inferencial. Resultados: observou-se que o aumento da faixa etaria esta diretamente relacionado ao desenvolvimento dos niveis de consciencia fonologica, assim como com a diminuicao dos erros e do tempo para execucao das tarefas de NSR. Verificou-se que as criancas com mais de quatro anos, tiveram um desempenho em consciencia fonologica aquem do esperado para sua idade. Dentre as habilidades de consciencia fonologica, a consciencia silabica obteve melhores indices de pontuacoes, podendo-se observar grande dificuldade dos participantes nas tarefas de consciencia fonemica. Com relacao a escrita, a maioria das criancas estavam na fase pre-silabica. Foi possivel verificar correlacoes significantes entre as habilidades de consciencia fonologica com a nomeacao seriada rapida e escrita. Conclusao: a consciencia fonologica e nomeacao seriada rapida contribuem para a aprendizagem inicial da escrita, sendo importante o estimulo destas habilidades antes do ciclo de alfabetizacao, o que pode favorecer este processo e sinalizar, precocemente, eventuais problemas de aprendizagem. O baixo desempenho nas tarefas pode ser sugestivo da influencia de fatores socioeducacionais, devendo-se considerar o contexto de vida da crianca e as experiencias educativas vivenciadas na familia e escola.

Journal ArticleDOI
TL;DR: In this article, the authors describe the changes of vocal and gestural features in a story crossing simulation for television after speech training journalism students, and evaluate the effect of training two procedures were used: general self-assessment of expressiveness and of the speech therapist assessment of the vocal aspects, body and overall expressiveness.
Abstract: Purpose: to describe the changes of vocal and gestural features a story crossing simulation for television after speech training journalism students. Methods: longitudinal study, which was attended by 23 students of the Social Communication course, of both genders, with a mean age of 22 years. A theoretical and practical training of vocal and gestural expressiveness for presentations in television journalism was given to the students. The volunteers were randomly divided into two groups - training and control groups. To evaluate the effect of training two procedures were used: general self-assessment of expressiveness and of the speech therapist assessment of the vocal aspects, body and overall expressiveness. Results: of the 12 participants in the training group, nine (75%) showed positive changes, especially in the general expression and in the parameters melodic curve, emphasis and pauses (75%). The parameters that were less modified were loudness (5.33%) and resonance (25%). In the control group, 70% of participants had the general expression and the specific parameters considered as similar pre and post training. After the training the participants of the training group self-rated general expression as positive (average grade 8.2) and pointed out that the training contributed to the professional training (average grade 9.8). Conclusion: the training "vocal expressiveness and body to speak well in telejournalism" causes changes in the expression of Journalism students. The improvement is significant to the overall expression, emphasis, melodic curve and pauses. The self-assessment showed greater change in the overall expressiveness after training in relation to the speech therapist assessment.

Journal ArticleDOI
TL;DR: In this article, the authors investigated the relation between socio-economic classification and the perception of quality of life of people who have a relative with hearing loss and found that there was a relation between socioeconomic classification of the families and their perception of the quality-of-life.
Abstract: Purpose: to investigate the relation between socio-economic classification and the perception of quality of life of people who have a relative with hearing loss. Methods: It is a quantitative and descriptive exploratory research developted with relatives of hearing impaired children and teenagers, user of Sistema Unico de Saude. The researchers applied the Brazilian Criteria of Economic Classification - BCEC (In Portuguese: Criterio de Classificacao Economica Brasil - CCEB), and Quality of Life questionnaire of WHOQOL-BREF. All data were tabulated and statistically analyzed by using the descriptive statistics and graphical analysis of the variables. Results: twenty family members of patients with hearing disability took part in the research. The descriptive analysis of the answers of the Brazilian Criteria of Economic Classification - BCEC (In Portuguese: Criterio de Classificacao Economica Brasil - CCEB) showed that most of the participants belong to B2 and C1 classes, which correspond to 35% each. A reduced part of the sample is in the C2 class, which correspond to 10% and 20% is inserted in the B1 class. It was perceived the best quality of life in the social domain (69.1) and the worst quality of life in the environmental domain (55.1). Conclusion: the study showed that there was a relation between socioeconomic classification of the families and the perception of the quality of life, because the lower the socioeconomic classification is, the worse the perception of the quality of life was in all areas except for the environmental field.

