Aphasia is a symptomatic language condition resulting from neurological damage that produces subjective and social effects. The repercussions of this condition also affect those who live with and provide care for aphasic individuals. Assistance to individuals with problems related to language and communication can cause difficulties in hospital care, causing harm to the recovery process. Objective: To analyze the implications of linguistic symptoms on interprofessional assistance for aphasic subjects in the context of the SUS in a general hospital in Bahia. Method: This is an exploratory qualitative research using the semi-structured interview technique. The study was approved by the Human Research Ethics Commission and was composed of one (1) worker from each category of the interprofessional health team. The analysis was based on ordering, classification, and interpretative data analysis. Results: The interprofessional team realizes that users with language problems are annoying and modify the dynamics of hospital care, highlighting the team's difficulties, challenges, and limitations. Emotional aspects were emphasized by the professionals, such as fear, sadness, insecurity, and frustration resulting from encounters with aphasic subjects in care. Conclusion: Aphasia causes discomfort and disrupts the dynamics of hospital care. Understanding the emotions, challenges, and concerns of the professional-aphasic subject dynamic highlights the importance of building health practice, in which knowing and feeling are put into perspective. The importance of establishing comprehensive care is understood, guided by interprofessional and an expanded clinic, considering the different dimensions of health and the diversity of ways of life. The relevance of a language clinician on the team to exchange knowledge about clinical management with aphasic subjects is also highlighted.

Introduction: Social isolation, a consequence of the COVID-19 pandemic, had a negative impact on the physical fitness (ApF) of people, especially the elderly. Objective: To compare the level of ApF of elderly users of an Open University for the Elderly (UATI) before and after the social isolation caused by the COVID-19 pandemic. Method: This is a prospective longitudinal comparative study, carried out in a UATI, between the months of October to December 2019 and April to July 2022. The sample included elderly people ≥ 60 years old, independent in basic activities of daily living (50 points on the modified Barthel Index). Exclusion criteria were: attendance <70% in the last three months, admission to the UATI less than 3 months ago, having visual, hearing and language impairments that were not corrected and a score on the Mini Mental State Examination lower than the cut-off point. according to education. Clinical and sociodemographic data were collected using a form. ApF was assessed using the 6-minute walk test (6MWT), the sit-and-stand test five times and the sitand-reach test. The predicted distance in the 6MWT and body mass index were calculated. Through an interview, the Senior Physical Activities Questionnaire for the Elderly was used. Results: 22 elderly people aged 74 (±2) participated, most of them women (n=19 - 86.4%), single (n=12 - 54.5%), completed higher education (n=10 - 45.5 %), income of 3 minimum wages (n=10 - 45.5%), hypertensive (n=13 - 59.1%) and those who practice physical activity (PA) (n=14 - 63.6%). Before the pandemic, 15 participants (68.2%) performed physical exercise outside the UATI, the majority (n=13 - 59.1%) ≥150 minutes of physical exercise per week; in relation to ApF, flexibility worsened -5.05 (±12.12); had more free time in activities that produce energy for work (PA) 23.32 (±12.09) and in activities that produce muscular strength (FO) 19.68 (±15.23), they began to carry less loads from 1 to 5kg 2.13 (±1.03), from 6 to 15kg 2.13 (±1.03) and greater than 15kg 0.45 (±0.67). During social isolation, 17 participants (77.3%) performed < 150 minutes of physical exercise per week outside the UATI; in relation to ApF, flexibility worsened -11.25 (±9.59); had more free time in activities PA 13.59 (±9.80) and FO 7.50 (±7.18), started to carry less loads from 1 to 5kg 1.00 (±1.19), from 6 to 15kg 0.23 (±0.61) and <15kg 0.00 (±0.00). In relation to those practicing <150 min and ≥150 min per week of physical exercise before and during social isolation, both worsened in free activity PA (0.002) and FO (0.004) and when carrying loads from 6 to 15kg (0. 00). Regarding loads from 1 to 5kg, those practicing ˂150 minutes of physical exercise per week showed low values before and after social isolation (0.013) and load <15kg (0.008). Conclusion: The elderly did not reduce their ApF level amid isolation, due to health education and the active lifestyle encouraged by UATI. 

Objective: To identify sociodemographic, occupational, and attentional factors related to the accuracy of hearing assessment with the hearTest smartphone-based device compared to conventional audiometry in noise-exposed workers. Methods: This is an exploratory accuracy study conducted with noise-exposed workers. All participants answered the questionnaire investigating sociodemographic, occupational, and attentional data and underwent meatoscopy, hearing evaluation with the hearTest, and conventional audiometry. Descriptive statistical analysis of sociodemographic, occupational, and attentional data was performed, and measures of sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and Youden's index (J) were estimated. Results: The hearTest demonstrated good accuracy for the identification of "any hearing loss" for all factors evaluated, except in workers aged 40-49 years, white, with low education, and with income over five minimum wages. For the identification of noise-induced hearing loss, the hearTest did not show good accuracy only for workers aged between 40 and 49 years, with low education, income below two minimum wages, and who reported irregular sleep the night before the hearing evaluation. For both HL criteria, it was found that the hearTest presented worse accuracy according to the increase in age group. The
strata with higher educational levels reached higher percentages of accuracy and J was higher among women, workers aged between 18 and 29 years, non-white, with higher education, an income of two to five minimum wages, who had a technical function and who denied fasting, for both HL classifications. Conclusion: The results obtained from the present study suggest that sociodemographic and attentional factors may influence the accuracy of hearing assessment with the hearTest smartphone-based device in the population of workers. The hearTest accuracy was higher among women, workers aged between 18 and 29 years, non-white, with higher education, income from two to five minimum wages, who held a technical function, and who denied fasting, for both HL classifications adopted by this study.

