RESUMO Objetivo Investigar a percepção que os usuários de um Centro de Atendimento, vinculado ao Sistema Único de Saúde (SUS), têm a respeito do próprio Centro e dos serviços fonoaudiológicos prestados. Métodos Pesquisa de campo, transversal, composta por entrevista contendo 26 questões abertas e 14 questões fechadas, realizada com 111 sujeitos que foram atendidos no mês de agosto de 2013. A análise quantitativa foi realizada a partir da aplicação do GraphPad Prisma 5.1, SPSS 15.0, das testagens D’agostino e Person e dos testes não paramétricos comparativos F e Quiquadrado. A abordagem qualitativa foi pautada na análise de conteúdo. Resultados Quanto ao Centro de Atendimento, a percepção da maioria dos participantes foi positiva com relação à estrutura física e à equipe de secretárias/atendentes. Quanto à avaliação específica dos serviços fonoaudiológicos, as respostas foram positivadas para a fila de espera, para a conduta e explicações fornecidas pelo profissional fonoaudiólogo durante os atendimentos, principalmente no setor de Audiologia. A maior parte das justificativas dos entrevistados sobre a qualificação dos serviços foi respondida de maneira sucinta e sem encadeamento argumentativo. Conclusão O Centro de Atendimento obteve alto índice de aprovação na percepção dos usuários. O setor de audiologia foi melhor qualificado do que os trabalhos clínicos voltados às terapias de motricidade oral e linguagem.

ABSTRACT Purpose This study aimed to analyze the perceptions of users of the Brazilian Unified Health System (SUS) about the treatment Center where they were assisted, as well as about the speech-language pathology services rendered by this Center. Methods This is a transversal study composed of an interview with 26 open questions and 14 closed questions applied to 111 individuals who were assisted at the SUS Center in August 2013. The quantitative content analysis was conducted through the use of the GraphPadPrisma 5.1, Statistic Package for Social Sciences (SPSS) 15.0 software and the application of the D’agostino & Person, F-test and chi-squared test. Results Most participants reported a positive perception about the facilities and staff of the treatment center. They were also positive about the waiting time and the speech-language pathologists’ explanations and conduct, especially in the audiology department. Most responses from participants were short and did not present an argumentative context. Conclusion The treatment center received a high approval rating by most users. The audiology department had better grades than the clinical services related to language and oral motor pathologies.

RESUMO Objetivo: analisar a visão dos familiares com relação à queixa formulada por educadores e explicações a respeito das causas das dificuldades relatadas. Métodos: trata-se de um estudo de campo de caráter exploratório, aprovado pelo Cômite de Ética em Pesquisa com Seres humanos sob parecer 447.163/2013. Participaram 35 familiares de crianças encaminhadas para avaliação psicológica, fonoaudiológica e/ou pedagógica especializada, sendo que os dados foram coletados por meio de entrevistas semiestruturadas e analisados a partir de categorias elaboradas pelas pesquisadoras. A amostra foi composta por 33 mães, uma avó e um pai, com idades entre 25 e 68 anos. Resultados: as queixas escolares estavam relacionadas à: dificuldades de escrita (31%), dificuldades de leitura (26%), aspectos cognitivos (21%), baixo rendimento acadêmico (15%) e aspectos psicológicos/comportamentais (6,5%). Foram referidas como causas das dificuldades problemas próprios das crianças (44%), da família (23%) e do ambiente escolar (3%). Conclusão: aponta-se para importância de intervenções direcionadas aos familiares a fim de favorecer a participação da família no processo de apropriação da escrita de forma mais ativa e reflexiva. Os resultados desta pesquisa apontam para a necessidade do implemento de estudos que objetivem a análise das concepções de linguagem escrita que subjazem o entendimento dos familiares acerca do processo de apropriação da escrita por parte das crianças, uma vez que tais concepções interferem nos modos de participação em tal processo.

ABSTRACT Purpose: to analyze family members' views on the complaint by educators and their explanations about the causes for the reported difficulties. Methods: it is an exploratory field study, approved by the Ethics Committee on Research with Human Beings 447.163/2013. Thirty-five (35) family members of children referred to psychological/speech-language therapeutic and/ or pedagogical assessment participated. Data were collected by means of semi-structured interviews and analyzed through categories elaborated by the researchers. The sample comprised 33 mothers, 1 grandmother and 1 father, ages ranged between 25 and 68 years old. Results: the school complaints were related to: writing difficulties (31%), reading difficulties (26%), cognitive aspects (21%), low academic performance (15%), and psychological/behavioral aspects (6.5%). The mentioned causes of the difficulties were children's typical problems (44%), family problems (23%) and problems in the school setting (3%). Conclusion: the importance of family-oriented interviews is pointed out in order to favor family participation in the process of writing acquisition in a more active and thought-provoking way. The results in this research point to the need to implement studies objectifying the analyses of the written language conceptions that underpin families' understanding on the process of children's writing acquisition, as these conceptions interfere in the way they participate in that process.

Introduction About 50 million people have epilepsy and 30% of them have epilepsy that does not respond to properly conducted drug treatment. Objective Verify the incidence of language disorders in oral language, speech, and written language of subjects with difficult to control temporal lobe epilepsy (TLE) and compare the occurrence of these disorders in subjects before and after surgery. Methods Cross-sectional study with quantitative analysis, exploratory type. A questionnaire for data collection was administered covering the following aspects: oral language, speech complaints, and writing production and comprehension. Criteria for inclusion of subjects were a diagnosis of TLE refractory to drug treatment and at least 4 years of schooling. Results The sample of 63 patients with TLE was divided into two groups: presurgical (n = 31) and postsurgical (n = 32). In the postsurgical group, there was a higher frequency of left lobectomy (75%) than right (25%). Conclusion Statistical analysis was performed with the chi-square test (significance level of 0.05). Complaints related to speech-language attention were more predominant in postsurgical subjects. Analysis of oral language, speech, and written language in subjects with epilepsy who underwent temporal lobectomy or not showed findings consistent with symptoms related to transient aphasia, with the presence of paraphasias, as well as changes in speech prosody and melody. These symptoms appeared more associated with recurrence after having a temporal lobectomy.