Can rapid maxillary expansion affect speech sound production in growing patients? A systematic review.

Rapid maxillary expansion (RME) may change speech sound parameters due to the enlargement of oral and nasal cavities. This study aimed to systematically review the current evidence on speech changes as a side effect of RME. An electronic search was conducted in nine databases, and two of them accessed the 'grey literature'. The eligibility criteria included clinical studies assessing orthodontic patients with maxillary transverse deficiency and the relationship with speech alterations without restricting publication year or language. Only interventional studies were included. The JBI Critical Appraisal Tool assessed the risk of bias. The initial search provided 4853 studies. Seven articles (n = 200 patients) met the inclusion criteria and were analysed. The primary source of bias was the absence of a control group in four studies. RME altered speech production by changing vowel fundamental frequency and fricative phoneme formant frequency. Shimmer and jitter rates changed in one and two studies, respectively. Two studies presented deterioration during orthodontic treatment, but speech improved after appliance removal. Despite the limited evidence, RME affects speech during and after treatment.

Emerging Challenges of Mpox Transmission: An In-depth Scoping Review and Evidence Mapping on Breastfeeding Practices in South America.

BACKGROUND: In 2022, a marked escalation in Monkeypox (Mpox) cases was observed in nonendemic regions, notably South America, despite the virus being traditionally endemic to Central and West Africa. This unexpected shift necessitated a deeper exploration of the novel transmission dynamics, including breastfeeding, given the emerging evidence of potential horizontal and vertical Mpox transmission during mother-infant interactions. RESEARCH AIM: The study aimed to critically evaluate existing evidence on potential horizontal and vertical Mpox transmission related to breastfeeding and to assess guidelines in South American countries regarding Mpox prevention during breastfeeding. METHODS: A scoping review and evidence mapping were conducted, adhering to the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guideline. Data extraction involved identifying primary studies evaluating breastfeeding as a transmission route. Additionally, official documents from South American Health Ministries detailing guidelines or policies on breastfeeding in the context of maternal Mpox infection were reviewed. RESULTS: Three out of 215 studies were found relevant; 2 were case reports, and 1 was a laboratory study. Available evidence suggests that contamination could likely occur horizontally through skin-to-skin contact. Six South American countries had issued guidelines on breastfeeding during Mpox infection, but the guidance varied and was not consistent across the region. CONCLUSIONS: The study emphasizes the need for clear and consistent guidelines on breastfeeding during Mpox outbreaks, particularly in South America. Collaborative strategies and regular research updates will be essential in addressing the ongoing public health challenge.

Swallowing capacity and gravity of the laryngotracheal aspiration risk in atypical cerebellar stroke: case report. / Capacidade de deglutição e gravidade do risco de aspiração laringotraqueal no Acidente Vascular Encefálico atípico em via cerebelar: relato de caso.

This case report aimed to evaluate the swallowing capacity and the severity of the risk of laryngotracheal aspiration of a 52-year-old female patient with atypical and rare stroke, with major injury in the cerebellar pathway. In order to measure swallowing capacity and risk of aspiration a routine clinical assessment used in the speech therapy clinic was performed and two valid clinical tests were used: Massey Bedside Swallowing Screen (MBSS) and Gugging Swallowing Screen (GUSS). After evaluation with the clinical tests, it was observed that the patient had reduced swallowing capacity, performance characterized as pathological, 100% dysfunction in the water swallowing test (MBSS), presence of choking, coughing, change in vocal quality and anterior escape. In the assessment of risk of aspiration with the GUSS, the patient presented moderate dysphagia and risk of laryngotracheal aspiration.This case report demonstrated that moderate dysphagia is found in a stroke patient with lesions that affect the cerebellum. Standardized and validated clinical tests such as GUSS and MBSS should also be used to assess the risk of dysphagia after stroke at ambulatory care.

Esse relato de caso teve o objetivo de avaliar a capacidade de deglutição e a gravidade do risco de aspiração laringotraqueal de uma paciente, 52 anos, com Acidente Vascular Encefálico (AVE) atípico, com comprometimento na via cerebelar. Para mensurar a capacidade de deglutição e do risco de aspiração foram utilizados a avaliação de rotina na clínica de fonoaudiologia e dois testes clínicos validados: o Massey Bedside Swallowing Screen (MBSS) e o Gugging Swallowing Screen (GUSS). Após a avaliação com os testes clínicos, foi observado que a paciente apresentou capacidade de deglutição diminuída, desempenho caracterizado como patológico e de risco, com 100% de alteração no teste de deglutição de água pelo MBSS, presença de engasgo, tosse, alteração na qualidade vocal e escape anterior de alimento. Já na avaliação do risco de aspiração com o GUSS, a paciente apresentou disfagia moderada e com risco de aspiração laringotraqueal. A disfagia pode estar presente em casos de AVE com lesão anatômica comprometendo o cerebelo e suas vias, o que sugere a importância de avaliação específica da deglutição nesses casos. Os testes GUSS e o MBSS podem ser utilizados para avaliação de casos atípicos de AVE em fase ambulatorial, com objetivos de avaliar o risco de aspiração e a capacidade de deglutição.

Stress and autonomic dysfunction symptoms related to voice in Brazilian university professors during the covid-19 pandemic.

OBJECTIVE: To analyze the association of autonomic dysfunction symptoms with stress in Brazilian university professors of the Speech Language-Pathology course during the Covid-19 pandemic. METHODS: Fifty-five Brazilian university professors participated in the study, with a mean age of 42 years and 10 months old (±8.75), 49 female and six male subjects. The evaluated outcomes were the symptoms of stress and self-assessment of autonomic dysfunction symptoms. The results were inferentially analyzed using binary logistic regression and chi-squared tests (p < .05). RESULTS: In 54.54% of the university professors presented stress, with a predominance of psychological symptoms and a higher frequency resistance phase. Stress was a risk factor for the high occurrence of autonomic dysfunction symptoms related (OR 5.841) and unrelated (OR 29.750) to voice. There was an association between the predominance of psychological symptoms and the higher occurrence of autonomic dysfunction symptoms related to voice (p < .001). CONCLUSIONS: There was an association between autonomic dysfunction symptoms and stress in Brazilian university professors during the Covid-19 pandemic.

