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ABSTRACT Objectives: Currently, not much is known about the interactions between voice and growth hormone (GH). We have described large kindred with isolated GH deficiency (IGHD) due to a GHRH receptor mutation, resulting in severe short stature and high-pitched voice. These IGHD individuals have little interest in GH treatment, as they consider themselves “short long-lived people”, rather than patients. Interestingly, they report normal general quality of life, but they rate their Voice-Related Quality of Life (V-RQOL) as low. Here, we assessed the social and auditory-perceptual impacts of artistic-intervention voice therapy with semioccluded vocal tract exercises (SOVTE) and choral singing, on their voices. Material and methods: Seventeen GH-naïve adult IGHD individuals were enrolled in a single-arm interventional pre-post study with 13 weekly sessions of choir singing over 90 days. Outcome measures were V-RQOL scores, self-assessment of voice, and auditory-perceptual analysis (GRBAS scale, G: grade of the severity of dysphonia; R: roughness; B: breathiness; A: asthenia; and S: strain). Results: Marked improvements in total (p = 0.0001), physical (p = 0.0002), and socioemotional (p = 0.0001) V-RQOL scores and in self-assessment of voice (p = 0.004) were found. The general grades of vocal deviation (p = 0.0001), roughness (p = 0.0001), breathiness (p = 0.0001) and strain (p = 0.0001) exhibited accentuated reductions. Conclusions: Voice therapy with semioccluded vocal tract exercises and choral training improved social impact and perceptual voice assessments in IGHD subjects and markedly improved their voice-related quality of life. This is particularly important in a setting where GH replacement therapy is not widely accepted.

https://doi.org/10.20945/2359-3997000000449

EIRAS E BEIRAS: ATENÇÃO PSICOSSOCIAL A PESSOAS COM PROBLEMAS DECORRENTES DO USO DE DROGAS
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Assunção, Júlia Inácia Vieira

; Vale, Aléxa Rodrigues

; Oliveira, Andrea Alves

; Nilo, Daniela Navarro

; Mariano, Doriane Santos

; Palata, Fernanda Gomes

; Fonseca, Marjorie Cristina Santana

; Marques, Rafaela Ferreira

; Gomes, Thaísa Borges

; Santos, Thamires Maria Miranda

; Vecchia, Marcelo Dalla

Psicologia & Sociedade

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2019, Volume 31 elocation e178671

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO A oferta de estágios acadêmico-profissionalizantes é um recurso para reduzir lacunas relacionadas à formação para a atuação no campo de álcool e outras drogas. Apresentam-se reflexões acerca do projeto terapêutico singular (PTS) como tecnologia de cuidado na atenção psicossocial a pessoas com problemas decorrentes do uso de drogas e os seus efeitos da sua adoção na formação de estudantes de Psicologia. A abordagem da família como unidade de cuidado, o estabelecimento de vínculos e o respeito à autonomia foram ressaltados no decorrer do desenvolvimento da experiência de estágio. Nota-se que o ato de cuidar é central para a consolidação de um modelo de atenção contra-hegemônico. Aponta-se ainda a necessidade de aprofundamento na construção teórica acerca do modelo de atenção de usuários de drogas na perspectiva da saúde pública.

ABSTRACT The provision of academic-professional internships is a resource to reduce training-related gaps in the field of alcohol and other drugs. Reflections on the singular therapeutic project (STP) are presented as a healthcare technology in psychosocial care for people with problems due to drug use, as well as its effects on the training of Psychology students. The approach of the family as a unit of care, the establishment of bonds and respect for autonomy were highlighted in the course of the internship experience. It is noted that the act of caring is central to the consolidation of a counter-hegemonic healthcare model. It is also pointed out the need to deepen the theoretical construction about the attention model of drug users from a public health perspective.

RESUMEN La oferta de prácticas académico-profesionalizantes es un recurso para reducir las ausencias relacionadas con la formación para la actuación en el campo de alcohol y otras drogas. Se presentan reflexiones acerca del proyecto terapéutico singular (PTS) como tecnología de atención en la atención psicosocial a personas con problemas derivados del uso de drogas y los efectos de su adopción en la formación de estudiantes de Psicología. El enfoque de la familia como unidad de cuidado, el establecimiento de vínculos y el respeto a la autonomía se resalta en el curso del desarrollo de la experiencia de práctica. Se observa que el acto de cuidar es central para la consolidación de un modelo de atención contra-hegemónico. Se apunta también la necesidad de profundizar en la construcción teórica acerca del modelo de atención de usuarios de drogas en la perspectiva de la salud pública.

https://doi.org/10.1590/1807-0310/2019v31178671 2123 downloads

Causas de afastamento entre trabalhadores de enfermagem de um hospital público do interior de São Paulo
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Gonçalves, Júlia Rodrigues dos Santos

; Melo, Edna Pereira de

; Lombas, Sandrely Regina Lopes

; Mariano, Cleuza dos Santos

; Barbosa, Ludjane

; Chillida, Manuela de Santana Pi

Reme: Revista Mineira de Enfermagem

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dec 2005, Volume 9 N. 4 Pages 309 - 314

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

This is a quantitative retrospective study in a public hospital in the interior of the State of São Paulo. The objective was to identify the characteristics of the nursing workers who were on sick leave. A period of one year was chosen and the causes of leave were recorded. We found there is a high rate of sick leave and the most common diseases were osteomuscular, mental and respiratory problems and lesions with external causes. This study made it possible to identify the need for measures to promote, maintain and restore health.

Estudio cuantitativo retrospectivo de un hospital público del interior de San Pablo, con el objeto de identificar las características de enfermeros que solicitan licencia por un año y qué causas los llevan a tal decisión. Con este estudio se ha comprobado que el índice de licencias solicitadas es alto y que entre las enfermedades que más prevalecen se pueden citar las osteomusculares, las mentales, respiratorias y lesiones por causas externas. A partir del presente estudio se ha podido identificar la necesidad de establecer medidas de promoción, mantenimiento y restauración de la salud.

Estudo quantitativo retrospectivo em um hospital público do interior paulista, que teve como objetivo identificar as características dos trabalhadores de enfermagem que se afastaram do trabalho no período de um ano e quais as causas que levaram ao afastamento. Verificou-se com este trabalho que é elevado o índice de afastamentos, sendo que as doenças de maior prevalência foram as osteomusculares, mentais, respiratórias e lesões por causas externas. A partir deste estudo foi possível identificar a necessidade de medidas de promoção, manutenção e restauração da saúde.

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Index code	Element
ti	article title
au	author
kw	article keywords
subject	subject (title words, abstract and keywords)
ab	abstract
ta	journal short title (e.g. Cad. Saúde Pública)
journal_title	journal full title (e.g. Cadernos de Saúde Pública)
la	publication language code (e.g. pt - Portuguese, es - Spanish)
type	document type
pid	publication identifier
publication_year	publication year of publication
sponsor	sponsor
aff_country	country code of the author's affiliation
aff_institution	author affiliation institution
volume	article volume
issue	article issue
elocation	elocation
doi	DOI number
issn	journal ISSN
in	SciELO colection code (e.g. scl - Brasil, col - Colômbia)
use_license	article usage license code

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