Intervenção fonoaudiológica na síndrome de kabuki: relato de caso

TEMA: este trabalho teve como objetivo descrever o processo de intervenção fonoaudiológica em um caso de síndrome de Kabuki, com ênfase na terapia de linguagem. PROCEDIMENTOS: trata-se de relato de caso de uma criança de seis anos e seis meses de idade, gênero feminino, com diagnóstico de síndrome de Kabuki, que realizou terapia fonoaudiológica durante três anos em uma clínica-escola. Foi realizada análise documental dos dados do prontuário relativos à anamnese, avaliação e relatórios terapêuticos fonoaudiológicos, exames e avaliações multidisciplinares. Aos três anos e cinco meses, a criança passou por avaliação fonoaudiológica e apresentou, como histórico, características típicas da síndrome de Kabuki: alteração cardíaca, episódios de pneumonia, otite média secretora recorrente, alterações ortopédicas e crises convulsivas. Na avaliação fonoaudiológica, apresentou tempo de atenção auditiva e visual reduzido, dificuldade de compreensão oral, comunicação por meio de poucos gestos e vocalizações e problemas de comportamento. RESULTADOS: o processo terapêutico teve como objetivo principal promover o desenvolvimento da linguagem com ênfase na interação social por meio de atividades lúdicas, orientação familiar e escolar. Foi observada melhora na compreensão e emissão oral, no contato social e manutenção da atenção. CONCLUSÃO: este estudo permitiu divulgar o percurso de atuação fonoaudiológica na síndrome de Kabuki, do processo diagnóstico à terapia de linguagem. Verificou-se que a terapia foi eficaz no que se refere às habilidades comunicativas e de interação social. Esses dados podem contribuir para elucidar lacunas existentes na literatura acerca da terapia fonoaudiológica na síndrome em questão e subsidiar intervenções clínicas nesses casos.

Breve revisão de métodos de determinação de resíduos do herbicida á cido 2,4-diclorofenoxiacético (2,4-D)

This paper supplies a revision about the main techniques of extraction, clean-up and pre-concentration of the herbicide 2,4-dichlorophenoxyacetic acid (2,4-D) in water and soil samples, as well as chromatographic methods and immune assays for its identification and quantification.

Desenvolvimento motor de criança com paralisia cerebral: Avaliação e intervenção

The objective of this study was to analyze the motor development of a ten year old child with ataxic cerebral palsy and the effects of a motor activities program in the swimming pool. Motor development was measured according to the motor assessment and the intervention program of motor activities in the swimming pool conducted at Sesi/Londrina, twice a week, during 45 minute sessions over a 2 month period, with an attendance rate of 87%. Data was analyzed descriptively comparing the results with before and after tests. Generally, the motor quotient regarding all items was classified as very low, characterizing motor deficit, with exception of temporal organization, presented as normal low. After intervention, the only area that showed positive change was balance; this result showed that the child gained 12 months in motor age, without corresponding alterations in the other areas.

Caracterização de programas de intervenção com crianças e/ou adolescentes

The objective was to present a descriptive analysis of interventions to prevent and/or reduce children's and/or adolescents' problem behaviors. The study reviewed 192 abstracts from journal articles published between the 1986 and June 2006, available on the following databases: Index-Psi/Periódicos, Lilacs, PsycInfo, Scielo and Medline. Categories of analysis focused on bibliography, method, and studies' results. Data-analysis showed that most of the studies focused on groups and families, and samples with more than 30 participants. Study designs were experimental and quasi-experimental, combining observation and self report or just self report for data collection. Result analysis suggests that the intervention programs contributed specially for reducing behavior problems, and improving parental practices. Discussion evaluates contributions of the study and gaps in knowledge.

Venezuela: breve bibliografia sobre temas de poblacion

Incluye Bibliografía

Uruguay: una breve revisión de la evolución reciente del mercado de trabajo y las características de los nuevos puestos de trabajo

Incluye Bibliografía

Enfoques para la medición de la pobreza: breve revisión de la literatura

Incluye Bibliografía

Avaliação de grupo de intervenção para as mães/cuidadores de crianças pré-escolares com problemas de comportamento externalizantes

Negative parental practices may influence the onset and maintenance of externalizing behavior problems, and positive parenting seem to improve children's social skills and reduce behavior problems. The objective of the present study was to describe the effects of an intervention designed to foster parents' social skills related to upbringing practices in order to reduce externalizing problems in children aged 4 to 6 years. Thirteen mothers and two care taker grandmothers took part in the study with an average of four participants per group. To assess intervention effects, we used a repeated measure design with control, pre, and post intervention assessments. Instruments used were: (a) An interview schedule that evaluates the social interactions between parents and children functionally, considering each pair of child's and parent's behaviors as context for one another; (b) A Social Skills Inventory; (c) Child Behavior Checklist - CBCL. Intervention was effective in improving parent general social skills, decreasing negative parental practices and decreasing child behavior problems.

