Abstract Introduction Cortisol is a hormone involved in the response to stress. Attention is a function that can change due to exposure to stress. Objectives To verify the correlation between the level of salivary cortisol and sustained auditory attention in children with cleft lip and palate, as well as to compare the results of the variables analyzed between female and male patients. Methods In total, 103 children aged 6 to 11 years, were divided into 2 groups: those with cleft lip and palate (experimental group, EG; n = 69) and the control group (CG; n = 34). The Sustained Auditory Attention Ability Test (SAAAT) and salivary cortisol levels, measured by an enzyme immunoassay kit (Salimetrics, Stage College, PA, US), were calculated and compared regarding the two groups. The statistical tests used were the Mann-Whitney test and the Spearman correlation. Results The median level of salivary cortisol was of 0.03615 μl/dL and 0.18000 μl/dL respectively for the EG and CG, with a significant difference between the groups (p =0.000). Absence of statistical significance (total error score = 0.656; vigilance decrement = 0.051) was observed the for SAAAT among the EG (median total error score = 12.00; 25th percentile [25%] = 7.00; 75th percentile [75%] = 21.00; and vigilance decrement = 1.00; 25% = 0.00; 75% = 2.50) and the CG (median total error score = 12.00; 25% = 6.00; 75% = 24.00; and vigilance decrement = 0.00; 25% = -1.00; 75% = 2.00). Conclusion All children had median levels of salivary cortisol and scores for sustained auditory attention within normal parameters. A significant correlation between the level of salivary cortisol and the ability to sustain auditory attention was observed in children without cleft lip and palate. There were no differences regarding the SAAAT and salivary cortisol between female and male patients.

Abstract Introduction The use of auditory behavioral tests, which specifically assess sustained attention, is necessary, due to its relationship with learning, language production, cognitive development and school performance. Objective To evaluate how children performed using software developed to investigate the ability of sustained auditory attention, and to compare the scores obtained in this format with those of the original, non-computerized test. Methods This cross-sectional study included 52 children of both genders, aged 6 to 11 years, with normal hearing and no history of complaints regarding inattention and/or hyperactivity. The computerized test was administered to all 52 children. The total error score (inattention and impulsivity) and the vigilance decrement were used to define the children’s performance when using the software. The scores obtained in the two formats (computer software and original on compact disc) were then compared. Results Statistically significant differences were found in the scores for innattention, impulsivity, and total error score (inattention and impulsivity) when comparing genders, and a negative correlation coefficient was found when comparing ages. Increased scores were found for all variables of the sustained auditory attention ability test (SAAAT) compared with the original format. Conclusion Females performed worse than males in all aspects except for vigilance decrement when using the SAAATsoftware developed to evaluate the ability of SAAAT vigilance; younger children made more errors when using the SAAAT software; inattention errors were more frequent than impulsivity. Overall, higher values were obtained using the SAAAT software, when compared with the original version.

RESUMO Antecedentes: O acidente vascular cerebral (AVC) é uma das principais causas de morte e sequelas neurológicas no mundo. Muitas escalas auxiliam os profissionais no reconhecimento precoce da doença. Entretanto, nenhum desses instrumentos foi desenvolvido no Brasil. Objetivos: Traduzir a escala Los Angeles Prehospital Stroke Screen (LAPSS) para o português brasileiro, adaptar transculturalmente e validá-la na população brasileira. Métodos: Este estudo ocorreu em duas fases sendo a primeira constituída no processo de validação e adaptação transcultural da LAPSS e a segunda num estudo transversal de dados coletados prospectivamente em pacientes com suspeita de AVC tratados em um pré-hospitalar brasileiro e encaminhados a um centro de AVC. Utilizou-se análise estatística para avaliar a sensibilidade, especificidade e precisão da escala. O coeficiente Kappa de Cohen (κ) foi usado para avaliação psicométrica. Resultados: Após a tradução e adaptação transcultural, a escala foi aplicada em 86 pacientes. O instrumento final apresentou sensibilidade de 83,8%, valor preditivo positivo de 79,60%, especificidade de 40,70%, valor preditivo negativo de 47,80% e acurácia de 77%. O coeficiente Kappa de Cohen foi calculado com os dados de 26 pacientes (30,23%), demonstrando excelente confiabilidade interobservador em 52,96% dos itens da escala. Conclusões: A escala foi traduzida e adaptada transculturalmente para uso no Brasil apresentando alta sensibilidade e acurácia porém baixa especificidade. O coeficiente de Kappa demostrou confiança interobservador. A maior dificuldade ocorreu quando a avaliação física do paciente incluiu identificações subjetivas. Além disso, a escala exclui pacientes com idade menor do que 45 anos como suspeitos de AVC.

