Speech therapy intervention before dental management in patients with special needs: A case report

Fragile X syndrome is a cytogenetic abnormality related to chromosomal X. This syndrome is frequently associated to intellectual disability, psychological problems, as well as heart, skeletal and join alterations. Intraoral anomalies include malloclusion, ogival palate, cleft palate, presence of mesiodens, dental hypomineralization and abrasion of the occlusal surfaces and incisai edges. The study of characteristics of this syndrome is important for the dentist in order to guide dental treatment and prevention. The aim of this study is to present a myofunctional therapy protocol, evaluated by surface electromyography. A case of a 21 year-old young man who attended the Training Program in Dentistry for Persons with Disabilities, School of Dentistry of São José dos Campos/UNESP is reported. He underwent myofunctional therapy before dental treatment and the masticatory muscles were evaluated by surface electromyography. The exercises of myofunctional therapy consisted of active and passive simple movements of opening and closing the mouth, tongue protrusion and retrusion, digital manipulation and also by using an electric massager on intraoral and perioral region of the masseter, buccinator and orbicularis oris. Action potentials of the masticatory muscles decreased in almost all the muscles and values for the bite force and mandibular opening capacity increased. This study showed that brief and immediate myofunctional therapy optimized clinical practice with positive repercussion on dental care.

Tradução e adaptação transcultural do Caregiver Priorities and Child Health Index of Life with Disabilities Questionnaire (CPCHILD©) para a lingua portuguesa do Brasil

Pós-graduação em Bases Gerais da Cirurgia - FMB

Uso de medicamentos por pessoas com deficiências em áreas do estado de São Paulo

OBJETIVO: Analisar o consumo de medicamentos e os principais grupos terapêuticos consumidos por pessoas com deficiências físicas, auditivas ou visuais. MÉTODOS: Estudo transversal em que foram analisados dados do Inquérito Multicêntrico de Saúde no Estado de São Paulo (ISA-SP) em 2002 e do Inquérito de Saúde no Município de São Paulo (ISA-Capital), realizado em 2003. Os entrevistados que referiram deficiências foram estudados segundo as variáveis que compõem o banco de dados: área, sexo, renda, faixa etária, raça, consumo de medicamentos e tipos de medicamentos consumidos. RESULTADOS: A percentagem de consumo entre as pessoas com deficiência foi de: 62,8% entre os visuais; 60,2% entre os auditivos e 70,1% entre os físicos. As pessoas com deficiência física consumiram 20% mais medicamentos que os não-deficientes. Entre as pessoas com deficiência visual, os medicamentos mais consumidos foram os diuréticos, agentes do sistema renina-angiotensina e analgésicos. Pessoas com deficiência auditiva utilizaram mais analgésicos e agentes do sistema renina-angiotensina. Entre indivíduos com deficiência física, analgésicos, antitrombóticos e agentes do sistema renina-angiotensina foram os medicamentos mais consumidos. CONCLUSÕES: Houve maior consumo de medicamentos entre as pessoas com deficiências quando comparados com os não-deficientes, sendo os indivíduos com deficiência física os que mais consumiram fármacos, seguidos de deficientes visuais e auditivos.

Correlation between balance and the level of functional independence among elderly people

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

A inclusão de pessoas com deficiência na rede regular de educação profissional

Pós-graduação em Educação - FFC

Ensino de arquitetura e concepção de professores sobre acessibilidade, inclusão social, desenvolvimento humano e deficiência

Pós-graduação em Psicologia do Desenvolvimento e Aprendizagem - FC

Inclusão no mercado de trabalho: analisando a relação escola e empregabilidade de pessoas com deficiências

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Método de pesquisa da temática deficiência nos currículos de psicologia

The curricula study allows the verification of trends, concepts and the identification of teaching practices, enabling the planning and implementation of changes when necessary. The material presented here is part of the results obtained in a postgraduate research that deals with the training of psychologists to work with people with disabilities, which appealed to the document analysis. To accomplish this task it was used a methodological procedure named searching through radical, which allowed greater agility to the search, enabling the quick identification of the courses containing topics of interest for research, facilitating their selection to study. The use of document analysis as a methodology allowed both the collection and organization of information that were diffused, providing them new configuration as source of information, as the processing and interpretation of the raw data, giving them direction and adding them value. In 36 courses, 35 had at least one subject related to persons with disabilities, and the sum of these resulted in 85 subjects for analysis. The interpretation of data obtained through reading the menus brought information about prevalent intentions on the menus of the subjects, to research in the area, teaching procedures, techniques and possibilities of action and insertion of psychologists in different contexts in which they can deal with disability. In a positive perspective, the results showed that there seems to be a tendency to enhance the interface of psychology with other knowledge areas to understand the issues related to disability.

