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Abstract Introduction: Tongue cancer is one of the most common subtypes of head and neck cancer. The aggressive effects of treatment cause aesthetic, psychosocial and functional deficits, especially dysphagia, which affects patient quality of life. Rehabilitation, which is essential for functional maximum recovery, helps patients deal with new and altered structures and has a positive impact on quality of life. Objective: To verify the impact of speech therapy on swallowing quality of life in tongue cancer patients after treatment. Methods: This parallel randomized clinical trial was conducted at a public hospital in Porto Alegre, RS, Brazil. Before and after the intervention, a quality of life questionnaire (the Deglutition Handicap Index) was employed, dysphagia severity was assessed with fiberoptic endoscopic evaluation of swallowing, and the Functional Oral Intake Scale carried out. The experimental group underwent four-week sessions of speech therapy over one month, while the control group received the institution's usual follow-up. Results: Thirty individuals treated for tongue cancer were divided into a study and a control group. Deglutition Handicap Index scores decreased significantly (approximately 40 points) (p < 0.001) after the intervention in the study group. There was a significant correlation between improved quality of life, reduced dysphagia severity and increased in Functional Oral Intake Scale scores (p <0.001). Conclusion: After speech therapy, quality of life scores related to deglutition and dysphagia severity improved in patients treated for tongue cancer.

Resumo Introdução: O câncer de língua é um dos subtipos mais comuns do câncer de cabeça e pescoço. Os efeitos agressivos do tratamento causam impactos estéticos, psicossociais e funcionais, principalmente a disfagia, os quais afetam a qualidade devida do paciente. A reabilitação, essencial para a máxima recuperação funcional, auxilia o paciente a lidar com as novas estruturas e tem impacto positivo na qualidade de vida. Objetivo: Verificar o impacto da fonoterapia na Qualidade de Vida relacionada à deglutição de pacientes tratados por câncer de língua. Método: Ensaio clínico randomizado paralelo, realizado em um hospital público de Porto Alegre, RS, Brasil. Antes e após a intervenção, os participantes foram avaliados por meio de um questionário de Qualidade de Vida (o Índice de Desvantagem da Deglutição), classificados quanto a gravidade da disfagia (por meio do exame de Videoendoscopia da Deglutição) e quanto ao nível da escala funcional de ingestão por via oral. O grupo experimental foi submetido a quatro sessões semanais de fonoterapia no período de um mês, enquanto o grupo controle recebeu o acompanhamento habitual da instituição. Resultados: Trinta indivíduos tratados para câncer de língua foram divididos em um grupo estudo e um grupo controle. Houve uma diminuição significativa, de aproximadamente 40 pontos (p <0,001), nos escores de Qualidade de Vida após a intervenção no grupo experimental. Verificou-se correlação significativa entre a melhora da Qualidade de Vida, a redução da gravidade da disfagia e o aumento dos níveis da escala funcional de ingestão por via oral (p <0,001). Conclusão: Após a fonoterapia, pacientes tratados por câncer de língua apresentaram melhora nos escores de Qualidade de Vida relacionada à deglutição e na gravidade da disfagia.

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INTRODUCTION: Tongue cancer is one of the most common subtypes of head and neck cancer. The aggressive effects of treatment cause aesthetic, psychosocial and functional deficits, especially dysphagia, which affects patient quality of life. Rehabilitation, which is essential for functional maximum recovery, helps patients deal with new and altered structures and has a positive impact on quality of life. OBJECTIVE: To verify the impact of speech therapy on swallowing quality of life in tongue cancer patients after treatment. METHODS: This parallel randomized clinical trial was conducted at a public hospital in Porto Alegre, RS, Brazil. Before and after the intervention, a quality of life questionnaire (the Deglutition Handicap Index) was employed, dysphagia severity was assessed with fiberoptic endoscopic evaluation of swallowing, and the Functional Oral Intake Scale carried out. The experimental group underwent four-week sessions of speech therapy over one month, while the control group received the institution's usual follow-up. RESULTS: Thirty individuals treated for tongue cancer were divided into a study and a control group. Deglutition Handicap Index scores decreased significantly (approximately 40 points) (p < 0.001) after the intervention in the study group. There was a significant correlation between improved quality of life, reduced dysphagia severity and increased in Functional Oral Intake Scale scores (p < 0.001). CONCLUSION: After speech therapy, quality of life scores related to deglutition and dysphagia severity improved in patients treated for tongue cancer.

