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ItemArtigo Alcohol use and risk of vehicle accidents: Cross-sectional study in the city of São Paulo, Brazil(2020-05-01) de Oliveira, Janaina Barbosa [UNESP]; Kerr-Corrêa, Florence [UNESP]; Lopes, Ícaro Caresia [UNESP]; Junior, Walter Vitti [UNESP]; Nunes, Hélio Rubens de Carvalho [UNESP]; Lima, Maria Cristina Pereira [UNESP]; Universidade Estadual Paulista (Unesp)BACKGROUND: Harm to other people caused by an individual under the influence of alcohol (UIA) can occur in a variety of relationship situations between the drinker and these other people. OBJECTIVES: To estimate the prevalence of the risk of vehicle accidents (RVA) involving people who are UIA, according to sociodemographic variables, respondent alcohol use and gender. DESIGN AND SETTING: Cross-sectional study, in which a household survey was carried out on a clus-ter-stratified representative sample of urban residents in the city of São Paulo. METHODS: The final sample was composed of 1,155 subjects aged 18-59 years, who were interviewed using the GENACIS Harm-to-Others questionnaire. Individuals were defined as having been harmed if an affirmative response was given to at least one of the questions that refers to RVA involving people who had been UIA in the last twelve months. Post-stratification weights were calculated to adjust for the study design and for no response. Since the outcome was binary, logistic regression was used in multivariable analysis. RESULTS: The final response rate was 58.6%. The overall prevalence of RVA was 13.6% (95% confidence interval, CI 11.0-16.7): 16.6% among men and 10.8% among women. After the logistic regression, age re-mained as a protective factor (odds ratio, OR 0.95) and binge drinking as a risk factor (OR 2.03). CONCLUSION: This study showed that binge drinking was associated with RVA.ItemArtigo Atividade eletromiográfica e cocontração dos músculos do tronco durante exercícios realizados com haste oscilatória: uma análise do efeito de diferentes posturas(Universidade de São Paulo, 2015-06-01) Martins, Luis Renato Garcia Martinez; Marques, Nise Ribeiro; Ruzene, Juliana Rodrigues Soares; Morita, Ângela Kazue; Navega, Marcelo Tavella; Universidade Estadual Paulista (Unesp)This study aimed at analyzing the electromyographic activity (EMG) and cocontraction of torso muscles during exercises with a flexi bar, in two different postures (neutral pelvis and posterior pelvic tilt). 20 young women with no lower back pain took part in the study (ages between 18 and 28 years) and they were recruited from a university population. In order to collect the data, an exercise was performed with a flexi bar being held with both hands. It was perpendicular to the ground and it was oscillating in the sagittal plane. That exercise was conducted in two different pelvis postures (neutral and posterior tilted). The EMG signals were collected bilaterally on the following muscles: internal oblique (IO), rectus abdominals (RA), iliocostalis lumborum (IL) and multifidus (MU). The analysis of variance (ANOVA) of repeated measurements was found to display an interaction between muscles and postures (F=5.18; p=0.003). The activation of IL muscle in the neutral posture was 7.93% higher than in the posteriorly tilted posture (p=0.005), and the activation of IO muscle was 13.62% higher in the posteriorly tilted posture than during the exercise in the neutral posture (p=0.002). According to our results, the performance of the exercise with a posteriorly tilted pelvis increased the activation of IO muscle, whereas IL muscle was found to have a higher activation when the exercise was performed in a neutral posture. Future studies need to be conducted in order to understand the neuromuscular adaptations that are generated by exercises with flexi bars, and their relevance to the prevention and treatment of nonspecific lower back pain.ItemResumo Estimulação precoce: atendimento multidisciplinar de bebês com atraso no desenvolvimento sensório-motor(Universidade Estadual Paulista (Unesp), 2003) Braccialli, Lígia Maria Presumido [UNESP]; Reganhan, Walquiria Gonçalves [UNESP]; Baleotti, Luciana Ramos [UNESP]; Tuler, Silvana Falcão [UNESP]; Universidade Estadual Paulista (Unesp)O desenvolvimento sensório-motor de um bebê com necessidades especiais é estimulado se oferecermos oportunidades para que ele vivencie experiências e sensações diversificadas e adequadas para a fase em que se