Cultura

Analyzing the Perceptual Perspectives of 19th-Century Western Adventure Narratives Through the Lens of Human Geography: A Case Study of Northwest China

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Xi Zhang
School of Journalism and Communication, Southwest University of Political Science and Law(Yubei Campus), No.301, Baosheng Avenue, Chongqing, P.R.China, 401120

Abstract

This paper examines the intellectual contributions of 19th and early 20th-century explorers to the understanding of Central Asia, focusing on their exploration of geographical, historical, and cultural landscapes. These explorations are framed not merely as colonial or imperial undertakings but as complex, multifaceted intellectual endeavors that resulted in the preservation and documentation of ancient civilizations and geographical knowledge. The paper also explores how these explorers' works continue to shape contemporary academic discourse, especially in the fields of archaeology, ethnography, and geography. Additionally, it reflects on the convergence of physical and digital realities in modern cross-cultural communication, drawing parallels between historical exploration and the role of transportation networks in fostering cultural exchange. The study concludes that the non-fiction intellectual works about Central Asia played a significant role in shaping global knowledge, offering invaluable insights into the region's historical and cultural significance, while the background remains being controversial.

Keywords : Central Asia, Exploration, Intellectual History, Cross-Cultural Exchange, Geographical Knowledge, Transportation Networks.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty