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  Subjects -> HEALTH AND SAFETY (Total: 1296 journals)
    - CIVIL DEFENSE (18 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (526 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (377 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (105 journals)
    - PHYSICAL FITNESS AND HYGIENE (101 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (526 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 9)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access  
Adultspan Journal     Hybrid Journal  
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 23)
African Health Sciences     Open Access   (Followers: 2)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 6)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 4)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 13)
American Journal of Health Education     Hybrid Journal   (Followers: 30)
American Journal of Health Promotion     Hybrid Journal   (Followers: 24)
American Journal of Health Sciences     Open Access   (Followers: 6)
American Journal of Health Studies     Full-text available via subscription   (Followers: 10)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 25)
American Journal of Public Health     Full-text available via subscription   (Followers: 202)
American Journal of Public Health Research     Open Access   (Followers: 29)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 2)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 4)
Annals of Global Health     Open Access   (Followers: 9)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences : Interface And Interaction     Open Access   (Followers: 2)
Archive of Community Health     Open Access  
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 8)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 3)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 8)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 3)
Association of Schools of Allied Health Professions     Full-text available via subscription   (Followers: 6)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 2)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 5)
Behavioral Healthcare     Full-text available via subscription   (Followers: 6)
Best Practices in Mental Health     Full-text available via subscription   (Followers: 8)
Bijzijn     Hybrid Journal   (Followers: 2)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 5)
BMC Pregnancy and Childbirth     Open Access   (Followers: 20)
BMJ Simulation & Technology Enhanced Learning     Full-text available via subscription   (Followers: 7)
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 17)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Canadian Family Physician     Partially Free   (Followers: 12)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 12)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 1)
Canadian Journal of Public Health     Full-text available via subscription   (Followers: 20)
Case Reports in Women's Health     Open Access   (Followers: 3)
Case Studies in Fire Safety     Open Access   (Followers: 12)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
Central European Journal of Public Health     Full-text available via subscription   (Followers: 4)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 10)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access  
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia y Cuidado     Open Access  
Ciencia, Tecnología y Salud     Open Access  
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 1)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 2)
Conflict and Health     Open Access   (Followers: 8)
Contraception and Reproductive Medicine     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 3)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 1)
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription  
Duazary     Open Access   (Followers: 1)
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 15)
East African Journal of Public Health     Full-text available via subscription   (Followers: 3)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 16)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 5)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 4)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 2)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 4)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 20)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 2)
Ethiopian Journal of Health Development     Open Access   (Followers: 8)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 7)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 2)
European Medical, Health and Pharmaceutical Journal     Open Access  
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 6)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 8)
Family & Community Health     Partially Free   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 6)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 1)
Food and Public Health     Open Access   (Followers: 11)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Health : Science and Practice     Open Access   (Followers: 5)
Global Health Promotion     Hybrid Journal   (Followers: 16)
Global Journal of Health Science     Open Access   (Followers: 9)
Global Journal of Public Health     Open Access   (Followers: 12)
Global Medical & Health Communication     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 8)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 7)
Health and Social Work     Hybrid Journal   (Followers: 51)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 1)
Health Care Analysis     Hybrid Journal   (Followers: 14)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 15)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 36)
Health Policy and Technology     Hybrid Journal   (Followers: 1)
Health Professional Student Journal     Open Access   (Followers: 1)
Health Promotion International     Hybrid Journal   (Followers: 21)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 10)
Health Promotion Practice     Hybrid Journal   (Followers: 15)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 48)
Health Psychology Research     Open Access   (Followers: 18)
Health Psychology Review     Hybrid Journal   (Followers: 40)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 12)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Services Insights     Open Access   (Followers: 2)
Health Systems     Hybrid Journal   (Followers: 3)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 13)
Health, Risk & Society     Hybrid Journal   (Followers: 12)
Healthcare     Open Access   (Followers: 1)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
Healthy-Mu Journal     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
HIV & AIDS Review     Full-text available via subscription   (Followers: 11)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 6)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 4)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 2)
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Inmanencia. Revista del Hospital Interzonal General de Agudos (HIGA) Eva Perón     Open Access  
Innovative Journal of Medical and Health Sciences     Open Access  
Institute for Security Studies Papers     Full-text available via subscription   (Followers: 5)
interactive Journal of Medical Research     Open Access  
International Health     Hybrid Journal   (Followers: 5)
International Journal for Equity in Health     Open Access   (Followers: 7)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 34)
International Journal of Applied Behavioral Sciences     Open Access   (Followers: 2)
International Journal of Behavioural and Healthcare Research     Hybrid Journal   (Followers: 8)
International Journal of Circumpolar Health     Open Access   (Followers: 1)
International Journal of Community Medicine and Public Health     Open Access   (Followers: 5)
International Journal of E-Health and Medical Communications     Full-text available via subscription   (Followers: 2)
International Journal of Environmental Research and Public Health     Open Access   (Followers: 20)
International Journal of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8)
International Journal of Food Safety, Nutrition and Public Health     Hybrid Journal   (Followers: 16)
International Journal of Health & Allied Sciences     Open Access   (Followers: 3)
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 10)

