Cultura

Beyond English-Only: How Translanguaging Reshapes Learning in EMI Classrooms

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

Saleh Mosleh Alharthi

Abstract

As English Medium Instruction (EMI) expands across Saudi higher education, questions of linguistic equity and pedagogical inclusion have become increasingly central to TESOL research. This study investigates translanguaging as a pedagogical strategy that enables instructors and students to draw on Arabic and English to enhance comprehension, reduce affective barriers, and promote classroom participation. Grounded in sociocultural and 

critical translanguaging theory (García and Kleyn 2016; Sah and Kubota 2022), the study conceptualizes translanguaging not merely as a linguistic support mechanism but as a socially just practice that challenges English-only ideologies in EMI. Data were collected through a 25-item quantitative survey administered to 522 students and 122 instructors from two public universities in Saudi Arabia. The instrument captured perceptions across cognitive, emotional, and instructional dimensions. Results revealed strong endorsement of translanguaging, with instructors showing significantly higher support for its pedagogical and ideological functions. Students likewise recognized its role in comprehension and engagement, but expressed ambivalence regarding its effect on English acquisition. By providing large-scale empirical evidence from the Gulf context, this study contributes to TESOL literature largely informed by small-scale qualitative research. It underscores the need for context-sensitive EMI frameworks that legitimize multilingual practices and empower teachers as agents of linguistic inclusion, advancing TESOL’s ongoing shift toward equity-oriented, multilingual pedagogies in global higher education.

Keywords : Translanguaging, English Medium Instruction (EMI), Saudi Arabia, multilingual pedagogy, student–instructor comparison, bilingual education.
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