Assessment of the tongue frenulum in Beckwith-Wiedemann syndrome: Pre- and post-frenectomy findings.

AIM: To report the pre- and post-frenectomy findings of a patient with Beckwith-Wiedemann syndrome. METHODS AND RESULTS: Clinical case report of a patient with a confirmed genetic-molecular diagnosis of the referred syndrome. The minor was evaluated and reassessed by the protocol for the evaluation of the tongue's frenulum for babies in two moments: pre-surgical and 2 months after the frenectomy. The surgical procedure was performed using the traditional technique and, after the procedure, the minor was breastfed and received photobiomodulation with a red laser. The minor obtained 16 points in the neonatal tongue screening test, indicating the need for a frenectomy. Thus, she was referred to a dentist for surgery. After the surgical procedure, macroglossia was observed as a maternal complaint (previously not mentioned). The wound healing was satisfactory, and the total score obtained in the reapplication of the protocol (five points) showed functional results of improvements in sucking and tongue mobility, justifying the importance of the frenectomy. CONCLUSION: Frenectomy, despite showing macroglossia related to the Beckwith-Wiedemann syndrome, allowed anatomical and functional advances of the tongue in the present clinical case.

Quality of life and metamemory in higher education students during the COVID-19 pandemic / Qualidade de vida e metamemória em estudantes do nível superior durante a pandemia da COVID-19

ABSTRACT Purpose: to analyze the quality of life and metamemory and verify their predictors in students during the COVID-19 pandemic. Methods: a cross-sectional survey carried out through online collection with the application of an initial questionnaire to characterize the sample, the WHOQOL-brief to investigate the quality of life, and the Metamemory Questionnaire in Adults (short version) - MIAr to evaluate metamemory in a group of undergraduate and postgraduate students. Data were analyzed using descriptive and inferential statistics. Multiple linear regression was performed to verify the predictor variables. A significance level of 5% (p ≤ 0.05) was considered. Results: 977 university students participated in the study, the majority (70.73%) of whom were females and with an income range below three minimum wages (63.56%). For quality of life, income range, being in the risk group for COVID-19, and age were predictors for both the undergraduate and postgraduate groups. In contrast, on an excellent metamemory, the predictors were male gender and age. Conclusion: for students, during the COVID-19 pandemic, the main predictor of quality of life was having a higher income bracket, and the main predictor of metamemory was being a male.

RESUMO Objetivo: analisar a qualidade de vida e a metamemória e verificar seus preditores em estudantes durante a pandemia da COVID-19. Métodos: trata-se de uma pesquisa transversal realizada por meio de coleta online com a aplicação de um questionário inicial para caracterizar a amostra, do WHOQOL-bref para investigar a qualidade de vida e do Questionário de Metamemória em Adultos (versão reduzida) - MIAr para avaliar a metamemória, em um grupo de estudantes de graduação e outro de pós-graduação. Os dados foram analisados por meio de estatística descritiva e inferencial. Realizou-se a regressão linear múltipla para verificar as variáveis preditoras. Foi considerado o nível de significância de 5% (p≤0,05). Resultados: participaram do estudo 977 universitários, sendo a maioria (70,73%) do gênero feminino e com faixa de renda menor que três salários-mínimos (63,56%). Para a qualidade de vida, tanto para o grupo de graduandos quanto de pós-graduandos, a faixa de renda, o grupo de risco para COVID-19 e a idade foram preditores, enquanto para uma boa metamemória os preditores foram o gênero masculino e a idade. Conclusão: para os estudantes, durante a pandemia da COVID-19, o principal preditor da qualidade de vida foi possuir maior faixa de renda e o da metamemória foi ser do gênero masculino.

Impacto da protetização auditiva na qualidade de vida do adulto com deficiência auditiva: revisão de escopo / Impact of hearing aids on the quality of life of adults with adult disabilities: scope review

RESUMO Objetivo Verificar os benefícios da protetização auditiva na qualidade de vida do adulto com deficiência auditiva. Estratégia de pesquisa Revisão de escopo, guiada pelas recomendações PRISMA. Critérios de seleção A busca foi realizada com o auxílio dos unitermos "auxiliares de audição", "aparelho auditivo", "implante coclear", "fonoaudiologia", "deficiência auditiva", "perda auditiva", "qualidade de vida", e seus respectivos em inglês e espanhol, nos bancos virtuais de dados: LILACS, SciELO, PubMed, Scopus, Web of Science e OpenGrey. Os dados foram analisados qualitativamente. Resultados Foram identificados 1.312 registros e selecionados 6 artigos, com população protetizada auditivamente, dos 18 aos 92 anos, de ambos os gêneros, usuários de implante coclear e aparelho de amplificação sonora individual. Foram utilizados os seguintes instrumentos: Questionário de avaliação das expectativas do adulto/idoso novo usuário de próteses auditivas, International Outcome Inventory For Hearing Aids, Questionário Nijmegen de Implantes Cocleares, Questionário de Satisfação do Cliente, Caregiver Strain Questionnaire, Formulário de Questionário Relativo ao Índice, World Health Organization Quality of Life-bref, Glasgow Health Status Inventory, Abbreviated Profile of Hearing Aid Benefit, Cochlear Implant Quality of Life, Caregiver Burden Scale, Escala Quantificada de Denver e Escala Visual Analógica. Os resultados indicaram melhor qualidade de vida nos domínios testados, tanto na visão dos adultos surdos quanto na de seus parceiros. Conclusão Apesar da heterogeneidade dos protocolos de qualidade de vida utilizados nos estudos selecionados, foi possível verificar que a protetização auditiva melhora a qualidade de vida do adulto com deficiência auditiva.

