15 research outputs found

    MĂ©thodes et techniques graphiques

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    Françoise Vergneault-Belmont, directeur d’études La cartographie comme parcours expĂ©rimental et chemin de dĂ©couverte : itinĂ©raires en sciences sociales Si, au mĂȘme titre que le texte, la carte a le statut d’un Ă©noncĂ© Ă  part entiĂšre, ou d’un message rĂ©ellement porteur de sens, on peut l’aborder selon deux points de vue : celui du rĂ©cepteur, en une lecture critique, celui de l’émetteur, en une « écriture » raisonnĂ©e. Pour l’un comme pour l’autre, une grille, celle des « sept clĂ©s », permettra d..

    Global Retinoblastoma Presentation and Analysis by National Income Level.

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    Importance: Early diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale. Objectives: To report the retinoblastoma stage at diagnosis in patients across the world during a single year, to investigate associations between clinical variables and national income level, and to investigate risk factors for advanced disease at diagnosis. Design, Setting, and Participants: A total of 278 retinoblastoma treatment centers were recruited from June 2017 through December 2018 to participate in a cross-sectional analysis of treatment-naive patients with retinoblastoma who were diagnosed in 2017. Main Outcomes and Measures: Age at presentation, proportion of familial history of retinoblastoma, and tumor stage and metastasis. Results: The cohort included 4351 new patients from 153 countries; the median age at diagnosis was 30.5 (interquartile range, 18.3-45.9) months, and 1976 patients (45.4%) were female. Most patients (n = 3685 [84.7%]) were from low- and middle-income countries (LMICs). Globally, the most common indication for referral was leukocoria (n = 2638 [62.8%]), followed by strabismus (n = 429 [10.2%]) and proptosis (n = 309 [7.4%]). Patients from high-income countries (HICs) were diagnosed at a median age of 14.1 months, with 656 of 666 (98.5%) patients having intraocular retinoblastoma and 2 (0.3%) having metastasis. Patients from low-income countries were diagnosed at a median age of 30.5 months, with 256 of 521 (49.1%) having extraocular retinoblastoma and 94 of 498 (18.9%) having metastasis. Lower national income level was associated with older presentation age, higher proportion of locally advanced disease and distant metastasis, and smaller proportion of familial history of retinoblastoma. Advanced disease at diagnosis was more common in LMICs even after adjusting for age (odds ratio for low-income countries vs upper-middle-income countries and HICs, 17.92 [95% CI, 12.94-24.80], and for lower-middle-income countries vs upper-middle-income countries and HICs, 5.74 [95% CI, 4.30-7.68]). Conclusions and Relevance: This study is estimated to have included more than half of all new retinoblastoma cases worldwide in 2017. Children from LMICs, where the main global retinoblastoma burden lies, presented at an older age with more advanced disease and demonstrated a smaller proportion of familial history of retinoblastoma, likely because many do not reach a childbearing age. Given that retinoblastoma is curable, these data are concerning and mandate intervention at national and international levels. Further studies are needed to investigate factors, other than age at presentation, that may be associated with advanced disease in LMICs

    Activités sociales et aménagements temporels. L'action des entreprises en faveur de la conciliation travail-vie familiale de leurs salariés

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    Accessible en ligne: http://www.caf.fr/wps/portal/!ut/p/c1/04_SB8K8xLLM9MSSzPy8xBz9CP0os3hLf2dfY0cn3xAPj0ALAyNTQzfjQOMwYwMTA6B8JG55d2NidBvgAI4GBHSHg1yL33YUeUu3QEcDowBPrwATN1MjA3cjiDwe-_088nNT9QtyQyMMMgPSAdd-S1k!/dl2/d1/L2dJQSEvUUt3QS9ZQnB3LzZfOU9DTTNBQk1USEhRODAyNTFGM1EzVjMwNDA!National audiencePrenant appui sur l'enquĂȘte statistique " Familles et employeurs " de l'Institut national d'Ă©tudes dĂ©mographiques, cet article analyse le rĂŽle des employeurs dans le pourvoi aux salariĂ©s de prestations familiales, de services ou de facilitĂ©s en matiĂšre de conciliation travail-famille, et questionne les orientations actuelles des politiques publiques qui encouragent les entreprises Ă  intervenir davantage. Les auteurs montrent tout d'abord que les recherches françaises se sont longtemps dĂ©sintĂ©ressĂ©es des pratiques des employeurs en la matiĂšre, prĂ©cisĂ©ment parce que, depuis le milieu du XXe siĂšcle, la vie familiale des salariĂ©s a cessĂ© d'ĂȘtre leur affaire avant qu'ils soient de nouveau sollicitĂ©s pour s'en prĂ©occuper. Aujourd'hui, les employeurs revendiquent leur rĂŽle. L'article explore Ă©galement les pratiques des entreprises en matiĂšre d'activitĂ©s sociales et d'arrangements temporels, et interroge les complĂ©mentaritĂ©s entre les politiques publiques et les pratiques des entreprises. Fin 2005, 505 500 personnes sont titulaires de minima sociaux. Elles reprĂ©sentent 6 % des Franciliens ĂągĂ©s de plus de 20 ans. Un quart des titulaires de minima sociaux sont domiciliĂ©s Ă  Paris et un sur cinq en Seine-Saint-Denis. Les deux autres dĂ©partements de la petite couronne en abritent 12 % chacun et la grande couronne 30 %. Fin 2004, pour la premiĂšre fois, le seuil symbolique des 200 000 allocataires du RMI avait Ă©tĂ© franchi en Île-de-France. Leur nombre atteint 229 400 allocataires fin 2005 (+ 7 %). Cette progression est moindre qu'en 2004, mais supĂ©rieure Ă  celle de l'ensemble de la France mĂ©tropolitaine ; elle tient en partie Ă  la rĂ©forme de l'assurance chĂŽmage qui diminue le nombre de chĂŽmeurs indemnisĂ©s et les transfĂšre Ă©ventuellement vers le revenu minimum d'insertion