ABSTRACT Background: Stroke is one of the leading causes of death and neurological disability in the world. Several scales help professionals in the early recognition of the disease. However, none of these were developed in Brazil. Objectives: To translate the Los Angeles Prehospital Stroke Screen (LAPSS) into Brazilian Portuguese, and cross-culturally adapt and validate the scale in a representative sample of the Brazilian population. Methods: This study was carried out in two phases: the first consisted in the translation and cross-cultural validation of the LAPSS, and the second in a cross-sectional study with prospectively collected data in patients with suspected stroke treated in a Brazilian prehospital and referred to a stroke center. Statistical analysis was used to assess the sensitivity, specificity, and accuracy of the scale. Cohen's Kappa coefficient (κ) was used for psychometric assessment. Results: After translation and cross-cultural adaptation, the scale was applied to 86 patients. The scale presented a sensitivity of 83.8%, positive predictive value of 79.50%, specificity of 40.70%, negative predictive value of 47.80%, and accuracy of 77%. Cohen’s kappa coefficient was calculated using data from 26 (30.23%) patients and the results showed excellent inter-rater reliability in the majority of the items (52.96%). Conclusions: The scale was translated and cross-culturally adapted for use in Brazil. The scale presented high sensitivity and accuracy but low specificity, and the Cohen’s kappa demonstrated inter-rater reliability. The greatest difficulties occurred when the evaluation included subjective identifications. The scale excluded patients < 45 years old as stroke suspects.

RESUMO Antecedentes: O acidente vascular cerebral (AVC) é uma das principais causas de morte e sequelas neurológicas no mundo. Muitas escalas auxiliam os profissionais no reconhecimento precoce da doença. Entretanto, nenhum desses instrumentos foi desenvolvido no Brasil. Objetivos: Traduzir a escala Los Angeles Prehospital Stroke Screen (LAPSS) para o português brasileiro, adaptar transculturalmente e validá-la na população brasileira. Métodos: Este estudo ocorreu em duas fases sendo a primeira constituída no processo de validação e adaptação transcultural da LAPSS e a segunda num estudo transversal de dados coletados prospectivamente em pacientes com suspeita de AVC tratados em um pré-hospitalar brasileiro e encaminhados a um centro de AVC. Utilizou-se análise estatística para avaliar a sensibilidade, especificidade e precisão da escala. O coeficiente Kappa de Cohen (κ) foi usado para avaliação psicométrica. Resultados: Após a tradução e adaptação transcultural, a escala foi aplicada em 86 pacientes. O instrumento final apresentou sensibilidade de 83,8%, valor preditivo positivo de 79,60%, especificidade de 40,70%, valor preditivo negativo de 47,80% e acurácia de 77%. O coeficiente Kappa de Cohen foi calculado com os dados de 26 pacientes (30,23%), demonstrando excelente confiabilidade interobservador em 52,96% dos itens da escala. Conclusões: A escala foi traduzida e adaptada transculturalmente para uso no Brasil apresentando alta sensibilidade e acurácia porém baixa especificidade. O coeficiente de Kappa demostrou confiança interobservador. A maior dificuldade ocorreu quando a avaliação física do paciente incluiu identificações subjetivas. Além disso, a escala exclui pacientes com idade menor do que 45 anos como suspeitos de AVC.

