ABSTRACT Purpose: to develop and evaluate an instructional material addressing steps and strategies in speech-language therapy for the treatment of speech disorders related to velopharyngeal dysfunction (VPD). Methods: a research taking place in three phases: 1) Planning and development of the material; 2) Evaluation of the material by speech-language therapists; and 3) Application of the material to undergraduate students of Speech-Language Therapy followed by an assessment of their understanding of the topic before and after viewing the material. Inferential statistics were presented by applying the Wilcoxon test to compare responses before and after exposure to the material, considering the level of significance less than or equal to p<0.05. Results: the content of the modules included: Velopharyngeal function during speech and VPD; Velopharyngeal sufficiency; Training of “modified breath and plosion” in speech; Training with sounds; and Tips for conducting speech-language therapy. In the second phase, five speech-language therapists evaluated the material from satisfactory to excellent, making suggestions that helped to improve it. As to the third phase, the average percentage of correct answers presented a significant increase of 23% after the students viewed the material (p=<0.001). Conclusion: the instructional material had its content and format evaluated from satisfactory to excellent by professionals; viewing by undergraduate students of Speech-Language Therapy increased their knowledge on the subject. Purpose speechlanguage language VPD. VPD . (VPD) Methods phases 1 2 3 SpeechLanguage Speech Language p005 p 0 05 p<0.05 Results included sufficiency modified plosion sounds phase it 23 p=<0.001. p0001 p=<0.001 001 (p=<0.001) Conclusion professionals subject (VPD p00 p<0.0 p000 p=<0.00 00 (p=<0.001 p0 p<0. p=<0.0 (p=<0.00 p<0 p=<0. (p=<0.0 p< p=<0 (p=<0. p=< (p=<0 p= (p=< (p= (p

RESUMO Objetivo Identificar e correlacionar as queixas de alterações miofuncionais orofaciais e de risco para distúrbios respiratórios do sono com hábitos de sono na infância. Método Participaram 71 pais ou responsáveis de crianças de 6 a 11 anos, matriculadas em uma escola pública. Foi aplicado um formulário com questões semiestruturadas/anamnese e os protocolos Nordic Orofacial Test-Screening - entrevista, Pediatric Obstructive Sleep Apnea Screening Tool Questionnaire, e Children’s Sleep Habits Questionnaire - todos em suas versões em português/Brasil no formato online. Para a análise estatística, realizou-se o teste de correlação de Spearman, considerando o nível de significância de 5%. Resultados 29 crianças eram do sexo feminino (40,8%) e 42 do sexo masculino (59,2%), com média de idade de 8,52 anos. As queixas miofuncionais orofaciais encontradas foram relacionadas às funções de respiração (35,2%), mastigação e deglutição (32,4%) e hábitos deletérios (33,8%). Todas as crianças apresentaram um baixo risco para distúrbios respiratórios do sono e quanto aos hábitos de sono, 23 crianças (32,39%) apresentaram uma somatória menor, enquanto que 48 crianças (67,61%) ultrapassaram 41 pontos. Conclusão Houve correlação entre risco para distúrbios respiratórios do sono em crianças com as queixas de alterações miofuncionais orofaciais e com a baixa qualidade/maus hábitos de sono. infância 7 1 anos pública semiestruturadasanamnese semiestruturadas anamnese TestScreening Test entrevista Childrens Children s portuguêsBrasil português Brasil online estatística realizouse realizou se Spearman 5 5% 2 40,8% 408 40 8 (40,8% 4 59,2%, 592 59,2% , 59 (59,2%) 852 52 8,5 35,2%, 352 35,2% 35 (35,2%) 32,4% 324 32 (32,4% 33,8%. 338 33,8% . 33 (33,8%) 32,39% 3239 39 (32,39% menor 67,61% 6761 67 61 (67,61% pontos qualidademaus qualidade maus 40,8 (40,8 59,2 (59,2% 85 8, 35,2 3 (35,2% 32,4 (32,4 33,8 (33,8% 32,39 323 (32,39 67,61 676 (67,61 40, (40, 59, (59,2 35, (35,2 32, (32, 33, (33,8 32,3 (32,3 67,6 (67,6 (40 (59, (35, (32 (33, 67, (67, (4 (59 (35 (3 (33 (67 ( (5 (6

