998 resultados para Troja, Michel, 1747-1827.
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Collection : Publications hors série de l'École française d'Extrême-Orient
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Collection : Collection Mouvement social
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Collection : Publications hors série de l'École française d'Extrême-Orient
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Stockholm 1801
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Stockholm : G. Biurman 1747
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Introduction: MCTI is used to assess acute ischemic stroke (AIS) patients.We postulated that use of MCTI improves patient outcome regardingindependence and mortality.Methods: From the ASTRAL registry, all patients with an AIS and a non-contrast-CT (NCCT), angio-CT (CTA) or perfusion-CT (CTP) within24 h from onset were included. Demographic, clinical, biological, radio-logical, and follow-up caracteristics were collected. Significant predictorsof MCTI use were fitted in a multivariate analysis. Patients undergoingCTA or CTA&CTP were compared with NCCT patients with regards tofavourable outcome (mRS ≤ 2) at 3 months, 12 months mortality, strokemechanism, short-term renal function, use of ancillary diagnostic tests,duration of hospitalization and 12 months stroke recurrence.
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BACKGROUND: Hyperthermia is a frequent complication in patients with acute ischemic stroke. On the other hand, therapeutically induced hypothermia has shown promising potential in animal models of focal cerebral ischemia. This Guideline Document presents the European Stroke Organisation guidelines for the management of temperature in patients with acute ischemic stroke. METHODS: A multidisciplinary group identified related questions and developed its recommendations based on evidence from randomized controlled trials elaborating the Grading of Recommendations Assessment, Development, and Evaluation approach. This Guideline Document was reviewed within the European Stroke Organisation and externally and was approved by the European Stroke Organisation Guidelines Committee and the European Stroke Organisation Executive Committee. RESULTS: We found low-quality evidence, and therefore, we cannot make any recommendation for treating hyperthermia as a means to improve functional outcome and/or survival in patients with acute ischemic stroke and hyperthermia; moderate evidence to suggest against routine prevention of hyperthermia with antipyretics as a means to improve functional outcome and/or survival in patients with acute ischemic stroke and normothermia; very low-quality evidence to suggest against routine induction of hypothermia as a means to improve functional outcome and/or survival in patients with acute ischemic stroke. CONCLUSIONS: The currently available data about the management of temperature in patients with acute ischemic stroke are limited, and the strengths of the recommendations are therefore weak. We call for new randomized controlled trials as well as recruitment of eligible patients to ongoing randomized controlled trials to allow for better-informed recommendations in the future.
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Cet article vise à explorer la polyphonie des énoncés littéraires et ses effets sur la lecture. Je tenterai de montrer que cette question ne recouvre pas seulement un problème d'attribution, potentiellement insoluble, mais qu'il engage la question fondamentale de la valeur des énoncés fictionnels, que ces valeurs soient esthétiques ou éthiques, ou qu'il s'agisse de la prétention de la fiction à représenter une « vérité », ou du moins un aspect objectif de la réalité. Pour illustrer mon propos, je me servirai d'un court extrait tiré du roman de Michel Houellebecq, La Carte et le territoire. On verra que cette approche implique non seulement le retour de la figure de l'auteur (notamment à travers la prise en compte de sa posture), mais aussi la confrontation entre des lectures programmées par les textes et des lectures concrètes qui, parfois, et même très souvent, divergent des lectures programmées en amont.