ABSTRACT Purpose: to describe the practice of speech-language therapy and identify the necessary competencies when working with people who require palliative care (PC), in Chile. Methods: a study employing a qualitative methodology to collect data. Semi-structured interviews were conducted with 11 speech-language therapists experienced in PC. These interviews were transcribed and analyzed using content analysis. Results: the primary areas of intervention that were identified include feeding and swallowing, communication, and emotional support. It was observed that PC is typically provided by interdisciplinary or, in some cases, transdisciplinary teams that may use various approaches. This research highlights the importance of training in public policy, ethics, and bioethics, as well as the need for effective listening and emotional management skills in PC settings. Conclusion: there is a need for specific training in emotional management and therapeutic skills for palliative care patients, along with a consensus on approaches for working with this population. Additionally, it is crucial to establish the role of speech-language therapy in PC. Defining key concepts, such as therapeutic support, is essential for a better understanding and practice of this field.

RESUMEN Objetivo: describir la práctica fonoaudiológica e identificar las competencias necesarias para el trabajo junto a personas que requieren cuidados paliativos (CCPP) en Chile. Métodos: se utilizó una metodología cualitativa. Para la obtención de datos se realizaron entrevistas semiestructuradas a 11 fonoaudiólogas/os con experiencia en CCPP, se transcribieron y analizaron dichas entrevistas mediante análisis de contenido. Resultados: se reveló que las áreas principales de intervención incluyen alimentación/deglución, comunicación y acompañamiento. Se señala que el trabajo en CCPP se realiza en equipos de trabajo inter o en algunos casos transdisciplinares que pueden tener diversos enfoques de trabajo. Se destaca la importancia de la preparación en políticas públicas, ética y bioética y la necesidad de contar con habilidades de escucha y manejo de emociones para el trabajo en CCPP. Conclusión: se concluye que se requiere una formación específica en manejo de emociones y habilidades terapéuticas, así como la necesidad de consensuar abordajes para el trabajo con esta población. Además, se resalta la importancia de posicionar la Fonoaudiología en los CCPP. Surge la necesidad de definir conceptos clave como el acompañamiento terapéutico para una mejor comprensión y aplicación en esta área.

RESUMO Objetivo: descrever a condição miofuncional orofacial global de pacientes com traumatismos faciais e analisar aspectos posturais e de mobilidade relacionados à função deglutição em diferentes etapas de recuperação. Métodos: estudo analítico e transversal. 36 participantes, idade entre 19 e 67 anos. Realizada em cinco etapas (D1, D2, D3, D4 e D5): oitavo ao sexagésimo dia após trauma. Utilizou-se o Protocolo de Avaliação Miofuncional Orofacial com Escores (AMIOFE) adaptado. Foi realizada análise estatística descritiva e inferencial, utilizando os testes t-Student pareado ou teste Wilcoxon pareado e o teste de Friedman na comparação entre as cinco avaliações. A margem de erro utilizada na decisão dos testes estatísticos foi de 5%. Resultados: nos movimentos labiais a maioria (69,4%) tinha inabilidade severa. Nos movimentos da língua, as duas categorias relacionadas, falta de precisão e inabilidade severa, apresentaram percentuais de 52,8% e 41,7%, respectivamente. Na movimentação da mandíbula, a maioria (83,3%) apresentava inabilidade severa. No escore AMIOFE, a mediana foi menos elevada em D1 (29,00), seguida por D2 (33,00), mais elevada em D5 (46,00) e variou de 39,50 a 41,00 nas outras duas avaliações com diferenças significativas entre: D1 diferente de D3, D4 e D5 e D2 diferente de D5. Conclusão: houve evolução positiva espontânea da condição miofuncional orofacial ao longo das avaliações. Contudo, é necessária atenção dos profissionais envolvidos. Objetivo recuperação Métodos transversal 3 participantes 1 6 anos D1, D (D1 D3 D5) trauma Utilizouse Utilizou se AMIOFE (AMIOFE adaptado inferencial tStudent t Student 5 5% Resultados 69,4% 694 69 4 (69,4% severa língua relacionadas 528 52 8 52,8 417 41 7 41,7% respectivamente mandíbula 83,3% 833 83 (83,3% 29,00, 2900 29,00 , 29 00 (29,00) 33,00, 3300 33,00 33 (33,00) 46,00 4600 46 (46,00 3950 39 50 39,5 4100 41,0 Conclusão Contudo envolvidos (D 69,4 (69,4 52, 41,7 83,3 (83,3 290 29,0 2 0 (29,00 330 33,0 (33,00 46,0 460 (46,0 395 39, 410 41, 69, (69, 83, (83, 29, (29,0 33, (33,0 46, (46, (69 (83 (29, (33, (46 (6 (8 (29 (33 (4 ( (2 (3

