Susana de Carvalho - Academia.edu (original) (raw)

Papers by Susana de Carvalho

Research paper thumbnail of Disfagia no Transtorno do Espectro Autista (TEA)

Distúrbios da Comunicação, Jun 17, 2024

Research paper thumbnail of Augmentative and alternative communication with adults and elderly in the hospital environment: an integrative literature review

Research paper thumbnail of A identificação da fala interna por meio da eletromiografia de superfície e da encefalografia: uma revisão de escopo / The Identification of Internal Speech Through Surface Electromyography and Encephalography: a Scope Review

Revista de Estudos da Linguagem, Jul 31, 2022

Research paper thumbnail of Risk Factors for Cerebral Palsy in Brazilian Children: A Case-Control Study

Research paper thumbnail of Automonitoramento da fala de adultos que gaguejam

Distúrbios da Comunicação. ISSN 2176-2724, Dec 10, 2014

Research paper thumbnail of Caracterização da frequência fundamental da voz de adultos que gaguejam

Research paper thumbnail of A identificação da fala interna por meio da eletromiografia de superfície e da encefalografia: uma revisão de escopo / The Identification of Internal Speech Through Surface Electromyography and Encephalography: a Scope Review

REVISTA DE ESTUDOS DA LINGUAGEM

Research paper thumbnail of Art and science: impact of semioccluded vocal tract exercises and choral singing on quality of life in subjects with congenital GH deficiency

Archives of Endocrinology and Metabolism, 2022

Research paper thumbnail of Características epidemiológicas da paralisia cerebral em crianças e adolescentes em uma capital do nordeste brasileiro

Fisioterapia e Pesquisa, 2020

RESUMO O objetivo deste estudo foi descrever a prevalência de paralisia cerebral entre crianças e... more RESUMO O objetivo deste estudo foi descrever a prevalência de paralisia cerebral entre crianças e adolescentes, seus subtipos, as possíveis comorbidades e as características socioeconômicas das famílias. Foi realizado um estudo epidemiológico do tipo transversal a partir de um inquérito de base populacional sobre a paralisia cerebral em crianças e adolescentes na cidade de Aracaju (SE), Brasil. O estudo obteve informações sobre 240 crianças e adolescentes com paralisia cerebral a partir das respostas a um questionário feitas por seus responsáveis. Foi encontrada a prevalência de período de 1,37 em cada mil. Alguns bairros possuem prevalência de três a quatro vezes maior, revelando que a taxa de prevalência total não é um indicador homogêneo. A maioria dos participantes foi do sexo masculino (56,25%), de raça/cor declarada como parda ou preta (67,50%), sendo que a média de idade foi de 8,56 anos. A paralisia cerebral de tipo espástica bilateral foi a mais frequente (45,42%) e a comor...

Research paper thumbnail of Análise Acústica das Vogais Produzidas por Falantes com Doença de Parkinson

Research paper thumbnail of Estratégias de reparação na fala gaguejada

INTRODUCAO: O fluxo natural da fala e, frequentemente, interrompido por pausas, hesitacoes e revi... more INTRODUCAO: O fluxo natural da fala e, frequentemente, interrompido por pausas, hesitacoes e revisoes. Esses elementos, normalmente denominados disfluencias comuns, sao indicios de um sistema interno de automonitoramento que corrige o discurso em tempo real para garantir sua inteligibilidade. As estrategias usadas por falantes fluentes para revisar seu discurso sao semelhantes as caracteristicas que definem a gagueira; entretanto, poucos estudos tem sido conduzidos a fim investigar o automonitoramento da fala de pessoas que gaguejam. OBJETIVO: Comparar o automonitoramento da fala entre adultos que gaguejam e adultos fluentes. MATERIAL E METODO: Trata-se de um estudo caso-controle que contou com 35 adultos que gaguejam comparados a 35 adultos fluentes. Todos os participantes realizaram a leitura oral de um texto padronizado para o portugues brasileiro. A tarefa foi gravada, transcrita literalmente e o exame das amostras possibilitou a identificacao dos erros, seus reparos e sua class...

