The Collapse Of Contemporary Democratic States: Endemic States
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 , Jhon Alexis Rengifo Carpintero
Abstract
This work problematizes the concepts of State, power, and democracy in the face of the multiple Illnesses of Contemporary Democratic States that have led them to collapse. The methodology is critical as a thorough study of three theoretical sources of contemporary political philosophy: a) the theories of justice; b) theories of power; and, c) decolonial theory, although dialogues and debates are totally insufficient. It is concluded that Contemporary Democratic States are collapsing due to multiple systemic diseases: indebtedness with international banks, loss of territorial autonomy, corruption of the three branches of power, excess bureaucratization, co-optation of the state and its territories. by drug trafficking, and the phenomenon of civil disobedience typical of an exacerbated liberal sensitivity. Democracy itself is assumed as a problem.
Keywords :
State, Democracy, Biopolitics, Necropolitics, Anti-systemic endemic..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
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