ABSTRACT Purpose: to describe the global orofacial myofunctional condition of patients presented with facial trauma and analyze postural and mobility aspects related to swallowing function at different stages of recovery. Methods: an analytical and cross-sectional study with 36 participants, aged 19 to 67 years, conducted in five stages (D1, D2, D3, D4, and D5), on the 8th to 60th day after trauma, using the adapted Orofacial Myofunctional Evaluation Protocol with Scores (OMES). Descriptive and inferential statistical analysis was performed using the paired Student's t-test or paired Wilcoxon test, and the Friedman test which compared the five evaluations. A 5% margin of error was used in the decision of the statistical tests. Results: in lip movements, the majority (69.4%) had severe inability. In tongue movements, the two related categories (imprecise and severe inability) had percentages of 52.8% and 41.7%, respectively. In jaw movements, the majority (83.3%) had severe inability. The median OMES score was lowest in D1 (29.00), followed by D2 (33.00), highest in D5 (46.00), and ranged from 39.50 to 41.00 in the other two evaluations, with significant differences between D1 and D3, D4 and D5, and D2 and D5. Conclusion: the orofacial myofunctional condition progressed, spontaneously and positively, throughout the evaluations. However, attention is needed from the professionals involved. Purpose recovery Methods crosssectional cross sectional 3 participants 1 6 years D1, D (D1 D3 , D5) th OMES. . (OMES) Students Student s ttest t evaluations 5 tests Results movements 69.4% 694 69 4 (69.4% inability imprecise 528 52 8 52.8 417 41 7 41.7% respectively 83.3% 833 83 (83.3% 29.00, 2900 29.00 29 00 (29.00) 33.00, 3300 33.00 33 (33.00) 46.00, 4600 46.00 46 (46.00) 3950 39 50 39.5 4100 41.0 Conclusion progressed positively However involved (D (OMES 69.4 (69.4 52. 41.7 83.3 (83.3 290 29.0 2 0 (29.00 330 33.0 (33.00 460 46.0 (46.00 395 39. 410 41. 69. (69. 83. (83. 29. (29.0 33. (33.0 46. (46.0 (69 (83 (29. (33. (46. (6 (8 (29 (33 (46 ( (2 (3 (4

RESUMO Objetivo: mapear e caracterizar as evidências disponíveis na literatura científica quanto ao impacto dos fatores individuais, ambientais e organizacionais no adoecimento vocal docente. Métodos: protocolo de revisão de escopo seguindo as diretrizes do Joanna Briggs Institute Reviewer’s Manual e do Checklist PRISMA ScR. Foi elaborada a seguinte pergunta: Quais as evidências disponíveis na literatura científica quanto ao impacto dos fatores individuais, ambientais e organizacionais no adoecimento vocal docente? Será realizada uma busca nas bases de dados LILACS (BVS), MEDLINE (PUBMED), Embase (Elsevier), Cochrane (apenas Ensaios Clínicos), Speechbite, Scopus (Elsevier) e Web of Science. A estratégia de busca será desenvolvida para a MEDLINE (PUBMED) e adaptada para as demais bases. Serão incluídos estudos realizados com professores de qualquer nível de ensino, faixa etária e gênero, com queixas relacionadas à voz e que abordem o impacto do trabalho docente no adoecimento vocal. A seleção dos estudos será realizada por duas revisoras independentes e cegadas. Os resultados serão apresentados por meio de gráficos, quadros ou tabelas. Considerações Finais: o protocolo pode evidenciar lacunas, compreender as metodologias de investigação utilizadas pelos estudos a serem incluídos, possibilitando a realização de estudos primários que permitam melhores evidências quanto à relação organização, ambiente de trabalho e docência. Objetivo individuais Métodos Reviewers Reviewer s ScR pergunta BVS, BVS , (BVS) PUBMED, PUBMED Elsevier, Elsevier apenas Clínicos, Clínicos Clínicos) Speechbite (Elsevier Science (PUBMED ensino gênero cegadas gráficos tabelas Finais lacunas organização docência (BVS

ABSTRACT Purpose: to map and characterize the evidence available in scientific literature regarding the impact of individual, environmental and organizational factors on teaching vocal illness. Methods: a scoping review protocol following the guidelines of the Joanna Briggs Institute Reviewer’s Manual and the PRISMA ScR Checklist. The following question was elaborated: What evidence is available in the scientific literature regarding the impact of individual, environmental and organizational factors on teaching vocal illness? A search will be carried out in the databases LILACS (BVS), MEDLINE (PUBMED), Embase (Elsevier), Cochrane (Clinical Trials only), Speechbite, Scopus (Elsevier) and Web of Science. The search strategy will be developed for MEDLINE (PUBMED) and adapted for other databases. Studies carried out with teachers of any level of education, age group and gender, with complaints related to voice and which addressed the impact of teaching work on vocal illness will be included. The selection of studies will be carried out by two independent and blinded reviewers. The results will be presented through graphs, charts and tables. Final Considerations: the protocol can highlight gaps, understand the research methodologies used by the studies to be included, making it possible to carry out primary studies that allow for better evidence regarding the relationship between organization, work environment and teaching. Purpose individual Methods Reviewers Reviewer s Checklist elaborated BVS, BVS , (BVS) PUBMED, PUBMED Elsevier, Elsevier Clinical only, only only) Speechbite (Elsevier Science (PUBMED education gender included reviewers graphs tables Considerations gaps organization (BVS

