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- ItemAcesso aberto (Open Access)Alterações de linguagem nas fases iniciais da doença de Alzheimer(Academia Brasileira de Neurologia - ABNEURO, 2005-06-01) Ortiz, Karin Zazo [UNIFESP]; Bertolucci, Paulo Henrique Ferreira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Alzheimer disease (AD) is usually associated with cognitive, language and behavioral impairments, which can get more and more serious as the disease progresses. The aim of this study is to verify language disorders in the early stages of this disease. Twelve patients meeting criteria for problable AD were evaluated by the Boston test, and all of them scored more than 23 points on the Mini-Mental State Examination. Data acquired on this language evaluation were compared with the average of normal population data. All patients showed language disorders. Statistical differences were found in visual confrontating naming and auditory comphrension tasks. The patients performed well in writing and reading tasks. We believe that there might have had an interference in the patient's linguistic task performance due to their memory impairment. We could find language impairments in the early stages of AD.
- ItemAcesso aberto (Open Access)Avaliação de alguns aspectos da aquisição e desenvolvimento da linguagem de crianças nascidas pré-termo(Academia Brasileira de Neurologia - ABNEURO, 2004-09-01) Pereira, Mara Rita [UNIFESP]; Funayama, Carolina Araújo Rodrigues; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)The correction of the age of pre-term infants for the motor evaluation has been the accepted practice but it has not been clear in other areas. This study compared indicators of the acquisition and development of language, considering corrected and chronological ages. Twenty healthy infants born between the 28th and 36th week of gestation (median 32 weeks), weighing 800g to 2380g (median 1590g), 9 AGA and 11 SGA, were followed up to 15 months age. As a reference for normality, evaluation of Costa et al. (1992) was used, which groups predictable behavior in 5 levels. For receptive language, considering the chronological age, normal performance occurred at all levels except for Level I (0-3 months). For expressive language, considering the chronological age, 6 (12%) of the 50 evaluations showed normal performance. With their age corrected, in 16 evaluations (40%) the infants achieved the expected level, mainly at 6 and 12 months age. On the whole, for the chronological age, there was a larger number of AGA with normal performance (p<0.05). We conclude that with the use of the Costa method, it was unnecessary to correct the age for receptive language evaluation, and that, for the expressive, the high frequency of normal results at the corrected ages for 6 and 12 months, suggests that these ages constitute periods of intensification of vigilance.
- ItemAcesso aberto (Open Access)As classificações e a construção do conhecimento na enfermagem(Associação Brasileira de Enfermagem, 2002-12-01) Souza, Mariana Fernandes De [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)ln the course of this article, knowledge is focused on as a process, a series of continuous transformations. Evolutionary aspects of knowledge in nursing are presented. Considerations are taken into account concerning the human language and its significance as well as the conceptual development and classifications to be used in professional actions. Nursing Classification Systems are briefly described and their importance in the building of knowledge in the nursing area is emphasized.
- ItemSomente MetadadadosCommunicating with the non-dominant hemisphere Implications for neurological rehabilitation(Shenyang Editorial Dept Neural Regeneration Res, 2013-05-01) Oliveira, Fabricio Ferreira de [UNIFESP]; Marin, Sheilla de Medeiros Correia [UNIFESP]; Bertolucci, Paulo Henrique Ferreira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Aphasic syndromes usually result from injuries to the dominant hemisphere of the brain. Despite the fact that localization of language functions shows little interindividual variability, several brain areas are simultaneously activated when language tasks are undertaken. Mechanisms of language recovery after brain injury to the dominant hemisphere seem to be relatively stereotyped, including activations of perilesional areas in the acute phase and of homologues of language areas in the non-dominant hemisphere in the subacute phase, later returning to dominant hemisphere activation in the chronic phase. Plasticity mechanisms reopen the critical period of language development, more specifically in what leads to disinhibition of the non-dominant hemisphere when brain lesions affect the dominant hemisphere. the non-dominant hemisphere plays an important role during recovery from aphasia, but currently available rehabilitation therapies have shown limited results for efficient language improvement. Large-scale randomized controlled trials that evaluate well-defined interventions in patients with aphasia are needed for stimulation of neuroplasticity mechanisms that enhance the role of the non-dominant hemisphere for language recovery. Ineffective treatment approaches should be replaced by more promising ones and the latter should be evaluated for proper application. the data generated. by such studies could substantiate evidence-based rehabilitation strategies for patients with aphasia.
