Cultura

The Ethical Reflection of Lydia’s Journey in Everything I Never Told You

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Chaoya Yan
PhD candidate, Centre for Research in Language and Linguistics, Faculty of Social Sciences and Humanities, National University of Malaysia, Bangi, Malaysia, 43600
Ravichandran Vengadasamy
Senior Lecturer, Centre for Research in Language and Linguistics, Faculty of Social Sciences and Humanities, National University of Malaysia, Bangi, Malaysia, 43600
Raihanah M. M.
Associate Professor, Centre for Research in Language and Linguistics, Faculty of Social Sciences and Humanities, National University of Malaysia, Bangi, Malaysia, 43600

Abstract

Celeste Ng’s novel Everything I Never Told You has received critical acclaim since its publication in 2014, significantly contributing to the development of Chinese American literature. Centring on issues of race, gender, and family dynamics in a 1970s interracial family, this novel has attracted extensive research on themes of racial discrimination, identity crises, feminism, and family education. However, few studies have examined the protagonist, Lydia’s ethical dilemmas and her path towards self-redemption from the perspective of Ethical Literary Criticism. Applying Nie Zhenzhao’s theory as the primary theoretical framework, the present paper adopts a close textual and thematic analysis of the novel to analyze the ethical dilemmas that stem from the profound impact of dysfunctional parent-child relationships on individuals’ ethical self-awareness, investigate individuals’ ethical selections and their agency in navigating ethical dilemmas, and explore how family dynamics and cultural conflicts shape the construction of individuals’ ethical identity during their pursuit of self-redemption. By providing insights into the investigation of the interplay between family dynamics and individuals’ growth within a mixed-race family, this research also contributes to the practical application of Ethical Literary Criticism through integrating concepts from psychology and sociology.

Keywords : Ethical Dilemma; Self-Redemption; Ethical Identity; Family Dynamics; Individual Growth.
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