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RESUMO Objetivo verificar os desfechos de deglutição e alimentação de pacientes pediátricos submetidos à intubação orotraqueal (IOT) prolongada, considerando aqueles que evoluíram para traqueostomia após. Métodos estudo de coorte retrospectivo, realizado por meio da análise de prontuários de pacientes admitidos em Unidade de Terapia Intensiva Pediátrica e acompanhados até a alta hospitalar, entre março de 2017 e dezembro de 2018. Resultados dos 51 pacientes incluídos, 64,7% eram do gênero masculino e a mediana de idade foi de 6,7 meses. Pacientes submetidos à IOT por mediana de sete dias apresentaram disfagia orofaríngea (DOF) leve e, quando submetidos a mais de 14 dias, apresentaram DOF moderada/grave, distúrbio alimentar pediátrico (DAP) com características de recusa alimentar e contraindicação de alimentação por via oral na alta hospitalar. Dentre os pacientes, 74,5% foram submetidos apenas à IOT e 25,5% evoluíram para traqueostomia, após. Pacientes traqueostomizados apresentaram maior ocorrência de alta hospitalar com DOF moderada/grave, DAP com características de recusa alimentar e uso de via alternativa de alimentação, em comparação a pacientes sem traqueostomia (p=0,001). Comparado ao diagnóstico inicial, pacientes não traqueostomizados tiveram diagnóstico final com graus mais leves de disfagia (p<0,001). Conclusão o tempo de IOT e a presença de traqueostomia são fatores associados ao diagnóstico fonoaudiológico de DOF moderada/grave, à presença de sinais de DAP com características de recusa alimentar e à necessidade de via alternativa de alimentação, persistentes até a alta hospitalar, sendo achados fonoaudiológicos frequentes entre os desfechos de deglutição/alimentação em pediatria.

ABSTRACT Purpose To verify the swallowing and feeding outcomes of pediatric patients undergoing prolonged OTI, considering those who progressed to tracheostomy afterward. Methods Retrospective cohort study, carried out by analyzing the medical records of patients admitted to the Pediatric ICU and followed up until hospital discharge, between 03/2017 and 12/2018. Results Of the 51 patients included, 64.7% were male and the median age 6.7 months. Patients undergoing OTI for a median of 7 days had mild dysphagia and when submitted for more than 14 days had moderate/severe dysphagia and PFD with characteristics of food refusal, with contraindication to oral feeding at hospital discharge. 74.5% of the patients underwent OTI only and 25.5% progressed to tracheostomy afterward. Tracheostomized patients had a higher occurrence of hospital discharge with moderate/ severe oropharyngeal dysphagia, pediatric feeding disorder (PFD) with characteristics of food refusal and alternative method of feeding compared to patients without tracheostomy (p=0.001). Non-tracheostomized patients had a final diagnosis with milder degrees of dysphagia when compared to the initial diagnosis (p<0.001). Conclusion The time of OTI and the presence of tracheostomy are factors associated with the speech-language pathology diagnosis of moderate/severe oropharyngeal dysphagia, presence of signs of PFD with characteristics of food refusal and the need for an alternative method of feeding that persists until hospital discharge, being frequent findings among the swallowing/feeding outcomes in pediatrics.

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A dermatite atópica (DA) é uma doença crônica recorrente, de etiologia multifatorial, com manifestações inflamatórias cutâneas associadas à atopia. O presente trabalho foi estabelecido para avaliar a prevalência de Dermatite Atópica em pré-escolares na rede municipal de ensino de Tubarão (SC), verificando assim a associação com características sócio-demográficas e aspectos familiares. Estudo transversal, realizado de agosto a novembro de 2013, que resultou em uma amostra final de 55 crianças. Os instrumentos utilizados foram um questionário sócio-demográfico e o questionário padronizado ISAAC 3. Foi realizada análise estatística bivariada e multivariada com regressão logística, nível de significância de 5%. Encontrou-se importante prevalência da presença de eczema em flexuras (p=0,000). Considera-se este o principal resultado do trabalho, o que pode sugerir que a presença de eczema flexural cursa com o diagnóstico de Dermatite Atópica.

