https://ri.ufs.br/jspui/handle/riufs/2151 Mon, 07 Sep 2026 06:50:49 GMT 2026-09-07T06:50:49Z https://ri.ufs.br/jspui/handle/riufs/26021 Título: Proposta de protocolo para avaliação e monitoramento da função auditiva na Síndrome de Down Autor(es): Figueiredo, Emeline Ramos Prata Abstract: Objectives: I – To conduct an integrative review of the scientific literature on hearing assessment procedures and auditory monitoring protocols for children with Down syndrome (DS). II – To develop a proposed clinical care protocol for the assessment and monitoring of auditory function in children with DS. Methods: I – An integrative review of observational studies was conducted in the PubMed, Web of Science, Scopus, Embase, and Google Scholar databases, using the descriptors Down Syndrome, Trisomy 21, Audiological Assessment, Hearing Monitoring, Hearing Disorders, Hearing Loss, without time or language restrictions, from January to April 2025. Observational studies were included, with a sample composed of individuals diagnosed with DS and aged 12 years or younger, regardless of sex and ethnicity, that descriptively addressed the methods and protocols used in the assessment and monitoring of auditory function in children with DS. Methodological quality was assessed using the Joanna Briggs Institute's Critical Appraisal tool for Analytical Cross-Sectional Studies. II – The clinical care protocol was developed in three stages: (1) integrative review of the scientific literature; (2) development of the protocol in the form of a registration sheet; and (3) construction of a flowchart. The review identified scientific evidence on auditory assessment and monitoring in children with Down syndrome, which guided the choice of validated and appropriate objective procedures for the specificities of this population. The protocol includes the collection of identification and clinical history data, inspection of the external auditory canal, tympanometry, Auditory Brainstem Response (ABR), and Evoked Otacoustic Emissions (OAEs), and enables the diagnosis and monitoring of auditory function in children from zero to 12 years of age, regardless of active participation in the assessment. Results: I – The exploratory search in the databases resulted in 1,493 studies. After reading the titles and abstracts, 1,474 were excluded for not meeting the eligibility criteria. The 19 potentially relevant articles were evaluated in full, and eight were included in this review. The most frequently used tests were ABR and tympanometry, followed by behavioral audiometry and OAEs. The analysis revealed a lack of standardization and a shortage of specific hearing assessment and monitoring protocols for this population. II – A clinical care protocol was developed for the assessment and monitoring of auditory function in children with Down syndrome, with a graphical flowchart representation and registration sheet, which includes fields for patient identification, inspection of the external auditory canal, acoustic immittance measurements and investigation of acoustic reflex thresholds, in addition to electrophysiological evaluation through ABR and the performance of OAEs. The protocol allows for standardized recording of findings, diagnosis of the type and degree of hearing loss, and longitudinal monitoring of auditory function. Conclusion: I – The integrative review revealed the lack of standardized protocols for the assessment and monitoring of hearing in children with Down syndrome and highlighted the need for objective methods that consider their cognitive particularities, with ABR and tympanometry being the most frequently mentioned methods. II – The developed protocol presents an innovative character by establishing standardized guidelines for the evaluation and monitoring of auditory function in children with Down syndrome. It favors early diagnosis, reduces delays in intervention, and improves the quality of hearing health care by using tympanometry, ABR, and OAEs as diagnostic methods appropriate to the specificities of this population. Thu, 01 Jan 2026 00:00:00 GMT https://ri.ufs.br/jspui/handle/riufs/26021 2026-01-01T00:00:00Z https://ri.ufs.br/jspui/handle/riufs/26009 Título: Proposta de instrumento de avaliação da alimentação para disfagia Autor(es): Damasceno, Clara Sandes Abstract: Introduction: Feeding is a complex functional activity involving motor, sensory, cognitive, behavioral, and contextual components, with swallowing representing only one of its elements. In