| 1. |
- Lohmander, Anette, et al.
(författare)
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Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 4. Speech outcomes in 5-year-olds - velopharyngeal competency and hypernasality
- 2017
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Ingår i: Journal of Plastic Surgery and Hand Surgery. - : TAYLOR & FRANCIS LTD. - 2000-656X .- 2000-6764. ; 51:1, s. 27-37
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Tidskriftsartikel (refereegranskat)abstract
- Background and aim: Adequate velopharyngeal function and speech are main goals in the treatment of cleft palate. The objective was to investigate if there were differences in velopharyngeal competency (VPC) and hypernasality at age 5 years in children with unilateral cleft lip and palate (UCLP) operated on with different surgical methods for primary palatal repair. A secondary aim was to estimate burden of care in terms of received additional secondary surgeries and speech therapy. Design: Three parallel group, randomised clinical trials were undertaken as an international multicentre study by 10 cleft teams in five countries: Denmark, Finland, Sweden, Norway, and the UK. Methods: Three different surgical protocols for primary palatal repair were tested against a common procedure in the total cohort of 448 children born with a non-syndromic UCLP. Speech audio and video recordings of 391 children (136 girls, 255 boys) were available and perceptually analysed. The main outcome measures were VPC and hypernasality from blinded assessments. Results: There were no statistically significant differences between the prevalences in the arms in any of the trials. VPC: Trial 1, A: 58%, B: 61%; Trial 2, A: 57%, C: 54%; Trial 3, A: 35%, D: 51%. No hypernasality: Trial 1, A: 54%, B: 44%; Trial 2, A: 47%, C: 51%; Trial 3, A: 34%, D: 49%. Conclusions: No differences were found regarding VPC and hypernasality at age 5 years after different methods for primary palatal repair. The burden of care in terms of secondary pharyngeal surgeries, number of fistulae, and speech therapy visits differed.
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| 2. |
- Semb, Gunvor, et al.
(författare)
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A Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 1. Planning and management.
- 2017
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Ingår i: Journal of Plastic Surgery and Hand Surgery. - : Taylor & Francis. - 2000-656X .- 2000-6764. ; 51:1, s. 2-13
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND AIMS: Longstanding uncertainty surrounds the selection of surgical protocols for the closure of unilateral cleft lip and palate, and randomised trials have only rarely been performed. This paper is an introduction to three randomised trials of primary surgery for children born with complete unilateral cleft lip and palate (UCLP). It presents the protocol developed for the trials in CONSORT format, and describes the management structure that was developed to achieve the long-term engagement and commitment required to complete the project.METHOD: Ten established national or regional cleft centres participated. Lip and soft palate closure at 3-4 months, and hard palate closure at 12 months served as a common method in each trial. Trial 1 compared this with hard palate closure at 36 months. Trial 2 compared it with lip closure at 3-4 months and hard and soft palate closure at 12 months. Trial 3 compared it with lip and hard palate closure at 3-4 months and soft palate closure at 12 months. The primary outcomes were speech and dentofacial development, with a series of perioperative and longer-term secondary outcomes.RESULTS: Recruitment of 448 infants took place over a 9-year period, with 99.8% subsequent retention at 5 years.CONCLUSION: The series of reports that follow this introductory paper include comparisons at age 5 of surgical outcomes, speech outcomes, measures of dentofacial development and appearance, and parental satisfaction. The outcomes recorded and the numbers analysed for each outcome and time point are described in the series.TRIAL REGISTRATION: ISRCTN29932826.
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| 3. |
- Willadsen, Elisabeth, et al.
