986 resultados para Méthodes mixtes


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Ce mémoire traite des méthodologies générales et systématisées de la didactique des langues étrangères développées à différentes périodes, ainsi que des méthodes d’enseignement (techniques, outils, matériels, exercices, activités et tâches etc.) et des théories autour de celles-ci. En utilisant une enquête, remplie par des professeurs travaillant dans certaines écoles suédoises, cette étude lie les méthodologies, les méthodes d’enseignement et les théories avec les pratiques de classe. L’étude montre quelles méthodes d’enseignement sont utilisées et la fréquence de leur utilisation, ainsi que les liens avec les méthodologies. Elle montre aussi que l’enseignement des professeurs de l’étude est principalement représentatif d’une seule méthodologie (la méthodologie cognitiviste – l’approche communicative).

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Aim
The purpose of this paper is to give an overview of the imaging techniques that are currently used to study the effects of exercise on bone architecture.

Current knowledge
It is now widely accepted that the prevention of osteoporosis must be initiated in childhood, because the immature skeleton is more responsive to physical loading. Exercise recommendations for bone health promotion must consider the effects of loading not only on the more traditional measures of bone mineral content and macroarchitecture, but also on the microarchitecture and structural properties of the skeleton. The latter requires high precision 3D methods like quantitative computed tomography and magnetic resonance imaging.

Prospects
Imaging resolutions used most commonly in exercise studies of children have sufficient precision to assess bone density and gross geometry. However, they remain insufficient to clearly depict and quantify the trabecular bone microarchitecture in vivo in humans.

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Objective  Malnutrition is common in HIV-infected children in Africa and an indication for antiretroviral treatment (ART). We examined anthropometric status and response to ART in children treated at a large public-sector clinic in Malawi. Methods  All children aged <15 years who started ART between January 2001 and December 2006 were included and followed until March 2008. Weight and height were measured at regular intervals from 1 year before to 2 years after the start of ART. Sex- and age-standardized z-scores were calculated for weight-for-age (WAZ) and height-for-age (HAZ). Predictors of growth were identified in multivariable mixed-effect models. Results  A total of 497 children started ART and were followed for 972 person-years. Median age (interquartile range; IQR) was 8 years (4–11 years). Most children were underweight (52% of children), stunted (69%), in advanced clinical stages (94% in WHO stages 3 or 4) and had severe immunodeficiency (77%). After starting ART, median (IQR) WAZ and HAZ increased from −2.1 (−2.7 to −1.3) and −2.6 (−3.6 to −1.8) to −1.4 (−2.1 to −0.8) and −1.8 (−2.4 to −1.1) at 24 months, respectively (P < 0.001). In multivariable models, baseline WAZ and HAZ scores were the most important determinants of growth trajectories on ART. Conclusions  Despite a sustained growth response to ART among children remaining on therapy, normal values were not reached. Interventions leading to earlier HIV diagnosis and initiation of treatment could improve growth response.