Cultura

Manifestations Of Inclusion In Voices Of Power In Colombia

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

Jenny Natalia Torres Zambrano

Abstract

This research examines how the notion of inclusion has been configured in Colombia's presidential discourses between 1991 and 2025. The purpose of this examination is to identify the associated symbols that are mobilized in these official interventions and the cartographies of citizenship that are woven into them. The study was supported by Critical Discourse Analysis (CDA) tools, with a hermeneutic approach and a longitudinal qualitative textual analysis design, applied to a corpus of 145 presidential speeches corresponding to the different periods of the temporal reference. The selection of open access texts was conducted with a focus on texts that comprehensively address all mandates, thereby emphasizing their public nature, textual stability, and institutional relevance. The analysis was conducted using a multifaceted approach, encompassing six distinct moments. These moments included the following: the initial socio-historical contextualization; an examination of thematic macrostructures and discursive formats; the identification of argumentative logic and enunciation strategies; a microtextual analysis; the tracing of ideological veins and interdiscursivity; and the profiling of social actors along with the mechanisms of symbolic discrimination. The findings indicate that the phenomenon of inclusion functions as a presidential legitimation technology, thereby absorbing demands, expanding symbols of participation, and projecting cohesion. However, this process does not result in alterations to the structures that sustain inequality and reinforce a center of power.

Keywords : Inclusion, presidential discourse, power, legitimation, trans-positions.
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