1,137 research outputs found

    A checklist of pamphlets by Mathieu de Morgues and his polemical associates in the Newberry Library

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    "This article was created by attendance at the first Summer Institute in the Archival Sciences." This copy is corrected in the hand of the author.Almost one hundred pamphlets were written against Cardinal Richelieu by Mathieu de Morgues and three individuals to whom I refer in this context as his polemical associates. Marie de Medici, Gaston d'Orléans, and Jacques Chanteloube helped de Morgues flood France during the 1630s with an impressive series of pamphlets defending themselves and their dévot friends against the political and personal attack on them by Louis XIII's first minister. At the time, the pamphlets, telling as were their indictments and arguments, had little effect in counterbalancing the influence which Richelieu exercised in the royal council and French politics in general, but later they contributed significantly to the development of the darker aspects of Richelieu's reputation in history and in historical fiction, as well as in the popular imagination

    Power and Piety: The Religiosity of Michel de Marillac

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    A major text of the life of Michel de Marillac, Lezeau’s Histoire de la vie de messier Michel de Marillac has a hagiographic perspective. However, it is more informative about Marillac’s religiosity than one might think. It details his spiritual experiences and religious practices and how they impacted all aspects of his life. Marillac scrupulously applied religious principles to his duties overseeing finance and justice. He believed that civil order should be enforced by divine and royal authority. Lezeau’s assertions are placed within the context of the conventions of Marillac’s time (by which he was considered a model Christian statesman) and are balanced against other sources

    Saint Louise de Marillac\u27s Uncle: Louis XIII\u27s Garde des Sceaux, Michel de Marillac (1560–1632)

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    The life and career of Michel de Marillac is described, including his vast experience in government, his intellectual contributions, his spiritual life and practice, and his activities on behalf of Catholicism in France. He was particularly instrumental in establishing the Teresian Carmelites in his country, along with the Ursulines and the Oratorians. His political and religious service was the continuation of a long family tradition. Although we cannot know much about the specifics of his relationship with his ward, Louise de Marillac, this article gives greater understanding about their family

    Impact of hypoglycemia on patients with type 2 diabetes mellitus and their quality of life, work productivity, and medication adherence.

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    BackgroundThe purpose of this study was to determine the characteristics of adults with type 2 diabetes mellitus (T2DM) that correlate with greater risk of hypoglycemia and determine the impact of hypoglycemia on health-related quality of life, work productivity, and medication adherence from a patient perspective.MethodsData from a large web-based survey were retrospectively analyzed. Adults with a diagnosis of T2DM taking antihyperglycemic agents were included in the analysis. Participants with knowledge of their hypoglycemic history were divided into three groups: those experiencing recent hypoglycemia (previous 3 months), those experiencing nonrecent hypoglycemia, and those never experiencing hypoglycemia.ResultsOf the participants with T2DM taking antihyperglycemic agents who were knowledgeable of their hypoglycemia history, 55.7% had ever experienced hypoglycemia. Of those, 52.7% had recent hypoglycemia. Compared with those who never experienced hypoglycemia, those who experienced hypoglycemia tended to: be younger; be more aware of their glycated hemoglobin (HbA1c) levels; have higher HbA1c levels; have a higher body mass index; have higher Charlson Comorbidity Index scores; be on insulin, sulfonylureas, and/or glucagon-like peptide-1 agonists; and be less adherent to their antihyperglycemic agents. Hypoglycemia interfered with social activities, caused more missed work (absenteeism), more impairment while at work (presenteeism), and decreased overall work productivity compared with patients who had never experienced hypoglycemia. Overall health-related quality of life, as determined by the Short Form-36 health questionnaire, was negatively impacted by hypoglycemia. Both Physical and Mental Summary scores were significantly lower for the recent hypoglycemia and nonrecent hypoglycemia groups compared with the never hypoglycemia group.ConclusionHypoglycemia can negatively impact many aspects of life. Greater awareness of those who are at risk for developing hypoglycemia can lead to the development of measures (eg, patient and physician education) to prevent future hypoglycemia episodes

