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Speech-language-hearing therapists’ perceptions of the characteristics of structured assessment tests proposed by current Chilean regulations 语言听力治疗师对智利现行法规提出的结构化评估测试特征的看法
Pub Date : 2023-05-01 DOI: 10.1590/1982-0216/20232510722
Antonieta Herrera-Lillo, Carla Gislaine Leal-Kaymalyz
ABSTRACT Purpose: to analyze the speech-language-hearing therapists’ perception of structured tests proposed by the current Chilean regulations to assess and diagnose language in children. Methods: a questionnaire to assess their perception of three tests (the Test of Auditory Comprehension of Language, the revised Phonological Simplification Processes Assessment Test and the Screening Test of Spanish Grammar). Differences were contrasted with the Friedman test, and the post hoc was compared with the Wilcoxon rank sum test. Also, the Spearman´s rho coefficient was used to study the correlation between scores, setting the confidence level at 5%. Results: the revised Phonological Simplification Processes Assessment Test obtained the highest mean Likert score in most items assessed, except for the question on excessive application time. A total of 91% of participants reported the need for a digital version of the three structured tests. Lastly, the highest and most significant score correlation occurred between the Test of Auditory Comprehension of Language and the Screening Test of Spanish Grammar. Conclusion: the participants’ perceptions of the revised Phonological Simplification Processes Assessment Test are more positive than those of other tests. The participants also believe that the tests should have a digital version.
目的:分析语言听力治疗师对智利现行儿童语言评估和诊断法规中提出的结构化测试的看法。方法:采用问卷调查的方法对三种测试(语言听觉理解测试、修订后的语音简化过程评估测试和西班牙语语法筛选测试)进行认知评价。差异与Friedman检验比较,事后与Wilcoxon秩和检验比较。此外,Spearman ' s rho系数用于研究分数之间的相关性,设置置信水平为5%。结果:修订后的语音简化过程评估测验除过度使用时间外,其余项目的平均李克特得分最高。共有91%的参与者报告说需要三个结构化测试的数字版本。最后,语言听觉理解测验与西班牙语语法筛选测验的得分相关性最高且最显著。结论:被试对修改后的语音简化过程评价测验的认知比其他测验更积极。参与者还认为,测试应该有一个数字版本。
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引用次数: 0
Could speech disorders in children with cleft lip and palate be justified by impaired central auditory skills? 唇腭裂儿童的语言障碍是否可以用中枢听觉技能受损来解释?
Pub Date : 2023-04-21 DOI: 10.1590/1982-0216/202325310022
Jaqueline Lourenço Cerom, Maria Renata José, L. Maximino, J. Dutka, M. Pegoraro-Krook, M. Feniman
Purpose: to verify the association between central auditory skills and speech disorders related to velopharyngeal dysfunction. Methods: forty-five children, with repaired non-syndromic cleft lip and palate or cleft lip only, aged 7-11 years old, were divided into three groups: G1 (n=15), children with hypernasality, nasal air emission, and compensatory articulations; G2 (n=15), children with hypernasality and nasal air emission, but without compensatory articulations; and G3 (n=15), children without hypernasality, nasal air emission, and compensatory articulations. The medical records of all participants were analyzed to verify the eligibility criteria and obtain speech assessments, and then, they were submitted to an assessment of central auditory skills. Statistical analysis comprised descriptive and chi-square test with a significance level of 5%. Results: G1 presented a higher occurrence of impairment in central auditory skills differing from the other groups, particularly in the temporal ordering and binaural integration skills. A significant difference was observed among groups in temporal ordering ability. No significant association was found between the use of specific types of compensatory articulations and impaired auditory skills. Conclusion: there was an association between changes in temporal ordering auditory skills and binaural integration in children with velopharyngeal dysfunction, regardless of the presence or type of compensatory articulation found.
