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- Ericsson, Elisabeth, 1959-, et al.
(author)
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Child behavior and quality of life before and after tonsillotomy versus tonsillectomy
- 2008
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In: International conference in pediatric otorhinolaryngology, 2008. ; , s. 40-40
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Conference paper (other academic/artistic)abstract
- Introduction: The objective of the present investigation was to compare two techniques for pediatric tonsil surgery with respect to postoperative pain and morbidity and changes in sleep behavior, health related quality of life (HRQL) and benefit due to surgery. Methods: 67 children (4,5-5,5 years) with tonsillar hypertrophy and obstructive sleep related distress with or without recurrent tonsillitis were randomized to either regular tonsillectomy (TE)(n=32) or intracapsular tonsillectomy/tonsillotomy (TT) (n=35) with Radiofrequency surgical technique (Ellman Int) Before TT/TE, the parents completed a validated Quality of Life survey of pediatric obstructive sleep apnea, the OSA18 (Obstructive Sleep Apnea-18) and a standardized assessment of their children-s behavior with the Child Behavior Checklist (CBCL). Six months after surgery, the parents repeated these measurements, and assessed the health related benefits of the surgery using the Glasgow Children´s Benefit Inventory (GCBI). Results: In the TT group, the children recorded less pain from the first day after surgery onwards, used fewer doses of painkillers and were pain-free 3 days earlier than the children in the TE group. Six months after surgery, there was no significant difference between TT and TE with regard to snoring and ENT-infections. The differences were all significant in the total scores and in all the individual domains between the initial OSA-18 and post-surgery scores (p<0.0001). The improvement in the total problem score measured with CBCL was also significant (p<0.01) and there were no differences between the TT and TE children. The improvements in all sub scores of the GCBI indicated a significant health benefit of both TT and TE. Conclusions: TT with RF-surgery is a safe method, which causes less pain and postoperative morbidity than regular TE and has a similar effect on snoring and recurrent infections. Young children with tonsillar hypertrophy and different degrees of obstructive sleep related distress all show an impact on HRQL and behavior. All improve dramatically after a tonsillar operation-improving just as much after TT as after TE. Based on these results, TT should be the first choice for treatment of these small children. Support: Financial support from the Research Council of South East Sweden (FORSS).
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- Samuelsson, Christina, 1966-, et al.
(author)
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Specific and general competencies of graduates from Swedish speech and language pathology education
- 2008
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In: The Second International Conference on PBL in Speech-Language Pathology,2008.
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Conference paper (peer-reviewed)abstract
- The topic of the present study is the relationship between the pedagogical philosophy of education and the professional outcome, mainly regarding general competencies. The overall purpose of the study is to evaluate postgraduates- opinions on how well prepared for the professional life they feel after their speech and language pathology education. Previous research have shown differences in professional skills between problem-based learning (PBL) and non-PBL graduates (Prince, van Eijs, Boshuzien, van der Vleuten & Scherpbier, 2005). Those differences mainly concern general competencies such as organizational skills and teamwork. These findings get further support from the evaluation of the Swedish medical education programmes, where PBL-graduates report better communicational, co-operational and leadership skills than non-PBL graduates (Grundutbildningsenkäten, 2006). PBL is a student centred pedagogical philosophy where students are encouraged to be very active. In PBL real-life problems become the context in which students learn academic content as well as professional skills (Biggs, 2003). The first Swedish speech language pathology program using PBL throughout the program was completed in 2007, and the graduate students have participated in an evaluation of the program. A comprehensive questionnaire, focusing on perceived professional skills in relation to education, was distributed to the students of this program, to students from a partial PBL curriculum who graduated the same year and to students from a partial PBL curriculum who finished in 2002. Preliminary results indicate that the PBL graduates feel well prepared for meeting the demands of the professional life. The results also suggest that the students who finished their education six years ago feels more able to evaluate their education. These students also seem more satisfied. The present study adds further knowledge concerning outcomes of higher medical education. It also points to differences between PBL graduates and non-PBL graduates regarding professional experiences. The study also provides information on how the opinions of the educational experience changes over time.
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