        1 2 3 | Last

Journal Cover CoDAS
  [SJR: 0.177]   [H-I: 12]   [0 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Online) 2317-1782
   Published by SciELO Homepage  [711 journals]
  • Letter to the editor

    •  
  • Auditory skills of figure-ground and closure in air traffic controllers

    • Abstract: RESUMO Objetivo Investigar o perfil das habilidades auditivas de fechamento e figura-fundo e fatores relacionados à atenção, comunicação e saúde de controladores de tráfego aéreo (CTA) de aproximação de aeronaves e comparar com os de outros profissionais civis e militares. Método Participaram 60 adultos com limiares audiométricos normais reunidos em dois grupos, pareados por idade e gênero: o grupo estudo formado por 30 profissionais do Controle de Aproximação de aeronaves e o controle, por 30 outros servidores civis e militares. Todos foram submetidos a perguntas relacionadas à atenção, comunicação e saúde e ao Teste de Fala com Ruído e de Identificação de Sentenças Sintéticas em escuta monótica (SSI) para avaliar fechamento e figura-fundo, respectivamente. Foram usados testes estatísticos não paramétricos e análise de regressão logística. Resultados O CTA autorreferiu maior cansaço/esgotamento e estresse e obteve melhor desempenho do que o grupo controle em figura-fundo e semelhante em fechamento. Foi observado que ocorreu uma probabilidade de ser CTA para o estresse em 5,59 vezes e para identificação de sentenças em escuta monótica à orelha direita de 1,24. Conclusão Fechamento e autorrelato de dificuldades de saúde, comunicação e atenção na maioria das questões foram similares em ambos os grupos. Figura-fundo foi significativamente melhor em CTA. Autorreferência de estresse e desempenho à orelha direita no SSI foram preditores significantes do indivíduo ser do CTA.ABSTRACT Purpose To investigate the auditory skills of closure and figure-ground and factors associated with health, communication, and attention in air traffic controllers, and compare these variables with those of other civil and military servants. Methods Study participants were sixty adults with normal audiometric thresholds divided into two groups matched for age and gender: study group (SG), comprising 30 air traffic controllers and control group (CG), composed of 30 other military and civil servants. All participants were asked a number of questions regarding their health, communication, and attention, and underwent the Speech-in-Noise Test (SIN) to assess their closure skills and the Synthetic Sentence Identification Test - Ipsilateral Competitive Message (SSI-ICM) in monotic listening to evaluate their figure-ground abilities. Data were compared using nonparametric statistical tests and logistic regression analysis. Results More individuals in the SG reported fatigue and/or burnout and work-related stress and showed better performance than that of individuals in the CG for the figure-ground ability. Both groups performed similarly and satisfactorily in the other hearing tests. The odds ratio for participants belonging in the SG was 5.59 and 1.24 times regarding work-related stress and SSI-ICM (right ear), respectively. Conclusion Results for the variables auditory closure, self-reported health, attention, and communication were similar in both groups. The SG presented significantly better performance in auditory figure-ground compared with that of the CG. Self-reported stress and right-ear SSI-ICM were significant predictors of individuals belonging to the SG.
       