ABSTRACT Purpose To verify the benefits of hearing aids in the quality of life of adults with hearing loss. Research strategy Scoping review guided by PRISMA recommendations. Selection criteria with the help of the keywords "hearing aids", "hearing aid", "cochlear implant", "speech therapy", "hearing impairment", "hearing loss", "quality of life", and their respective in English and Spanish in the virtual databases: LILACS, SciELO, PubMed, SCOPUS, Web of Science and Open Grey. Qualitatively analyzed. Results 1,312 records were identified and six articles were selected, with a hearing aided population from 18 to 92 years old, from both genders, cochlear implant and individual sound amplification device users. Questionnaires were used (assessment of expectations of adults/elderly users of hearing aids, International Outcome Inventory For Hearing Aids, Nijmegen Cochlear Implant, Satisfaction, Caregiver Strain Questionnaire, Relative to the Index, World Health Organization Quality of Life-bref, Glasgow Health Status Inventory, Abbreviated Profile of Hearing Aid Benefit, Cochlear Implant Quality of Life and scales (Care Giving Burden Scale), Denver Quantified and visual analog). The results indicated a better quality of life in the domains tested, both in the view of deaf adults and their partners. Conclusion Despite the heterogeneity of the quality of life protocols used in the selected studies, it was possible to verify that hearing aids increase the quality of life of adults with hearing loss.

Potencial miogênico evocado vestibular cervical em crianças e adolescentes com aqueduto vestibular alargado: revisão sistemática / Cervical vestibular evoked myogenic potential in children and adolescents with enlarged vestibular aqueduct: systematic review

RESUMO Objetivo Reunir os parâmetros encontrados no potencial miogênico evocado vestibular cervical (cVEMP) em crianças e adolescentes com síndrome do aqueduto vestibular alargado (SAVA) e identificar as possíveis alterações, quando comparados aos valores encontrados em normo-ouvintes da mesma faixa etária. Estratégia de pesquisa Revisão sistemática cadastrada na base PROSPERO, elaborada por meio de busca nos bancos de dados virtuais, a partir dos unitermos selecionados. Critérios de seleção Incluídos artigos científicos disponíveis na íntegra que relataram a avaliação com o uso do cVEMP na faixa etária entre 0 e 18 anos, com diagnóstico de SAVA, sem restrição de idioma e ano de publicação; excluídos estudos em paciente com algum distúrbio, outras patologias otoneurológicas e população fora da faixa etária estimada. Resultados Foram identificados 984 registros, a partir da pesquisa nas bases de dados consultadas e selecionados 5 artigos. Em um total de 133 pacientes que realizaram o cVEMP, foi observada presença de resposta na maioria dos casos, sem diferença significativa nas latências, mas com aumento na amplitude e diminuição nos limiares do cVEMP. Conclusão O teste cVEMP é recomendado na avaliação de crianças e adolescentes com SAVA e as características de aumento na amplitude e diminuição nos limiares podem ser utilizadas como parâmetros clínicos na identificação da referida síndrome, juntamente com a história clínica do paciente e os exames de imagem. No entanto, é imprescindível a realização de mais estudos com o exame cVEMP, ainda, em crianças e adolescentes com SAVA, para a melhor padronização dos valores encontrados, a fim de efetivar o diagnóstico correto.

ABSTRACT Purpose To gather the parameters found in the cervical vestibular evoked myogenic potential (cVEMP) in children and adolescents with enlarged vestibular aqueduct syndrome (SAVA) and identify the possible changes, when compared to the values found in normal hearing people of the same age group. Research strategy Systematic review registered in the PROSPERO database, prepared through a search in virtual databases, based on the selected keywords. Selection criteria Included scientific articles available in full that reported the evaluation using cVEMP in the 0 and 18 years old group , with a diagnosis of SAVA, without restrictions of language and year of publication; Studies on patients with any disorder other than otoneurological ones and populations outside the proposed age range were excluded. Results 984 records were identified from the search in the databases consulted and 5 articles were selected. In a total of 133 patients who underwent cVEMP, the presence of a response was observed in most cases, with no significant difference in latencies, but with an increase in amplitude and a decrease in cVEMP thresholds. Conclusion The cVEMP test is recommended in the evaluation of children and adolescents with SAVA and the characteristics of increase in amplitude and decrease in thresholds can be used as clinical parameters in the identification of this syndrome, together with the patient's clinical history and imaging exams. However, it is essential to carry out more studies with the cVEMP test, also in children and adolescents with SAVA, to better standardize the values found, in order to make the correct diagnosis.

Capacidade de deglutição e gravidade do risco de aspiração laringotraqueal no Acidente Vascular Encefálico atípico em via cerebelar: relato de caso / Swallowing capacity and gravity of the laryngotracheal aspiration risk in atypical cerebellar stroke: case report

RESUMO Esse relato de caso teve o objetivo de avaliar a capacidade de deglutição e a gravidade do risco de aspiração laringotraqueal de uma paciente, 52 anos, com Acidente Vascular Encefálico (AVE) atípico, com comprometimento na via cerebelar. Para mensurar a capacidade de deglutição e do risco de aspiração foram utilizados a avaliação de rotina na clínica de fonoaudiologia e dois testes clínicos validados: o Massey Bedside Swallowing Screen (MBSS) e o Gugging Swallowing Screen (GUSS). Após a avaliação com os testes clínicos, foi observado que a paciente apresentou capacidade de deglutição diminuída, desempenho caracterizado como patológico e de risco, com 100% de alteração no teste de deglutição de água pelo MBSS, presença de engasgo, tosse, alteração na qualidade vocal e escape anterior de alimento. Já na avaliação do risco de aspiração com o GUSS, a paciente apresentou disfagia moderada e com risco de aspiração laringotraqueal. A disfagia pode estar presente em casos de AVE com lesão anatômica comprometendo o cerebelo e suas vias, o que sugere a importância de avaliação específica da deglutição nesses casos. Os testes GUSS e o MBSS podem ser utilizados para avaliação de casos atípicos de AVE em fase ambulatorial, com objetivos de avaliar o risco de aspiração e a capacidade de deglutição.

