Le revenu d’autonomie pour les diplômés du supérieur : un premier pas vers une réforme du soutien financier de l’Etat à la jeunesse ?

L’expérimentation du Revenu Contractualisé d’Autonomie pour les Jeunes Diplômés (RCA-JD) est un des rares exemples illustratifs d’une tentative de réforme du système de soutien aux ressources des jeunes de moins de vingt-cinq ans en France. Les résultats de l’évaluation qualitative de ce dispositif permettent de s’interroger sur la manière dont cette aide financière de l’Etat répond aux besoins de ses bénéficiaires, des jeunes diplômés du supérieur en difficulté, ainsi que sur ses limites.The experiment of the independent income for young graduates illustrates an attempt to reform the financial support to young people under 25 in France. We conducted a qualitative assessment of this experiment to analyse how the financial support by the State meets the needs of young people looking for their first job. We also point out the limits of the experiment.Die Erprobung des ‘Revenu Contractualisé d’Autonomie pour les Jeunes Diplômés’ (Beihilfe für Hochschulabsolventen) ist eines der wenigen Beispiele, die einen Versuch zur Reform der finanziellen Beihilfen für junge Erwachsene bis 25 Jahre in Frankreich veranschaulichen. Die Ergebnisse der qualitativen Evaluierung dieses Systems wirft Fragen hinsichtlich der Art und Weise auf, wie die staatliche Beihilfe den Bedürfnissen der Empfänger entspricht – jungen Hochschulabsolventen in schwierigen Lagen – und verweist auf die Grenzen des Systems.La experimentación del “Ingreso Contractualizado de Autonomía para los Jóvenes Graduados” es uno de los pocos ejemplos ilustrativos de un intento de reforma del sistema de apoyo a los recursos de los jóvenes menores de 25 años en Francia. Los resultados de la evaluación cualitativa de este dispositivo permiten interrogarse acerca de la manera en que esta ayuda financiera del Estado responde a las necesidades de sus beneficiarios, de los jóvenes graduados de la educación superior en dificultades, así como sobre sus límites

Designing with and for people with dementia: developing a mindful interdisciplinary co-design methodology

This paper reports on the development of a mindful interdisciplinary design methodology in the context of the MinD project research into designing for and with people with dementia, which takes the particular focus on supporting the subjective well-being and self-empowerment of people with early to mid stage dementia in social context. Existing research is for the most part focussed on functional support and safe-keeping from the perspective of the carer. References to decision-making and empowerment are predominantly related to action planning for dementia care or advance care planning. References to care and social interaction show that caregivers tend to take a deficit-oriented perspective, and occupation of people with dementia is often associated with doing 'something' with little focus on the meaningfulness of the activity. Furthermore, caregivers and people with dementia tend to differ in their perspectives, e.g. on assistive devices, which might offer support. The MinD project, has therefore developed an interdisciplinary co-design methodology in which the voices to people with dementia contribute to better understanding and developing mindful design solutions that support people with dementia with regard to their the subjective well-being and self-empowerment a well as meaningful and equitable social engagement. This paper discussed the design methodological framework and methods developed for the data collection and design development phases of the project, and their rationale. It thus makes a contribution to interdisciplinary methodologies in the area of design for health

Investigação de suposto vazamento de água no IFC Campus Blumenau através de análise de cloro pelo método colorimétrico

