71 research outputs found

    La transformation digitale dans le secteur bancaire marocain : une révolution dans les pratiques et les services financiers

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    Nowadays, digital transformation has taken a prominent place in various economic sectors, including banking. The Moroccan banking sector has not escaped this global trend, where digitalization has brought a real revolution in financial practices and services. The objective of this research work is to study in depth the digital transformation in the Moroccan banking sector by opting for an analysis of the internal process, banking practices and financial services. Particular attention will be paid to establishing an appropriate link between the competitiveness of banking institutions and digitalization, taking care to mention the relevant theories relating to this digitalization. We will try to identify the major changes induced by digitalization and to highlight the potential benefits in terms of profitability. To achieve our objective, and after a theoretical exploration phase based on a literature review, we chose a qualitative approach through semi-directive interviews. These interviews were conducted with a representative sample of 12 branches belonging to various Moroccan banks.  It should be stressed that we sought the expertise of industry professionals in order to gather detailed responses, which would enable us to carry out an in-depth and detailed analysis of our problem, thus providing a better understanding of the subject. The responses and data collected revealed signs of innovation in products and practices, highlighting the challenges and opportunities related to digital transformation. These findings help to identify the factors for success or failure of this digitalization, while providing insight into future prospects. In the current context, characterized by a series of crises and a trend towards digital transition, this study takes on a singular and relevant significance. It stands out as an essential contribution to a better understanding of the changes in Moroccan banking, proposing appropriate measures to meet the challenges and seize the opportunities of the digital revolution. The qualitative approach offers in-depth and contextualized information from professionals, filling an academic gap and providing practical recommendations for the digital transformation of the Moroccan banking sector.De nos jours, la transformation digitale a pris une place prĂ©pondĂ©rante dans divers secteurs Ă©conomiques, y compris celui de la banque. Le secteur bancaire marocain n'a pas Ă©chappĂ© Ă  cette tendance mondiale, oĂč la digitalisation a entraĂźnĂ© une vĂ©ritable rĂ©volution dans les pratiques et les services financiers. L'objectif de ce travail de recherche est d’étudier en profondeur la transformation digitale dans le secteur bancaire marocain en optant Ă  une analyse du processus interne, des pratiques bancaires et des services financiers. Une attention particuliĂšre sera portĂ©e sur l’établissement d’une liaison adĂ©quate entre la compĂ©titivitĂ© des institutions bancaires et la digitalisation, en prenant soin de mentionner les thĂ©ories pertinentes se rapportant Ă  cette digitalisation. Nous nous attacherons Ă  identifier les changements majeurs induits par la digitalisation et de mettre en Ă©vidence les bĂ©nĂ©fices potentiels en termes de rentabilitĂ©. Pour atteindre notre objectif, et aprĂšs une phase d'exploration thĂ©orique basĂ©e sur une revue de la littĂ©rature, nous avons choisi une approche qualitative par des entretiens semi-directifs. Ces entretiens ont Ă©tĂ© menĂ©s auprĂšs d'un Ă©chantillon reprĂ©sentatif de 12 agences appartenant Ă  diffĂ©rentes banques marocaines. Il convient de souligner que nous avons sollicitĂ© l'expertise des professionnels de l'industrie afin de recueillir des rĂ©ponses dĂ©taillĂ©es, qui nous permettront une analyse approfondie et dĂ©taillĂ©e de notre problĂ©matique, apportant ainsi une meilleure comprĂ©hension du sujet. Les rĂ©ponses et les donnĂ©es recueillies ont rĂ©vĂ©lĂ© des signes d'innovation des produits et des pratiques, mettant en Ă©vidence les dĂ©fis et opportunitĂ©s liĂ©s Ă  la transformation digitale. Ces constatations permettent d’identifier les facteurs de rĂ©ussite ou d’échec de cette digitalisation, tout en fournissant un aperçu des perspectives futures. Dans le contexte actuel, caractĂ©risĂ© par une sĂ©rie de crises et une tendance vers la transition numĂ©rique, cette Ă©tude revĂȘt une signification singuliĂšre et pertinente. Elle s'impose comme une contribution essentielle visant Ă  mieux comprendre les changements dans la banque marocaine, en proposant des mesures adaptĂ©es pour relever les dĂ©fis et saisir les opportunitĂ©s de la rĂ©volution digitale. L’approche qualitative offre des informations approfondies et contextualisĂ©es auprĂšs des professionnels, comblant une lacune acadĂ©mique et fournissant des recommandations pratiques pour la transformation digitale du secteur bancaire marocain