Research paper thumbnail of Atenção Básica À Saúde No Enfrentamento À COVID-19: Perspectivas, Desafios e a Experiência De Um Programa De Residência Multiprofissional Em Saúde Da Família

This essay aimed to raise some perspectives and challenges for primary health care without facing... more This essay aimed to raise some perspectives and challenges for primary health care without facing COVID-19, also revealing some experiences of the Multiprofessional Residency Program in Family Health. Important characteristics of primary care should be highlighted as having a high potential for success in coping with COVID-19, such as territorial coverage, or the bond of health professionals without longitudinal monitoring of families, a complexity of individual multifaceted care of the basic approach, involving the social determinants of health, identified in the health coverage area, the identification of users and vulnerable areas, the monitoring of elderly patients and chronic diseases. The precariousness of the health sector in Brazil has important effects on the organization of Primary Care work. Inadequate working conditions, including lack of professionals and lack of equipment, compromise the resolution of health problems. A union between teaching and service, signed by the...

Research paper thumbnail of Risk Factors for Cerebral Palsy in Brazilian Children: A Case-Control Study

ABSTRACTBackgroundCerebral palsy is the main cause of physical disability in childhood.Objectives... more ABSTRACTBackgroundCerebral palsy is the main cause of physical disability in childhood.ObjectivesThis study analyzed prenatal and perinatal risk factors that contribute to cerebral palsy in Brazilian children.MethodsA case-control study was conducted with 2- to 10-year-old children in the city of Aracaju, Sergipe, Brazil. The cases were population-based, selected from the Primary Health Care services. The controls were selected from the database of the Brazilian Live Births Information System. Controls were paired with cases by gender, year, and hospital of birth.ResultsA total of 570 participants (114 cases and 456 controls) were studied. Most of the participants were male, with bilateral spastic cerebral palsy. Among the prenatal factors examined, the presence of congenital anomalies was significantly different between cases and controls (OR = 54.28, [95% CI 12.55, 234.86]). The analysis of perinatal factors revealed significant differences between cases and controls in low birth ...

Research paper thumbnail of Augmentative and alternative communication with adults and elderly in the hospital environment: an integrative literature review

Revista CEFAC, 2020

Objective: to carry out an integrative review about the augmentative and alternative communicatio... more Objective: to carry out an integrative review about the augmentative and alternative communication strategies used with adults and the elderly in the hospital environment and their impact on communication. Methods: this research study used the integrative review methodology with descriptors in English and Portuguese: 'communication', 'hospitals', 'communication aids for the disabled', in the following databases: LILACS, PubMed, Cinahl, Cochrane Library, SciELO, Scopus, Web of Science. Several articles in English and Portuguese, from the last 14 years, which addressed alternative communication strategies used with hospitalized adults and the elderly, were included. Studies on children, as well as duplicates, reviews, and those that addressed other methods of communication were excluded. Results: 13 articles characterized the alternative communication strategies used with adults and the elderly. There was a prevalence of intubated or tracheostomized patients, a...

Research paper thumbnail of Spatial analysis of cerebral palsy in children and adolescents and its association with health vulnerability

Geospatial Health, 2020

Cerebral Palsy (CP) is commonly associated with low socioeconomic status. Use of spatial statisti... more Cerebral Palsy (CP) is commonly associated with low socioeconomic status. Use of spatial statistics and a Geographic Information Systems (GIS) are scarce and may contribute to the understanding of CP in a social context. To that end a spatial analysis of CP in children and adolescents was performed to analyze the association of CP with levels of vulnerability in a city (Aracaju, Sergipe) in north-eastern Brazil. In addition, an ecological study was conducted with data obtained from a populationbased survey and secondary data. Exploratory spatial data analysis and linear regression were used. A total of 288 CP cases were identified, with a prevalence of 1.65/1,000 and differences among city neighbourhoods ranging from 0-4/1,000. The mean age of cases studied was 9 years 1 month, with a standard deviation of 5 years 2 months. Most study subjects with cerebral palsy (163) were male (56.4%). The distribution of CP in the study population was not homogeneous throughout the territory. Som...

Research paper thumbnail of Effects of Therapy With Semi-occluded Vocal Tract and Choir Training on Voice in Adult Individuals With Congenital, Isolated, Untreated Growth Hormone Deficiency

Journal of voice : official journal of the Voice Foundation, Jan 19, 2018

Voice is produced by the vibration of the vocal folds expressed by its fundamental frequency (Hz)... more Voice is produced by the vibration of the vocal folds expressed by its fundamental frequency (Hz), whereas the formants (F) are fundamental frequency multiples, indicating amplification zones of the vowels in the vocal tract. We have shown that lifetime isolated growth hormone deficiency (IGHD) causes high pitch voice, with higher values of most formant frequencies, maintaining a prepuberal acoustic prediction. The objectives of this work were to verify the effects of the therapy with a semi-occluded vocal tract (SOVTT) and choir training on voice in these subjects with IGHD. We speculated that acoustic vocal parameters can be improved by SOVTT or choir training. This is a prospective longitudinal study without control group. Acoustic analysis of isolated vowels was performed in 17 adults with IGHD before and after SOVTT (pre-SOVTT and post-SOVTT) and after choir training (post training), in a 30-day period. The first formant was higher in post training compared with the pre-SOVTT (...

