Essais en économetrie et économie de l'éducation

Cette thèse est organisée en trois chapitres. Les deux premiers s'intéressent à l'évaluation, par des méthodes d'estimations, de l'effet causal ou de l'effet d'un traitement, dans un environnement riche en données. Le dernier chapitre se rapporte à l'économie de l'éducation. Plus précisément dans ce chapitre j'évalue l'effet de la spécialisation au secondaire sur le choix de filière à l'université et la performance. Dans le premier chapitre, j'étudie l'estimation efficace d'un paramètre de dimension finie dans un modèle linéaire où le nombre d'instruments peut être très grand ou infini. L'utilisation d'un grand nombre de conditions de moments améliore l'efficacité asymptotique des estimateurs par variables instrumentales, mais accroit le biais. Je propose une version régularisée de l'estimateur LIML basée sur trois méthodes de régularisations différentes, Tikhonov, Landweber Fridman, et composantes principales, qui réduisent le biais. Le deuxième chapitre étend les travaux précédents, en permettant la présence d'un grand nombre d'instruments faibles. Le problème des instruments faibles est la consequence d'un très faible paramètre de concentration. Afin d'augmenter la taille du paramètre de concentration, je propose d'augmenter le nombre d'instruments. Je montre par la suite que les estimateurs 2SLS et LIML régularisés sont convergents et asymptotiquement normaux. Le troisième chapitre de cette thèse analyse l'effet de la spécialisation au secondaire sur le choix de filière à l'université. En utilisant des données américaines, j'évalue la relation entre la performance à l'université et les différents types de cours suivis pendant les études secondaires. Les résultats suggèrent que les étudiants choisissent les filières dans lesquelles ils ont acquis plus de compétences au secondaire. Cependant, on a une relation en U entre la diversification et la performance à l'université, suggérant une tension entre la spécialisation et la diversification. Le compromis sous-jacent est évalué par l'estimation d'un modèle structurel de l'acquisition du capital humain au secondaire et de choix de filière. Des analyses contrefactuelles impliquent qu'un cours de plus en matière quantitative augmente les inscriptions dans les filières scientifiques et technologiques de 4 points de pourcentage.

Utilisation et développement de techniques pharmacocinétiques avancées afin d’améliorer le développement de molécules pharmaceutiques

Malgré le progrès technologique et nos connaissances pharmaceutiques et médicales croissantes, le développement du médicament demeure un processus difficile, dispendieux, long et très risqué. Ce processus mérite d'être amélioré pour faciliter le développement de nouveaux traitements. À cette fin, cette thèse vise à démontrer l’utilité de principes avancés et d’outils élaborés en pharmacocinétique (PK), actuels et nouveaux. Ces outils serviront à répondre efficacement à des questions importantes lors du développement d’un médicament, sauvant ainsi du temps et des coûts. Le premier volet de la thèse porte sur l’utilisation de la modélisation et des simulations et la création d’un nouveau modèle afin d’établir la bioéquivalence entre deux formulations de complexe de gluconate ferrique de sodium en solution de sucrose pour injection. Comparé aux méthodes courantes, cette nouvelle approche proposée se libère de plusieurs présuppositions, et requiert moins de données. Cette technique bénéficie d’une robustesse scientifique tout en étant associée à des économies de temps et de coûts. Donc, même si développé pour produits génériques, elle pourra également s’avérer utile dans le développement de molécules innovatrices et « biosimilaires ». Le deuxième volet décrit l’emploi de la modélisation pour mieux comprendre et quantifier les facteurs influençant la PK et la pharmacodynamie (PD) d’une nouvelle protéine thérapeutique, la pegloticase. L’analyse a démontré qu’aucun ajustement posologique n’était nécessaire et ces résultats sont inclus dans la monographie officielle du produit. Grâce à la modélisation, on pouvait répondre à des questions importantes concernant le dosage d’un médicament sans passer par des nouvelles études ni d'évaluations supplémentaires sur les patients. Donc, l’utilisation de cet outil a permis de réduire les dépenses sans prolonger le processus de développement. Le modèle développé dans le cadre de cette analyse pourrait servir à mieux comprendre d’autres protéines thérapeutiques, incluant leurs propriétés immunogènes. Le dernier volet démontre l’utilité de la modélisation et des simulations dans le choix des régimes posologiques d’un antibiotique (TP-434) pour une étude de Phase 2. Des données provenant d’études de Phase 1 ont été modélisées au fur et à mesure qu’elles devenaient disponibles, afin de construire un modèle décrivant le profil pharmacocinétique du TP-434. Ce processus de modélisation exemplifiait les cycles exploratoires et confirmatoires décrits par Sheiner. Ainsi, en se basant sur des relations PK/PD d’un antibiotique de classe identique, des simulations ont été effectuées avec le modèle PK final, afin de proposer de nouveaux régimes posologiques susceptibles d’être efficace chez les patients avant même d'effectuer des études. Cette démarche rationnelle a mené à l’utilisation de régimes posologiques avec une possibilité accrue d’efficacité, sans le dosage inutile des patients. Ainsi, on s’est dispensé d’études ou de cohortes supplémentaires coûteuses qui auraient prolongé le processus de développement. Enfin, cette analyse est la première à démontrer l’application de ces techniques dans le choix des doses d’antibiotique pour une étude de Phase 2. En conclusion, cette recherche démontre que des outils de PK avancés comme la modélisation et les simulations ainsi que le développement de nouveaux modèles peuvent répondre efficacement et souvent de manière plus robuste à des questions essentielles lors du processus de développement du médicament, tout en réduisant les coûts et en épargnant du temps.