encontra. Portanto, intervir precocemente é fundamental para a reabilitação e inclusão social destas crianças. Desta forma, o presente trabalho tem como objetivos: oferecer atendimento multidisciplinar, nas áreas de fisioterapia, fonoaudiologia e terapia ocupacional, a bebês com atraso no desenvolvimento sensório-motor; orientar familiares de crianças, inseridas no programa, sobre a importância da estimulação precoce, a utilização de técnicas corretas de manuseio e estimulação da criança em casa; proporcionar aos estagiários da pedagogia, fonoaudiologia e fisioterapia a atuação em um programa de intervenção precoce O programa vem sendo desenvolvido no Centro de Estudos da Ciência e da Saúde – UNESP – Marília desde 1997. A clientela atendida é constituída de bebês, de ambos os sexos, na faixa etária entre 0 e 3 anos que apresentam atraso no desenvolvimento sensório-motor. Todos os bebês inicialmente são avaliados pelos profissionais engajados no programa. A avaliação tem como objetivo detectar as dificuldades e potencialidades de cada criança em relação aos diferentes aspectos do desenvolvimento e direcionar o planejamento de atendimento. A seguir, os bebês, são encaminhados para atendimento individualizado nos setores de fisioterapia, fonoaudiologia e terapia ocupacional. O atendimento é realizado duas vezes por semana, por um período de 30 minutos em cada área. Semanalmente os pais participam dos atendimentos, observando a atuação de cada profissional e recebendo orientações em relação às técnicas adequadas de manuseio e de estimulação precoce. Tem-se a preocupação de ensinar as técnicas corretas e de enfatizar os motivos e objetivos desejados em cada situação, tornando os pais participantes do processo. Além dos atendimentos aos clientes e aos familiares são realizadas orientações aos professores de educação infantil visando à inclusão destas crianças. Periodicamente os profissionais que atuam no programa reúnem-se com o objetivo de discutir as potencialidades e dificuldades encontradas, as metas a serem alcançados, as estratégias e recursos a serem utilizados, bem como a evolução dos bebês.ItemArtigo Validity of alcohol screening instruments in general population gender studies: an analytical review(Bentham Science Publishers, 2014) Oliveira, Janaina Barbosa de [UNESP]; Kerr-Corrêa, Florence [UNESP]; Lima, Maria Cristina Pereira [UNESP]; Bertolote, José Manoel [UNESP]; Santos, Jair Lício Ferreira [UNESP]; Universidade Estadual Paulista (Unesp)The present study is an analytical review of the methodology used in studies of efficacy of screening instruments to detect harmful use/ alcohol dependence according to the gender in population surveys. Systematic review of bibliography was done, using data from Web of Science, Pubmed and PsycInfo. Population studies were included without date range, in English, Spanish or Portuguese languages, with sample of adults, evaluating psychometric characteristics of any alcohol screening instrument, whereas studies in special population or under treatment as well as prevalence of alcohol consumption were excluded. Thirteen studies were selected to be included in the present review. According to the studies, the instruments that presented a better performance among men were AUDIT and its derivatives (6 studies) and CAGE (2 studies), whereas among women, AUDIT and its derivatives (7 studies), followed by CAGE (3 studies). The increase of consumption and problems related to alcohol use and its implications for public health indicate the need and urgency for adequacy of screening instruments to differences of gender in general population. The population surveys in the area are scarce. Furthermore, the found studies present heterogeneous methodology which makes accurate comparisons difficult.ItemArtigo Estudo Psicológico de um Caso de Distúrbio de Linguagem(2013) Ferraz, Maria da Graça Chamma Ferraz e [UNESP]; Fragoso, Tassiana Barbeiro [UNESP]; Misquiatti, Andréa Regina Nunes [UNESP]; Universidade Estadual Paulista (Unesp)Our intention was to describe the case of a six-year-old boy, carrier of a language disturbance associated to neurological disorders, in language therapy. Our goal was to build instruments for the diagnosis of similar cases. Relating the patient's psychopathological characteristics with a neurological disease, we understood that both results in manifestations of verbal and physical aggressiveness as well as in the severe disturbance of the language. We