Cultura

Research on Preconditions for Cultural Governance—From the Perspective of Cultural Security

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

Sixu Yu
School of Media and Communication, Shanghai Jiao Tong University, Shanghai, 200240, China
Bin Zhou
School of Media and Communication, Shanghai Jiao Tong University, Shanghai, 200240, China

Abstract

This research establishes a comprehensive framework for understanding cultural governance preconditions from a cultural security perspective. The study identifies four interdependent dimensions—institutional foundation, identity construction, technological infrastructure, and human resources—that collectively enable effective governance while safeguarding cultural security. Our findings reveal a dialectical relationship between cultural governance and security, wherein governance efficacy impacts security outcomes while security considerations guide governance strategies. This has been verified through comparative analysis of governance models across multiple countries. The multi-dimensional framework offers policymakers a sequencing roadmap for governance initiatives, suggesting institutional and identity-based preconditions should precede technological implementations. The research demonstrates that governance models must be tailored to specific cultural contexts rather than adopting universal approaches. Limitations include an overemphasis on structural elements at the expense of agency factors, methodological constraints from reliance on qualitative case studies, and empirical data limitations regarding quantitative security metrics. Future research should explore digital cultural governance preconditions, bottom-up governance mechanisms complementing traditional approaches, and interdisciplinary integration synthesizing insights from cultural studies, security research, digital governance, and behavioral economics to develop more nuanced understanding of the interplay between cultural security and governance effectiveness.

Keywords : Cultural Governance; Cultural Security; Governance Initiatives; Traditional Approaches.
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