The impact of early intra-articular corticosteroid injections on the outcome of oligoarticular juvenile idiopathic arthritis

Contexte Un objectif important de la prise en charge de l'arthrite juvénile oligoarticulaire serait d'altérer le cours de la maladie à l'aide d'une thérapie hâtive. Nous avons étudié l'effet des injections intra-articulaires de corticostéroïdes hâtives sur les chances d'atteindre un décompte d'articulation active de zéro et une maladie inactive. Méthode Les données démographiques, cliniques et thérapeutiques des patients avec oligoarthrite juvénile enrôlés dans une étude prospective longitudinale pancanadienne ont été collectées pendant 2 ans. Une injection hâtive était définie comme étant reçue dans les 3 premiers mois suivant le diagnostic. Les équations d'estimation généralisées ont été utilisées pour l'analyse statistique. Résultats Trois cent dix patients ont été inclus. Cent onze (35.8%) ont reçu une injection hâtive. Ces derniers avaient une maladie plus active lors de l'entrée dans l'étude. Les patients exposés à une injection hâtive avaient une chance similaire d'obtenir un décompte d'articulation active de zéro, OR 1.52 (IC95% 0.68-3.37), p=0.306 mais étaient significativement moins à risque d'avoir une maladie inactive, OR 0.35 (IC95% 0.14-0.88), p=0.026. Interprétation Dans cette cohorte de 310 patients avec oligoarthrite juvénile, les injections hâtives de corticostéroïdes n'ont pas mené à une probabilité plus élevée d'atteindre un décompte d'articulation active de zéro ou une maladie inactive. Des problématiques méthodologiques intrinsèques à l'utilisation de données observationnelles pour fins d'estimation d'effets thérapeutiques auraient pu biaiser les résultats. Nous ne pouvons affirmer avec certitude que les injections hâtives n'améliorent pas le décours de la maladie. Des études prospectives adressant les limitations soulevées seront requises pour clarifier la question.

Higher Education Sector in India: Issues and Imperatives

The 21st century is marked by a paradigm shift in education that has resulted both in threats and opportunities. It has brought new challenges and an opportunity for higher education. Higher education in India is undergoing rapid changes. The challenges ahead are multifaceted and multidimensional. Though the data show a massive growth in the number of students' enrollment in colleges/universities, holistic view reveals that still only a meager of the total population has access to higher education. Globalization and privatization are imposing new challenges but the nations are still entangled in solving the basic problems of accessibility to higher education for all. In the wake of the transition from elitist to mass education, universities worldwide are under pressure to enhance access and equity, on the one hand, and to maintain high standards of quality and excellence, on the other. Today the notion of equity not only implies greater access to higher education, but also opportunities for progress. In recent debates on higher education, the notions of equity and access go beyond minority to diversity. Affirmative action, too, has become raceexclusive and gender-neutral.1

