Cultura

Ethics and Responsibilities Preserving Traditional Balinese Architectural Values in the Global Era

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

I Gede Mugi RAHARJA
Interior Design Department, Faculty of Visual Art and Design, Indonesia Institute of the Arts Denpasar

Abstract

Bali island has become a world tourist destination since the colonial period. Bali even almost made to be a "living museum" through Baliseering program by the Dutch Colonial Government in the 1930s, with the pretext of protecting Balinese culture. The proscenium stage was introduced for the Balinese architectural performance venue. At the Colonial Tourism Exhibition in Paris in 1931, the Dutch Colonial Government introduced a unique Balinese architecture. The Balinese ethnographic museum was also built by combining the architectural concepts of Pura and Puri in Bali. After Indonesia's independence in 1945, tourism activities are continued by the Balinese Regional Government. To protect the values of traditional architecture in the midst of the tourism development in the global era, the Balinese Regional Government made special regulations related to ethics and the preservation of traditional Balinese architecture. This article discusses the ethics and responsibilities of architects or interior designers in preserving local geniuses of traditional Balinese architecture in the global era. Primarily, the study focuses on the aesthetic qualities of local genius and creativity, combined with construction technology, to capture local characters and avoid cultural homogenization.

Keywords : Baliseering, Paris, Regulation, Global, Homogenization..
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