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International audience; Un ouvrage complet sur les questions sensibles en organisation, accompagné de recommandations afin de les détecter et de les prendre en compteTous les jours, les organisations sont amenées à gérer des sujets sensibles, qu’ils soient polémiques, tabous, intimes, litigieux ou déviants. Pourtant, pour diverses raisons, ils sont souvent peu ou pas gérés.En 2018, des chercheurs ont créé un groupe de recherche thématique (GRT) au sein de l’Association francophone de gestion des ressources humaines (AGRH) pour produire des connaissances sur les sujets RH sensibles et contribuer à outiller efficacement les acteurs concernés :• Comment définir les sujets sensibles ?• Quelles méthodologies mettre en place pour intervenir au sein des organisations ?L’objectif de cet ouvrage est d’encourager les pratiques organisationnelles responsables :• La partie 1 propose une réflexion sur le management du sensible : l’alcool en entreprise, les pratiques de nontravail, le management des relations amoureuses.• La partie 2 porte sur la prise en considération des vulnérabilités : les risques psycho-sociaux, l’identité professionnelle suite à un licenciement, le management inclusif.• La partie 3 fournit des conseils et des outils pour agir en contexte sensible et relever les nombreux défis posés par ces situations.Cet ouvrage, qui permet d’ouvrir des débats, des perspectives de recherche, et de réfléchir aux pratiques et outils, intéressera les enseignants-chercheurs, les doctorants, les étudiants en master RH et management. Il s’adresse également aux consultants, RH, managers opérationnels, ainsi qu’aux salariés en situation de vulnérabilité et leurs collègues.

Objectives/Hypothesis To find an anatomical measurement of the cleft palate (or a calculated parameter) that predicts the occurrence of velopharyngeal insufficiency (VPI) after palatal cleft repair. Study Design Retrospective cohort study. Methods Charts were reviewed from cleft palate patients who underwent palatoplasty by the Von Langenbeck technique for isolated cleft palate or Bardach two-flap palatoplasty for cleft lip-palate. Seven anatomical cleft parameters were prospectively measured during the palatoplasty procedure. Three blinded speech–language pathologists retrospectively scored the clinically assessed VPI at 4 years of age. The recommendation of pharyngoplasty was also used as an indicator of VPI. Results From 1993 to 2008, 67 patients were enrolled in the study. The best predicting parameter was the ratio a/(30 − b1), in which a is defined as the posterior gap between the soft palate and the posterior pharyngeal wall and b1 is the width of the cleft at the hard palate level. An a/(30 − b1) ratio >0.7 to 0.8 is associated with a higher risk of developing VPI (relative risk = 2.2–5.1, sensitivity = 72%–81%, P

To find an anatomical measurement of the cleft palate (or a calculated parameter) that predicts the occurrence of velopharyngeal insufficiency (VPI) after palatal cleft repair.Retrospective cohort study.Charts were reviewed from cleft palate patients who underwent palatoplasty by the Von Langenbeck technique for isolated cleft palate or Bardach two-flap palatoplasty for cleft lip-palate. Seven anatomical cleft parameters were prospectively measured during the palatoplasty procedure. Three blinded speech-language pathologists retrospectively scored the clinically assessed VPI at 4 years of age. The recommendation of pharyngoplasty was also used as an indicator of VPI.From 1993 to 2008, 67 patients were enrolled in the study. The best predicting parameter was the ratio a/(30 - b1), in which a is defined as the posterior gap between the soft palate and the posterior pharyngeal wall and b1 is the width of the cleft at the hard palate level. An a/(30 - b1) ratio0.7 to 0.8 is associated with a higher risk of developing VPI (relative risk = 2.2-5.1, sensitivity = 72%-81%, P .03).The width of the cleft at the hard palate level and the posterior gap between the soft palate and the posterior pharyngeal wall were found to be the most significant parameters in predicting VPI. The best correlation was obtained with the ratio a/(30 - b1).4.