Emollients "Plus" are Beneficial in Both the Short and Long Term in Mild Atopic Dermatitis.

Introduction: Atopic dermatitis (AD) is a chronic relapsing disease with a pathophysiology including skin barrier damage, microbiome disbalance and inflammation. Classically, emollients maintaining a healthy microbiome are recommended as the basis of any AD severity management. Objective: To assess the benefit of a light balm containing vitamin E, tocopherol and glycerine and enriched with Aqua posae filiformis and microresyl (Emollient+) in subjects with mild AD over a period of 168 days. Materials and Methods: For this open-label study, subjects above 3 years of age with mild and stable AD for at least 6 months before inclusion and with a SCORAD score of <25 were eligible. Assessments took place at baseline, D14, D28, D84 and D168, and included SCORAD, flare frequency, severity of clinical signs and symptoms, skin hydration status using a Corneometer and local tolerance. QoL was assessed using the DLQI or CDLQI questionnaire. Subjects used Emollient+ at least once daily. Results: Overall, 56 subjects were included in this study. The mean age was 25.0±20.0 years (45% children); 69.6% were females. Except for erythema in the paediatric population, all clinical parameters had significantly (all p < 0.05) improved at D28. At D168, SCORAD, signs and symptoms had significantly (all p < 0.05) improved in the global, adult and paediatric population at D168 compared to baseline. So did flares, skin hydration and QoL. The regimen was very well tolerated. Conclusion: Emollient+ is highly beneficial and well tolerated in mild AD with early benefits in improving AD signs and symptoms and skin hydration as well as the QoL of subjects as soon as D28. Clinicaltrialsgov identifier: NCT05783453.

Benefits of the Dermocosmetic Mineral 89 Probiotic Fractions Adjunct to Topical Retinoids for Anti-Aging Benefits.

Purpose: Tretinoin is a topical gold standard for photoaging treatment. However, patient adherence can be impaired by local tolerability in the first 1-2 weeks of treatment. Mineral 89 Probiotic Fractions® (M89PF) containing Vichy volcanic mineralizing water®, probiotic fractions, hyaluronic acid, niacinamide and tocopherol was developed to fulfill the need for adjunctive products that can reinforce skin barrier and manage retinoid induced irritation. Patients and Methods: The study included 38 women, aged 44-60 years, phototype II-VI, applying 0.025% tretinoin gel once nightly for 84 days. For 28 days, one hemi face was treated with M89PF and sunscreen SPF 50+ while other hemi face received sunscreen only. Then, M89PF application was changed to full face. Evaluations were performed at days 0, 7, 28 and 84. Erythema, dryness, fine lines, skin tone, radiance and pore appearance were assessed by a dermatologist. Tolerability was evaluated through self-assessment questionnaire. Skin hydration levels, inflammatory and oxidative stress biomarkers were analyzed by immunological assay: Interleukin(IL)-8, IL1-alpha, IL1-Receptor Antagonist (IL-1Ra), Prostaglandin E2 (PGE2), Catalase and Superoxide Dismutase (SOD). Results: Hemiface analysis showed that erythema, fine lines, skin tone, radiance, pore appearance, hydration, tightness, dryness, burning, itching and stinging sensations were improved (p<0.05) on the M89PF side. At full face analysis on D84, erythema, fine lines, skin tone, radiance and pore appearance were improved compared to D0 (p<0.001). Tightness, dryness, burning, itching and stinging were reduced when compared to D7 (p<0.05). Dermatology Life Quality Index (DLQI) and Skindex 16 showed improvement in quality of life (p<0.05). IL-1RA increased at D28 (p=0.003) and PGE2 decreased at D28 and D84 compared to D0 (p<0.01). Conclusion: M89PF reduced retinoid induced irritation with a good tolerability profile and, used as an adjunct to topical tretinoin, significantly improved skin hydration, erythema, fine lines, skin tone, radiance and pore appearance.

Assessment of the Benefit of a Deep Cleansing Gel Containing Salicylic Acid 2%, Zinc Gluconate 0.2% and Lipohydroxy Acids 0.05% in Patients with Mild to Moderate Truncal Acne: Results from an Exploratory Study.

