Teses em Neurociências e Biologia Celular (Doutorado) - PPGNBC/ICB
URI Permanente para esta coleçãohttps://repositorio.ufpa.br/handle/2011/2390
O Doutorado Acadêmico pertence ao Programa de Pós-Graduação em Neurociências e Biologia Celular (PPGNBC) do Instituto de Ciências Biológicas (ICB) da Universidade Federal do Pará (UFPA).
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Item Acesso aberto (Open Access) Dinâmica de sucção disfuncional em lactentes com anquiloglossia(Universidade Federal do Pará, 2023-11) CUNHA, Bruna Mendes Lourenço; SILVA FILHO, Manoel da; http://lattes.cnpq.br/2032152778116209Introduction: Breastfeeding is widely recommended as an exclusive diet until 6 months of age and continued until two years or more. Its benefits are numerous and proven, including improving the immune system, a nutrient-rich diet and craniofacial development from the sucking movement. However, not all babies are able to breastfeed due to some difficulties, with ankyloglossia. Known as tongue tie, it can restrict tongue movements, making breastfeeding difficult and, in some cases, being responsible for early weaning. Objective: Compare infant suction in babies with and without ankyloglossia using a microprocessor-controlled pressure sensor coupled to a pacifier. Method: Fifty-five infants from 0 to 2 months of age underwent clinical examination for ankyloglossia, after which they were offered a silicone pacifier connected to the pressure acquisition device and suction activity was recorded. Thus, we extracted the frequency of sucks within a burst, the average suck duration, the burst duration, the number of sucks per burst, the maximum amplitude of sucks per burst and the inter-burst interval. Results: The key difference in newborns with ankyloglossia in relation to control was that they perform longer bursts of suction activity. Conclusion: The longer burst durations are likely a compensatory strategy and may underlie the pain reported by mothers during breastfeeding. We therefore propose a method for objectively quantifying some parameters of infant suction capacity and demonstrate its use in assisting the evaluation of ankyloglossia.Item Acesso aberto (Open Access) Função de recuperação do nervo auditivo após doze meses de uso do implante coclear(Universidade Federal do Pará, 2022-03) YAMAGUCHI, Cíntia Tizue; SILVA FILHO, Manoel da; http://lattes.cnpq.br/2032152778116209Introduction: Cochlear implant is the standard treatment for severe and profound bilateral sensorineural hearing loss. To optimize the adaptation of this device, especially in patients who do not have the ability to refer to the parameters necessary for programming, such as children and people with associated disabilities, objective tests based on the action potential of auditory nerve fibers have been studied as possible predictors. of these parameters to be used in cochlear implant programming. The auditory nerve recovery function is a test that measures the time the auditory nerve needs to recover from a stimulus (leave the absolute refractory period) to receive new stimulation and possibly be more responsive to the auditory sensation offered by the cochlear implant. Objective: Through a specific software for cochlear implants, with the objective of measuring the time constant (τ) in the intraoperative period and in the postoperative period after 12 months of cochlear implant use in children. Method: We recruited children with cochlear implant and intraoperative neural response, evaluated the recovery function using commercially available cochlear implant software. Data were collected intraoperatively and repeated twice 12 months after surgery. Results: We found that the recovery time of the auditory nerve increases after 12 months of cochlear implant use. Our results also show that the profile of temporal responses is significantly higher in the postoperative measurement than in the intraoperative one. The test-retest reproducibility of the composite evoked action potential recordings proved to be reliable and stable. Conclusion: There was a change in 12 months of cochlear implant use, in relation to the same measure at the intraoperative moment in the subjects of this study. The intraoperative τ measurement was faster, however, in the postoperative period the mean showed higher τ values. However, the current level was different intraoperatively and 12 months after use, needing to be further explored. There was no statistical difference regarding the test-retest in the postoperative period, showing reliability and reproducibility of the measurement. Possibly it would be the beginning of the study of a responsiveness profile in relation to the recovery time of the auditory nerve.