ABSTRACT This case report aimed to evaluate the swallowing capacity and the severity of the risk of laryngotracheal aspiration of a 52-year-old female patient with atypical and rare stroke, with major injury in the cerebellar pathway. In order to measure swallowing capacity and risk of aspiration a routine clinical assessment used in the speech therapy clinic was performed and two valid clinical tests were used: Massey Bedside Swallowing Screen (MBSS) and Gugging Swallowing Screen (GUSS). After evaluation with the clinical tests, it was observed that the patient had reduced swallowing capacity, performance characterized as pathological, 100% dysfunction in the water swallowing test (MBSS), presence of choking, coughing, change in vocal quality and anterior escape. In the assessment of risk of aspiration with the GUSS, the patient presented moderate dysphagia and risk of laryngotracheal aspiration.This case report demonstrated that moderate dysphagia is found in a stroke patient with lesions that affect the cerebellum. Standardized and validated clinical tests such as GUSS and MBSS should also be used to assess the risk of dysphagia after stroke at ambulatory care.

[Effects of Speech Therapy in Hospitalized Patients with Post-Stroke Dysphagia: A Systematic Review of Observational Studies]. / Efeitos da Terapia da Fala em Pacientes Internados com Disfagia Pós-Acidente Cerebrovascular: Revisão Sistemática de Estudos Observacionais.

INTRODUCTION: Since dysphagia may be one of the brain post-stroke consequences, the objective of this study was to analyze the average recovery time of patients with cerebrovascular accident and dysphagia subjected to speech therapy in a hospital bed. MATERIAL AND METHODS: Systematic review performed following the 'Preferred Reporting Items is Systematic Reviews and MetaAnalyses' instructions. The search was performed in different electronic databases, without restriction of time and language. The studies were evaluated regarding their methodological quality. RESULTS: Of 5671 titles, five studies were included. 176 patients with stroke and dysphagia were obtained (aged between 22 and 91 years old - average: 68.95), with no preference regarding gender. Improvement occurred in 84.26% of the subjects and the recovery time was between one and ninety days (average: 22 days). Randomization, blinding, loss to follow-up and withdrawal were not performed with control group in any study. DISCUSSION: The success of rehabilitation of oropharyngeal dysphagia as a post-stroke sequela will depend on the extent, location of the neurological lesion and early intervention in the hospital bed. Despite the recognition of health professionals about the importance of swallowing rehabilitation for these patients, there is a lack of studies that support an evidence-based practice, although the results point to improvements in this regard. CONCLUSION: Speech therapy in hospital bed in post-stroke hospitalized patients with dysphagia seems to bring satisfactory results in the short-term, revealing the importance of diagnosis and early intervention in these cases.

Introdução: Como a disfagia pode ser uma das sequelas pós-acidente cerebrovascular encefálico, o objetivo deste estudo foi analisar o tempo médio de recuperação de doentes com acidente cerebrovascular encefálico e disfagia submetidos à terapia da fala na beira do leito hospitalar. Material e Métodos: Revisão sistemática realizada a partir do Preferred Reporting Items is Systematic Reviews and Meta-Analyses. A busca foi realizada em diferentes bancos de dados, sem restrição de tempo e idioma. Os estudos foram avaliados quanto à sua qualidade metodológica.Resultados: De 5671 registos rastreados, cinco estudos foram elegíveis. Obtiveram-se 176 doentes com acidente cerebrovascular encefálico e disfagia (idades entre 22 e 91 anos - média: 68,95), sem prevalência quanto ao género. A melhora no quadro da disfagia ocorreu em 84,26% dos sujeitos e o tempo de recuperação entre um e noventa dias (média: 22). Em nenhum estudo foi realizada a randomização, o cegamento, o manejo de perdas, desistências e realizado com grupo controlo. Discussão: O sucesso da reabilitação da disfagia orofaríngea como sequela pós-acidente vascular encefálico dependerá da extensão, da localização da lesão neurológica e da intervenção precoce no leito hospitalar. Apesar do reconhecimento dos profissionais da saúde sobre a importância da reabilitação da deglutição para esses doentes, há carência de estudos que suportem uma prática baseada em evidências, embora os resultados apontem melhoras neste sentido. Conclusão: A terapia da fala na beira do leito em doentes disfágicos pós- acidente cerebrovascular encefálico parece trazer resultados satisfatórios em curto período de tempo, revelando a importância do diagnóstico e da intervenção da terapia da fala precoces.

Influence of the breathing pattern on the learning process: a systematic review of literature.