Purpose: Acne is a skin condition of the pilosebaceous unit that affects mainly the face, chest and trunk. Approximately 50% of subjects with facial acne also have acne of the trunk. This study investigated the clinical benefit of a cleansing gel containing salicylic acid 2%, zinc gluconate 0.2% and lipohydroxy acid 0.05% in truncal acne after 84 days of daily use. Materials and Methods: A single center, open label, non-randomized study with 51 subjects with mild to moderate truncal acne was conducted. Thirty-five (35) subjects completed the study; mean age was 23 years. Inflammatory and non-inflammatory lesions, Transepidermal water loss (TEWL) and local tolerance were assessed at baseline, Day 42 and Day 84 and total lesion count was calculated. Results: The total lesion count was significantly reduced (p<0.05) after 42 days (-21.5%) and 84 days (-56.3%). Non-inflammatory lesions were significantly decreased after 84 days (-64.0%) only, while inflammatory lesions were decreased at Day 42 (-29.2%), and Day 84 (-48.2%). A statistically significant skin barrier improvement was observed at Day 84 (-21.26%). No adverse events or relevant local intolerance were reported. Conclusion: The use of the cleansing gel studied was effective in improving mild to moderate truncal acne and contributed to the skin barrier improvement. The product was well tolerated. Clintrial Data Base Identifier: NCT05584150.

Benefits of topical hyaluronic acid for skin quality and signs of skin aging: From literature review to clinical evidence.

Skin aging goes beyond a chronological process and also results from extrinsic factors referred to as the exposome. Hyaluronic acid (HA) is an important component of the extracellular matrix, with loss starting at 25 years old. While many studies of HA concern topical use, few literature reviews only address the use of topical HA in dermatology. This review describes the different characteristics of HA-containing cosmeceuticals, with a focus on skin aging and the impact of exposome factors on HA synthesis and degradation. A review was performed using the terms HA, hyaluronan, topical, dermatology, cosmetic, aging treatment, exposome, and cosmeceuticals. Results are also presented from a recent randomized controlled trial (RCT), which investigated the additional benefit of using a HA epidermic filler (HA-filler serum) combined with Botulinum toxin type A (BoNTA) to treat signs of skin aging. Subjects were randomized to two groups: HA-filler serum starting 24 h after the BoNTA injection then twice daily for 24 weeks, or the control group, which received BoNTA. HA is a key ingredient used in cosmeceuticals for its hydration/antiaging properties (hygroscopic, rheological, and viscoelastic). Several clinical studies indicate that HA is both well tolerated and effective, adjuvant to both post-surgical and facial rejuvenation procedures. In the RCT, one of few studies to combine BoNTA and HA with a 6-month follow-up, the HA-filler serum lengthened the duration of BoNTA's effect in reducing wrinkles. Numerous studies support HA-based cosmeceuticals as a noninvasive, effective solution for improving skin hydration and rejuvenation.

Efficacy of a topical serum containing L-ascorbic acid, neohesperidin, pycnogenol, tocopherol, and hyaluronic acid in relation to skin aging signs.

BACKGROUND: Skin aging is a process regulated by chronological aging and amplified by exposome factors including chronic UV exposure and pollution, which both induce reactive oxygen species. Topical antioxidants have the potential to counteract this process and to improve skin aging signs, including wrinkles and hyperpigmentation. OBJECTIVE: To evaluate the efficacy of a topical antioxidant serum containing 15% L-ascorbic acid, neohesperidin, Pinus pinaster bark, tocopherol, and hyaluronic acid (HA) ex vivo on air pollution-induced pigmentation and gene expression, as well as in vivo on skin aging signs in Brazilian volunteers, after 90 days of use. METHODS: Ex vivo human skin samples were repetitively exposed to Diesel Exhaust Particles (DEP) and subsequently analyzed for changes in pigmentation and gene expression. Clinical efficacy was evaluated in 40 healthy adult females with phototype II to IV and visible photoaging signs, including facial hyperpigmentation, through dermatological evaluation and instrumental analysis including Reflectance Confocal Microscopy. RESULTS: Ex vivo, the topical antioxidant serum significantly reduced DEP-induced skin pigmentation and expression of proinflammatory genes. A significant improvement of skin aging signs was observed after 90 days. Local tolerance was good. CONCLUSION: The tested serum is effective in protecting human skin ex vivo against air pollution-induced skin pigmentation/aging and reduced in vivo skin aging signs, with a good safety profile after 90 days of daily use.

