RESUMO Objetivo Analisar a atuação das equipes de saúde da família diante da suspeita e identificação da perda auditiva infantil. Método Trata-se de um estudo de caso. Realizaram-se grupos focais com três equipes de saúde da família de um distrito sanitário, na região metropolitana de Recife. Os dados coletados foram transcritos e analisados, tomando por base o modelo de análise de entrevistas do tipo condensação de significados. Resultados Os profissionais fazem uso de alguns recursos para avaliar a reação da criança aos estímulos sonoros, mas, em sua maioria, desconhecem os indicadores de risco para a perda auditiva, bem como possuem dúvidas quanto à realização de encaminhamentos. Quanto ao acompanhamento das crianças, foi relatado que a falta de uma contrarreferência por parte dos outros profissionais impossibilita um acompanhamento efetivo da criança na unidade. Conclusão Apesar das potencialidades na assistência à saúde da criança, a atuação da equipe de saúde da família ainda é permeada por fragilidades que dificultam seu desempenho no que diz respeito à saúde auditiva.
Purpose: to understand the network performance of family health staff on child hearing loss. Methods: a qualitative case-study research. Data collection consisted in three focus groups of family health staff from district IV in the city of Recife. Data were analyzed by meaning condensation. Results: most professionals perform their functions individually, which might weaken the comprehensive health care. Additionally, the lack of interaction with other complexity levels to meet the various actions and the absence of counter-reference required by the staff prevents the child's ongoing care. Conclusion: the teams’ organization and their relationships with other health care services are surrounded by weaknesses that make assistance ineffective regarding hearing health.
The purpose of this study was to report the main speech-language disorders in a patient with CADASIL diagnosis, attending the Speech Therapy School Clinic of a Higher Education Institution from 2008 to 2013. Clinical evaluation of the speech organs was carried out, verifying reduced mobility and tonus of lips, tongue and cheeks, with major repercussions on deglutition in the last two years of care. Multiple swallowing were observed for pasty consistency, and coughing, for the liquid one, with "wet" vocal quality and cervical auscultation without alterations, after multiple swallowing. A hoarse vocal quality with asthenia, weak loudness, hypernasal resonance and imprecise articulation were observed regarding the patient's voice. The speech therapy aimed at maintaining food intake and communication, improving the patient's quality of life.
Introduction Minor structural alterations of the vocal fold cover are important causes of dysphonia. The variability in the type of alteration and the grade of vocal deviation affects the definition of the conduit and the results of treatment. Objective To characterize the occurrence, the selected treatments adopted and vocal quality before and after treatment in patients with minor structural alterations of the vocal folds cover. Methods This was a cross-sectional study based on the records of patients treated by an interdisciplinary team at the laryngology outpatient clinic of a public university hospital from 2010 to 2018. Data collection consisted of access to a database of information on otorhinolaryngological diagnostic hypotheses, intervention and perceptual-auditory vocal assessments before and after the treatment. Data from 102 subjects were analyzed. Association tests were applied between the perceptual-auditory vocal results and the different alterations found and between these and the adopted treatments. The results of the degrees of vocal deviation before and after treatment were also compared. Results The degree of roughness was associated with the sulcus vocalis, and in this alteration the highest occurrence was mild degree of roughness. There was an improvement in the breathiness and general grade of vocal deviation after treatment. Conclusion Cysts were the most frequent structural alteration in the population studied. There was an association between the degree of general deviation and that of roughness in sulcus vocalis cases. The breathiness and the general grade of vocal deviation improved after treatment regardless of the type of treatment and alteration.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.