Journal ArticleDOI
TL;DR: In this article, the authors characterized and related the vocal, occupational and general health profile of elementary school teachers from Santa Maria/RS, and found a statistically significant relationship between respiratory disorders and the measurement of the relative average frequency disturbance (jitter).
Abstract: Purpose: to characterize and relate the vocal, occupational and general health profile of elementary school teachers from Santa Maria/RS. Methods: observational analytical cross-sectional study of quantitative character. The sample consisted by 127 teachers (average age of 38.25 years-old) who responded to a questionnaire and underwent hearing screening, perceptual voice assessment and acoustic analysis. Results: average of 7,03h/day of teaching; work as a teacher for 13,13 years on average; high occurrence of vocal complaints and there was no reports of respiratory disorders, alcoholism and smoking habits; most showed no disorders in the auditory perceptual parameters; the acoustic analysis presented disorders in measures of disturbance frequency, the amplitude and noise; the teachers who have submitted complaints vocals had daily workload higher than those that did not show; teachers with vocal complaints presented significant changes in measurement of the fundamental frequency variation (jitter); and it was found a statistically significant relationship between respiratory disorders and the measurement of the relative average frequency disturbance (jitter). Conclusion: there is high occurrence of vocal complaints among elementary school teachers, and these were related with the high workload and acoustic measures of jitter, which also presented relation to the related respiratory disorders.

Journal ArticleDOI
TL;DR: This study aimed to studying the natural nursing process to the preterm child pointing the maternal account, using information based in SCIELO, BIREME and LILACS from April to July in 2014 through the key-words 'difficulty, maternal nursing, premature'.
Abstract: The premature newborn shows immaturities that can cause problems or implications throughout its growth or avoid some organ function or some corporal system. This immaturity often results in inefficient sucking and unsatisfactory oral reflexes, causing delay in the growth and in its developing. The mother who doesn't nurse commonly lives pain and suffering. A lot of studies have searched the complications found to the starting of natural nursing for premature children, but these studies don't search the maternal account about these difficulties found. This study aimed to studying the natural nursing process to the preterm child pointing the maternal account. It sort about a full review in the Portuguese Language using information based in SCIELO, BIREME and LILACS from April to July in 2014 through the key-words 'difficulty, maternal nursing, premature. It has included some Health magazines and periodic, published in Portuguese between 2004 and 2014, which considerate the Nutrient account concerning the difficulties found. The difficulties found to the starting of the natural nursing to premature newborn babies, according the maternal view can be associated to the breast operation, to the Nurses particular questions and also associated to the new-born babies. We're not found any account describing the professionals who worked in this process, neither speech therapists participation in the motor-oral development in these children. Can be observed in the literature few works and searches contemplating the maternal accounts about the difficulties found to nursing the premature baby. Thus, this work points the necessity of reflection about our professional practices, emphasizingthe listening practice and its users.

Journal ArticleDOI
TL;DR: In this article, the authors investigate a percepcao dos aspectos ambientais e psicossociais do trabalho of professores of escolas publicas de ensino fundamental and relacionar aos sintomas de desconforto vocal.
Abstract: Objetivo: investigar a percepcao dos aspectos ambientais e psicossociais do trabalho de professores de escolas publicas de ensino fundamental e relacionar aos sintomas de desconforto vocal. Metodos: estudo transversal com amostra probabilistica de professores de escolas municipais. Participaram do estudo 90 individuos (18 homens e 72 mulheres) distribuidos nas faixas etarias de 24 a 65 anos. O instrumento de investigacao foi um questionario com 40 questoes composto por 5 blocos de perguntas. Foram realizadas: analise descritiva e analise de regressao linear uni e multivariada para verificar as associacoes entre o numero de sintomas vocais e as condicoes de trabalho dos professores. Resultados: aproximadamente um terco dos professores (34,4%) relataram a presenca dos 8 sintomas vocais (media=5,6/DP=2,4). Com relacao as caracteristicas do ambiente de trabalho, a maior parte dos docentes refere ruido elevado ou insuportavel como competicao sonora ao uso da voz, sendo (43,3%) da sala de aula, e (41,1%) da escola. Quanto aos aspectos psicossociais do trabalho 54,4% dos professores relatou baixa demanda psicologica e 55,6% baixo suporte social. No modelo multivariado final, a variavel que apresentou associacao com numero de sintomas foi o ruido dentro da sala de aula. Conclusao: professores de ensino fundamental apresentam elevado numero de sintomas de desconforto vocal. O desconforto vocal se associa significativamente com a presenca do ruido em sala de aula. A relacao entre os aspectos psicossociais do trabalho e os problemas de voz, apesar de nao ter se diferenciado quanto ao numero de sintomas vocais neste estudo, precisa ser investigada.

