Brincar no Hospital:: Assunto para Discutir e Praticar

One hundred and eighteen professionals working with hospitalized children of 7 hospitals in Porto Alegre, asouth Brazilian city, were interviewed about their conceptions of playing in the hospital. The professionals answered a semistructuredinterview and a questionnaire, both part of the cross-sectional design of the study. Questionaire results showed thatprofessionals think children should play with other children, with ordinary toys provided by the hospital in a recreation room.Content Analysis revealed development, interaction, and learning as the main categories derived from the question "What isplaying for children's life?"; and hospital context cliaracteristics, lower suffering through a distraction, and interaction fromthe question "What is the use of playing for hospitalized children?". Correspondence Analysis also showed a number ofdifferences among hospitals. The authors discuss how to help professionals to turn their intuitive conceptions about play toconceptual ones, in order to sistematize the activity into the hospital routine.Cento e dezoito profissionais que trabalham com crianças hospitalizadas em 7 hospitais de Porto Alegre (RS) foram entrevistados a respeito das concepções que tinham acerca do brincar no hospital por intermédio de um estudo transversal. Os participantes responderam a um questionário e a uma entrevista semi-estruturada. O resultado dos questionários salientou que as crianças deveriam brincar com outras crianças e com brinquedos comuns, fornecidos pelo hospital, em uma sala de recreação. Desenvolver-se, relacionar-se e aprender foram as categorias reveladas pela Análise de Conteúdo para a questão "para que serve brincar na vida de uma criança?"; características da situação hospitalar, amenizar o sofrimento através de um passatempo e relacionar-se, as indicadas para a questão "para que serve brincar no hospital?" . Além disso, particularidades entre os hospitais foram elucidadas pela Análise de Correspondência. As autoras discutem maneiras de auxiliar os profissionais a transformar suas concepções sobre o brincar desde o nível intuitivo até o conceitual, a fim de sistematizar a utilização do brincar na rotina hospitalar

Effects of orofacial myofunctional therapy on masticatory function in individuals submitted to orthognathic surgery: a randomized trial

Abstract Objectives: The esthetic and functional results of orthognathic surgery of severe dentofacial deformities are predictable, however there are differences regarding the effects on stomatognathic system. The aim was to investigate the effects of orofacial myofunctional therapy (OMT) on the masticatory function in individuals with dentofacial deformity submitted to orthognathic surgery (OGS). Material and Methods: Forty-eight individuals (18-40 years) were evaluated, 14 undergoing OMT (treated group-TG), 10 without this treatment (untreated group-UTG) and 24 in a control group with normal occlusion; for clinical aspects the data of an individual was missed (n=46). Chewing was performed using the Expanded protocol of orofacial myofunctional evaluation with scores (OMES-E). Muscle tone and mobility were also analyzed before (P0), three (P1) and six months (P2) after OGS. Surface electromyography of the masseter and temporalis muscles was performed, considering the parameters amplitude and duration of act and cycle, and the number of masticatory cycles. The OMT consisted of ten therapeutic sessions along the postoperative period. The results were compared using parametric and non-parametric tests. Results: TG showed higher scores in P1 and P2 than P0; for the masticatory type the scores in P2 were significantly higher than P0. In addition, the proportion of individuals with adequate tone of lower lip and adequate tongue mobility for TG increased significantly from P1 and P2 in relation to P0. The EMG results showed a decrease in act and cycle duration in P2 in relation to P0 and P1 for the TG; furthermore the values were close to controls. An increase in the number of cycles from P0 to P2 was also observed, indicating faster chewing, which may be attributed to an improvement of balanced occlusion associated with OMT. Conclusion: There were positive effects of OMT on the clinical and electromyography aspects of chewing in individual submitted to orthognathic surgery

Brincar no hospital : o que pensa e como age a equipe de profissionais de unidades de internação infantil de Porto Alegre

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Brincar no hospital : o que pensa e como age a equipe de profissionais de unidades de internação infantil de Porto Alegre

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O que pensa o profissional que trabalha com crianças hospitalizadas sobre a atividade de brincar dentro e fora do hospital

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