INTRODUCTION: Mouth breathing leads to negative consequences on quality of life, especially in school-age children. OBJECTIVE: To determine whether the breathing pattern influences children's learning process. METHODS: This systematic review was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) instructions, with no restrictions regarding the year of publication and language, created based on the clinical question formulation according to the Problem/Patient/Population, Intervention/Indicator, Comparison, Outcome (PICO) strategy: "Is the mouth-breathing child more likely to have learning disabilities when compared to nasal breathers?" in the SciELO, PubMed, LILACS, and Scopus electronic databases. Google Scholar was used to search the gray literature. The keywords "learning," "mouth breathing," and their equivalent terms in Portuguese were used in an integrated manner. The studies included in the review were observational, conducted with schoolchildren aged 7-11 years. Afterwards, the studies were evaluated regarding their methodological quality. The research was performed by two eligible reviewers. RESULTS: A total of 357 records were obtained, of which 43 records were duplicate. After applying the eligibility criteria, ten articles were included in the research scope. Half of the studies used a control group and otorhinolaryngological assessment, whereas a minority used validated (20%) and sample calculation protocols (10%). The evaluation procedures were varied. Overall, 80% of the articles showed a higher incidence of learning disabilities among mouth breathers. CONCLUSION: This systematic review has shown that mouth breathers are more likely to have learning difficulties than nasal breathers.

O uso do flipped classroom como estratégia de ensino-aprendizagem no ensino remoto emergencial em Fonoaudiologia / The use of the flipped classroom as a teaching-learning strategy in emergency remote education in Speech, Language and Hearing Sciences / El uso del aula invertida como estrategia de enseñanza-aprendizaje en educación remota de emergência en Fonoaudiología

Objetivo: Descrever relato de experiência do flipped classroom como estratégia de ensino-aprendizagem em Fonoaudiologia. Método: Módulo optativo de um curso de graduação em Fonoaudiologia foi ofertado remotamente, por cinco semanas, adotando-se o flipped classroom. Foram utilizadas plataformas digitais para disponibilização de conteúdo das aulas assíncronas. As síncronas, que foram realizadas na plataforma Google Meet, foram executadas por meio de casos simulados discutidos oralmente e atividades lúdicas. Ao final do curso houve a entrega de um Portfólio (como avaliação do módulo) e o preenchimento de autoavaliação discente. Houve discussão virtual, entre as docentes, dos resultados obtidos. Resultados: Totalizaram 19 participantes. As docentes avaliaram o método satisfatório e pertinente frente ao contexto pandêmico. A leitura prévia do material disponibilizado permitiu o conhecimento do conteúdo. Nos encontros síncronos houve a reflexão dos casos simulados e a elucidação de dúvidas. Como pontos negativos destacaram-se a duração do curso, a dificuldade de noção de grupo e de exposição de ideias. Como positivos, as estratégias lúdicas que motivaram a adesão na proposta do módulo. A média das atividades avaliativas e da autoavaliação foram próximas, evidenciando percepções similares entre docentes e discentes. Conclusão: A utilização do flipped classroom mostrou-se como uma estratégia eficiente para as atividades acadêmicas remotas pela sua fácil aplicabilidade e pelo seu fator motivacional.

Introduction: Emergency remote education has been adopted in Brazil due to the SARS-CoV-2 pandemic. Among the pedagogical possibilities, the flipped classroom stands out. Objective: To describe the experience report of the flipped classroom as a teaching-learning strategy in a course of the Speech, Language and Hearing Sciences. Method: Optional module of an undergraduate course in Speech, Language and Hearing Sciences was offered remotely for five weeks, adopting the flipped classroom. Digital platforms were used to provide content for asynchronous classes. The synchronous sessions, carried out on the Google Meet platform, were performed through simulated cases discussed orally and playful activities. At the end of the course, a Portfolio was delivered (as an evaluation of the module), and a student self-assessment was completed. There was a virtual discussion, among the teachers, of the results obtained. Results: A total of 19 participants. The teachers evaluated the satisfactory and pertinent method because of the pandemic. The previous reading of the material provided allowed the knowledge of the content. In the synchronous meetings, there was a reflection of the simulated cases and the elucidation of doubts. As negative points, the course's duration, the difficulty of the group's notion, and the exposition of ideas stood out. As positive, the playful strategies that motivated the adhesion in the module's proposal. The average of evaluative activities and self-assessment were close, showing similar perceptions between teachers and students. Conclusion: The flipped classroom was an efficient strategy for remote academic activities due to its easy applicability and motivational factor.

Introducción: La educación remota de emergencia ha sido adoptada en Brasil debido a la pandemia SARS-CoV-2. Entre las posibilidades pedagógicas destaca el aula invertida. Objetivo: Describir el relato de experiencia del aula invertida como estrategia de enseñanza-aprendizaje en Logopedia. Método: Módulo opcional de un curso de pregrado en Logopedia se ofreció de forma remota, durante cinco semanas, adoptando el aula invertida. Se utilizaron plataformas digitales para proporcionar contenido para clases asincrónicas. Las sesiones sincrónicas, que se llevaron a cabo en la plataforma Google Meet, se realizaron a través de casos simulados discutidos oralmente y actividades lúdicas. Al final del curso se entregó un Portafolio (como evaluación del módulo) y se completó una autoevaluación del alumno. Hubo una discusión virtual, entre los profesores, de los resultados obtenidos. Resultados: Hubo un total de 19 participantes. Los docentes evaluaron el método satisfactorio y pertinente en vista del contexto pandémico. La lectura previa del material proporcionado permitió el conocimiento del contenido. En las reuniones sincrónicas, hubo un reflejo de los casos simulados y el esclarecimiento de dudas. Como puntos negativos, se destacaron la duración del curso, la dificultad de noción de grupo y la exposición de ideas. Como positivo, las estrategias lúdicas que motivaron la adhesión en la propuesta del módulo. El promedio de actividades evaluativas y de autoevaluación fue cercano, mostrando percepciones similares entre docentes y estudiantes. Conclusión: El uso del aula invertida demostró ser una estrategia eficiente para actividades académicas remotas debido a su fácil aplicabilidad y factor motivacional.;Introdução: O ensino remoto de emergência tem sido adotado no Brasil devido à pandemia do SARS-CoV-2. Dentre as possibilidades pedagógicas, destaca-se o flipped classroom.