clinical dysphagia practice, speech-language pathology assessment remains predominantly focused on the safety and efficiency of swallowing, with limited systematization of the other aspects that influence feeding performance throughout the meal. Objective: To propose a structured instrument for the functional assessment of feeding in adult patients at risk of dysphagia. Methods: This is a methodological study developed in two stages. In the first stage, an integrative literature review was conducted through searches in the PubMed, Scopus, Web of Science, Embase, and gray literature databases, including observational and methodological studies addressing feeding assessment instruments for adults with dysphagia. In the second stage, the identified instruments were comparatively analyzed, followed by a literature search, systematization of the assessment criteria, and development of the prototype of the proposed instrument. Results: The integrative review resulted in the inclusion of four validated clinical instruments: Minimal Eating Observation Form (MEOF), Dysphagia Disorder Survey (DDS), Kuchi-Kara Taberu Index (KT Index), and Dysphagia Assessment Package (DAP). The comparative analysis showed that, although these instruments encompass relevant domains of the feeding process, their assessment criteria are distributed in a fragmented and heterogeneous manner, without operational integration aimed at the functional observation of feeding during the meal. Based on this evidence and complementary studies, the prototype of the Feeding Assessment Instrument for Dysphagia (IAAD-Fono) was developed as a comprehensive tool encompassing criteria related to overall functional status, respiratory safety, posture, dietary management, utensil handling, autonomy, feeding behavior, and food intake. Conclusion: The IAAD-Fono prototype represents a proposal aligned with the gaps identified in the literature by systematically organizing the main domains involved in the functional assessment of feeding in patients undergoing the diagnostic process for dysphagia. The instrument has the potential to broaden the speech-language pathology assessment of feeding as a continuous functional activity and to support therapeutic decision-making. Future studies should include content validation, reliability, and clinical applicability of the instrument. Thu, 01 Jan 2026 00:00:00 GMT https://ri.ufs.br/jspui/handle/riufs/26009 2026-01-01T00:00:00Z https://ri.ufs.br/jspui/handle/riufs/25963 Título: Inquérito soroepidemiológico do SARS-CoV-2 em agentes de segurança pública em Sergipe, nordeste do Brasil Autor(es): Nascimento, Laranda de Carvalho Abstract: The infection caused by SARS-Cov-2 (coronavirus) is called Coronavirus 2019 Disease (COVID-19) and is characterized by a new type of infectious disease of the respiratory tract, which has been recognized as a pandemic by the World Health Organization ( WHO) on March 11, 2020. When the disease was introduced in Brazil, most cases were imported, and the strategy to contain the epidemic was based on the search and isolation of cases and contacts to avoid the continued spread of the virus. peer to peer. However, many workers, especially in essential services, fail to adopt adequate social distance during a pandemic. In this sense, this project aimed to carry out a seroepidemiological survey of SARS-Cov-2 infection in public security agents in Aracaju-SE. For this, an observational cross-sectional study was carried out in June 2020 and January 2021, with police officers and military firefighters, respectively. Participants were submitted to a questionnaire on socio-epidemiological aspects and collection of biological material to detect the presence of SARS-Cov-2 by RT-PCR and IgM and IgG antibodies through immunofluorescence assays. The two groups of workers were composed mainly of men, aged 45 years or less and residents of Aracaju. It was possible to notice that approximately 50% of the participants of both groups had positive RT-PCR for SARS-Cov-2, 62 (44.6%) being police officers, with a seroprevalence of 3 (2.2%) for IgM and 14 ( 10.1%) for IgG and firefighters 56 (45.5%), with seropositivity for IgM of 17 (13.8%) and IgG of 32 (26.0%). In most positive cases, workers were asymptomatic. There was a significant association between seropositivity for IgM and IgG in police officers (p = 0.0268*, OR = 20.67; 95%CI = 0.03 to 0.89) and in firefighters (p = 0.0416, with OR = 3.04 and 95% CI = 1.1 - 8.7), in addition to the