938 resultados para Speech and voice functions
Resumo:
O presente trabalho visou investigar qual a importância da Psicoterapia em homens doentes de aids marcados pela proximidade com a morte ou a finitude existencial internados em uma enfermaria hospitalar. A intervenção psicológica, na área da saúde e da clínica psicológica, foi procedimento interventivo que permitiu efetivar a escuta socialmente engajada visando superar a premissa acerca da doença enquanto centro do tratamento, transmitida ao longo da história e veiculando a concepção de um sujeito patológico. Nesta perspectiva, o objetivo deste trabalho foi incentivar os participantes da pesquisa a vivenciar a atenção à própria saúde reconhecendo-a enquanto um direito de cidadania básico a todos os homens. Sobre os procedimentos a psicoterapia breve gestáltica e os cuidados paliativos foram as estratégias utilizadas nos atendimentos realizados no Hospital Universitário João de Barros Barreto em Belém do Pará-Brasil. Os participantes da pesquisa foram quatro homens adultos, com faixa etária entre 18 e 49 anos de idade. A seleção iniciou com a pesquisa documental dos relatórios e documentos elaborados pelos profissionais que atendem na enfermaria da clinica infecto-parasitária (DIP) como fichas de identificação, prontuários de identificação dos casos, onde estava descrita o diagnóstico, o histórico de saúde. Tratou-se de uma pesquisa clínico-qualitativa, que utilizou o método fenomenológico e concepções existencialistas, e referencial teórico da Gestalt-terapia. Para a análise do discurso dos informantes se valeu da Hermenêutica da linguagem proposta em Paul Ricouer, que propõe a compreensão da dimensão linguística (sentido) e dimensão extralinguística (referência), partindo da análise gramatical da frase do locutor, perpassando pela análise semântica da fala, com atenção às funções e atos da linguagem. Nas analises nos atentamos unicamente à assimilação da função Expressiva ou Emotiva, em que o sujeito que se destacou foi o EU, e aos atos do discurso: locucionários (ato de dizer; expressão verbal), ilocucionários (aquilo que fazemos ao dizer; recursos não verbais que acompanham a fala) e atos perlocucionários (reflexo da linguagem no outro). Os resultados mostraram que os homens são responsáveis por suas próprias habilidades, e que podem ampliar as possibilidades em suas vidas, mesmo em situação de fragilidade e sem possibilidade de cura, identificando os meios a sua disposição, que permitiram lidar com uma situação de dificuldade. Quanto à psicoterapia ela foi um facilitador, e proporcionou a possibilidade de se compreender alguns modos de vinculação, subjetivação e relação dos homens atendidos no hospital.
Resumo:
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Resumo:
Background: Cancer pain severely limits function and significantly reduces quality of life. Subtypes of sensory neurons involved in cancer pain and proliferation are not clear.Methods: We produced a cancer model by inoculating human oral squamous cell carcinoma (SCC) cells into the hind paw of athymic mice. We quantified mechanical and thermal nociception using the paw withdrawal assays. Neurotoxins isolectin B4-saporin (IB4-SAP), or capsaicin was injected intrathecally to selectively ablate IB4(+) neurons or TRPV1(+) neurons, respectively. JNJ-17203212, a TRPV1 antagonist, was also injected intrathecally. TRPV1 protein expression in the spinal cord was quantified with western blot. Paw volume was measured by a plethysmometer and was used as an index for tumor size. Ki-67 immunostaining in mouse paw sections was performed to evaluate cancer proliferation in situ.Results: We showed that mice with SCC exhibited both mechanical and thermal hypersensitivity. Selective ablation of IB4(+) neurons by IB4-SAP decreased mechanical allodynia in mice with SCC. Selective ablation of TRPV1(+) neurons by intrathecal capsaicin injection, or TRPV1 antagonism by JNJ-17203212 in the IB4-SAP treated mice completely reversed SCC-induced thermal hyperalgesia, without affecting mechanical allodynia. Furthermore, TRPV1 protein expression was increased in the spinal cord of SCC mice compared to normal mice. Neither removal of IB4(+) or TRPV1(+) neurons affected SCC proliferation.Conclusions: We show in a mouse model that IB4(+) neurons play an important role in cancer-induced mechanical allodynia, while TRPV1 mediates cancer-induced thermal hyperalgesia. Characterization of the sensory fiber subtypes responsible for cancer pain could lead to the development of targeted therapeutics.
