The Zika virus is transmitted between humans by the Aedes aegypti mosquito and has become a public health emergency, as declared by the World Health Organization. Studies have reported the virus to be associated with hearing alterations in patients, following infection. This study was conceived in view of the importance of hearing for communication, associated with the limited number of reports on the impact of Zika virus on the hearing system of adults. The aim of the study was to characterize the otological findings in two adult patients, following infection with the Zika virus. The otological findings observed in two outpatients of an otorhinolaryngology service were described, both of whom reported hearing complaints immediately following the clinical symptoms of Zika virus infection. Both adult patients reported the following symptoms: discomfort, skin rash, joint pain, auricular fullness, and hearing loss. Serologic testing (IgG) for Zika virus was performed. The audiological findings were unilateral peripheral hearing loss in one of the patients, alterations in contralateral acoustic reflexes in both patients, and alteration in the brainstem auditory-evoked potential in one patient. The audiological findings demonstrate possible neuronal involvement in the manifested complaints, whether or not associated with the peripheral component, in patients infected with Zika virus. Keywords

ABSTRACT:Objective: To estimate the prevalence and to analyze the factors associated with self-reported hearing handicap by construction workers in the state of Mato Grosso, Brazil. Methods: A cross-sectional study was conducted with 866 construction and heavy construction workers. Participants responded to an epidemiological survey subdivided in: identification data, sociodemographic data; lifestyle; work environment characteristics; occupational exposure factors; hearing protection measures; and hearing handicap inventory to quantify the psychosocial consequences of work-related hearing loss. Results: The prevalence of hearing impairment among workers in the construction sector was 14.43% (n = 125). There were 311 emotional and social complaints related to hearing problems. Hearing handicap was associated with: 60 or over age group (PR = 1.94, 95%CI 1.01 -3.71); alcohol consumption (PR = 1.94, 95%CI 1.38 -2.73); direct exposure to noise (PR = 1.75; 95%CI 1.03 -2.97); exposure to dust (PR = 1.59, 95%CI 1.13 -2.24); non-use of earplugs (PR = 1.39, 95%CI 1.00 -1.93); and non-use of neck flap cap (PR = 1.52, 95%CI 1.09 -2.13). Conclusion: We observed a high prevalence of hearing impairment among workers in the construction sector associated with: individuals aged 60 years or older; alcoholism; exposure to noise and dust; non-use of earplugs; and non-use of neck flap cap. Therefore, it is necessary to implement policies aimed at preserving the hearing health of construction and heavy construction workers.

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Introdução: A evolução da ciência e tecnologia sofreu uma expansão considerável nos últimos anos com o advento da internet foram surgindo inúmeras plataformas digitais dentre elas, as mídias/redes sociais, que no decorrer de seu desenvolvimento deu a possibilidade de apresentar ao mercado de trabalho um novo profissional, o influenciador digital. O influenciador digital é um indivíduo que influencia ações e atitudes dos consumidores com relação as suas decisões, através das redes sociais. Com o crescimento desta profissão, a voz passou a ser o principal instrumento de trabalho destes profissionais, já que eles utilizam dela para gravar seus vídeos, fazer as propagandas das marcas e falarem sobre suas rotinas diárias nas redes sociais. Entretanto, pouco se sabe dos fatores de risco e sintomas vocais nestes profissionais. Objetivo: Identificar e descrever os fatores de riscos para a voz e os sintomas vocais autorreferidos por influenciadores digitais Métodos: Trata-se de um estudo de caráter quantitativo, transversal e observacional que foi realizado com influenciadores digitais em três etapas distintas, sendo elas a aplicação do questionário de investigação dos fatores de riscos para voz em influenciadores digitais, a aplicação do protocolo da Escala de Sintomas Vocais, e orientações vocais por meio do manual de recomendações de cuidados vocais.