ABSTRACT Purpose: to analyze the professional identity of speech-language-hearing pathologists in Chile. Methods: an exploratory qualitative study using semi-structured interviews with 14 speech-language-hearing pathologists with at least one year of work experience. Participants were selected by convenience to ensure diversity in their professional practice. The interviews, approximately 40 minutes long, were conducted, remotely, in 2021, addressing ethical aspects, professional roles, and theoretical knowledge. The data were analyzed thematically with ATLAS.ti using a constructivist approach. Results: the results indicate a lack of consensus among interviewees regarding their professional identity. However, they all identify themselves as health professionals with a primarily rehabilitative role, although this is not entirely clear. The challenges are related to identifying opportunities in professional training to develop a professional identity that responds not only to their practice but also to the construction of an identity hallmark that connects them better with the work setting. Conclusion: the professional identity of the participating speech-language-hearing pathologists is mostly limited to health, although diffuse and fragmented. Their perception tends to be self-centered, focused mainly on their work, with limited knowledge of other areas. Purpose speechlanguagehearing speech language hearing Chile Methods semistructured semi structured 1 experience 4 long conducted remotely 2021 aspects roles ATLASti ATLAS ti approach Results However role clear setting Conclusion fragmented selfcentered, selfcentered self centered, centered self-centered areas 202 20 2

RESUMEN Objetivo: analizar la identidad profesional de fonoaudiólogos(as) en Chile. Métodos: este estudio cualitativo exploratorio utilizó entrevistas semiestructuradas a 14 fonoaudiólogos(as) con al menos un año de experiencia laboral. Los participantes fueron seleccionados por conveniencia para asegurar diversidad en su ejercicio profesional. Las entrevistas, de aproximadamente 40 minutos, se realizaron de forma remota en 2021, abordando aspectos éticos, rol profesional y conocimientos teóricos. Los datos fueron analizados temáticamente con Atlas Ti bajo un enfoque constructivista. Resultados: los resultados indican una falta de consenso entre los entrevistados respecto a su identidad profesional. Sin embargo, todos se identifican como profesionales de la salud con un rol principalmente rehabilitador, aunque no del todo claro. Los desafíos se relacionan con identificar oportunidades en el ámbito de la formación profesional para desarrollar una identidad profesional que responda no solo al quehacer sino que además a la construcción de un sello identitario que le permita una mejor vinculación con el entorno laboral. Conclusión: la identidad profesional de los(as) fonoaudiólogos(as) participantes se circunscribe mayormente al área de la salud, aunque de manera difusa y fragmentada. Su percepción tiende a ser egocéntrica, centrada principalmente en su propio quehacer, con un conocimiento limitado de otras áreas. Objetivo fonoaudiólogosas fonoaudiólogos as fonoaudiólogos(as Chile Métodos 1 laboral 4 minutos 2021 éticos teóricos constructivista Resultados embargo rehabilitador claro Conclusión losas los(as fragmentada egocéntrica áreas 202 20 2

