Maria de Fátima de Campos Françozo

Detecção de perdas auditivas em neonatos de um hospital público

ABSTRACT Purpose: To analyze the results obtained in a neonatal hearing screening program that included two procedures, Transient Otoacoustic Emissions and Automated Brainstem Evoked Response Audiometry, in healthy neonates, born in a public hospital, regarding the variables gender (male or female) and ear that failed (left, right or bilateral). Methods: Neonates born in a public maternity hospi-eonates born in a public maternity hospi-born in a public maternity hospi-tal, who stayed in shared rooms and attended hearing screening after discharge were included in the study. The screening included the Transient Otoacoustic Emissions with pass/fail criterium , and a retest for neonates who failed the first test with the Automated Brainstem Evoked Response Audiometry. Results: A total of 5106 neonates were screened, 51.3% male and 48.7% female. Among them, 628 (12.3%) neonates failed the test, 368 (58.6%) male and 260 (41.4%) female. They were referred to the Brainstem Evoked Response Audiometry, and 223 (35.3%) came to the test. From these subjects, 199 (89.2%) passed and 24 (10.8%) failed the test: 17 (70.9%) male and seven (29.1%) female. Statistically significant difference was found between gender and fail in the Transient Otoacoustic Emissions. Ten percent of the neonates failed both screening procedures.

REWARDS AND FRUSTRATIONS OF BEING A SOCIAL WORKER: A QUALITATIVE STUDY

This paper deals with aspects of actual professional experience of social workers, in order to grasp a framework for professional rewards and frustrations. A qualitative research tool was chosen, life histories, and ten social workers were interviewed. The subjects were women who graduated between the 1950s and the 1990s from schools of social work in Brazil, and whose practice, present or past, involves direct contact with clients. The reasons explaining satisfying professional situations are rooted in professional experiences which were translated into personal development, the establishment of personal ties and the acquisition of skills. Perceptions of having contributed towards solving a difficult situation and recognition from their clients were positively appraised. These are rewarding situations from which social workers derive the feeling of having created something which is positive for the clients and for themselves. Unpleasant situations were described as unfair situations experienced by client...

Adesão a um Programa de Triagem Auditiva Neonatal

Neonatal hearing screening programs have been developed worldwide. Since 2002, the newborns from the Center for Integral Assistance to Women’s Health at UNICAMP have been referred to hearing screening at the Center for Studies and Research on Rehabilitation “Prof. Dr. Gabriel Porto”. Nevertheless, not all newborns come to the screening and others drop out before the procedures are completed. The goal of this research was to characterize the newborns’ adherence rates to the Neonatal Hearing Screening Program. A retrospective investigation was carried out, collecting data on the records of all cases screened from February to November of 2007. A total of 2107 infants were referred to hearing screening and 1310 actually came. Among those who failed the test (92 infants), 73 returned for the retest with the use of BAEP. The adherence rate in the first stage of the screening was 62.17% and, in the second, 79.34%. These rates are bellow the ones recommended by the JCIH as well as bellow those reached by hearing screening programs of some developed countries. However, they are similar to other Brazilian experiences of neonatal hearing screening programs. A close follow up of the families of those infants who failed the first stage of the screening, as well as the orientation given to them about early detection of hearing loss and its consequences, may have contributed to the increase in the adherence rate in the second stage of the screening.

Surdez, redes sociais e proteção social

Deafness brings consequences to deaf peoples life as well as to their families, who usually has its dynamic changed in the struggle to adapt to the new needs and demands. In this sense, the families not only use their internal resources, but also, they look for help and support out of their group, in their social network. The goal of this paper is to describe the social network used by families with a deaf member in their everyday life. Also, it discusses the meaning of these networks in the framework of social protection. A qualitative research was developed, using a semi-structured interview to collect data. Eighteen parents of deaf children or teenager assisted at a center of rehabilitation were interviewed. Mapping the networks of relationships and social resources that the families of a deaf person use to deal with deafness showed the interconnection between family members, other relatives, friends, neighbors, professionals, private and public services. The networks play an important role of support and social protection to the deaf persons family in the everyday life.

Audiological and genetics studies in high-risk infants

UNLABELLED Hearing is one of the main ways with which one person can contact the external world; it plays a key role in their integration with society. AIM The objective of this study was to analyze the results of the hearing, medical and genetic evaluation of high-risk infants who failed the newborn hearing screening. MATERIALS AND METHODS Clinical and experimental study. We assessed thirty-eight neonates, with ages between one and six months. The infants underwent the following procedures: medical interview; immittance testing; Brainstem Auditory Evoked Potential; Transient Evoked Otoacoustic Emission and otorhinolaryngological evaluation. DNA extraction from the oral mucosa was performed for genetic studies using the protocol method adapted from the Human Genetics Lab of the CBMEG/UNICAMP. RESULTS Regarding gender and presence of risk factors, significant statistically differences were not found in normal hearing infants and in those with hearing loss. Concerning gestational age, term infants were more affected by hearing loss. Hearing loss was identified in 58% of the sample, conduction hearing loss represented 31.5% (12/38) and neurossensory 28.9% of cases. There were none of the genetic mutations most commonly seen in cases with a genetic etiology. CONCLUSION Hearing loss was identified in the majority of High-risk infants.