O Instituto Federal Catarinense (IFC) Campus Blumenau possui um espaço amplo de mais de 55mil m², e nos fundos desse espaço, há um lago de aproximadamente 20 m² e outras poças d’água ao redor. Há suspeita de um suposto vazamento de água do encanamento da SAMAE em uma dessas poças d’água, nesse sentido, foram realizadas análises de teor de cloro a fim de se localizar o vazamento. O cloro é aplicado na desinfecção de água para o abastecimento público, pois destrói ou desativa microrganismos causadores de doenças, promovendo a melhoria da qualidade da água. A legislação atual informa que é obrigatória a manutenção de no mínimo 0,2ppm de cloro residual livre em qualquer ponto da rede de distribuição. Quando a água é clorada, ocorre em primeiro lugar a oxidação da matéria orgânica. O cloro reage com a amônia, resultando em cloroaminas inorgânicas chamada de “cloro residual combinado”. Após essas reações, ocorre o excesso de cloro, chamado de “cloro residual livre”. O cloro residual total (CRT) é a soma das concentrações do cloro residual combinado (CRC) e do cloro residual livre (CRL). O cloro na água apresenta-se de duas formas: ácido hipocloroso (HClO) e o íons hipoclorito (ClO-), dependendo do valor de pH e do tempo de reação. Uma das formas para se determinar CRL e CRT é através do método colorimétrico usando DPD (N, N, - dietil – p – fenilenodiamina), para isso utilizamos um aparelho digital modelo DLA-CF operando em 515nm, calibrado com duas amostras de 0 e 4ppm de cloro. Para determinação do CRL e CRT, coletamos várias amostras de água: I. lago; II. córrego que sai do lago; III. torneira da SAMAE próximo ao lago; IV. poça d’água ao lado do restaurante; V. poça de água na base de um poste de energia elétrica; VI. torneira da pia do laboratório e, por fim; VII. água destilada. Inicialmente realizamos análise de CRL, adicionamos nas amostras de água uma quantidade padrão de DPD, as amostras que continham cloro formaram uma cor vermelho-rosa, devido a reação entre o cloro e o DPD, assim, foram realizadas as leituras de CRL no aparelho. Posteriormente, foram adicionadas 5 gotas de solução de iodeto de potássio (KI) nas amostras. O iodo liberado na reação do KI com as cloroaminas reage com o DPD da mesma maneira que o cloro livre, e desenvolve a mesma cor vermelhorosa, assim, obtém-se os valores de CRT. Os resultados obtidos de CRL e CRT foram, respectivamente: I. 0,08 e 0,12ppm; II. 0 e 0ppm; III. 0,28 e 0,31ppm; IV. 0 e 0ppm; V. 0,21 e 0,31ppm; VI. 0,51ppm e 0,52ppm; VII. 0 e 0ppm. Por fim, suspeitamos que o vazamento de água está ocorrendo na amostra V, na poça de água na base de um poste de energia elétrica, pois a amostra V apresenta valores próximos ou semelhantes de CRL e CRT da amostra III, da água da torneira da SAMAE próximo ao lago

Reprise d’études à l’université : quels publics, quelles finalités ?

Le groupe de travail sur l’enseignement supérieur (GTES) est un réseau d’échanges et de production sur les parcours de formation et d’insertion des étudiant·e·s de l’enseignement supérieur. Il réunit des chargé·e·s d’études du Céreq, des chercheur·e·s et enseignant·e·s chercheur·e·s, des représentant·e·s de l’Observatoire national de la vie étudiante (OVE), des observatoires universitaires et régionaux, des membres de services du MESRI (DGESIP et SIES), de l’agence ERASMUS + France et de l’Institut national de la jeunesse et de l’éducation populaire (INJEP). Les dernières journées ont eu lieu à Marseille les 6 et 7 juin 2019. Quatre projets d’ouvrages y ont été présentés dont celui-ci qui porte sur les reprises d’études à l’université. Qui sont ces publics de plus en plus nombreux ? Comment les repérer ? Quelles sont leurs motivations ? Quelle place prend la reprise d’études dans leurs trajectoires personnelle et professionnelle ? S’inscrit-elle comme une deuxième chance, en continuité d’un parcours antérieur ? Est-elle toujours formalisée par un dispositif de formation professionnelle continue ? Autant d’interrogations que les différentes contributions (construites à partir de sources et de méthodes d’analyses différentes) se proposent d’explorer en dressant un portrait de cette catégorie d’étudiants dont l’hétérogénéité des situations et des profils n’est plus à démontrer

Characterizing, modelling and understanding the climate variability of the deep water formation in the North-Western Mediterranean Sea

Observing, modelling and understanding the climate-scale variability of the deep water formation (DWF) in the North-Western Mediterranean Sea remains today very challenging. In this study, we first characterize the interannual variability of this phenomenon by a thorough reanalysis of observations in order to establish reference time series. These quantitative indicators include 31 observed years for the yearly maximum mixed layer depth over the period 1980–2013 and a detailed multi-indicator description of the period 2007–2013. Then a 1980–2013 hindcast simulation is performed with a fully-coupled regional climate system model including the high-resolution representation of the regional atmosphere, ocean, land-surface and rivers. The simulation reproduces quantitatively well the mean behaviour and the large interannual variability of the DWF phenomenon. The model shows convection deeper than 1000 m in 2/3 of the modelled winters, a mean DWF rate equal to 0.35 Sv with maximum values of 1.7 (resp. 1.6) Sv in 2013 (resp. 2005). Using the model results, the winter-integrated buoyancy loss over the Gulf of Lions is identified as the primary driving factor of the DWF interannual variability and explains, alone, around 50 % of its variance. It is itself explained by the occurrence of few stormy days during winter. At daily scale, the Atlantic ridge weather regime is identified as favourable to strong buoyancy losses and therefore DWF, whereas the positive phase of the North Atlantic oscillation is unfavourable. The driving role of the vertical stratification in autumn, a measure of the water column inhibition to mixing, has also been analyzed. Combining both driving factors allows to explain more than 70 % of the interannual variance of the phenomenon and in particular the occurrence of the five strongest convective years of the model (1981, 1999, 2005, 2009, 2013). The model simulates qualitatively well the trends in the deep waters (warming, saltening, increase in the dense water volume, increase in the bottom water density) despite an underestimation of the salinity and density trends. These deep trends come from a heat and salt accumulation during the 1980s and the 1990s in the surface and intermediate layers of the Gulf of Lions before being transferred stepwise towards the deep layers when very convective years occur in 1999 and later. The salinity increase in the near Atlantic Ocean surface layers seems to be the external forcing that finally leads to these deep trends. In the future, our results may allow to better understand the behaviour of the DWF phenomenon in Mediterranean Sea simulations in hindcast, forecast, reanalysis or future climate change scenario modes. The robustness of the obtained results must be however confirmed in multi-model studies