(författare)
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Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 5. Speech outcomes in 5-year-olds - consonant proficiency and errors
- 2017
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Ingår i: Journal of Plastic Surgery and Hand Surgery. - : TAYLOR & FRANCIS LTD. - 2000-656X .- 2000-6764. ; 51:1, s. 38-51
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Tidskriftsartikel (refereegranskat)abstract
- Background and aim: Normal articulation before school start is a main objective in cleft palate treatment. The aim was to investigate if differences exist in consonant proficiency at age 5 years between children with unilateral cleft lip and palate (UCLP) randomised to different surgical protocols for primary palatal repair. A secondary aim was to estimate burden of care in terms of received additional secondary surgeries and speech therapy. Design: Three parallel group, randomised clinical trials were undertaken as an international multicentre study by 10 cleft teams in five countries: Denmark, Finland, Norway, Sweden, and the UK. Methods: Three different surgical protocols for primary palatal repair were tested against a common procedure in the total cohort of 448 children born with non-syndromic UCLP. Speech audio- and video-recordings of 391 children (136 girls and 255 boys) were available and transcribed phonetically. The main outcome measure was Percent Consonants Correct (PCC) from blinded assessments. Results: In Trial 1, arm A showed statistically significant higher PCC scores (82%) than arm B (78%) (p=.045). No significant differences were found between prevalences in Trial 2, A: 79%, C: 82%; or Trial 3, A: 80%, D: 85%. Across all trials, girls achieved better PCC scores, excluding s-errors, than boys (91.0% and 87.5%, respectively) (p=.01). Conclusions: PCC scores were higher in arm A than B in Trial 1, whereas no differences were found between arms in Trials 2 or 3. The burden of care in terms of secondary pharyngeal surgeries, number of fistulae, and speech therapy visits differed.
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| 4. |
- Basu, Neil, et al.
(författare)
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EULAR points to consider in the development of classification and diagnostic criteria in systemic vasculitis
- 2010
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Ingår i: Annals of the Rheumatic Diseases. - London, UK : BMJ. - 1468-2060 .- 0003-4967. ; 69:10, s. 1744-1750
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Tidskriftsartikel (refereegranskat)abstract
- Objectives The systemic vasculitides are multiorgan diseases where early diagnosis and treatment can significantly improve outcomes. Robust nomenclature reduces diagnostic delay. However, key aspects of current nomenclature are widely perceived to be out of date, these include disease definitions, classification and diagnostic criteria. Therefore, the aim of the present work was to identify deficiencies and provide contemporary points to consider for the development of future definitions and criteria in systemic vasculitis. Methods The expert panel identified areas of concern within existing definitions/criteria. Consequently, a systematic literature review was undertaken looking to address these deficiencies and produce 'points to consider' in accordance with standardised European League Against Rheumatism (EULAR) operating procedures. In the absence of evidence, expert consensus was used. Results There was unanimous consensus for re-evaluating existing definitions and developing new criteria. A total of 17 points to consider were proposed, covering 6 main areas: biopsy, laboratory testing, diagnostic radiology, nosology, definitions and research agenda. Suggestions to improve and expand current definitions were described including the incorporation of anti-neutrophil cytoplasm antibody and aetiological factors, where known. The importance of biopsy in diagnosis and exclusion of mimics was highlighted, while equally emphasising its problems. Thus, the role of alternative diagnostic tools such as MRI, ultrasound and surrogate markers were also discussed. Finally, structures to develop future criteria were considered. Conclusions Limitations in current classification criteria and definitions for vasculitis have been identified and suggestions provided for improvement. Additionally it is proposed that, in combination with the updated evidence, these should form the basis of future attempts to develop and validate revised criteria and definitions of vasculitis.
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| 5. |
- Boers, Börje, 1975-, et al.