目的:验证中枢性听觉技能与腭咽功能障碍相关言语障碍之间的关系。方法:将45例7 ~ 11岁的修复性非综合征性唇腭裂或单纯唇裂患儿分为3组:G1组(n=15)、鼻音高、鼻气排出、代偿性关节组(n=15);G2组(n=15),有鼻亢和鼻气排出,但无代偿性关节;G3组(n=15),无鼻窦炎、鼻气排出、代偿性关节。对所有参与者的医疗记录进行分析,以验证资格标准并获得语音评估,然后将他们提交给中央听觉技能评估。统计学分析采用描述性检验和卡方检验,显著性水平为5%。结果:G1组中央听觉技能的损害发生率高于其他组,尤其是时间顺序和双耳整合技能。时间排序能力在各组间存在显著差异。在使用特定类型的补偿性发音和听觉技能受损之间没有发现显著的关联。结论:在腭咽功能障碍儿童中,无论代偿性发音是否存在或类型如何,时间顺序听觉技能的变化与双耳整合之间存在关联。
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引用次数: 0
Genetic recurrence and molecular markers of dyslexia in the Brazilian population 巴西人群中阅读障碍的遗传复发和分子标记
Pub Date : 2023-04-21 DOI: 10.1590/1982-0216/20232528722
T. Gonçalves, Thais Freire, T. Dionísio, R. F. Lima, L. T. Neves, Carlos Ferreira Santos, Patrícia Abreu Pinheiro Crenitte
Purpose: to investigate genetic recurrence and molecular markers for dyslexia in two candidate genes in the Brazilian population. Methods: a cross-sectional, case-control, observational study, with five single nucleotide polymorphisms (SNPs) studied in DYX1C1 and KIAA0319 genes in 86 subjects with dyslexia and 66 controls, matched for gender and age. SNPs were genotyped using the polymerase chain reaction technique in real time, and distribution of genotypic and allelic frequencies between the groups was analyzed. Results: it was determined that 68% of the subjects with dyslexia present a family history of learning difficulties. The DYX1C1 gene did not demonstrate an association with dyslexia, which was found regarding the rs9461045 marker of the KIAA0319 gene. Conclusion: a family history of learning problems was present in more than two-thirds of the group with dyslexia, indicating that this is an important risk factor. An association with dyslexia in the rs9461045 marker was noted, making the study the first one to show an association of the KIAA0319 gene with dyslexia, in Latin America.
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引用次数: 0
Observation of Communicative Behavior: an updated protocol from 0 to 72 months 交际行为观察:从0到72个月的更新协议
Pub Date : 2023-04-17 DOI: 10.1590/1982-0216/20232517522
Amanda Tragueta Ferreira-Vasques, Eduardo Pimentel da Rocha, D. A. Lamônica
ABSTRACT Purpose: to describe the updating of the Observation of Communicative Behavior protocol in the age group from 0 to 72 months. Methods: the Observation of Communicative Behavior protocol was revised and updated, with the insertion of the child development milestones in its various areas, becoming a child development screening tool. Results: the protocol includes 188 items, distributed in 10 age groups from zero to 72 months. The items were organized as follows: from zero to 24 months, divided by quarter (four age groups); from 24 to 36 months per semester (two age groups); and from 36 to 72 months, divided by year (four age groups). The items covered the areas of child development and its main milestones. The score is registered in the protocol and a score of 0 - does not perform the action or behavior, 1 - performs the action in an atypical, restricted manner or it is being acquired, 2 - properly performs the action/behavior, is attributed to the response, after analysis. Few materials and a structured environment are needed to apply the protocol. Conclusion: the updating of the Observation of Communicative Behavior protocol has a direct impact on the initial assessment of children with or without suspected delay in child development and should be used by health professionals in monitoring typical child development (routine) or in cases where the child receives specific stimulation.
