Comparing the content of instruments assessing environmental factors using the International Classification of Functioning, Disability and Health

Purpose: To describe and compare the content of instruments that assess environmental factors using the International Classification of Functioning, Disability and Health (ICF). Methods: A systematic search of PubMed, CINAHL and PEDro databases was conducted using a pre-determined search strategy. The identified instruments were screened independently by two investigators, and meaningful concepts were linked to the most precise ICF category according to published linking rules. Results: Six instruments were included, containing 526 meaningful concepts. Instruments had between 20% and 98% of items linked to categories in Chapter 1. The highest percentage of items from one instrument linked to categories in Chapters 2–5 varied between 9% and 50%. The presence or absence of environmental factors in a specific context is assessed in 3 instruments, while the other 3 assess the intensity of the impact of environmental factors. Discussion: Instruments differ in their content, type of assessment, and have several items linked to the same ICF category. Most instruments primarily assess products and technology (Chapter 1), highlighting the need to deepen the discussion on the theory that supports the measurement of environmental factors. This discussion should be thorough and lead to the development of methodologies and new tools that capture the underlying concepts of the ICF.

Hearing evaluation of portuguese school communities: school‑based audiology and hearing screening

Introduction: Hearing loss h sone raised impact in the development and academic progress of a child. In several developed countries, early detection is part of the national health plan through universal neonatal hearing screening (UNHS) and also with school hearing screening programs (SHSP), but only a few have published national data and revised protocols. Currently in Portugal, the UNHS is implemented in the main district hospitals but not the SHPS, as well we still do not make use of concrete data nor publication of studies on the national reality. Objectives: The incidence of the hearing loss and of otological problems was studied in school communities in the north of the country with 2550 participants between 3 and 17 years old. Methods: Statistical data collected within the schools with a standard auditory hearing screening protocol. All participants were evaluated with the same protocol, an audiological anamnesis, otoscopy and audiometric exam screening (500, 1000, 2000 and 4000 Hz) were fulfilled. Results: Different otological problems were identified and the audiometric screening exam counted auditory thresholds that outpointed uni and bilateral hearing loss in about 5.7% of the cases. Conclusions: The study has demonstrated that auditory school screening should take place as early as possible and be part of the primary health care to identify and direct children to appropriate rehabilitation, education and attendance. Thus, reducing high costs with late treatment.

Tradutor da língua gestual portuguesa modelo de tradução bidireccional

O projeto tem como objetivo desenvolver e avaliar um modelo que facilita o acesso para pessoas surdas ou com deficiência auditiva, o acesso ao conteúdo digital - em particular o conteúdo educacional e objetos de aprendizagem – a criação de condições para uma maior inclusão social de surdos e deficientes auditivos. Pretende-se criar um modelo bidirecional, em que permite a pessoas com deficiências auditivas, possam se comunicar com outras pessoas, com a tradução da Língua Gestual Portuguesa (LGP) para a Língua Portuguesa (LP) e que outras pessoas não portadoras de qualquer deficiência auditiva possam por sua vez comunicar com os surdos ou deficientes auditivos através da tradução da LP para a LGP. Há um conjunto de técnicas que poderíamos nos apoiar para desenvolver o modelo e implementar a API de tradução da LGP em LP. Muitos estudos são feitos com base nos modelos escondidos de Markov (HMM) para efetuar o reconhecimento. Recentemente os estudos estão a caminhar para o uso de técnicas como o “Dynamic Time Warping” (DTW), que tem tido mais sucesso do que outras técnicas em termos de performance e de precisão. Neste projeto optamos por desenvolver a API e o Modelo, com base na técnica de aprendizagem Support Vector Machines (SVM) por ser uma técnica simples de implementar e com bons resultados demonstrados em reconhecimento de padrões. Os resultados obtidos utilizando esta técnica de aprendizagem foram bastante ótimos, como iremos descrever no decorrer do capítulo 4, mesmo sabendo que utilizamos dois dispositivos para capturar dados de descrição de cada gesto. Toda esta tese integra-se no âmbito do projeto científico/ investigação a decorrer no grupo de investigação GILT, sob a coordenação da professora Paula Escudeiro e suportado pela Fundação para Ciência e Tecnologia (FCT).