ABSTRACT Purpose To identify orofacial myofunctional complaints and sleep-disordered breathing and correlate them with sleep habits in childhood. Methods The study included 71 parents/guardians of public school children aged 6 to 11 years. They answered a form with semi-structured medical history questions and the Nordic Orofacial Test-Screening - interview, the Pediatric Obstructive Sleep Apnea Screening Tool Questionnaire, and the Children’s Sleep Habits Questionnaire - all of them in their Portuguese/Brazilian versions in an online format. Statistical analyses used Spearman’s correlation, setting the significance level at 5%. Results There were 29 female children (40.8%) and 42 male ones (59.2%), with a mean age of 8.52 years. The study found orofacial myofunctional complaints related to breathing functions (35.2%), chewing and swallowing (32.4%), and deleterious habits (33.8%). All children were at a low risk of sleep-disordered breathing. As for sleep habits, 23 children (32.39%) had a lower total score, whereas 48 children (67.61%) exceeded 41 points. Conclusion There was a correlation between the risk of sleep-disordered breathing in children with complaints of orofacial myofunctional disorders and poor sleep quality/habits. sleepdisordered disordered childhood 7 parentsguardians parents guardians 1 years semistructured semi structured TestScreening Test interview Childrens Children s PortugueseBrazilian Portuguese Brazilian format Spearmans Spearman 5 5% 2 40.8% 408 40 8 (40.8% 4 59.2%, 592 59.2% , 59 (59.2%) 852 52 8.5 35.2%, 352 35.2% 35 (35.2%) 32.4%, 324 32.4% 32 (32.4%) 33.8%. 338 33.8% . 33 (33.8%) 32.39% 3239 39 (32.39% score 67.61% 6761 67 61 (67.61% points qualityhabits quality quality/habits 40.8 (40.8 59.2 (59.2% 85 8. 35.2 3 (35.2% 32.4 (32.4% 33.8 (33.8% 32.39 323 (32.39 67.61 676 (67.61 40. (40. 59. (59.2 35. (35.2 32. (32.4 33. (33.8 32.3 (32.3 67.6 (67.6 (40 (59. (35. (32. (33. 67. (67. (4 (59 (35 (32 (33 (67 ( (5 (3 (6

Abstract Objective To measure the average time for the diagnosis and for the therapeutic prescription of Continuous Positive Airway Pressure (CPAP) at a hospital in Botucatu Medical School - State University São Paulo, UNESP. Method A retrospective observational study was carried out by collecting data from the electronic medical records of patients over 18-years of age, who had a diagnostic polysomnography testing scheduled between January and December 2017. Result Of the 347 patients eligible for the study, 94 (27.1%) missed follow-up and 103 (29.7%) had a referral for CPAP use. Until February 2021, only 37 (35.9%) of these patients had already acquired and were using the device, the remaining 66 (64.1%) were waiting or gave up the therapy. The mean value of the waiting time interval between the referral of the diagnostic test and its performance was equivalent to 197 days (6.5 months). The mean time between diagnostic polysomnography and CPAP prescription was 440-days (14.5-months), with a total mean time of 624 days (21-months). Conclusion As in other services, the diagnostic-therapeutic flow proved to be highly inefficient, with a long waiting period, difficult access to treatment and a high dropout rate. These findings highlight the need to establish new patient-centered strategies with measures that speed up the flow and facilitate access to CPAP, in order to reduce the morbidity and mortality associated with this condition. Level of evidence Level 3 - Non-randomized controlled cohort/follow-up study Recommendation B. (CPAP Paulo UNESP 18years years 18 age 2017 34 9 27.1% 271 27 1 (27.1% followup follow 10 29.7% 297 29 7 (29.7% use 2021 35.9% 359 35 (35.9% device 6 64.1% 641 64 (64.1% therapy 19 6.5 65 5 (6. months. months . months) 440days 440 14.5months, 145months 14.5 , 14 (14.5-months) 62 21months. 21months 21 (21-months) services diagnostictherapeutic inefficient period rate patientcentered patient centered condition Nonrandomized Non randomized cohort/followup cohortfollowup cohort/follow cohort B 201 27.1 2 (27.1 29.7 (29.7 202 35.9 (35.9 64.1 (64.1 6. (6 44 5months 14.5months 145 14. (14.5-months (21-months cohortfollow 20 27. (27. 29. (29. 35. (35. 64. (64. ( 4 (27 (29 (35 (64 (2 (3

ABSTRACT Purpose To investigate oropharyngeal structures and functions in a pediatric population with Down Syndrome (DS) and obstructive sleep apnea (OSA) and to correlate with the apnea/hypopnea index (AHI) and sleep questionnaires. Methods 12 Children with DS and OSA, between the age of 4 and 12 years old, underwent polysomnography (PSG); sleep questionnaires, Pediatric Sleep Questionnaire (PSQ) and Obstructive Sleep Apnea-18 (OSA-18); and speech-language evaluation using the Short Evaluation of Orofacial Myofunctional Protocol (ShOM). Results There was a positive correlation between ShoM higher scores and the apnea-hypopnea index (AHI) and between ShoM and the number of hypopneas. The orofacial myofunctional alterations observed in the studied group were: oral breathing, alteration in lip tonus and competence, tongue posture at rest and in swallowing, and occlusal alteration. There was also an increased risk for OSA according to the sleep questionnaires, as well as the presence of obesity and overweight, but without correlation with the severity of OSA. Conclusion All DS children show alterations in orofacial characteristics, higher scores being associated to severe OSA. Orofacial myofunctional evaluation may help to identify different phenotypes in Down syndrome children with Obstructive sleep Apnea, enhancing the need for a multidisciplinary approach. (DS (OSA apneahypopnea hypopnea AHI (AHI questionnaires 1 old PSG (PSG) PSQ (PSQ Apnea18 Apnea 18 Apnea-1 OSA18 (OSA-18) speechlanguage speech language ShOM. ShOM . (ShOM) hypopneas were breathing competence swallowing overweight characteristics approach (PSG Apnea1 Apnea- OSA1 (OSA-18 (ShOM (OSA-1 (OSA-