  • Postswallow voice modification: compatibility with videofluoroscopy
           findings

    • Abstract: RESUMO Objetivo Verificar se a modificação da voz após a deglutição relaciona-se com os dados do exame de videofluoroscopia. Método 27 indivíduos com disfagia orofaríngea realizaram a gravação da vogal sustentada /a/ antes e após a deglutição durante exame de videofluoroscopia. Utilizou-se a escala GRBAS e acrescentou-se o aspecto voz molhada para avaliação dos dados. Em relação ao exame, verificou-se estase de alimento em valéculas e recessos piriformes, penetração laríngea, aspiração traqueal e grau de disfagia. Resultados Houve diminuição do grau de alteração e astenia e aumento da tensão fonatória após a deglutição, sem diferença para o parâmetro voz molhada. Obteve-se sensibilidade e especificidade de ±50% para estase em recessos piriformes e valéculas; porém, sensibilidade de 80% para detecção de penetração e de 66-75% para aspiração e modificação da tensão fonatória, com 77-91% de valores preditivos negativos para os três parâmetros de avaliação, sem correlação com o grau de disfagia. Conclusão A modificação dos parâmetros da escala GRBAS após a deglutição apresentou boa compatibilidade com achados da videofluoroscopia.ABSTRACT Purpose Verify whether voice modification after swallowing is associated with videofluoroscopic examination data. Methods 27 patients with oropharyngeal dysphagia underwent recording of sustained phonation of vowel /a/ before and after swallowing during videofluoroscopy. The GRBAS scale and the wet voice parameter were used to evaluate the data. Videofluoroscopy results showed stasis of food in the valleculae and piriform recesses, laryngeal penetration, tracheal aspiration, and degree of dysphagia. Results Decreased dysphonia grade and asthenia and increased strain were observed after swallowing, with no difference for the wet voice parameter. Sensitivity and specificity of ± 50% were observed for food stasis in the valleculae and piriform recesses. Sensitivity values of 80 and 66-75% were observed for detection of laryngeal penetration and tracheal aspiration and modification of vocal strain, respectively. Negative predictive values of 77-91% were found for the three assessment parameters with no correlation with the degree of oropharyngeal dysphagia. Conclusion Modification of the GRBAS scale parameters after swallowing showed good compatibility with videofluoroscopy findings.
       
  • Orofacial Myofunctional Evaluation Protocol for older people: validity,
           psychometric properties, and association with oral health and age

    • Abstract: ABSTRACT Purpose To develop a comprehensive assessment protocol for identifying, classifying and grading changes in stomatognathic system components and functions of older people, to determine its psychometric properties and verify its association with oral health and age. Methods The content validity of the Orofacial Myofunctional Evaluation with Scores for Elders protocol (OMES-Elders) was established based on the literature. The protocol contains three domains: appearance/posture, mobility, and functions of the stomatognathic system. Eighty-two healthy elder volunteers (mean age 69±7.24 years) were evaluated using the OMES-Elders. A test-screening for orofacial disorders (reference) was used to analyze the concurrent validity (correlation test), sensitivity, specificity and accuracy (Receiver Operating Characteristic Curve: ROC curve) of the OMES-Elders. The association of the OMES-Elders scores with the Oral Health Index (OHX) and age in the sample was tested. Results There was a significant correlation between the OMES-Elders and the reference test (p < 0.001). Reliability coefficients ranged from good (0.89) to excellent (0.99). The OMES-Elders protocol had a sensitivity of 82.9%, specificity of 83.3% and accuracy of 0.83. The scores of the protocol were significantly lower in individuals with worse oral health (OHX ≤ 61%), although individuals with adequate oral health (OHX ≥ 90%) also had myofunctional impairments. The predictors OHX and age explained, respectively, 33% and 30% of the variance in the OMES-Elders total score. Conclusion As the first specific orofacial myofunctional evaluation of older people, the OMES-Elders protocol proved to be valid, reliable and its total score was associated with oral health and age.RESUMO Objetivo Desenvolver um protocolo de avaliação abrangente para identificar, classificar e graduar as mudanças nos componentes e funções do sistema estomatognático em pessoas idosas, determinar suas propriedades psicométricas e verificar a associação com a saúde oral e a idade. Método A validade de conteúdo do protocolo de Avaliação Miofuncional Orofacial com Escores para Idosos (AMIOFE-I), que contém três domínios, aparência/postura, mobilidade e funções do sistema estomatognático, foi estabelecida com base na literatura. Oitenta e dois voluntários idosos (média de idade 69±7,24 anos) foram avaliados usando o AMIOFE-I. Um teste de triagem de distúrbios miofuncionais (referência) foi empregado para as análises de validade concorrente (teste de correlação), sensibilidade, especificidade e acurácia (Receiver Operating Characteristic Curve: curva ROC) do AMIOFE-I. Também foi analisada a associação dos escores do AMIOFE-I com o índice de saúde oral (ISO), determinado na amostra, e à idade. Resultados Houve uma significante correlação entre o AMIOFE e o teste de referência. Os coeficientes de confiabilidade variaram de bom a excelente. O AMIOFE apresentou sensibilidade de 82,9%, especificidade de 83,3% e acurácia de 0,83. Os escores do AMIOFE-I foram significantemente menores em indivíduos com piores ISO (≤ 61%), contudo aqueles com adequada saúde oral (ISO ≥ 90%) também tinha prejuízos miofuncionais. Os preditores ISO e idade explicaram respectivamente 33% e 30% da variância no escore total do AMIOFE-I. Conclusão O protocolo AMIOFE-I, o primeiro específico para a avaliação miofuncional de idosos, mostrou-se válido, confiável e seu escore total foi associado à saúde oral e à idade.
       