Journal ArticleDOI
TL;DR: Os frenulos linguais foram classificados em normal e alterado, sendo predominante o frenulo lingual normal e a espessura delgada, while a alteracao do frenulo prevaleceu no genero masculino.
Abstract: RESUMO Objetivo: analisar os aspectos anatomicos do frenulo lingual de bebes atendidos no Centro de Referencia em Saude Auditiva / CRESA da Pontificia Universidade Catolica de Goias / PUC Goias. Metodos: trata-se de um estudo transversal, observacional, analitico, com abordagem quantitativa. Foram avaliados bebes entre 1 e 4 meses, de ambos os generos, alimentados no seio materno, sendo excluidos bebes com alteracoes anatomofisiologicas na face, pre ou pos maturidade ou com comprometimento neurologico. Para a classificacao anatomica do frenulo lingual foram analisadas a espessura do frenulo e a sua fixacao na lingua e no assoalho da boca, a partir do "Protocolo de avaliacao do frenulo da lingua com escores para bebes" (MARTINELLI; MARCHESAN; BERRETIN-FELIX, 2013). Resultados: foi possivel visualizar o frenulo em 165 bebes, sendo 104 normais e 61 alterados. Em apenas 1 bebe nao foi possivel visualizar o frenulo. Dentre os frenulos normais, predominou os com fixacao no terco medio e visivel a partir das carunculas sublinguais. Dos frenulos alterados foi mais frequente aqueles com fixacao entre o terco medio e o apice e visivel a partir da crista alveolar inferior. Predominou a espessura delgada. Dos bebes com frenulo alterado, 24 apresentaram succao alterada e, com frenulo normal, 18 apresentaram succao alterada. Conclusao: os frenulos linguais foram classificados em normal e alterado, sendo predominante o frenulo lingual normal e a espessura delgada. A alteracao do frenulo prevaleceu no genero masculino. Bebes com frenulo lingual alterado apresentaram mais chances de alteracao na succao, embora a correlacao entre frenulo e succao tenha sido baixa.

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TL;DR: Most of the voice professionals and future professionals used it for less than eight hours and had water available at work, and there were significant associations between intake less water quantity and use the voice for less time and between having water at work and intake more than seven glasses of water every day.
Abstract: Objetivo: caracterizar e relacionar a quantidade e condicoes de hidratacao, o tempo diario de uso vocal e as queixas de ressecamento de profissionais e futuros profissionais da voz. Metodos: pesquisa transversal, nao-experimental, retrospectiva e quantitativa, com utilizacao de banco de dados. Analisaram-se 105 registros de sujeitos de ambos os generos, profissionais e/ou estudantes futuros profissionais da voz na faixa etaria de 19:0 a 42:6 anos. Foram utilizados dados relativos a idade, profissao, genero, quantidade e condicoes de hidratacao, tempo de uso da voz e queixas de ressecamento. Foram utilizados: Teste de Hipotese para Proporcao, Teste Qui-Quadrado e Teste exato de Fisher. Resultados: frequencia significante de agua disponivel no ambiente de trabalho e de uso da voz menos de oito horas diarias. A ingestao de menos de sete copos diarios de agua foi percentualmente maior do que a ingestao de mais de sete copos. Houve associacao significante entre ingerir menor quantidade de agua e usar a voz por menor tempo e entre ter agua no trabalho e ingerir mais de sete copos de agua diarios. Nao houve qualquer significância em relacao a queixa de ressecamento. Conclusao: a maioria dos profissionais e futuros profissionais da voz a utilizava por menos de oito horas diarias e possuia agua disponivel no trabalho. Aqueles que ingeriam menos de sete copos de agua diarios apresentavam tempo diario de uso vocal menor do que oito horas e aqueles que ingeriam mais de sete copos de agua por dia tinham agua disponivel no trabalho.