    Nursing Roles and Strategies in End-of-Life Decision Making in Acute Care: A Systematic Review of the Literature

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    The objective of this paper is to analyze the literature concerning nurses' roles and strategies in EOL decision making in acute care environments, synthesize the findings, and identify implications for future research. We conducted searches in CINAHL and PubMed, using a broad range of terms. The 44 articles retained for review had quantitative and qualitative designs and represented ten countries. These articles were entered into a matrix to facilitate examining patterns, themes, and relationships across studies. Three nursing roles emerged from the synthesis of the literature: information broker, supporter, and advocate, each with a set of strategies nurses use to enact the roles. Empirical evidence linking these nursing roles and strategies to patients and family members outcomes is lacking. Understanding how these strategies and activities are effective in helping patients and families make EOL decisions is an area for future research

    Adolescent trajectories of aerobic fitness and adiposity as markers of cardiometabolic risk in adulthood

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    Purpose: The aim of this study was to investigate whether adolescent growth trajectories of aerobic fitness and adiposity were associated with mid-adulthood cardiometabolic risk (CMR). Methods: Participants were drawn from the Saskatchewan Growth and Development Study (1963-1973). Adolescent growth trajectories for maximal aerobic capacity (absolute VO2 (AbsVO2)), skinfolds (SF), representing total body (Sum6SF) and central adiposity (TrunkSF), and body mass index (BMI) were determined from 7 to 17 years of age. In mid-adulthood (40 to 50 years of age), 61 individuals (23 females) returned for follow-ups. A CMR score was calculated to group participants as displaying either high or a low CMR. Multilevel hierarchical models were constructed, comparing the adolescent growth trajectories of AbsVO2, Sum6SF, TrunkSF, and BMI between CMR groupings. Results: There were no significant differences in the adolescent development of AbsVO2, Sum6SF, TrunkSF, and BMI between adult CMR groupings (p > 0.05). Individuals with high CMR accrued 62% greater adjusted total body fat percentage from adolescence to adulthood (p=0.03). Conclusions: Growth trajectories of adolescent aerobic fitness and adiposity do not appear to be associated with mid-adulthood CMR. Individuals should be encouraged to participate in behaviours that promote healthy aerobic fitness and adiposity levels throughout life to reduce lifelong CMR

    The “invisible caregiver”: multicaregiving among diabetic African-American grandmothers

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    To explore the multicaregiving roles African American grandmothers assume while self-managing their diabetes

    Evaluation of a peer mentoring program for early career gerontological nursing faculty and its potential for application to other fields in nursing and health sciences

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    As the retirement rate of senior nursing faculty increases, the need to implement new models for providing mentorship to early career academics will become key to developing and maintaining an experienced faculty

    Supporting Parental Decisions About Genomic Sequencing for Newborn Screening: The NC NEXUS Decision Aid

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    Advances in genomic sequencing technology have raised fundamental challenges to the traditional ways genomic information is communicated. These challenges will become increasingly complex and will affect a much larger population in the future if genomics is incorporated into standard newborn screening practice. Clinicians, public health officials, and other stakeholders will need to agree on the types of information that they should seek and communicate to parents. Currently, few evidence-based and validated tools are available to support parental informed decision-making. These tools will be necessary as genomics is integrated into clinical practice and public health systems. In this article we describe how the North Carolina Newborn Exome Sequencing for Universal Screening study is addressing the need to support parents in making informed decisions about the use of genomic testing in newborn screening. We outline the context for newborn screening and justify the need for parental decision support. We also describe the process of decision aid development and the data sources, processes, and best practices being used in development. By the end of the study, we will have an evidenced-based process and validated tools to support parental informed decision-making about the use of genomic sequencing in newborn screening. Data from the study will help answer important questions about which genomic information ought to be sought and communicated when testing newborns
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