ABSTRACT Background: Stroke is one of the leading causes of death and neurological disability in the world. Several scales help professionals in the early recognition of the disease. However, none of these were developed in Brazil. Objectives: To translate the Los Angeles Prehospital Stroke Screen (LAPSS) into Brazilian Portuguese, and cross-culturally adapt and validate the scale in a representative sample of the Brazilian population. Methods: This study was carried out in two phases: the first consisted in the translation and cross-cultural validation of the LAPSS, and the second in a cross-sectional study with prospectively collected data in patients with suspected stroke treated in a Brazilian prehospital and referred to a stroke center. Statistical analysis was used to assess the sensitivity, specificity, and accuracy of the scale. Cohen's Kappa coefficient (κ) was used for psychometric assessment. Results: After translation and cross-cultural adaptation, the scale was applied to 86 patients. The scale presented a sensitivity of 83.8%, positive predictive value of 79.50%, specificity of 40.70%, negative predictive value of 47.80%, and accuracy of 77%. Cohen’s kappa coefficient was calculated using data from 26 (30.23%) patients and the results showed excellent inter-rater reliability in the majority of the items (52.96%). Conclusions: The scale was translated and cross-culturally adapted for use in Brazil. The scale presented high sensitivity and accuracy but low specificity, and the Cohen’s kappa demonstrated inter-rater reliability. The greatest difficulties occurred when the evaluation included subjective identifications. The scale excluded patients < 45 years old as stroke suspects.

RESUMO Introdução: O uso de instrumentos padronizados internacionalmente para auxiliar os profissionais de saúde a reconhecer precocemente o AVC é recomendado. O processo de tradução e adaptação transcultural tem sido importante para garantir que a escala seja interpretada da mesma maneira em diferentes idiomas, assegurando sua aplicabilidade em vários países. Objetivo: Traduzir para o idioma português do Brasil, adaptar transculturalmente e validar a Cincinnati Prehospital Stroke Scale na população brasileira. Método: O estudo incluiu pacientes com suspeita de acidente vascular cerebral (AVC) atendidos por um Serviço de Atendimento Móvel Urgência (SAMU) 192 e encaminhados para uma Unidade de Cuidado Integral ao AVC. Foram realizados um processo sistemático de tradução e adaptação transcultural da escala original e a aplicação do instrumento final, que possibilitou a realização dos testes de sensibilidade, especificidade e acurácia, de acordo com o estudo original, além do índice de Cohen de Kappa, para avaliar a confiabilidade interobservador. Resultados: Após a tradução e a adaptação transcultural, a escala foi aplicada em 64 pacientes, apresentando acurácia de 93,0% e sensibilidade de 92,4% em relação ao diagnóstico final, considerado padrão-ouro. Em 26 pacientes (40,6%) foi possível calcular o índice de Cohen de Kappa, evidenciando excelente confiabilidade interobservador entre os itens da escala (0,8385 a 1,0000). Conclusão: A escala apresenta ótima acurácia, sensibilidade e concordância interobservador. Trata-se de um instrumento útil para auxiliar os profissionais da saúde durante a avaliação inicial do paciente com suspeita de AVC, uma vez que contribui significativamente para o reconhecimento precoce da doença de uma maneira simples e rápida.

ABSTRACT Background: Use of internationally standardized instruments to assist healthcare professionals in accurately recognizing stroke early is recommended. The process of translation and cross-cultural adaptation is important for ensuring that scales are interpreted in the same way in different languages, thus ensuring applicability in several countries. Objective: To translate into Brazilian Portuguese, cross-culturally adapt and validate the Cincinnati Prehospital Stroke Scale, using a representative sample of the Brazilian population. Method: The present study included patients with suspected stroke who were treated at a Brazilian emergency medical service and referred to a stroke center. A systematic process of translation and cross-cultural adaptation of the original scale and application of the final instrument was performed. Statistical analysis was used to assess the sensitivity, specificity and accuracy of the scale. Cohen’s kappa coefficient was used to assess inter-rater reliability. Results: After translation and cross-cultural adaptation, the scale was applied to 64 patients. It showed 93.0% accuracy and 92.4% sensitivity in relation to the final “gold standard” diagnosis. Cohen’s kappa coefficient was calculated using data from 26 patients (40.6%) and showed excellent inter-rater reliability between items on the scale (0.8385 to 1.0000). Conclusion: The scale demonstrated excellent accuracy, sensitivity and inter-rater reliability. It was a useful tool for assisting healthcare professionals during initial assessments on patients with suspected stroke and significantly contributed to early recognition of stroke in a simple and quick manner.