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TL;DR: A revisao de literatura entre os anos de 2005 e 2015 nas principais revistas cientificas, nacionais, da Fonoaudiologia: Revista CEFAC, Revista Disturbios da Comunicacao - DIC, Pro-Fono - Revista de atualizacao Cientifica, Jornal da Sociedade Brasileira de Fono audióloga, CoDAS, as mentioned in this paper.
Abstract: A comunicacao nao verbal e parte da comunicacao e esta sempre presente de maneira intencional ou nao. Pode influenciar, segundo alguns autores, mais de 90% a expressividade na relacao dialogica. Cada gesto, cada olhar e uma valiosa fonte de informacao sobre a emocao que acontece no momento da comunicacao. Como o fonoaudiologo atua com a comunicacao, para um trabalho efetivo ele deve procurar trabalhar aspectos da comunicacao nao verbal e verbal, sempre associados. Foi realizada uma revisao de literatura entre os anos de 2005 e 2015 nas principais revistas cientificas, nacionais, da Fonoaudiologia: Revista CEFAC, Revista Disturbios da Comunicacao - DIC, Pro-Fono - Revista de atualizacao Cientifica, Jornal da Sociedade Brasileira de Fonoaudiologia, CoDAS, Revista da Sociedade Brasileira de Fonoaudiologia e Audiology Communication Research - ACR. A busca pelos numeros e a analise das publicacoes sobre voz de todas as revistas foi feita dentro da pagina da plataforma de busca em saude Scientific Electronic Library Online - SciELO. Foram encontrados 342 artigos sobre voz. 176 eram sobre profissionais da voz dos quais apenas oito abordavam o tema comunicacao nao verbal. Desses, tres se referiam aos profissionais de radio e TV, dois artigos sobre professores, dois sobre atores e um sobre estudante universitario. Observou-se que, apesar da relevante importância da comunicacao nao verbal no processo comunicacional, nao ha muitas publicacoes fonoaudiologica sobre nao verbal e profissionais da voz.

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TL;DR: There was a large proportion of elderly people who referred difficulties related to language, hearing, speech and chewing skills, which are functions related to socialization, welfare and maintenance of functional autonomy and can directly interfere with their quality of life and health.
Abstract: Purpose: to estimate the prevalence of oral communication, memory, reading and writing, voice and oral motor skills problems in elderly people. Methods: cross-sectional study with 75 older people registered in a Family Clinic of Rio de Janeiro. It was estimated the prevalence, in all cases and by sex. The presence of differences between the sexes was verified by statistical tests t and chi-square. Results: the problems most frequently related to oral communication and memory were the avoidance to communicate (20.5%), difficulty in remembering recent and past events (34.7% and 26.4% respectively). There was a high prevalence of difficulty in reading and writing. According to hearing, 43.10% reported "watching television and listening to radio too loud." Related to voice perception, 71.2% referred "speak loudly or shouting" and 23.6% to "get hoarse frequently." As far as Myofunctional oral motor skill, 24.7% had "difficulties in chewing in general" and 54.8% "snoring while sleeping." Conclusion: in this study, there was a large proportion of elderly people who referred difficulties related to language, hearing, speech and chewing skills, which are functions related to socialization, welfare and maintenance of functional autonomy and can directly interfere with their quality of life and health.