Vivências e imagens sobre o lazer na perspectiva de idosas com doença celíaca / Experiences and images about leisure in the perspective of elderly people with celiac disease

O trabalho objetiva apresentar as vivências no lazer e as imagens sobre ele na perspectiva de idosas com doença celíaca. O estudo tem abordagem qualitativa e características descritivo-exploratórias. Está pautado na sociologia compreensiva e do quotidiano de Michel Maffesoli. A estratégia metodológica da história de vida tópica orientou a coleta de dados. Participaram nove idosas, com média de idade de 67 ± 6,6 anos, residentes em Florianópolis/SC, São José/SC e Governador Celso Ramos/SC. Utilizaram-se entrevista em profundidade e diário de campo. Utilizou-se o modelo de análise qualitativa de Schatzman e Strauss. O lazer foi associado a imagens variadas, mas contemplando as próprias vivências ocorridas nesse âmbito, que, por vezes, são limitadas pelo tratamento da doença celíaca, especialmente as vivências sociais. Imagens e vivências foram abordadas pelas idosas considerando aspectos sensíveis diversos.

This study to describe their experiences and the participants imaginarium about the leisure it from the perspective of elderly women with celiac disease. The study's approach was qualitative and it involves descriptive-exploratory characteristics. Based on the comprehensive and everyday sociology of Michel Maffesoli. The topological life history method guided data collection. The sample included 9 older women, with a mean age of 67 ± 6.6 years, in Florianópolis, São José or Governador Celso Ramos, Brazil. In-depth interviews and field diaries were used. Schatzman and Strauss' field research method of qualitative analysis was used. Leisure describes various experiences and images that involve sensitive aspects, which are sometimes limited by the treatment of celiac disease.

Clinical evaluation of the efficacy of a facial serum containing dioic acid, glycolic acid, salicylic acid, LHA, citric acid, and HEPES in treating post-inflammatory hyperchromia and controlling oily skin in patients with acne vulgaris.

BACKGROUND: Acne is a chronic disease that affects the pilosebaceous follicle and is characterized by the presence of non-inflammatory and/or inflammatory lesions, affecting both adolescents and adults. Inflammatory acne lesions are capable to increase their melanin production and promote a post-inflammatory hyperchromia. AIMS: To assess the efficacy of a serum containing dioic acid, glycolic acid, salicylic acid, LHA, citric acid, and HEPES in treating post-inflammatory hyperpigmentation and controlling skin oiliness in Brazilian patients with acne vulgaris. PATIENTS/METHODS: A single-center, prospective, open-label clinical study included 42 subjects, from both genders, presenting acne (grade I or II), oily skin and a clinical diagnosis of acne post-inflammatory hyperpigmentation. The study was conducted for 56 days, with clinical (skin quality and the number of post-inflammatory hyperchromic lesions) and instrumental (Sebumetry) evaluations after 7, 28, and 56 days of treatment. Standardized pictures were obtained using a VISIA-6® device. RESULTS: A significant decrease in the grade of post-inflammatory hyperchromic lesions was observed after 28 and 56 days, while the number of lesions decreases by 29.4% after 56 days (p < 0.001). Sebumetry values showed a significant decrease of 30.7% in the oiliness after 7 days of treatment, and then stable during the study conduction period of 56 days (p < 0.001 for all measurements). CONCLUSIONS: The daily treatment using the investigational product showed an interesting decrease both in the grade and the number of post-inflammatory hyperchromia acne lesions after 56 days, and in the oiliness after 7 days, being stable for all study period.

