Cultura

Transformations In Boyacá’s Traditional Gastronomy And Its Influence On Cultural Identity

VOLUME 21, 2024

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

VOLUME 6, 2023

William Orlando Alvarez Araque
Fabio Alexander Rivera García
Aracely Forero Romero

Abstract

Traditional gastronomy is a representation of the cultural identity of the communities that live in the department of Boyacá, Colombia; but due to changes in eating habits and the scarcity of traditional ingredients, it faces the threat of disappearance. Faced with this problem, this study seeks to formulate guidelines for its preservation. A qualitative action research approach was used, with a purposive sample of 80 representatives of the culinary sector, including chefs and experts in ancestral gastronomy. The results allow us to establish that the gastronomic crisis is attributed to the preference for processed foods and the scarcity of essential raw materials, such as cereals, which are fundamental in traditional gastronomy. It is therefore essential to implement strategies to mitigate this loss and preserve this cultural legacy rooted in the history and identity of Boyacá. It is concluded that ignoring this crisis and not acting to safeguard it could lead to its disappearance, significantly affecting the cultural identity of the communities, as traditional gastronomy is a vital element of their cultural heritage.

Keywords : Boyacá, gastronomy, cultural identity, preservation.
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