RESUMO Objetivo Investigar as estruturas e funções orofaríngeas de uma população pediátrica com Síndrome de Down (SD) e apneia obstrutiva do sono (AOS) e correlacionar com o índice de apneia/hipopneia (IAH) e questionários do sono. Método 12 Crianças com SD e AOS, entre 4 e 12 anos, foram submetidas à polissonografia (PSG); questionários do sono, Pediatric Sleep Questionnaire (PSQ) e Obstructive Sleep Apnea-18 (OSA-18); e triagem fonoaudiológica por meio do Short Evaluation of Orofacial Myofunctional Protocol (ShOM). Resultados Verificou-se uma correlação positiva entre pontuações mais elevadas no ShOM e o índice de apneia hipopneia (IAH) e entre o ShOM e número de hipopneias. As alterações miofuncionais orofaciais observadas no grupo estudado foram: respiração oral, alteração no tônus e competência labial, na postura de língua em repouso e na deglutição e alteração oclusal. Verificou-se também, um risco aumentado para AOS conforme os questionários do sono, bem como presença de obesidade e sobrepeso, mas sem correlação com a gravidade da AOS. Conclusão Todas as crianças apresentaram alterações miofuncionais orofaciais, sendo que escores mais altos no ShOM, ou seja, um maior comprometimento miofuncional orofacial, estavam associados à maior gravidade de AOS, sugerindo que a avaliação miofuncional orofacial dentro de uma abordagem multidisciplinar pode auxiliar na identificação de fatores de risco para AOS em crianças com SD. (SD (AOS apneiahipopneia IAH (IAH 1 anos PSG (PSG) PSQ (PSQ Apnea18 Apnea 18 Apnea-1 OSA18 OSA (OSA-18) ShOM. . (ShOM) Verificouse Verificou se hipopneias oral labial oclusal também sobrepeso seja (PSG Apnea1 Apnea- OSA1 (OSA-18 (ShOM (OSA-1 (OSA- (OSA

RESUMO Objetivo: Comparar conhecimento de graduandos de Odontologia e Fonoaudiologia sobre tratamento protético na disfunção velofaríngea referente a casos de fissura labiopalatina antes e após uso de material multimídia educacional. Método: Aplicação de um questionário sobre tratamento protético da disfunção velofaríngea em casos de fissura labiopalatina a um grupo de estudantes de graduação de Odontologia e Fonoaudiologia, antes e após acesso a material multimídia educacional/vídeo desenvolvido sobre o tema abordado neste estudo. Estatística inferencial foi usada para investigar significância das diferenças nas respostas corretas entre as situações antes e após acesso ao material multimídia/vídeo apresentado a graduandos de Odontologia e Fonoaudiologia. Resultados: Participaram 58 discentes, 38 do curso de Odontologia e 20 de Fonoaudiologia. Antes do acesso ao material multimídia/vídeo, graduandos de Fonoaudiologia apresentaram mais acertos (Odontologia 4,89±1,31 / Fonoaudiologia 6,30±0,57). Após acesso a esse material, a diferença de acertos entre alunos dos referidos cursos diminuiu (Odontologia 6,00±0,66 / Fonoaudiologia 6,45±0,51), sendo que, neste momento, graduandos de Odontologia mostraram aumento no conhecimento sobre a temática desta pesquisa. Ao comparar a amostra total, antes e após aplicação do material multimídia/vídeo, verificou-se aumento dos acertos. Conclusão: Certificou-se maior conhecimento prévio no curso de Fonoaudiologia acerca do tema referente à prótese de palato em quadros de disfunção velofaríngea em casos de fissura labiopalatina. Todavia, o uso de material multimídia, possivelmente, viabilizou ampliação de conhecimentos relacionados a tal tema tanto aos discentes do Curso de Odontologia como de Fonoaudiologia. Objetivo educacional Método educacionalvídeo vídeo estudo multimídiavídeo Resultados 5 3 2 489131 4 89 1 31 4,89±1,3 6,30±0,57. 630057 6,30±0,57 . 6 30 0 57 6,30±0,57) 600066 00 66 6,00±0,6 6,45±0,51, 645051 6,45±0,51 , 45 51 6,45±0,51) que momento pesquisa total verificouse verificou se Conclusão Certificouse Certificou Todavia possivelmente 48913 8 4,89±1, 63005 6,30±0,5 60006 6,00±0, 64505 6,45±0,5 4891 4,89±1 6300 6,30±0, 6000 6,00±0 6450 6,45±0, 489 4,89± 630 6,30±0 600 6,00± 645 6,45±0 48 4,89 63 6,30± 60 6,00 64 6,45± 4,8 6,30 6,0 6,45 4, 6,3 6, 6,4

