IF 0.9

CoDAS Pub Date : 2025-02-03 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20230320pt

Raí Dos Santos Santiago, Jaya Miranda Carvalho de Araújo, Márcia Helena Cassago Nascimento, Carolina Fiorin Anhoque, Alana Tagarro Neves, Gabriel Trevizani Depolli, Bruno Batitucci Castrillo, Paula Zago Melo Dias, Regina Eliza Albano Vanzo, Carla Carvalho Nascimento, Valerio Garrone Barauna, Lívia Carla de Melo Rodrigues

{"title":"Voice handicap, vocal fatigue, and voice-related quality of life in patients with multiple sclerosis.","authors":"Raí Dos Santos Santiago, Jaya Miranda Carvalho de Araújo, Márcia Helena Cassago Nascimento, Carolina Fiorin Anhoque, Alana Tagarro Neves, Gabriel Trevizani Depolli, Bruno Batitucci Castrillo, Paula Zago Melo Dias, Regina Eliza Albano Vanzo, Carla Carvalho Nascimento, Valerio Garrone Barauna, Lívia Carla de Melo Rodrigues","doi":"10.1590/2317-1782/e20230320pt","DOIUrl":"10.1590/2317-1782/e20230320pt","url":null,"abstract":"Purpose: to describe sociodemographic characteristics of individuals with multiple sclerosis and correlate and compare vocal fatigue, voice handicap, and voice-related quality of life of individuals with and without the disease.Methods: Cross-sectional, quantitative study with 52 volunteers with multiple sclerosis and 52 control volunteers, matched by sex, age, and education level. Sociodemographic and clinical data were collected through a questionnaire and medical record analysis. Participants responded to the reduced Voice Handicap Index (VHI-10), Vocal Fatigue Index (VFI), and Voice-Related Quality of Life (V-RQOL). Correlational and comparative analyses were performed, with a 5% significance level (p < 0.05).Results: There was a greater predominance of females diagnosed with multiple sclerosis, with a mean age of 40 years, who graduated from high school, and with a relapsing-remitting disease course. Voice handicap was positively correlated with vocal fatigue, and voice handicap and vocal fatigue were negatively correlated with voice-related quality of life in both groups. Participants with multiple sclerosis exceeded the VHI-10 and VFI cutoff scores and were below the V-RQOL cutoff score.Conclusion: There was a prevalence of the disease in young, educated females with relapsing-remitting disease. The greater the voice handicap and/or vocal fatigue, the lower the voice-related quality of life in both groups. However, people with multiple sclerosis self-reported greater voice handicap and vocal fatigue and poorer voice-related quality of life.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20230320"},"PeriodicalIF":0.9,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Script Voz - clinical case simulator of adults with behavioral dysphonia: planning and content creation. 脚本Voz -成人行为障碍的临床病例模拟器：计划和内容创作。

IF 0.9

CoDAS Pub Date : 2025-02-03 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20240075pt

Lorena Luiza Costa Rosa Nogueira, Sandro Renato Dias, Anna Alice de Figueirêdo Almeida, Renata Rangel Azevedo, Ana Cristina Côrtes Gama

{"title":"Script Voz - clinical case simulator of adults with behavioral dysphonia: planning and content creation.","authors":"Lorena Luiza Costa Rosa Nogueira, Sandro Renato Dias, Anna Alice de Figueirêdo Almeida, Renata Rangel Azevedo, Ana Cristina Côrtes Gama","doi":"10.1590/2317-1782/e20240075pt","DOIUrl":"10.1590/2317-1782/e20240075pt","url":null,"abstract":"Purpose: To present the preliminary results of the development of a web platform aimed at training clinical reasoning aimed at the speech therapy approach to patients with behavioral dysphonia.Methods: Methodological study that describes the tool development stages. The contents were defined by consensus from a panel of experts. The project will comply with the stages of planning, platform development, content creation, usability evaluation and user acceptance, redefinition of the tool and determination of charges. This article presents the processes and results of the first three stages.Results: Called Script Voz, the web platform will initially include six clinical cases of behavioral dysphonia. The user can select one clinical case at a time, and must be guided sequentially through the assessment, diagnosis, and therapeutic planning stages of the case. To do so, you must choose the answer(s) you deem appropriate to each of the ten questions proposed for each clinical case. Procedure guides for assessment, diagnosis and therapeutic planning focused on clinical cases that will make up the tool are presented, highlighting their processes.Conclusion: Script Voz will be freely accessible. The procedural guides provided here will guide data collection, manifestation diagnosis and therapeutic planning focused on the clinical cases that will make up the tool. The questions and feedback that will guide the user experience are still in the final stages of preparation. The tool will use real clinical cases and arguments anchored in the clinical reasoning of experienced professionals.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20240075"},"PeriodicalIF":0.9,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vestibulocochlear system and quality of life in musicians: a study on the effects of auditory exposure. 音乐家的前庭耳蜗系统与生活质量：听觉暴露影响的研究。

