Objective: To study the applicability of the Strength and Difficulties Questionnaire (SDQ 2,4-p) as a screening tool for mental health problems in preschoolers, in the context of Primary Health Care; to evaluate the mental health problems of the sample, comparing data from SDQ (2,4-p) and from the Child Behavior Check List (CBCL 1½-5 years).Methods: Cross-sectional observational study with a convenience sample of 31-50-month-old children, whose caretakers provided informational reports. In the first stage, professionals from the primary care health unit have applied the SDQ (2,4-p) during routine appointments. Subsequently, the CBCL (1½-5) was applied by a professional experienced in infant mental health. The SDQ and CBCL results were compared and the correlation between the scales was tested.Results: Among 280 questionnaires available to the health professionals, 48 were filled out and the CBCL was applied to 40 of the participants. Among the problems found with the SDQ, 18 cases (37.6% out of 48) have shown abnormal score in the “Total Difficulties” and 38 (80.9% out of 48) have shown normal score in the “Impact of Difficulty”. Behavioral issues were highlighted by the percentage of abnormal scores (47.9%). The correlation between SQD and CBCL was positive for all scales, except for the pro-social behavior.Conclusions: Clinically important mental health problems were found in preschool children. Variables of the SDQ discriminate normal and abnormal scores according to the CBCL parameters, thus functioning as a good screening tool.
PURPOSE: This study aimed at showing association between the posterior oral spillage and pharyngeal residue with tracheal aspiration and/or laryngeal penetration in stroke. METHODS: Clinical cross-sectional retrospective multicenter study. The study included 63 videofluoroscopic tests of post-ischemic stroke individuals and oropharyngeal dysphagia data of the three reference centers providing care for patients with dysphagia (43 men and 20 women; age range: from 40 to 90 years). These individuals were divided into two groups. Group I consisted of 35 participants with the presence of penetration and/or laryngotracheal aspiration, and Group II consisted of 28 individuals with no penetration and/or aspiration. Videofluoroscopic swallowing test results were analyzed to divide the groups, and the presence of posterior oral spillage and pharyngeal residue was observed. RESULTS: No association was found between the groups with posterior oral spillage (χ2=1.65; p=0.30; φ2=0.02), but there was statistical difference for the association between pharyngeal residue (χ2=12.86; p=0.003; φ2=0.20) and the groups. CONCLUSION: There is an association between pharyngeal residue and penetration with tracheal aspiration in post-stroke individuals.
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