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The Time to Act is Now: Protecting Cultural Heritage in Times of Crisis 现在就是行动的时候:在危机时期保护文化遗产
Pub Date : 2022-05-19 DOI: 10.1353/fmj.2022.a855014
Debra A. Haaland
Abstract:As the first Native American Cabinet Secretary for the United States, Deb Haaland gives an overview of the cultural heritage preservation efforts of the U.S. Department of Interior. Priorities include telling the full American story and addressing the climate crisis.
摘要:作为美国第一位印第安人内阁部长,Deb Haaland概述了美国内政部在文化遗产保护方面所做的努力。优先事项包括讲述完整的美国故事和解决气候危机。
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引用次数: 0
Leading the Change Together 共同引领变革
Pub Date : 2022-05-19 DOI: 10.1353/fmj.2022.a855012
Katherine Malone-France
Abstract:This issue of Forum Journal contains proceedings from the PastForward Online 2021 conference. Articles consist of keynote remarks from plenary sessions. In the introduction, Katherine Malone-France, Chief Preservation Officer of the National Trust for Historic Preservation contemplates the impact of conference themes and the valuable stories learned from keynote presentations bringing about needed changes to make our work more inclusive, relevant, and impactful.
摘要:本期《论坛期刊》收录了“未来在线2021”会议的会议记录。文章由全体会议的主旨发言组成。在介绍中,国家历史保护信托基金会首席保护官凯瑟琳·马龙-弗朗斯(Katherine Malone-France)思考了会议主题的影响,以及从主题演讲中学到的有价值的故事,这些故事带来了必要的改变,使我们的工作更具包容性、相关性和影响力。
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引用次数: 1
Intervention options: Depression & Cardiovascular Disease during Covid-19 Pandemia 干预方案:Covid-19大流行期间的抑郁症和心血管疾病
Pub Date : 2021-08-07 DOI: 10.17987/icfj.v21i0.723
Eirini Flouda, Athena Stefanatou, Tinia Apergi
An attempt to review links of cardiovascular disease (CVD) and depression and present appropriate treatment methods for handling depression in the COVID-19 pandemic is made. Although depression constitutes one of the major mental health challenges that humankind must encounter in the 21st century it remains undiagnosed and untreated in CVD patients. Its great influence on the progress of CVD led to its classification as a risk factor along with dyslipidemia, arterial hypertension, diabetes, obesity, substance use, sedentary lifestyle (poor diet, stress) making imperative the need for treatment methods. As during COVID 19 pandemic we witnessed the elevation of mental distress as involving both lifestyle choices and dealing with unprecedented life situations while inducing psychological distress or exacerbating pre-existing physical and mental health problems – depression could act both as a contributor to and as the result of CVD. A 4-step intervention program is suggested.
本文试图回顾心血管疾病(CVD)与抑郁症的联系,并提出在COVID-19大流行中应对抑郁症的适当治疗方法。尽管抑郁症是人类在21世纪必须面对的主要精神健康挑战之一,但在心血管疾病患者中仍未得到诊断和治疗。它对心血管疾病进展的巨大影响导致其与血脂异常、动脉高血压、糖尿病、肥胖、物质使用、久坐不动的生活方式(不良饮食、压力)一起被列为危险因素,迫切需要治疗方法。正如在2019冠状病毒病大流行期间,我们目睹了精神困扰的加剧,因为它既涉及生活方式的选择,也涉及处理前所未有的生活状况,同时引发心理困扰或加剧已有的身心健康问题——抑郁症既可以作为心血管疾病的贡献者,也可以作为心血管疾病的结果。建议采用四步干预方案。
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引用次数: 0
Prevalence and Pattern of Electrolyte Imbalance in Hypertensives Admitted in Nigerian Teaching Hospitals 尼日利亚教学医院住院高血压患者电解质失衡的患病率和模式
Pub Date : 2021-08-07 DOI: 10.17987/icfj.v21i0.741
A. Olusegun-Joseph, B. Okunowo, A. Akintunde, K. Karaye
