This study investigates the 19th-century Russian restoration of the Church of St.Nicholas in Demre,Turkey,within the framework of evolving international conservation practices and Ottoman heritage policies.Through arc...This study investigates the 19th-century Russian restoration of the Church of St.Nicholas in Demre,Turkey,within the framework of evolving international conservation practices and Ottoman heritage policies.Through archival analysis,travelers'accounts,and comparative architectural evaluation,the research reveals how geopolitical rivalries and ideological agendas shaped the church's transformation.While European nations like Italy,France,and England institutionalized conservation ethics in the 19th century,the Ottoman Empire's delayed adoption of systematic policies until the 1869 Antiquities Regulation allowed foreign interventions to proceed unchecked.Russian efforts,initiated in 1850s preserved the church structurally but imposed radical alterations which compromised historical authenticity.The Ottomans countered through militarized control of strategic sites like Andriake Port,while the Ecumenical Patriarchate resisted Russian hegemony to safeguard religious identity.Archival documents underscore the church's role as a contested space,reflecting Trigger's paradigm of archaeology as a tool of nationalism and imperialism.This case study illuminates the duality of conservation as both a technical and political practice,where preservation and power intersect.By exposing the tensions between authenticity,ideology,and legacy,the study contributes to broader discourses on heritage management,urging a re-evaluation of conservation as a dynamic socio-political process rather than a mere technical endeavor.展开更多
目的探讨动态心电图参数联合心肌梗死溶栓疗法(TIMI)危险评分对急性ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入治疗(PCI)术后发生主要不良心血管事件(MACE)的预测价值。方法选取2021年7月至2024年6月于连云港市第一人民医院就诊的S...目的探讨动态心电图参数联合心肌梗死溶栓疗法(TIMI)危险评分对急性ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入治疗(PCI)术后发生主要不良心血管事件(MACE)的预测价值。方法选取2021年7月至2024年6月于连云港市第一人民医院就诊的STEMI患者119例,根据术后1年随访期内是否发生MACE分为发生组(24例)和未发生组(95例)。比较两组一般临床资料、动态心电图参数;采用多因素Logistic回归分析STEMI患者PCI术后发生MACE的影响因素;采用ROC曲线分析动态心电图参数[包括24 h QT间期变异性(24 h QTV)、窦性心搏RR间期的标准差(SDNN)等]、TIMI危险评分对STEMI患者PCI术后发生MACE的预测价值。结果发生组年龄、Killip心功能分级≥Ⅱ级、TIMI危险评分高于未发生组(P<0.05)。发生组24 h QTV、SDNN水平低于未发生组(P<0.001)。多因素Logistic回归分析显示,年龄、TIMI危险评分是STEMI患者PCI术后发生MACE的独立危险因素,24 h QTV、SDNN是STEMI患者PCI术后发生MACE的独立保护因素(OR=2.098,95%CI:1.022~4.307,P=0.044;OR=2.869,95%CI:1.267~6.497,P=0.012;OR=0.355,95%CI:0.159~0.795,P=0.012;OR=0.376,95%CI:0.174~0.813,P=0.013)。ROC曲线分析显示,24 h QTV、SDNN、TIMI危险评分预测STEMI患者PCI术后发生MACE的曲线下面积分别为0.762、0.740、0.761,联合检测预测的曲线下面积为0.930,显著优于单独检测(P<0.05)。结论动态心电图参数24 h QTV、SDNN及TIMI危险评分均是STEMI患者PCI术后发生MACE的独立影响因素,联合检测可较好地预测STEMI患者PCI术后MACE的发生。展开更多
基金supported during process of publication by Fatih Sultan Mehmet Vakif University。
文摘This study investigates the 19th-century Russian restoration of the Church of St.Nicholas in Demre,Turkey,within the framework of evolving international conservation practices and Ottoman heritage policies.Through archival analysis,travelers'accounts,and comparative architectural evaluation,the research reveals how geopolitical rivalries and ideological agendas shaped the church's transformation.While European nations like Italy,France,and England institutionalized conservation ethics in the 19th century,the Ottoman Empire's delayed adoption of systematic policies until the 1869 Antiquities Regulation allowed foreign interventions to proceed unchecked.Russian efforts,initiated in 1850s preserved the church structurally but imposed radical alterations which compromised historical authenticity.The Ottomans countered through militarized control of strategic sites like Andriake Port,while the Ecumenical Patriarchate resisted Russian hegemony to safeguard religious identity.Archival documents underscore the church's role as a contested space,reflecting Trigger's paradigm of archaeology as a tool of nationalism and imperialism.This case study illuminates the duality of conservation as both a technical and political practice,where preservation and power intersect.By exposing the tensions between authenticity,ideology,and legacy,the study contributes to broader discourses on heritage management,urging a re-evaluation of conservation as a dynamic socio-political process rather than a mere technical endeavor.
文摘目的探讨动态心电图参数联合心肌梗死溶栓疗法(TIMI)危险评分对急性ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入治疗(PCI)术后发生主要不良心血管事件(MACE)的预测价值。方法选取2021年7月至2024年6月于连云港市第一人民医院就诊的STEMI患者119例,根据术后1年随访期内是否发生MACE分为发生组(24例)和未发生组(95例)。比较两组一般临床资料、动态心电图参数;采用多因素Logistic回归分析STEMI患者PCI术后发生MACE的影响因素;采用ROC曲线分析动态心电图参数[包括24 h QT间期变异性(24 h QTV)、窦性心搏RR间期的标准差(SDNN)等]、TIMI危险评分对STEMI患者PCI术后发生MACE的预测价值。结果发生组年龄、Killip心功能分级≥Ⅱ级、TIMI危险评分高于未发生组(P<0.05)。发生组24 h QTV、SDNN水平低于未发生组(P<0.001)。多因素Logistic回归分析显示,年龄、TIMI危险评分是STEMI患者PCI术后发生MACE的独立危险因素,24 h QTV、SDNN是STEMI患者PCI术后发生MACE的独立保护因素(OR=2.098,95%CI:1.022~4.307,P=0.044;OR=2.869,95%CI:1.267~6.497,P=0.012;OR=0.355,95%CI:0.159~0.795,P=0.012;OR=0.376,95%CI:0.174~0.813,P=0.013)。ROC曲线分析显示,24 h QTV、SDNN、TIMI危险评分预测STEMI患者PCI术后发生MACE的曲线下面积分别为0.762、0.740、0.761,联合检测预测的曲线下面积为0.930,显著优于单独检测(P<0.05)。结论动态心电图参数24 h QTV、SDNN及TIMI危险评分均是STEMI患者PCI术后发生MACE的独立影响因素,联合检测可较好地预测STEMI患者PCI术后MACE的发生。
