Maria Thereza Mazorra dos Santos, Debora Maria Befi-Lopes
{"title":"Vocabulary, phonological awareness and rapid naming: contributions for spelling and written production.","authors":"Maria Thereza Mazorra dos Santos, Debora Maria Befi-Lopes","doi":"10.1590/s2179-64912012000300013","DOIUrl":"https://doi.org/10.1590/s2179-64912012000300013","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate if the performance on linguistic tasks would be predictive of orthographic domain and quality of written productions.</p><p><strong>Methods: </strong>Participants were 82 fourth graders of Elementary Education, from public and private schools of São Paulo, with ages ranging from 9 years to 10 years and 2 months. The test battery was composed of an expressive vocabulary test, phonological awareness and rapid serial naming tasks, words and pseudowords spelling, and written text composition using a visual stimulus as a starting point. The statistical analysis included Spearman (r) correlations among all tasks.</p><p><strong>Results: </strong>The results indicated that the better the vocabulary skills, the smaller the number of spelling errors and the better the quality of the written text productions, considering all the analyzed categories. Also, the higher performance in both phonological awareness and rapid object naming tasks was correlated to fewer spelling errors and written text productions with greater grammatical structure.</p><p><strong>Conclusion: </strong>The linguistic abilities analyzed in this study were predictive of subjects' spelling performance. The vocabulary skills were predictive of the quality of written text productions. However, phonological awareness and rapid serial naming were only predictive of children's performance concerning the syntactic and grammatical structure of their written text productions.</p>","PeriodicalId":89403,"journal":{"name":"Jornal da Sociedade Brasileira de Fonoaudiologia","volume":"24 3","pages":"269-75"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/s2179-64912012000300013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31029989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dionísia Aparecida Cusin Lamônica, Marisdalva Viegas Stump, Karla Panice Pedro, Maura Contieri Rolim-Liporacci, Ana Cláudia Gandara Casarin Caldeira, Fernanda da Luz Anastácio-Pessan, Mariana Germano Gejão
{"title":"Breastfeeding follow-up in the treatment of children with phenylketonuria.","authors":"Dionísia Aparecida Cusin Lamônica, Marisdalva Viegas Stump, Karla Panice Pedro, Maura Contieri Rolim-Liporacci, Ana Cláudia Gandara Casarin Caldeira, Fernanda da Luz Anastácio-Pessan, Mariana Germano Gejão","doi":"10.1590/s2179-64912012000400016","DOIUrl":"https://doi.org/10.1590/s2179-64912012000400016","url":null,"abstract":"<p><p>Phenylketonuria (PKU) is the inability to convert phenylalanine into tyrosine, causing toxic effects to the central nervous system. Traditionally, in the treatment of PKU, breastfeeding is replaced by formula milk. This study verified the effects of breastfeeding as a source of phenylalanine on the development of children with PKU. Participants were ten infants with PKU who started treatment with the introduction of formula before 30 days of life, and maintained breastfeeding for at least 30 days after the start of procedures. The procedures were based on estimating breast milk intake, with a safe margin of phenylalanine concentration, calculating stomach volume, and initially offering formula, then breastfeeding on free demand, at every feeding. Breastfeeding duration ranged from one month and five days to 14 months. Blood controls were tested weekly. If the serum level of phenylalanine was >2 mg/dL and <6 mg/dL, the prescription was kept; if it was >2 mg/dL, the formula was decreased by 25%, indirectly increasing breastfeeding; if it was <6 mg/dL the formula was increased by 50%. The phenylalanine levels were assessed, and the Early Milestone Scale and the Basic Steps of Development were applied. Those who had normative index in all evaluations were considered adequate. Eighty percent of infants were able to keep safe concentrations of phenylalanine and development within normal indices. Continued breastfeeding is viable in the treatment of children with PKU, provided that phenylalanine levels are strictly controlled and the effects of breastfeeding on child development are monitored.</p>","PeriodicalId":89403,"journal":{"name":"Jornal da Sociedade Brasileira de Fonoaudiologia","volume":"24 4","pages":"386-9"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31153773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helena Perrut Veiga, Esther Mandelbaum Gonçalves Bianchini
