Cultura

The Philosophy of Praxis: How Marxist Philosophy Transcends the Epistemological Tradition

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

Mingtian Ye
School of Marxism, Shanghai Jiao Tong University, 200240 Shanghai, China

Abstract

This paper critically examines the limitations of traditional epistemology through the lens of Marxist philosophy, emphasizing how dialectical materialism transcends the abstract, dualistic, and idealist tendencies of classical Western thought. By situating knowledge within historical and social praxis, Marxist epistemology challenges the Cartesian-Kantian framework that isolates cognition from material conditions. This study explores the ideological functions of epistemology under capitalism, illustrating how dominant knowledge systems reinforce class hierarchies and obscure the material foundations of cognition. Integrating insights from feminist standpoint theory, the analysis highlights how class and gender shape epistemic privilege and access to knowledge. Ultimately, the paper argues that knowledge must be understood as a historically contingent and socially embedded process, necessitating a revolutionary transformation of epistemic structures to align with collective emancipation and social change.

Keywords : Marxist Epistemology, Dialectical Materialism, Social Praxis, Ideological Critique, Epistemic Privilege.
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