Cultura

Alienation of Development Subjects, Decline of Community, and Stigmatization of Farmers: Roots of the Weakening Rural Identity among Chinese Farmers

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

Lu Wang
School of Public Administration, Nanjing Normal University No.1 Wenyuan Road Qixia District, Nanjing, China
Ziming Zhao
School of Public Administration, Nanjing Normal University No.1 Wenyuan Road Qixia District, Nanjing, China
Jinlei Jiao
School of Public Administration, Nanjing Normal University No.1 Wenyuan Road Qixia District, Nanjing, China

Abstract

Humans are pivotal to rural revitalization and sustainable development. In recent years, numerous studies have noted that issues severely constraining the sustainable development of rural China—such as farmland abandonment, inefficient land use, village hollowing, population aging, and ineffective rural governance—are, to a considerable extent, associated with the declining rural identity of farmers. However, few have conducted an in-depth analysis of the roots of this decline or explored strategies to address it. Using methods such as in-depth interviews and fieldwork, this study discovered three cultural roots of the diminishing rural identity among Chinese farmers: (1) the alienation of development subjects resulting from prioritizing economic growth as the sole goal of rural development; (2) the erosion of village communities due to marketization and modernization; and (3) the stigmatization of farmers under developmentalist ideologies. In response, this paper proposes three strategies to enhance farmers’ rural identity. These strategies aim to foster positive rural identity, encourage active farmer participation in rural construction, thereby providing continuous momentum for the sustainable development of rural areas.

Keywords : Urban-Rural Identity; Farmer; Rural Identity; Culture Root; Rural Revitalization; Rural Sustainable Development.
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