Oropharyngeal dysphagia (OD) is a disorder that affects the oral and/or pharyngeal phase of swallowing, which can yield significant impacts on the health of patients. In the hospital environment, OD is present in different cases, and is considered a factor of poor health prognosis. The multiprofessional team responsible for the care of hospitalized patients should be aware of the symptoms/complaints indicative of OD, as well as the factors
associated with SD, referring those with suspected OD to a speech therapy evaluation. Thus, the purpose of this project is to identify factors associated with Oropharyngeal Dysphagia in hospitalized patients.  This study was approved (No. 5.084.266) in November 8, 2021, by the Research Ethics Committee of the Professor Edgard Santos University Hospital of the Federal University of Bahia (HUPES - UFBA).
This is a cross-sectional, observational and analytical study, using convenience sample and comparison group. We plan to carry out the study with 60 participants, aged 18 years or older, of both sexes, admitted to the wards of the Complexo Hospitalar Universitário Professor Edgar Santos CHUPES/UFBA, divided into two groups
UFBA: a group of elderly with oropharyngeal dysphagia and a group of elderly without dysphagia. Sociodemographic data will be collected, level of oral ingestion using the FOIS scale, self-perception of signs and symptoms of dysphagia in dysphagic subjects and physiotherapeutic evaluation considering physical and respiratory capacity.

Elderly people who are frail (or in a state of senility), which are “pathological processes that occur during aging”, according to Aversi-Ferreira, Rodrigues and Paiva (2009), may have their functionality affected, and some of the main signs of decline functional is the risk of falling, the fear of falling and the fall itself, with its consequences, constituting a serious public health problem in Brazil, since about 30% of individuals aged 65 years or older report decrease annually, with an increase in this percentage to 51% in individuals over 85 years of age (BARRETO et al., 2001).
Falls in elderly people are associated with high rates of morbidity and mortality, reduced functional capacity and early institutionalization. Clinical-functional frailty in the elderly is described as the sum of involuntary weight loss, weakness, inactivity, osteopenia, sarcopenia and abnormality in balance and gait (BRASIL, 2006).
Sarcopenia, which is the loss of muscle mass, strength and function, is considered the most drastic functional decline of aging, being associated with loss of independence, increased generalized weakness, falls and fractures. The assessment of muscle mass is a challenge in health services, since its determination with precision requires high-cost tests (BACHION et al., 2018).
The measurement of calf circumference (CP) is an easily applicable, low-cost and effective technique in the assessment of muscle mass as a predictor of sarcopenia (MANCINI et al., 2020), and can be used in association with other forms of assessment, such as such as the Timed Up and Go (TUG) test, which is an instrument already validated in Brazil, in the public domain, used in the literature and clinical practice, easy to apply, low cost and easy to perform, which consists of evaluating functional mobility , the risk of falls and the frailty of the elderly while walking (LOURENÇO, ROMA and ASSIS, 2015; GUERRA et al,. 2017).

Mild Neurocognitive Disorder (NLD) has been considered a transitional stage between normal and dementia aging. Cognitive impairment in Episodic Memory (EM) is one of the cognitive markers of TNL and of decline in the early stages of dementia. This systematic review sought to evaluate the effects of cognitive rehabilitation on the episodic memory of elderly people with NDT. Randomized clinical trials (RCT) and searches carried out in the databases: Web of Science, MEDLINE, EMBASE and PsycINFO (2012-2022) were considered. We included 12 studies involving a total of 1303 subjects. The methodological quality on the PEDro Scale was considered fair (median = 6) and the quality of the evidence on the GRADE scale was low. Moderate effects on outcomes related to episodic memory, improvement in the use of compensatory strategies and change in brain activation in the post-intervention period were identified in most studies. However, there was no significant maintenance of medium-term effects. Despite the increase in the number of RCTs in recent years, they were not of high quality. Larger and more controlled trials are needed to test these hypotheses.