Águas termais: da balneoterapia à genômica / Thermal spring waters: From balneotherapy to genomics

O presente artigo de revisão relata os dados científicos disponíveis sobre a água termal La Roche-Posay e esclarece seus mecanismos de ação, suas indicações e seus benefícios clínicos. Além disso, estudos clínicos e avaliação genômica do microbioma da pele demonstraram que esta água termal melhora a diversidade do microbioma da pele e reduz a gravidade das lesões cutâneas em dermatoses inflamatórias, tais como dermatite atópica e psoríase. Justifica-se, portanto, o uso de água rica em selênio em formulações tópicas na prevenção ou tratamento de doenças de pele e como coadjuvante para aumentar a qualidade de vida dos pacientes dermatológicos.

This review article reports the scientific data available on La Roche-Posay thermal water and clarifies its mechanisms of action, indications, and clinical benefits. Clinical studies and genomic evaluation of the skin microbiome have shown that La Roche-Posay thermal water improves the skin microbiome's diversity and reduces the severity of skin lesions in inflammatory dermatoses, such as atopic dermatitis and psoriasis. Therefore, it justifies the use of selenium-rich water in topical formulations to prevent or treat skin diseases and as an adjunct to increase dermatological patients' quality of life

Pain: the impulse in the search for health by means of integrative and complementary practices / Dor: o impulso na busca pela saúde por meio de práticas integrativas e complementares

ABSTRACT BACKGROUND AND OBJECTIVES: This study investigated the relations between the playful component and the process of rehabilitation, treatment, and promotion of health in the context of a group that treats the pain, located in Florianópolis (Brazil). METHODS: The research followed a qualitative approach, a descriptive-exploratory field research. A matrix-guided systematic observation was conducted for two months by the group leader, two volunteers and about 15 participants. A field diary was used to register complementary information. Besides two semi-structured interview guides were used, applied to four members and the person responsible for the group after the two-month observational period. The data were organized and analyzed in three topics: "Characterization of the investigated group and dynamics of the meetings," "The group as healing potential" and "Lian Gong/Qi Gong as a possibility to look at the pain." RESULTS: The participants pointed out that working on Lian Gong/Qi Gong, meditation and auriculotherapy contemplating the playful component the group becomes a place of recognition of each one's pain subjectivity, by the individual that suffers and by the collective, which has fostered the recovery of specific pain and good sensations to those involved, such as happiness, enthusiasm and pleasure. CONCLUSION: The creation of the group and people's engagement has decreased the number of specific requests for physiotherapy sessions and provided greater autonomy to the participants to handle their own pain.

RESUMO JUSTIFICATIVA E OBJETIVOS: Este estudo investigou as relações estabelecidas entre o componente lúdico e o processo de reabilitação, tratamento e promoção da saúde no contexto de um grupo que trata da dor, localizado em Florianópolis (SC). MÉTODOS: A pesquisa seguiu uma abordagem qualitativa, tendo sido realizada por meio de uma investigação de campo, configurando-se como descritivo-exploratória. Foi realizada observação sistemática, durante dois meses, guiada por uma matriz, envolvendo a responsável pelo grupo, duas voluntárias e cerca de 15 integrantes. Para o registro de informações complementares, utilizou-se um diário de campo. Além disso, foram utilizados dois roteiros de entrevistas semiestruturadas, aplicados com quatro integrantes e com a responsável pelo grupo, ao final do período dos dois meses de observações. Os dados foram organizados e analisados em três tópicos: "Caracterização do grupo investigado e dinâmica dos encontros", "O grupo como potencial de cura" e "Lian Gong/Qi Gong como uma possibilidade de olhar para a dor". RESULTADOS: Os participantes indicaram que ao trabalhar Lian Gong/Qi Gong, meditação e auriculoterapia, contemplando o elemento lúdico, o grupo tornou-se um local de reconhecimento da subjetividade da dor de cada um, pelo indivíduo que sentia e pelo coletivo, gerando melhoras nas dores específicas e trazendo boas sensações aos que estão envolvidos, como alegria, entusiasmo e prazer. CONCLUSÃO: A criação do grupo e o engajamento das pessoas diminuiu o número de pedidos específicos de sessões de fisioterapia e proporcionou maior autonomia do participante em atender a sua própria dor.