Associação entre a qualidade de vida e o estresse em estudantes de Fonoaudiologia / Association between quality of life and stress in speech, language, and hearing sciences students

RESUMO Objetivo Verificar a associação entre a qualidade de vida - a partir dos domínios "bem-estar físico e material"; "relações com outras pessoas"; "atividades sociais, comunitárias e cívicas"; "desenvolvimento pessoal e realização" e "recreação" -, com o estresse em estudantes de Fonoaudiologia. Métodos Quarenta estudantes (34 do gênero feminino), de um curso de graduação em Fonoaudiologia, com idades entre 19 e 39 anos, responderam às questões da Escala de Qualidade de Vida de Flanagan e do Inventário de Sintomas de Stress para Adultos de Lipp e os resultados foram analisados por meio de regressão logística binária. Resultados Os domínios relacionados à qualidade de vida com piores resultados foram "bem-estar físico e material" e "desenvolvimento pessoal e realização" e o domínio que apresentou melhores resultados foi "relações com outras pessoas", sendo capaz de prever 21,2% dos casos de estresse. A qualidade de vida no domínio "relações com outras pessoas" foi uma preditora significativa do estudo, sendo considerada como protetora para o estresse na amostra investigada. Conclusão Uma boa qualidade de vida no domínio "relações com outras pessoas" apresentou-se como fator protetor do estresse em estudantes do curso de Fonoaudiologia.

ABSTRACT Purpose To verify the association between quality of life - from the physical and material well-being domains; relationships with other people; social, community and civic activities; personal development; achievement and recreation -, with stress in Speech, Language, and Hearing Sciences. Methods 40 students (34 females) from an undergraduate course in Speech, Language, and Hearing Sciences, aged between 19 and 39, answered the Flanagan Quality of Life Scale and Lipp's Stress Symptoms Inventory. The results were analyzed using binary logistic regression. Results The domains related to the quality of life with the worst results were "physical and material well-being" and "personal development and achievement," and the domain that showed the best results were "relationships with other people", being able to predict 21.2% of the cases of stress. The quality of life in the "relationships with other people" domain was a significant predictor of the study, being considered as protective for stress in the investigated sample. Conclusion A good quality of life in the domain "relationships with other people" was a protective factor of stress in students of the Speech, Language, and Hearing Sciences.

Teaching Methodology, Stress and Study and Learning Strategies: Interrelationships among University Students / Metodologia de Ensino, Estresse e Estratégias de Estudo e Aprendizagem: Interrelações em Estudantes Universitários / Metodología de la Enseñanza, Estrés y Estrategias de Estudio y Aprendizaje: Interrelaciones entre Estudiantes Universitarios

Abstract Higher education can be offered by traditional or active teaching methodology, which can influence differently the study and learning strategies and the stress level of university students. This study aimed to investigate the study and learning strategies and the prevalence of stress among students of active and traditional teaching methodology and verify the influence of stress on using these strategies. 210 students in speech, language and hearing sciences from a Brazilian Federal University participated, divided into two groups, TMG (traditional methodology) and AMG (active methodology). They responded to Learning And Study Strategies Inventory and Lipp's Stress Symptom Inventory for Adults. The teaching methodology influenced the study and learning strategies, but not the stress. Stress interfered differently in the study and learning strategies depending on the teaching methodology.

Resumo O ensino superior pode ser oferecido por metodologia de ensino tradicional ou ativa, que podem influenciar de formas diferentes as estratégias de estudo e aprendizagem e o nível de estresse dos universitários. Este estudo teve por objetivo investigar as estratégias de estudo e aprendizagem e a prevalência de estresse entre estudantes de metodologia ativa e tradicional de ensino e verificar a influência do estresse no uso dessas estratégias. 210 estudantes de Fonoaudiologia de uma Universidade Federal brasileira, divididos em dois grupos, TMG (metodologia tradicional) e AMG (metodologia ativa), responderam o Learning And Study Strategies Inventory e o Inventário de Sintomas de Stress para Adultos de Lipp. A metodologia de ensino influenciou nas estratégias de estudo e aprendizagem, mas não no estresse. O estresse interferiu de forma diferente nas estratégias de estudo e aprendizagem a depender da metodologia de ensino.

Resumen La educación superior puede ofrecerse mediante una metodología de enseñanza tradicional o activa, que puede influir de manera distinta en las estrategias de estudio y aprendizaje y en el nivel de estrés de los estudiantes universitarios. Este estudio tuvo como objetivo investigar las estrategias de estudio y aprendizaje, la prevalencia de estrés entre los estudiantes de metodología de enseñanza activa y tradicional, así como la influencia del estrés en el uso de estas estrategias. Participaron 210 estudiantes de fonoaudiología de una Universidad Federal de Brasil, divididos en dos grupos: TMG (metodología tradicional) y AMG (metodología activa), quienes respondieron al Inventario de Estrategias de Estudio y Aprendizaje y al Inventario de Síntomas de Estrés para Adultos de Lipp. La metodología de enseñanza influyó en las estrategias de estudio y aprendizaje, pero no en el estrés. El estrés interfirió de manera diferente en las estrategias de estudio y aprendizaje según la metodología de enseñanza.

Efficiency of low-level laser therapy within induced dental movement: A systematic review and meta-analysis.

The low level laser is widely used in Dentistry, in particular, to decrease pain and increase the speed of tooth movement. This study was to perform a systematic literature search to investigate the effectiveness of low level laser and low energy density therapy of the induced tooth movement. This research was performed following the PRISMA instructions and was registered in the PROSPERO. The articles were searched in six electronic databases, with no date and language restriction. Only randomized clinical trials were selected. Articles that did not use the extraction of first premolars as orthodontic planning were excluded, as well as articles using high energy density laser therapy. The articles were assessed for risk of bias and individual quality. The results were analyzed using meta-analysis, using randomized effect. The initial sample consisted of 161 articles. Six articles remained eligible for qualitative analysis and five for quantitative analysis. According to the individual quality, most articles were classified as high quality. Three articles detected statistically significant differences in induced movement by comparing the orthodontic movement between the experimental and control groups. For the maxilla, there was a statistically significant influence of the laser in three months and, for the mandible, in one month. It may be concluded that there is no evidence that laser therapy can accelerate the induced tooth movement.