Abstract Introduction The Sustained Auditory Attention Ability Test (SAAAT) is an instrument used to assess sustained auditory attention in children. Difficulties related to this ability are not unique to children alone, as adults have been observed to present with the same deficits. Therefore, there is a need to adapt instruments like the SAAAT and provide reference values for adults. Objective To assess adult performance on the SAAAT. Methods Approved by the Human Research Ethics Committee under n° 034/2011. The sample consisted of 30 participants aged between 18 and 30 years old (average age = 24.2 years old), female and male. The inclusion criteria were: peripheral hearing within normal limits, type A tympanometric curve, and no attention-related complaints. The participants were submitted to Tonal Audiometry, Logoaudiometry, Immitanciometry and to the SAAAT. Results The following mean values and standard deviations (SD) were observed: inattention = 1.7 (SD = 2.2) and impulsivity = 0.8 (SD = 0.9) error types. For the SAAAT, the mean value for the total error score was 2.4 (SD = 2.6), and for the decrease in vigilance, it was 0.3 (SD = 0.5). When comparing the performance of adults and children, a statistically significant difference was observed for inattention (p = 0.000) and impulsivity (p = 0.001) error types, as well as in the total error score (p = 0.000) and in decreased vigilance (p = 0.0003). Conclusion The performance of adults in the SAAAT differed from the children's parameters, since adults showed lower scores in all variables of the instrument.

Abstract Extensive restorations in posterior teeth always bring doubts to the clinicians regarding the best protocol, mainly when structures of reinforcement were lost. Objective This study aimed to evaluate the effect of beveling on the fracture resistance and pattern of class II (MOD) restored teeth. Methodology Ninety human premolars were randomly assigned into 9 groups: CTR (control/sound); NC (cavity preparation, non-restored); RU (restored, unbeveled); RTB (restored, entire angle beveling); RPB (restored, partial/occlusal beveling); EC (endodontic access/EA, non-restored); EU (EA, unbeveled); ETB (EA, entire angle beveling); EPB (EA, partial/occlusal beveling). Teeth were restored with Esthet X resin composite and stored in distilled water for 24 h before the inclusion in PVC cylinders. The axial loading tests were performed with 500 kgF at 0.5 mm/min crosshead speed until fracture of the specimens. Fracture resistance and pattern were accessed and data were analyzed using one-way ANOVA and Tukey’s HSD test (α=0.05). Results Mean (±SD) failure loads ranged from 136.56 (11.62) to 174.04 (43.5) kgF in the groups tested without endodontic access. For endodontically accessed teeth, fracture resistance ranged from 95.54 (13.05) to 126.51 (19.88) kgF. Beveling of the cavosurface angle promoted the highest fracture resistance values (p<0.05) and prevented catastrophic fractures. Conclusions Cavosurface angle beveling is capable of improving fracture resistance and pattern for both endodonticaly accessed and non-accessed teeth.

The objective of the present case report was to describe the aesthetic and functional rehabilitation of the upper anterior incisors of a patient with bruxism. A 23-year-old male patient, with bruxism, sought treatment for his upper anterior teeth due to diastemas and reduced lengths of the upper central incisors. The gingivoplasty and osteotomy were performed in the region of the upper central incisors to improve the positions of the gingival contours and increase the length of these teeth. After 90 days, teeth whitening was performed. After 1 month the composite resin veneers were made in the upper central incisors. During treatment, the needs and perspectives of the patient were considered to achieve clinical success. The treatments were finalized, and the final result was satisfactory. Therefore, an integrated treatment plan proved to be extremely important, especially when the patient is adequately informed of the available treatment options and collaborates with the treatment.

O objetivo do presente relato de caso clínico foi descrever a reabilitação estética e funcional dos incisivos anteriores superiores de um paciente com bruxismo. Paciente do gênero masculino, 23 anos de idade, bruxoma, procurou tratamento para os dentes anteriores superiores devido aos diastemas dentários e também por causa dos comprimentos reduzidos dos incisivos centrais superiores. Para isso, foi realizada a gengivoplastia e osteotomia na região dos incisivos centrais superiores com o objetivo de melhorar as posições dos contornos gengivais e aumentar o comprimento desses dentes. Após 90 dias, o clareamento dentário foi realizado. Depois de 1 mês as facetas de resina composta foram confeccionadas nos incisivos centrais superiores. Durante o tratamento as necessidades e perspectivas do paciente foram levadas em consideração para alcançar o sucesso clínico. Após a conclusão dos procedimentos, o resultado final foi satisfatório. Portanto, um plano de tratamento integrado se mostrou de extrema valia, principalmente quando o paciente é devidamente esclarecido das opções disponíveis de tratamento e colabora com o mesmo.