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TL;DR: In this article, the authors analyze associacao entre disturbio de voz and capacidade for o trabalho in docentes da rede municipal de ensino de Sao Paulo.
Abstract: Objetivo: analisar a associacao entre disturbio de voz e capacidade para o trabalho em docentes da rede municipal de ensino de Sao Paulo. Metodos: professoras que buscaram atendimento fonoaudiologico, com queixa de alteracao vocal; e professoras selecionadas sem queixa, expostas ao mesmo ambiente de trabalho, passaram por avaliacao perceptivo-auditiva da voz; preenchimento dos protocolos Indice de Capacidade para o trabalho e Condicao de Producao Vocal do Professor; e avaliacao perceptivo-visual da laringe. Foram classificadas como Caso as que tinham alteracao na avaliacao perceptivo-auditiva e em pregas vocais (167) e Controle as sem alteracoes nas avaliacoes (105). Resultados: a capacidade para o trabalho esteve entre baixa e moderada entre os casos (67,4%) e entre boa e otima (66,6%) nas professoras do controle (escore total). Houve associacao estatistica em duas dimensoes do ICT, apontando que as docentes com disturbio de voz apresentaram quase tres vezes mais chance de perder capacidade para o trabalho e que quanto pior a perda da capacidade, mais forte e a associacao com o disturbio de voz. Conclusao: ha associacao entre o disturbio de voz e as dimensoes capacidade atual para o trabalho comparada com a melhor de toda vida, indicando que os sujeitos que apresentaram disturbio de voz estavam em sua pior capacidade para trabalhar, e perda estimada para o trabalho por causa de doencas, indicando que quanto maior a perda da capacidade para o trabalho, mais forte e a relacao com o disturbio de voz, independente da idade.

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TL;DR: Chewing differentiation according to age, gender, oral habits and breathing mode is found in children from 3 to 5-years old.
Abstract: Purpose: to describe the characteristics of the chewing profile in children from 3 to 5-years old, correlating it with the chronological age, gender, oral habits, feeding introduction and dental aspects of them. Methods: transversal study performed with 60 children of both genders. A pediatric dentistry dental aspects evaluated, followed by evaluation of chewing performed by a speech therapist using French bread and the elaborate protocol for this study. Data analysis was carried through visual observation and video recording and late analysis by blind raters. The responsible answered a questionnaire about the oral habits and food introduction. Results: at the 10 items evaluated chewing occurred toggle between the standard expected for all variables. A statistical difference between the posture of lips of three- and four years compared to the five years of age (p<0.001). The predominant mandibular movements of the rotary type evolved with increasing age (p=0.008). No association was found between dental aspects and mastication of children. Association was found between: girls and boys chewing characteristics (p<0.001); mastication evolution according to age (p=0,008); to present oral habits for the item cut so (p=0.003) and was mixed respiratory significant factor in the child hold his mouth open chewing (p=0.01) and to carry out the jaw movements of maceration predominantly (p=0,04). Conclusion: for the studied sample, the chewing so presented itself gradually in its evolution and improvement. Found in chewing differentiation according to age, gender, oral habits and breathing mode.

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TL;DR: There is a relation between alteration on the recognition of verbal commands for children aged between 12 and 18 months and the alteration in the result of language evaluation for those aged between 2 and 4 years.
Abstract: Purpose: this article aims at investigating the relation between the hearing abilities in the first year of life and the diagnosis of language between 2 and 4 years of age in preterm infants born weighing less than 2,000 grams. Methods: the infants were selected from the database of this program composing a group of 54 infants with transient evoked otoacoustic emissions present in the first three months, with an auditory behavior between 6 and 18 months and an evaluation of language between 2 and 4 years of age. Results: there were no statistically significant differences between the occurrence of cochlear-palpebral reflex and the ability of sound localization between 6 and 18 months regarding result of language assessment. Regarding the ability of recognition of verbal commands for children aged between 12 and 18 months, there was a statistically significant difference. Infants who present alteration on the recognition of verbal commands from 12 to 18 months are 12.25 times more likely to have language alteration at the age between 2 and 4 years. Conclusion: there is a relation between alteration on the recognition of verbal commands for children aged between 12 and 18 months and the alteration in the result of language evaluation for those aged between 2 and 4 years.