BackgroundHypertension not only predispose to cardiovascular diseases, it is also associated with electrolyte imbalances (EIs), which in most cases subtly impacts on morbidity and mortality. We aimed to determine the prevalence and pattern of EI in hospitalized hypertensives from three teaching hospitals in Nigeria.MethodologyThis was a retrospective study of hypertensive patients who were admitted in three teaching hospitals in the cities of Lagos, Kano and Ogbomosho, Nigeria. Medical records and serum electrolyte results done at the point of admission were retrieved and analyzed.Results159 admitted hypertensive patients who had analysis of their electrolytes were recruited of which 106 (66.7%) were males, while 53(33.3%) were females. Majority of patients (138 {86.8%}) had at least one EI, while only 21 (13.2%) had normal electrolytes.  39(24.5%) patients had more than two EIs; 55(34.6%) had two EIs, while 44(27.7%) had one EI. The commonest electrolyte abnormality was hyponatremia seen in 63 (39.6%) patients, followed by hypokalemia, reduced bicarbonate and hypochloremia found in 58 (36.5%), 53(33.3%), and 40 (25.2%) respectively.EI was more prevalent among females (96.2% vs 82.1% in males; p=0.002), patients who had tachycardia (94.3% vs 80.9% of patients without tachycardia; p=0.042) and those with elevated diastolic blood pressure DBP (p=0.034).ConclusionEIs are very common among hospitalized hypertensive patients, with most of them having multiple derangements. EI was more prevalent in females, patients with tachycardia and elevated (DBP).Key words: Hospitalized hypertensive, electrolyte imbalances, Potassium, Sodium, bicarbonate, Chloride.
背景高血压不仅易患心血管疾病,还与电解质失衡(EIs)有关,在大多数情况下,电解质失衡会微妙地影响发病率和死亡率。我们旨在确定尼日利亚三所教学医院住院高血压患者的EI患病率和模式。方法回顾性分析尼日利亚拉各斯、卡诺和奥格博莫绍三所教学医院收治的高血压患者。检索并分析入院时的医疗记录和血清电解质结果。结果共纳入159例住院高血压患者,其中男性106例(66.7%),女性53例(33.3%)。大多数患者(138例(86.8%))至少有一次EI,而只有21例(13.2%)电解质正常。39例(24.5%)患者有2次以上的ei;2个EI 55例(34.6%),1个EI 44例(27.7%)。最常见的电解质异常是低钠血症(63例(39.6%)),其次是低钾血症(58例(36.5%))、碳酸氢盐减少(53例(33.3%))和低氯血症(40例(25.2%))。EI在女性中更为普遍(96.2%比82.1%);P =0.002),有心动过速的患者(94.3% vs 80.9%无心动过速的患者;p=0.042)和舒张压升高组(p=0.034)。结论住院高血压患者中ei较为常见,且多为多发紊乱。EI多见于女性、心动过速和舒张压升高患者。关键词:住院高血压,电解质失衡,钾,钠,碳酸氢盐,氯化物。
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引用次数: 0
A Case of Heart Transplantation after Ischaemic Preconditioning 缺血预处理后心脏移植1例
Pub Date : 2021-08-07 DOI: 10.17987/icfj.v21i0.701
Stephen Micallef Eynaud, D. Sladden, A. Manché
A case of successful heart transplantation from a donor that suffered an out of hospital cardiac arrest lasting approximately one hour is presented. The recipient, a 27-year-old female nurse, was diagnosed with arrhythmogenic right ventricular cardiomyopathy in 2012. The donor was a 24-year-old male who after consuming an unknown quantity of alcohol and cocaine aboard a yacht was found floating face-down in the sea. The patient to be pulseless and CPR commenced after 7 minutes. The length of time that he spent in the sea was unknown. Return of spontaneous circulation (ROSC) occurred after 20 minutes of CPR on site. However, the patient arrested again in the ambulance and CPR was performed until he arrived Hospital, still in cardiac arrest. The patient arrested three more times before achieving a stable circulation. He was transferred to the intensive care unit on high doses of Noradrenaline and Adrenaline to maintain an adequate mean arterial blood pressure. An initial echocardiogram (ECHO) revealed a hypocontractile left ventricle (LV) with an estimated ejection fraction (EF) of 30%.Over the following 3 days the patient’s cardiac function improved. He was  weaned off inotropic support and a repeat ECHO showed a normal LV with an EF of 70%. A brain MRI showed diffuse swelling consistent with global hypoxic injury with wide areas of cortical and basal ganglia infarction. The patient’s parents gave their consent and he was offered for organ transplantation on day 6. The operation was successful, with the recipient making an uneventful recovery. She received immunosuppressive treatment with cyclosporine, prednisolone and azathioprine and experienced one episode of early mild rejection with full resolution. She remains well 8 months later. 
