Objective: To investigate the prevalence of voice complaints among bus transport workers in a metropolitan area in Brazil and examine whether sociodemographic and occupational factors were associated with this outcome. This study is part of a larger study that investigated the working conditions and health of drivers and conductors of urban transportation. Methods: The sample size (1,607 participants) was calculated by means of quotas and was stratified according to occupation (drivers and conductors) in the bus companies of Belo Horizonte, Betim and Contagem. Face-to-face interviews were facilitated by means of a digital questionnaire, applied by the interviewer using a netbook. The outcome variable was constructed from combining the responses to the following two questions: (1) Over the last two weeks, have you felt tired when speaking? (no/sometimes/every day). (2) Over the last two weeks, have you noticed any worsening of your voice quality? (no/sometimes/every day). Sociodemographic, lifestyle, occupational characteristic and health situation data were gathered. Results: The prevalence found was 29% overall: 24% for drivers and 34% for conductors. Attention was drawn to positive associations with the function of conductor and with reports of exposure to vibration and thermal discomfort. Among the individual factors, only female gender reached statistical significance. Conclusion: Risk factors exist that justify interventions to promote voice health within the urban transport sector under study. It would be appropriate to investigate whether vibration of the whole body would influence the functioning and morphology of the larynx.

Objective: To analyze the profile of patients using nasoenteral tube (NET) and the factors associated with death. Methods: Cross-sectional and analytical study was performed in medical wards of seven Brazilian hospitals in the North, Northeast, Southeast and South. The sample consisted of 447 patients hospitalized with NET. The inclusion criteria were: patients older than 18 years; with NET positioned in the stomach or intestine; hospitalized for at least 24 hours. Data were collected from October 2017 to April 2019, using a mobile device (cell phone or tablet). Demographic, clinical and therapeutic data were obtained from medical records and recorded in an electronic form, using the Survey Monkey® platform. The complexity of care was verified through a patient classification system and the severity of the disease, by the Charlson Comorbidity Index adjusted by age. For data analysis, descriptive statistics, Chi-Square Cochran-Armitage and Fisher’s Exact tests were performed. Results: Most patients were male (52.2%), white (67.6%), married (45.1%), with incomplete elementary school (38.4%). Regarding the main medical diagnosis, most of them presented circulatory system disease (30%); more than 50% were in a state of alert, 44% were highly dependent on nursing care and had high risk for death (47.9%). There was statistical significance among death and the variables care complexity, level of awareness and age. Conclusions: Knowledge about the profile of patients using NET and the factors associated with death are important because it offers data that allow better planning of health care.

ResumoObjetivo: verificar o tempo ideal do exercício de vibração sonorizada de língua (EVSL) na voz de crianças disfônicas. Método: participaram vinte e sete crianças, entre 04 e 11 anos, com diagnóstico de nódulo ou cisto de pregas vocais. Dessas crianças, onze fizeram parte do grupo experimental (GE) e 16 do grupo controle (GC). A vogal sustentada /ε/ e a contagem de 1 a 10 foram registradas antes (m0) e após o primeiro (m1), terceiro (m3), quinto (m5) e o sétimo (m7) minuto de execução do EVSL. As gravações foram apresentadas a três fonoaudiólogas, que julgaram se houve modificação da qualidade vocal. Os parâmetros acústicos avaliados na vogal sustentada foram frequência fundamental, jitter, shimmer, glotal to noise excitation (GNE) e ruído. Resultados: na avaliação perceptivo-auditiva, não houve modificações significativas entre os momentos de execução do EVSL. Na análise acústica, observou-se que o parâmetro ruído diminuiu e o parâmetro GNE aumentou após três minutos de realização do exercício no GE, em comparação com o GC. Conclusão: não houve melhora em nenhum dos tempos na avaliação perceptivoauditiva da voz de crianças disfônicas com o EVSL. A análise acústica indicou melhora da qualidade vocal aos três minutos de execução do exercício.Palavras-chave: Disfonia; Criança; Fonoterapia; Qualidade da Voz; Terapia por Exercício.* Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil. Contribuição dos autores:Todos os autores participaram da concepção do estudo, análise dos dados, orientaram todas as etapas do trabalho e redação do manuscrito e aprovação da versão final.