1,208 research outputs found
Analysis of Mathieu Equation Stable Solutions in the First Zone of Stability
No full textAbstractThe paper presents the results of a homogeneous Mathieu equation studies. Mathieu equation solutions are oscillations, modulated in amplitude and frequency. In the computational experiments we found dependences of the given oscillations on the ratio of the coefficients. These dependences are shown in graphs that can be used for an approximate estimation of the Mathieu equation solutions without integration
Pensar las escalas para pensar las luchas: Autor: Mathieu UHEL
No full textA través de un título sugerente, “pensar las escalas para pensar las luchas”, Mathieu Uhel entreteje la construcción teórico-crítica del concepto escala, generada por la geografía radical anglosajona de finales del siglo XX, con la necesidad/utilidad práctica de la escala para concienciar las luchas sociales. El artículo cumple un doble propósito: por un lado, delinear los elementos de lectura sobre el concepto escala; y, con ello, promover la atención de esta problemática en las luchas contemporáneas. En un primer apartado, Uhel ubica las discusiones académicas en torno a la escala, como herramienta metodológica útil para comprender la complejidad de las sociedades capitalistas; en el segundo apartado, el autor avanza la exposición en torno al contexto de la dimensión escalar del imperialismo capitalista; finalmente, el autor se centra en el rol de la actividad política a escala nacional en la tensa relación entre las imposiciones del capital y la lucha social.Por meio de um título sugestivo, “pensando escalas para pensar lutas”, Mathieu Uhel entrelaça a construção teórico-crítica do conceito de escala, gerado pela geografia radical anglo-saxônica do final do século XX, com a necessidade / utilidade prática escala para aumentar a consciência das lutas sociais. O artigo tem um duplo propósito: por um lado, delinear os elementos de leitura sobre o conceito de escala; e, com isso, promover atenção a esse problema nas lutas contemporâneas. Na primeira seção, Uhel localiza as discussões acadêmicas em torno da escala, como uma ferramenta metodológica útil para compreender a complexidade das sociedades capitalistas; na segunda seção, o autor avança a exposição em torno do contexto da dimensão escalar do imperialismo capitalista; por fim, o autor enfoca o papel da atividade política em escala nacional na tensa relação entre as imposições do capital e a luta social.Mathieu Uhel\u27s suggestive title, “Thinking about scales to think about struggles”, he interweaves the theoretical-critical construction of concept scale, generated by radical Anglo-Saxon geography in the late 20th century, with it´s practical utility to social struggles. The article serves two purposes: on the one hand, Uhel locates academic discussion around scale; and, with this, he promotes attention to this problem in contemporary struggles. In the first section, Uhel locates academic discussions around scale, as a useful methodological tool to understand the complexity of capitalist societies; in the second section, the author advances the argument around the context of the scalar dimension of capitalist imperialism; finally, the author focuses on the role of political activity on a national scale in the tense relationship between the impositions of capital and the social movement
Use of reimbursement claims databases for the measurement of medication adherence
No full textL’efficacité d’une thérapeutique repose, en grande partie, sur la bonne observance de la prescription. Une mauvaise observance est susceptible de provoquer un échec thérapeutique et une escalade dans les traitements. Elle est également génératrice de surcoûts pour le système de protection sociale. La base de données Erasme, base de remboursement du régime général de l’assurance maladie (Cnam-TS), constitue une source d’information importante pour la mesure de l’utilisation des médicaments et donc, possiblement, de l’observance. Hors, depuis de nombreuses années, il a été proposé des descripteurs de l’observance calculable à partir des remboursements de différents systèmes d’assurance maladie dans le monde. Le but de ce travail était de : - recenser ces indicateurs et les appliquer à la base Erasme ; - proposer de nouveaux indicateurs ; - catégoriser ces indicateurs. Dans une première partie nous faisons l’état des lieux de la notion et du concept d’observance médicamenteuse et de sa mesure à partir des bases de données de remboursement. Dans une deuxième partie, nous présentons la base Erasme et proposons des nouveaux indicateurs. Afin d’illustrer nos propos, nous présentons les études que nous avons réalisé à partir de l’étude de médicaments ayant des profils de consommation différents : traitement au long cours d’une affection symptomatique (asthme), traitement au long cours d’une affection asymptomatique (hypercholestérolémie), traitement au long cours d’une affection grave (diabète), traitement « minute » (infection urinaire) et un traitement de durée moyenne (contraception orale).The efficacy of a therapeutic response depends largely on good adherence to the prescription. Poor adherence may lead to