O trabalho do clown voluntário: uma investigação sobre intervenções lúdicas por meio da arte em um hospital filantrópico de Florianópolis (SC) / The work of the volunteer clown: an investigation about ludic interventions through art in a philanthropic hospital of Florianópolis (SC)

Esta pesquisa, descritivo-exploratória, com abordagem qualitativa dos dados, objetivou descrever e refletir sobre a organização e o desenvolvimento das intervenções realizadas por cinco clowns voluntários, com pacientes idosos em um hospital filantrópico as percepções destes voluntários sobre suas intervenções. Foram realizadas seis observações com auxílio de uma matriz de observação sistemática e aplicadas entrevistas semiestruturadas com dois clowns. Os dados foram tratados por meio de elementos da técnica de análise de conteúdo. Evidenciou-se que a conversa, a música e o teatro constituem-se instrumentos potencializadores das manifestações lúdicas e artísticas utilizados pelo grupo; a relação dos voluntários com conteúdos artísticos e lúdicos durante a infância foi fundamental no processo da construção do ser clown e na atuação no contexto hospitalar; a autonomia no grupo e no hospital é fundamental para trabalhar a especificidade de cada clown.

This descriptive-exploratory research, with qualitative data approach, objected describe and reflect about the organization and development of interventions performed by five volunteer clowns with elderly patients in a philanthropic hospital of Florianópolis (SC). It was also sought analyze their perceptions about the interventions. Six observations were performed using a systematic matrix and also were applied a semi-structured interview with two clowns. The data were treated using elements of the content analysis technique. It was evidenced that conversation, music and theater are great instruments for development of the ludic and artistic manifestations used by the group; the relation of volunteers with artistic and recreational contents, during childhood, was fundamental on the building process of the "being clown" and acting in hospital context, also autonomy is fundamental to work to work the specificity of each clown on that specific scenario.

Formação e atuação profissional de instrutores de atividades de aventura na natureza em Florianópolis (SC) / Training and professional action of instructors of adventure activities in nature in Florianópolis (SC)

Este estudo objetivou caracterizar a formação e atuação profissional de instrutores de atividades de aventura na natureza atuantes em Florianópolis (SC). Realizou-se uma pesquisa descritiva, com abordagens qualitativa e quantitativa. Participaram 22 instrutores de atividades de aventura na natureza. As informações foram coletadas por meio de um questionário contendo perguntas mistas e analisadas por intermédio da estatística descritiva e da técnica de análise de conteúdo. A média de idade dos instrutores é de 39,5±12,1 anos, sendo a maioria do sexo masculino (18). A maioria tem ensino médio (9) ou superior (9) e participaram de cursos de aperfeiçoamento nos últimos cinco anos (13). As vivências práticas são, prioritariamente, apontadas como formação considerada necessária para atuar na área. A maioria mostra-se satisfeito com a atuação na área (18), porém desempenham outras atividades profissionais (13).

This study aimed to characterize the training and professional performance of instructors of adventure activities in nature acting in Florianópolis (SC). A descriptive research was carried out, with qualitative and quantitative approaches. 22 instructors participated in adventure activities in nature. The information was collected through a questionnaire containing mixed questions and analyzed through descriptive statistics and the technique of content analysis. The mean age of instructors is 39.5 ± 12.1 years, the majority being male (18). Most have a high school (9) or higher (9) and have attended further education courses in the last five years (13). Practical experiences are, as a matter of priority, identified as training deemed necessary to work in the area. Most are satisfied with the performance in the area (18), but they do other professional activities (13).