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TL;DR: In this paper, the authors analyzed the impact that intergenerational dialogic activities can have on the perception that children and adolescents have about the elderly and vice-versa, and found that the activities reminded them of the past and reframed the present, expanding their self-perception, and strengthening the inter-generational ties.
Abstract: Purpose: to analyze the impact that intergenerational dialogic activities can have on the perception that children and adolescents have about the elderly and vice-versa Methods: the participants were twelve elderly people and twenty-one children and adolescents interested in developing intergenerational dialogic activities For eight months, they attended weekly joint activities organized around oral dialogical activities of reading and writing, involving the relationship between generations At the end of this period, semi-structured interviews were carried out with the subjects to verify the impact of the activities on them Results: responses were organized and interpreted according to the methodological proposal of the Content Analysis, resulting in the formulation of seven categories These categories showed a less discriminatory view of the participants, facing the opposite generation Conclusion: in regard to the elderly, the activities reminded them of the past and reframed the present, expanding their self-perception, and strengthening the intergenerational ties Children and adolescents, in turn, recognized the need to overcome negative stereotypes about old age and realized the learning opportunities that may arise through the interaction with the elderly

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TL;DR: In this paper, the authors present a case where a patient had facial asymmetry since the first year of life and recurring cases of otitis just in the early stages of closing the temporal tympanic suture and in the foramen of Huschke, which would facilitate the dissemination of this ear infection which would undermine the development of condyle resulting in hypoplasia identified only in the right side.
Abstract: The temporomandibular joint is one of the most complex of the human body and the condylar process is responsible for the expression of mandibular growth. The condylar hypoplasia is characterized by a defective formation of the condylar process. The acute otitis media is an inflammatory process, triggered from infections of the nasal cavity, paranasal sinuses and, nasopharynx, propagated through the Eustachian tube. In the presented case, the patient had facial asymmetry since the first year of life, and recurring cases of otitis just in the early stages of closing the temporal tympanic suture and in the foramen of Huschke, which would facilitate the dissemination of this ear infection which would undermine the development of condyle resulting in hypoplasia identified, only in the right side. Thus, professionals who work in temporomandibular joint and ear regions must have knowledge of the existence and clinical implications of the foramen of Huschke for early diagnosis and prevent the development of facial asymmetry where this association presents with clinical signs of infection of the affected areas, restoring function, aesthetic and, psychological state of the patient.

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TL;DR: There was no difference between maximum phonation time of /e/, /e/ and ė/e ratio, according to age and body mass index, andBody mass index and maximum phonations time were not correlated, showing homogeneity between measures within the group without influence of bodymass index on the maximum phonisation time.
Abstract: Purpose: to characterize and associate children's maximum phonation time of voiced /e/ and voiceless /e/ (/ė/), body mass index and gender. Methods: field and quantitative analytical observational cross-sectional study attended by 102 children aged between eight and 12 years (mean 9.66 years), being 53 (51.96%) girls and 49 (48.04%) boys. The subjects have gone through hearing screening, anthropometric assessment and collection of the maximum phonation times of /e/, /ė/. Data were analyzed using non-parametric Mann-Whitney and Spearman's rank correlation coefficient tests, with 5% significance level. Results: there was no difference of maximum phonation times of /e/, /ė/, or the relationship between them as a function of body mass index and age, but male children showed maximum phonation time significantly of /e/ higher than girls. No correlation was found between maximum phonation time and body mass index. Conclusion: there was no difference between maximum phonation time of /ė/, /e/ and ė/e ratio, according to age and body mass index, and body mass index and maximum phonation time were not correlated, showing homogeneity between measures within the group without influence of body mass index on the maximum phonation time. As for gender, boys presented maximum phonation time of /e/ higher than girls and only children aged eight years had maximum phonation time as expected.

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TL;DR: The results of this study support the planning of operational strategies and actions to better serve patients, especially senior citizens, and inform mothers and pregnant women of neonatal hearing screening for the early detection and rehabilitation of hearing loss.
Abstract: Purpose: to obtain the epidemiological profile of the hearing impaired population assisted in a public service regarding sociodemographic, clinical, assistance, communicative and behavioral aspects. Methods: descriptive, observational, cross-sectional study utilizing secondary data. The sample consisted of 307 users, from May 2009 to May 2011. A protocol for the authorization and concession of personal sound amplification product was used. Results: most of the patients were female, seniors over 60 years, with incomplete elementary education and retired. It was more common for users to have basic hearing exams at the time of evaluation at the hearing health center, moderate sensorineural hearing loss, and a presbycusis etiology. Regarding behavioral aspects, patients presented auditory reactions without the personal sound amplification products and verbalization. Conclusion: the results of this study support the planning of operational strategies and actions to better serve patients, especially senior citizens, and inform mothers and pregnant women of neonatal hearing screening for the early detection and rehabilitation of hearing loss.

