Vocal Health, Working Conditions and Their Implications on the Occupational Health of Telemarketers: An Integrative Review.

OBJECTIVE: To analyze the national and international literature on vocal health, working conditions and occupational health of telemarketers. METHODS: A literature review was conducted using the LILACS, PubMed and SciELO databases. The term "telemarketing" was used for all searches, along with the following descriptors: voice, vocal disorders, work condition and occupational health. Articles published in English, Portuguese or Spanish from 2009- 2019 were included. The variables selected for organizing the data were authors, region, first author's education, affiliation, journal, objective, sample, design, and result. RESULTS: A total of 540 publications were identified in the databases, and after applying the eligibility criteria, 14 articles were included in the final analysis. DISCUSSION: Of the articles selected for final analysis, there was a concentration of studies in 2014, with a new peak of resumption of research in 2019. Regarding Brazilian studies, there was a concentration of studies from the Southeast region, mostly developed by speech therapists. CONCLUSION: In the analyzed articles, it was possible to verify the interference of telemarketers' working conditions in their vocal and occupational health.

Professional and academic profile of the Brazilian research ethics committees.

BACKGROUND: Brazil is among the sixteen countries that conducts the most clinical trials in the world. It has a system to review research ethics with human beings made up by the National Commission on Research Ethics (CONEP) and 779 Research Ethics Committees (RECs), in 2017. The RECs are supposed to follow the same rules regarding their membership, although the RECs that review Social Science and Humanities (SSH) researches must respect Resolution 510/16. There are Brazilian RECs that review SSH and clinical trials. This study aimed to analyze the academic professional profile of the members of the CONEP and Brazilian RECs, their adequacy to the norms, and the challenges faced by the REC's Chairs to compose their membership. METHODS: All 779 Brazilian RECs' chairs are invited to fill in a questionnaire informing academic and professional background of the RECs members, and 92 answered. However, eight were excluded for having sent an incomplete questionnaire, leaving a total of 84 participants. The variables were described by absolute and relative frequency. The Chi-square test and ANOVA was used to analyze regional differences related difficulties to compose the committee. The significance level was 95%. RESULTS: The results showed a predominance of members from the biomedical area (57%), while 33% were members of the Social Sciences and Humanities and 5.5% were community representatives. As for the academic degree, there were (45.2%) PhD and (27.9%) masters. The divergences in relation to the guidelines result from the difficulties of having participants in some areas and the little interest in the work carried out by the committees. CONCLUSION: The RECs are partially adequate to the norms and their performance may be compromised by the low participation of community representatives. The organization of REC's specifics to review biomedical research could improve the ethical review process, ensuring a membership more qualified for these protocols.

CONTRALATERAL PATELLAR TENDON AUTOGRAFT IN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION.

OBJECTIVE: To conduct a systematic review of literature about the use of contralateral patellar tendon autograft in anterior cruciate ligament reconstructions and present the results. METHODS: The LILACS, MEDLINE, Cochrane, PubMed, Scielo and Google Scholar databases were searched without date restrictions for the keywords "anterior cruciate ligament reconstruction" combined with "contralateral" in the article title. After the studies were identified, two independent evaluators collected the qualitative characteristics of the studies and classified them according to clinical outcomes of these grafts as positive, neutral, or negative. RESULTS: A total of 755 articles were found initially, and after detailed evaluation of all references, followed by a screening process and assessment of quality, a total of 11 studies were determined to be eligible for inclusion in this systematic review. Of these, 72.72% were level II studies, the most common level of evidence among the results. Positive results for this type of graft were found in 63.63% of the studies. CONCLUSION: Based on the literature review, most of the included articles (63.63%) presented positive results for the use of contralateral patellar tendon grafts. Level of Evidence III; Systematic review.

OBJETIVO: Realizar uma revisão sistemática da literatura abordando o uso do tendão patelar contralateral como enxerto nas reconstruções do ligamento cruzado anterior e apresentar seus resultados. MÉTODOS: Foi realizado um levantamento nas bases de dados LILACS, MEDLINE, Cochrane, PubMed, Scielo e Google acadêmico sem restrição de data e utilizando como descritores as palavras: "anterior cruciate ligament reconstruction" combinadas com "contralateral" no título do artigo. Após a identificação dos estudos, dois avaliadores independentes coletaram características qualitativas dos estudos, as quais foram classificadas de acordo com os resultados clínicos como positivas, indiferentes e negativas para o uso desse enxerto. RESULTADOS: Foram encontrados, inicialmente 755 artigos e após uma avaliação detalhada de todas as referências, seguida de processo de triagem e avaliação da qualidade, um total de 11 estudos foram determinados como elegíveis para inclusão nesta revisão sistemática, sendo que 72,72% deles apresentaram nível de evidência II, sendo este o maior nível encontrado; 63,63% apresentaram resultado positivo para esse tipo de enxerto. CONCLUSÃO: Com base na revisão da literatura, a maioria dos artigos avaliados (63,63%) apresenta resultados positivos para o uso do enxerto do tendão patelar contralateral. Nível de Evidência III; Revisão sistemática.