therapeutic failure and an escalation of treatment. Furthermore, this generates excess cost for the health insurance system. The Erasme reimbursement database of the largest health insurance system in France (régime général de l'assurance maladie, Cnam-TS), represents an important source of information on the use of medicines, and, therefore, possibly adherence. This is particularly the case as several indicators have been proposed to describe adherence from reimbursements in the different health insurance systems around the world. The objective of the current work was to: - identify the indicators and to apply these to the Erasme database; - propose new indicators; - categorise these indicators. The first part introduces the notion and concept of medication adherence and its measurement from reimbursement databases. The second part describes the Erasme database and the propositions for new indicators. This will then be illustrated by the studies that we have performed on medicines that have different profiles of use: long-term treatment of symptomatic disease (asthma), long-term treatment of asymptomatic disease (hypercholesterolaemia), long-term treatment of serious disease (diabetes), short-term treatment (urinary infection), and medium-term treatment (oral contraceptives)
Pharmacological determinants of the effectiveness of tyrosine kinases inhibitors
No full textDurant la dernière décennie, les inhibiteurs de tyrosine kinases (ITK) ont radicalement changé l’évolution de certains cancers comme la leucémie myéloïde chronique (LMC) ou les tumeurs stromales gastro-intestinales (GIST). Ils sont aujourd’hui largement utilisés dans le traitement de diverses pathologies malignes, permettant un allongement de la survie globale. Cependant, certains patients ne montrent pas d’amélioration au cours du traitement par ITK. Les mécanismes évoqués sont multifactoriels et possèdent une origine pharmacocinétique, pharmacodynamique ou pharmacogénétique. En effet, l’une des causes majeures de variabilité commune à tous ces ITK réside dans un métabolisme impliquant le cytochrome 3A4, dont l’expression est soumise à de nombreux facteurs. L’objectif de cette thèse a été d’approfondir ces mécanismes et d’évaluer certaines stratégies afin d’augmenter l’efficacité de ces médicaments. Ce travail a consisté en premier lieu à développer une méthode chromatographique sensible et rapide permettant le dosage de neufs ITK commercialisés ou en phase avancée de développement. Cet outil, à la base du suivi thérapeutique pharmacologique, a été utilisé dans le cadre de la LMC pour mesurer les concentrations plasmatiques d’imatinib de plus de 3000 patients. Les informations cliniques de ces patients ont été saisies dans une base de données servant de support à l’évaluation de la réponse en fonction de la concentration. Nous avons ainsi confirmé que les patients présentant des concentrations supérieures au seuil d’efficacité de 1000 ng/mL avaient une plus grande probabilité de réponse. Dans la continuité de ce projet, nous avons évalué la relation concentration-efficacité de l’imatinib dans les GIST et trouvé un seuil d’efficacité voisin de 800 ng/mL. Tous les facteurs de variabilités ne sont cependant pas maitrisables avec un dosage plasmatique. La littérature rapporte en effet que certains ITK sont des substrats de transporteurs cellulaires potentiellement impliqués dans la résistance au traitement. Nous avons donc entrepris de doser ces ITK à l’intérieur même des cellules, d’abord in vitro afin d’évaluer ces mécanismes de transport, puis in vivo dans les cellules de patients traités par ces ITK. Un lien a ainsi été montré entre la capacité d’incorporation des molécules et la réponse au traitement. Enfin, le versant pharmacogénétique de l’un de ces transporteurs (MDR1) a été étudié, indiquant une relation entre certains haplotypes ou polymorphismes et la concentration plasmatique d’une part et la réponse à l’imatinib d’autre part. En conclusion, ces différentes stratégies basées sur le dosage plasmatique ou intracellulaire et sur la pharmacogénétique semblent apporter des éléments permettant l’amélioration de la réponse au ITK ou la détection précoce de mauvaise réponse.During the last decade, tyrosine kinases inhibitors (TKI) have dramatically changed the prognosis of several cancers such as chronic myeloid leukaemia (CML) or gastro-intestinal stromal tumours (GIST). They are widely used in the treatment of various malignant pathologies, leading to a prolonged overall survival. However, some patients do not show improvement when treated with TKI. The supposed mechanisms are multifactorial and could have an origin in pharmacokinetics, pharmacodynamics or pharmacogenomics. Indeed, one of the major reasons of common variability of these TKI involves their metabolism by cytochrome 3A4, whose expression is subjected to many factors. The aim of this thesis was to deepen these mechanisms and to assess some strategies to increase the efficacy of these drugs. This work consisted first in developing a rapid and sensitive chromatographic method allowing determination of nine commercialised (or in advanced clinical development) TKI. Serving as a basis for therapeutic drug monitoring, this