18 research outputs found
Multidisciplinary protocol proposal for professional dysphonia: preliminary study
Dysphonia has an occupational view nowadays. A shift in the voice-oriented professional's clinical approach has been required. New voice-oriented job categories have emerged and, as a result, the voice disorder in the professional enviroment has increased. The economic and productivity harm due to voice disorders are a preocupation. Dysphonia has multiple causes and its evaluation, ethiological conclusion and occupational reports aren't defined yet. AIM: In order to obtain a more accurate and comprehensive evaluation, a multidisciplinary protocol was elaborated to ensure proper medical scientific support. It consists of anamnesis, physical exam, laryngeal endoscopy, perceptive voice analysis and Voice Handicap Index application (VHI). STUDY DESIGN: Transversal historic cohort. MATERIAL E MĂTODO: In this preliminary study, the protocol was applied on 15 voice professionals with dysphonia. RESULTS: 13,3% with normal voice performance; 33,3% with functional dysphonia; 46% with organic dysphonia. Dysphonia was related to the voice-oriented job in 40% cases and it was ruled out in 46,6%. CONCLUSION: We concluded that the protocol is complete enough to help otolaryngologists evaluate this workers' category.A disfonia tem recebido um enfoque ocupacional crescente e torna-se necessĂĄrio, ao otorrinolaringologista, atualizar a abordagem clĂnica dos trabalhadores que usam a voz como instrumento de trabalho, onde novas catagorias profissionais tĂȘm surgido e, com elas, as disfunçÔes vocais conseqĂŒentes Ă s condiçÔes de trabalho. Hoje, hĂĄ grandes preocupaçÔes com o prejuĂzo econĂŽmico e produtivo que o ditĂșrbio vocal possa gerar. Sabe-se que a disfunção vocal tem como caracterĂstica a multicausalidade e, por isso, a avaliação, conclusĂŁo e emissĂŁo de relatĂłrios mĂ©dicos tornam-se incertos. OBJETIVO: Para melhor avaliar estes profissionais e garantir um atendimento com respaldo cientĂfico adequado, estabeleceu-se um protocolo multidisciplinar, que consiste em anamnese dirigida, exame fĂsico, endoscopia larĂngea, anĂĄlise perceptiva da voz e aplicação do Voice Handicap Index (VHI). FORMA DE ESTUDO: Coorte histĂłrica transversal. MATERIAL E MĂTODO: Para testar o uso do mĂ©todo, em carĂĄter preliminar, o protocolo foi aplicado em 15 profissionais que usavam a voz para trabalhar. EntĂŁo, realizou-se um estudo retrospectivo com estes pacientes. RESULTADO: Demonstrou-se que 13,3% dos profissionais apresentaram performance vocal normal; 33,3%, disfonia funcional e 46%, disfonia orgĂąnico-funcional. A disfunção vocal foi relacionada ao exercĂcio do trabalho em 40% dos pacientes e em 46,6% ela foi descartada. CONCLUSĂO: Concluiu-se que o mĂ©todo Ă© suficientemente abrangente e pode ser de utilidade ao otorrinolaringologista, para a avaliação clĂnico-ocupacional deste grupo de pacientes.59059
Necessidade de referĂȘncias pedagĂłgicas para o ensino de cardiologia no curso de graduação
o ensino de cardiologia, levada a efeito por alguns professores da FAMED/UFRGS, com o propĂłsito de dinamizar as atividades docentes e discentes, visando uma aprendizagem mais efetiva. O programa destina-se aos alunos do 5° semestre do Curso de Medicina e pretende uma mudança de comportamento de professores e alunos, a fim de promover maior interação, oportunizar trocas, facilitar o processo de ensino aprendizagem, mantendo, sempre, o paciente como centro da ação mĂ©dica. MĂ©todos - O programa enfatiza o desenvolvimento das atividades por meio da explicitação de objetivos gerais e especĂficos de cada atividade a ser desenvolvida pelo aluno, com estĂĄgios na ĂĄrea de internação do serviço de cardiologia, dando ĂȘnfase especial Ă mudança de comportamento nas ĂĄreas cognitiva, motora, afetiva e atitude. A ĂĄrea de conhecimento foi desenvolvida por meio de seminĂĄrios interativos com o emprego de testes iniciais e finais de avaliação para identificar o desempenho do aluno e do professor. Os alunos foram avaliados de modo imediato, contĂnuo e progressivo, nas suas atividades diĂĄrias e pela comparação da prova de entrada e de saĂda, elaborada com as mesmas questĂ”es. Resultados - Foram avaliados, sistematicamente, 560 alunos durante quatro anos. Os valores dos 244 seminĂĄrios foram para o prĂ©-testes 7,38±1,66 e para os pĂłs-teste 9,17±0,82 (p<0,0001). Nas provas de entrada e de saĂda os valores foram, respectivamente, 5,61±1,61 e 9,37± 0,90 (<0,0001). ConclusĂŁo - O programa mostrou-se eficiente para a aprendizagem do aluno e para avaliar seu desempenho de forma sistemĂĄtica e objetiva
2 nd Brazilian Consensus on Chagas Disease, 2015
Abstract Chagas disease is a neglected chronic condition with a high burden of morbidity and mortality. It has considerable psychological, social, and economic impacts. The disease represents a significant public health issue in Brazil, with different regional patterns. This document presents the evidence that resulted in the Brazilian Consensus on Chagas Disease. The objective was to review and standardize strategies for diagnosis, treatment, prevention, and control of Chagas disease in the country, based on the available scientific evidence. The consensus is based on the articulation and strategic contribution of renowned Brazilian experts with knowledge and experience on various aspects of the disease. It is the result of a close collaboration between the Brazilian Society of Tropical Medicine and the Ministry of Health. It is hoped that this document will strengthen the development of integrated actions against Chagas disease in the country, focusing on epidemiology, management, comprehensive care (including families and communities), communication, information, education, and research
Correlation Between Voice And Life Quality And Occupation.