IF 0.9

CoDAS Pub Date : 2025-02-03 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20240010pt

Magali Scheuer, Bianca Nunes Pimentel, Priscilla Dos Santos Martins, Hélinton Goulart Moreira, Valdete Alves Valentins Dos Santos Filha

{"title":"Vestibulocochlear system and quality of life in musicians: a study on the effects of auditory exposure.","authors":"Magali Scheuer, Bianca Nunes Pimentel, Priscilla Dos Santos Martins, Hélinton Goulart Moreira, Valdete Alves Valentins Dos Santos Filha","doi":"10.1590/2317-1782/e20240010pt","DOIUrl":"10.1590/2317-1782/e20240010pt","url":null,"abstract":"Purpose: To evaluate and compare the effects of sound exposure on the vestibulocochlear system and the quality of life among musicians.Methods: Fifty-six individuals participated, including 28 musicians and 28 non-musicians, aged 18 to 45 years, of both genders. Participants underwent medical history assessment, basic audiological evaluation, vestibular evoked myogenic potential (VEMP), and exclusively, WHOQOL-Bref questionnaire.Results: Professional and enthusiast musicians participated, showing increased auditory thresholds at 3 and 4 kHz frequencies and considerably satisfactory quality of life. There was significance in cervical VEMP latencies and the latency of the P15 wave in the left ocular VEMP of the study group compared to the control group. VEMP demonstrated larger waves bilaterally in men compared to women.Conclusion: It was concluded that sound exposure, within tolerance limits in terms of time and intensity, was capable of providing auditory, vestibular, and quality of life benefits for musicians.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20240010"},"PeriodicalIF":0.9,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of modulated masking on electrophysiological and behavioral measures. 调制掩蔽对电生理和行为测量的影响。

IF 0.9

CoDAS Pub Date : 2025-02-03 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20230339pt

Mônyka Ferreira Borges Rocha, Karina Paes Advíncula, Danielle Samara Bandeira Duarte, Pedro de Lemos Menezes

{"title":"Effect of modulated masking on electrophysiological and behavioral measures.","authors":"Mônyka Ferreira Borges Rocha, Karina Paes Advíncula, Danielle Samara Bandeira Duarte, Pedro de Lemos Menezes","doi":"10.1590/2317-1782/e20230339pt","DOIUrl":"10.1590/2317-1782/e20230339pt","url":null,"abstract":"Purpose: To analyze the Benefit of Modulated Masking (BMM) in electrophysiological and behavioral measurements in young and adult normal-hearing individuals.Methods: Observational and cross-sectional analytical study, with a final research sample consisted of 40 participants, 20 individuals aged 18 to 30 years (young adults) and 20 individuals aged 31 to 50 years (adults), to carry out behavioral assessment (Sentence recognition test in the presence of stable and modulated noise) and electrophysiological (Cortical Auditory Evoked Potential) for BMM investigation. The results were analyzed using the paired t-test and ANOVA for repeated measures, applied by the Bonferroni post-hoc test (p-value <0.05).Results: Less interference from modulated noise was identified in the latency and amplitude measurements of cortical components, generating a significant reduction in P1 latency and an increase in P2 amplitude in both groups of participants. Stable noise generated higher electrophysiological and behavioral thresholds compared to modulated noise. A greater magnitude of BMM was observed in the young-adult group.Conclusion: In both groups of participants, less interference from modulated noise was identified in the encoding time of the neural auditory response and in the process of neural discrimination of speech. Furthermore, behavioral and electrophysiological thresholds were typically higher in stable noise when compared to modulated noise, pointing to a correspondence between BMM measurements between hearing domains. The magnitude of the higher BMM in the young-adult group, especially in the electrophysiological domain, suggests a greater temporal resolution ability in younger individuals.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20230339"},"PeriodicalIF":0.9,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mastication and electrical activation in the masseter and anterior temporalis muscles of children and adolescents with osteogenesis imperfecta. 儿童和青少年成骨不全症的咬肌和颞前肌的咀嚼和电激活。