摘要目的:描述0 ~ 72月龄儿童交流行为观察方案的更新情况。方法:对《交际行为观察》进行修订和更新,在其各个领域加入儿童发展里程碑,成为儿童发展筛查工具。结果:方案共188项,分为0 ~ 72月龄10个年龄组。项目组织如下:0 - 24个月,按季度(4个年龄组)划分;每学期24 - 36个月(两个年龄组);从36个月到72个月,按年划分(4个年龄组)。这些项目涵盖了儿童发展领域及其主要里程碑。得分记录在协议中,0分-未执行该动作或行为,1分-以非典型,受限的方式执行该动作或行为或正在获得该动作,2分-正确执行该动作/行为,经过分析后归因于响应。应用该协议需要很少的材料和结构化环境。结论:交流行为观察协议的更新对儿童发展是否有延迟的初步评估有直接影响,应被卫生专业人员用于监测典型的儿童发展(常规)或儿童接受特定刺激的情况。
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引用次数: 0
Evaluating the use of wearables in the masseter and temporal muscles: a scoping review protocol 评估可穿戴设备在咬肌和颞肌中的使用:范围审查方案
Pub Date : 2023-04-17 DOI: 10.1590/1982-0216/202325110522
A. M. Dantas, L. Lopes, Naiara de Oliveira Farias, H. J. Silva
ABSTRACT Purpose: to develop a scoping review protocol that seeks to identify which procedures and for what purpose wearables available in the literature are being used on the masseter and temporal muscles. Methods: the approach recommended by The Joanna Briggs Institute and the PRISMA-P guidelines, will follow. Databases to be searched include PubMed, Cochrane Library, LILACS, Scopus, Web of Science, Embase and grey literature. In the first step, two reviewers will independently evaluate the articles by titles and abstracts, then, a full review of the selected articles will be performed according to the inclusion and exclusion criteria. Any uncertainties or differences of opinion will be discussed for consensus. Articles published without date or language restrictions will be included. All components will be presented in tables and flow charts. In addition, a narrative summary of each component will be included for further details. Final Considerations: this protocol will present the general state of the literature on the use of wearables in masseter and temporal masticatory muscles.
目的:制定一项范围审查方案,旨在确定文献中可用的可穿戴设备正在用于咬肌和颞肌的哪些程序和目的。方法:采用乔安娜布里格斯研究所推荐的方法和PRISMA-P指南。检索的数据库包括PubMed、Cochrane Library、LILACS、Scopus、Web of Science、Embase和灰色文献。第一步,由两名审稿人根据标题和摘要对文章进行独立评价,然后根据纳入和排除标准对入选文章进行全面评审。任何不确定或意见分歧将讨论以达成共识。没有日期或语言限制的文章将被包括在内。所有组件将以表格和流程图的形式呈现。此外,还将包括每个组件的叙述性摘要,以提供进一步的详细信息。最后注意事项:本协议将介绍可穿戴设备在咬肌和颞咀嚼肌中使用的一般文献状态。
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引用次数: 0
Time trend of audiological procedures in the Brazilian Public Health System 巴西公共卫生系统听力学程序的时间趋势
Pub Date : 2023-04-17 DOI: 10.1590/1982-0216/20232517122
Rodrigo Fonseca, Monique Ramos Paschoal Dutra, H. Cavalcanti, M. Telles, Maria Ângela Fernandes Ferreira
ABSTRACT Purpose: to analyze the time trend of audiological procedures in the Brazilian Public Health System (SUS) between 2008 and 2019 in the geographical regions of Brazil. Methods: a time series ecological study with data on audiological procedures from the SUS Outpatient Information System. The study calculated annual indices of audiological procedures with joinpoint regression for the trend analysis. The progress in the provision of procedures between the initial and final years in the series and the distribution of identified records was calculated. Results: altogether, 38,500,404 records were found in the study period. The South (178.84/10,000 inhabitants) and North of Brazil (130.97/10,000 inhabitants), respectively, had the highest and lowest mean procedure indices. Both were the only regions with a trend towards a significant increase in procedures. In Brazil, they increased by 56.91%, with an emphasis on the increase in “otoacoustic evoked emissions in neonatal hearing screening” and a decrease in “visual reinforcement audiometry (air/bone conduction).” In the distribution, procedures concentrated on basic audiological assessments. Conclusion: audiological procedures have increased at SUS, but there are discrepancies between procedures and geographical regions of Brazil.