- ItemAcesso aberto (Open Access)Competência de leitura em alunos surdos inclusos na rede regular de ensino(Universidade Federal de São Paulo (UNIFESP), 2011-01-26) Luccas, Marcia Regina Zemella [UNIFESP]; Goulart, Bárbara Niegia Garcia de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: To evaluate the efficacy of reading in hearing impaired or deaf students included in schools of the local regular education network. Methods: analytical observational study conducted with 35 students with sensorineural hearing loss of varying degree, with and without teaching aids, and 71 age- and series-matched listeners. All subjects underwent the Competence Test of Words Reading-TCLP 1.2, Picture Naming Test by Choice of Words-TFN 1.1 and Competence Test of Sentence Reading-SRT 1.2. Results: The deaf or hearing impaired students included in regular education network obtained different results listener students. In the test of Competence Test of Words Reading-TCLP, listeners obtained an average hit rate of 84.5%, while the deaf students obtained 68.8% of accuracy (p=<0,001). Regarding to the Picture Naming Test by Choice of Words-TFN, following average accuracy was observed: 91.6% for listeners, hearing impaired or deaf, 73%(p=<0,001). As for the Competence Test of Sentence Reading-TCLS, listeners achieved an average of 75.7% and the hearing impaired or deaf, 42.9% (p=<0,001). There was no statistically significant difference between deaf and hearing impaired students who attend the support and follow-up class at inclusion and the hearing impaired or deaf students in regular classes only (p=<0,001). Conclusions: The hearing students showed significant difference in reading competence in the three tests presented compared with deaf or hearing impaired ones. We can assert that the hearing students have a good rating on levels of correlation, while the deaf show regular classification. This result points to a failure in the education of the latter in the regular education network.
- ItemAcesso aberto (Open Access)Dados normativos para o teste de fluência verbal categoria animais em nosso meio(Academia Brasileira de Neurologia - ABNEURO, 1997-01-01) Brucki, Sonia M. Dozzi; Malheiros, Suzana Maria Fleury [UNIFESP]; Okamoto, Ivan H. [UNIFESP]; Bertolucci, Paulo Henrique Ferreira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: Evaluate the performance on verbal fluency (VF) in our population in a Brazilian sample checking the influence of age and literacy. METHODS: 336 people without neurological or psychiatric complaints evaluated through Mini-Mental State Examination and VF (animals). For comparison, and to determine cut-off points, 65 people with cognitive loss followed at our clinic were also evaluated. RESULTS: We found a mean of 13.8 animals in 1 minute, with the following distribution: illiterates, 11.9; up 4 years of education, 12.8; 4 to 7 years, 13.4; 8 years or more, 15.8 (p= 0.0001). In relation to age the means were: up to 64 years, 13.7; 65 years or more, 13.9. There was no difference between the two groups. The cut-off points were 9 for people under 8 years of education with a sensitivity of 75% for illiterates, 100% for low educational level (up 4 years),and 87% for middle level (4 to 7 years). The specificity was respectively 79%, 84%, and 88%. For the high educational level the mean was 13 with a sensitivity of 86% and specificity of 67%. CONCLUSIONS: In the VF (animals) there is a significant influence of schooling and different cut-off points should be used.
- ItemAcesso aberto (Open Access)Is semantic verbal fluency impairment explained by executive function deficits in schizophrenia?(Assoc Brasileira Psiquiatria, 2016) Berberian, Arthur de Almeida [UNIFESP]; Moraes, Giovanna V.; Gadelha, Ary [UNIFESP]; Brietzke, Elisa [UNIFESP]; Fonseca, Ana O. [UNIFESP]; Scarpato, Bruno Sini [UNIFESP]; Vicente, Marcella de Oliveira [UNIFESP]; Seabra, Alessandra G.; Bressan, Rodrigo Affonseca [UNIFESP]; Lacerda, Acioly Luiz Tavares de [UNIFESP]Objective: To investigate if verbal fluency impairment in schizophrenia reflects executive function deficits or results from degraded semantic store or inefficient search and retrieval strategies. Method: Two groups were compared: 141 individuals with schizophrenia and 119 healthy age and education-matched controls. Both groups performed semantic and phonetic verbal fluency tasks. Performance was evaluated using three scores, based on 1) number of words generated