ABSTRACT Objective: To compare the knowledge of Dental and Speech-Language Pathology undergraduate students about prosthesis treatment of velopharyngeal dysfunction in cases of cleft lip and palate before and after using educational multimedia material. Methods: The sample comprised 58 students (38 from the Dental program, and 20 from the Speech-Language Pathology program). A questionnaire on prosthesis treatment of velopharyngeal dysfunction in cases of cleft lip and palate was administered to a group of Dental and Speech-Language Pathology undergraduate students before and after they had access to educational multimedia (video) material on the topic approached in this study. Inferential statistics were used to investigate the significance of differences in correct answers before and after the Dental and Speech-Language Pathology undergraduate students had access to the multimedia/video material. Results: Before having access to the multimedia/video material, Speech-Language Pathology students had more correct answers (Dental: 4.89±1.31; SLP: 6.30±0.57). After having access to the material, the difference in correct answers between the students of both programs decreased (Dental: 6.00±0.66; SLP: 6.45±0.51), as Dental students’ knowledge of the research topic increased. The comparison of the total sample before and after applying the multimedia/video material also demonstrated an increase in correct answers. Conclusion: Speech-Language Pathology students proved to have greater previous knowledge of palatal prostheses used for velopharyngeal dysfunction in cases of cleft lip and palate. Moreover, using the multimedia material possibly increased both Dental and Speech-Language Pathology students’ knowledge of this topic. Objective SpeechLanguage Speech Language Methods 5 38 (3 program 2 program. . program) video (video study multimediavideo Results (Dental 4.89±1.31 489131 4 89 1 31 SLP 6.30±0.57. 630057 6.30±0.57 6 30 0 57 6.30±0.57) 6.00±0.66 600066 00 66 6.45±0.51, 645051 6.45±0.51 , 45 51 6.45±0.51) Conclusion Moreover 3 ( 4.89±1.3 48913 8 63005 6.30±0.5 6.00±0.6 60006 64505 6.45±0.5 4.89±1. 4891 6300 6.30±0. 6.00±0. 6000 6450 6.45±0. 4.89±1 489 630 6.30±0 6.00±0 600 645 6.45±0 4.89± 48 63 6.30± 6.00± 60 64 6.45± 4.89 6.30 6.00 6.45 4.8 6.3 6.0 6.4 4. 6.

ABSTRACT Purpose: this study aimed to verify the effects of facial exercises on facial rejuvenation through a systematic literature review. Methods: eligibility criteria included a population of adults of both sexes, exposed to facial exercises, with a comparator group before and after facial exercises. The risk of bias was assessed following the Joanna Briggs Institute (JBI) guidelines. Literature Review: a total of 608 articles were retrieved during the final database search, of which 7 were included after the selection process. All included articles demonstrated that wrinkles and expression lines improved after facial exercises or massages. The judgment of case series studies found they had a low risk of bias, and two case-control studies had a moderate risk of bias. Conclusion: facial exercises effectively attenuated the signs of facial aging. However, more consistent evidence is needed for more robust conclusions based on randomized clinical trials. Purpose review Methods sexes JBI (JBI guidelines Review 60 search process massages casecontrol control Conclusion aging However trials 6

RESUMO Objetivo: este estudo buscou por meio de uma revisão sistemática de literatura verificar os efeitos dos exercícios faciais para rejuvenescimento facial. Métodos: os critérios de elegibilidade incluíram uma população composta por adultos de ambos os sexos, expostos aos exercícios faciais, possuindo grupo comparador no período pré e pós-exercícios faciais, o risco de viés foi avaliado seguindo as diretrizes do Instituto Joanna Briggs (JBI). Revisão da Literatura: 608 artigos foram recuperados durante a busca final no banco de dados, resultando em 7 artigos incluídos após o processo de seleção. Todos os artigos incluídos demonstraram uma melhora nas rugas e linhas de expressão após os exercícios faciais ou massagens. Os estudos de séries de casos foram julgados como baixo risco de viés e dois estudos de caso-controle foram julgados como moderado risco de viés. Conclusão: os exercícios faciais podem ser considerados eficientes para atenuar os sinais de envelhecimento da face. Porém são necessárias evidências mais consistentes para conclusões mais robustas, com base em ensaios clínicos randomizados. Objetivo facial Métodos sexos pósexercícios pós JBI. JBI . (JBI) Literatura 60 dados seleção massagens casocontrole caso controle Conclusão face robustas randomizados (JBI 6