一个成功的心脏移植的情况下,从供体遭受院外心脏骤停持续约一个小时提出。患者为一名27岁的女护士,于2012年被诊断为心律失常性右室心肌病。捐赠者是一名24岁的男性,他在一艘游艇上喝下了数量不详的酒精和可卡因,被发现脸朝下漂浮在海里。病人无脉,7分钟后开始心肺复苏术。他在海里待了多长时间不得而知。现场心肺复苏术20分钟后出现了自发循环(ROSC)。然而,病人在救护车上再次骤停,在他到达医院之前一直在进行心肺复苏术,但他仍然处于心脏骤停状态。病人在血液循环稳定之前又骤停了三次。他被转移到重症监护病房大剂量去甲肾上腺素和肾上腺素维持适当的平均动脉血压。最初的超声心动图(ECHO)显示左心室(LV)收缩不足,估计射血分数(EF)为30%。在接下来的3天里,患者的心功能得到了改善。他停止了肌力支持,重复ECHO显示左室正常,EF为70%。脑MRI显示弥漫性肿胀与全脑缺氧损伤一致,伴有大面积皮质和基底神经节梗死。患者父母表示同意,并于第6天提出进行器官移植。手术很成功,受术者顺利康复。她接受了环孢素、强的松龙和硫唑嘌呤的免疫抑制治疗,并经历了一次早期轻度排斥反应,但完全消退。8个月后,她依然健康。
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引用次数: 0
Cutaneous Manifestations of Infective Endocarditis 感染性心内膜炎的皮肤表现
Pub Date : 2021-08-07 DOI: 10.17987/icfj.v21i0.713
F. Cortese, Serena Di Marino
Despite advances in diagnosis and treatment, infective endocarditis still shows considerable morbidity and mortality rates. The dermatological examination in patients with suspected infective endocarditis may prove very useful, as it might reveal suggestive abnormalities of this disease, such as Osler’s nodes and Janeway lesions. We report a case of a women with infective endocarditis and the typical cutaneous manifestations. Despite advances in diagnosis and treatment, infective endocarditis still shows considerable morbidity and mortality rates. The dermatological examination in patients with suspected infective endocarditis may prove very useful, as it might reveal suggestive abnormalities of this disease, such as Osler’s nodes and Janeway lesions. We report a case of a women with infective endocarditis and the typical cutaneous manifestations.
尽管在诊断和治疗方面取得了进展,但感染性心内膜炎的发病率和死亡率仍然很高。疑似感染性心内膜炎患者的皮肤病学检查可能非常有用,因为它可能揭示这种疾病的暗示异常,如奥斯勒淋巴结和珍妮韦病变。我们报告一例女性感染性心内膜炎和典型的皮肤表现。尽管在诊断和治疗方面取得了进展,但感染性心内膜炎的发病率和死亡率仍然很高。疑似感染性心内膜炎患者的皮肤病学检查可能非常有用,因为它可能揭示这种疾病的暗示异常,如奥斯勒淋巴结和珍妮韦病变。我们报告一例女性感染性心内膜炎和典型的皮肤表现。
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引用次数: 0
Honoring the Difficult Histories and Diverse Stories of Little Tokyo 纪念小东京艰难的历史和多样的故事
Pub Date : 2021-03-09 DOI: 10.1353/fmj.2021.a784063
George Takei, T. Whalen
Abstract:An interview with actor and activist George Takei uncovers how his early experience in a Japanese American relocation camp shaped his views on why we choose to preserve historic places, how telling difficult stories can lead us to reconciliation, and how preservation can contribute to the social justice goals of equity and inclusion.