目的:分析2008年至2019年巴西公共卫生系统(SUS)听力学手术在巴西地理区域的时间趋势。方法:采用SUS门诊信息系统的听力学程序数据进行时间序列生态学研究。本研究采用关节点回归法计算听力学手术的年度指数进行趋势分析。计算了该汇编的最初和最后一年之间提供程序的进展情况以及已查明的记录的分发情况。结果:研究期间共发现38,500,404条记录。巴西南部(178.84/10,000居民)和北部(130.97/10,000居民)的平均程序指数最高和最低。这两个地区是唯一有显著增加手术的趋势的地区。在巴西,它们增加了56.91%,重点是“新生儿听力筛查中耳声诱发发射”的增加和“视觉强化听力学(空气/骨传导)”的减少。在分发时,程序集中于基本听力学评估。结论:听力学手术在SUS有所增加,但在巴西的不同地理区域之间存在差异。
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引用次数: 0
Speech-language-hearing therapists’ perception of orofacial myofunctional changes in subjects with congenital Zika syndrome 言语-语言-听力治疗师对先天性寨卡综合征患者口面部肌功能变化的感知
Pub Date : 2023-04-17 DOI: 10.1590/1982-0216/20232511022
Paulo Naati Lopes Sobrinho, Manuela Leitão de Vasconcelos, R. Martinelli, L. Pernambuco, Giorvan Ânderson dos Santos Alves
ABSTRACT Purpose: to investigate the profile of speech-language-hearing therapists from Northeastern Brazil assisting children presented with congenital Zika syndrome and their perception of these children’s orofacial myofunctional aspects and speech-language-hearing intervention procedures. Methods: a cross-sectional observational study with quantitative/qualitative analysis. The data collection instrument was an online questionnaire with 34 items on the speech-language-hearing therapists’ sociodemographic information and perception of the study topic. The sample comprised 23 speech-language-hearing therapists from the nine Northeastern states. Results: altogether, 96% of the sample were females. Most professionals had more than 3 years of experience with congenital Zika syndrome. Concerning stomatognathic system characterization, the professionals described a greater degree of change in aspects of orofacial muscle posture and mobility. Regarding oral functions, they perceived greater changes in speech and swallowing liquids and solid foods. There was a greater degree of change in masticating solids than in swallowing liquids. Conclusion: most speech-language-hearing therapists in the research had a specialization degree, especially in dysphagia and oral-motor control. Most of them had more than 3 years of experience following up with children with congenital Zika syndrome, which indicates a satisfactory time working with this population to help identify orofacial myofunctional changes in them. The professionals stated that orofacial muscle posture and mobility, speech, and swallowing liquids and solid foods were the most changed aspects.
目的:调查巴西东北部先天性寨卡综合征儿童的语言听力治疗师的概况,以及他们对这些儿童口面部肌功能方面和语言听力干预程序的看法。方法:横断面观察研究,定量/定性分析。数据收集工具是一份包含34个项目的关于言语-语言-听力治疗师的社会人口学信息和对研究主题的感知的在线问卷。样本包括来自东北部九个州的23名语言听力治疗师。结果:96%的样本为女性。大多数专业人员都有3年以上治疗先天性寨卡综合征的经验。关于口颌系统的特征,专业人员描述了口面部肌肉姿势和活动方面的更大程度的变化。在口腔功能方面,他们在说话和吞咽液体和固体食物方面感受到了更大的变化。咀嚼固体比吞咽液体有更大程度的变化。结论:本研究中言语听力治疗师大多具有专业化程度,尤其是在吞咽困难和口腔运动控制方面。他们中的大多数人有超过3年的随访先天性寨卡综合征儿童的经验,这表明与这一人群一起工作以帮助确定他们的口面部肌功能变化是令人满意的。专业人士表示,口面部肌肉的姿势和活动,语言,吞咽液体和固体食物是变化最大的方面。
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引用次数: 0
Introduction of complementary feeding in premature children 早产儿补充喂养的介绍
Pub Date : 2023-04-14 DOI: 10.1590/1982-0216/20222444122
Fernanda Afonso Dourado, Manuela Rebouças da Silva Barreto, Kíssia Souza da Paixão, L. Menezes, Carla Steinberg
ABSTRACT Purpose: to describe the characteristics of complementary feeding introduced to preterm children. Methods: an exploratory, descriptive, cross-sectional, quantitative research. Data collection took place in February 2020 and between May and July 2021 in an outpatient follow-up clinic for high-risk newborns. To participate in the research, children had to have food introduced at least 30 days before and be 24 months corrected gestational age, at the most. The research instrument, developed by the researchers, was applied to the children’s parents/guardians on the day of routine visits. The information they did not know was verified in the patient's institutional medical record. Results: the sample comprised 29 mothers/babies, 55.2% (16) of whom were males, with a mean gestational age of 13 months. Most mothers introduced complementary feeding at 6 months corrected gestational age; 25% of them introduced it late and 17.9%, early. Almost 100% of the babies received fruits and/or vegetables as their first foods. Conclusion: more than half of the preterm children’s mothers started complementary feeding at the recommended time with adequate consistencies and utensils.