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: analisar possíveis impactos à saúde geral, mental e auditiva de trabalhadores da enfermagem acometidos pelo vírus da COVID-19. Métodos: estudo exploratório, transversal, realizado com profissionais da enfermagem de um hospital público da região Sul do Brasil, que responderam a um questionário sobre sintomas gerais e auditivos após a infecção pela COVID-19 e o Oldenburg Burnout Inventory (OLBI). A análise estatística foi realizada com a aplicação do teste do Qui-quadrado de independência, do teste ANOVA com pós-teste de Tukey e da Correlação Linear de Pearson, com p-valor em 5%. Resultados: participaram 52 trabalhadores (17 enfermeiros, 30 técnicos, cinco auxiliares). Os sintomas de cefaleia, perda do olfato e do paladar, cansaço e dores musculares foram referidos por mais de 75% dos trabalhadores; 80,8% ou já estão classificados com burnout (40,4%) ou já apresentam escores altos para exaustão ou para distanciamento do trabalho (40,4%), havendo correlação com os sintomas tosse (p = 0,0327) e febre (p=0,0235); 44,23% apresentaram sintomas auditivos, sendo a tontura/vertigem referida por 34,6% e zumbido por 13,5%, embora sem correlação com os níveis de burnout (p=0.4250). Conclusão: houve impactos na saúde geral, mental e auditiva dos trabalhadores da enfermagem que foram diagnosticados com COVID-19, principalmente tosse e febre, burnout, zumbido e tontura. Objetivo geral COVID19. COVID19 COVID 19. 19 Métodos exploratório transversal Brasil COVID-1 OLBI. OLBI . (OLBI) Quiquadrado Qui quadrado independência pósteste pós Pearson pvalor p valor 5 5% Resultados 17 (1 enfermeiros 3 técnicos auxiliares. auxiliares auxiliares) cefaleia paladar 75 808 80 8 80,8 40,4% 404 40 4 (40,4% 40,4%, , 0,0327 00327 0 0327 p=0,0235 p00235 0235 (p=0,0235) 4423 44 23 44,23 tonturavertigem tontura vertigem 346 34 6 34,6 135 13 13,5% p=0.4250. p04250 p=0.4250 4250 (p=0.4250) Conclusão COVID19, 19, COVID1 1 COVID- (OLBI ( 7 80, 40,4 (40,4 0,032 0032 032 p=0,023 p0023 023 (p=0,0235 442 2 44,2 34, 13,5 p0425 p=0.425 425 (p=0.4250 40, (40, 0,03 003 03 p=0,02 p002 02 (p=0,023 44, 13, p042 p=0.42 42 (p=0.425 (40 0,0 00 p=0,0 p00 (p=0,02 p04 p=0.4 (p=0.42 (4 0, p=0, p0 (p=0,0 p=0. (p=0.4 p=0 (p=0, (p=0. p= (p=0 (p=

ABSTRACT Purpose: to analyze possible impacts on the general, mental and hearing health of nursing workers affected by the COVID-19 virus. Methods: an exploratory, cross-sectional study, carried out with nursing professionals from a public hospital in Southern Brazil, who answered a questionnaire on general and auditory symptoms after COVID-19 infection, and the Oldenburg Burnout Inventory (OLBI). Statistical analysis was performed using the Chi-square test of independence, the ANOVA test with Tukey's post-test and Pearson's Linear Correlation, with a p-value of 5%. Results: 52 workers participated (17 nurses, 30 technicians, five aides). The symptoms of headache, loss of smell and taste, fatigue and muscle pain were reported by more than 75% of workers; 80.8% either had already been classified as burnout (40.4%) or featured high scores for exhaustion or work disengagement (40.4%), with a correlation with the symptoms of cough (p=0.0327) and fever (p=0.0235); 44.23% had auditory symptoms, with dizziness/vertigo reported by 34.6% and tinnitus by 13.5%, although without correlation with burnout levels (p=0.4250). Conclusion: there were impacts on the general, mental and hearing health of nursing workers who were diagnosed with COVID-19, mainly cough and fever, burnout, tinnitus and dizziness. Purpose COVID19 COVID 19 COVID-1 virus Methods exploratory crosssectional cross sectional study Brazil infection OLBI. OLBI . (OLBI) Chisquare Chi square independence Tukeys Tukey s posttest post Pearsons Pearson Correlation pvalue p value 5 5% Results 17 (1 nurses 3 technicians aides. aides aides) headache taste 75 808 80 8 80.8 40.4% 404 40 4 (40.4% 40.4%, , p=0.0327 p00327 0 0327 (p=0.0327 p=0.0235 p00235 0235 (p=0.0235) 4423 44 23 44.23 dizzinessvertigo dizziness vertigo 346 34 6 34.6 135 13 13.5% p=0.4250. p04250 p=0.4250 4250 (p=0.4250) Conclusion COVID19, 19, COVID1 1 COVID- (OLBI ( 7 80. 40.4 (40.4 p=0.032 p0032 032 (p=0.032 p=0.023 p0023 023 (p=0.0235 442 2 44.2 34. 13.5 p0425 p=0.425 425 (p=0.4250 40. (40. p=0.03 p003 03 (p=0.03 p=0.02 p002 02 (p=0.023 44. 13. p042 p=0.42 42 (p=0.425 (40 p=0.0 p00 (p=0.0 (p=0.02 p04 p=0.4 (p=0.42 (4 p=0. p0 (p=0. (p=0.4 p=0 (p=0 p= (p= (p