IF 0.9

CoDAS Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20240052en

Andressa Colares da Costa Otavio, Mariana Vicereki Trescastro, Hilton Justino da Silva, Erissandra Gomes, Têmis Maria Félix

{"title":"Mastication and electrical activation in the masseter and anterior temporalis muscles of children and adolescents with osteogenesis imperfecta.","authors":"Andressa Colares da Costa Otavio, Mariana Vicereki Trescastro, Hilton Justino da Silva, Erissandra Gomes, Têmis Maria Félix","doi":"10.1590/2317-1782/e20240052en","DOIUrl":"10.1590/2317-1782/e20240052en","url":null,"abstract":"Purpose: to characterize mastication and electrical activation of the masseter and anterior temporalis muscles in children and adolescents with osteogenesis imperfecta (OI), and relate results to guided occlusion and occlusal interference.Methods: This observational, analytical cross-sectional study included 22 subjects divided into mild OI (MOI) (type 1) (n=15) and moderate-to-severe OI (MSOI) (types 3, 4, and 5) (n=7) groups. The Orofacial Myofunctional Evaluation with Scores (OMES) form was used to evaluate the clinical aspects of mastication. Surface electromyography was performed on the masseter and anterior temporalis muscles at rest for 10 seconds and during maximum intercuspation, spontaneous chewing, and instructed chewing on the right and left sides. Additionally, the activation index and muscle symmetry were measured.Results: a preferentially unilateral chewing pattern was observed in 12 (54.5%) participants. Masticatory patterns did not influence electrical activation during any of the tasks, nor did occlusal guidance during maximum intercuspation or mastication. The percentage of muscle activation during maximal intercuspation approached half of the total activation during spontaneous chewing. In muscle activation indices, the MSOI group presented more atypical scores, while the MOI group scores seemed to be in line with reference values. The symmetry indices seemed to correspond to reference values, but the standard deviation and minimum and maximum values pointed to asymmetric results.Conclusion: This study found that the OI population presented muscle imbalances, but the results did not allow us to define one pattern of change.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20240052"},"PeriodicalIF":0.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Classification of speech nasality of individuals with cleft lip and palate with distinct ordinal scales. 用不同的序量表对唇腭裂患者的语言鼻音进行分类。

IF 0.9

CoDAS Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20240044pt

Gisele Fonseca do Carmo, Jeniffer de Cássia Rillo Dutka, Flora Taube Manicardi, Beatriz Campanine Geremias, Maria Inês Pegoraro-Krook, Viviane Cristina de Castro Marino

{"title":"Classification of speech nasality of individuals with cleft lip and palate with distinct ordinal scales.","authors":"Gisele Fonseca do Carmo, Jeniffer de Cássia Rillo Dutka, Flora Taube Manicardi, Beatriz Campanine Geremias, Maria Inês Pegoraro-Krook, Viviane Cristina de Castro Marino","doi":"10.1590/2317-1782/e20240044pt","DOIUrl":"10.1590/2317-1782/e20240044pt","url":null,"abstract":"Purpose: To investigate whether there is a difference in the classification of speech hypernasality by inexperienced listeners using different ordinal scales; to verify the agreement of the listeners in the analyses when using these scales; and to verify whether the order in which the scales are presented influences the results.Methods: Twenty Speech-Language Pathology students classified the degrees of hypernasality of 40 (oral) samples from patients with cleft lip and palate. Ten performed the classifications using a 4-point scale (absent, mild, moderate, and severe) and, after two weeks, using a 3-point scale (absent, slightly hypernasal, and very hypernasal). Other ten students performed the same classifications, but in reverse order. The classifications were made remotely and documented on a form.Results: The average percentage of correct responses by the students, in relation to the gold standard, was significantly higher for the 3-point scale. There was no significant interaction between the order of presentation and the scale for the percentage of correct classifications. The students' agreement with the gold standard assessment was fair (3-point scale) and moderate (4-point scale). The mean percentage of agreement of the intra-rater analyses was significantly higher for the 3-point scale. There was no significant interaction between presentation order and scale for the percentage of intra-rater classifications. The Kappa coefficient index showed more favorable intra-rater agreement for the reduced scale.Conclusion: The reduced scale favored the classification of speech hypernasality by listeners and can be considered an important strategy to favor the initial evaluations of students in Speech Therapy during their training.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20240044"},"PeriodicalIF":0.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlation between risk factors that influence the development of children's language. 影响儿童语言发展的风险因素之间的相关性。

