Cultura

The Transformation of Philosophical Concepts and Cultural Significance in Literary Works of the Late Ming Dynasty

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

Ting Zhang
College of Humanities, Zhejiang Normal University, Jinhua321000, Zhejiang, China

Abstract

This study examines the transformation of philosophical concepts and their cultural significance in the literary works produced during the late Ming dynasty in China. The research findings are based on a qualitative textual analysis of poetry, drama, and vernacular fiction from the selected time period. The core findings of this study reveal a significant transformation in the treatment of philosophical traditions during the late Ming dynasty. The analysis shows a syncretic blending and hybridisation of different philosophical perspectives, rather than a reliance on distinct Confucian, Daoist, or Buddhist frameworks. This intellectual cross-pollination is observed, as literary creators of the period integrated elements from all three of these major philosophical traditions. Furthermore, the study also found a notable subversion of Confucian norms and virtues during the late Ming era. Prior to this period, Confucianism was the predominant philosophical influence on intellectual and cultural production. However, the analysis indicates that during the late Ming, the established Confucian rhetoric and moral ideals were challenged, with authors drawing more extensively from Daoist and Buddhist perspectives. Additionally, the research unveils a dynamic negotiation between orthodox classical Chinese thought and more heterodox philosophical viewpoints during the late Ming dynasty. This process involved the restatement and reconfiguration of various virtues and norms, signalling a broader transformation in the cultural values and societal dynamics of the time.

Keywords : Late Ming Dynasty; Philosophical Transformation; Syncretic Blending; Intellectual Cross-Pollination; Sociocultural Change in China during the Ming Dynasty..
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