{"title":"Characteristics of sequential swallowing of liquids in young and elderly adults: an integrative review.","authors":"Helena Perrut Veiga, Esther Mandelbaum Gonçalves Bianchini","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To perform an integrative review of studies on liquid sequential swallowing, by characterizing the methodology of the studies and the most important findings in young and elderly adults.</p><p><strong>Research strategy: </strong>Review of the literature written in English and Portuguese on PubMed, LILACS, SciELO and MEDLINE databases, within the past twenty years, available fully, using the following uniterms: sequential swallowing, swallowing, dysphagia, cup, straw, in various combinations.</p><p><strong>Selection criteria: </strong>Research articles with a methodological approach on the characterization of liquid sequential swallowing by young and/or elderly adults, regardless of health condition, excluding studies involving only the esophageal phase.</p><p><strong>Data analysis: </strong>The following research indicators were applied: objectives, number and gender of participants; age group; amount of liquid offered; intake instruction; utensil used, methods and main findings.</p><p><strong>Results: </strong>18 studies met the established criteria. The articles were categorized according to the sample characterization and the methodology on volume intake, utensil used and types of exams. Most studies investigated only healthy individuals, with no swallowing complaints. Subjects were given different instructions as to the intake of all the volume: usual manner, continually, as rapidly as possible. The findings about the characterization of sequential swallowing were varied and described in accordance with the objectives of each study.</p><p><strong>Conclusion: </strong>It found great variability in the methodology employed to characterize the sequential swallowing. Some findings are not comparable, and sequential swallowing is not studied in most swallowing protocols, without consensus on the influence of the utensil.</p>","PeriodicalId":89403,"journal":{"name":"Jornal da Sociedade Brasileira de Fonoaudiologia","volume":"24 4","pages":"403-8"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31153776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Irene Queiroz Marchesan, Roberta Lopes de Castro Martinelli, Reinaldo Jordão Gusmão
{"title":"Lingual frenulum: changes after frenectomy.","authors":"Irene Queiroz Marchesan, Roberta Lopes de Castro Martinelli, Reinaldo Jordão Gusmão","doi":"10.1590/s2179-64912012000400020","DOIUrl":"https://doi.org/10.1590/s2179-64912012000400020","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the changes after frenectomy concerning mobility and functions of the tongue.</p><p><strong>Methods: </strong>Participants were 53 subjects who had never undergone speech therapy or lingual frenulum surgery. A specific lingual frenulum protocol with scores was used by speech-language pathologists when there was evidence of frenulum alteration. Ten subjects had abnormal frenulum and were referred to an otolaryngologist for frenectomy. After surgery, the subjects were re-evaluated using the same protocol. Photos and videos were taken for comparison.</p><p><strong>Results: </strong>Thirty days after surgery, the subjects had the shape of the tip of the tongue and its movements improved. Lip closure and speech were also improved.</p><p><strong>Conclusion: </strong>Frenectomy is efficient to improve tongue posture, tongue mobility, oral functions, and oral communication.</p>","PeriodicalId":89403,"journal":{"name":"Jornal da Sociedade Brasileira de Fonoaudiologia","volume":"24 4","pages":"409-12"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/s2179-64912012000400020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31152758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maíra da Silva, Ana Priscila Batista, Jáima Pinheiro de Oliveira, Ana Paula Dassie-Leite
{"title":"Social skills in dysphonic children.","authors":"Maíra da Silva, Ana Priscila Batista, Jáima Pinheiro de Oliveira, Ana Paula Dassie-Leite","doi":"10.1590/s2179-64912012000400012","DOIUrl":"https://doi.org/10.1590/s2179-64912012000400012","url":null,"abstract":"<p><strong>Purpose: </strong>To obtain and analyze data from the social skills evaluation of dysphonic children.</p><p><strong>Methods: </strong>This is a cross-sectional and prospective study. Participants were 38 children enrolled in a public school, ranging in age from 7 to 11 years. They were separated into two groups: Study Group (SG)--19 dysphonic children; Control Group (CG)--19 non-dysphonic children. The groups were matched by gender and age range. Children with any history of organic vocal problems, according to the identification and investigation of general and vocal health questionnaire, which was answered by the legal guardian, were excluded. The Multimedia Social Skills Inventoire for Children (MUSSIC) was applied, which consists of 21 social interaction situations represented by photos, having a child as the leading figure. For each situation, the participant should select one out of three behaviors, putting themselves in the place of the main character. Each response corresponds to one out of three types of reaction: assertive, passive and aggressive. Data were statistically analyzed.