  • Evaluation of speech-language pathology care in the family health strategy
           from user perspective

    • Abstract: RESUMO Objetivo Avaliar a satisfação dos usuários atendidos pelos residentes de fonoaudiologia da Residência Multiprofissional em Saúde da Família, considerando-se as dimensões estruturais, organizacional e relacional. Método O estudo foi avaliativo do tipo qualitativo, no qual participaram 30 usuários. Para a análise de dados, foi utilizada a Análise de Conteúdo de Bardin. Resultados A dimensão organizacional apresentou aspectos referentes à forma como está organizado o serviço de fonoaudiologia, descrevendo a atuação específica da fonoaudiologia, o papel da fonoaudiologia na Estratégia de Saúde da Família, encaminhamentos para fonoaudiologia, tempo de espera para atendimento fonoaudiológico, ações da fonoaudiologia na Estratégia de Saúde da Família, esclarecimento sobre o problema fonoaudiológico e promoção do autocuidado. A dimensão relacional demostrou o relacionamento entre os residentes e o usuário, enfatizando o cuidado humanizado e o vínculo. Já a dimensão estrutural descreveu o dimensionamento dos fonoaudiólogos na Estratégia de Saúde da Família e os aspectos referentes aos recursos disponíveis na Unidade de Saúde. Conclusão a satisfação dos usuários ocorreu pelo acesso rápido ao serviço de fonoaudiologia, pelo cuidado humanizado realizado pelos fonoaudiólogos, promovendo um atendimento acolhedor e o vínculo entre a categoria e a comunidade. Já a insatisfação ocorreu pelo número reduzido de fonoaudiólogos atuando na Estratégia de Saúde da Família.ABSTRACT Purpose To evaluate the satisfaction of users assisted by speech-language pathologists during their Multi-professional Residency in Family Health, considering the structural, organizational and relational categories. Methods Qualitative assessment conducted with 30 Family Health Strategy (FHS) users. Data were analyzed using Bardin’s content analysis. Results The organizational category presented aspects associated with the organization of speech-language pathology (SLP) services, describing the specific practice and role of speech-language therapists in the FHS, as well as referral and waiting time for care, speech-language therapy actions, clarification of problems, and promotion of self-care. The relational category showed the relationship between residents and users, with emphasis on humanized care and bonding. The structural category described the dimensioning of speech-language pathologists in the FHS and the aspects related to the resources available in the health unit. Conclusion User satisfaction was associated with the rapid access to the service and the humanized care provided by the residents, promoting a welcoming service and bonding between residents and community. User dissatisfaction was associated with the reduced number of speech-language pathologists available at FHS.
       
  • Effect of delayed auditory feedback on stuttering with and without central
           auditory processing disorders