Participação de idosos em atividades de aventura na natureza: reflexões sobre aspectos socioambientais / Elderly participation in adventure activities in nature: reflections about environmental aspects / Participación de ancianos en las actividades de aventura en la naturaleza: reflexiones sobre los aspectos socioambientales

Este estudo objetivou analisar as percepções de 11 idosos sobre aspectos socioambientais relacionados à prática de atividades de aventura na natureza. Trata-se de uma investigação de campo, descritiva, exploratória, com abordagem qualitativa dos dados. Após uma intervenção prática com duas atividades de aventura na natureza ­ stand up paddle e trilha ­ os dados da pesquisa foram obtidos por meio da aplicação de uma entrevista semiestruturada, elaborada especificamente para esta investigação. As informações coletadas foram organizadas no software NVivo, versão 10.0, e analisadas descritivamente, por meio de elementos da técnica de análise de conteúdo. Os resultados apontam que os idosos perceberam o estabelecimento de relações sociais positivas durante a intervenção prática, seja entre os participantes ou com os instrutores. quanto às reflexões sobre as questões ambientais foram mencionados aspectos amplos, como degradação, conservação, comportamento, sentimentos e ações relacionadas à natureza; e aspectos pontuais, como desmatamento, poluição e falta de água.

This paper aims to analyze the perceptions of social and environmental aspects related to the practice of adventure activities in nature of 11 elderly participants. It is a descriptive exploratory field search with qualitative approach. After a practical intervention of two adventure activities in nature ­ stand up paddle and trail ­ the survey data were obtained by a semi-structured interview, designed specifically for this research. The information collected were organized in NVivo software, version 10.0, and analyzed descriptively by the technique of content analysis. The results show that the participants have the perception of the establishment of positive social relations during the practice intervention, either between the participants or the instructors. About the environmental issues considerations, the participants mentioned several aspects as degradation, conservation, behavior, feelings and actions related to nature; and punctual aspects, such as deforestation, pollution and water shortage.

Este estudio tuvo como objetivo analizar las percepciones de 11 personas de edad avanzada en los aspectos sociales y ambientales relacionados con la práctica de actividades de aventura en la naturaleza. Es una investigación exploratoria descriptiva con enfoque cualitativo. Después de una intervención práctica con dos actividades de aventura en la naturaleza ­ stand up paddle y pista ­ los datos se obtuvieron mediante la aplicación de una entrevista semi-estructurada, diseñada específicamente para esta investigación. La información se organizó en el software NVivo, versión 10.0, y se analizaron a través de la técnica de análisis de contenido. Los resultados muestran que los ancianos se han dado cuenta del establecimiento de relaciones sociales positivas durante la intervención práctica, sea entre participantes o entre instructores. Las reflexiones sobre las cuestiones ambientales tratan aspectos generales de degradación, conservación, comportamiento, sentimientos y acciones relacionadas a la naturaleza; y puntual, como deforestación, contaminación y falta de agua.

Percepção de competências profissionais de instrutores de atividades de aventura na natureza atuantes em Florianópolis/SC / Views on professional competencies by nature adventure activities instructors in Florianópolis, Brazil / Percepción de competencias profesionales de instructores de actividades de aventura en la naturaleza que actúan en Florianópolis (SC)

Este estudo tem como objetivo analisar a percepção de competências de instrutores de atividades de aventura na natureza atuantes em Florianópolis/SC. Realizou-se uma pesquisa descritivo-exploratória e quantitativa. Participaram 22 instrutores (18 do sexo masculino e quatro do feminino), com idade média de 39,5±12,1 anos. Utilizou-se um questionário validado para este estudo, contendo 27 perguntas baseadas no modelo de competência profissional de Cheetham e Chivers (1996, 1998) e na norma 15285 da Associação Brasileira de Normas Técnicas (2005) sobre as competências necessárias aos instrutores. Para analisar os dados, aplicou-se a estatística descritiva. A maioria dos instrutores percebe dominar totalmente as competências cognitivas, funcionais, sociais, éticas e fatores relacionados (metacompetências, personalidade, reflexão, avaliação, empreendedorismo). Contudo, em todas há pelo menos um instrutor que percebe dominá-las parcialmente e há um que percebe não dominar duas competências funcionais relativas à segurança dos participantes. Um instrutor também acredita não dominar a capacidade de empreender(AU)

