Vocal cord dysfunction (VCD) is a disorder characterized by unintentional paradoxical adduction of the vocal cords, resulting in episodic shortness of breath, wheezing and stridor. Due to its clinical presentation, this entity is frequently mistaken for asthma. The diagnosis of VCD is made by direct observation of the upper airway by rhinolaryngoscopy, but due to the variable nature of this disorder the diagnosis can sometimes be challenging.
We report the case of a 41-year old female referred to our Allergology clinics with the diagnosis of asthma. Thorough investigation revealed VCD as the cause of symptoms.
Avaliação do desempenho de leitura e interpretação de produtos didáticopedagógicos adaptados à criança com deficiência visual Assessment of reading performance and interpretation of didactic-pedagogical products adapted to the visually impaired child Márcio Guimarães, Mônica Moura & Cássia Leticia Carrara Domiciano design, inclusão, deficiência visual, imagem tátil, percepção háptica Este artigo apresenta uma experiência em Design da Informação no planejamento de materiais pedagógicos inclusivos. O percurso metodológico adotado partiu da formulação de requisitos projetuais oriundos de uma análise sistemática de estudos, pesquisas e recomendações técnicas acerca do tema da imagem tátil e de sua importância na educação da criança com deficiência visual. Estes requisitos fundamentaram o projeto e o desenvolvimento de um conjunto de instrumentos de análise que, após serem avaliados por especialistas, foram aplicados em uma pesquisa de campo em instituição especializada na educação de crianças cegas. A análise dos processos de leitura e interpretação basearam-se no método de leitura de imagens desenvolvido por Arizpe e Styles (2004). Os resultados apresentam dados relacionados à eficiência da leitura háptica de textos e imagens adaptados às necessidades da criança cega ou com baixa visão, colaborando, desta forma, no processo de construção de recomendações ao desenvolvimento do livro ilustrado inclusivo. design, inclusion, visual impairment, tactile image, haptic perception This article presents an experience in Information Design in the planning of inclusive pedagogical materials. The methodological approach adopted was based on the formulation of design requirements resulting from a systematic analysis of studies, researches and technical recommendations about the tactile image and its importance in the education of children with visual impairment. These requirements were based on the design and development of a set of analytical tools that, after being evaluated by specialists, were applied in a field research in an institution specializing in the education of blind children. The analysis of the reading and interpretation processes was based on the image reading method developed by Arizpe and Styles (2004). The results present data related to the efficiency of the haptic reading of texts and images adapted to the needs of the blind or low vision child, thus collaborating in the process of constructing recommendations for the development of the inclusive illustrated book.
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