    • Abstract: RESUMO Objetivo Verificar o efeito da retroalimentação auditiva atrasada na fluência da fala de indivíduos que gaguejam, com e sem alteração do processamento auditivo central. Método Participaram 20 indivíduos com gagueira, de sete a 17 anos, divididos em dois grupos, cada um com 10 indivíduos: Grupo Gagueira com Transtorno do Processamento Auditivo (GGTPA) e Grupo Gagueira (GG) sem alteração de processamento auditivo central. Os procedimentos foram: avaliação da fluência com retroalimentação auditiva habitual (RAH) e atrasada (RAA), e avaliação da gravidade da gagueira e do processamento auditivo central (PAC). O software Fono Tools foi utilizado para provocar o atraso de 100 milissegundos na retroalimentação auditiva. O teste dos Postos Sinalizados de Wilcoxon foi utilizado na análise intragrupos, e o teste de Mann-Whitney, na análise intergrupos. Resultados A RAA ocasionou no GG redução estatisticamente significante: no escore da frequência das disfluências típicas da gagueira na análise do Instrumento de Gravidade da Gagueira, na quantidade de bloqueios e de repetições de palavras monossilábicas, e na frequência de disfluências típicas da gagueira de duração. O atraso na retroalimentação auditiva não provocou efeitos estatisticamente significantes na fluência do GGTPA, grupo dos indivíduos com gagueira com alteração do PAC. Conclusão O efeito da retroalimentação auditiva atrasada na fala de indivíduos com gagueira foi diferente nos indivíduos com e sem alteração do processamento auditivo central, pois houve melhora da fluência apenas nos indivíduos sem alteração do PAC.ABSTRACT Purpose To verify the effect of delayed auditory feedback on speech fluency of individuals who stutter with and without central auditory processing disorders. Methods The participants were twenty individuals with stuttering from 7 to 17 years old and were divided into two groups: Stuttering Group with Auditory Processing Disorders (SGAPD): 10 individuals with central auditory processing disorders, and Stuttering Group (SG): 10 individuals without central auditory processing disorders. Procedures were: fluency assessment with non-altered auditory feedback (NAF) and delayed auditory feedback (DAF), assessment of the stuttering severity and central auditory processing (CAP). Phono Tools software was used to cause a delay of 100 milliseconds in the auditory feedback. The “Wilcoxon Signal Post” test was used in the intragroup analysis and “Mann-Whitney” test in the intergroup analysis. Results The DAF caused a statistically significant reduction in SG: in the frequency score of stuttering-like disfluencies in the analysis of the Stuttering Severity Instrument, in the amount of blocks and repetitions of monosyllabic words, and in the frequency of stuttering-like disfluencies of duration. Delayed auditory feedback did not cause statistically significant effects on SGAPD fluency, individuals with stuttering with auditory processing disorders. Conclusion The effect of delayed auditory feedback in speech fluency of individuals who stutter was different in individuals of both groups, because there was an improvement in fluency only in individuals without auditory processing disorder.
       
  • Retrocochlear impairments in systemic sclerosis: a case report study

    • Abstract: RESUMO Objetivo Relatar três casos de pacientes portadores de Esclerose Sistêmica e que apresentaram alterações retrococleares. Método Trata-se de um estudo de relato de casos de três indivíduos com esclerose sistêmica e alteração retrococlear, acompanhados em um serviço de reumatologia. Todos os pacientes realizaram o Potencial Evocado Auditivo de Tronco Encefálico e, quando necessário, nova audiometria. Resultados Todos os indivíduos apresentaram perda auditiva do tipo sensorioneural. Não foi identificado na avaliação audiológica básica qualquer resultado que sugerisse alteração retrococlear, porém o PEATE apresentou-se alterado. Conclusão Pode-se concluir que o estudo revela alterações retrococleares nesta população, ocorrendo tanto nas latências absolutas quanto no intervalo interpico. E, neste contexto, reumatologistas e fonoaudiólogos, ao acompanharem pacientes com esclerose sistêmica, devem estar atentos para a possibilidade da ocorrência dessa alteração nessa população. Revela também, a necessidade de estudos epidemiológicos sobre o tema.ABSTRACT Purpose To report three cases of patients with Systemic Sclerosis (SSc) and retrocochlear impairments. Methods This is a case report of three individuals with SSc and retrocochlear impairments assisted at a rheumatology outpatient clinic. All individuals underwent Brainstem Auditory Evoked Potential (BAEP) and, when necessary, audiometry. Results All three individuals presented sensorineural hearing loss. Although no retrocochlear impairment was identified in the basic audiologic evaluation, the BAEP results were altered. Conclusion Retrocochlear impairments were present in the individuals under study, both in the absolute latencies and interpeak interval, thereby demanding the attention of rheumatologists and speech-language pathologists to such changes during the monitoring of SSc patients. The results also show a need for epidemiological studies on the theme.
       
