998 resultados para Vigée-Lebrun, Louise-Elisabeth, 1755-1842.


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I. Madame Vigée Le Brun.--II. La marquise de Montagu.--III. Madame Tallieu.--IV. Madame de Genlis.

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Mode of access: Internet.

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Background Comparison of a multimodal intervention WE CALL (study initiated phone support/information provision) versus a passive intervention YOU CALL (participant can contact a resource person) in individuals with first mild stroke. Methods and Results This study is a single-blinded randomized clinical trial. Primary outcome includes unplanned use of health services (participant diaries) for adverse events and quality of life (Euroquol-5D, Quality of Life Index). Secondary outcomes include planned use of health services (diaries), mood (Beck Depression Inventory II), and participation (Assessment of Life Habits [LIFE-H]). Blind assessments were done at baseline, 6, and 12 months. A mixed model approach for statistical analysis on an intention-to-treat basis was used where the group factor was intervention type and occasion factor time, with a significance level of 0.01. We enrolled 186 patients (WE=92; YOU=94) with a mean age of 62.5±12.5 years, and 42.5% were women. No significant differences were seen between groups at 6 months for any outcomes with both groups improving from baseline on all measures (effect sizes ranged from 0.25 to 0.7). The only significant change for both groups from 6 months to 1 year (n=139) was in the social domains of the LIFE-H (increment in score, 0.4/9±1.3 [95% confidence interval, 0.1–0.7]; effect size, 0.3). Qualitatively, the WE CALL intervention was perceived as reassuring, increased insight, and problem solving while decreasing anxiety. Only 6 of 94 (6.4%) YOU CALL participants availed themselves of the intervention. Conclusions Although the 2 groups improved equally over time, WE CALL intervention was perceived as helpful, whereas YOU CALL intervention was not used.

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Background More than 60% of new strokes each year are "mild" in severity and this proportion is expected to rise in the years to come. Within our current health care system those with "mild" stroke are typically discharged home within days, without further referral to health or rehabilitation services other than advice to see their family physician. Those with mild stroke often have limited access to support from health professionals with stroke-specific knowledge who would typically provide critical information on topics such as secondary stroke prevention, community reintegration, medication counselling and problem solving with regard to specific concerns that arise. Isolation and lack of knowledge may lead to a worsening of health problems including stroke recurrence and unnecessary and costly health care utilization. The purpose of this study is to assess the effectiveness, for individuals who experience a first "mild" stroke, of a sustainable, low cost, multimodal support intervention (comprising information, education and telephone support) - "WE CALL" compared to a passive intervention (providing the name and phone number of a resource person available if they feel the need to) - "YOU CALL", on two primary outcomes: unplanned-use of health services for negative events and quality of life. Method/Design We will recruit 384 adults who meet inclusion criteria for a first mild stroke across six Canadian sites. Baseline measures will be taken within the first month after stroke onset. Participants will be stratified according to comorbidity level and randomised to one of two groups: YOU CALL or WE CALL. Both interventions will be offered over a six months period. Primary outcomes include unplanned use of heath services for negative event (frequency calendar) and quality of life (EQ-5D and Quality of Life Index). Secondary outcomes include participation level (LIFE-H), depression (Beck Depression Inventory II) and use of health services for health promotion or prevention (frequency calendar). Blind assessors will gather data at mid-intervention, end of intervention and one year follow up. Discussion If effective, this multimodal intervention could be delivered in both urban and rural environments. For example, existing infrastructure such as regional stroke centers and existing secondary stroke prevention clinics, make this intervention, if effective, deliverable and sustainable.

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Mode of access: Internet.

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Microform master no.: *ZZ-4549.

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Elisabeth Louise Vigee-Lebrun; 3 ft. 9 in.x 2 ft. 10 31/64 in.; oil on canvas

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f.1 : carte d'Adolphe Aderer ; f.2-3 ; lettre de Paul Deschanel ; f.4 : lettre sur papier de deuil de François Flameng ; f.5 : lettre d'Alfred Mézières ; f.6 : carte de Hippolyte-Lucas ; f.7 : lettre de Théophile Homolle ; f.8 : lettre de la Comtesse de Ségur ; f.9 : carte pneumatique d'Henry Simond ; f.11 : lettre d'Henri Welschinger ; f.10, 13-14 : lettres de correspondants non identifiés

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f.1-2 : lettre d'Adrien Bernheim, f.3 : lettre d'Henri Büsser, f.4-5 : lettre de François Flameng, f.6 : carte sur papier de deuil d'Albert Girard, f.7 : lettre de Louis Schneider datée d'après l'année de décès de Louis Schneider, f.8 : lettre d'Hélène Seguin, f.9-10 : lettre de Charles Silver, f.12 : lettre de Francis Wey, f.13-18 : lettres de Charles-Marie Widor ; f.11 : lettre sur papier de deuil d'un correspondant non identifié