Educação inclusiva: Análise e intervenção em uma sala de recursos

This paper is based on the Support Paradigm, which establishes the principles to the inclusive education, which indicates educational adjustments participating in the regular school to all students. This study aimed to analyze a special classroom working arrangements and to describe an intervention implemented having a special classroom teacher as participant. Data collection comprised the following phases: (a) special classroom description; (b) analysis of the teacher's teaching plan; (c) application of survey and discussion comprising theory and practice on inclusive education; (d) curricular adaptation fulfilling. Data analysis comprised: special classroom characterization, survey analysis, comparative analysis of curricular adaptation. As results, the study shows divergences between public educational policies and school reality. The intervention provided the teacher with a reflection about her on-work performance based on new teaching procedures.

Fondaparinux em intervenção coronária percutânea no tratamento da síndrome coronária aguda

Background: Fondaparinux is considered an agent with a well-established safety and efficacy profile in the treatment of non-ST segment elevation acute coronary syndromes, but when used alone, is associated to a higher incidence of thrombotic complications during invasive coronary procedures, requiring the supplementation of an anti-IIa agent. This study aimed to evaluate the efficacy and safety of percutaneous coronary intervention (PCI) in patients with non-ST segment elevation acute coronary syndromes previously treated with fondaparinux. Methods: Prospective, controlled registry enrolling 127 consecutive patients submitted to an early invasive stratification during treatment with fondaparinux, with supplementation of intravenous unfractionated heparin at a dose of 85 U/kg at the time of PCI. Results: The rate of the composite primary endpoint including death, acute myocardial infarction, stroke, stent thrombosis or emergency myocardial revascularization was 3.2%. The cumulative incidence of major bleeding and vascular complications was 3.2%. There were no cases of guidecatheter thrombosis or abrupt vessel closure. Conclusions: PCI in patients with acute coronary syndromes receiving fondaparinux is associated with a low rate of major adverse cardiovascular ischemic events and severe hemorrhagic complications. Supplementation of unfractionated heparin during the invasive procedures eliminates the risk of catheter-related thrombosis.

Breve analisis de las declaraciones por sexo y edad de los censos de poblacion de Chile de 1930, 1940, 1952 y 1960

Incluye Bibliografía

Aplicação do Processo Analítico Hierarquico (AHP) Para Priorização de Obras de Intervenção em Áreas e Setores de Risco Geológico nos Municípios de Itapecerica da Serra e Suzano (SP)

Municipal Plans of Risk Reducing (PMRR's) were produced in settlements in the municipalities of Itapecerica da Serra (SP) and Suzano (SP), covering areas at risk of landslides and washouts of banks of streams. The development of PMRR's provided the delimitation of areas of risk, the indication of intervention works in order to eliminate and / or reduce risks, and consequently an indication of the areas and priority sectors for implementation of intervention works. The prioritization of areas and sectors that should receive the works of reducing or eliminating risk was performed by an expert involved in risk mapping. Despite the specialist's judgment exercise caution, the decision regarding the priority sites for implementation of alternative interventions is subjective. Since there is no way to eliminate this subjectivity, the use of decision-making techniques is important to evaluate whether the expert's reasoning is consistent. One of the first techniques developed for multiple criteria is the AHP (Analytic Hierarchy Process). This paper describes the results of a research carried out in order to assess whether the use of Analytic Hierarchy Process contributes to the results of the indication of the areas and priority sectors for implementation of interventions can be considered more consistent than in situations where the priority occurs without the use of decision making techniques. Results were compared between the prioritization of interventions for implementation contained in PMRR's of Itapecerica da Serra and Suzano and those obtained from the use of Analytic Hierarchy Process (AHP). It was concluded that such techniques permits an evaluation of the expert's judgment is logically coherent, thus contributing to produce results more technically based.