  • Translation and cultural adaptation of the Aguado Syntax Test (AST) into
           Brazilian Portuguese

    • Abstract: RESUMO Objetivo Realizar a tradução e a adaptação cultural do Teste de Sintaxe de Aguado (TSA) para a língua portuguesa do Brasil de acordo com a realidade linguística e cultural do país. Método O TSA avalia o desenvolvimento morfossintático de crianças entre 3 e 7 anos, quanto à compreensão e expressão de tipos de orações, pronomes, vozes verbais, comparações, preposições e verbos quanto à desinência de número, modo e tempo. O processo de tradução e adaptação cultural seguiu quatro estágios: 1) construção de duas traduções literais; 2) elaboração de versão síntese consensual; 3) retrotradução; e 4) verificação da equivalência entre as traduções iniciais e as retrotraduções que culminou na versão final do teste. Resultados O processo de adaptação cultural do instrumento para o Português indicou que houve equivalência e reconciliação dos itens traduzidos, equivalência semântica quase total entre as duas traduções e ausência de dificuldades consistentes de tradução. Conclusão O teste TSA foi traduzido e adaptado para a língua portuguesa falada no Brasil, constituindo-se no primeiro passo para a validação e normatização do instrumento.ABSTRACT Purpose To perform the translation and cultural adaptation of the Aguado Syntax Test (AST) into Brazilian Portuguese considering the linguistic and cultural reality of the language. Methods The AST assesses the early morphosyntactic development in children aged 3 to 7 in terms of understanding and expression of various types of structures such as sentences, pronouns, verbal voices, comparisons, prepositions and verbal desinence as to number, mode and tense. The process of translation and cultural adaptation followed four steps: 1) preparation of two translations; 2) synthesis of consensual translations; 3) backtranslation; and 4) verification of equivalence between the initial translations and backtranslations that resulted in the final translated version. Results The whole process of translation and cultural adaptation revealed the presence of equivalence and reconciliation of the translated items and an almost complete semantic equivalence between the two translations and the absence of consistent translation difficulties. Conclusion The AST was translated and culturally adapted into Brazilian Portuguese, constituting the first step towards validation and standardization of the test.
       
  • Effect of education on listening comprehension of sentences on healthy
           elderly: analysis of number of correct responses and task execution time

    • Abstract: ABSTRACT Purpose To analyze the effect of education on sentence listening comprehension on cognitively healthy elderly. Methods A total of 111 healthy elderly, aged 60-80 years of both genders were divided into two groups according to educational level: low education (0-8 years of formal education) and high education (≥9 years of formal education). The participants were assessed using the Revised Token Test, an instrument that supports the evaluation of auditory comprehension of orders with different working memory and syntactic complexity demands. The indicators used for performance analysis were the number of correct responses (accuracy analysis) and task execution time (temporal analysis) in the different blocks. Results The low educated group had a lower number of correct responses than the high educated group on all blocks of the test. In the temporal analysis, participants with low education had longer execution time for commands on the first four blocks related to working memory. However, the two groups had similar execution time for blocks more related to syntactic comprehension. Conclusion Education influenced sentence listening comprehension on elderly. Temporal analysis allowed to infer over the relationship between comprehension and other cognitive abilities, and to observe that the low educated elderly did not use effective compensation strategies to improve their performances on the task. Therefore, low educational level, associated with aging, may potentialize the risks for language decline.RESUMO Objetivo Analisar o efeito da escolaridade na compreensão auditiva de sentenças em idosos cognitivamente saudáveis. Método Foram avaliados 111 idosos normais, com idades entre 60 e 80 anos, de ambos os gêneros, divididos em dois grupos, de acordo com a escolaridade: baixa escolaridade (0 a 8 anos de ensino formal) e alta escolaridade (9 ou mais anos de ensino formal). Os indivíduos foram examinados por meio do Token Test Revisado, que dá suporte para a avaliação da compreensão auditiva de ordens com diferentes demandas de memória operacional e complexidade sintática. Os indicadores utilizados para análise do desempenho foram números de acertos (análise de acurácia) e tempo de execução da tarefa (análise temporal) nos diferentes blocos. Resultados O grupo de baixa escolaridade apresentou menor número de acertos que o grupo de alta escolaridade em todos os blocos do teste. Na análise temporal, os idosos de baixa escolaridade apresentaram maior tempo para execução das ordens nos primeiros quatro blocos, mais relacionados à memória operacional. Porém, os grupos apresentaram tempo de execução semelhante quanto aos blocos mais relacionados à compreensão sintática. Conclusão A escolaridade influenciou a habilidade de compreensão auditiva de sentenças em indivíduos idosos. A análise temporal permitiu inferir sobre a relação da compreensão com outras habilidades cognitivas e observar que os idosos de baixa escolaridade não utilizam estratégias eficazes de compensação para melhorar o desempenho na tarefa. Portanto, o baixo nível educacional, associado ao envelhecimento, pode potencializar os riscos para o declínio da linguagem.
       