Abstract Introduction Tinnitus is a conscious perception of a sound resulting from abnormal activity within the nervous system. A relevant percentage of tinnitus patients report symptoms severe enough to significantly affect quality of life, including sleep disorders. Objectives To analyze the sleep quality, insomnia, daytime sleepiness, and risk of obstructive sleep apnea (OSA) in participants with tinnitus. Methods The sample comprised 18 adults and older adults aged between 18 and 85 years old (mean age = 58.7 ± 17.5 years old), females and males, with complaint of continuous tinnitus for > 1 month. The instruments used were the Tinnitus Handicap Inventory (THI) questionnaire, the Insomnia Severity Index, the Pittsburgh Sleep Quality Index, the Epworth Sleepiness Scale, and the STOP-Bang questionnaire. Results By means of the THI questionnaire, the tinnitus severity degree reported by most participants was mild (27.8%) and moderate (27.8%), having a positive (r = 0.582) and significant (0.011) correlation to sleep quality, measured by means of the Pittsburgh questionnaire. There was a positive correlation between the Insomnia Severity Index and tinnitus handicap (r = 0.499; p = 0.035). A total of 72.2% of the participants self-assessed their sleep quality as poor, in addition to moderate insomnia (27.8%), although there is low risk of OSA (66.7%), without complaints of excessive daytime sleepiness (72.2%). Conclusion Subjects with tinnitus complaint self-rated their sleep quality as poor. Moreover, the higher the reported tinnitus handicap, the greater the symptoms of insomnia. There was no influence of tinnitus in relation to daytime sleepiness and no relationship between the severity of tinnitus and the risk of OSA. system life disorders (OSA 8 mean 587 58 7 58. 175 17 5 17. old, , old) males month (THI questionnaire Scale STOPBang STOP Bang 27.8% 278 27 (27.8% 27.8%, r 0.582 0582 0 582 0.011 0011 011 (0.011 0.499 0499 499 0.035. 0035 0.035 . 035 0.035) 722 72 2 72.2 selfassessed self assessed poor 66.7%, 667 66.7% 66 (66.7%) 72.2%. (72.2%) selfrated rated Moreover 27.8 (27.8 0.58 058 0.01 001 01 (0.01 0.49 049 49 003 0.03 03 72. 66.7 6 (66.7% (72.2% 27. (27. 0.5 05 0.0 00 (0.0 0.4 04 4 66. (66.7 (72.2 (27 0. (0. (66. (72. (2 (0 (66 (72 ( (6 (7

Abstract Introduction The exposure of medical students to a full-time schedule that includes classes, extracurricular activities, patients’ lives responsibility, and great competition between classmates can interfere in emotional issues and in the sleep time. Objective The aim of the present study was to evaluate the sleep quality, and the incidence of anxiety and depression in medical school undergraduates as well as the relationship of these parameters with the intense use of technologies. Methods Fifty-five medical school undergraduates in their second year participated in the present study, answering questionnaires to evaluate sleep quality (Pittsburgh sleep quality index - PSQI), night-time use of technology (sleep time-related information and communication technology - STRICT), and signs of anxiety or depression (hospital anxiety and depression scale - HADS). Results The results showed 31 students (56.4%) with poor sleep quality (PSQI > 5). Based on the STRICT questionnaire, 36 (65.4%) of the participants referred to making use of technology at night-time; and 34 (61.8%) students had compatible anxiety score, while 14 (25.4%) had a compatible score for depression on the HADS questionnaire. There has been a correlation between poor sleep quality, the abuse of technologies before sleep time, and the presence of anxiety or depression. Conclusion The abuse of technology before sleep time reduced the sleep quality in the studied population, besides increasing the symptoms of anxiety and depression. fulltime full classes activities patients responsibility Fiftyfive Fifty five Pittsburgh PSQI, PSQI , PSQI) nighttime night timerelated related STRICT, STRICT) hospital HADS. . HADS) 3 56.4% 564 56 4 (56.4% 5. 5 5) questionnaire 65.4% 654 65 (65.4% 61.8% 618 61 8 (61.8% 1 25.4% 254 25 (25.4% population 56.4 (56.4 65.4 6 (65.4 61.8 (61.8 25.4 2 (25.4 56. (56. 65. (65. 61. (61. 25. (25. (56 (65 (61 (25 (5 (6 (2 (

ABSTRACT Purpose: this study aimed at assessing the legibility, reliability, usability and coverage of websites on cleft lip and/or palate (CL/P) in Brazilian Portuguese and providing a global comparison. Methods: in order to evaluate the obtained data, four protocols were used, i.e., the Website Coverage Protocol, the legibility (by means of the COH METRIX PORT), the reliability (Discern Protocol), and the usability (by means of the System Usability Scale). Results: 98 websites were included with average legibility scoring of 31.6±11.7, rated as a hard readability level. Coverage average scoring was 19.9±3.79 from a total of 35 points. As for reliability, average scoring was 43.2±6.51 points, rated as acceptable. The usability scoring was 24.8±2.18 points, rated as the worst imaginable one. Conclusion: therefore, the assessed Brazilian websites on CL/P were rated difficult for legibility, requiring high-school level of education, restricted coverage and acceptable reliability, in addition to the low usability. The results were similar to those of websites from other countries, except for the legibility aspect, which was lower for Brazilian websites. Purpose andor or CLP CL P (CL/P comparison Methods data used ie i e i.e. Protocol by PORT, PORT , PORT) Discern Protocol) Scale. Scale . Scale) Results 9 316117 31 6 11 7 31.6±11.7 199379 19 3 79 19.9±3.7 points 432651 43 2 51 43.2±6.5 248218 24 8 18 24.8±2.1 one Conclusion therefore highschool high school education countries aspect i.e 31611 1 31.6±11. 19937 19.9±3. 43265 4 5 43.2±6. 24821 24.8±2. 3161 31.6±11 1993 19.9±3 4326 43.2±6 2482 24.8±2 316 31.6±1 199 19.9± 432 43.2± 248 24.8± 31.6± 19.9 43.2 24.8 31.6 19. 43. 24. 31.