Research paper thumbnail of Automonitoramento da fala de adultos que gaguejam

Disturbios Da Comunicacao Issn 2176 2724, Dec 10, 2014

Research paper thumbnail of Tratamento para Adolescentes e Adultos Gagos

Revista De Extensao Universitaria Da Ufs, May 21, 2014

Research paper thumbnail of Caracterização da frequência fundamental da voz de adultos que gaguejam

Anais Do Coloquio Brasileiro De Prosodia Da Fala, Aug 9, 2014

Research paper thumbnail of Voice Formants in Individuals With Congenital, Isolated, Lifetime Growth Hormone Deficiency

Journal of Voice, 2016

To analyze the voice formants (F1, F2, F3, and F4 in Hz) of seven oral vowels, in Brazilian Portu... more To analyze the voice formants (F1, F2, F3, and F4 in Hz) of seven oral vowels, in Brazilian Portuguese, [a, ε, e, i, ɔ, o, and u] in adult individuals with congenital lifetime untreated isolated growth hormone deficiency (IGHD). This is a cross-sectional study. Acoustic analysis of isolated vowels was performed in 33 individuals with IGHD, age 44.5 (17.6) years (16 women), and 29 controls, age 51.1 (17.6) years (15 women). Compared with controls, IGHD men showed higher values of F3 [i, e, and ε], P = 0.006, P = 0.022, and P = 0.006, respectively and F4 [i], P = 0.001 and lower values of F2 [u], P = 0.034; IGHD women presented higher values of F1 [i and e] P = 0.029 and P = 0.036; F2 [ɔ] P = 0.006; F4 [ɔ] P = 0.031 and lower values of F2 [i] P = 0.004. IGHD abolished most of the gender differences in formant frequencies present in controls. Congenital, severe IGHD results in higher values of most formant frequencies, suggesting smaller oral and pharyngeal cavities. In addition, it causes a reduction in the effect of gender on the structure of the formants, maintaining a prepubertal acoustic prediction.

Research paper thumbnail of Disfagia no Transtorno do Espectro Autista (TEA)

Distúrbios da Comunicação, Jun 17, 2024

Research paper thumbnail of Augmentative and alternative communication with adults and elderly in the hospital environment: an integrative literature review

Research paper thumbnail of A identificação da fala interna por meio da eletromiografia de superfície e da encefalografia: uma revisão de escopo / The Identification of Internal Speech Through Surface Electromyography and Encephalography: a Scope Review

Revista de Estudos da Linguagem, Jul 31, 2022

Research paper thumbnail of Risk Factors for Cerebral Palsy in Brazilian Children: A Case-Control Study

Research paper thumbnail of Automonitoramento da fala de adultos que gaguejam

Distúrbios da Comunicação. ISSN 2176-2724, Dec 10, 2014

Research paper thumbnail of Caracterização da frequência fundamental da voz de adultos que gaguejam

Research paper thumbnail of A identificação da fala interna por meio da eletromiografia de superfície e da encefalografia: uma revisão de escopo / The Identification of Internal Speech Through Surface Electromyography and Encephalography: a Scope Review

REVISTA DE ESTUDOS DA LINGUAGEM

Research paper thumbnail of Art and science: impact of semioccluded vocal tract exercises and choral singing on quality of life in subjects with congenital GH deficiency

Archives of Endocrinology and Metabolism, 2022

Research paper thumbnail of Características epidemiológicas da paralisia cerebral em crianças e adolescentes em uma capital do nordeste brasileiro

Fisioterapia e Pesquisa, 2020

RESUMO O objetivo deste estudo foi descrever a prevalência de paralisia cerebral entre crianças e... more RESUMO O objetivo deste estudo foi descrever a prevalência de paralisia cerebral entre crianças e adolescentes, seus subtipos, as possíveis comorbidades e as características socioeconômicas das famílias. Foi realizado um estudo epidemiológico do tipo transversal a partir de um inquérito de base populacional sobre a paralisia cerebral em crianças e adolescentes na cidade de Aracaju (SE), Brasil. O estudo obteve informações sobre 240 crianças e adolescentes com paralisia cerebral a partir das respostas a um questionário feitas por seus responsáveis. Foi encontrada a prevalência de período de 1,37 em cada mil. Alguns bairros possuem prevalência de três a quatro vezes maior, revelando que a taxa de prevalência total não é um indicador homogêneo. A maioria dos participantes foi do sexo masculino (56,25%), de raça/cor declarada como parda ou preta (67,50%), sendo que a média de idade foi de 8,56 anos. A paralisia cerebral de tipo espástica bilateral foi a mais frequente (45,42%) e a comor...

