Cultura

Weaving Inter-Institutional Relationships For A Society Free Of Violence Against Women In Ecuador: A Global Look At The Local Phenomenon

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

Lourdes Mendieta Lucas, Mgs
Ana Alcázar Campos
Paola Ximena Mejía Ospina
Jenniffer Daniela Aguilar Silva, Mgs

Abstract

This article is part of the doctoral thesis attached to the Doctorate in "Women's Studies, Discourses and Gender Practices" at the University of Granada. The study is predicated on the interest in analyzing the inter-institutional network in the city of Guayaquil, the most populous city in Ecuador. To that end, a hermeneutic reading of institutional documents, including protocols and manuals, was conducted, complemented by the narratives elucidated in in-depth interviews with 21 key actors from the institutions comprising the Network. The study employed a qualitative, descriptive approach to address the question. A central question of this study is how institutions are organized in order to fulfill their functions and obligations with regard to cases of violence. The central aim is to understand how these institutions deal with violence and how they prevent it. The study was grounded in theories of gender and networks, a methodological framework that facilitated the identification of the categories that guided the analysis of the relational dynamics between institutions and their impact on the care of victims. The findings indicated that, despite institutional endeavors, the implemented strategies have not yielded a substantial social impact, as evidenced by the high incidence of violence cases. Despite the existence of policies, the classification of violence as a crime, and the presence of a ministry or interdisciplinary teams, this political, regulatory, and governmental capital has been unsuccessful in reducing the phenomenon.

Keywords : .
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