RESUMO Objetivo: analisar os hábitos auditivos de um grupo de alunos e comparar o grau de exposição ao estímulo sonoro via fones de ouvido entre escolas públicas e privadas. Métodos: foram distribuídos questionários contendo perguntas referentes a hábitos auditivos de exposição à música amplificada, aos 1085 alunos de escolas pública e privada. Em seguida, as respostas aos questionamentos foram analisadas e comparadas entre os grupos de alunos. Utilizou-se o teste Qui-quadrado com um nível de significância estatística estabelecido em 5% (p<0,05) para se comparar os hábitos auditivos entre as escolas públicas e privadas. Resultado: de modo geral, a maioria dos alunos (92%) respondeu que tem hábitos auditivos de exposição à música amplificada. Tanto o uso de fones de ouvido (92%) quanto as idas a lugares com música alta (63,6%) tiveram alta prevalência nas respostas aos questionários. Conclusão: alunos de escolas particulares utilizam mais fones de ouvido frequentemente comparados aos alunos de escolas públicas. Objetivo privadas Métodos amplificada 108 privada seguida Utilizouse Utilizou Quiquadrado Qui quadrado 5 p<0,05 p005 p 0 05 (p<0,05 Resultado geral 92% 92 (92% 63,6% 636 63 6 (63,6% Conclusão 10 p<0,0 p00 (p<0,0 9 (92 63,6 (63,6 1 p<0, p0 (p<0, (9 63, (63, p<0 (p<0 ( (63 p< (p< (6 (p

ABSTRACT Purpose: to analyze the hearing habits of a group of students between public and private schools and compare the degree of exposure to sound stimuli via earphones. Methods: 1,085 public and private school students received a questionnaire on hearing habits and exposure to amplified music. Their answers to these questions were analyzed and compared between the groups of students. The chi-square test compared hearing habits between public and private schools, with the statistical significance level set at 5% (p < 0.05). Result: in general, most students (92%) reported hearing habits of exposure to amplified music. Questionnaire answers indicated a high prevalence of both earphone use (92%) and attendance at places with loud music (63.6%). Conclusion: private school students use earphones more often than those from public schools. Purpose Methods 1085 1 085 1,08 chisquare chi square 5 p 0.05. 005 0.05 . 0 05 0.05) Result general 92% 92 (92% 63.6%. 636 63.6% 63 6 (63.6%) Conclusion 108 08 1,0 00 0.0 9 (92 63.6 (63.6% 10 1, 0. (9 63. (63.6 ( (63. (63 (6

RESUMO Objetivo: identificar, por meio de uma revisão de escopo, as categorias da Classificação Internacional de Funcionalidade, Incapacidade e Saúde descritas em estudos sobre as afasias. Métodos: foi realizada uma busca nas bases de dados EMBASE, LILACS, PubMed, Scopus e Web of Science e em quatro buscadores da literatura cinzenta a partir dos DECs, termos Mesh e termos livres relacionados à “International Classification of Functioning, Disability and Health” e à “aphasia”. As recomendações do PRISMA foram utilizadas. Os gerenciadores EndNote e Rayyan foram usados para remoção das duplicatas e para a leitura dos títulos, resumos e textos completos. Foram elegíveis os trabalhos que incluíam “afasia” e algum conceito da Classificação Internacional de Funcionalidade, Incapacidade e Saúde; publicados a partir de 2001. As informações registradas foram: tipo de estudo, nível de evidência, amostra, objetivos e categorias. Revisão de Literatura: foram localizados 1366 trabalhos nas bases de dados e 341 na literatura cinzenta. As categorias de primeiro nível mais descritas nos 13 estudos selecionados foram: Estruturas do Sistema Nervoso (Cérebro); Funções Mentais (Linguagem); Comunicação (Conversação); Apoio e Relacionamentos (Família Nuclear). Sexo e idade foram alguns dos Fatores Pessoais mais identificados. Conclusão: esta revisão fornece suporte para recomendar o uso da Classificação Internacional de Funcionalidade, Incapacidade e Saúde na atuação com pessoas com afasia.

ABSTRACT Purpose: to identify, through a scoping review, the categories of the International Classification of Functioning, Disability and Health described in studies on aphasia. Methods: the search was performed by DECs, MeSH terms and free terms related to the “International Classification of Functioning, Disability and Health” and “aphasia” in five databases, EMBASE, LILACS, PubMed, Scopus and Web of Science, and four search engines of grey literature. The PRISMA recommendations were used. EndNote and Rayyan managers were used to remove duplicates and read titles, abstracts and full studies. Papers that contained “aphasia” and some aspect from the International Classification of Functioning, Disability and Health were eligible, published from 2001. The data recorded were: type of study, level of evidence, sample, objectives and categories. Literature Review: 1,366 studies were located in the databases and 341 in the grey literature. The mostly described first level categories in the 13 selected studies were: Structures of the Nervous System (Brain); Mental Functions (Language); Communication (Conversation); Support and Relationships (Immediate Family). Gender and age were some of the most identified Personal Factors. Conclusion: this review provides support to the use of the International Classification of Functioning, Disability and Health for performance with people with aphasia.