(författare)
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The Resilience of Family Firms During Crisis
- 2024. - 1
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Ingår i: Small and Medium-Sized Enterprise (SME) Resilience. - : Springer Nature. - 9783031508356 - 9783031508387 - 9783031508363 ; , s. 83-106
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Bokkapitel (refereegranskat)abstract
- The authors of this study aimed to investigate the issue of resilience in family firms during times of crisis. They recognize that a crisis can impact not only the business itself but also the family dynamics within the firm. To be resilient, addressing and managing both aspects is crucial.Resilience in this context refers to the ability of family firms to adapt, recover, and thrive in the face of adversity. The authors emphasise that resilience involves navigating and responding to multiple events that may arise from various sources, including the external environment, the business operations, or the internal family dynamics. This complexity adds to the challenges and demands of family firms to be resilient. The study adopts a qualitative approach, employing case studies of German and Swedish family firms to gain deeper insights into this topic. By examining real-life examples, the authors seek to provide empirical evidence and a nuanced understanding of how family firms experience and cope with crises.The findings of this research have significant relevance for multiple stakeholders. Firstly, family business owners and leaders can benefit from insights into the challenges they may face during crises and the strategies they can employ to enhance resilience. Understanding the interplay between family and business dynamics is crucial for effective crisis management.Additionally, policymakers and advisors working with family firms can gain valuable knowledge from this study. By recognizing the unique challenges these firms face during crises, they can develop targeted support mechanisms and resources to assist them in building resilience.Overall, this research sheds light on the complex nature of crisis resilience in family firms and contributes to the existing body of knowledge in this field. It provides practical implications and recommendations for family firms, policymakers, and advisors, ultimately aiming to enhance the long-term sustainability and success of family businesses in the face of adversity.
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| 6. |
- Boers, Börje, 1975-, et al.
(författare)
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Turning Around the Family and the Business? : Examples of Turnaround Strategies from Germany, Scotland, and Sweden
- 2022
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Ingår i: The Nordic Journal of Business. - : Association of Business Schools Finland. - 2342-9003 .- 2342-9011. ; 71:2, s. 77-101
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study is to understand turnaround strategies in family firms from a so-cioemotional wealth (SEW) perspective. This study follows a case study approach with four family firms, one from Germany, one from Scotland, and two from Sweden. Data collection builds on combining interviews with data collected from annual reports, homepages, and press clips. First, we contribute to the understanding of turnaround strategies in private family firms. Moreover, the SEW perspective offers new insights into how owning families prioritize the different turnaround strategies in relation to the SEW dimensions. Finally, our study also helps further an understanding of how owning families prioritize the SEW dimensions, by drawing on mixed gambles. These findings are used to develop a framework for explaining how SEW influences organizational decline and turnaround in private family firms. Finally, we develop propositions that future research could consider.
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| 7. |
- Heinze, Ilka, et al.
(författare)
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Is it just about me? : A comparison between individual and cultural strategies of learning from failure
- 2022
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Ingår i: International Journal of Educational Research Open. - : Elsevier. - 2666-3740 .- 2666-3740. ; 3
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this exploratory study is to research individual and cultural strategies of learning from failure amongst German, Indian and Swedish university students. Our research provides (1) a framework of typal similarities of failure learning within the national cultures of Germany, India and Sweden, as well as (2) understanding of cultural effects on failure learning and (3) insights for entrepreneurship educators to develop programs that steer discussions and reflections on the event of failure as a likely part of the entrepreneurial process. Thus, this research provides a new brick of understanding as our results show that both culture-based strategies as well as culturally independent typical subjectivities in learning from failure exist for the three nations Germany, India and Sweden. The defined typologies can broaden our understanding of learning from failure at an intermediate level, bridging the gap between cultural and individual factors. Furthermore, our paper showcases the suitability of Q methodology to bring to front individual beliefs as well as group-specific opinions in higher education by discussing the methodological capabilities and challenges as experienced during our study.
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| 8. |
- Lohmander, Anette, et al.