Analysis of neonatal hearing screening program performed on an outpatient basis: Analysis of an outpatient hearing screening program

OBJECTIVE The aims of the present study were to analyze the coverage of an outpatient hearing screening program in a public hospital for healthy newborns, to describe the social and demographic profile of the mothers and to identify the prevalence of infants with severe or profound hearing losses. METHODS The method was descriptive and retrospective. In 2002 and 2003, the newborn hearing screening program was initiated in the maternity ward. Due to many logistic problems, in 2004, we implemented screening on an outpatient basis. Thus, upon discharge from the hospital, the mothers received a printed schedule referring the baby to an outpatient clinic. A two-stage screening protocol was implemented. The screening results were presented from 2004 to 2013. RESULTS The program was initiated on an outpatient basis in 2004. From 2004 to 2013, 14,882 infants were screened but the complete data for 14,205 cases were obtained. The adherence of the families was 32% in 2004 and increased to 85% in 2013. The mean age of the screened newborns was 48.66 days in 2005 and 24.53 days in 2013. The number of newborns who failed the test and were referred for diagnosis decreased from 12.3% in 2004 to 3% in 2013. The majority of the mothers were young, 69.77% of them aged up to 29 years old and 74.86% had completed basic education. Seventy infants showed hearing loss, totaling 0.49% or approximately 5 cases in 1000, with eight individuals diagnosed with severe or profound sensorineural hearing loss, totaling 0.06% or approximately six cases in 10,000. CONCLUSIONS The newborn hearing screening program offered by a public hospital in Brazil, over the years, has increased the coverage from 32% to 85%, and so, can be performed on an outpatient basis as an alternative to overcome the operating limitations that might occur in hospital hearing screening. The mothers of the newborns were young and had complete basic education; the prevalence was similar to international studies as hearing loss is concerned.

Ser padre de hijo sordo: de la sospecha al enfrentamiento

This paper is an excerpt of a larger qualitative study on the living experience of being a father of a deaf child. Here, we will discuss from the fathers perspective, the feelings involved in this experience, since the suspicion of the deafness to coping. The participants were 05 fathers whose children had diagnosis of deafness. A semi-structured interview was used to collect data. The interviews were conducted individually, taped and then transcribed. After in-depth readings, the content was grouped into thematic categories and then discussed. The results showed a diversity of feelings and reactions experienced by fathers. Immobility, impotence, fragility and sorrow appeared on parental reports as well as a lack of internal resources to face and handle the new situation. Time and interaction were important factors to contribute for a new meaning of deafness and for fathers’ acceptation of the child.RESUMO. O presente artigo e um recorte de uma pesquisa que investigou as vivencias de pais de filhos surdos. Neste texto, discutiremos, sob a otica dos pais, os sentimentos envolvidos na significacao da surdez de seus filhos, desde a suspeita ate o enfrentamento. O estudo consiste de uma pesquisa qualitativa em que foram ouvidos cinco genitores que tinham filhos com diagnostico de surdez. Para a coleta dos dados utilizou-se a entrevista semiestruturada, realizada individualmente. Os relatos foram gravados, transcritos, lidos e agrupados em categorias tematicas, e a seguir, discutidos. Os resultados apontaram uma diversidade de sentimentos e reacoes experimentados pelos pais, abrolhados muitas vezes pelo desconhecimento sobre a surdez. Imobilidade, impotencia, fragilidade e tristeza apareceram nos relatos dos pais, assim como a falta de recursos internos para lidar com as demandas da nova situacao. O tempo e a convivencia se mostraram fatores importantes na ressignificacao da surdez e aceitacao do filho. Palavras-chave: Paternidade; surdez; sentimentos. ON BEING A FATHER OF A DEAF CHILD: FROM SUSPICION TO COPING

