Cultura

Remote Acculturation and its Impact on Family Dynamics: A Qualitative Study of Chinese Adolescents, Social Media, and European Religious Influences

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

Ruixue Wang
College of Arts and Sciences, Universiti Utara Malaysia, Sintok06010, Kedah, Malaysia

Abstract

This study examines the influence of Remote Acculturation (RA) on identity development, family processes, and social change among Chinese adolescents through the lens of Social Cognitive Theory (SCT). In addition to cultural values transmitted through social media, European religious ideals—such as notions of individual autonomy, moral freedom, and the reinterpretation of traditional roles—have become prominent. These elements, derived from Christian ethics and other religious discourses, intersect with adolescents' exposure to Western ideals like individualism and self-expression, often creating tensions with Confucian traditions. Semi-structured interviews with 20 adolescents (aged 12–18) revealed three key themes: (1) Bicultural identity formation, where Western ideals—enhanced by European religious values like equality and forgiveness—merge with Chinese collectivist values to form hybridized identities. (2) Family tensions, as autonomy-oriented influences, including some European religious perspectives, clash with Confucian expectations of dependence. (3) Cultural change, driven by negotiations surrounding gender roles and intergenerational expectations. This research expands SCT by contextualizing observational learning within both secular and religious frameworks, offering insights into the role of RA, social media, and European religious ideals in reshaping adolescent identities and family dynamics in China.

Keywords : Remote Acculturation, Acculturative Family Conflict, Social Cognitive Theory, Cultural Identity Development, European Religion.
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