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The ‘Aceh Method’: archiving the endangered languages of vernacular architecture
Julie Nichols,Kyra Wood,Darren Fong,Susan Avey,Cut Dewi,Pudentia MPSS 국립민속박물관 2020 International Journal of Intangible Heritage Vol.15 No.1
This paper reviews the significance and practical application of the ‘Aceh Method’. The Aceh Method is a multi-modal approach to the documenting and archiving of various forms of vernacular architecture. It is currently being trialled in Aceh and Bali, and has the potential for application to a broad range of built cultural heritage contexts. The paper provides a literature review to establish the background, definitions and significance of the method. It likens some of the aims and challenges of this approach to the complex activity of recording a rare local dialect or an endangered language. Through this lens, and through the contribution of notes on rewards and challenges from workers in the field, the paper outlines the application of the Method in post-disaster archiving activities in Aceh where most archives have been lost, and its application for mitigating the loss of information in the face of rapid urban development in Bali. The literature review and analysis of the pilot studies so far suggest the Aceh Method provides a conceptual as well as a practical response to post-disaster loss and the mitigation of that loss in the documentation of everyday vernacular architecture in Aceh. However, the methodology in its current form requires revision for its use in Bali. Processes of documenting vernacular architecture appear to require nuanced and ethical responsibility similar to that needed for documenting an endangered language, and the insight from this interdisciplinary review offers another means of interpreting complex vernacular environments.
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Chi-Ho Lee,Mei-Zhen Wu,David Tak-Wai Lui,Darren Shing-Hei Chan,Carol Ho-Yi Fong,Sammy Wing-Ming Shiu,Ying Wong,Alan Chun-Hong Lee,Joanne King-Yan Lam,Yu-Cho Woo,Karen Siu-Ling Lam,Kelvin Kai-Hang Yiu 대한당뇨병학회 2022 Diabetes and Metabolism Journal Vol.46 No.6
Background: Insulin-treated patients with long duration of type 2 diabetes mellitus (T2DM) are at increased risk of ketoacidosis related to sodium-glucose co-transporter 2 inhibitor (SGLT2i). The extent of circulating ketone elevation in these patients remains unknown. We conducted this study to compare the serum ketone response between dapagliflozin, an SGLT2i, and sitagliptin, a dipeptidyl peptidase-4 inhibitor, among insulin-treated T2DM patients.Methods: This was a randomized, open-label, active comparator-controlled study involving 60 insulin-treated T2DM patients. Participants were randomized 1:1 for 24-week of dapagliflozin 10 mg daily or sitagliptin 100 mg daily. Serum β-hydroxybutyrate (BHB) levels were measured at baseline, 12 and 24 weeks after intervention. Comprehensive cardiometabolic assessments were performed with measurements of high-density lipoprotein cholesterol (HDL-C) cholesterol efflux capacity (CEC), vibration-controlled transient elastography and echocardiography.Results: Among these 60 insulin-treated participants (mean age 58.8 years, diabetes duration 18.2 years, glycosylated hemoglobin 8.87%), as compared with sitagliptin, serum BHB levels increased significantly after 24 weeks of dapagliflozin (P=0.045), with a median of 27% increase from baseline. Change in serum BHB levels correlated significantly with change in free fatty acid levels. Despite similar glucose lowering, dapagliflozin led to significant improvements in body weight (P=0.006), waist circumference (P=0.028), HDL-C (P=0.041), CEC (P=0.045), controlled attenuation parameter (P=0.007), and liver stiffness (P=0.022). Average E/e’, an echocardiographic index of left ventricular diastolic dysfunction, was also significantly lower at 24 weeks in participants treated with dapagliflozin (P=0.037).Conclusion: Among insulin-treated T2DM patients with long diabetes duration, compared to sitagliptin, dapagliflozin modestly increased ketone levels and was associated with cardiometabolic benefits.
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