OBJECTIVE: This study evaluated the 56-month clinical performance of Class I and II resin composite restorations. Filtek P60 was compared with Filtek Z250, which are both indicated for posterior restorations but differ in terms of handling characteristics. The null hypothesis tested was that there is no difference in the clinical performance of the two resin composites in posterior teeth. MATERIAL AND METHODS: Thirty-three patients were treated by the same operator, who prepared 48 Class I and 42 Class II cavities, which were restored with Single Bond/Filtek Z250 or Single Bond/Filtek P60 restorative systems. Restorations were evaluated by two independent examiners at baseline and after 56 months, using the modified USPHS criteria. Data were analyzed statistically using Chi-square and Fisher's Exact tests (a=0.05). RESULTS: After 56 months, 25 patients (31 Class I and 36 Class II) were analyzed. A 3% failure rate occurred due to secondary caries and excessive loss of anatomic form for P60. For both restorative systems, there were no significant differences in secondary caries and postoperative sensitivity. However, significant changes were observed with respect to anatomic form, marginal discoloration, and marginal adaptation. Significant decreases in surface texture were observed exclusively for the Z250 restorations. CONCLUSIONS: Both restorative systems can be used for posterior restorations and can be expected to perform well in the oral environment.

INTRODUÇÃO: A atenção é uma função neuropsicológica subjacente a todos os processos cognitivos. A deficiência auditiva compromete o desenvolvimento normal da criança, alterando diversas habilidades auditivas, incluindo a atenção. OBJETIVO: comparar o desempenho de crianças no Teste da Habilidade de Atenção Auditiva Sustentada-THAAS, no que se refere às diferentes formas de aplicação (fones auriculares e campo livre), gênero e, ordem de aplicação. MÉTODO: participaram 40 crianças (7 anos) voluntárias com desenvolvimento típico, divididas em dois grupos: G1 e G2, compostos de 20 crianças cada. A aplicação do THAAS no G1 se deu primeiramente com fones auriculares e em seguida em campo livre e no G2 o processo foi inverso. A avaliação constituiu-se em: questionário específico, testes auditivos e aplicação do THAAS. RESULTADOS: Não houve diferença significante quanto ao gênero. Para o THAAS com fones, o G1 apresentou maior quantidade de erros de desatenção e pontuação total. Para o THAAS em campo houve uma diferença significante do G2 para o decréscimo de vigilância. Quanto à forma de aplicação, o G1 demonstrou um número maior de erros quando foi utilizado fones. O G2 não demonstrou diferença. CONCLUSÃO: Houve viabilidade na aplicação do THAAS em Campo Livre, podendo ser adotado os mesmos valores normativos usados para o modo convencional de avaliação.

INTRODUCTION: The attention is an underlying neuropsychology function to all the cognitive processes. The auditory deficiency compromises the normal development of the child, modifying diverse auditory abilities, including the attention. OBJECTIVE: to compare the performance of children in the Test of the Ability of Auditory Attention Support, as for the different forms of application (auricular phones and free field), sort and, application order. METHOD: 40 children (7 years old) voluntary with typical development had participated, divided in two groups: G1 and G2, composites of 20 children each. The application of the THAAS in the G1 if gave first with auricular phones and after that in free field and the G2 the process was inverse. The evaluation consisted in: specific questionnaire, auditory tests and application of the THAAS. RESULTS: It did not have significant difference how much to the sort. For the THAAS with phones, the G1 presented greater amount of errors of carelessness and total punctuation. For the THAAS in field it had a significant difference of the G2 for the monitoring decrease. How much to the application form, the G1 demonstrated a bigger number of errors when it was used phones. The G2 did not demonstrate difference. CONCLUSION: It had viability in the application of the THAAS in Free Field, being able to be adopted the same used normative values for the conventional way of evaluation.

The CLSI M100-S19 document has recommended the disuse of vancomycin disks for staphylococci and informed that studies on the action of teicoplanin in disk-diffusion testing should be performed. We describe the comparison of two methods, disk diffusion and broth microdilution, for determining teicoplanin susceptibility in clinical isolates of staphylococci. Overall results showed an aggregation rate of 96.8%; Staphylococcus aureus showed total agreement while S. epidermidis showed 93.8% of agreement. According to these local results, disk diffusion can still be employed to teicoplanin susceptibility determination for staphylococci in our institution.