Resumo:
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Resumo:
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Resumo:
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Resumo:
Brain activity contains three fundamental aspects: (a) The physiological aspect, covering all kinds of processes that involve matter and/or energy; (b) the mental unconscious aspect, consisting of dynamical patterns (i.e., frequency, amplitude and phase-modulated waves) embodied in neural activity. These patterns are variously operated (transmitted, stored, combined, matched, amplified, erased, etc), forming cognitive and emotional unconscious processes and (c) the mental conscious aspect, consisting of feelings experienced in the first-person perspective and cognitive functions grounded in feelings, as memory formation, selection of the focus of attention, voluntary behavior, aesthetical appraisal and ethical judgment. Triple-aspect monism (TAM) is a philosophical theory that provides a model of the relation of the three aspects. Spatially distributed neuronal dendritic potentials generate amplitude-modulated waveforms transmitted to the extracellular medium and adjacent astrocytes, prompting the formation of large waves in the astrocyte network, which are claimed to both integrate distributed information and instantiate feelings. According to the valence of the feeling, the large wave feeds back on neuronal synapses, modulating (reinforcing or depressing) cognitive and behavioral functions.
Resumo:
Chauliocheilos saxatilis, new genus and species, is described from headwater streams of the rio Itamarandiba, upper rio Jequitinhonha basin, southeastern Brazil. The new genus is diagnosed from all other Loricariidae members by having a unique labial appendix at laterodorsal portion of lower lip, associated to the proximal region of insertion of the maxillary barbel. From all Hypoptopomatinae genera, Chauliocheilos can be distinguished by having two additional series of lateral plates, one between the dorsal and mid-dorsal series, and the other between the mid-ventral and ventral series. In addition, the great number of lateral plates, the absence of the iris operculum, and the posterior dorsal-fin insertion contacting the neural spine of eighth vertebra, are other useful features to recognize the genus. The phylogenetic position of Chauliocheilos among the Hypoptopomatinae, as well as the morphology and possible functions of the labial appendix, are discussed.
Resumo:
This article deals with a vector optimization problem with cone constraints in a Banach space setting. By making use of a real-valued Lagrangian and the concept of generalized subconvex-like functions, weakly efficient solutions are characterized through saddle point type conditions. The results, jointly with the notion of generalized Hessian (introduced in [Cominetti, R., Correa, R.: A generalized second-order derivative in nonsmooth optimization. SIAM J. Control Optim. 28, 789–809 (1990)]), are applied to achieve second order necessary and sufficient optimality conditions (without requiring twice differentiability for the objective and constraining functions) for the particular case when the functionals involved are defined on a general Banach space into finite dimensional ones.
Resumo:
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Resumo:
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Resumo:
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Resumo:
Vocal warm-ups are essential for the technical training of the singer, for good speech and performance, as well as essential for good vocal health and a long-lasting career. Objective: To analyze the theory and practice of the vocal warm-up in classical singing, from the perspective of different professionals in the voice field including: teachers, speech therapists and singers. Method: descriptive search, quantitative in nature, cross-sectional, with a questionnaire for voice teachers, singers and audiologists. The sample consisted of 165 subjects: 86 voice teachers, 64 speech pathologists, and 15 singers. Results: Teachers of Singing (97.7 %), singers (95.3 %) and students (93.3 %) use the vocal warm-up. Conclusion: From the results we can infer that most of the professionals surveyed point to the importance of the implementation of the vocal warm-up before a performance, and the strategy used by most voice instructors, speech therapists and singers is vocalization, i.e. aesthetic warm-up.
Resumo:
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Resumo:
The treatment of orofacial tumors may cause facial deformities by losses of structures that affect basic functions, i.e. feeding, speech, and the reduction of patient self-steam. A white male patient was diagnosed with epidermoid cancer on the mandibular alveolar ridge with infiltration staging IV A. The patient was submitted to a mandibulectomy associated with a complete extraction of mandibular teeth. For rehabilitation, a conventional denture for the mandibular arch and a removable partial denture for the maxillary arch were fabricated. A correct occlusal adjustment and a satisfactory amount of alveolar bone was favorable for conventional dentures of the prostheses bases improve their retention and stability. After one year of follow-up, the patient was adapted to the prostheses, satisfied with their retention, and reported an improvement on his feeding. The prosthetic rehabilitation of patients after a partial mandibulectomy is essential for their self-steam. Conventional dentures may have their retention and stability improved if they are well fabricated, recorded and have a balanced occlusion. A correct occlusal adjustment and an adequate retention of the prostheses bases may improve their retention and stability. Patients without xerostomy and with a satisfactory amount of alveolar bone may have a favorable prognosis for conventional dentures.