A Study of a Comprehensive Career Services System in Chinese Universities

Since 1999, with the adoption of expansion policy in higher education by the Chinese government, enrollment and graduate numbers have been increasing at an unprecedented speed. Accustomed to a system in which university graduates were placed, many students are not trained in “selling themselves”, which exacerbates the situation leading to a skyrocketing unemployment rate among new graduates. The idea of emphasizing career services comes with increasing employment pressure among university graduates in recent years. The 1998 “Higher Education Act” made it a legislative requirement. Thereafter, the Ministry of Education issued a series of documents in order to promote the development of career services. All higher education institutions are required to set up special career service centers and to set a ratio of 1:500 between career staff and the total number of students. Related career management courses, especially career planning classes, are required to be clearly included as specific modules into the teaching plan with a requirement of no less than 38 sessions in one semester at all universities. Developing career services in higher education has thus become a hot issue. One of the more notable trends in higher education in recent years has been the transformation of university career service centers from merely being the coordinators of on-campus placement into full service centers for international career development. The traditional core of career services in higher education had been built around guidance, information and placements (Watts, 1997). This core was still in place, but the role of higher education career services has changed considerably in recent years and the nature of each part is being transformed (Watts, 1997). Most services are undertaking a range of additional activities, and the career guidance issue is emphasized much more than before. Career management courses, especially career planning classes, are given special focus in developing career services in the Chinese case. This links career services clearly and directly with the course provision function. In China, most career service centers are engaging in the transformation period from a “management-oriented” organization to a “service-oriented” organization. Besides guidance services, information services and placement activities, there is a need to blend them together with the new additional teaching function, which follows the general trend as regulated by the government. The role of career services has been expanding and this has brought more challenges to its development in Chinese higher education. Chinese universities still remain in the period of exploration and establishment in developing their own career services. In the face of the new situation, it is very important and meaningful to explore and establish a comprehensive career services system to address student needs in the universities. A key part in developing this system is the introduction of career courses and delivering related career management skills to the students. So there is the need to restructure the career service sectors within the Chinese universities in general. The career service centers will operate as a hub and function as a spoke in the wheel of this model system, providing support and information to staff located in individual teaching departments who are responsible for the delivery of career education, information, advice and guidance. The career service centers will also provide training and career planning classes. The purpose of establishing a comprehensive career services system is to provide a strong base for student career development. The students can prepare themselves well in psychology, ideology and ability before employment with the assistance of effective career services. To conclude, according to the different characteristics and needs of students, there will be appropriate services and guidance in different stages and different ways. In other words, related career services and career guidance activities would be started for newly enrolled freshmen and continue throughout their whole university process. For the operation of a comprehensive services system, there is a need for strong support by the government in the form of macro-control and policy guarantee, but support by the government in the form of macro-control and policy guarantee, but also a need for close cooperation with the academic administration and faculties to be actively involved in career planning and employment programs. As an integral function within the universities, career services must develop and maintain productive relationships with relevant campus offices and key stakeholders both within the universities and externally.

Efecto de la competencia en la escogencia de estándares educativos

En la literatura económica no se ha estudiado como la competencia entre las instituciones educativas afecta específicamente la escogencia de estándares educativos y el valor de matrícula. Usando un modelo teórico analizo como la competencia entre las instituciones educativas afectan la escogencia de estándares académicos, comparando la solución en competencia con la solución eficiente y la solución de monopolio. Los individuos son heterogéneos y se diferencian en su habilidad, las instituciones educativas compiten estableciendo en una primera etapa el estándar educativo, y en una segunda etapa el valor de matrícula. Una vez definidos los estándares y los valores de matrícula, estos son información pública, permitiendo a los individuos escoger entre ingresar o no a una institución educativa o a que institución educativa ingresar de acuerdo a la habilidad innata y al costo asociado al esfuerzo. En los resultados se muestra que el bienestar social aumenta cuando en la economía existe más de una institución educativa con estándares diferentes, y la solución de mercado, en monopolio o en competencia, obliga a los estudiantes a ejercer un mayor esfuerzo para alcanzar el título. Independiente a la relación de costos, el valor de matrícula es siempre mayor para la institución con estándar educativo más alto, y mayor en la solución de mercado. Cuando el costo unitario de la institución con estándar más alto es mayor o igual al costo de la institución con menor estándar, los estándares educativos escogidos por el planificador son mayores y el esfuerzo requerido por los individuos es menor respecto a la solución de mercado.

