6 Não será permitido o uso de dicionário.

Transcrição

1 Confira se os dados contidos na parte inferior desta capa estão corretos e, em seguida, assine no espaço reservado para isso. Se, em qualquer outro local deste Caderno, você assinar, rubricar, escrever mensagem, etc., será excluído do Exame. Este Caderno contém 5 questões discursivas referentes à Prova da Língua Estrangeira escolhida pelo candidato. Não destaque nenhuma folha. Se o Caderno estiver incompleto ou contiver imperfeição gráfica que impeça a leitura, solicite imediatamente ao Fiscal que o substitua. Será avaliado apenas o que estiver escrito no espaço reservado para cada resposta, razão por que os rascunhos não serão considerados. Escreva de modo legível, pois dúvida gerada por grafia, sinal ou rasura implica rá redução de pontos. 6 Não será permitido o uso de dicionário. 7 Use exclusivamente caneta esferográfica, confeccionada em material transparente, de tinta preta ou azul. Em nenhuma hipótese se avaliará resposta escrita com grafite. 8 Utilize para rascunhos, o verso de cada página deste Caderno. 9 Você dispõe de, no máximo, três horas, para responder as 5 questões que constituem a Prova. 10 Antes de retirar-se definitivamente da sala, devolva ao Fiscal este Caderno. Assinatura do Candidato: UFRN Exame de Proficiência 2014_1 Inglês

2 As questões de 01 a 05, cujas respostas deverão ser redigidas EM PORTUGUÊS, referem -se ao texto abaixo. Predictors of Chronic Physical and Mental Quality of Life Following Traumatic Brain Injury Shahrokh Yousefzade-Chabok, Sara Ramezani Kapourchali, Zoheir Reihanian, Ehsan Kazemnezhad Leili, Anoush Dehnadi Moghadam, Zahra Mohtasham Amiri Introduction Traumatic brain injury (TBI) is one of the major causes of persistent disability in people under 45 years old. These disabilities underlie many of daily dysfunctions in individuals, playing an important role in reducing the functional independence, social and communicative activities of patients which consequently bring about a poor quality of life (QOL), inhibiting motility, and make them isolated. Dynamic mental processes which are impaired in these patients include attention, working memory, organizing sensory information, linguistic perception and expression, reasoning and problem-solving, which are among main neuropsychological functions. Impairment in perception and expression of emotional load of speech through either verbal prosody or facial gestures is a pragmatic linguistic disorder after TBI and involves brain areas related to emotions such as amygdala and other parts related to limbic system, which are also parts of the brain most susceptible to damage from trauma. Damage to orbitofrontal cortex, a part of anterior limbic cortex, leads to anti-social behaviors and mood disorders. Studies related to assessment of post-traumatic long-term outcomes suggest that persistent cognitive and emotional disorders are adverse outcomes after TBI, which affect satisfaction and quality of life. De Almeida Lima and his coauthors found that in patients with mild brain injury, 18 months after trauma, QOL in all dimensions of SF-36 (except physical function) decreased significantly and neuroimaging findings in acute phase could predict mental health dimension of QOL in SF-36 scale in chronic phase. In another study, it was discovered that poor social and psychological dimensions of QOL one year after injury were significantly correlated with age, gender, post-trauma cognitive deficit but not with severity of brain injury. In an effort which was carried out to determine the predictors of QOL 9 months after subarachnoid hemorrhage, patients with Glasgow Outcome Scale (GOS) 5 at discharge had a poor QOL in SF -36 general health and social dimensions, which was predictable by factors such as severity of initial hemorrhage and acute hydrocephalus. Quality of life is known as a valid and proper measuring criterion of clinical outcome. Despite of these evidences, one ambiguity is unanswered yet: which of the acute neuropsychological functions are most crucial for prediction of chronic mental QOL. This study aimed at determining the acute effectors on chronic physical and mental QOL in TBI patients. If we obtain this purpose, an opportunity will be provided for prioritization of early intervention in order to reduce the effect of deteriorating factors on chronic QOL, eventually causing a good chronic QOL for suffered patients. Conclusion Overall, earlier adverse neuropsychological outcomes most prominently logical memory loss, deficient auditory comprehension and disturbed menta l processes related to high levels of language result in reduced mental QOL during first 6 months after injury and decrease the social participation of patients. Thus, early rehabilitation schedule should be considered to prevent progressive adverse verbal and auditory outcomes. One limitation of our study was 12% dropout of subjects in follow-up phase 6 months after injury. We also did not consider current lesion and rehabilitation therapy for patients after discharge, which confounded the results of QOL. Based on the results, it is suggested that research be designed in which the effect rehabilitation intervention on improving the variant domains of QOL emphasizing on verbal fields in patients with moderate and severe TBI be examined. Disponível em: Acesso em: 2/3/2014. [Adaptado] UFRN Exame de Proficiência 2014_1 Inglês Ciências da Saúde 1

3 Questão 1 Discorra sobre os efeitos cognitivos e emocionais apontados no texto qu e resultam de lesões cerebrais no sistema límbico. Questão 2 Descreva o que os estudos conduzidos com pacientes com lesões cerebrais ocorridas há pelo menos um ano revelam. UFRN Exame de Proficiência 2014_1 Inglês Ciências da Saúde 2

4 Questão 3 Explique a questão não resolvida por estudos anteriores e como a pesquisa reportada no texto pretende abordá-la. Questão 4 Explicite as limitações do estudo reportado no texto e como futuras pesquisas podem saná -las. UFRN Exame de Proficiência 2014_1 Inglês Ciências da Saúde 3

5 Questão 5 Traduza o fragmento textual abaixo no espaço reservado para isso. Seu texto deverá apresentar clareza e estar bem articulado tanto em termos estruturais quanto de sentido. In an effort which was carried out to determine the predictors of QOL 9 months after subarachnoid hemorrhage, patients with Glasgow Outcome Scale (GOS) 5 at discharge had a poor QOL in SF-36 general health and social dimensions, which was predictable by factors such as severity of initial hemorrhage and acute hydrocephalus. ESPAÇO DESTINADO AO TEXTO DEFINITIVO UFRN Exame de Proficiência 2014_1 Inglês Ciências da Saúde 4