</p><p><strong>Results: </strong>There was no difference between the groups on the social skills evaluation results, that is, SG and CG children presented similar scores regarding assertiveness, aggressiveness and passiveness. Consequently, there was no difference on the subscales of the inventory regarding social skills. As for the SG, there was no relationship between the scores obtained on the MUSSIC and the severity of the voice disorder.</p><p><strong>Conclusion: </strong>It is not possible to determine specific behaviors of dysphonic children concerning social skills.</p>","PeriodicalId":89403,"journal":{"name":"Jornal da Sociedade Brasileira de Fonoaudiologia","volume":"24 4","pages":"361-7"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/s2179-64912012000400012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31153769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Study on pragmatic assessment data reliability in children with typical language development.","authors":"Andreza Carolina Bretanha, Simone Aparecida Lopes-Herrera","doi":"10.1590/s2179-64912012000300014","DOIUrl":"https://doi.org/10.1590/s2179-64912012000300014","url":null,"abstract":"<p><p>The aim of this study was to verify the moment with more reliable data to survey children's pragmatic profile. Participants were five children with typical language development and ages between 7 years and 1 month and 8 years and 11 months. Data collection involved a 150-minute recording of a child-researcher interaction, divided into five 30-minute individual sessions. Data were later analyzed according to a verbal communicative abilities protocol, and the individual pragmatic profiles of each 30-minute sample and the whole 150-minute sample were outlined for comparison (sessions 1 through 5 x overall total of sessions) of reliability indexes (RI) and reliability status (RS). Inter and intra-observer analyses were performed to calculate the RI and RS, respectively. The results presented by children 1 and 2 reached the larger RI in session 2; the child 3 showed similar RI values in sessions 3, 4 and 5; the child 4 had the largest RI in sessions 1 and 3; and the child 5 reached the same RI value in all sessions. Regarding the RS, session 2 presented the largest percentage of high reliability for most children, followed by session 3. On the analysis performed by category of verbal communicative abilities, session 3 presented the largest RS for dialogic and narrative-discursive abilities, and also for the overall total of verbal communicative abilities. In general, it was observed that sessions 2 and 3 allowed the largest RI and RS on the analysis performed to outline the children's pragmatic profile.</p>","PeriodicalId":89403,"journal":{"name":"Jornal da Sociedade Brasileira de Fonoaudiologia","volume":"24 3","pages":"276-81"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/s2179-64912012000300014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31028821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anelise Henrich Crestani, Ana Paula Ramos de Souza, Luciane Beltrami, Anaelena Bragança de Moraes
{"title":"Analysis of the association among types of breastfeeding, presence of child development risk, socioeconomic and obstetric variables.","authors":"Anelise Henrich Crestani, Ana Paula Ramos de Souza, Luciane Beltrami, Anaelena Bragança de Moraes","doi":"10.1590/s2179-64912012000300004","DOIUrl":"https://doi.org/10.1590/s2179-64912012000300004","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the association among types of breastfeeding, presence of child development risk, socioeconomic and obstetric variables.</p><p><strong>Methods: </strong>The sample was composed of 182 mother-child dyades. Data were collected through an initial interview about breastfeeding; obstetric, socioeconomic, demographic and psychosocial aspects; and mother-child interaction analysis by the Child Development Risk Inventory. The data were organized in categories related to breastfeeding, presence or absence of child development risk, obstetric and socioeconomic variables, and were analyzed in Statistica 9.0 software for statistical analysis.</p><p><strong>Results: </strong>The mixed breastfeeding type shows statistical correlation between presence of child development risk as well as to variables such as prematurity, low weight, birth intercurrences and mother's domestic profession.