    Le changement organisationnel et la transformation digitale : Quelle relation ?

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    In a disruptive world, digital transformation has become a major concern for organizations both nationally and internationally. In order to exploit the potential of these new technologies, they need to change their current model to adapt quickly to the changing environment, and to do so through the path of digital transformation. To this end, we consider digital transformation to be a complex and difficult process of change, a matter of the moment and an urgent necessity. This leads us to propose the following research problem: to what extent do organizational change models enable digital transformation to be carried out? The problematic raised by this article is firstly to establish a link between the change management models from the literature on organizational change and the management of digital transformation. Secondly, through this paper we contribute to the research on change management models in a context marked by a strong orientation of organizations towards digital transformation, by identifying a set of key factors from the existing models that can be used to manage digital transformation. The results revealed by this study demonstrate that digital transformation leads to organizational change. These results will be used as a benchmark to reflect on whether organizational change models can be used to drive digital transformation in a future scientific contribution. Keywords : digital transformation, organizational change, change management models, key success factors JEL Classification : H75, O30 Paper type: Theoretical ResearchDans un monde en pleine disruption, la transformation digitale est devenue une prĂ©occupation majeure pour les organisations que ce soit Ă  l’échelle nationale et internationale. Afin qu’elles puissent exploiter le potentiel de ces nouvelles technologies, elles doivent changer leur modĂšle actuel pour s’adapter rapidement aux changements de l’environnement, et cela en empruntant le chemin de la transformation digitale. À cet effet, nous considĂ©rons la transformation digitale comme un processus de changement complexe et difficile Ă  mettre en Ɠuvre, il s’agit en effet d’un sujet de l’heure et d’une nĂ©cessitĂ© urgente. Ce qui nous impose Ă  proposer la problĂ©matique de recherche suivante : dans quelle mesure les modĂšles de changement organisationnel permettent de conduire une transformation digitale ? De par la problĂ©matique soulevĂ©e par cet article, nous cherchons en premier lieu Ă  Ă©tablir un lien, entre les modĂšles de conduite de changement issus de la littĂ©rature sur le changement organisationnel, et la conduite de la transformation digitale. En deuxiĂšme lieu, par le biais de cet article, nous contribuons Ă  la recherche sur les modĂšles de conduite de changement dans un contexte marquĂ© par une orientation forte des organisations vers la transformation digitale, et ce, par la dĂ©termination d’un ensemble de facteurs clĂ© Ă  partir des modĂšles existants, et qui peuvent servir Ă  la conduite de la transformation digitale. Les rĂ©sultats rĂ©vĂ©lĂ©s par cette Ă©tude dĂ©montrent que la transformation digitale conduit Ă  un changement organisationnel. Ces rĂ©sultats vont nous servir comme repĂšre pour rĂ©flĂ©chir en Ă©tudiant dans une future contribution scientifique si les modĂšles de changement organisationnel permettent de conduire la transformation digitale.   Mots-clĂ©s : transformation digitale, changement organisationnel, modĂšles de conduite de changement, facteurs clĂ©s de succĂšs Classification JEL : H75, O30 Type de l’article : Article thĂ©orique

    Measuring quality of life after intensive care using the Arabic version for Morocco of the EuroQol 5 Dimensions