    Les salariés ont-ils un employeur "family-friendly" ?

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    Because family matters were viewed as a private issue, employers have paid little attention to their employees' parental responsibilities. The survey "Families and employers" carried out by the French Demographic Research Institute provides rich and fruitful information about the companies pratices for supporting parenthood. In this paper, five clusters of enterprises are identified according to the types of measures they implement for supporting parental responsibilities. In addition the comparison of the employers and employees responses to similar questions gives information on satisfaction from both sides.Parce que la vie familiale relevait Ă  leurs yeux de la vie privĂ©e, les employeurs ont portĂ© une attention limitĂ©e aux contraintes parentales de leurs salariĂ©s. Et pourtant ils ne sont pas restĂ©s inactifs. L'enquĂȘte Familles et employeurs rĂ©alisĂ©e par l'Institut National d'Etudes DĂ©mographiques permet d'explorer ce qui est fait dans les entreprises pour faciliter la conciliation entre travail et vie familiale. Dans ce texte, les pratiques des entreprises sont identifiĂ©es et classĂ©es selon cinq grands types de mesures. La confrontation des rĂ©ponses des employeurs et des salariĂ©s permet aussi d'explorer les conditions de la satisfaction des uns et des autres

    A hyaluronic acid-based micro-filler improves superficial wrinkles and skin quality: a randomized prospective controlled multicenter study

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    Background NCTFÂź135HA is a bio-revitalizing solution containing hyaluronic acid designed to compensate for skin dehydration, fatigue, and fine wrinkles associated with endogenous and environmental aging. Methods We conducted a randomized, active-controlled study to evaluate the efficacy and tolerability of NCTFÂź135HA injections on the face (crow’s feet), neck, and dĂ©colletĂ© regions. Subjects were randomly assigned (3:1) to receive three NCTFÂź135HA treatment sessions plus twice-daily anti-aging moisturizer cream or cream alone (control). The primary outcome was the reduction in superficial wrinkles between baseline and Day (D)75 in the three areas, assessed by profilometric measures, clinical scoring, subjective changes, and tolerability. Results 146 subjects were randomized to NCTFÂź135HA (n = 107) or control (n = 38). At D75 and D120, NCTFÂź135HA significantly reduced wrinkles in all three areas and improved facial radiance scores compared with the control. Skin hydration significantly increased 7 d after the last NCTFÂź135HA injection. Self-esteem scales showed statistically significant improvements at D75 and D120 in subjects treated with NCTFÂź135HA versus baseline. Most adverse events were mild, resolved within 48 h, and were related to the injection procedure. Conclusion NCTFÂź135HA is an effective and well-tolerated treatment to reduce the skin signs of aging. The results are significantly superior to a routine anti-aging cream alone. (Funded by Laboratories FILLMED; ID-RCB number: 2018-A03167-48; clinicaltrials.gov number: NCT05609617

    L’analyse ergonomique du travail et de la formation : quelques contributions rĂ©centes

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    Ce numĂ©ro spĂ©cial est dĂ©diĂ© aux travaux rĂ©cents des membres du groupe Ergonomics analysis of work and training (EAWT) qui se rĂ©unit pĂ©riodiquement, depuis 1991, dans le cadre du CongrĂšs de l’Association internationale d’ergonomie (IEA). Les six contributions prĂ©sentĂ©es ici dĂ©coulent du dernier congrĂšs tenu Ă  Recife en 2012 et des collaborations subsĂ©quentes entre des chercheurs de plusieurs pays. Vous pourrez dĂ©couvrir les particularitĂ©s de l’approche ergonomique des questions de formation ainsi que la diversitĂ© de ses apports. Ces travaux offrent l’occasion de rĂ©flĂ©chir aux conceptions de la formation et Ă  leurs liens avec l’activitĂ© de travail et avec les conditions de travail et d’apprentissage. Ils permettent aussi de prendre connaissance des cadres conceptuels et mĂ©thodologiques variĂ©s qui alimentent aujourd’hui ce domaine de recherche
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