Research paper thumbnail of Análise Acústica das Vogais Produzidas por Falantes com Doença de Parkinson

Research paper thumbnail of Estratégias de reparação na fala gaguejada

INTRODUCAO: O fluxo natural da fala e, frequentemente, interrompido por pausas, hesitacoes e revi... more INTRODUCAO: O fluxo natural da fala e, frequentemente, interrompido por pausas, hesitacoes e revisoes. Esses elementos, normalmente denominados disfluencias comuns, sao indicios de um sistema interno de automonitoramento que corrige o discurso em tempo real para garantir sua inteligibilidade. As estrategias usadas por falantes fluentes para revisar seu discurso sao semelhantes as caracteristicas que definem a gagueira; entretanto, poucos estudos tem sido conduzidos a fim investigar o automonitoramento da fala de pessoas que gaguejam. OBJETIVO: Comparar o automonitoramento da fala entre adultos que gaguejam e adultos fluentes. MATERIAL E METODO: Trata-se de um estudo caso-controle que contou com 35 adultos que gaguejam comparados a 35 adultos fluentes. Todos os participantes realizaram a leitura oral de um texto padronizado para o portugues brasileiro. A tarefa foi gravada, transcrita literalmente e o exame das amostras possibilitou a identificacao dos erros, seus reparos e sua class...

Research paper thumbnail of Atenção Básica À Saúde No Enfrentamento À COVID-19: Perspectivas, Desafios e a Experiência De Um Programa De Residência Multiprofissional Em Saúde Da Família

This essay aimed to raise some perspectives and challenges for primary health care without facing... more This essay aimed to raise some perspectives and challenges for primary health care without facing COVID-19, also revealing some experiences of the Multiprofessional Residency Program in Family Health. Important characteristics of primary care should be highlighted as having a high potential for success in coping with COVID-19, such as territorial coverage, or the bond of health professionals without longitudinal monitoring of families, a complexity of individual multifaceted care of the basic approach, involving the social determinants of health, identified in the health coverage area, the identification of users and vulnerable areas, the monitoring of elderly patients and chronic diseases. The precariousness of the health sector in Brazil has important effects on the organization of Primary Care work. Inadequate working conditions, including lack of professionals and lack of equipment, compromise the resolution of health problems. A union between teaching and service, signed by the...

Research paper thumbnail of Risk Factors for Cerebral Palsy in Brazilian Children: A Case-Control Study

ABSTRACTBackgroundCerebral palsy is the main cause of physical disability in childhood.Objectives... more ABSTRACTBackgroundCerebral palsy is the main cause of physical disability in childhood.ObjectivesThis study analyzed prenatal and perinatal risk factors that contribute to cerebral palsy in Brazilian children.MethodsA case-control study was conducted with 2- to 10-year-old children in the city of Aracaju, Sergipe, Brazil. The cases were population-based, selected from the Primary Health Care services. The controls were selected from the database of the Brazilian Live Births Information System. Controls were paired with cases by gender, year, and hospital of birth.ResultsA total of 570 participants (114 cases and 456 controls) were studied. Most of the participants were male, with bilateral spastic cerebral palsy. Among the prenatal factors examined, the presence of congenital anomalies was significantly different between cases and controls (OR = 54.28, [95% CI 12.55, 234.86]). The analysis of perinatal factors revealed significant differences between cases and controls in low birth ...

Research paper thumbnail of Augmentative and alternative communication with adults and elderly in the hospital environment: an integrative literature review

Revista CEFAC, 2020

Objective: to carry out an integrative review about the augmentative and alternative communicatio... more Objective: to carry out an integrative review about the augmentative and alternative communication strategies used with adults and the elderly in the hospital environment and their impact on communication. Methods: this research study used the integrative review methodology with descriptors in English and Portuguese: 'communication', 'hospitals', 'communication aids for the disabled', in the following databases: LILACS, PubMed, Cinahl, Cochrane Library, SciELO, Scopus, Web of Science. Several articles in English and Portuguese, from the last 14 years, which addressed alternative communication strategies used with hospitalized adults and the elderly, were included. Studies on children, as well as duplicates, reviews, and those that addressed other methods of communication were excluded. Results: 13 articles characterized the alternative communication strategies used with adults and the elderly. There was a prevalence of intubated or tracheostomized patients, a...

