OBJETIVO: Identificar se existe correlação entre ruído ambiental no interior da sala de aula, intensidade da voz e presença de alteração vocal em professores. MÉTODOS: Foi realizada medição do ruído ambiental em dez salas de escolas municipais de ensino fundamental. A intensidade das vozes das professoras foi medida durante atividade de ensino. Amostras de vogal prolongada [é] e contagem de 1 a 20 emitidas pelas professoras foram analisadas utilizando escala GRBASI. Os resultados obtidos foram correlacionados. RESULTADOS: A média de ruído ambiental sem a presença das crianças em sala de aula variou de 40 a 51 dB(A) e com a presença das crianças de 45 a 65 dB(A). Entre as professoras, houve 70% de ocorrência de vozes alteradas no grau geral (G) e 90% com tensão na voz (S), variando entre graus discreto e moderado. Constatou-se variação entre 52 dB(A) e 68 dB(A) na intensidade da voz das professoras, atingindo 7,48 dB(A) acima do nível do ruído ambiental. Houve correlação entre a intensidade vocal das professoras e ruído ambiental na presença das crianças durante a aula. CONCLUSÃO: Os níveis de ruído ambiental em sala de aula são altos e se correlacionam com o aumento da intensidade das vozes das professoras. Embora com alta ocorrência de vozes alteradas, não é possível correlacioná-las com o nível de ruído ambiental.
Speech and language disorders are some of the most common referral reasons to child development centers accounting for approximately 40% of cases. Stuttering is a disorder in which involuntary repetition, prolongation or cessation of the sound precludes the flow of speech. About 5% of individuals in the general population have a stuttering problem, and about 80% of the affected children recover naturally. The causal factors of stuttering remain uncertain in most cases; studies suggest that genetic factors are responsible for 70% of the variance in liability for stuttering, whereas the remaining 30% is due to environmental effects supporting a complex cause of the disorder. The use of high-resolution genome wide array comparative genomic hybridization (array-CGH) has proven to be a powerful strategy to narrow down candidate regions for complex disorders. We report on a case with a complex set of speech and language difficulties including stuttering who presented with a 10 Mb deletion of chromosome region 7q33-35 causing the deletion of several genes and the disruption of CNTNAP2 by deleting the first 3 exons of the gene. CNTNAP2 is known to be involved in the cause of language and speech disorders and Autism Spectrum Disorder (ASD) and is in the same pathway as FOXP2, another important language gene, which makes it a candidate gene for causal studies speech and language disorders such as stuttering.
Hearing questionnaires may help assess symptoms of adults with APD. The listening difficulties and needs of adults with APD to some extent overlap with those of hearing-impaired listeners, but there are significant differences. The correlation of the gaps-in-noise and duration pattern (but not frequency pattern) tests with the questionnaire scores indicates that temporal processing deficits may play an important role in clinical presentation.
Purpose: to study and characterize anteroposterior and angular deviations in the Unterberger-Fukuda Test (UFT) in relation to the results of the caloric tests in patients complaining of dizziness or vertigo. Methods: 44 subjects-men and women between 20 and 79 years of age-who had symptoms of vertigo or dizziness and had been referred for vectoelectronystagmography were examined. The exclusion criteria were gait difficulties arising from orthopedic and/or spinal disorders, and syndromes or neurological diseases that affect balance. Two procedures were performed: vectoelectronystagmography and UFT. Results: the caloric test showed that 25.00% of the patients had hyporeflexia-the most frequent result. In the open-eyes UFT, only 2.30% presented altered results in anteroposterior displacement. In the closed-eyes test, the equivalent value was 31.80%. Anteroposterior deviation showed a greater correlation with age than the angular one. Abnormal results in the caloric test were associated with the UFT. Conclusion: the results of the closed-eyes UFT were associated with the caloric test. Anteroposterior deviation was correlated with age, while angular deviation was not.
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