Cultura

Professional Integration In Preventive Medicine:The Role Of Physicians, Nurses, Laboratories, And Social Services In The Prevention Of Infectious Diseases

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

Adnan Abdullah Ali Alshamrani, Duniya Hamed Mosly, Safa Azzi Mohammad Abualseal, Dhuha Yousef Ali Osaysi, Ebtisam Azzi Mohammad Abualseal, Fatma Ali Shajiri, Jameelah Yahya Ghazouani

Abstract

Preventive medicine constitutes one of the fundamental pillars of modern healthcare systems due to its pivotal role in limiting the spread of infectious diseases and reducing the associated health, economic, and social burdens. The importance of preventive medicine has increased significantly in light of rapid demographic and epidemiological changes, as well as the emergence and re-emergence of infectious diseases that pose serious threats to public health at both national and global levels. In this context, interprofessional integration among various healthcare disciplines emerges as a critical factor in achieving effective prevention and ensuring a comprehensive and coordinated health response.

This paper aims to analyze and evaluate the roles of physicians, nurses, laboratory professionals, and social services within the preventive medicine framework, highlighting the nature of their integrative relationships and the impact of such collaboration on reducing the spread of infectious diseases. The study also seeks to identify mechanisms of interprofessional integration and explore the challenges that may hinder its implementation within healthcare institutions.

The study adopts a descriptive-analytical approach through a comprehensive review and analysis of scientific literature, previous studies, reports issued by international health organizations, and articles published in peer-reviewed scientific journals. The findings indicate that interprofessional integration among healthcare disciplines plays an effective role in enhancing the efficiency of health responses, improving the quality of preventive services, and strengthening epidemiological surveillance systems, ultimately contributing to the development of a more resilient healthcare system capable of addressing epidemics and public health emergencies.

Keywords : Preventive medicine, interprofessional integration, physicians, nursing, laboratory services, social services, infectious diseases, infection control, public health..
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