association between IgG and previous covid-19 test reported by firefighters (p = 0.0064, OR = 4.9 and 95% CI = 1.6 to 15.2), as well as for police officers (p = 0.0010, OR = 6.47 and 95% CI = (0.15 to 0.63). Thus, it can be seen that these professionals are routinely exposed to the risk of contamination with the new coronavirus, presenting a considerable rate of infection and increased production of antibodies between the periods evaluated. It is noteworthy that the characteristics of the work can further increase the risk of infection, so the immunization of this category is essential for the safe provision of services for workers and for society. Fri, 12 Nov 2021 00:00:00 GMT https://ri.ufs.br/jspui/handle/riufs/25963 2021-11-12T00:00:00Z https://ri.ufs.br/jspui/handle/riufs/25934 Título: Efeitos da estimulação transcraniana combinada com o treinamento cognitivo-linguístico de memória e atenção em crianças com transtorno fonológico: um estudo piloto cruzado, controlado, randomizado e triplo cego Autor(es): Alves, Maria Vanessa Martins Abstract: Introduction: Transcranial Direct Current Stimulation (tDCS), a non-invasive neuromodulation technique with the potential to induce neuroplastic effects, has shown promising results in modulating cognitive and language functions. However, the application of tDCS in children with specific language disorders remains underrepresented in the current literature, particularly in cases without the presence of other associated medical conditions. Objective: To investigate the effects of tDCS combined with a paired intervention on the cognitive abilities of memory and attention in children with Phonological Disorder (PD). Methods: This pilot, randomized, placebo-controlled, triple-blind, crossover clinical trial was conducted with 16 children aged 7 to 12 years diagnosed with PD. Participants underwent three consecutive weekly sessions of tDCS over four weeks, totaling 12 sessions. Anodal stimulation was applied over the left dorsolateral prefrontal cortex (F3), combined with a standardized cognitive-linguistic training program focused on memory and attention skills. Participants were assessed for cognitive and language functions using the Attention, Oral Language, Executive Functions, and Memory (working, verbal, visual, and semantic) subtests of the NEUPSILIN-Inf – Brief Neuropsychological Assessment Instrument for Children and were evaluated at three time points (T0, T1, and T2). Statistical analyses were performed using R software version 4.5.1, following the intention-to-treat principle. Missing data were handled using Multiple Imputation by Chained Equations (MICE). Considering the crossover design, two analytical approaches were conducted: (1) comparison of changes between T0 and T1 across groups and (2) within-subject analysis comparing the effects of active and sham stimulation. The domains of attention, memory, language, and executive functions were evaluated, in addition to exploratory analyses of individual subtests. Estimates were combined according to Rubin's Rules, and multiple comparisons were adjusted using the False Discovery Rate (FDR) method, adopting a significance level of 5%. Results: The study sample consisted of 16 children, including eight boys and eight girls, aged 7 to 12 years, with a mean age of 8.81 years (SD ± 1.8). Between-group comparison during the first intervention period (T0–T1) demonstrated significantly greater improvement in the attention domain among participants who received active tDCS compared with those who received sham stimulation (p = 0.0085). This finding was corroborated by the within-subject crossover analysis, which also demonstrated superior attentional performance following active stimulation (p = 0.039). Exploratory analyses revealed improvements in auditory attention (p = 0.032) and total attention score (p = 0.033) after active stimulation. Favorable trends were also observed for language and memory, although these findings did not reach statistical significance. Conclusion: The findings suggest that tDCS may primarily enhance attentional processes in children with PD, with potential positive effects on related cognitive functions, including memory and language. These results support the potential of non-invasive neuromodulation as an adjunctive strategy for cognitive rehabilitation, although studies with larger samples are needed to confirm these effects. Fri, 24 Jul 2026 00:00:00 GMT https://ri.ufs.br/jspui/handle/riufs/25934 2026-07-24T00:00:00Z