On being a father of a deaf child: from suspicion to coping

This paper is an excerpt of a larger qualitative study on the living experience of being a father of a deaf child. Here, we will discuss from the fathers perspective, the feelings involved in this experience, since the suspicion of the deafness to coping. The participants were 05 fathers whose children had diagnosis of deafness. A semi-structured interview was used to collect data. The interviews were conducted individually, taped and then transcribed. After in-depth readings, the content was grouped into thematic categories and then discussed. The results showed a diversity of feelings and reactions experienced by fathers. Immobility, impotence, fragility and sorrow appeared on parental reports as well as a lack of internal resources to face and handle the new situation. Time and interaction were important factors to contribute for a new meaning of deafness and for fathers’ acceptation of the child.RESUMO. O presente artigo e um recorte de uma pesquisa que investigou as vivencias de pais de filhos surdos. Neste texto, discutiremos, sob a otica dos pais, os sentimentos envolvidos na significacao da surdez de seus filhos, desde a suspeita ate o enfrentamento. O estudo consiste de uma pesquisa qualitativa em que foram ouvidos cinco genitores que tinham filhos com diagnostico de surdez. Para a coleta dos dados utilizou-se a entrevista semiestruturada, realizada individualmente. Os relatos foram gravados, transcritos, lidos e agrupados em categorias tematicas, e a seguir, discutidos. Os resultados apontaram uma diversidade de sentimentos e reacoes experimentados pelos pais, abrolhados muitas vezes pelo desconhecimento sobre a surdez. Imobilidade, impotencia, fragilidade e tristeza apareceram nos relatos dos pais, assim como a falta de recursos internos para lidar com as demandas da nova situacao. O tempo e a convivencia se mostraram fatores importantes na ressignificacao da surdez e aceitacao do filho. Palavras-chave: Paternidade; surdez; sentimentos. ON BEING A FATHER OF A DEAF CHILD: FROM SUSPICION TO COPING

Ser pai de filho surdo: da suspeita ao enfrentamento

This paper is an excerpt of a larger qualitative study on the living experience of being a father of a deaf child. Here, we will discuss from the fathers perspective, the feelings involved in this experience, since the suspicion of the deafness to coping. The participants were 05 fathers whose children had diagnosis of deafness. A semi-structured interview was used to collect data. The interviews were conducted individually, taped and then transcribed. After in-depth readings, the content was grouped into thematic categories and then discussed. The results showed a diversity of feelings and reactions experienced by fathers. Immobility, impotence, fragility and sorrow appeared on parental reports as well as a lack of internal resources to face and handle the new situation. Time and interaction were important factors to contribute for a new meaning of deafness and for fathers’ acceptation of the child.RESUMO. O presente artigo e um recorte de uma pesquisa que investigou as vivencias de pais de filhos surdos. Neste texto, discutiremos, sob a otica dos pais, os sentimentos envolvidos na significacao da surdez de seus filhos, desde a suspeita ate o enfrentamento. O estudo consiste de uma pesquisa qualitativa em que foram ouvidos cinco genitores que tinham filhos com diagnostico de surdez. Para a coleta dos dados utilizou-se a entrevista semiestruturada, realizada individualmente. Os relatos foram gravados, transcritos, lidos e agrupados em categorias tematicas, e a seguir, discutidos. Os resultados apontaram uma diversidade de sentimentos e reacoes experimentados pelos pais, abrolhados muitas vezes pelo desconhecimento sobre a surdez. Imobilidade, impotencia, fragilidade e tristeza apareceram nos relatos dos pais, assim como a falta de recursos internos para lidar com as demandas da nova situacao. O tempo e a convivencia se mostraram fatores importantes na ressignificacao da surdez e aceitacao do filho. Palavras-chave: Paternidade; surdez; sentimentos. ON BEING A FATHER OF A DEAF CHILD: FROM SUSPICION TO COPING

Programa de saúde auditiva em neonatos que permaneceram em UTI e/ou cuidados intermediários

UNLABELLED Auditory screening and early identification and management of patients with hearing loss improve the development prospects of infants. OBJECTIVE To analyze the outcomes produced by an Auditory Health Program in neonates managed in an intensive care unit. METHOD This prospective cross-sectional study enrolled neonates referred to the neonatal care unit at hospital CAISM/Unicamp with stays lasting for 48 hours and more within a period of 13 months. Automated monitoring of brainstem auditory evoked potentials was used in the auditory screening of neonates at the time of discharge. Children with poor BAEPs were sent to undergo audiological, otorhinolaryngological, and genetic tests. RESULTS Auditory screening was performed for 84.7% of the live births; 39.7% were screened at 30 days or more of age. Diagnostic tests revealed that 63.8% of the children had normal hearing. Incidence of hearing loss was 4%; sensorineural hearing loss was observed in 1,4% of the subjects; 0.24% had auditory neuropathy spectrum disorder; and 2.2% had conductive hearing loss. CONCLUSION Neonatal auditory screening was not offered universally, and nor was it carried out, in many cases, within the childs first month of life. Screening must be performed before neonates are discharged and in more than one stage. A high incidence of hearing loss was observed.