摘要目的:了解早产儿辅食喂养的特点。方法:探索性、描述性、横断面性、定量研究。数据收集于2020年2月和2021年5月至7月在一家高危新生儿门诊随访诊所进行。为了参与这项研究,孩子们必须至少在30天前开始进食,最多在24个月的修正胎龄之前。研究人员开发的研究工具应用于儿童的父母/监护人在日常访问的当天。他们不知道的信息在病人的医疗记录中得到了证实。结果:本组共29例产妇/婴儿,男性占55.2%(16例),平均胎龄13个月。大多数母亲在矫正胎龄6个月时开始辅食;25%的公司较晚推出,17.9%的公司较早推出。几乎100%的婴儿第一次吃的都是水果和/或蔬菜。结论:半数以上的早产儿母亲在推荐的时间开始补充喂养,并有足够的稠度和器具。
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引用次数: 0
Saúde auditiva de adultos e idosos: efetividade de ações educativas na modalidade remota para agentes comunitários de saúde 成人和老年人的听力健康:社区卫生工作者远程教育行动的有效性
Pub Date : 2023-01-01 DOI: 10.1590/1982-0216/20232552023s
Glória Cristina de Souza Streit, Rafael Niederauer do Nascimento, Rochele Martins Machado, Fernanda Soares Aurélio Patatt
RESUMO Objetivo: verificar a efetividade de ações educativas sobre saúde auditiva, no formato remoto, para agentes comunitários de saúde de Santa Maria/RS e identificar se há relação entre o nível de conhecimento adquirido e as variáveis idade, tempo de função e escolaridade. Métodos: pesquisa quantitativa e intervencionista, realizada com 44 agentes comunitários de saúde, que participaram de três encontros, via Google Meet. No primeiro, foram coletados dados acerca do conhecimento prévio dos profissionais e, no segundo e terceiro encontros, ocorreu a capacitação sobre 1) audição, 2) saúde/alterações auditivas, 3) organização do Serviço de Saúde Auditiva, 4) uso/higienização das próteses auditivas e 5) importância do retorno dos usuários ao serviço, e a coleta do conhecimento adquirido acerca destes temas. Tais coletas deram-se por meio de Quizzes, elaborados no Google Forms. Os dados foram submetidos aos testes estatísticos Igualdade de Duas Proporções e Qui-quadrado, adotando-se significância de 5%. Resultados: constatou-se diferença no índice de acertos no Quiz pós-capacitação e a aquisição do conhecimento foi mais evidente quando comparada aos desempenhos “piora” e “erro” nos temas 1, 2, 3 e 4. Não foi encontrada relação entre o nível de conhecimento adquirido e as variáveis estudadas. Conclusão: as ações educativas mostraram-se efetivas e o nível de conhecimento adquirido sobre os temas abordados não está relacionado às variáveis estudadas.
摘要目的:验证远程形式的听力健康教育活动对圣玛丽亚/RS社区卫生工作者的有效性,并确定获得的知识水平与年龄、工作时间和教育变量之间是否存在关系。方法:对44名社区卫生工作者进行定量和介入研究,他们通过谷歌Meet参加了三次会议。第一,专业收集数据的先验知识,在第二和第三次,发生在中非听证会1),2)健康/修改听力障碍,3)卫生保健组织,4)用/消毒的助听器和5)返回用户服务的重要性,并收集关于这些主题的知识。这些收集是通过谷歌表格上的测验进行的。数据经两比例相等和卡方统计检验,显著性为5%。结果:与受试者1、2、3、4的“恶化”和“错误”表现相比,训练后测验的准确率差异更明显,知识的获取也更明显。所获得的知识水平与所研究的变量之间没有关系。结论:教育活动是有效的,所涵盖主题的知识水平与所研究的变量无关。
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引用次数: 0
Revista CEFAC (CEFAC JOURNAL) IN CONSTANT EVOLUTION 不断发展的《CEFAC杂志》
Pub Date : 2023-01-01 DOI: 10.1590/1982-0216/2023256256ed
Giédre Berretin-Felix, Hilton Justino da Silva, Renata Maria Moreira Moraes Furlan
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引用次数: 0
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Revista CEFAC
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