Les valeurs transmises par les manuels scolaires marocains et par les enseignants à travers l'éducation à la santé et à la sexualité

Atelier 8 : transmission et genreLa conception actuelle de l'Éducation à la Santé est au coeur de l'éducation de la personne et du citoyen (WHO, 1997, 1999), dans une perspective d'apprentissage de la liberté et du " vivre ensemble ", plutôt que d'intégration de préceptes normatifs. L'Éducation à la Santé et à la Sexualité est directement conditionnée par les pratiques pédagogiques scolaires, mais également par les conceptions que les enseignants se sont construits sur les questions de santé, de sexualité et sur leur mission. Ce travail présente, dans un premier temps, une analyse de contenu de manuels scolaires traitant des sujets ayant trait à l'Éducation à la santé et à la sexualité, dans le but d'identifier les valeurs transmises par ces manuels. Dans un deuxième temps, nous avons cherché à analyser les conceptions d'enseignants et de futurs enseignants à propos de l'éducation à la santé et à la sexualité et à identifier les valeurs qu'expriment ces conceptions. Les données nécessaires ont été collectées à l'aide d'un questionnaire. Des résultats détaillés sont présentés et discutés

How MOOCs Are Perceived by Moroccan Students and Teachers?

The Moroccan university is increasingly experiencing a strong growth in the numbers of students. This process of massification alters the quality of learning, especially in open-access institutions where human resources and the capacity to host are increasingly limited. To improve the quality of learning, which first involves improving the quality of teaching within the University, Cadi Ayyad University in Marrakech (UCAM) launched a platform of MOOCs (Massive Online Open Courses) in 2013. In this article, we question the opening of the Moroccan university on this technology. Our study is anchored in the context of the Cadi Ayyad University of Marrakech. We are particularly interested in the following question: what are the perceptions of students and teachers about this device? Do they feel that using MOOCs “changes something”? Our methodological approach describes all the stages of data collection and processing including the content analysis model. We distributed a questionnaire to a group of students and conducted semi-structured interviews with teachers. The questionnaires collected and the interviews made it possible for answers to be provided to the questions asked. The most salient results show that the students as well as the teachers who participated in our study appreciate the use of MOOCs as a support to the face-to-face class. However, this technology has disadvantages including lack of exchanges with teachers and between students. Ongoing product improvements were called for, including the design in association with MOOC of student activities, assessments and discussion forums, and on the other hand, recording the videos in the presence of the student

L’inclusion De L’éducation À La Santé En Éducation Physique Et Sportive: Représentations Et Contributions Des Enseignants

Physical and Athletic Education (PAE) provide students with knowledge and skills and contributes to their Health Education (HE). Its effects are to be invested outside the school in daily or professional activities and in the practice of physical activities. Health Education is part of a variety of health intervention strategies such as disease prevention and health promotion. In schools, it is presented in several forms and is articulated with several school disciplines. This research focuses on the inclusion of Health Education in Physical and Athletic Education in schools, particularly in secondary schools. It focuses on studying the representations that the teachers of the Physical and Athletic Education in this cycle convey about Health Education and Physical and Athletic Education. It aims to: (1) identify and describe those representations; (2) identify the objectives of the Physical and Athletic Education according to those teachers, and (3) identify the pedagogical approaches that these teachers use to teach Physical and Athletic Education in relation to Health Education. In order to carry out our qualitative, descriptive and exploratory research, we carried out semidirected interviews with ten (10) PAE teachers. Among our salient results is that there is a diversity of representations of teachers in HE education and PAE. On the other hand, majority of these teachers stated the need to mobilize the PAE to contribute to pupil’s HE. The results also show that their pedagogical practices are out of step with the prospect of the inclusion of HE in the field of PAE

BENDING MOMENT INFLUENCE SURFACES FOR RECTANGULAR CONCRETE PLATES SIMPLY SUPPORTED AT THREE EDGES AND BUILT-IN AT THE FOURTH EDGE

Presented in this paper is a series of bending moment influence surfaces for concrete rectangular plates simply supported at three edges and built-in at the fourth edge. The solutions are obtained analytically on the basis of thin plate's theory with small deflection using double Fourier series. The influence surfaces are presented for two observation points namely the center of the plate as well as the midpoint of the built-in edge. A computer program was written in FORTRAN language to generate the influence surfaces making use of the developed analytical solutions of this work. The validity of the computer solution was confirmed by comparing its results with published results for zero Poisson's ratio and excellent agreement was obtained. An application of the influence surfaces for the case of a line load as well as a strip load is also presented. The paper reveals that the bending moment influence surfaces depend on the actual value of Poisson's ratio, aspect ratio of the plate, and position of the observation point