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    <p>Abstract</p> <p>Background</p> <p>Health-related quality of life (HRQL) is a relevant outcome measures in intensive care unit (ICU). The aim of this study was to evaluate HRQL of ICU patients 3 months after discharge using the Arabic version for Morocco of the EuroQol-5-Dimension (EQ-5D), and to examine the psychometric properties of the questionnaire.</p> <p>Results</p> <p>The Arabic version for Morocco of the EQ-5D was approved by the EuroQol group. A prospective cohort study was conducted after medical ICU discharge. At 3-month follow up, the EQ-5D (self classifier and EQ-VAS) was administered in consultation or by telephone. EQ-VAS varies from 0 (better HRQL) to 100 (worst HRQL). An unweighted scoring for EQ5D-index was calculated. EQ5D-index ranges from -0.59 to 1. Test-retest reliability of the EQ-5D was tested using Kappa coefficient and intraclass correlation coefficient (ICC). Criterion validity was assessed by correlating EQ-VAS and EQ5D-index with the Short Form 36 (SF-36). Construct validity was tested using simple and multiple liner regression to assess factors influencing patients'HRQL. 145 survivors answered the EQ-5D. Median EQ5D-index was 0.52 [0.20-1]. Mean EQ-VAS was 62 ± 20. Test-retest reliability was conducted in 83 patients. ICCs of EQ5D-index and EQ-VAS were 0.95 and 0.92 respectively. For EQ-5D self classifier, agreement by kappa was above 0.40. Significant correlations were noted between EQ5D-index, EQ-VAS and SF-36 (<it>p </it>< 0.001). In multivariate analysis, factors associated with poorer HRQL for EQ5D-index were longer ICU length of stay (ÎČ = -0.01; <it>p </it>= 0.017) and higher educational level (ÎČ = -0.2; <it>p </it>= 0.001). For EQ-VAS men were associated with better HRQL (ÎČ = 6.5; <it>p </it>= 0.048).</p> <p>Conclusions</p> <p>The Arabic version for Morocco of the EQ-5D is reliable and valid. Women, high educational level and longer ICU length of stay were associated with poorer HRQL.</p

    Developmental Comparison of Ceramide in Wild-Type and Cln3Δex7/8 Mouse Brains and Sera

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    CLN3 disease is a neurodevelopmental disease leading to early visual failure, motor decline, and death. CLN3 pathogenesis has been linked to dysregulation of ceramide, a key intracellular messenger impacting various biological functions. Ceramide is upregulated in brains of CLN3 patients and activates apoptosis. Ceramide levels over the lifespan of WT and Cln3Δex7/8 mice were measured using the DGK assay. Ceramide subspecies were determined by LC-MS. Ceramide synthesis enzymes and pre- and post-synaptic mRNA expression was measured in Cln3Δex7/8 and normal mouse brains. Neuronal cell death was established by PARP cleavage and Caspases 3/6/9 and cytochrome C mRNA expression in Cln3Δex7/8 and normal mouse brains. In WT mouse, a ceramide peak was noted at 3 weeks of age. The absence of this peak in Cln3Δex7/8 mice might be related to early disease pathogenesis. Increase of ceramide in Cln3Δex7/8 mouse brain at 24 weeks of age precedes neuronal apoptosis. The correlation between serum and brain ceramide in WT mice, and dysregulation of ceramide in serum and brain of Cln3Δex7/8 mice, and the significant increase in ceramide in Cln3Δex7/8 mouse brains and sera argue for use of easily accessible serum ceramide levels to track response to novel therapies in human CLN3 disease