Existem alguns processos de motivação relacionados com a utilização do aparelho de amplificação sonora individual (AASI): aceitação, benefício e satisfação. OBJETIVO: Adaptar culturalmente o SADL (Satisfaction with Amplification in Daily Life) para aplicação na população brasileira, avaliar sua reprodutibilidade e descrever os resultados em pacientes adaptados com AASI. MATERIAL E MÉTODO: Estudo clínico. Tradução e adaptação cultural do questionário; a tradução do idioma Inglês para o Português e adaptação linguística; revisão da equivalência gramatical e idiomática; avaliação da reprodutibilidade inter e intrapesquisadores. Participaram 30 usuários de AASI acima de 18 anos de idade (média: 66,36 anos); 19 homens (63%); 11 mulheres (37%). RESULTADOS: Participantes demonstraram maior satisfação (média) para as questões: 1 (6,35), 3 (6,85), 5 (6,10), 6 (6,80), 8 (6,33), 9 (6,80), 11 (6,16), 12 (6,93) e 15 (6,52). Menor satisfação: questão 4 (3,16), 7 (3,41) e 13 (2,83). A comparação entre cada questão com a primeira e segunda aplicação do questionário não apresentou resultados estatisticamente significantes, havendo, assim, boa reprodutibilidade. Houve maior satisfação para as subescalas Efeito Positivo (6,50) e Serviços e Custos (6,26) e menor satisfação para Fatores Negativos (4,73). CONCLUSÃO: Foi possível adaptar o questionário para a população brasileira.

There are some motivational processes associated with the use of an Individual Sound Amplification Device (ISAD): acceptance, benefit and satisfaction. OBJECTIVE: To make a cultural adaptation of the SADL (Satisfaction with Amplification in Daily Life) questionnaire to use with the brazilian population; to assess its reproducibility and to describe its results in patients fit with an ISAD. MATERIALS AND METHODS: Clinical study. Translation and cultural adaptation of the questionnaire; translation from English into Portuguese and linguistic adaptation; review of the grammatical and idiomatic equivalence; evaluation of the inter and intra-researcher assessment. There were 30 ISAD users older than 18 years of age participating in the study (mean: 66.36 years); 19 men (63%); 11 women (37%). RESULTS: The participants reported greater satisfaction (mean) for questions: 1 (6.35); 3 (6.85); 5 (6.10); 6 (6.80); 8 (6.33); 9 (6.80); 11 (6.16); 12 (6.93) and 15 (6.52). Less satisfaction: question 4 (3.16); 7 (3.41) and 13 (2.83). The comparison of each question with the first and second application of the questionnaire did not present statistically significant results, thus yielding good reproducibility. There was a greater satisfaction for subscales: Positive Effect (6.50) and Services and Costs (6.26) and less satisfaction for Negative Factors (4.73). CONCLUSION: It was possible to adapt the questionnaire for the brazilian population.

TEMA: a perda auditiva na infância é um fator de risco para o atraso no desenvolvimento. OBJETIVO: verificar o desempenho de crianças diagnosticadas com perda auditiva de grau leve - condutiva e sensorioneural, no Teste da Habilidade de Atenção Auditiva Sustentada (THAAS), visando constatar se este teste sofre influência da presença de uma perda auditiva. MÉTODO: estudo clínico do THAAS em 3 grupos: Grupo 1 (G1) grupo controle formado por crianças com audição normal, Grupo 2 (G2) crianças com deficiência auditiva sensorioneural bilateral de grau leve e Grupo 3 (G3) composto por crianças com perda auditiva condutiva bilateral de grau leve. Estudo prospectivo. Participantes: 90 crianças com idade entre 7 e 11 anos de idade, sendo 30 de cada grupo. Intervenções: Audiometria Tonal Limiar, Imitanciometria e THAAS. RESULTADOS: os grupos sensorioneural e condutivo apresentaram desempenho inferior ao grupo controle em todas as respostas do THAAS. CONCLUSÃO: o THAAS sofreu influência das perdas auditivas de grau leve, condutivas e sensorioneurais, sendo o pior comprometimento para perdas sensorioneurais.