Next-generation care pathways for allergic rhinitis and asthma multimorbidity:a model for multimorbid non-communicable diseases-Meeting Report (Part 1)

International audienceIn all societies, the burden and cost of allergic and chronic respiratory diseases are increasing rapidly. Most economies are struggling to deliver modern health care effectively. There is a need to support the transformation of the health care system for integrated care with organizational health literacy. MASK (Mobile Airways Sentinel NetworK) (1), a new development of the ARIA (Allergic Rhinitis and its Impact on Asthma) initiative, and POLLAR (Impact of Air POLLution on Asthma and Rhinitis, EIT Health) (2), in collaboration with professional and patient organizations in the field of allergy and airway diseases, are proposing real-life integrated care pathways (ICPs) (3)-centred around the patient with rhinitis and using mHealth monitoring of environmental exposure (4).An expert meeting took place at the Pasteur Institute in Paris, December 3, 2018. The aim was to discuss next-generation care pathways: (I) Patient participation, health literacy and self-care through technology-assisted “patient activation”; (II) Implementation of care pathways by pharmacists and (III) Next-generation guidelines assessing the recommendations of GRADE guidelines in rhinitis and asthma using real-world evidence (RWE) assessed by mobile technology.The EU (5) and global political agendas are of great importance in supporting health care transformation. MASK has been recognized by DG Santé as a Good Practice (6) in the field of digitally-enabled, integrated, person-centred care.The one-day meeting objectives were clear (Figure 1). The meeting was followed by a workshop. The present paper reports the background of the two-day meeting

2019 ARIA Care pathways for allergen immunotherapy

Allergen immunotherapy (AIT) is a proven therapeutic option for the treatment of allergic rhinitis and/or asthma. Many guidelines or national practice guidelines have been produced but the evidence-based method varies, many are complex and none propose care pathways. This paper reviews care pathways for AIT using strict criteria and provides simple recommendations that can be used by all stakeholders including healthcare professionals. The decision to prescribe AIT for the patient should be individualized and based on the relevance of the allergens, the persistence of symptoms despite appropriate medications according to guidelines as well as the availability of good-quality and efficacious extracts. Allergen extracts cannot be regarded as generics. Immunotherapy is selected by specialists for stratified patients. There are no currently available validated biomarkers that can predict AIT success. In adolescents and adults, AIT should be reserved for patients with moderate/severe rhinitis or for those with moderate asthma who, despite appropriate pharmacotherapy and adherence, continue to exhibit exacerbations that appear to be related to allergen exposure, except in some specific cases. Immunotherapy may be even more advantageous in patients with multimorbidity. In children, AIT may prevent asthma onset in patients with rhinitis. mHealth tools are promising for the stratification and follow-up of patients.Peer reviewe

ARIA 2016 : Care pathways implementing emerging technologies for predictive medicine in rhinitis and asthma across the life cycle

The Allergic Rhinitis and its Impact on Asthma (ARIA) initiative commenced during a World Health Organization workshop in 1999. The initial goals were (1) to propose a new allergic rhinitis classification, (2) to promote the concept of multi-morbidity in asthma and rhinitis and (3) to develop guidelines with all stakeholders that could be used globally for all countries and populations. ARIA-disseminated and implemented in over 70 countries globally-is now focusing on the implementation of emerging technologies for individualized and predictive medicine. MASK [MACVIA (Contre les Maladies Chroniques pour un Vieillissement Actif)-ARIA Sentinel NetworK] uses mobile technology to develop care pathways for the management of rhinitis and asthma by a multi-disciplinary group and by patients themselves. An app (Android and iOS) is available in 20 countries and 15 languages. It uses a visual analogue scale to assess symptom control and work productivity as well as a clinical decision support system. It is associated with an inter-operable tablet for physicians and other health care professionals. The scaling up strategy uses the recommendations of the European Innovation Partnership on Active and Healthy Ageing. The aim of the novel ARIA approach is to provide an active and healthy life to rhinitis sufferers, whatever their age, sex or socio-economic status, in order to reduce health and social inequalities incurred by the disease.Peer reviewe