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Peripheralities: "Minor" Literatures, Women's Literature, and Adrienne Orosz de Csicser's Novels

VOLUME 18, 2021

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

VOLUME 6, 2023

Steven TÖTÖSY de ZEPETNEK
European Academy of Sciences and Arts & Sichuan University

Abstract

In "Peripheralities: 'Minor' Literatures, Women's Literature, and Adrienne Orosz de Csicser's Novels" Steven Tötösy de Zepetnek discusses events surrounding Adrienne Orosz de Csicser's (1878-1934) work. For the contextualization of the events Tötösy de Zepetnek employs his own framework of "comparative cultural studies" here applied to "minor literatures" (i.e., peripheral) and women's literature and Shunqing Cao's "variation theory." While Orosz's novels are not considered exceptional, the author achieved notoriety after locked up in a mental institution. In addition to three published novels, in an unpublished novel (excerpts of which she read at various literary and social gatherings) Orosz narrates her love affair with a Roman Catholic bishop. Knowledge about her novel's contents resulted in the bishop orchestrating Orosz's commitment to a mental hospital. The context in which Orosz's texts are located in is the socio-political situation in Hungarian society prior to and shortly after the First World War.

Keywords : Comparative Cultural Studies; Minor Literatures; Peripheral Literatures; Women's Literature; Variation Theory and Literature; Hungarian Literatur.

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