- ItemAcesso aberto (Open Access)A língua e o outro: giros da linguagem na obra de Jean-François Lyotard(Universidade Federal de São Paulo, 2021-05-17) Mur, Jonas; Carrasco, Alexandre de Oliveira Torres; http://lattes.cnpq.br/9900707017877536; http://lattes.cnpq.br/2385165445956465Esta dissertação busca analisar os giros da linguagem no interior da obra de Jean-François Lyotard. Delimitamos esta pesquisa a partir da perspectiva dos estudos linguísticos, semióticos e da filosofia da linguagem, abordando, sobretudo, os escritos da década de 1970. Inicia-se com uma análise detalhada do seu doctorat d’État, o livro Discours, figure (1971), em que se toma como objeto a estética e a arte, designando o “figural” como elemento “fora da linguagem” (primeiro giro) a partir de um cruzamento da fenomenologia, estruturalismo e psicanálise. Em Dérive à partir de Marx et Freud (1973), Des dispositifs pulsionnels (1973) e Économie libidinale (1974), consolida-se uma “filosofia libidinal” em que se afirmam os “signostensores” por meio de uma metafísica pulsional engendrada pela “banda libidinal”. Seguem-se Instructions païennes (1977) e Rudiments païens (1977) afirmando as singularidades periféricas, isto é, forças antagônicas à unidade e ao centro que ele reúne sob o nome “paganismo”. No contexto de um tournant langagier, ocorre uma retração da sua “filosofia libidinal” prévia, direcionando-se a uma “linguagem sem fora” (segundo giro) que se situa no interior das análises discursivas na pragmática, dos paradoxos lógicos da sofística e dos jogos de linguagem. A heterogeneidade dos jogos de linguagem é apresentada em A condição pósmoderna (1979) e Au juste (1979); em seguida, a “linguagem sem fora” ontologizada se consolida nos “regimes de frase” e nos “gêneros de discurso” de Le différend (1983). Estimulada por uma divisão didática da obra elaborada por Alberto Gualandi (porém panorâmica na análise entre as continuidades e descontinuidades conceituais internas aos textos de Lyotard), a hipótese central que orienta esta dissertação consiste em mostrar que os deslocamentos teóricos na década de 1970, bem como as múltiplas concepções de linguagem de Lyotard movimentam-se em um “fora” e um “dentro” da linguagem, sobretudo por meio das noções de acontecimento e alteridade. Por fim, pretendemos introduzir em língua portuguesa o pensamento complexo e fecundo de Lyotard para além da sua importância nos estudos estéticos, ao destacar inovações nos estudos contemporâneos de epistemologia, linguagem, psicanálise, ética e política.
- ItemSomente MetadadadosMicrolinguistic aspects of the oral narrative in patients with Alzheimer's disease(Cambridge Univ Press, 2011-04-01) Lira, Juliana Onofre de [UNIFESP]; Ortiz, Karin Zazo [UNIFESP]; Campanha, Aline Carvalho [UNIFESP]; Bertolucci, Paulo Henrique Ferreira [UNIFESP]; Minett, Thais Soares Cianciarullo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Background: Alzheimer's disease (AD) is characterized by memory loss and cognitive impairment. Phonological, syntactic, semantic and discursive aspects of language may also be affected. Analysis of micro- and macrolinguistic abilities of discourse may assist in diagnosing AD. the aim of this study was to identify changes in the discourse (lexical errors and syntactic index) of AD patients.Methods: 121 elderly subjects narrated a story based on a seven-figure picture description.Results: Patients with AD presented more word-finding difficulties, revisions and repetitions, and the syntactic index was lower than controls.Conclusion: Performance in microlinguistics at the lexical and syntactic levels was lower than expected in participants with AD.
- ItemSomente MetadadadosNeurological impressions on the organization of language networks in the human brain(Taylor & Francis Inc, 2017) Oliveira, Fabricio Ferreira de [UNIFESP]; Marin, Sheilla de Medeiros Correia [UNIFESP]; Bertolucci, Paulo Henrique Ferreira [UNIFESP]Background: More than 95% of right-handed individuals, as well as almost 80% of left-handed individuals, have left hemisphere dominance for language. The perisylvian networks of the dominant hemisphere tend to be the most important language systems in human brains, usually connected by bidirectional fibres originated from the superior longitudinal fascicle/arcuate fascicle system and potentially modifiable by learning. Neuroplasticity mechanisms take place to preserve neural functions after brain injuries. Language is dependent on a hierarchical interlinkage of serial and parallel processing areas in distinct brain regions considered to be elementary processing units. Whereas aphasic syndromes typically result from injuries to the dominant hemisphere, the extent of the distribution of language functions seems to be variable for each individual. Method: Review of the literature Results: Several theories try to explain the organization of language networks in the human brain from a point of view that involves either modular or distributed processing or sometimes both. The most important evidence for each approach is discussed under the light of modern theories of organization of neural networks. Conclusions: Understanding the connectivity patterns of language networks may provide deeper insights into language functions, supporting evidence-based rehabilitation strategies that focus on the enhancement of language organization for patients with aphasic syndromes.