IF 0.9

CoDAS Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20240131en

Marianna Momoe Nanakuma Matsumoto, Heloisa Adhmann Ferreira, Isabelly Bueno Araujo, Daniela Cardilli-Dias, Daniela Regina Molini-Avejonas

{"title":"Correlation between risk factors that influence the development of children's language.","authors":"Marianna Momoe Nanakuma Matsumoto, Heloisa Adhmann Ferreira, Isabelly Bueno Araujo, Daniela Cardilli-Dias, Daniela Regina Molini-Avejonas","doi":"10.1590/2317-1782/e20240131en","DOIUrl":"10.1590/2317-1782/e20240131en","url":null,"abstract":"Purpose: To identify the most significant risk factors for child development through the application of two risk protocols, namely, the Protocol for the Identification of Risk Factors for Language and Speech Disorders (PIFRAL) and the Language Development Protocol (PDL).Methods: A retrospective study was carried out with 194 children aged 0 to 5 years and 11 months who were participants of primary health care (PHC) in the municipality of São Paulo, Brazil, from 2016 to 2020. The database was thoroughly analyzed using R software, and the most relevant risk factors were correlated through statistical analysis, generating altered and unaltered PDL results. Altered PDL results in the presence of one or more altered axes.Results: Of the 194 participants, 62.4% had altered PDLs, and the risk factors that were most common in this group were male gender; being white; having a family socioeconomic level of upper middle, lower middle or low class; having a level of education up to high school; having a child with an altered temperament and having a mother with an altered temperament.Conclusion: This research has achieved its goals, first, by correlating the PIFRAL and PDL protocols and second, by showing some of the risk factors for child development and their implications for language acquisition.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20240131"},"PeriodicalIF":0.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Profiles of Early Expressive Phonological Skills-Brazilian Portuguese (PEEPS-BP): a diagnostic accuracy study. 早期表达性语音技能概况-巴西葡萄牙语（PEEPS-BP）：诊断准确性研究。

IF 0.9

CoDAS Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20240106en

Simone Nicolini de Simoni, Denis Altieri de Oliveira Moraes, Karina Carlesso Pagliarin, Márcia Keske-Soares

{"title":"Profiles of Early Expressive Phonological Skills-Brazilian Portuguese (PEEPS-BP): a diagnostic accuracy study.","authors":"Simone Nicolini de Simoni, Denis Altieri de Oliveira Moraes, Karina Carlesso Pagliarin, Márcia Keske-Soares","doi":"10.1590/2317-1782/e20240106en","DOIUrl":"10.1590/2317-1782/e20240106en","url":null,"abstract":"Purpose: To present the criterion validity, sensitivity, specificity, and cut-off scores for the Profiles of Early Expressive Phonological Skills Test - Brazilian Portuguese (PEEPS-BP) - Expanded List.Methods: This was a quantitative cross-sectional psychometric study. The sample consisted of 30 children with no identified neurodevelopmental disorders aged 24 to 36 months. Twenty-three were part of the control group, and seven were part of the clinical group, which consisted of children with reported delays in vocabulary acquisition and phonological development. Children were administered the PEEPS-BP - Expanded List and responses to each item/stimulus were analyzed based on the following categories: spontaneous naming, repetition, and not naming the item at all. Criterion validity was established using Student's T-test to compare the scores obtained by clinical and control group participants on the instrument. Sensitivity and specificity analyses were performed using Receiver Operating Characteristic (ROC) Curves. Results were considered significant at p ≤ 0.05.Results: Scores of the clinical and control groups differed significantly at p ≤ 0.001. A cut-off point of 34 had a sensitivity of 0.957 and specificity of 100.00 in distinguishing between the two participant groups.Conclusion: The PEEPS-BP had adequate criterion validity and cut-off points that could distinguish between the clinical and control group with satisfactory sensitivity and specificity.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20240106"},"PeriodicalIF":0.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of rapid maxillary expansion on auditory thresholds and middle ear functioning. 上颌快速扩张对听觉阈值和中耳功能的影响。