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TL;DR: The authors caracterizar o desempenho de escolares do 3o ao 5o ano do ensino fundamental I em compreensao de leitura.
Abstract: Objetivo: caracterizar o desempenho de escolares do 3o ao 5o ano do ensino fundamental I em compreensao de leitura. Metodos: os participantes deste estudo foram 378 escolares, divididos em 3 grupos, sendo: GI (102 escolares do 3o ano), GII (121 escolares do 4o ano), GIII (155 escolares do 5o ano). Todos os escolares foram avaliados por meio de protocolo de avaliacao de leitura, composto por quatro textos, sendo dois textos expositivos e dois textos narrativos, cada um com oito questoes, sendo quatro perguntas literais e quatro inferenciais, duas relacionadas a microestrutura e duas a macroestrutura do texto. Resultados: na analise estatistica observou-se que os escolares apresentaram numeros inferiores de respostas incorretas no decorrer da seriacao escolar, indicando que as experiencias de leitura durante os anos de escola contribuiram para o desempenho de compreensao, tambem a segunda leitura proporcionou a alguns escolares melhora em seu desempenho nas respostas as perguntas dos textos. Tambem foi observado que os escolares tiveram medias superiores para perguntas inferenciais, bem como para questoes de macroestrutura. Conclusao: verificou-se que as medias superiores foram para as perguntas literais dos textos expositivos e para perguntas inferenciais dos textos narrativos, indicando que cada tipo de texto apresentou uma dificuldade especifica para os alunos. Foi possivel, portanto, mediante a aplicacao de protocolo de avaliacao, caracterizar o desempenho dos escolares, assim como suas dificuldades em compreensao de leitura.

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TL;DR: In this paper, a pesquisa 54 professoras, encaminhadas pelo servico ocupacional municipal com o diagnostico de disfonia, for o Ambulatorio de Fonoaudiologia de um Hospital de ensino, ocorreu entre janeiro de 2012 and dezembro de 2013.
Abstract: Objetivo: comparar o impacto da voz na qualidade de vida de professoras no momento inicial e apos alta fonoterapica e identificar os fatores associados. Metodos: estudo observacional prospectivo, por meio de informacoes coletadas em dois momentos: dados secundarios dos prontuarios e questionarios online, apos alta fonoaudiologica. Participaram da pesquisa 54 professoras, encaminhadas pelo servico ocupacional municipal com o diagnostico de disfonia, para o Ambulatorio de Fonoaudiologia de um Hospital de ensino. A fonoterapia ocorreu entre janeiro de 2012 e dezembro de 2013. As informacoes de interesse foram: respostas ao Protocolo do Perfil de Participacao e Atividades Vocais, numero de sintomas vocais, questoes relativas as condicoes de trabalho e habitos de vida. Realizou-se analise descritiva e inferencial por meio de um programa estatistico. Resultados: houve reducao no relato de sintomas ao comparar os momentos pre e pos-fonoterapia. Quanto as medianas dos parâmetros do protocolo supracitado nos dois momentos, observou-se que os grupos se diferenciaram em comunicacao social e em emocao. Para estes parâmetros houve diferenca estatistica entre os grupos em relacao a ausencia de ruido gerado em sala de aula. As demais variaveis independentes nao se diferenciaram entre os grupos. Conclusao: a intervencao fonoaudiologica traz impacto positivo sobre a voz de professoras em relacao aos fatores comportamentais e ocupacionais. A melhora e evidenciada pela reducao do numero de sintomas vocais relatados apos alta fonoaudiologica. Apos fonoterapia, ha menor limitacao da disfonia nas atividades vocais relacionadas a comunicacao social e emocao, principalmente diante da ausencia de ruido em sala de aula.