- ItemSomente MetadadadosPerfil clínico de crianças com atraso no desenvolvimento acompanhadas em serviço de referência do município de Belém/PA(Universidade Federal de São Paulo (UNIFESP), 2013-04-23) Souza, Isabel Cristina Neves de [UNIFESP]; Puccini, Rosana Fiorini Puccini [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: To describe profile of children aged 0 to 12 years referred for reference service in Belém with suspected developmental delay or developmental delay established regarding the diagnosis and risk factors. Methods: Cross-sectional study of 642 children and analytical Ambulatory Service Development Walk in the period August 1, 2007 to July 31, 2010, whose data were analyzed by the programs Bioestat 5.3 and Statistica 8.0. Results: 78.6% of the children studied was founded in Belém, 34.8% of UBS and PSF forwarded and 60.1% by physician. The main reason for referral was isolated language delay (31.3%). Most children were male (62.6%) aged admission more common in children under 6 years. The maternal age group with the highest prevalence was 20 to 30 years both at birth, on admission, 58.6% and 46.6% respectively. Regarding education of mothers prevailed over 8 years of study with 54.8%, with 52% of family history of developmental delay, 45.4% with divorced parents, 87.6% with mother as primary caregiver, 56 8% with housing density of 5 or more residents and 80% with per capita income less than half the minimum wage. Prenatal care was not performed or was incomplete in 41.9% of mothers with pregnancy complications of 70.6% and 60.7% of peri / neonatal. The delivery was normal, 65.5% of mothers. Urinary tract infection was the most frequent complication pregnancy (39.3%) and perinatal hypoxia was possible in 57.8%, followed by jaundice, prematurity and low birth weight. Were hospitalized in the neonatal period 36.9% and 76.9% of children were hospitalized in the same period by more than 5 days. In assessing the multidisciplinary language disorder was the most frequent with 82.4% Assessment of neuropediatrician occurred in 80% of children, with 98% of the changes and EEG examination was performed more (44.2%) in children. 20.6% of 642 children received a diagnosis of Cerebral Palsy, followed Disorder Joint Development with Mental Disabilities 13.4% and 11.1%. Correspondence analysis of the variables age and functional alteration of perception and risk factors and diagnosis observed association between them. Conclusion: The assessment of children with developmental delay part of the identification of risk factors, involves the verification of functional alterations and etiological investigation, which should be a parallel intervention functional because the institution of early treatment improves performance, provides well -being the child and his family, gives future prospects.
- ItemSomente MetadadadosPhonetic and phonological aspects of speech in Alzheimer's disease(Routledge Journals, Taylor & Francis Ltd, 2018) Cera, Maysa Luchesi; Ortiz, Karin Zazo; Ferreira Bertolucci, Paulo Henrique; Minett, ThaisBackground: Alzheimer's disease (AD) can involve changes in communication and can lead to mutism in severe cases. Oral communication may be impaired by phonetic-motor disorders, such as apraxia of speech (AOS), or by language disorders, such as aphasia. Therefore, the identification of manifestations of AOS and phonemic paraphasias in patients with AD is critical to understanding the communication changes and determining the therapeutic planning. Aims: To identify the distribution of phonetic-phonological manifestations in older patients with AD and healthy older subjects and assess whether these manifestations indicate the origin of the changes, including a predominantly phonetic-motor origin, a predominantly phonological-linguistic origin, or both. Methods & Procedures: This cross-sectional study evaluated 90 patients with AD and 30 healthy older volunteers. All of the participants underwent the same repetition task for phonetic and phonological assessments using the current classification of phonetic-phonological manifestations
- ItemAcesso aberto (Open Access)Phonological working memory and reading in students with dyslexia(Frontiers Research Foundation, 2014-07-18) Carvalho, Carolina Alves Ferreira de [UNIFESP]; Kida, Adriana de Souza Batista [UNIFESP]; Capellini, Simone A.; Avila, Clara Regina Brandao de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)Purpose: To investigate parameters related to fluency, reading comprehension and phonological processing (operational and short-term memory) and identify potential correlation between the variables in Dyslexia and in the absence of reading difficulties.Method: One hundred and fifteen students from the third to eighth grade of elementary school were grouped into a Control Group (CG) and Group with Dyslexia (GDys). Reading of words, pseudowords and text (decoding); listening and reading comprehension; phonological short-term and working memory (repetition of pseudowords and Digit Span) were evaluated.Results: the comparison of the groups showed significant differences in decoding, phonological short-term memory (repetition of pseudowords) and answers to text-connecting questions (TC) on reading comprehension, with the worst performances identified for GDys. in this group there were negative correlations between pseudowords repetition and TC answers and total score, both on listening comprehension. No correlations were found between operational and short-term memory (Digit Span) and parameters of fluency and reading comprehension in dyslexia. for the sample without complaint, there were positive correlations between some parameters of reading fluency and repetition of pseudowords and also between answering literal questions in listening comprehension and repetition of digits on the direct and reverse order. There was no correlation with the parameters of reading comprehension.Conclusion: GDys and CG showed similar performance in listening comprehension and in understanding of explicit information and gap-filling inference on reading comprehension. Students of GDys showed worst performance in reading decoding, phonological short-term memory (pseudowords) and on inferences that depends on textual cohesion understanding in reading. There were negative correlations between pseudowords repetition and TC answers and total score, both in listening comprehension.