    Allele and haplotype frequencies for HLA-DQ in Iranian celiac disease patients

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    AIM: To assess the distribution of human leukocyte antigen (HLA)-DQ2 and -DQ8 in Iranian celiac disease (CD) patients and compare them to healthy Iranian controls. METHODS: To predict the HLA-DQA1 and -DQB1 genes, we used six previously reported HLA-tagging single nucleotide polymorphism to determine HLA genotypes in 59 Iranian patients with 'biopsy-confirmed' CD and in 151 healthy Iranian individuals. To test the transferability of the method, 50 cases and controls were also typed using a commercial kit that identifies individual carriers of DQ2, DQ7 and DQ8 alleles. RESULTS: In this pilot study 97% of CD cases (n = 57) and 58% of controls (n = 87) were carriers of HLA-DQ2 and/or HLA-DQ8 heterodimers, either in the homozygous or heterozygous state. The HLA-DQ pattern of these 57 CD patients: heterozygous DQ2.2 (n = 14) and homozygous DQ2.2 (n = 1), heterozygous DQ2.5 (n = 33) and homozygous DQ2.5 (n = 8), heterozygous DQ8 (n = 13) and homozygous DQ8 (n = 2). Two CD patients were negative for both DQ2 and DQ8 (3%). CONCLUSION: The prevalence of DQ8 in our CD population was higher than that reported in other populations (25.4%). As reported in other populations, our results underline the primary importance of HLA-DQ alleles in the Iranian population's susceptibility to CD. (C) 2014 Baishideng Publishing Group Inc. All rights reserved

    Growth and CD4 patterns of adolescents living with perinatally acquired HIV worldwide, a CIPHER cohort collaboration analysis.

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    INTRODUCTION Adolescents living with HIV are subject to multiple co-morbidities, including growth retardation and immunodeficiency. We describe growth and CD4 evolution during adolescence using data from the Collaborative Initiative for Paediatric HIV Education and Research (CIPHER) global project. METHODS Data were collected between 1994 and 2015 from 11 CIPHER networks worldwide. Adolescents with perinatally acquired HIV infection (APH) who initiated antiretroviral therapy (ART) before age 10 years, with at least one height or CD4 count measurement while aged 10-17 years, were included. Growth was measured using height-for-age Z-scores (HAZ, stunting if <-2 SD, WHO growth charts). Linear mixed-effects models were used to study the evolution of each outcome between ages 10 and 17. For growth, sex-specific models with fractional polynomials were used to model non-linear relationships for age at ART initiation, HAZ at age 10 and time, defined as current age from 10 to 17 years of age. RESULTS A total of 20,939 and 19,557 APH were included for the growth and CD4 analyses, respectively. Half were females, two-thirds lived in East and Southern Africa, and median age at ART initiation ranged from 7 years in sub-Saharan African regions. At age 10, stunting ranged from 6% in North America and Europe to 39% in the Asia-Pacific; 19% overall had CD4 counts <500 cells/mm3 . Across adolescence, higher HAZ was observed in females and among those in high-income countries. APH with stunting at age 10 and those with late ART initiation (after age 5) had the largest HAZ gains during adolescence, but these gains were insufficient to catch-up with non-stunted, early ART-treated adolescents. From age 10 to 16 years, mean CD4 counts declined from 768 to 607 cells/mm3 . This decline was observed across all regions, in males and females. CONCLUSIONS Growth patterns during adolescence differed substantially by sex and region, while CD4 patterns were similar, with an observed CD4 decline that needs further investigation. Early diagnosis and timely initiation of treatment in early childhood to prevent growth retardation and immunodeficiency are critical to improving APH growth and CD4 outcomes by the time they reach adulthood

    The epidemiology of adolescents living with perinatally acquired HIV: A cross-region global cohort analysis