Pre-school contributions to future achievements

This paper provides recent evidence about the beneÖts of attending preschool on future performance. A non-parametric matching procedure is used over two outcomes: math and verbal scores at a national mandatory test (Saber11) in Colombia. It is found that students who had the chance of attending preschool obtain higher scores in math (6.7%) and verbal (5.4%) than those who did not. A considerable fraction of these gaps comes from the upper quintiles of studentís performance, suggesting that preschool matters when is done at high quality institutions. When we include the number of years at the preschool, the gap rises up to 12% in verbal and 17% in math.

Calidad de la educación básica y media en Colombia: diagnóstico y propuestas

Este trabajo hace una propuesta de política educativa para Colombia que permita mejorar la calidad de la educación básica, secundaria y media y así convertirla en una herramienta efectiva de movilidad social. Se muestra que Colombia ha tenido avances importantes en cobertura. Sin embargo, las mejoras en términos de calidad han sido marginales e inequitativas. Las propuestas de política son: i) fortalecimiento de la evaluación de la calidad de la educación; ii) fortalecimiento de la capacidad institucional de los colegios públicos; iii) implementación de la jornada escolar completa; iv) implementación de una política de docentes que permita atraer mejores profesionales y mejorar los instrumentos de evaluación de los docentes; v) participación del sector privado en la provisión de educación.

Financial protection for the poor in Colombia: the effects of a subsidized health insurance scheme

Financial protection is one of the objectives of health systems, which protects poor households from falling into poverty as a result of health care related expenses. Expanding prepayment schemes to the poor is difficult in developing countries because labor is largely informal. Providing health care free-at-point-of-service does not adequately target spending on the poorest, but occupation- or community-based schemes have also inherent limitations to achieve universal coverage. Colombia adopted a government-subsidized health insurance scheme (SHI) strategy. The political debate about increasing SHI enrollment needs evidence about the effectiveness of this scheme regarding financial protection. This study runs a four-part model to estimate the effect of SHI on out-of-pocket expenses by the poor that are currently uninsured, if they were enrolled in the SHI. The results show a 43% and 50% reduction in expenses at Bogotá and national level respectively, which confirms the effectiveness of SHI as a financial protection tool.

Health insurance as a strategy for access : Streamlined facts of the Colombian Health Care Reform

La reforma colombiana al sistema de salud (Ley 100 de 1993) estableció, como estrategia para facilitar el acceso, la universalidad de un seguro de salud que se adquiere mediante la cotización en el régimen contributivo o mediante la afiliación gratuita al régimen subsidiado, con la meta de cubrir a toda la población con un plan de beneficios único que comprende servicios de todos los niveles de atención. En el documento se analizan los principales hechos estilizados de la reforma en cuanto a cobertura del seguro y acceso y, mediante modelos logit, se estiman los determinantes de la afiliación y del acceso, con datos de las encuestas de calidad de vida de 1997 y 2003. Se destaca que la cobertura pasó del 20% de la población en 1993 al 60% en 2004, aunque parece imposible alcanzar la universalidad; la estructura y evolución de la cobertura muestran que los dos regímenes son complementarios, de modo que mientras el contributivo tiene mayor presencia en las ciudades y entre la población con empleo formal, el subsidiado tiene mayor peso entre la población rural y con bajos niveles de ingresos; por otra parte, el seguro tiene ventajas para la población subsidiada, con una mayor probabilidad de utilización de servicios, aunque el plan es inferior al del contributivo y existen barreras para el acceso.