IF 0.9

CoDAS Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20230343pt

Cassiele Fontoura Moraes, Erissandra Gomes, Rebeca Cardona Santa Helena, Pricila Sleifer

{"title":"Effects of rapid maxillary expansion on auditory thresholds and middle ear functioning.","authors":"Cassiele Fontoura Moraes, Erissandra Gomes, Rebeca Cardona Santa Helena, Pricila Sleifer","doi":"10.1590/2317-1782/e20230343pt","DOIUrl":"10.1590/2317-1782/e20230343pt","url":null,"abstract":"Purpose: To ascertain whether Rapid Maxillary Expansion (RME) elicits effects on the functioning of the middle ear and air-bone gaps in children and adolescents.Methods: Single-arm clinical trial, with data collection at four time points: before initiating Rapid Maxillary Expansion (RME) (T0), upon completion of RME (T1), three months post-RME completion (T2), and six months post-RME procedure (T3). The audiological assessment, conducted at all four time points, comprised otoscopy, pure tone and speech audiometry, tympanometry, and acoustic reflex investigation.Results: Eighteen children and adolescents met the eligibility criteria. There was a reduction in air-bone gaps and an improvement in middle ear function throughout the follow-up period, between T0, T1, T2, and T3. Three months after the completion of RME, at T2, all patients exhibited type A tympanometric curves, and six months after RME, at T3, there was an absence of air-bone gaps and ipsilateral and contralateral acoustic reflexes present in the entire sample.Conclusion: In the studied sample, it was observed that Rapid Maxillary Expansion (RME) led to a gradual reduction in air-bone gaps, resulting in appropriate middle ear function in children and adolescents with transverse maxillary atresia.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20230343"},"PeriodicalIF":0.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quality assessment of clinical guidelines in the care of laryngitis and pharyngitis according to AGREE II. 根据AGREE II对喉炎和咽炎护理的临床指南进行质量评估。

IF 0.9

CoDAS Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1590/2317-1782/e20240016en

Lucas Mateus Rodrigues Carvalho, Ana Paula de Oliveira Barbosa, Nara Amanda Laismann, Débora Santos Lula Barros, Rodrigo Fonseca Lima, Rafael Santos Santana

{"title":"Quality assessment of clinical guidelines in the care of laryngitis and pharyngitis according to AGREE II.","authors":"Lucas Mateus Rodrigues Carvalho, Ana Paula de Oliveira Barbosa, Nara Amanda Laismann, Débora Santos Lula Barros, Rodrigo Fonseca Lima, Rafael Santos Santana","doi":"10.1590/2317-1782/e20240016en","DOIUrl":"10.1590/2317-1782/e20240016en","url":null,"abstract":"Purpose: The study aimed to identify and assess the methodological quality of essential clinical guidelines for the management of laryngitis and pharyngitis.Methods: A systematic search of clinical guidelines for the management of laryngitis and pharyngitis was performed in three databases. Methodological quality was assessed according to AGREE II, in which each item in its domains was scored by four independent evaluators. To determine the agreement, a weighted Kappa square statistic calculation was performed.Results: 81 studies were found in the bibliographic sources consulted and all were evaluated. Considering the exclusion criteria, seven guidelines were selected for final evaluation by AGREE II. The squared weighted Kappa coefficient calculated after the first round of evaluation by AGREE II was 0.85, within an almost perfect agreement rate. The domains \"stakeholder engagement\", \"applicability\", and \"editorial independence\" had the lowest mean scores and the highest standard deviation indices. They had, respectively, a mean score of (63.7%) with a standard deviation of (17%), a mean score of (65.7%) with a standard deviation of (22%), and a mean score of (35%) with a standard deviation of (23%). The use of penicillin, erythromycin, ampicillin, amoxicillin, azithromycin and clarithromycin were recommended in (75%) of all guidelines that presented pharmacological measures. As a non-pharmacological measure, oral rehydration and gargling were recommended by two guidelines.Conclusion: The statistical results indicate that all guidelines were considered as recommended. However, no uniformity was observed in the recommendations of these seven guidelines with regard to non-pharmacological and pharmacological treatment.","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 1","pages":"e20240016"},"PeriodicalIF":0.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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