Resumo Objetivo Investigar as evidências sobre a associação entre a anquiloglossia e a apneia obstrutiva do sono. Método Foi feita revisão de literatura integrativa nas bases de dados. Foram incluídos estudos observacionais e intervencionais em que foi feita a avaliação do frênulo de língua em crianças com distúrbios respiratórios do sono. Como critérios de exclusão: estudo em animais, in vitro, carta ao editor, opinião de expert, outras revisões. Os artigos selecionados foram analisados quanto ao desenho do estudo, casuística, caracterização da avaliação do frênulo lingual e do sono, além dos principais resultados e conclusões. Resultado Foram localizados 97 artigos, porém apenas 4 atenderam aos critérios de inclusão. Dois estudos retrospectivos concluiram que o frênulo lingual curto não tratado ao nascimento está associado à apneia obstrutiva do sono. Um estudo prospectivo concluiu que, após a frenectomia lingual, além da melhoria do sono, houve melhoria na fala e deglutição. Um coorte retrospectivo concluiu que a frenuloplastia lingual associada à terapia miofuncional é eficaz no tratamento do ronco e respiração oral. Conclusão Os estudos incluídos na presente revisão contribuem para corroborar a associação entre anquiloglossia e apneia obstrutiva do sono. sono dados exclusão animais vitro editor expert revisões casuística conclusões 9 inclusão deglutição oral

Abstract Objectives To investigate the evidence on the association between ankyloglossia and obstructive sleep apnea. Methods An integrative literature review was carried out in the databases. Observational and interventional studies that assessed the lingual frenulum in children with sleep-disordered breathing were included. As exclusion criteria: studies in animals, in vitro, letters to the editor, expert opinions, other reviews. The selected articles were analyzed regarding the study design, sample, characterization of the lingual frenulum and sleep assessment, in addition to the main results and conclusions. Results Ninety-seven articles were identified, but only 4 met the inclusion criteria. Two retrospective studies concluded that the untreated shortened lingual frenulum at birth is associated with obstructive sleep apnea. A prospective study concluded that there was an improvement in speech and deglutition after lingual frenectomy, in addition to improved sleep. A retrospective cohort concluded that lingual frenuloplasty combined with myofunctional therapy is effective in the treatment of snoring and mouth breathing. Conclusion The studies included in this review contribute to corroborate the association between ankyloglossia and obstructive sleep apnea. apnea databases sleepdisordered disordered criteria animals vitro editor opinions reviews design sample assessment conclusions Ninetyseven Ninety seven identified frenectomy

Abstract Introduction The quality of information on websites about tonsillectomy regarding the knowledge level may be low. Tonsillectomy is a surgical procedure to hypertrophy of the palatine and pharyngeal tonsils. So, it is an invasive procedure with possible complications, which creates insecurity in parents. Significantly, Internet searches have been increased to address possible health concerns, questioning the quality of websites about tonsillectomy. Objective To evaluate the readability, reliability, and comprehensiveness of the Italian websites dedicated to parental guidance regarding the indications for tonsillectomy in children. Methods The search engine google.it was used to search the websites. The Gulpease index, which is a widely used readability formula ranging from 0 (difficult) to 100 (easy readability), was employed to evaluate these websites. The Health on the Net Code of Conduct (HONcode) was used to assess the quality of information, by taking ethical principles into account, with values ranging from 0 to 13. The content comprehensiveness of the web pages was assessed by assigning points ranging from 1 (very insufficient) to 5 (very satisfying) to each page. A final comparison with previous studies on tonsillectomy published on websites from other countries was performed. Results Fourteen Italian websites were selected, and the Gulpease index showed a mean average of 40.77 ± 8.45. The mean of the HONcode analysis was 6.00 ± 1.92, in which the principles with the poorest scores were Attribution and Update. As far as the comprehensiveness of the websites is concerned, the resulting mean was 2.57 ± 0.77, in which Indications was the topic with the highest mean, whereas Benefits was the one with the lowest. Conclusion The Italian websites were characterized by a lower readability level, a middle position regarding ethical principles, and the same (insufficient) comprehensiveness of tonsillectomy when compared with websites from different countries.

Resumo Introdução: A adenotonsilectomia é um procedimento que, por ser invasivo, pode incentivar a busca de informações pela população leiga por meio de ferramentas de busca online. A qualidade dessas informações, no entanto, requer uma avaliação devido à grande diversidade do conteúdo disponível. Objetivo: Avaliar a qualidade dos websites de maior acesso voltados à orientação de pais/responsáveis de crianças às quais a adenotonsilectomia é indicada, em termos de princípios éticos, legibilidade e abrangência. Método: Os websites contidos nas primeiras 10 páginas obtidas pela busca das palavras-chave “retirada”, “amígdalas” e “adenoides” foram selecionados sob critérios de inclusão e de exclusão e avaliados com as ferramentas Teste de Facilidade de Leitura Flesch e Health on the Net Code (HON Code). Também foi feita avaliação de conteúdo por dois avaliadores independentes. Os dados foram descritos, a concordância interavaliador foi calculada pelo coeficiente Kappa. Resultados: Foram encontrados 34 websites, dos 100 analisados, que se adequavam aos critérios de inclusão e exclusão com as ferramentas Google e Yahoo! Pelo Índice de Facilidade de Leitura Flesch 16 (47%) páginas foram consideradas de leitura razoavelmente difícil/difícil. A maioria atendeu a menos da metade dos quesitos éticos analisados e a média de abrangência geral foi considerada como insuficiente. Conclusão: Demonstrou-se uma realidade deficitária em termos de qualidade geral (abrangência, legibilidade e princípios éticos) associada aos websites disponíveis para pais ou cuidadores sobre o procedimento da cirurgia das tonsilas em crianças.