(författare)
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Validity of auditory perceptual assessment of velopharyngeal function and dysfunction - the VPC-Sum and the VPC-Rate
- 2017
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Ingår i: Clinical Linguistics & Phonetics. - : TAYLOR & FRANCIS INC. - 0269-9206 .- 1464-5076. ; 31:7-9, s. 589-597
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Tidskriftsartikel (refereegranskat)abstract
- Overall weighted or composite variables for perceptual auditory estimation of velopharyngeal closure or competence have been used in several studies for evaluation of velopharyngeal function during speech. The aim of the present study was to investigate the validity of a composite score (VPC-Sum) and of auditory perceptual ratings of velopharyngeal competence (VPC-Rate). Available VPC-Sum scores and judgments of associated variables (hypernasality, audible nasal air leakage, weak pressure consonants, and non-oral articulation) from 391 5-year olds with repaired cleft palate (the Scandcleft project) were used to investigate content validity, and 339 of these were compared with an overall judgment of velopharyngeal competence (VPC-Rate) on the same patients by the same listeners. Significant positive correlations were found between the VPC-Sum and each of the associated variables (Cronbachs alpha 0.55-0.87, P amp;lt; 0.001), and a moderately significant positive correlation between VPC-Sum and VPC-Rate (Rho 0.698, P amp;lt; 0.01). The latter classified cases well when VPC-Sum was dichotomized with 67% predicted velopharyngeal competence and 90% velopharyngeal incompetence. The validity of the VPC-Sum was good and the VPC-Rate a good predictor, suggesting possible use of both measures depending on the objective.
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| 9. |
- Wickenberg, Maria, 1972-, et al.
(författare)
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Bibliotek och lärare i samarbete rörande undervisning i informationskompetens – exempel och utmaningar
- 2022
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Konferensbidrag (populärvet., debatt m.m.)abstract
- Undervisningsteamet vid Högskolebiblioteket i Skövde undervisar i informationskompetens på högskolans alla program. Undervisningen sker enligt en progression i tre steg som anpassas till respektive program. Sedan några år samarbetar undervisningsteamet med ett antal lärare på högskolan. Samarbetet är en del av ett större projekt – Projekt Integrerat Stöd (PIS). Projektet syftar till att integrera verksamhetsstödets insatser i utbildningarna på högskolan. I denna presentation berättar vi dels om vårt samarbete med en programansvarig lärare inom biovetenskap och dels om hur vi tillsammans med kursansvarig lärare utvecklat nya undervisningsmoment. Vi kommer också att dela våra erfarenheter av att på kursen ”Molekylär genetik” anpassa undervisningsmoment från Zoom till nya flexibla salar.
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| 10. |
- Willadsen, Elisabeth, et al.
(författare)
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Scandcleft Project, Trial 1: Comparison of Speech Outcome in Relation to Timing of Hard Palate Closure in 5-Year-Olds With UCLP.
- 2019
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Ingår i: The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association. - : SAGE Publications. - 1545-1569. ; 56:10, s. 1276-1286
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Tidskriftsartikel (refereegranskat)abstract
- To compare in-depth speech results in Scandcleft Trial 1 as well as reference data from peers without cleft palate (CP).A prospective randomized clinical trial.A Danish and a Swedish CP center.143 of 148 randomized 5-year-olds with unilateral cleft lip and palate. All received lip and velum closure at 4 months, and hard palate closure at 12 months (arm A) or 36 months (arm B).A composite measure based on velopharyngeal competence (VPC) or velopharyngeal incompetence (VPI), an overall assessment of VPC from connected speech (VPC-Rate), Percentage of Consonants Correct (PCC-score), and consonant errors. Speech therapy visits, average hearing thresholds, and secondary pharyngeal surgeries documented burden of treatment.Across the trial, 61.5% demonstrated VPC and 38.5% VPI. Twenty-two percent of participants achieved age appropriate PCC-scores. There were no statistically significant differences between arms or centers for these measures. In the Danish center, arm B: achieved lower PCC-scores (P = .01); obtained PCC-scores without s-errors below 79% (P = .002); produced ≥3 active oral cleft speech characteristics (P = .004) than arm A. In both centers, arm B attended more speech visits.At age 5, differences between centers and treatment arms were not statistically significant for VPC/VPI, but consonant proficiency differed between treatment arms in the Danish center. Poor speech outcomes were seen for both treatment arms. Variations between centers were observed. As the Swedish center had few participants, intercenter comparisons should be interpreted with caution.
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