RESUMO Objetivo: identificar e descrever dificuldades observadas no aleitamento materno em mulheres submetidas à cirurgia de mamoplastia de aumento. Métodos: trata-se de uma revisão de escopo, com a pergunta norteadora: “Quais as possíveis dificuldades na amamentação observadas em mulheres que realizaram a mamoplastia de aumento descritas na literatura?”. A estratégia de busca foi realizada com combinações de descritores para a busca nas bases Lilacs, SciELO, Cochrane CENTRAL, BIREME, Pubmed, ADOLEC, BDENF, MedCarib e literatura cinzenta, sendo 12 de outubro de 2023 a data da última busca. Foram incluídos artigos completos, sem restrição de idioma e tempo de publicação, delineamento observacional, e que analisaram mulheres com histórico de mamoplastia de aumento e possíveis dificuldades na amamentação. Revisão da Literatura: foram incluídos sete artigos. Os estudos identificaram como possíveis dificuldades no aleitamento materno em mulheres submetidas à cirurgia de mamoplastia de aumento: a presença de ingurgitamento mamário, mastite, dor, lesões mamilares e alterações de lactação e de sensibilidade envolvidas no aleitamento materno. Conclusão: espera-se que os resultados apresentados nesta revisão de escopo estimulem o desenvolvimento de evidências mais vigorosas sobre a relação entre estes achados. Objetivo Métodos tratase trata se norteadora Quais literatura. . literatura?” Lilacs SciELO CENTRAL BIREME Pubmed ADOLEC BDENF cinzenta 1 202 completos publicação observacional Literatura mamário mastite dor Conclusão esperase espera achados literatura? 20 2

ABSTRACT Purpose: to identify and describe difficulties observed in breastfeeding in women who underwent breast augmentation surgery. Methods: a scoping review, with the guiding question: "What are the possible difficulties in breastfeeding observed in women who have undergone breast augmentation, as described in the literature?". The search strategy was carried out with combinations of descriptors for searching the Lilacs, SciELO, Cochrane CENTRAL, BIREME, Pubmed, ADOLEC, BDENF, MedCarib, and gray literature databases, October 12, 2023 being the date of the last search. Complete articles, without restrictions on language and publication time, observational design, and that analyzed women with a history of breast augmentation and possible difficulties in breastfeeding, were included. Literature Review: seven research articles were included with studies identifying the following as possible difficulties in breastfeeding in women undergoing breast augmentation surgery: the presence of breast engorgement, mastitis, pain, nipple lesions, and changes in lactation and sensitivity involved in breastfeeding. Conclusion: it is expected that the results presented in this scoping review will stimulate the development of more robust evidence on the relationship between these findings. Purpose surgery Methods question What literature. . literature?" Lilacs SciELO CENTRAL BIREME Pubmed ADOLEC BDENF MedCarib databases 12 202 time design Review engorgement mastitis pain lesions Conclusion findings literature? 1 20 2

ABSTRACT Purpose: to study the occurrence of risk for hearing loss in infants with congenital syphilis, using automatic auditory brainstem response. Methods: a prospective cross-sectional study. Automatic auditory brainstem response was performed nine to 60 days after leaving the hospital. The sample included infants exposed to syphilis- infants of mothers who underwent the current best practice treatment for syphilis, during the prenatal period, after testing positive for the disease, using the Venereal Diseases Research Laboratory (VDRL) exam (Exposed group); Congenital syphilis group: infants and mothers who received syphilis treatment during the perinatal period, following a positive VDRL result at birth; Control group: infants of mothers with a negative VDRL result. None of the infants had other hearing loss risk indicators. Analysis was based on binary pass/failure in automatic auditory brainstem response. Results: in the Exposed group, 100% passed the test bilaterally. In the Congenital syphilis group, 97% passed the test for the right ear and 94% for the left ear. In the Control group, 96% passed the test for the right ear and 94% for the left ear. Conclusion: neither exposure or congenital syphilis were indicators of a higher occurrence of risk for hearing, during the first two months of life. Purpose Methods crosssectional cross sectional 6 hospital period disease (VDRL group group) birth passfailure pass failure Results 100 bilaterally 97 94 96 Conclusion life 10 9 1

ABSTRACT Purpose: to characterize unhealthy oral habits and oral health-related quality of life in a group of children from Santiago, Chile, comparing these results by sex and the presence or absence of unhealthy oral habits. Methods: parents/caregivers of 100 boys (4.06±0.7 years old) and 92 girls (4.09±0.7 years old) from preschools answered the Unhealthy Oral Habits Identification Instrument and the Early Childhood Oral Health Impact Scale via Google Forms. Results: altogether, 63.3% had one, and 16.9% had two unhealthy oral habits; 57.6% used a bottle with a regular nipple. The mean Early Childhood Oral Health Impact Scale score was 16.5 out of 52 points. Quality of life did not differ significantly between children with one or more habits and those without unhealthy oral habits. Conclusions: bottle use with a regular nipple was the most prevalent habit. Quality of life had a greater impact on children at a functional level, with no significant differences by sex or in quality of life, based on the presence or absence of unhealthy oral habits. Purpose healthrelated health related Santiago Chile Methods parentscaregivers parents caregivers 10 4.06±0.7 40607 4 06 0 7 (4.06±0. old 9 4.09±0.7 40907 09 (4.09±0. Forms Results altogether 633 63 3 63.3 169 16 16.9 576 57 6 57.6 165 5 16. points Conclusions habit level 1 4.06±0. 4060 (4.06±0 4.09±0. 4090 (4.09±0 63. 57. 4.06±0 406 (4.06± 4.09±0 409 (4.09± 4.06± 40 (4.06 4.09± (4.09 4.06 (4.0 4.09 4.0 (4. 4. (4 (

