Prescription for Nationhood: Healthcare and Ideological Transformation in the Early People’s Republic of China, 1949-1956
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
Wei Zhou
Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
Jianing Li
School of Marxism, Shanghai Normal University, Shanghai 200234, China
School of Marxism, Shanghai Normal University, Shanghai 200234, China
Abstract
This paper analyses Chinese healthcare policy and practice from 1949 to 1956 through an exploration of the role of ideology in nation-building. Inspired by Gramsci's cultural hegemony theory, this study examines the ideological control of the Chinese Communist Party (CCP), particularly through healthcare strategies and their political implications. The paper argues that the healthcare policy in the early years of the People’s Republic of China (PRC) was ideologically driven, essential not just for physical well-being but also for the new regime's stability and efficiency. Nationalism, Maoism, and Sovietisation shaped China's health policies, although the CCP's ideology also displayed a pragmatic tendency. This hybrid ideology played a vital role in the party-state's attainment of ideological hegemony within the superstructure of Chinese society in this period. Therefore, the implementation of healthcare policies thus served as both a tool for hegemony and a cultural indicator of the transformative era.
Keywords :
Healthcare, Ideology, Nation-Building, China, Culture Hegemony.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
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