  • Prevalence of speech and language disorders in children in the western
           region of São Paulo

    • Abstract: RESUMO Objetivo Identificar as alterações fonoaudiológicas em crianças residentes na região oeste de São Paulo; verificar as associações entre a hipótese diagnóstica (HD) e a faixa etária, o gênero e a origem do encaminhamento; e investigar o grau de concordância entre a queixa e a HD no momento da triagem fonoaudiológica. Método Estudo epidemiológico observacional, desenvolvido em um laboratório de Atenção Primária à Saúde. Realizou-se o levantamento de 525 prontuários de crianças atendidas entre 2002 e 2011. As variáveis analisadas foram: gênero e idade da criança; origem do encaminhamento, queixa relatada pelos pais, HD fonoaudiológica e conduta estabelecida. Resultados Houve predomínio de crianças do gênero masculino (68,3%), da faixa etária entre 3 anos e 5 anos e 11 meses (48,7%), encaminhadas por um profissional da Área da saúde (51,9%) e com mais de uma queixa referida pelos pais (26,1%). As HDs fonoaudiológicas mais frequentes foram Transtorno Fonológico (22,9%) e Mais de uma Hipótese (19,4%). A maioria das crianças foi encaminhada à própria clínica-escola em que foi realizada a triagem (77,9%). Houve associação entre HD fonoaudiológica e as variáveis faixa etária (p<0,001*), gênero (p=0,008*) e origem dos encaminhamentos (p<0,001). O grau de concordância entre as queixas e as HDs foi moderado. Conclusão Comprovou-se que há diferentes HDs fonoaudiológicas de acordo com a faixa etária, o gênero e a origem dos encaminhamentos. Recomenda-se a utilização de screening fonoaudiológico em conjunto com as informações fornecidas pelos pais para rastreamento das alterações fonoaudiológicas.ABSTRACT Purpose To establish the speech-language disorders in children living in the western region of São Paulo; to assess associations between diagnosis hypotheses (DH) and the age, gender and origin of referral; and to investigate the degree of agreement between the complaint and the DH at the moment of speech-language screening. Methods Observational epidemiological study conducted at a laboratory of Primary Health Care. A survey of 525 medical records of children between 2002 and 2011 was conducted. The following variables were analyzed: gender and age of the child; origin of referral, complaint reported by parents, diagnosis hypothesis and referrals. Results There was a predominance of male children (68.3%) and of the age group between 3 and 5 years and 11 months (48.7%), referred by a health professional (51.9%) and with more than one complaint reported by parents (26.1%). The most frequent DH were Phonological Disorder (22.9%) and more than one Diagnosis Hypothesis (19.4%). Most children were referred to a clinic-school where screening was performed (77.9%). There was an association between DH and the variables age (p <0.001*), gender (p = 0.008*) and origin of referrals (p <0.001). The degree of agreement between complaints and DHs was moderate. Conclusion It has been proven that there are different DHs according to age, gender and origin of referrals. The use of speech-language screening with the information provided by parents for tracking of speech pathology is recommended.
       