The vestibular system is a movement sensor, also responsible for detecting changes in head position. The Subjective Visual Vertical (SVV) is the individual's ability to perceive the true vertical in relation to the plane. The vertical reference is used to guide posture, displacement, and direction in any activity. Changes in the vestibular system contribute to total or partial loss of balance, being a determining factor in the reduction of activities of daily living and increase in sedentary behavior. Encouraging the practice of physical activities should be proposed to individuals with imbalance, as the performance of body movements helps to resume the proper functioning of the labyrinth. The aim of the present study is to evaluate the association between socioeconomic conditions, physical activity and sedentary behavior in adults with and without alteration in the perception of the subjective visual vertical. This is a descriptive, quantitative, cross-sectional study with a comparison group. The research sample will comprise individuals monitored by the Otorhinolaryngology sector at the Magalhães Neto outpatient clinic of the Professor Edgard Santos University Hospital and by the Speech Therapy School Clinic Professor Jurandy Gomes Aragão, at the State University of Bahia and at the Teaching Assistance Center in Speech Therapy (CEDAF). After the invitation, confirmation of participation in the research and signing of the TCLE, interviews/anamnesis, questionnaires and tests will be carried out. Data will be analyzed quantitatively and qualitatively.

Introduction: Parkinson's Disease (PD) is the second most common neurodegenerative disease in the world, with a global prevalence of more than 6 million of people. Symptoms of PD are usually defined by motor disturbances, but there can be disturbances in several other functions of the nervous system. Axial symptoms, including gait impairment, postural instability and postural changes, are common disorders in advanced PD. Among the most common postural alterations, camptocormia and antecolis stand out. These postural changes have been studied, showing a relationship with important functional repercussions, however changes in incipient stages are still little studied, although they could already functionally impact the individual with PD. This information may be important for clinical practice, as it would help guide rehabilitation treatment, as it would allow earlier intervention on the functional repercussions of postural changes present in individuals with PD. Objective: To verify the relationship between postural changes associated with PD and functionality, postural balance, walking ability and quality of life. Method: This cross-sectional study included elderly people from a specialized public outpatient clinic, with a diagnosis of mild to moderate idiopathic PD according to the modified Hoehn and Yahr classification (HY). Participants were submitted to a postural evaluation with measurement of the upper trunk flexion angles (upper camptocormia - UC), total trunk flexion (total camptocormia - TC) and cervical anterior flexion (antecollis - AC). Assessments were also performed as: functional level using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), balance using the Balance Evaluation Systems Test (BESTest), walking ability using the 6-minute walk test (6MWT), quality of life by the Parkinson's Disease Questionnaire (PDQ-39), disease progression by the Unified Parkinson's Disease Rating Scale (UPDRS) and executive function by the Frontal Assessment Battery (FAB). Results: There was a positive correlation between the angles of cervical flexion and total trunk flexion. Individuals with more than 12º of total trunk flexion, even without formal diagnosis criteria of CT, presented significantly worse performance in the 6MWT (p=0.007), in BESTest (p=0.002) and in PDQ-39 ( p=0.006), mainly in domains related to mobility (p<0.001) and posture (p<0.001). Conclusion: The findings of this study showed that individuals with PD and AC had a direct relationship with patients with greater degrees of anterior trunk flexion, and this, even in the early stages, represented a significant correlation with mobility and balance, with an impact on the quality of life. Other data found refer to the fact that participants with higher degrees of total camptocormia also showed greater impairment in functional performance, since they showed deficits in postural balance and gait.

Purpose: to evaluate traditional, formantic and cepstral acoustic measurements in
trained singers and non-singers, in addition to comparing the values of acoustic
parameters in different phonatory tasks. Method: descriptive and cross-sectional
study in two groups, one group of trained popular singers (n=14) and the other group
of non-singers (n=16), subjects aged 18 years or over of both genders, female and
male, with and without vocal complaints. The participants recorded their voices in the
Voice and Acoustic Comfort Laboratory in a recording booth with acoustic treatment
and noise below 50 dB SPL, the sustained vowel /a/ was emitted at different
intensities and frequencies, they were also asked to sing the “happy birthday” song in
a habitual and strong intensity. The tasks were recorded in a single recording
session, in the same order. Results: 36 participants were included, 23 (76.6%)
female and 7 (23.3%) male. All the trained singers also sing as a religious or
recreational activity (100%). 35.7% (4) had an IDV-10 questionnaire score above the
cutoff point, and 35.7% (5) work as teachers of singing, in addition to the singing
activity itself, 42.8% (6) had previously undergone speech therapy and
otorhinolaryngological monitoring. In the group of non-singers, 43.7% of people sing
as a religious or recreational activity and were above the cutoff point in the IDV-10
questionnaire. The present study did not show significant differences when the two
groups had been compared, differences were only found in the fundamental
frequency (f0) and maximum f0 of the full song, at usual intensity, and in the PHR of
the vowel /a/ of the full song at strong intensity. In formant acoustic measurements, a
difference was observed only in the values of the first formant (F1). Conclusion:
There was no statistically significant difference in acoustic measurements when
comparing groups of trained singers to non-singers. When comparing the different
tasks considering a single group, it was found that both CPP and CPPS improved by
increasing vocal intensity, finally, in formant acoustic analysis, a difference was
observed only in the values of the first formant (F1).