BACKGROUND: hearing loss during childhood is considered a risk factor for developmental delay. AIM: to verify the performance of children diagnosed with mild hearing loss, conductive and sensorineural, in the Sustained Auditory Attention Ability Test (SAAAT). The purpose of the study was to verify if the test is influenced by the presence of hearing impairment. METHOD: a clinical study of the SAAAT considering three groups: Group 1 (G1) control group composed by children with normal hearing, Group 2 (G2) composed by children with mild bilateral sensorineural hearing loss and Group 3 (G3), composed by children with mild bilateral conductive hearing loss. Participants were children with ages between 7 and 11 years; 30 children in each group. A prospective study. Interventions: Pure Tone Audiometry, Acoustic Imittance Measures and SAAAT. Result: children with sensorineural and conductive hearing loss presented a lower performance in all of the SAAT results when compared to the control group. CONCLUSION: the SAAAT was influenced by the presence of mild hearing impairment, considering that the greatest influence was observed in the presence of sensorineural hearing loss.

A deficiência auditiva (DA) unilateral é caracterizada pela diminuição da audição em apenas uma orelha podendo acarretar dificuldade acadêmica, alterações de linguagem e dificuldade sócio-emocionais. OBJETIVO: Avaliar a autopercepção do handicap auditivo de sujeitos adultos, portadores de DA sensório-neural unilateral, não usuários de Aparelho de Amplificação Sonora Individual. MATERIAL E MÉTODO: Estudo Prospectivo com 52 sujeitos adultos, com média de 34.5 anos e de ambos os gêneros (26 do gênero feminino, 26 do masculino) com deficiência auditiva: tipo neurossensorial unilateral, de graus variados; responderam a um questionário para a avaliação do handicap sendo utilizado o "Hearing Handicap Inventory for Adults" (HHIA). RESULTADOS: Foram pontuadas as subescalas dos aspectos emocionais e sociais/situacionais sendo encontrados 73,1% de presença do handicap entre os graus leve, moderado e significativo e em maior porcentagem (88,5%) no gênero feminino. CONCLUSÕES: A aplicação do questionário mostrou-se um procedimento eficiente, pois a DA unilateral pode, não raramente, comprometer aspectos sociais e emocionais do sujeito adulto e o mesmo grau de DA podem reagir de forma diferente, indicando que a grande variabilidade na autopercepção do handicap auditivo está associada a aspectos não audiológicos.

Hearing impairment (HI) is characterized by unilateral hearing loss in one ear and can result in learning difficulties, language impairment and socio-emotional difficulties. To assess the perception of hearing handicap in adult subjects, patients with unilateral sensorineural HI, non-users of individual hearing aids. MATERIALS AND METHODS: Prospective study with 52 adult subjects with a mean of 34.5 years of age, from both genders (26 females, 26 males) with hearing loss: sensorineural unilateral, in varying degrees, responded to a questionnaire for assessing hearing handicap, and for that we used the Hearing Handicap Inventory for Adults (HHIA). RESULTS: We scored the subscales of the emotional and social/situational aspects, and we found 73.1% of the handicap present being mild, moderate and significant, but at a higher percentage (88.5%) in females. CONCLUSIONS: The use of the questionnaire proved to be an effective procedure, because the unilateral HI may, not infrequently, compromise social and emotional aspects of the adult subject and the same degree of HI who can react differently, indicating that the wide variability in the perception of the hearing handicap is associated with non-audiological aspects.

La remodelación cosmética de los dientes naturales es una modalidad de tratamiento con beneficios estéticos que puede ser considerada económica y conservadora. No obstante, demanda del profesional no solo restaurar una sonrisa armoniosa, sino también, al mismo tiempo preocuparse con el aspecto funcional del tratamiento. Además, la remodelación cosmética pude ser relacionada a otros recursos operatorios como los restauradores adhesivos directos, proporcionando resultados aún más satisfactorios a los pacientes. De esta manera, este trabajo tiene por objetivo presentar un caso clínico, en el cual la remodelación cosmética asociada a diferentes recursos operatorios, puede ser empleada como una opción de tratamiento estético conservador

Cosmetic contouring of natural teeth is a treatment with aesthetic benefits that can be considered economical as well as conservative. The dental professional has however not only to restore the smile harmony, but the functional aspects have to be considered at the same time in the treatment planning. Other treatments such as direct adhesive restorative treatments may additionally be used to provide better outcomes to the patients. The aim of the present work thus is to present a case of cosmetic contouring as a suitable aesthetic treatment option