A short paper on the whats and the hows of learning technology standardization
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Objectives: The purpose of the current study was to assess the short-term effectiveness of short and intensive speech therapy provided to patients with cleft (lip and) palate (C(L)P) in terms of articulation and resonance. Methods: Five Ugandan patients (age: 7.3-19.6 years) with non-syndromic C(L)P received six hours of individualized speech therapy in three to four days. Speech therapy focused on correct phonetic placement and contrasts between oral and nasal airflow and resonance. Speech evaluations performed before and immediately after speech therapy, including perceptual and instrumental assessment techniques, were compared. Results: Post-therapy, improvement of speech was noted for most of the patients, although to varying degrees. Clinically relevant progress of objective nasalance values and/or articulation was obtained in four patients. Overall, two patients showed normal speech intelligibility, while three patients required additional speech therapy. Conclusion: These preliminary short-term results demonstrate that short and intensive speech therapy can be effective for patients with C(L)P in countries with limited access to speech-language therapy. However, further research is needed on the long-term effectiveness and the advantages of applying this treatment protocol in countries with good access to speech therapy. Learning outcomes: The reader will be able to (1) list the challenges in resource poorcountries to achieve access to speech-language therapy services, (2) describe when the application of speech therapy is appropriate in patients with C(L)P, (3) describe the speech therapy that can be applied to reduce compensatory articulation and resonance disorders in patients with C(L)P, and (4) list the (possible) advantages of short, intensive speech therapy for both resource-poor and developed countries.
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PURPOSE: The Nasality Severity Index 2.0 (NSI 2.0) forms a new, multiparametric approach in the assessment of hypernasality. To enable clinical implementation of this index, the short- and long-term test-retest reliability of this index was explored. METHODS: In 40 normal-speaking adults (mean age 32y, SD 11, 18-56y) and 29 normal-speaking children (mean age 8y, SD 2, 4-12y), the acoustic parameters included in the NSI 2.0 (i.e. nasalance of the vowel /u/ and an oral text, and the voice low tone to high tone ratio (VLHR) of the vowel /i/) were obtained twice at the same test moment and during a second assessment two weeks later. After determination of the NSI 2.0, a comprehensive set of statistical measures was applied to determine its reliability. RESULTS: Long-term variability of the NSI 2.0 and its parameters was slightly higher compared to the short-term variability, both in adults and in children. Overall, a difference of 2.82 for adults and 2.68 for children between the results of two consecutive measurements can be interpreted as a genuine change. With an ICC of 0.84 in adults and 0.77 in children, the NSI 2.0 additionally shows an excellent relative consistency. No statistically significant difference was withheld in the reliability of test-retest measurements between adults and children. CONCLUSION: Reliable test-retest measurements of the NSI 2.0 can be performed. Consequently, the NSI 2.0 can be applied in clinical practice, in which successive NSI 2.0 scores can be reliably compared and interpreted. LEARNING OUTCOMES: The reader will be able to describe and discuss both the short-term and long-term test-retest reliability of the Nasality Severity Index 2.0, a new multiparametric approach to hypernasality, and its parameters. Based on this information, the NSI 2.0 can be applied in clinical practice, in which successive NSI 2.0 scores, e.g. before and after surgery or speech therapy, can be compared and interpreted.
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Orthography is considered to be a major problem in Dutch education, since many pupils don’t seem to be able to master orthographic rules, even after years of education. In educational literature it is argued that the problems related to spelling are caused by approaches that focus more on rules of thumb than on linguistic insights. This is somewhat remarkable, since a good understanding of the Dutch orthographic system requires a fair amount of morphological knowledge. In order to effectively implement this knowledge, the development of a morphological awareness (MA) seems to be required. Therefore, a short intervention was designed for the upper levels of secondary schools (4 havo) which aimed to foster MA and, subsequently, improve orthographic skills. Results of this quasi-experimental study indicate that a short intervention can significantly boost MA, but that students don’t seem to be able to use MA effectively to enhance spelling performance.
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Short article in Dutch on the concept of 'excellence' in music education
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Short article (in Dutch) containing some side remarks on the arts education project 'Cultuur in de Spiegel'.
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De Digitale Universiteit (DU) performed a quickscan to determine the usability of the IMS Question and TestInteroperability (QTI) specification as a format to store questions and tests developed for and by the consortium. The original report is available in Dutch from the website of De Digitale Universiteit and an unofficial English translation of that report can be downloaded. In October 2003, Canvas Learning Ltd., developers of the Canvas Canvas Learning Author and Canvas Learning Player responded to the Quickscan by sending their Canvas Flash player which could also render the test questions developed for the Quickscan. The Canvas Learning Player hadn't been tested as part of the original Quickscan because none of the partners within De Digitale Universiteit was using the application at that time. This addendum contains a short overview of the results of the tests for the Flash player as it was provided by Canvas Learning Ltd. All tests have been conducted by the author of the quickscan using the original test set. The set and the player used can be downloaded as a SCORM compliant package.
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De meeste risicotaxatie-instrumenten voor jongeren in de jeugdzorg beoordelen het risico op één schadelijke uitkomst, zoals gewelddadig gedrag. Maar er zijn meer soorten risicovol gedrag. De Short-Term Assessment of Risk and Treatability: Adolescenten Versie (START:AV) beoordeelt zowel het risico op dader- als slachtofferschap.
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Aandeel van buitenlandse bedrijven in de economie van Oost-Nederland. Short paper voor het congres Vitale Regio’s. Deze short paper geeft de resultaten weer van een eerste meting naar het effect van buitenlandse ondernemingen op de economie van Oost-Nederland. Het onderzoek is uitgevoerd op basis van een vraag van de ontwikkelingsmaatschappij voor Oost-Nederland, Oost NV. Voor het onderzoek is een database van 811 buitenlandse ondernemingen samengesteld op basis van het regionaliseren, corrigeren en aanvullen van een landelijke beschikbare gegevens. De impact is onderzocht op basis van een vergelijking op basis van 5 beschikbare indicatoren. Daaruit blijkt dat de economische betekenis van buitenlandse bedrijven in Oost-Nederland relatief klein is. Op basis van een ‘fair share’ berekening is het aandeel van buitenlandse bedrijven in Oost-Nederland ongeveer 45% te laag en het aantal arbeidsplaatsen van buitenlandse bedrijven zelfs 61%.
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