was used as part of CML management to measure imatinib plasmatic concentration of more than 3000 patients. The clinical information of these patients was recorded in a database and used as support for the evaluation of the response according to concentration. Thus, we confirmed that patients having concentration higher than the effectiveness threshold of 1000 ng/mL got higher probability of response. In the same way, we assessed relationship between imatinib concentration and efficacy in GIST and found an effectiveness threshold closed to 800 ng/mL. However, several factors of variability remain unmanageable with only plasmatic determination. Indeed, literature reported that some TKI were substrates of cellular transporters, potentially involved in the resistance to treatment. We therefore decided to determine concentration of these TKI into the cells, first in vitro to assess these mechanisms of transport, and then in vivo into the cells of patients treated by these TKI. A link was shown between the incorporation ability of molecules and the response to the treatment. Finally, a pharmacogenetic approach showed a relationship between some haplotypes or polymorphisms of a transporter (MDR1) and plasmatic concentration on one hand, and response to the imatinib on the other hand. In conclusion, these different strategies based on plasmatic or intracellular determination of TKI and on pharmacogenomics contribute to improvement of the response to TKI or early detection of non-response
Mathieu Ichou, Les Enfants d’immigrés à l’école
No full textIt is common to hear in the fields of educational and immigration sociology that on average, the children of immigrants do not perform as well in school as children of native-born parents. Mathieu Ichou offers an innovative sociological analysis on a topic that is heavily exploited by political and media discourse, and subject to much scientific controversy. The author takes distance from the homogenized vision of a “second generation” of students who have totally failed academically, and rep..
L'impatto dell'attività tintoria sull'ambiente. Firenze alla fine del Medioevo
No full textThe author aims to examine and categorize the range of dyeings materials used in the Florentine wool and silk textile industries in the late Middle Ages, focusing mainly on those produced within the regional space in order to evaluate the impact of the Florentine dyeing activity on the natural environment and the productive landscape of the Tuscan countryside. In particular, the author establishes a line of demarcation between cultivated and uncultivated resources in order to verify which constitutes an indication of the level of industrial development of medieval textile production. This further focuses on how the transition from the exploitation of wild resources to the exploitation of cultivated resources could reflect a greater degree of economic integration between the countryside and the city and contribute to the formation of a regional economic space
Mathieu de Fossey: su visión del mundo indígena mexicano
No full textThroughout these pages the author shows how Mathieu de Fossey perceived that it was not easy to make indigenous communities fit within the mould of the nation-state which, being based on the liberal and egualitarian ideology, was against the recognition of special regimes, such as those that created a peculiar status for the native population of the American territory during the period of Spanish colonial domination
Mathieu de Fossey: su visión del mundo indígena mexicano
No full textÀ travers ces pages, l’auteur montre comment Mathieu de Fossey avait perçu la difficulté d’insérer le monde des communautés indigènes dans le moule d’un État national qui, accroché à une idéologie libérale égalitaire, refusait d’établir des régimes spéciaux comparables à ceux qui, durant la domination espagnole, avaient reconnu un statut particulier aux populations natives du continent américain.A través de estas páginas se muestra cómo Mathieu de Fossey percibió el difícil acoplamiento del mundo de las comunidades indígenas en el molde de un Estado nacional que, por estar sustentado en la ideología liberal igualitaria, era contrario al reconocimiento de regímenes especiales como los que, durante la dominación española, habían establecido un status peculiar para los aborígenes del territorio americano.Throughout these pages the author shows how Mathieu de Fossey perceived that it was not easy to make indigenous communities fit within the mould of the nation-state which, being based on the liberal and egualitarian ideology, was against the recognition of special regimes, such as those that created a peculiar status for the native population of the American territory during the period of Spanish colonial domination
Investigation of documents persistency on the Web
No full text@inproceedings{CI-Lancieri-2004-2, author = {Lancieri, Luigi and Lecouvey, Mathieu and Glasse, Veronique}, title = {Investigation of documents persistency on the Web}, booktitle = {International conference E-Society 2004 (ES2004), IADIS}, year = {2004}, address = {Spain} }International audienc
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