Gastrointestinal Bleeding in Patients With Atrial Fibrillation Treated With Rivaroxaban or Warfarin:ROCKET AF Trial

AbstractBackgroundGastrointestinal (GI) bleeding is a common complication of oral anticoagulation.ObjectivesThis study evaluated GI bleeding in patients who received at least 1 dose of the study drug in the on-treatment arm of the ROCKET AF (Rivaroxaban Once-daily Oral Direct Factor Xa Inhibition Compared with Vitamin K Antagonism for Prevention of Stroke and Embolism Trial in Atrial Fibrillation) trial.MethodsThe primary outcome was adjudicated GI bleeding reported from first to last drug dose + 2 days. Multivariable modeling was performed with pre-specified candidate predictors.ResultsOf 14,236 patients, 684 experienced GI bleeding during follow-up. These patients were older (median age 75 years vs. 73 years) and less often female. GI bleeding events occurred in the upper GI tract (48%), lower GI tract (23%), and rectum (29%) without differences between treatment arms. There was a significantly higher rate of major or nonmajor clinical GI bleeding in rivaroxaban- versus warfarin-treated patients (3.61 events/100 patient-years vs. 2.60 events/100 patient-years; hazard ratio: 1.42; 95% confidence interval: 1.22 to 1.66). Severe GI bleeding rates were similar between treatment arms (0.47 events/100 patient-years vs. 0.41 events/100 patient-years; p = 0.39; 0.01 events/100 patient-years vs. 0.04 events/100 patient-years; p = 0.15, respectively), and fatal GI bleeding events were rare (0.01 events/100 patient-years vs. 0.04 events/100 patient-years; 1 fatal events vs. 5 fatal events total). Independent clinical factors most strongly associated with GI bleeding were baseline anemia, history of GI bleeding, and long-term aspirin use.ConclusionsIn the ROCKET AF trial, rivaroxaban increased GI bleeding compared with warfarin. The absolute fatality rate from GI bleeding was low and similar in both treatment arms. Our results further illustrate the need for minimizing modifiable risk factors for GI bleeding in patients on oral anticoagulation

Developing an anticoagulation composite measure: a stronger predictor for warfarin associated complications and a more comprehensive performance measure for anticoagulation clinics

Thesis (M.S.H.P.) PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at [email protected]. Thank you.BACKGROUND: Percent time in therapeutic range (TTR) and INR variability are both used to measure anticoagulation control with warfarin. TTR measures anticoagulation intensity, while INR variability measures anticoagulation stability; both predict definitive clinical outcomes such as stroke, major hemorrhage. Here, we examine whether an intermediate composite measure (ICOMO) predicts warfarin associated complications better than each measure separately. We also examine how the choice of measure changes the ranking order of anticoagulation clinics (ACCs) in the Veterans Health Administration (VHA) healthcare system. METHODS: We calculated TTR and INR variability for the study sample (N=130,897 patients) from 100 VHA ACCs. We constructed ICOMO using an equally weighted method, adding standardized TTR to standardized log-transformed INR variability. We used a subset of patients anticoagulated for atrial fibrillation (N=40,404) and divided them into quintiles based on their level of control, for each anticoagulation measure. We calculated the Hazard ratios for ischemic stroke and major bleeding and compared the ability of our independent variables (TTR, log INR variability, ICOMO) to predict each outcome. We measured mean observed value (O) and mean expected value (E) for each clinic, after adjusting for important clinical and demographic variables, for each anticoagulation measure. We identified outlier anticoagulation clinics if O was one standard deviation different from its corresponding E. We measured Kappa score and Pearson correlation coefficients when ranking sites according to each anticoagulation measure. RESULTS: ICOMO predicted ischemic stroke better than TTR and log INR variability in all quintiles. ICOMO and TTR predicted major bleeding similarly except in the second-best quintile; but both measures were better than log INR variability in all quintiles. Kappa scores identifying outlier and non-outlier clinics among our three profiling measures were moderate between ICOMO and its components (0.59 for TTR and 0.54 for log INR variability) but was weak between TTR and log INR variability (0.025) CONCLUSION: ICOMO predicts ischemic stroke better over TTR and log INR variability alone but it is only better than the latter in predicting major bleeding. The choice of which measure to use for clinic profiling changes clinic rankings considerably.2031-01-0