Research paper thumbnail of Spatial analysis of cerebral palsy in children and adolescents and its association with health vulnerability

Geospatial Health, 2020

Cerebral Palsy (CP) is commonly associated with low socioeconomic status. Use of spatial statisti... more Cerebral Palsy (CP) is commonly associated with low socioeconomic status. Use of spatial statistics and a Geographic Information Systems (GIS) are scarce and may contribute to the understanding of CP in a social context. To that end a spatial analysis of CP in children and adolescents was performed to analyze the association of CP with levels of vulnerability in a city (Aracaju, Sergipe) in north-eastern Brazil. In addition, an ecological study was conducted with data obtained from a populationbased survey and secondary data. Exploratory spatial data analysis and linear regression were used. A total of 288 CP cases were identified, with a prevalence of 1.65/1,000 and differences among city neighbourhoods ranging from 0-4/1,000. The mean age of cases studied was 9 years 1 month, with a standard deviation of 5 years 2 months. Most study subjects with cerebral palsy (163) were male (56.4%). The distribution of CP in the study population was not homogeneous throughout the territory. Som...

Research paper thumbnail of Effects of Therapy With Semi-occluded Vocal Tract and Choir Training on Voice in Adult Individuals With Congenital, Isolated, Untreated Growth Hormone Deficiency

Journal of voice : official journal of the Voice Foundation, Jan 19, 2018

Voice is produced by the vibration of the vocal folds expressed by its fundamental frequency (Hz)... more Voice is produced by the vibration of the vocal folds expressed by its fundamental frequency (Hz), whereas the formants (F) are fundamental frequency multiples, indicating amplification zones of the vowels in the vocal tract. We have shown that lifetime isolated growth hormone deficiency (IGHD) causes high pitch voice, with higher values of most formant frequencies, maintaining a prepuberal acoustic prediction. The objectives of this work were to verify the effects of the therapy with a semi-occluded vocal tract (SOVTT) and choir training on voice in these subjects with IGHD. We speculated that acoustic vocal parameters can be improved by SOVTT or choir training. This is a prospective longitudinal study without control group. Acoustic analysis of isolated vowels was performed in 17 adults with IGHD before and after SOVTT (pre-SOVTT and post-SOVTT) and after choir training (post training), in a 30-day period. The first formant was higher in post training compared with the pre-SOVTT (...

Research paper thumbnail of Automonitoramento da fala de adultos que gaguejam

Disturbios Da Comunicacao Issn 2176 2724, Dec 10, 2014

Research paper thumbnail of Tratamento para Adolescentes e Adultos Gagos

Revista De Extensao Universitaria Da Ufs, May 21, 2014

Research paper thumbnail of Caracterização da frequência fundamental da voz de adultos que gaguejam

Anais Do Coloquio Brasileiro De Prosodia Da Fala, Aug 9, 2014

Research paper thumbnail of Voice Formants in Individuals With Congenital, Isolated, Lifetime Growth Hormone Deficiency

Journal of Voice, 2016

To analyze the voice formants (F1, F2, F3, and F4 in Hz) of seven oral vowels, in Brazilian Portu... more To analyze the voice formants (F1, F2, F3, and F4 in Hz) of seven oral vowels, in Brazilian Portuguese, [a, ε, e, i, ɔ, o, and u] in adult individuals with congenital lifetime untreated isolated growth hormone deficiency (IGHD). This is a cross-sectional study. Acoustic analysis of isolated vowels was performed in 33 individuals with IGHD, age 44.5 (17.6) years (16 women), and 29 controls, age 51.1 (17.6) years (15 women). Compared with controls, IGHD men showed higher values of F3 [i, e, and ε], P = 0.006, P = 0.022, and P = 0.006, respectively and F4 [i], P = 0.001 and lower values of F2 [u], P = 0.034; IGHD women presented higher values of F1 [i and e] P = 0.029 and P = 0.036; F2 [ɔ] P = 0.006; F4 [ɔ] P = 0.031 and lower values of F2 [i] P = 0.004. IGHD abolished most of the gender differences in formant frequencies present in controls. Congenital, severe IGHD results in higher values of most formant frequencies, suggesting smaller oral and pharyngeal cavities. In addition, it causes a reduction in the effect of gender on the structure of the formants, maintaining a prepubertal acoustic prediction.