RESUMEN Objetivo: caracterizar ocurrencia de hábitos orales no saludables y calidad de vida relacionada a la salud oral, comparando estos resultados por sexo y por presencia/ausencia de habitos orales no saludables en un grupo de niños/as de Santiago de Chile. Métodos: participaron padres/cuidadores de 100 niños (4,06±0,7 años) y 92 niñas (4,09±0,7 años) de jardines infantiles mediante Google Forms. Se aplicó el “Instrumento de identificación de hábitos orales no saludables” y la “Escala de calidad de vida relacionada con la salud oral en niños”. Resultados: 63,3% realizaba un hábito oral no saludable y 16,9% dos. 57,6% utiliza biberón con chupete común. El puntaje promedio de la Escala de calidad de vida fue de 16,5 de 52 puntos. Tampoco hubo diferencias significativas en calidad de vida entre niños/as con uno o más hábitos y aquellos sin hábitos orales no saludables. Conclusiones: el hábito más prevalente fue el uso del biberón con chupete común. La calidad de vida evidenció un mayor impacto en el niño a nivel funcional. Sin diferencias significativas según sexo, ni en calidad de vida según presencia o ausencia de hábito oral no saludable. Objetivo presenciaausencia niñosas as Chile Métodos padrescuidadores padres cuidadores 10 4,06±0,7 40607 4 06 0 7 (4,06±0, años 9 4,09±0,7 40907 09 (4,09±0, Forms Instrumento niños. . niños” Resultados 633 63 3 63,3 169 16 16,9 dos 576 57 6 57,6 común 165 5 16, puntos Conclusiones funcional 1 4,06±0, 4060 (4,06±0 4,09±0, 4090 (4,09±0 63, 57, 4,06±0 406 (4,06± 4,09±0 409 (4,09± 4,06± 40 (4,06 4,09± (4,09 4,06 (4,0 4,09 4,0 (4, 4, (4 (

ABSTRACT This study aimed to verify the use of photobiomodulation in swallowing difficulties in individuals who had a severe form of COVID-19. This case report was based on a quasi-experimental, quantitative study, with primary data collected from a non-probabilistic sample of 13 adults (aged ≥ 19 to < 60 years) of both sexes, who had the severe form of COVID-19. Swallowing was assessed with the Dysphagia Risk Assessment Protocol, and the intervention used photobiomodulation. Descriptive statistics were used. It was found that all research participants’ risk for dysphagia in water and pudding swallowing tests improved from before to after the intervention. It can be concluded that photobiomodulation had positive results in speech-language-hearing practice to treat swallowing difficulties in adults who were affected by the severe form of COVID-19, intubated, tracheostomized, and needed an alternative feeding route, as the swallowing difficulties improved.

RESUMO O objetivo foi verificar o uso da fotobiomodulação na dificuldade de deglutição em indivíduos que desenvolveram a forma grave da COVID-19. Trata-se de um relato de casos, a partir de um estudo quase experimental, quantitativo, com coleta de dados primários e com amostra não probabilística, realizado com 13 indivíduos adultos (idade ≥ 19 a < 60 anos) de ambos os sexos, que tiveram a forma grave da COVID-19. Foi realizada a avaliação da deglutição pelo Protocolo de Avaliação para o Risco de Disfagia (PARD) e a intervenção com fotobiomodulação. Foi utilizada a estatística descritiva. Verificou-se que todos os participantes da pesquisa apresentaram melhora no risco para disfagia no teste de deglutição de água e de alimento pastoso do momento pré para o pós-intervenção. Pode-se concluir que a utilização da fotobiomodulação na prática fonoaudiológica para tratar a dificuldade de deglutição dos adultos que foram acometidos pela forma grave da COVID-19, intubados, traqueostomizados e necessitaram fazer uso de via alternativa de alimentação, trouxe resultados positivos, com melhora da dificuldade de deglutição.

ABSTRACT Purpose: to critically analyze whether the legislation regarding the Personal Frequency-Modulated (FM) System device encompasses most of the students with hearing impairment to facilitate the development of skills required for communication, literacy, and learning. Methods: a legislative analysis of the norms regarding the use of the Personal Frequency-Modulated (FM) System device. Relevant legislations were searched on public databases such as the Planalto and the Ministry of Health portals. Brazilian laws, ordinances, and relevant guidelines were consulted as well. Literature Review: Ordinance n. 1,274 of June 25, 2013, the CONITEC Report on FM in 2020 and GM/MS Ordinance No. 2,465, of September 27, 2021, which regulate the Personal Modulated Frequency System device, were identified. Conclusion: the initial ordinance of 2013, which regulated the Personal Frequency-Modulated (FM) System, was revised and updated, because it did not include children under six years of age, who are in the peak phase of oral language learning.