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    Background Globally, the population of adolescents living with perinatally acquired HIV (APHs) continues to expand. In this study, we pooled data from observational pediatric HIV cohorts and cohort networks, allowing comparisons of adolescents with perinatally acquired HIV in “real-life” settings across multiple regions. We describe the geographic and temporal characteristics and mortality outcomes of APHs across multiple regions, including South America and the Caribbean, North America, Europe, sub-Saharan Africa, and South and Southeast Asia. Methods and findings Through the Collaborative Initiative for Paediatric HIV Education and Research (CIPHER), individual retrospective longitudinal data from 12 cohort networks were pooled. All children infected with HIV who entered care before age 10 years, were not known to have horizontally acquired HIV, and were followed up beyond age 10 years were included in this analysis conducted from May 2016 to January 2017. Our primary analysis describes patient and treatment characteristics of APHs at key time points, including first HIV-associated clinic visit, antiretroviral therapy (ART) start, age 10 years, and last visit, and compares these characteristics by geographic region, country income group (CIG), and birth period. Our secondary analysis describes mortality, transfer out, and lost to follow-up (LTFU) as outcomes at age 15 years, using competing risk analysis. Among the 38,187 APHs included, 51% were female, 79% were from sub-Saharan Africa and 65% lived in low-income countries. APHs from 51 countries were included (Europe: 14 countries and 3,054 APHs; North America: 1 country and 1,032 APHs; South America and the Caribbean: 4 countries and 903 APHs; South and Southeast Asia: 7 countries and 2,902 APHs; sub-Saharan Africa, 25 countries and 30,296 APHs). Observation started as early as 1982 in Europe and 1996 in sub-Saharan Africa, and continued until at least 2014 in all regions. The median (interquartile range [IQR]) duration of adolescent follow-up was 3.1 (1.5–5.2) years for the total cohort and 6.4 (3.6–8.0) years in Europe, 3.7 (2.0–5.4) years in North America, 2.5 (1.2–4.4) years in South and Southeast Asia, 5.0 (2.7–7.5) years in South America and the Caribbean, and 2.1 (0.9–3.8) years in sub-Saharan Africa. Median (IQR) age at first visit differed substantially by region, ranging from 0.7 (0.3–2.1) years in North America to 7.1 (5.3–8.6) years in sub-Saharan Africa. The median age at ART start varied from 0.9 (0.4–2.6) years in North America to 7.9 (6.0–9.3) years in sub-Saharan Africa. The cumulative incidence estimates (95% confidence interval [CI]) at age 15 years for mortality, transfers out, and LTFU for all APHs were 2.6% (2.4%–2.8%), 15.6% (15.1%–16.0%), and 11.3% (10.9%–11.8%), respectively. Mortality was lowest in Europe (0.8% [0.5%–1.1%]) and highest in South America and the Caribbean (4.4% [3.1%–6.1%]). However, LTFU was lowest in South America and the Caribbean (4.8% [3.4%–6.7%]) and highest in sub-Saharan Africa (13.2% [12.6%–13.7%]). Study limitations include the high LTFU rate in sub-Saharan Africa, which could have affected the comparison of mortality across regions; inclusion of data only for APHs receiving ART from some countries; and unavailability of data from high-burden countries such as Nigeria. Conclusion To our knowledge, our study represents the largest multiregional epidemiological analysis of APHs. Despite probable under-ascertained mortality, mortality in APHs remains substantially higher in sub-Saharan Africa, South and Southeast Asia, and South America and the Caribbean than in Europe. Collaborations such as CIPHER enable us to monitor current global temporal trends in outcomes over time to inform appropriate policy responses

    Real-time Monitoring for the Next Core-Collapse Supernova in JUNO

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    Core-collapse supernova (CCSN) is one of the most energetic astrophysical events in the Universe. The early and prompt detection of neutrinos before (pre-SN) and during the SN burst is a unique opportunity to realize the multi-messenger observation of the CCSN events. In this work, we describe the monitoring concept and present the sensitivity of the system to the pre-SN and SN neutrinos at the Jiangmen Underground Neutrino Observatory (JUNO), which is a 20 kton liquid scintillator detector under construction in South China. The real-time monitoring system is designed with both the prompt monitors on the electronic board and online monitors at the data acquisition stage, in order to ensure both the alert speed and alert coverage of progenitor stars. By assuming a false alert rate of 1 per year, this monitoring system can be sensitive to the pre-SN neutrinos up to the distance of about 1.6 (0.9) kpc and SN neutrinos up to about 370 (360) kpc for a progenitor mass of 30M⊙M_{\odot} for the case of normal (inverted) mass ordering. The pointing ability of the CCSN is evaluated by using the accumulated event anisotropy of the inverse beta decay interactions from pre-SN or SN neutrinos, which, along with the early alert, can play important roles for the followup multi-messenger observations of the next Galactic or nearby extragalactic CCSN.Comment: 24 pages, 9 figure
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