Efficiency and Equity in Learning Communities and schools

Traditionally, school efficiency has been measured as a function of educational production. In the last two decades, however, studies in the economics of education have indicated that more is required to improve school efficiency: researchers must explore how significant changes in school organization affect the performance of at-risk students. In this paper we introduce Henry Levin’s adoption of the X-efficiency approach to education and we describe the efficient and cost-effective characteristics of one Learning Communities Project School that significantly improved its student outcomes and enrollment numbers and reduced its absenteeism rate to zero. The organizational change that facilitated these improvements defined specific issues to address. Students’ school success became the focus of the school project, which also offered specific incentives, selected teachers, involved parents and community members in decisions, and used the most efficient technologies and methods. This case analysis reveals new two elements—family training and community involvement—that were not explicit parts of Levin’s adaptation. The case of the Antonio Machado Public School should attract the attention of both social scientists and policy makers

Evasão escolar no ensino fundamental : a concepção de egressos do projovem urbano em Carmópolis/SE : um estudo de caso

A presente pesquisa objetivou, a partir da percepção dos egressos do ProJovem Urbano, do Município de Carmópolis/Sergipe, compreender as razões que levam o aluno à evasão escolar, depois de aderir a um programa educacional. Tendo em atenção o objetivo desse trabalho, que era o de investigar a evasão em programas educacionais, a estratégia de pesquisa selecionada, foi o estudo de caso, exploratório e descritivo, com abordagem qualitativa. A coleta de dados constituiu-se de entrevistas semi estruturadas, realizadas com 20 egressos e 07 professores do programa educacional de governo, ProJovem Urbano, que teve início em abril de 2009 e encerramento em Outubro de 2010, realizado no Município de Carmópolis, Estado de Sergipe/Brasil. Os resultados obtidos permitiram apontar que fatores, enquadrados em três grandes categorias: contexto familiar, contexto social e contexto escolar concorreram para que o estudante interrompesse ou abandonasse sua vida acadêmica. Os dados coletados possibilitaram, também, considerações acerca do conceito de evasão e dos procedimentos utilizados para a investigação desse fenômeno. Buscou-se, em especial, oferecer subsídios para uma reflexão crítica, a respeito dos programas educacionais de governo, criados com o objetivo de facilitar e estimular o ingresso ou o retorno do indivíduo ao ambiente educacional, mas não são suficientes para amenizar as taxas de fracasso ou evasão escolar.

Effect of high dose selenium enriched yeast diets on the distribution of total selenium and selenium species within lamb tissues

The objective of this study was to determine the distribution of total selenium (Se) and of the proportion of total Se comprised as the selenized amino acids selenomethionine (SeMet) and selenocysteine (SeCys) within the post mortem tissues of lambs that were fed high dose selenized enriched yeast (SY), derived from a specific strain of Saccharomyces cerevisae CNCM (Collection Nationale de Culture de Micro-organism) I-3060. Thirty two Texel X Suffolk lambs (6.87 ± 0.23 kg BW) were offered both reconstituted milk replacer and a pelleted diet, both of which had been either supplemented with high SY (6.30 ± 0.18 mg Se/kg DM) or unsupplemented (0.13 ± 0.01 mg Se/kg of DM), depending on treatment designation, for a continuous period of 91 d. At enrollment and 28, 56 and 91 d following enrollment lambs were blood sampled. At the completion of the treatment period, five lambs from each treatment group were euthanased and samples of heart, liver, kidney and skeletal muscle (Longissimus Dorsi and Psoas Major) were retained for Se analysis. The inclusion of high SY increased (P < 0.001) whole blood Se concentration, reaching a maximum mean value of 815.2 ± 19.1 ng Se/mL compared with 217.8 ± 9.1 ng Se/mL in control animals. Tissue total Se concentrations were significantly (P < 0.001) higher in SY supplemented animals than in controls irrespective of tissue type; values were 26, 16, 8 and 3 times higher in skeletal muscle, liver, heart and kidney tissue of HSY lambs when compared to controls. however, the distribution of total Se and the proportions of total Se comprised as either SeMet or SeCys differed between tissue types. Selenocysteine was the predominant selenized amino acid in glandular tissues, such the liver and kidney. irrespective of treatment, although absolute values were markedly higher in HSY lambs. Conversely selenomethionine was the predominat selenized amino acid in cardiac and skeletal muscle (Longissimus Dorsi, and Psoas Major) tissues in HSY animals, although the same trend was not apparent for control lambs in which SeCys was the predominant selenized amino acid. It was concluded that there were increases in both whole blood and tissue total Se concentrations as a result of dietary supplementation with high dose of SY. Furthermore, distribution of total Se and Se species differed between both treatment designation and tissue type.