</p><p><strong>Conclusion: </strong>The results show that factors such as low weight, prematurity and presence of birth intercurrences can be associated to mixed breastfeeding, even if the mothers present physical and time availability for breastfeeding. These variables can be associated to mother-child initial interactions detected by Child Development Risk Inventory.</p>","PeriodicalId":89403,"journal":{"name":"Jornal da Sociedade Brasileira de Fonoaudiologia","volume":"24 3","pages":"205-10"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/s2179-64912012000300004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31028954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Teleaudiology: evaluation of teleconsultation efficacy for hearing aid fitting.","authors":"Patrícia Danieli Campos, Deborah Viviane Ferrari","doi":"10.1590/s2179-64912012000400003","DOIUrl":"https://doi.org/10.1590/s2179-64912012000400003","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate teleconsultation's efficacy for hearing aid fitting.</p><p><strong>Methods: </strong>Fifty hearing impaired individuals with ages ranging from 39 to 88 years and mean audiometric thresholds between 30 and 68.75 dBHL participated in this study. Participants were divided into two groups (stratified randomization): control group (n=25), submitted to face-to-face procedures, and experimental group (n=25), submitted to synchronous teleconsultation with interactive video and remote applicative control. The hearing aids were programmed and verified (with microphone probe), and the subjects received instructions regarding use and care for the device. Time taken for the procedures was measured. Following the consultations, an evaluator (blind to the groups) applied the Hearing in Noise Test (HINT-Brazil). Approximately one month after consultations, the daily time of hearing aid use was verified, and the International Outcome Inventory for Hearing Aids (IOI-HA) was administered.</p><p><strong>Results: </strong>A greater time for programming and verification and a smaller time for orientation were observed for the experimental group. No difference was found between groups for the total consultation time. The real ear measures' matching to their respective targets was similar for both groups. No difference was observed between groups for the HINT results (silence and noise), the daily amount of use of hearing aids in hours, and the IOI-HA scores.</p><p><strong>Conclusion: </strong>Teleconsultation is an efficient procedure for hearing aid programming, verification and fitting when face-to-face services are not available.</p>","PeriodicalId":89403,"journal":{"name":"Jornal da Sociedade Brasileira de Fonoaudiologia","volume":"24 4","pages":"301-8"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/s2179-64912012000400003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31153443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Auditory and oral language abilities in children with cochlear implants: a case study.","authors":"Tatiana Mendes de Melo, Jessica Domingues Lara","doi":"10.1590/s2179-64912012000400017","DOIUrl":"https://doi.org/10.1590/s2179-64912012000400017","url":null,"abstract":"<p><p>The cochlear implant (CI) represents the most important advance in the treatment of individuals with severe to profound bilateral hearing loss who do not benefit from hearing aids. Children who receive the CI during the critical period of neuroplasticity of the auditory system, when combined with speech therapy, have the chance to develop the auditory and linguistic skills similarly to their normal hearing peers. Two cases of implanted children are presented in this study, and one of them was not enrolled in a formal aurioral therapeutic program since the implantation surgery. At the moment of language and auditory assessment, the children were 2 years and 5 months old, and the CI had been used for 11 months. According to the results presented, it was observed that the child enrolled in rehabilitation program had better auditory and language performance when compared to the other child. Despite the remarkable benefits that the CI provides to children with hearing impairment, the device itself only provides the child with the audibility of environmental sounds and speech signal. For the auditory and language development to happen, it is necessary, among other factors, a speech-language intervention, with partnership between professionals and parents.</p>","PeriodicalId":89403,"journal":{"name":"Jornal da Sociedade Brasileira de Fonoaudiologia","volume":"24 4","pages":"390-4"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/s2179-64912012000400017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31153774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}