  • Qualitative and quantitative analysis of oropharyngeal swallowing in Down
           syndrome

    • Abstract: RESUMO Objetivo Este estudo tem por objetivo descrever a análise qualitativa e quantitativa temporal da deglutição orofaríngea em crianças com diagnóstico de Síndrome de Down (SD). Método Estudo de série de seis casos, com idade variando de quatro a 17 meses (Média de 11,16 meses e mediana de 12 meses). Realizada análise qualitativa e quantitativa temporal da deglutição orofaríngea por meio de videofluoroscopia de deglutição e software específico. Foram analisados os parâmetros qualitativos de coordenação oral, resíduos orais, escape oral posterior, penetração, aspiração laringotraqueal e realizada análise do tempo de trânsito oral total (TTOT) e faríngeo. Resultados Verificou-se alteração em pelo menos quatro dos parâmetros qualitativos investigados. Somente um dos indivíduos apresentou diferença no TTOT quando comparado com os demais e não houve diferença no tempo de trânsito faríngeo entre os casos. Conclusão Houve alterações qualitativas na deglutição em crianças com SD e diferença no TTOT somente no caso de menor faixa etária.ABSTRACT Purpose To describe the qualitative and quantitative temporal analysis of oropharyngeal swallowing in children diagnosed with Down syndrome (DS) through a case series study of six individuals aged 4 to 17 months (mean age = 11.16 months; median = 12 months). Methods Qualitative and quantitative temporal analysis of swallowing using videofluoroscopy and specific software. The following parameters were assessed: presence or absence of oral incoordination, labial sphincter sealing incompetence, oral residue, posterior oral spillage, laryngotracheal penetration and aspiration, pharyngeal and total oral transit time (TOTT). Results Qualitative analysis identified individuals with disorders in at least four of the swallowing parameters investigated. Only one individual presented total oral transit time (TOTT) different from the others. No difference was observed between the cases regarding pharyngeal transit time. Conclusion Qualitative swallowing disorders are observed in children with DS, with difference in TOTT only in the case report of the youngest infant.
       
  • The use of the Frequency Modulation System by hearing-impaired children:
           benefits from the family’s perspective

    • Abstract: RESUMO Objetivo Avaliar o benefício do uso do sistema de frequência modulada (FM) adaptado em crianças com perda auditiva neurossensorial, segundo a perspectiva do familiar. Método Trata-se de um estudo do tipo descritivo, analítico de delineamento transversal. Participaram da pesquisa familiares e cuidadores de crianças de seis a 15 anos com deficiência auditiva neurossensorial, usuárias de aparelho de amplificação sonora individual (AASI) e/ou implante coclear (IC), que foram beneficiadas pelo Sistema Único de Saúde (SUS) com o sistema FM em um serviço de saúde auditiva paranaense. Aplicou-se o questionário Avaliação do Sistema FM composto por 14 perguntas sobre o benefício do uso do FM, bem como sobre as características do AASI e/ou IC e do tipo de sistema FM utilizado pelas crianças. Resultados Houve diferença estatisticamente significante comparando as respostas do questionário com e sem o uso do FM, para todas as situações (silêncio, ruído, apenas via auditiva, distância), observando-se melhor desempenho e mudanças no comportamento em relação à atenção e ao aprendizado com o uso do sistema FM, segundo a percepção dos familiares. Não sendo utilizado nenhum método para avaliar formalmente tais desempenhos. Conclusão Verificou-se que, segundo a óptica dos pais, o uso do sistema FM melhora o desempenho do deficiente auditivo em várias situações acústicas, sendo mais evidente em ambientes de fala no ruído e quando há o aumento da distância da fonte sonora. Apesar de o sistema FM ser utilizado em diferentes situações, trouxe maiores benefícios à criança no ambiente escolar, segundo relato dos pais.ABSTRACT Purpose To evaluate the family’s perspective of benefits of the frequency modulation (FM) system adapted to children with sensorineural hearing loss. Methods This is a descriptive, analytical, cross-sectional study with the participation of family members of hearing-impaired children aged 6 to 15 years, users of hearing aids and/or cochlear implants, benefited with the FM system by a hearing health service of the Unified Health System (SUS), Brazil. The FM Listening Evaluation For Children questionnaire with 14 questions was used to evaluate the benefits of using the FM system, the characteristics of the hearing aids and/or cochlear implants, and the brand/model of the FM system the children used. Results Statistically significant differences were found between the questionnaire responses of FM users and non-users in all situational analyses (quiet, noise, auditory only, distance), with better learning performance and improvements and attention among FM users, from the families’ point of view. No method was used to formally evaluate such performances. Conclusion It was observed that, according to the parents' and guardians’ perceptions, the use of FM systems improves the performance of hearing-impaired children in various acoustic situations, with special emphasis on speech recognition in noisy environments and at increased distances from the sound source. Although used in different contexts and situations, the FM system has brought greater benefits for the children in the school environment, according to the respondents.
       
 
 
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