- ItemAcesso aberto (Open Access)O que ou quem eu sou, afinal de contas? Sou brasileiro ou uruguaio, professor?(UNICAMP - Faculdade de Educação, 2010-12-01) Souza, Regina Maria De; Carvalho, Alexandre Filordi de [UNIFESP]; Universidade Estadual de Campinas (UNICAMP); Universidade Federal de São Paulo (UNIFESP)The aim of the present paper is to bring about a reflection on the uneasiness of two children, Alicia and João, regarding their nationalities, that is, on their ambiguous feeling of belonging regarding their own identities. Dialogues based on philosophical thinking will be carried out about the frontier as a place where the naturalization of equality is extinguished, and naturalization, in which identity is perceived as a cohesive and impenetrable monolithic piece. The opposite is actually what we stand up for: identity is the effect of a never-ending, always unfinished process of subjective transformation, through miscellany, through anguish for not being ONE with oneself or with others. In short, we believe in the multiple and immeasurable universe of the identity process, which makes every subject unique concerning his or her dilemmas.
- ItemAcesso aberto (Open Access)Thought and language disorders in very early onset schizophrenia, schizoaffective disorder and bipolar disorder(Univ Sao Paulo, Inst Psiquiatria, 2016) Pantano, Telma; Lee, Fu, I; Curatolo, Eliana; Martins, Camila Bertini [UNIFESP]; Elkis, HelioBackground: Thought and language disorders are main features of adults with schizophrenia and bipolar disorders however studies on such abnormalities are scant in young patients with very early onset psychosis (VEOS). The aim of the present study is to assess the relationship between language and thought disorders in patients with very early onset schizophrenia (SCZ), schizoaffective disorders (SCA) and bipolar disorders (BD). Method: Forty-one patients (18 SCZ, 16 BD, and 7 SCA) with mean age less than 15 years old were assessed through a series of neurocognitive and psycholinguistic tests, including the Thought, Language and Communication Scale (TLC). Results: SCZ group performed worse in all tests as well as the TLC, followed by SCA and BD groups respectively. Thought disorders were related to deficits in executive functioning and semantic processing, and the metaphors' test was the best predictor of TLC functioning. Discussion: TD in SCZ, SCA and BD are one of the most important features in patients with VEOS and that the evaluation of metaphor comprehension can be an important instrument in the early detection of this disorder.
- ItemAcesso aberto (Open Access)Verbal language spontaneous recovery after ischemic stroke(Academia Brasileira de Neurologia - ABNEURO, 2009-09-01) Remesso, Gabriela Camargo [UNIFESP]; Chiappetta, Ana Lúcia de Magalhães Leal [UNIFESP]; Aguiar, Alexandre Santos [UNIFESP]; Fukujima, Marcia Maiumi [UNIFESP]; Prado, Gilmar Fernandes do [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To analyze the spontaneous recovery of the verbal language on patients who have had an ischemic stroke. METHOD: Retrospective analysis of 513 medical records. We characterize referring aspects for data identification, language deficit, spontaneous recovery and speech therapy. RESULTS: The average age was 62.2 years old (SD= ±12.3), the average time of academic experience was 4.5 years (SD=±3.9), 245 (47.7%) patients presented language disturbance, 166 (54.0%) presented spontaneous recovery, from which 145 (47.2%) had expression deficit (p=0.001); 12 (3.9%) had comprehension deficit and 9 (2.9%) had both expression and comprehension deficit. Speech therapy was carried with 15 patients (4.8%) (p=0.001). CONCLUSION: The verbal language spontaneous recovery occurred in most of the patients being taken care of at the stroke out clinic, and expression disturbance was the most identified alteration. As expected, the left hemisphere was associated with the deficit and smoking and pregressive stroke were the language alteration primary associated factors.