Abstract Introduction: Adenotonsillectomy is an invasive surgical procedure, which may encourage the search for information by the lay population through online search engines. The quality of this information, however, requires an evaluation due to the wide diversity of the available content. Objective: To evaluate the quality, in terms of ethical principles, readability and comprehensiveness, of the most accessed websites concerning guidance to parents/guardians related to their children’s recommended adenotonsillectomy. Methods: The websites mentioned on the first 10 pages obtained after the search using “removal”, “tonsils” and “adenoids” as keywords, after applying the inclusion and exclusion criteria, were selected. All were assessed using the Flesch Readability Index and Health on the Net Code tools, in addition to an evaluation of the content by two independent evaluators. The data were described, and the inter-rater agreement was calculated by the Kappa coefficient. Results: 34 websites were found, of the 100 assessed ones, which met the inclusion and exclusion criteria using the Google and Yahoo! Tools. Sixteen (47%) pages were considered reasonably difficult/difficult to read according to the Flesch Readability Index. Most of them met less than half of the analyzed ethical requirements according to the Health on the Net Code, and the overall comprehensiveness average was considered insufficient. Conclusion: A deficit of overall quality (comprehensiveness, readability, and ethical principles) was demonstrated for the websites available to parents or guardians about the adenotonsillectomy procedure in children.

RESUMO A eficácia da terapia fonoaudiológica está comprovada para a apneia obstrutiva do sono (AOS), principalmente para a população adulta. Entretanto, estudos com população acima de 65 anos são escassos. Assim, o objetivo do presente estudo foi analisar a evolução clínica longitudinal de um sujeito idoso com AOS submetido à terapia miofuncional orofacial (TMO). Caso clínico, sexo masculino, 72 anos, com AOS, submetido à TMO após ter realizado avaliação clínica, exames de polissonografia (PSG) e avaliação clínica otorrinolaringológica, bem como a aplicação da escala de sonolência de Epworth, a classificação de Mallampati e a avaliação fonoaudiológica miofuncional orofacial em três momentos distintos: antes da TMO, após a TMO e após 22 meses da TMO. A TMO se configurou na realização de exercícios isométricos e isotônicos para região orofacial e faríngea, treino funcional em sessões semanais de 30 minutos, durante cinco meses, quando, então, as sessões foram espaçadas. Após os 22 meses de TMO, observaram-se evoluções nos parâmetros objetivos e subjetivos relativos ao sono, que foram analisados e identificados por meio de uma nova polissonografia (PSG), com os seguintes dados: exame basal, 24,5 eventos/hora e último exame de 4,63 eventos/hora. Verificou-se acentuada melhora da sonolência diurna excessiva e, ainda, melhora dos parâmetros miofuncionais orofaciais. Deste modo, pôde-se constatar que a TMO demonstrou resultados eficientes e eficazes na intervenção e no tratamento terapêutico fonoaudiológico, tendo como base a AOS do paciente idoso. Ressalta-se que tais resultados foram acompanhados e controlados por meio de avaliação multidisciplinar de modo longitudinal.

ABSTRACT The effectiveness of speech-language therapy is proven for obstructive sleep apnea (OSA), especially for the adult population. However, studies with a population over 65 years are scarce. Thus, the aim of the present study was to analyze the longitudinal clinical evolution of an OSA elderly subject undergoing Orofacial Myofunctional Therapy (OMT). Male clinical case, 72 years old, with OSA submitted to OMT, polysomnography (PSG) exams, otorhinolaryngological clinical evaluation, Epworth sleepiness scale application, Mallampati classification and orofacial myofunctional speech evaluation in 3 different moments in time (before OMT, after OMT and after 22 months of OMT). OMT was configured to perform isometric and isotonic exercises for the orofacial and pharyngeal regions and functional training in weekly sessions of 30 minutes for 5 months. After that period, the sessions were spaced for biweekly, monthly and quarterly. After 22 months of OMT, an evolution was observed in the objective and subjective parameters related to sleep, identified by polysomnography (baseline test: 24.5 events / hour and last test of 4.63 events per hour), improvement in excessive daytime sleepiness and improvement of myofunctional orofacial parameters. Thus, it was observed that OMT demonstrated efficient and effective results of speech therapy intervention and therapeutic treatment based on OSA in this case report of an elderly person. It is noteworthy that such results were monitored and controlled through multidisciplinary evaluation in a longitudinal way.