Atopic dermatitis (AD) is a chronic recurrent disease, multifactorial, with inflammatory skin manifestations associated with atopy. This study was seted out to assess the prevalence of Athopic Dermatitis in preschool children in municipal schools from Tubarão (SC), verifying a possible association between them. The cross-sectional study, conducted from August to November 2013, resulted in a final sample of 55 children. The instruments used were a sociodemographic questionnaire and the standardized questionnaire ISAAC 3. Both bivariate and multivariate statistical analysis was performed, resulting in a logistic regression significant at a 5% level. We found a significant prevalence of flexural eczema (p = 0.000). It is considered that the main result of the work, which may suggest that flexural eczema presents with a diagnosis of atopic dermatitis.

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The corn leafhopper Dalbulus maidis (Hemiptera: Cicadellidae), is an important corn pest in most of tropical and subtropical America. This leafhopper has a rich natural enemy complex of which parasitoids and pathogens are the most studied; knowledge on its predators is limited. We noted the presence of the native assassin bug Zelus obscuridorsis (Hemiptera: Reduviidae) predating diverse motile insects, including the corn leafhopper, on corn plants cultivated in household vegetable gardens in San Miguel de Tucumán (Argentina); in order to verify its predatory actions, we exposed lab-bred individuals of D. maidis to adults of Z. obscuridorsis. The predators were starved for 24 h before trials in which the corn leafhopper in different developmental stages were exposed. Zelus obscuridorsis is highly skilled in catching specimens in motion, but it was not able to prey on eggs. The predator was capable to catch and prey on nymphs and adults.

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O presente artigo traz à discussão um tema ainda pouco explorado no campo psicológico, o das emergências e dos desastres. A partir da definição de desastre, faz-se uma revisão de acontecimentos de proporções catastróficas ocorridos no Brasil e no mundo, trazendo alguns dados atuais em relação a desastres provocados pelas chuvas na região de São Paulo. Também descreve a Defesa Civil, o papel deste órgão na sociedade e suas fases de atuação. Por fim, busca-se identificar as contribuições da Psicologia em ações de defesa civil, quer nos cenários críticos, durante e após grandes emergências, quer nas fases de prevenção e reconstrução. (AU)

This paper aims to discuss an area of psychological interest still poorly studied in Brazil: emergency and individual or collective catastrophes. Itpresents some disasters, whe ther natural catastrophes or due to humanactions, mainly those related to torrential rains occurring in São Paulo. It also describes the Defesa Civil and its role in attending people in need and the areas of psychological work: interventions in emergency or catastrophe situations and reconstruction and prevention. (AU)

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O presente estudo é uma pesquisa qualitativa exploratório-descritiva, cujo objetivo foi compreender a vivência de mulheres durante a inibição de trabalho de parto pré-termo no centro obstétrico. Os dados foram coletados pormeio de entrevistas semiestruturadas com seis puérperas, no alojamento conjunto de uma maternidade deFlorianópolis - SC, de agosto a outubro de 2008, e analisados de acordo com a proposta do Discurso do Sujeito Coletivo. As ideias centrais e os discursos contemplam aspectos sobre os efeitos colaterais do uso de drogas uteroinibidoras, orientação recebida dos profissionais, sentimentos vivenciados, apoio emocional, cuidados recebidos e desconfortos referidos. Os efeitos colaterais dos fármacos uteroinibidores repercutiram em sentimentos de ambivalência entre a necessidade de continuar inibindo e o desejo de que a criança nascesselogo; contudo, após a decisão clínica da interrupção da inibição, surgiram sentimentos de alívio. A assistência àmulher durante a inibição do trabalho de parto deve valorizar os aspectos emocionais, assim como osdesconfortos decorrentes do tratamento instituído.

During the inhibition of preterm labor at the obstetric center. Data were collected through semi-structuredinterviews with six postpartum mothers at a maternity room in Florianopolis, SC, from August to October 2008.They were reviewed in accordance with the proposal of Collective Subject's Discourse. The Central Ideas andDiscourses include the following aspects: side effects of drug uterus-inhibitors, orientation received fromprofessionals, experienced feelings, emotional support, care received and distress reported. The side effects ofdrugs uterus-inhibitor influenced on feelings of ambivalence between the need to continue inhibiting and thedesire of childbirth. However, after the discontinuation of clinical decision of inhibition, feelings of relief emerged.Assistance to women during the inhibition of preterm labor might value the emotional aspects as well as thedistress resulting from the treatment.