The influence of teriparatide in induced tooth movement: A systematic review.

BACKGROUND: Teriparatide is a synthetic drug similar than PTH (parathyroid hormone), which is currently used as long-term treatment option for patients with bone chronic diseases, as osteoporosis; and this drug can interfere in a positive way in orthodontic movement. Objectives: The medical literature was assessed in the present systematic review in order to determine the level of scientific evidence supporting the influence of teriparatide in induced tooth movement. MATERIAL AND METHODS: The PRISMA Checklist was followed in this systematic review. Four electronic databases (PubMed; Scopus; ScienceDirect; OpenGrey) were searched without implementing restrictions of year, status, and language of publications. The inclusion criteria consisted of selecting only experimental studies comparing the influence of teriparatide in tooth movement of male Wistar rats. The exclusion criteria consisted of experiments with female rats or other experimental animals, and animals with pathologic conditions. The eligible studies were evaluated based on methodological quality. Two trained examiners performed all the research steps. RESULTS: The initial sample comprised 700 studies, which was reduced to 664 after the exclusion of duplicates (n=36). Three articles were selected for the final qualitative analysis. The local administration of parathyroid hormone (PTH) 1-34 or PTH 1-84 revealed major effectiveness when compared with control groups and systematic administration. Additionally, the dilution of PTH 1-34 within methyl cellulose (MC) gel increased the time range for drug release, enabling to reduce the drug concentration without decreasing the effectiveness of tooth movement. CONCLUSIONS: Teriparatide demonstrated potential acceleration of tooth movement in Wistar rats depending on the drug concentration; drug administration; and time for drug release. Key words:Teriparatide, tooth movement, parathyroid hormone, orthodontics.

Clinical orofacial and myofunctional manifestations in an adolescent with Noonan Syndrome: a case report / Manifestações clínicas e miofuncionais orofaciais em adolescente com a Síndrome de Noonan: relato de caso

ABSTRACT Noonan syndrome is an autosomal dominant genetic disease with different manifestations, including Speech, Language and Hearing Sciences ones. The authors describe the orofacial and myofunctional manifestations of an adolescent diagnosed with Noonan syndrome, by consulting the Speech, Language and Hearing Sciences record of a 17-year-old male patient, who underwent screening and speech therapy evaluation with a confirmed genetic diagnosis of Noonan syndrome. The results were qualitatively analyzed. The patient had a long facial type, with a disproportion between the lower and middle thirds of the face, ogival palate, and Mallampati class IV. A deficit in mobility and sensitivity of phonoarticulatory organs was also identified, absence of pathological oral and gag reflexes, decreased lip tone and tongue tension, increased speed chewing and inefficient grinding, functional swallowing for assessed consistencies, mild verbal and nonverbal apraxia, and moderate dysarthria. The results confirmed the presence of alterations in the speech-language organs, proving the relevance of the Speech, Language and Hearing Sciences evaluation in Noonan Syndrome, to allow adequate follow-up and treatment.

RESUMO A síndrome de Noonan é uma doença genética autossômica dominante com diferentes manifestações, incluindo as fonoaudiológicas. Os autores descrevem as manifestações miofuncionais orofaciais de um adolescente com diagnóstico de síndrome de Noonan, por meio de consulta ao prontuário fonoaudiológico de um paciente do sexo masculino, dezessete anos, que foi submetido à triagem e avaliação fonoaudiológicas com diagnóstico genético confirmado de síndrome de Noonan. Os resultados foram analisados qualitativamente. O paciente apresentou tipologia facial longa, com desproporção entre os terços inferior e médio da face, palato ogival e Mallampati classe IV. Também foi identificado déficit na mobilidade e sensibilidade dos órgãos fonoarticulatórios, ausência de reflexos orais patológicos e de gag, diminuição de tônus de lábios e de tensão de língua, mastigação com velocidade aumentada e trituração ineficiente, deglutição funcional para as consistências avaliadas, apraxia verbal e não verbal leve, disartria moderada. Os resultados confirmam a presença de alterações morfofuncionais relacionadas aos órgãos fonoarticulatórios, comprovando a relevância da avaliação fonoaudiológica na Síndrome de Noonan, de forma a possibilitar o acompanhamento e tratamento adequados.

Ferramentas e Protocolos Utilizados na Perícia Criminal Relacionados à Voz: Revisão de Literatura / Tools and Protocols Used in Criminal Skills Related to Voice: Literature Review / Herramientas y Protocolos Utilizados en la Experiencia Criminal Relacionados a la Voz: Revisión de Literatura

A perícia criminal tem como objetivo compor provas para esclarecer crimes, sendo que na Fonoaudiologia, dentre as possibilidades de ação, a perícia fonética relacionada à voz pode ser uma destas ferramentas. Objetivo: Verificar quais as ferramentas ou protocolos utilizados pelos profissionais brasileiros para a realização da perícia forense fonética relacionada aos parâmetros vocais. Método: Pesquisa de revisão bibliográfica integrativa a partir da consulta isolada e combinada dos descritores em ciências da saúde: medicina legal, voz, perícia criminal, crimes e fonoaudiologia nos bancos de dados Lilacs, Scielo, Google Scholar, Open Grey e Open Thesis. Resultados: De 457 acervos, oito foram selecionados para leitura na íntegra. A identificação de um criminoso através da voz tem sido realizada nas perícias forenses tendo em vista que a voz apresenta características possíveis de comparação, principalmente a frequência fundamental, os formantes das vogais, o voice onset time. Cuidados quanto ao registro devem ser efetivados para que as provas não sejam excluídas dos processos criminais, sendo analisadas de forma imparcial. É uma área recente na Fonoaudiologia que carece de publicações na área. Conclusão: Os recursos utilizados na perícia forense fonética relacionada aos parâmetros vocais vão desde o profissional capacitado, de diferentes áreas do conhecimento (Linguística, Fonoaudiologia, Engenharia, Direito etc.) até o uso de softwares que possam comparar a voz de diferentes falantes. Há escassez de literatura e o exercício de tal prática requer capacitação profissional interdisciplinar.