hope we have contributed to the understanding of the disturbances of communication associated to psychogenic symptoms and of neurological disorders.ItemArtigo Avaliação audiológica comportamental e eletrofisiológica no transtorno do espectro do autismo(CEFAC Saúde e Educação, 2014-06-01) Romero, Ana Carla Leite; Gução, Ana Cláudia Bianco; Delecrode, Camila Ribas; Cardoso, Ana Cláudia Vieira [UNESP]; Misquiatti, Andréa Regina Nunes [UNESP]; Frizzo, Ana Cláudia Figueiredo [UNESP]; Universidade Estadual Paulista (Unesp)Purposeto describe the audiological and electrophysiological findings of a group of patients with autistic spectrum disorder. Methodthis is a cross-sectional descriptive study. Nine patients with autistic spectrum disorder participated in these study and it was performed the audiological and electrophysiological evaluation. Results were expressed as descriptive statistics. Resultall patients presented audiometric threshold within normal standards. Eight patients had type A tympanogram and one had type C. It was observed the presence of distortion product otoacoustic emission responses in all patients. The results of brainstem auditory evoked responses indicated the integrity of auditory pathways. Conclusionthe population studied showed results consistent with normality in behavioral and electrophysiological assessment of hearing. Because there is no consensus, in specialty literature, regarding the audiological findings in this population, particularly with regard to electrophysiological assessment of auditory processing, we would like to suggest the performance of new studies.ItemArtigo Testes tonais de padrão de frequência e duração no Brasil: revisão de literatura(CEFAC Saúde e Educação, 2014-03-01) Delecrode, Camila Ribas; Cardoso, Ana Cláudia Vieira [UNESP]; Frizzo, Ana Cláudia Figueiredo [UNESP]; Guida, Heraldo Lorena [UNESP]; Universidade Estadual Paulista (Unesp)Este estudo tem como tema o teste de padrão de frequência e de duração no Brasil e como objetivo revisar e explanar sobre a avaliação do processamento auditivo temporal no Brasil, mais especificamente sobre os testes tonais de ordenação temporal (teste de padrão de frequência e duração). Para atingir tal objetivo foi realizado um trabalho de revisão sistemática da literatura em periódicos nacionais, acessados eletronicamente na base de dado Scielo e Lilacs, sem restrição ao ano de publicação. A pesquisa foi estruturada por meio dos descritores: processamento temporal, processamento auditivo temporal, testes temporais, testes tonais de padrão de frequência e testes tonais de padrão de duração, percepção auditiva e testes auditivos. A pesquisa retornou 33 publicações nacionais sendo 28 artigos de periódicos, uma dissertação de mestrado e quatro teses de doutorado. Com isso, pode-se perceber que a utilização de testes que avaliem a habilidade de ordenação temporal no Brasil é recente, sendo notável o aumento significante das publicações nos últimos cinco anos. Desta forma, o emergente conhecimento possibilitado pelo acesso aos testes no Brasil permite ampliar um campo de pesquisa a todos os profissionais comprometidos com este tema.ItemArtigo Achados timpanométricos em um grupo de escolares(CEFAC Saúde e Educação, 2013-12-01) Lindau, Tâmara De Andrade [UNESP]; Delecrode, Camila Ribas [UNESP]; Cardoso, Ana Cláudia Vieira [UNESP]; Universidade Estadual Paulista (Unesp)PURPOSE: to characterize and compare the tympanometric findings in a group of preschoolers. METHOD: 112 preschoolers were evaluated, both genders, aged from four years old to five years and eleven months old who attended a Municipal School of Early Childhood Education in the suburbs of Marilia city- SP. Tympanometry was used as triage procedure. It was considered that the child PASSED in the triage when it presented an A type tympanometric curve, bilaterally, being reevaluated in case of failure. RESULTS: it was observed a high failure index (63.4%) in the studied population. The older female preschoolers presented a higher index of A type tympanograms, in both ears. There was a higher incidence of failure in male preschoolers aged from four years to four years and eleven months. CONCLUSION: in this sample, there was a high index of tympanometric alteration. There was a tendency among younger male students to present a higher index of tympanometric alteration when compared to older female preschoolers, this difference was not statistically significant.