Inhibición de trabajo de parto pretérmino en el centro obstétrico. Los datos fueron recogidos a través deentrevistas semiestructuradas con seis puérperas, en el alojamiento conjunto de una maternidad deFlorianópolis-SC, de agosto a octubre de 2008, y analizados de acuerdo con la propuesta del Discurso del SujetoColectivo. Las Ideas Centrales y los Discursos contemplan aspectos sobre los efectos colaterales del uso dedrogas útero-inhibidoras, orientación recibida de los profesionales, sentimientos vivenciados, apoyo emocional,cuidados recibidos e incomodidades referidas. Los efectos colaterales de los fármacos útero-inhibidoresrepercutieron en sentimientos de ambivalencia entre la necesidad de continuar inhibiendo y el deseo que el bebénaciese pronto. Con todo, después de la decisión clínica de la interrupción de la inhibición, surgieronsentimientos de alivio. La asistencia a la mujer durante la inhibición del trabajo de parto debe valorizar losaspectos emocionales, así como las incomodidades decurrentes del tratamiento instituido.

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This experience report aimed at discussing and reflecting about undergraduate classes, literature and discussions conducted in seminaries with nursing students, the conquests and the gaps that are reflected in the visibility of the nursing profession. The 'Job market in Nursing and new modalities of rendering services'. The students see the Nurse as a professional focused on care. The categories that emerged from the data referring to the nursing students' view just before graduating are: advances and conquests, professional satisfaction and gaps in the profession. It is important to develop the political competence with a broadened view of the nursing profession as a social compromise of citizenship in the conquest of living more healthy.

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Este relato de experiência objetivou refletir e discutir sobre as conquistas e lacunas que refletem na visibilidade da profissão do enfermeiro/enfermagem. Foi construído no transcorrer da Disciplina Optativa do Curso de Graduação em Enfermagem: "Mercado de Trabalho em Enfermagem e novas modalidades de prestação de serviço". Os acadêmicos vêem o Enfermeiro como sendo um profissional voltado para o cuidado. As categorias que emergiram dos dados referente à visão dos acadêmicos de enfermagem em relação ao profisional enfermeiro, ao serem formandos são: avanços e conquistas, satisfação profissional e lacunas na profissão. É importante desenvolver a competência política com visão ampliada da profissão de enfermagem exercitando o cuidado empreendedor como um compromisso social de cidadania na conquista do viver com mais saúde.

This experience report aimed at discussing and reflecting about undergraduate classes, literature and discussions conducted in seminaries with nursing students, the conquests and the gaps that are reflected in the visibility of the nursing profession. The "Job market in Nursing and new modalities of rendering services". The students see the Nurse as a professional focused on care. The categories that emerged from the data referring to the nursing students' view just before graduating are: advances and conquests, professional satisfaction and gaps in the profession. It is important to develop the political competence with a broadened view of the nursing profession as a social compromise of citizenship in the conquest of living more healthly.

Se apuntó a reflexionar y discutir sobre los logros y vacíos que refleja la visibilidad de la profesión de enfermería. Se construyó durante la Disciplina Optativa del Curso de Graduación en Enfermería: "Mercado del trabajo en Enfermería y nuevas modalidades de prestación de servicio". Los académicos ven al enfermero regresando al cuidado. Las categorías que surgieron según la visión de los académicos respecto al profesional de enfermería fueron: avances y logros, satisfacción profesional y vacíos en la profesión. Es importante desarrollar la competencia política con visión de la profesión de enfermería dando cuidado como un compromiso social de ciudadanía en la conquista de vivir con más salud.

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PURPOSE: To report pars plana vitrectomy results of intravitreous use of liquid perfluorocarbon as a short-term postoperative tamponade in retinal detachment due to giant tears in a series of patients. METHODS: Ten of those patients, all of them complicated by proliferative vitreoretinopathy grade B or worse, with tear extension varying from 90 masculine to 210 masculine were studied. Perfluorocarbon liquid was injected via pars plana until the posterior tear limit, remaining in the postoperative period during five days, with the patients in supine position. After this period, the patients underwent a second surgical procedure to exchange the liquid perfluorocarbon for gas or silicone oil. RESULTS: The retinas of eight patients were attached (80%) after a mean follow-up of 16.2 +/- 12.4 months (from 2 to 43 months). It was necessary to repeat this technique in one (10%) case, and there was no attachment of the retina in two (20%) cases due to advanced proliferative vitreoretinopathy. Visual acuity improved in five (50%) cases. CONCLUSION: Good results (80%) and improvement of the visual acuity (50%) were observed with the use of intravitreous liquid perfluorocarbon as short-term tamponade in the postoperative period in patients with retinal detachments due to giant tears.

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