Selenium persistency and speciation in the tissues of lambs following the withdrawal of dietary high-dose selenium-enriched yeast

The objective was to determine the concentration of total selenium (Se) and the proportion of total Se comprised as selenomethionine (SeMet) and selenocysteine (SeCys) in post mortem tissues of lambs in the six weeks period following the withdrawal of a diet containing high dose selenized yeast (SY), derived from a specific strain of Saccharomyces cerevisae CNCM (Collection Nationale de Culture de Micro-organism) I-3060. Thirty Texel x Suffolk lambs used in this study had previously received diets (91 days) containing either high dose SY (HSY; 6.30 mg Se/kg DM) or an unsupplemented control (C; 0.13 mg Se/kg DM). Following the period of supplementation all lambs were then offered a complete pelleted diet, without additional Se (0.15 mg Se/kg DM), for 42 days. At enrollment and 21 and 42 days later, five lambs from each treatment were blood sampled, euthanased and samples of heart, liver, kidney and skeletal muscle (Longissimus Dorsi and Psoas Major) tissue were retained. Total Se concentration in whole blood and tissues was significantly (P < 0.001) higher in HSY lambs at all time points that had previously received long term exposure to high dietary concentrations of SY. The distribution of total Se and the proportions of total Se comprised as SeMet and SeCys differed between tissues, treatment and time points. Total Se was greatest in HSY liver and kidney (22.64 and 18.96 mg Se/kg DM, respectively) and SeCys comprised the greatest proportion of total Se. Conversely, cardiac and skeletal muscle (Longissimus Dorsi and Psoas Major) tissues had lower total Se concentration (10.80, 7.02 and 7.82 mg Se/kg DM, respectively) and SeMet was the predominant selenized amino acid. Rates of Se clearance in HSY liver (307 µg Se/day) and kidney (238 µg Se/day) were higher compared with HSY cardiac tissue (120 µg Se/day) and skeletal muscle (20 µg Se/day). In conclusion differences in Se clearance rates were different between tissue types, reflecting the relative metabolic activity of each tissue, and appear to be dependant upon the proportions of total Se comprised as either SeMet or SeCys.

Effect of dietary supplementation with selenium-enriched yeast or sodium selenite on selenium tissue distribution and meat quality in beef cattle

The objective was to determine the concentration of total selenium (Se) and the proportion of total Se comprised as selenomethionine (SeMet) and selenocysteine (SeCys) in post mortem tissues of beef cattle offered diets containing graded additions of selenized enriched yeast (SY) [Saccharomyces cerevisae CNCM I-3060]), or sodium selenite (SS). Oxidative stability and tissue glutathione peroxidase (GSH-Px) activity of edible muscle tissue were assessed 10 d post-mortem. Thirty two beef cattle were offered, for a period of 112 d, a total mixed ration which had either been supplemented with SY (0, 0.15 or 0.35 mg Se/kg DM) or SS (0.15 mg Se/kg DM). At enrollment (0 d) and at 28, 56, 84 and 112 d following enrollment, blood samples were taken for Se and Se species determination, as well as whole blood GSH-Px activity. At the end of the study beef cattle were euthanized and samples of heart, liver, kidney, and skeletal muscle (LM and psoas major) were retained for Se and Se species determination. Tissue GSH-Px activity and thiobarbituric acid reactive substances (TBARS) were determined in skeletal muscle tissue (LM only). The incorporation into the diet of ascending concentrations of Se as SY increased whole blood total Se and the proportion of total Se comprised as SeMet, as well as GSH-Px activity. There was also a dose dependant response to the graded addition of SY on total Se and proportion of total Se as SeMet in all tissues and GSH-Px activity in skeletal muscle tissue. Furthermore, total Se concentration of whole blood and tissues was greater in those animals offered SY when compared with those receiving a comparable dose of SS, indicating an improvement in Se availability and tissue Se retention. Likewise, GSH-Px activity in whole blood and LM was greater in those animals offered SY when compared with those receiving a comparable dose of SS. However, these increases in tissue total Se and GSH-Px activity appeared to have little or no effect in meat oxidative stability.