The Preterm Oral Feeding Readiness Assessment Scale is considered valid to assist health professionals to initiate preterm feeding in view of promoting safe and objective breastfeeding.

Background: The environment in Neonatal Intensive Care Unit (NICU) can contribute to the occurrence of stressing situations involving the hospitalized newborn, the family and the health team, due to inappropriate sensory stimuli.

Aim: To describe the experience of constructing the Learning Object (LO) about the sensory environment (noise, light and handling) in a NICU.

Methods: A LO about the environment in a NICU was developed in Flash® for WEB, utilizing participative methodology in company with the unit’s team, focusing on sensitizing the team about the effects of noise, light and handling, and about the strategies for their reduction.

Results: The participants understood the importance which attention paid to the environment of the NICU plays in the development of the newborn. The LO was organized into theoretical modules with the insertion of multimedia and a simulation module.

Purpose: to study and characterize anteroposterior and angular deviations in the Unterberger-Fukuda Test (UFT) in relation to the results of the caloric tests in patients complaining of dizziness or vertigo. Methods: 44 subjects-men and women between 20 and 79 years of age-who had symptoms of vertigo or dizziness and had been referred for vectoelectronystagmography were examined. The exclusion criteria were gait difficulties arising from orthopedic and/or spinal disorders, and syndromes or neurological diseases that affect balance. Two procedures were performed: vectoelectronystagmography and UFT. Results: the caloric test showed that 25.00% of the patients had hyporeflexia-the most frequent result. In the open-eyes UFT, only 2.30% presented altered results in anteroposterior displacement. In the closed-eyes test, the equivalent value was 31.80%. Anteroposterior deviation showed a greater correlation with age than the angular one. Abnormal results in the caloric test were associated with the UFT. Conclusion: the results of the closed-eyes UFT were associated with the caloric test. Anteroposterior deviation was correlated with age, while angular deviation was not.

Objetivo descrever o comportamento comunicativo de indivíduos com diagnóstico de esquizofrenia em processo de reabilitação psicossocial. Métodos estudo descritivo-exploratório, com amostra por conveniência de recorte transversal. Participaram 50 indivíduos com diagnóstico de esquizofrenia, de ambos os sexos, com faixa etária entre 19 e 75 anos, usuários de um Núcleo de Saúde Mental de uma cidade do interior do estado de São Paulo, Brasil. Foi realizado levantamento nos prontuários para obter dados pessoais e o subtipo da esquizofrenia. Para avaliar o comportamento comunicativo utilizou-se a Bateria Montreal de Avaliação da Comunicação (Bateria MAC), constituída por 14 tarefas que avaliam os aspectos discursivo, pragmático inferencial, léxico-semântico e prosódico da linguagem. Resultados os indivíduos, em sua maioria, eram do sexo masculino, com baixa escolaridade, praticantes do catolicismo e com esquizofrenia do subtipo paranoide. A avaliação pela Bateria MAC apontou alterações em todas as tarefas avaliadas e a maioria dos participantes respondeu que é consciente da dificuldade comunicativa. As maiores alterações ocorreram nas tarefas de evocação lexical com critério semântico, atos de fala indiretos, discurso conversacional e discurso narrativo, e, as menores alterações, ocorreram nos componentes prosódicos no nível de compreensão, destacando-se que, o nível da produção nos aspectos linguísticos e emocionais da prosódia, também apresentou alteração considerável. Conclusão todas as tarefas avaliadas apresentaram alterações. Os aspectos mais prejudicados foram o discurso e a pragmática, que não devem ser relacionados somente aos aspectos linguísticos, mas também às características de alteração do pensamento e da cognição, ao embotamento afetivo e questões sociais desse transtorno.

This study evaluated the impact of a participatory program to reduce noise in a neonatal intermediate care unit of a university hospital. A time-series quasi-experimental design was used, in which sound pressure levels were measured before and after the intervention was implemented using the Quest-400 dosimeter. Non-parametric statistical tests were used to compare noise with the level of significance fixed at 5%. Results showed significant reduction of sound pressure levels in the neonatal unit after the intervention program was implemented (p<0.0001). The average Leq before the intervention was 62.5dBA and was reduced to 58.8dBA after the intervention. A reduction of 7.1dBA in the average Lmax(from 104.8 to 87.7dBA) and of 30.6dBA in the average Lpeak(from 138.1 to 107.5dBA) was observed. The program was proven to be effective in significantly reducing noise levels in the neonatal unit, although levels were still more intense than recommended. Impacto de un programa participativo de reducción de ruido en una unidad neonatalEl objetivo fue evaluar el impacto de un programa participativo en la reducción del ruido ambiente en una unidad neonatal de un hospital universitario. Se utilizó delineamiento casi-experimental del tipo tiempo-serie, en el cual los niveles de presión sonora fueron mensurados antes y después de la implantación del programa de intervención, utilizando el dosímetro Quest-400. Para el análisis comparativo del ruido, se utilizaron las pruebas estadísticas no paramétricas (a=0,05). Se constató reducción significativa de los niveles de presión sonora de la unidad neonatal después de la implantación del programa de intervención (p<0,0001). El Leq medio fue de 62,5dBA antes de la intervención y se redujo para 58,8dBA después de la intervención. Hubo reducción de 7,1dBA en el Lmax medio (de 104,8 para 87,7dBA) y de 30,6dBA en el Lpeak medio (de 138,1 para 107,5dBA).Se concluye que el programa fue efectivo en la reducción del nivel sonoro de la unidad neonatal, a pesar de que todavía se mantiene más intenso que lo recomendable.

There was agreement among the referees with respect to the words and figures. The SRPI test can be rapidly and easily applied, allowing evaluation and systematic monitoring of speech perception ability regardless of child verbalization capacity.

Purpose: to verify the applicability of speech perception test with figures, developed by Souza and Reis (2015), in children with hearing loss. Methods: an exploratory descriptive study. A total of 40 children, both sexes, aged between 2 and 11 years, 20 normal hearing (CG) and 20 hearing impaired (SG), matched by time of sensorial auditory stimulation with normal hearing. The groups were subdivided according to time of sensorial auditory stimulation, being CG1 (2 years of age), CG2 (3 years of age), CG3 (4 years of age), SG1 (2 years of auditory stimulation), SG2 (3 years of auditory stimulation), SG3 (4 years of auditory stimulation). Results: the groups presented the following percentages of correct answers: CG1 87.33%, CG2 85.6% and CG3 98.67%. For the study group, composed of children with hearing loss, the results were, SG1 61.33%, SG2 76.8% and SG3 88% of correct answers. There were significant differences for six of the 25 words (ice, knife, rat, train, dog, flower), when associated with correct and incorrect answers. Conclusion: the test is feasible for the evaluation and monitoring of speech perception in children with hearing impairment, regardless of their verbal ability.

OBJETIVO: Descrever a percepção da equipe multiprofissional sobre ruído ambiente em uma unidade de cuidado intermediário neonatal. MÉTODOS: Estudo descritivo com delineamento qualitativo. Realizaram-se entrevistas abertas com 43 profissionais que atuavam na unidade de cuidado intermediário neonatal. As entrevistas gravadas foram transcritas e realizou-se a análise temática. RESULTADOS: Apreenderam-se quatro núcleos temáticos: Como a equipe percebe o ruído na unidade; O que gera ruído na unidade; Os efeitos do ruído nos bebês, trabalhadores, familiares e acompanhantes; Como reduzir o ruído na unidade. CONCLUSÃO: A equipe tem conhecimento sobre o ruído na unidade, apontando possibilidades e limitações para sua redução.