Mediação como base de estratégias pedagógicas voltadas a alunos com deficiência mental severa: indicadores para a prática docente

The paper talks about the education of persons with disabilities severe mental retardation based on the idea of Reuven Feuerstein mediation. The collected data were analysed mainly under the focus quantitative, allowing extraction of details of everyday life investigated. Aims to describe and analyze the implementation process their educational, focusing on teaching strategies used by Special Education teachers in the Araraquara’s city. In addition, seeks to address the educational process of a population slightly investigated by uniting two strands of thread in an innovative way: the Theory of Structural Cognitive Modifiability (SCM) and Reuven Feuerstein education of students with severe cognitive impairment. The methodology initiated by the establishment of the teacher’s profile, their mapping and location. Data collection was achieved through three instruments: interviews with teachers, observation protocol and field diary for registration. Our results describe the work of a teacher, showing their practice, and enlist the pedagogical strategies used, mainly those related to the criteria medication. According to the Theory of Structural Cognitive Modifiability (SCM) and the idea of Mediated Learning Experience (MLE), the teacher acts as mediator, interposing themselves between stimuli the environment and the student. The work of the teacher observed indicates that the environment and the student. The work of the teacher observed indicates that she exerts her functions in teaching using pedagogical strategies which are found in her heart, precepts essential to mediation. This shows it is possible to associate the ideas of Feuerstein practices aimed at teaching students with severe mental disabilities.

Humanização na assistência odontológica de pessoas com deficiência, através do projeto Cão Cidadão-Unesp

The Araçatuba School of Dentistry along with the Veterinary Medical Course, both from UNESP, develop the Extension Project called “Cão Cidadão UNESP” (Unesp Citizen Dog), which is accomplished in some assistance societies, including the Dental Assistance Center to Persons with Disabilities (“Centro de Assistência Odontológica à Pessoa com Deficiência” - CAOE-UNESP). This project develops a multidisciplinary work involving professionals and students from health sciences. The project aims at developing activities to relieve stress, fear and anxiety of patients with disabilities in the moment that precedes the dental treatment. The team performs procedures such as walking with the dogs and patients, toothbrushing the dogs so the patients can see it, in order to learn and motivate themselves, dressing the dogs with some accessories such as white clothes, mask and cap, to associate with image of the dentist, making this relationship more pleasant and welcoming. It is evidenced, through reports of professionals, that the patients become calmer and more collaborative with the dentists, distracting them from the treatment focus and creating a positive bond. It should be noted that this experience has contributed to motivate the professionals to introduce new techniques for dental approach, such as Animal Assisted Therapy. It also shows that animals can be very helpful in treating people with disabilities, because they offer a lot of love, companionship and provide moments of joy and happiness to the participants.

Atividade docente e Educação Especial: dos encaminhamentos históricos ao contraponto Histórico-Cultural

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A inclusão da natação na vida da pessoa com deficiência: uma análise a partir da teoria ecológica do desenvolvimento

The objective of thisstudy was to verify, using the Ecological Development Theory (EDT), as the practice and swimming learning for People With Disabilities (PWD) causes changes to both the practitioner and in other environments experienced by it as well as the other environments influence the learning to swim. The study included 16 PWD, students linked university extension project, Department of Physical Education of UNESP Bauru, taught by coordinators LAPEF, which aims to includes wimming in the PWD ofevery day life, students linked to an institution of Bauru-SP, three employees of the institution and two swimming project teachers.Interviews with the families of the students were made, with the institution s employees, with the project teachers and analyze thes wimming lessons applied in the project for one semester. Based on the results we can say that the practice and learnings wimming for PWD causes changes to both the practitioner and for other environments experienced by her (home, institution) and also, what other environments experienced by PWD influence in practice and process of learning to swim. Using the terminology of EDT, we conclude that theme so system (home activities institution) influences in the microsystem (swimming lessons) and the microsystem influences the mesosystem, so the activity was significant and temporal persistence influencing the development of PCD.

Análise dialógica de vinhetas de Maurício de Sousa: o caso do autismo

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Treatment seeking by individuals with obsessive-compulsive disorder from the British Psychiatric Morbidity Survey of 2000

Objective: For several reasons, many individuals with obsessive-compulsive disorder (OCD) do not seek treatment. However, data on treatment seeking from community samples are scant. This study analyzed service use by adults with OCD living in private households in Great Britain. Methods: Data from the British Survey of Psychiatric Morbidity of 2000, in which 8,580 individuals were surveyed, were analyzed. Service use was compared for those with OCD, with other neuroses, with different subtypes of OCD (only obsessions, only compulsions, or both), and with OCD and comorbid neuroses. Results: Persons with OCD (N=114) were more likely than persons with other neuroses (N=1,395) to be receiving treatment (40% compared with 23%, p<.001). However, those with OCD alone (N=38) were much less likely than those with OCD and a comorbid disorder to be in treatment (14% compared with 56%, p<.001). In the previous year, 9.4% of persons with OCD had seen a psychiatrist and 4.6% had seen a psychologist. Five percent were receiving cognitive-behavioral therapy, 2% were taking selective serotonin reuptake inhibitors, and 10% were taking tricyclics. Conclusions: Most persons with OCD were not in contact with a mental health professional, and apparently very few were receiving appropriate treatments. Very few persons with noncomorbid OCD were receiving treatment. Individuals with OCD who are in treatment may not be disclosing their obsessions and compulsions and may be discussing other emotional symptoms, leading to inappropriate treatment strategies. Public awareness of OCD symptoms should be raised, and primary care professionals should inquire about them with all patients who have depressive or anxiety disorders.