This study analyzes nature adventure activities instructors' views on competences of in the city of Florianópolis, Brazil. Descriptive-exploratory and quantitative research was carried out, including 22 instructors (18 males and four females) with a mean age of 39.5±12.1 years. The study used a validated questionnaire with 27 items based on the model of professional competence of Cheetham and Chivers (1996, 1998) and on Standard 15285 of the Brazilian Association of Technical Standards (2005) on instructors' skills needs. Data were analyzed through descriptive statistics. Most instructors think they fully master cognitive, functional, social, ethical and related factors (meta-competencies, personality, reflection, evaluation, entrepreneurship). However, according to instructors themselves, for each of those competencies one instructor masters them only partially and one masters two functional skills on participants' safety. One instructor also believes that he or she does not master the entrepreneurship skill(AU)

Este estudio tiene como objetivo analizar la percepción de competencias de instructores de actividades de aventura en la naturaleza que actúan en Florianópolis (SC). Se realizó una investigación descriptivo-exploratoria y cuantitativa. Participaron 22 instructores (18 del sexo masculino y cuatro del femenino) con edad media de 39,5 ± 12,1 años. Se utilizó un cuestionario validado para este estudio, con 27 preguntas basadas en el modelo de competencia profesional de Cheetham y Chivers (1996, 1998) y en la norma 15285 de la Asociación Brasileña de Normas Técnicas (2005) sobre competencias necesarias para instructores. Para analizar los datos, se aplicó la estadística descriptiva. La mayoría de los instructores cree que domina totalmente las competencias cognitivas, funcionales, sociales, éticas y factores relacionados (metacompetencias, personalidad, reflexión, evaluación, emprendedurismo). Sin embargo, en todas hay al menos un instructor que cree dominarlas parcialmente y hay uno que no cree dominar dos competencias funcionales relacionadas a la seguridad de los participantes. Un instructor también cree no dominar la capacidad de emprender(AU)

Autismo: um estudo de habilidades comunicativas em crianças / Autism: a study on communicative abilities in children

OBJETIVO: analisar as habilidades comunicativas verbais e não-verbais de crianças autistas. MÉTODOS: foram selecionadas seis crianças com o diagnóstico de atraso de linguagem secundário a autismo, submetidas à terapia fonoaudiológica em uma clínica escola de uma universidade privada da cidade do Recife. As crianças foram observadas em duas sessões de terapia, que foram gravadas em fita VHS para posterior análise e discussão. A análise foi baseada no uso do protocolo de observação pertencente ao ABFW, que contempla os meios e funções comunicativas. RESULTADOS: em detrimento dos meios vocais e verbais, o meio gestual apareceu com maior frequência nos atos comunicativos. Os gestos, mesmo constituindo uma forma de comunicação não verbal, demonstraram, muitas vezes, expressar intenções dos sujeitos. Com relação às funções comunicativas, pôde-se concluir que houve uma grande variedade das mesmas, porém, entre as vinte funções investigadas, apenas poucas se destacaram. Entre elas, apareceram, predominantemente, as funções não-focalizadas, protesto, exploratória e reativa. CONCLUSÃO: foi possível verificar que as crianças investigadas utilizam formas funcionais de comunicação nos diferentes contextos situacionais, entre as habilidades verbais e não-verbais, aspectos considerados essenciais para a proposição de recursos na intervenção fonoaudiológica.

PURPOSE: to evaluate the verbal and non-verbal communicative abilities in autist children. METHODS: six children was selected with the diagnostic of language delay secondary to autism, submitted to speech therapy in a school-clinic of a University private from Recife. The children were monitored in therapy sessions, and these was stored in VHS tape for posterior analysis and discussion. The analysis was based on the use of ABFW observation protocol, which analyses the communicative means and functions. RESULTS: among the acts, the gestures appeared with major predominance among the analyzed subjects. Regarding the communicative functions, we observed with major predominance: non-focused, protest, explorer and reactive. CONCLUSION: It was possible to verify that the studied children used functional communication forms in different situational contexts, verbal and non-verbal skills, aspects considered essential to the proposition of resources in speech therapy intervention.