Cultura

Rural Women And Agri-Food Resilience In Boyacá: Agroecological Practices, Community Leadership And Challenges For Sustainable Development

VOLUME 22, 2024

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

VOLUME 6, 2023

Dora Esther Fonseca Pinto
Ligia Inés Melo Torres
Gustavo Mozeris

Abstract

This study analyzes the role of rural women in building resilient agri-food systems in the department of Boyacá, Colombia, through the adoption of agroecological practices and community leadership strategies. The present study was predicated on a mixed-method approach, which entailed the administration of surveys to 38 producers and the conduction of semi-structured interviews with 15 leaders involved in local sustainable production initiatives. The findings indicate that practices such as crop rotation and association, the utilization of organic fertilizers, effective water management, and the conservation of native seeds play a substantial role in ensuring food security and achieving productive autonomy. Concurrently, limitations associated with restricted land ownership, constrained access to financing, and circumscribed coverage of technical training are identified. The study's findings indicate that the empowerment of women's networks and the proactive integration of their organizations into territorial planning are indispensable for the proliferation and fortification of these practices. The results obtained are consistent with the objectives of Sustainable Development Goals 2, 5, 12, 13, and 15. These results provide a foundation for the formulation of public policies that are designed with a gender focus and territorial relevance.

Keywords : agroecology, resilience, rural women, sustainable development, Boyacá..
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