Dysphonia may impair the quality of communication and social relations of people, thereby directly affecting quality of life. It is common knowledge amongst professionals involved with the treatment of voice disorders the need for objective protocols to evaluate voice quality and measure its impact on the individual's quality of life. To associate life quality with the degree of dysphonia and professional voice use in a group of dysphonic patients. A prospective clinical study was undertaken with a group of dysphonic patients using an internationally validated voice-related quality-of-life protocol. A statistical analysis of the results was carried out, not distinguishing between those who use their voices professionally and those who don't. Dysphonia had an impact on the quality of life of all patients. There was no statistically significant difference between the groups - professional users and non-users of their voices; however, considering the groups separately, this correlation was significant only in the group of patients who do not use their voices professionally. Dysphonia affected the quality of life of all subjects regardless of their voice use.75275-
The need for pedagogical qualifications for teaching cardiology to undergraduate students
Objective - To report a training program in cardiology emphasizing changes in its pedagogical practice. These changes were put into practice by some teachers at the Medical School of Porto Alegre of the University of Rio Grande do Sul (FAMED/UFRGS) aiming to make faculty and student activities more dynamic and to promote more efficacious learning. The training program is directed at 5th semester medical students and aims at a behavioral change in teachers and students to promote more interaction, to favor exchanges, and to make the teaching-learning process easier, always maintaining the patient in the center of the medical activity. Methods - The program emphasizes the definition of general and specific objectives for each activity to be developed by the students, with training in the area of admission to the cardiology service, with special emphasis on behavioral change in the cognitive, motor, affective, and attitudinal areas. Knowledge was developed by means of interactive seminars with initial and final assessment tests to identify studentsâ and teachersâ performance. The students were evaluated in an immediate, continuous, and progressive way in their daily activities and through comparison of the results of 2 tests, one applied at the beginning of the training and the other at its end. These 2 tests contained the same questions.Results - We systematically assessed 560 students over 4 years. The mean grades of the tests performed prior to and after the 244 seminars were 7.38±1.66 and 9.17± 0.82, respectively (p<0.0001). For the tests applied at the beginning and at the end of the training, the mean grades were 5.61±1.61 and 9.37±0.90, respectively (p<0.0001). Conclusion - The program proved to be efficient both for the studentsâ learning and for assessing their performance in a systematic and objective way
The Need for Pedagogical Qualifications for Teaching Cardiology to Undergraduate Students
OBJECTIVE: To report a training program in cardiology emphasizing changes in its pedagogical practice. These changes were put into practice by some teachers at the Medical School of Porto Alegre of the University of Rio Grande do Sul (FAMED/UFRGS) aiming to make faculty and student activities more dynamic and to promote more efficacious learning. The training program is directed at 5th semester medical students and aims at a behavioral change in teachers and students to promote more interaction, to favor exchanges, and to make the teaching-learning process easier, always maintaining the patient in the center of the medical activity. METHODS: The program emphasizes the definition of general and specific objectives for each activity to be developed by the students, with training in the area of admission to the cardiology service, with special emphasis on behavioral change in the cognitive, motor, affective, and attitudinal areas. Knowledge was developed by means of interactive seminars with initial and final assessment tests to identify students' and teachers' performance. The students were evaluated in an immediate, continuous, and progressive way in their daily activities and through comparison of the results of 2 tests, one applied at the beginning of the training and the other at its end. These 2 tests contained the same questions. RESULTS: We systematically assessed 560 students over 4 years. The mean grades of the tests performed prior to and after the 244 seminars were 7.38±1.66 and 9.17± 0.82, respectively (p<0.0001). For the tests applied at the beginning and at the end of the training, the mean grades were 5.61±1.61 and 9.37±0.90, respectively (p<0.0001). CONCLUSION: The program proved to be efficient both for the students' learning and for assessing their performance in a systematic and objective way
The need for pedagogical qualifications for teaching cardiology to undergraduate students
Objective - To report a training program in cardiology emphasizing changes in its pedagogical practice. These changes were put into practice by some teachers at the Medical School of Porto Alegre of the University of Rio Grande do Sul (FAMED/UFRGS) aiming to make faculty and student activities more dynamic and to promote more efficacious learning. The training program is directed at 5th semester medical students and aims at a behavioral change in teachers and students to promote more interaction, to favor exchanges, and to make the teaching-learning process easier, always maintaining the patient in the center of the medical activity. Methods - The program emphasizes the definition of general and specific objectives for each activity to be developed by the students, with training in the area of admission to the cardiology service, with special emphasis on behavioral change in the cognitive, motor, affective, and attitudinal areas. Knowledge was developed by means of interactive seminars with initial and final assessment tests to identify studentsâ and teachersâ performance. The students were evaluated in an immediate, continuous, and progressive way in their daily activities and through comparison of the results of 2 tests, one applied at the beginning of the training and the other at its end. These 2 tests contained the same questions.Results - We systematically assessed 560 students over 4 years. The mean grades of the tests performed prior to and after the 244 seminars were 7.38±1.66 and 9.17± 0.82, respectively (p<0.0001). For the tests applied at the beginning and at the end of the training, the mean grades were 5.61±1.61 and 9.37±0.90, respectively (p<0.0001). Conclusion - The program proved to be efficient both for the studentsâ learning and for assessing their performance in a systematic and objective way