RESUMO Objetivo: analisar criticamente se a legislação garantidora do dispositivo Sistema de Frequência Modulada Pessoal abrange a população adequada de escolares com deficiência auditiva no critério idade, de forma a favorecer o desenvolvimento das habilidades necessárias para a comunicação, a alfabetização e a aprendizagem dessas crianças. Métodos: trata-se de uma análise legislativa das normas referentes ao uso do dispositivo Sistema de Frequência Modulada Pessoal. Para a busca da legislação pertinente, foram utilizados bancos de dados públicos, tais como: o portal do Planalto e o portal do Ministério da Saúde. Foram consultadas as leis, portarias e diretrizes Brasileiras no que se refere ao uso do Dispositivo Sistema de Frequência Modulada Pessoal. Revisão da Literatura: foram identificadas na Revisão de Literatura a Portaria n. 1.274 de 25 de junho de 2013, o Relatório do CONITEC sobre o FM no ano de 2020 e a Portaria GM/MS Nº 2.465, de 27 de setembro de 2021 que regulamentam o dispositivo Sistema de Frequência Modulada Pessoal. Conclusão: é evidente que a portaria inicial de 2013, a qual regulamentava o fornecimento do Sistema FM, foi revista e atualizada, uma vez que não contemplava crianças menores de 6 anos, em fase de máxima aprendizagem da linguagem oral, pré-alfabetização e letramento, mesmo que estivessem inseridas em instituições escolares.

ABSTRACT Purpose: to investigate speech-language-hearing symptoms in adults after the acute phase of COVID-19 and the impact of these persistent symptoms on their physical and emotional aspects, functional capacity, and social relationships. Methods: 204 adults who tested positive for COVID-19 between January 2021 and July 2022 and who completed an online questionnaire, addressing different variables. Data were analyzed with descriptive statistics. Results: the most prevalent symptoms up to 30 days after infection were tiredness (46%), memory loss (40.2%), and ageusia (26.5%). The most found long-term symptoms were memory loss (34.3%), tiredness (21.1%), and difficulties in starting a sentence or conversation (10.1%). Anosmia and ageusia were also cited. These persistent symptoms had an impact on their emotional aspect (33.3%), followed by the physical (26%) and occupational (25%) ones. Conclusion: this study found persistent symptoms after the acute phase of COVID-19, which can lead to speech-language-hearing disorders, such as impaired oral language and eating. These persistent symptoms impacted the participants’ emotional, physical, and occupational aspects.

RESUMO Objetivo: investigar a presença de sintomas fonoaudiológicos em adultos após o período da fase aguda da COVID-19, além do impacto da manutenção desses sintomas nos aspectos físicos, emocionais, capacidade funcional e relações sociais. Métodos: participaram 204 adultos que testaram positivo para COVID-19 no período de janeiro de 2021 a julho de 2022 e que preencheram um questionário on- line, abordando diferentes variáveis. Os dados foram analisados por meio de estatística descritiva. Resultados: os sintomas mais prevalentes até 30 dias após a infecção foram cansaço (46%), perda de memória (40,2%) e ageusia (26,5%). Os sintomas de longa duração mais observados foram perda de memória (34,3%), cansaço (21,1%) e dificuldades para iniciar um diálogo ou frase (10,1%). Anosmia e ageusia também foram citadas. Houve impacto da manutenção desses sintomas no aspecto emocional (33,3%), seguido dos aspectos físicos (26%) e ocupacionais (25%). Conclusão: neste estudo foram encontrados sintomas persistentes após o período da fase aguda da COVID-19 que podem levar a alterações fonoaudiológicas, como prejuízo na linguagem oral e nas questões alimentares. A manutenção desses sintomas impactou nos aspectos emocionais, físicos e ocupacionais dos participantes.

ABSTRACT Purpose: to analyze the telehealth speech therapy approach in patients with oropharyngeal dysphagia and determine the applications and effects of this practice. Methods: the following descriptors were used for selection: Telerehabilitation, Telemedicine, "Remote Consultation", "Healthcare Delivery", "Distance Counseling", "Therapy, Computer-Assisted", "Speech-Language Pathology", "Speech Therapy", "Swallowing Disorders", Dysphagia, “Bottle Feeding" and "Enteral Nutrition” in PubMed, MedLine, Scopus and Web of Science databases and in the gray literature, by Google Scholar and ProQuest. Studies were selected without time limits, in Portuguese, English and Spanish, that described the applicability and/or effects of telehealth in speech therapy practice in patients with swallowing disorders/dysphagia, regardless of gender and age. For analysis, the following were considered: level of scientific evidence and recommendation, telehealth modality, objectives, methods and results/conclusion. Literature Review: 490 articles were found and, after exclusion of duplicates, analysis of titles, abstracts and reading of full articles, 22 studies were selected. The articles were classified into telehealth modalities: tele-education, telediagnosis, teleconsulting, teleregulation and telemonitoring. Conclusion: the telehealth modalities described had a great potential to promote significant improvements in patients presented with swallowing disorders/dysphagia, suggesting them as viable for speech therapy services. Among them, teleconsultation was the least addressed.