The criminal investigation aims to compose evidence to clarify crimes, and in Speech Therapy, among the possibilities of action, voice-related phonetic expertise may be one of these tools. Objective: To verify the tools or protocols used by Brazilian professionals to perform phonetic forensics related to vocal parameters. Method: Research of integrative bibliographic review from the isolated and combined consultation of the descriptors in health sciences: legal medicine, voice, criminal expertise, crimes and speech therapy in the Lilacs, Scielo, Google Scholar, Open Gray and Open Thesis databases. Results: Of 457 collections, eight were selected for reading in their entirety. The identification of a criminal through the voice has been carried out in forensic examinations since the voice presents possible characteristics of comparison, mainly the fundamental frequency, the vowels formants, the voice onset time. Registration care must be carried out so that the evidence is not excluded from criminal prosecution, being analyzed in an impartial manner. It is a recent area in Speech Therapy that lacks publications in the area. Conclusion: The resources used in phonetic forensic expertise related to vocal parameters range from the qualified professional, from different areas of knowledge (Linguistics, Speech Therapy, Engineering, Law, etc.) to the use of software that can compare the voice of different speakers. There is a shortage of literature and the practice of such practice requires interdisciplinary professional training.

La pericia criminal tiene como objetivo componer pruebas para aclarar crímenes, siendo que en la Fonoaudiología, entre las posibilidades de acción, la pericia fonética relacionada a la voz puede ser una de estas herramientas. Objetivo: Verificar cuáles son las herramientas o protocolos utilizados por los profesionales brasileños para la realización de la pericia forense fonética relacionada a los parámetros vocales. En el presente trabajo se analizaron los resultados obtenidos en el estudio de los resultados obtenidos en el estudio de los resultados obtenidos en el estudio. Resultados: De 457 acervos, ocho fueron seleccionados para lectura en su totalidad. La identificación de un criminal a través de la voz ha sido realizada en las pericias forenses teniendo en vista que la voz presenta características posibles de comparación, principalmente la frecuencia fundamental, los formantes de las vocales, el voice onset time. Los cuidados en cuanto al registro deben ser efectivos para que las pruebas no sean excluidas de los procesos criminales, siendo analizadas de forma imparcial. Es un área reciente en la Fonoaudiología que carece de publicaciones en el área. Conclusión: Los recursos utilizados en la pericia forense fonética relacionada a los parámetros vocales van desde el profesional capacitado, de diferentes áreas del conocimiento (Lingüística, Fonoaudiología, Ingeniería, Derecho, etc.) hasta el uso de softwares que puedan comparar la voz de diferentes hablantes. Hay escasez de literatura y el ejercicio de tal práctica requiere una capacitación profesional interdisciplinaria.

Importância das orientações em saúde para o desenvolvimento infantil e o aleitamento materno no primeiro ano de vida / The importance of health guidelines for child development and breastfeeding in the first year of life

Objetivo: determinar o efeito das orientações em saúde para o desenvolvimento infantil e aleitamento materno no primeiro ano de vida. Método: estudo longitudinal (n=45 crianças), sendo 31 pertencentes ao grupo não exposto e 14 ao exposto, sendo este último acompanhado com visitas domiciliares mensais do nascimento ao 12º mês de vida, recebendo informações sobre saúde materno-infantil. Foi utilizado o Teste de Triagem Denver II para acompanhamento do desenvolvimento neuropsicomotor e um questionário para avaliação das variáveis do estudo. Resultados: 64,3% do grupo exposto e 45,2% do não exposto foram amamentados até o primeiro ano de vida, sem diferenças significantes. Quanto à transição alimentar, a única relevância estatística foi a introdução de alimentos sólidos, ocorrendo em período adequado para o exposto e antecipado para o não exposto. Houve introdução precoce de líquidos e pastosos para ambos os grupos. Quanto ao desenvolvimento neuropsicomotor, houve maior número de sujeitos além do esperado para a idade e tendência de melhor coordenação motora fina no grupo exposto (sem diferenças estatísticas). Conclusão: as orientações evidenciaram que intervenções em saúde na primeira infância, mesmo para grupos que não são de risco, proporcionam oportunidades para um desenvolvimento pleno

Objective: to determine the effect of health guidelines on child development and breastfeeding in the first year of life. Method: a longitudinal study (n = 45 children), 31 belonging to the unexposed group, and 14 to the exposed group, the latter being accompanied with monthly home visits from birth to the 12th month of life, collecting information on maternal and child health. The Denver II Screening Test was used to monitor neuropsychomotor development and a questionnaire to assess the study variables. Results: 64.3% of the exposed group and 45.2% of the unexposed group were breastfed until the first year of life, with no significant differences. As for the food transition, the only statistical relevance was the introduction of solid foods, occurring in an appropriate period for the exposed group and anticipated for the unexposed group. There was an early introduction of liquids and pasty foods for both groups. As for neuropsychomotor development, there was a greater number of subjects than expected for age and a trend towards better fine motor coordination in the exposed group (without statistical differences). Conclusion: the guidelines showed that health interventions in early childhood, even for groups that are not at risk, provide opportunities for full development.