Search results for "publique"
showing 10 items of 601 documents
Le licenciement en fin de stage d'un non-titulaire ayant perdu vocation à intégration directe
1997
International audience
A semiparametric approach to estimate reference curves for biophysical properties of the skin
2006
Reference curves which take one covariable into account such as the age, are often required in medicine, but simple systematic and efficient statistical methods for constructing them are lacking. Classical methods are based on parametric fitting (polynomial curves). In this chapter, we describe a new methodology for the estimation of reference curves for data sets, based on nonparametric estimation of conditional quantiles. The derived method should be applicable to all clinical or more generally biological variables that are measured on a continuous quantitative scale. To avoid the curse of dimensionality when the covariate is multidimensional, a new semiparametric approach is proposed. Th…
Le poids imputable à l’exposition au stress au travail en termes économiques et de santé publique : enjeux et écueils méthodologiques
2012
L’estimation de l’effet du stress au travail sur le nombre de cas de pathologies (morbidite et mortalite) et les couts economiques associes constitue un reel enjeu de sante publique. Pourtant les etudes qui portent sur ce sujet sont peu nombreuses dans la litterature. L’objectif de l’article est de souligner l’interet d’un tel chiffrage, de presenter brievement une methode d’estimation envisageable, celle des fractions attribuables, et les difficultes methodologiques qui lui sont associees. Cette methode utilise des donnees epidemiologiques de risque relatif associe a un facteur de risque donne, et de prevalence d’exposition a ce facteur. Les difficultes methodologiques soulevees par l’util…
Le poids imputable à l’exposition au stress au travail en termes de santé publique et en termes économiques : enjeux et écueils méthodologiques
2012
International audience
Ethical challenges involved in obtaining consent for research from patients hospitalized in the intensive care unit
2017
International audience; Clinical research remains a vital contributor to medical knowledge, and is an established and integral part of the practice of medicine worldwide. Respect for patient autonomy and ethical principles dictate that informed consent must be obtained from subjects before they can be enrolled into clinical research, yet these conditions may be difficult to apply in real practice in the intensive care unit (ICU). A number of factors serve to complexify the consent process in critically ill patients, notably decisional incapacity of the patient due to illness or sedation. Obtaining consent for research from a designated proxy or family member, commonly termed a "surrogate de…
Les principes généraux du droit du travail dans les fonctions publiques
2000
International audience
Can qualitative research play a role in answering ethical questions in intensive care?
2017
International audience; Scientific and technological progress, as well as increased patient autonomy have profoundly changed the world of healthcare, giving rise to new situations that are increasingly complex and uncertain. Quantitative paradigms, of which the main bastion is evidence-based medicine (EBM), are beginning to reach their limits in daily routine practice of medicine, and new approaches are emerging that can provide novel heuristic perspectives. Qualitative research approaches can be useful for apprehending new areas of knowledge that are fundamental to recent and future developments in intensive care.
Analyser l'action publique de vie étudiante à l'aune de la théorie des capabilités
2021
International audience; Cette intervention présente des premiers résultats d'une thèse CIFRE à la Ville de Paris et au laboratoire IREDU sur le rôle des grandes métropoles dans la lutte contre la précarité étudiante. Elle reviendra sur l'apport des capabilités et d'une approche mixte pour appréhender l'action publique locale parisienne. Une évaluation d'un dispositif d'aide au logement et de la coordination locale a été menée afin de déceler les écarts entre le public initialement visé et le public réellement atteint. L'approche innovante des capabilités permet ainsi d'aller au-delà des libertés formelles pour mieux orienter les politiques de vie étudiante.
The Artificial Kidney Initiation in Kidney Injury 2 (AKIKI2): study protocol for a randomized controlled trial
2019
Abstract Background The Artificial Kidney Initiation in Kidney Injury (AKIKI) trial showed that a delayed renal replacement therapy (RRT) strategy for severe acute kidney injury (AKI) in critically ill patients was safe and associated with major reduction in RRT initiation compared with an early strategy. The five criteria which mandated RRT initiation in the delayed arm were: severe hyperkalemia, severe acidosis, acute pulmonary edema due to fluid overload resulting in severe hypoxemia, serum urea concentration > 40 mmol/l and oliguria/anuria > 72 h. However, duration of anuria/oliguria and level of blood urea are still criteria open to debate. The objective of the study is to compar…
La réserve parlementaire sous l’angle du droit constitutionnel
2017
National audience