RESUMO Objetivo: analisar a abordagem fonoaudiológica por meio da telessaúde em pacientes com disfagia e determinar as aplicações e efeitos desta prática. Métodos: para seleção foram utilizados os descritores: Telerehabilitation, Telemedicine, "Remote Consultation", "Delivery of Health Care", "Distance Counseling", "Therapy, Computer-Assisted", “Speech-Language Pathology”, "Speech Therapy", "Deglutition Disorders", Dysphagia, “Bottle Feeding" e "Enteral Nutrition” nas bases de dados PubMed, MedLine, Scopus e Web of Science e na literatura cinzenta, por meio do Google Acadêmico e ProQuest. Foram selecionados estudos sem delimitação de tempo, nas línguas português, inglês e espanhol, que descrevessem a aplicabilidade e/ou efeitos da telessaúde na prática fonoaudiológica junto à pacientes com alteração da deglutição/disfagia, sem restrição de sexo e idade. Para análise considerou-se: nível de evidência científica e recomendação, modalidade de telessaúde, objetivos, métodos e resultados/conclusão. Revisão da Literatura: foram encontrados 490 artigos e, após exclusão de duplicatas, análise dos títulos, resumos e leitura completa dos artigos, 22 estudos foram selecionados. Os artigos foram classificados nas modalidades da telessaúde: tele-educação, telediagnóstico, teleconsultoria, telerregulação e telemonitoramento. Conclusão: as modalidades de telessaúde descritas tiveram grande potencial para promover melhoras significativas em pacientes com alteração de deglutição/disfagia, sugerindo-as como viáveis para serviços fonoaudiológicos. Entre elas, a teleconsulta foi a menos explorada.

ABSTRACT Purpose: to characterize the actions of vocal health promotion and/or prevention of vocal disorders applied to voice professionals. Methods: a scoping review following the PRISMA-ScR guidelines in SciELO and PubMed databases was conducted. Articles that had as participants voice professionals without concomitant vocal treatment, that described proposals for health promotion or vocal disorders prevention, published between 2010 and 2023, were included. They were grouped into categories and data were presented descriptively. Literature Review: eighteen articles with artistic and non-artistic voice professionals, mostly teachers, were included. Most of the studies focused on healthy voices, aiming at primary prevention. Many articles presented guidance on vocal hygiene and health and used resources such as vocal enhancement, voice workshop, voice amplifiers and apps. All the articles positively mentioned their results, especially with regard to self-perception in relation to voice, vocal quality and quality of life, awareness of positive and harmful practices to the voice. Conclusion: the proposals contemplated different levels of prevention, but most focused on primary prevention, including vocally healthy participants; all articles indicated positive results in voice self-perception, voice quality and quality of life, and awareness of positive and harmful voice practices.

RESUMO Objetivo: caracterizar as ações de promoção de saúde vocal e/ou prevenção de distúrbios vocais aplicadas em profissionais da voz. Métodos: foi conduzida uma revisão de escopo seguindo as diretrizes do PRISMA-ScR nas bases de dados SciELO e PubMed. Foram incluídos artigos que tivessem como participantes profissionais da voz sem tratamento vocal concomitante, que descrevessem propostas de promoção da saúde ou prevenção de distúrbios vocais, publicados entre 2010 e 2023. Os artigos foram agrupados em categorias e os dados apresentados de forma descritiva. Revisão da Literatura: foram incluídos 18 artigos com profissionais da voz artística e não-artística, em sua maioria professores. A maior parte dos estudos tinha como foco vozes saudáveis, visando a prevenção primária. Muitos artigos apresentaram orientações sobre higiene e saúde vocal e utilizaram recursos como aprimoramento vocal, oficina de voz, amplificadores de voz e aplicativos. Todos os artigos mencionam resultados benéficos, principalmente no que se refere à autopercepção em relação a voz, qualidade vocal e de vida, conscientização de práticas positivas e prejudiciais à voz. Conclusão: as propostas contemplaram diferentes níveis de prevenção, mas a maioria tinha como foco a prevenção primária, incluindo participantes vocalmente saudáveis; todos os artigos indicaram resultados favoráveis na autopercepção em relação à voz, qualidade vocal e de vida e conscientização de práticas benéficas e prejudiciais à voz.