Cultura

Effects Of The Administration Of The Penitentiary System In Colombia. Between Overcrowding And Institutional Weakness

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

Juan Carlos Quintero Calvache
Helver Javier Cadavid Ramírez
Diego Guevara Fletcher

Abstract

Postmodern and globalized criminality puts the penal and penitentiary system before a far-reaching challenge that forces the institution to rethink the force of penalties on such a high scale that it exceeds the scope of the offender and reestablishes the security space that was lost with the reorganization of crime into transnational structures.

Colombia is facing an accelerated increase in criminal forms and their organization in pyramidal structures, while the penal and penitentiary system as a mechanism of institutional force to confront crime is insufficient and the effect of its administration progressively weakens the capacity of the State to respond to a more robust criminality. On the one hand, the criminal prosecution system is saturated with a backlog of unsolved cases that exceed 90% of the criminal news processed by the Prosecutor's Office, while, on the other hand, the national prison system is saturated and many penitentiaries and prisons have to house inmates in the bathrooms and corridors of the different pavilions.  not to mention the crisis faced by temporary detention centers where overcrowding reaches 700%. This is because overcrowding levels in prisons and penitentiaries exceed 28.6% (INPEC, 2025).

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