摘要:对演员兼活动家乔治·武井(George Takei)的采访揭示了他早年在日裔美国人迁移营的经历如何塑造了他对为什么我们选择保护历史遗迹的看法,讲述艰难的故事如何引导我们和解,以及保护如何有助于实现公平和包容的社会正义目标。
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引用次数: 0
Coming Next: The National Impact Agenda 接下来:国家影响议程
Pub Date : 2021-03-09 DOI: 10.1353/fmj.2021.a784064
Leslie Canaan, Lisa Craig, Di Gao, R. Kuhlman, Jim Lindberg, Bonnie McDonald
Abstract:The town hall sessions at PastFoward Online 2020 provided a platform for those engaged in preservation across the country to connect and share ideas on issues of importance to the preservation community. The town halls launched a process that will inform an action plan going forward: the National Impact Agenda. This agenda will articulate shared values for preservation practice and how preservation can be more effective in three areas: equity, resilience, and relevance.
摘要:2020年“向前看在线”(pastforward Online 2020)的市政厅会议为全国各地从事文物保护的人提供了一个平台,让他们就文物保护界的重要问题进行联系和交流。市政厅启动了一个进程,将为未来的行动计划提供信息:国家影响议程。该议程将阐明保护实践的共同价值观,以及如何在三个方面提高保护的有效性:公平性、复原力和相关性。
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引用次数: 0
Haakú, Híya'stíni, ee Síu'namasti: Pueblo of Acoma Concepts of Resilience and Promise
Pub Date : 2021-03-09 DOI: 10.1353/fmj.2021.a784067
B. Vallo
Abstract:Governor of Acoma Pueblo, Brian Vallo, explains how as a tribal leader he fulfills his responsibility to mobilize and respond during the pandemic and how traditional knowledge guides the work of being a resilient community. In this resilience, it is not only structure and landscapes and sites that must be protected, but people, community and social structures also need to be preserved. He believes the pandemic gives opportunity to consider the true essence of who they are as Acoma people and how to ensure preservation of their culture.
摘要:阿科马普韦布洛(Acoma Pueblo)州长布莱恩·瓦洛(Brian Vallo)解释了作为一名部落领袖,他如何在疫情期间履行动员和应对的责任,以及传统知识如何指导成为一个有复原力的社区的工作。在这种韧性中,不仅需要保护结构、景观和遗址,还需要保护人员、社区和社会结构。他认为,这次大流行提供了机会,让他们思考作为阿科马人的真正本质,以及如何确保保护他们的文化。
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引用次数: 0
A Conversation About Philanthropy and Preservation as Justice 关于慈善和保护作为正义的对话
Pub Date : 2021-03-09 DOI: 10.1353/fmj.2021.a784066
Sherrilyn A. Ifill, Darren Walker
Abstract:A conversation between Sherilyn Ifill, president and director-counsel of the NAACP Legal Defense and Educational Fund and Darren Walker, president and CEO of the Ford Foundation examines how stories and histories of marginalized communities are represented in preservation practice and how moving forward, preservation can be a tool for social and cultural justice. The speakers address painful pasts and the importance of preserving physical evidence of these truths. Walker and Ifill also acknowledge the need to challenge ingrained assumptions within the profession. They note that marrying activism to the work of preservation creates a seamless story that recognizes past history to the relevance of the current moment.
摘要:全国有色人种协进会法律辩护和教育基金主席兼顾问Sherilyn Ifill与福特基金会主席兼首席执行官Darren Walker的对话探讨了边缘化社区的故事和历史如何在保护实践中得到体现,以及如何向前发展,保护可以成为社会和文化正义的工具。演讲者讲述了痛苦的过去,以及保存这些事实的实物证据的重要性。沃克和我也承认,有必要挑战这个行业内根深蒂固的假设。他们指出,将激进主义与保护工作结合起来,创造了一个无缝的故事,将过去的历史与当前的相关性联系起来。
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引用次数: 0
期刊
International Cardiovascular Forum Journal
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