The Impact Of Collaboration Between Nursing, Medical Laboratory Services, And Public Health In Controlling Epidemic Outbreaks
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
Ahmad Fahad Basamad, Mawahib Helal Sulaimani, Nada Nabeil Matooq Ashour, Ghada Sultan Rajeh Alghamdi, Hind Fayz Mohammed Alharthi, Aisha Ali Khaild Sdieg, Shahad Otman Ali Alharby, Najwa Abkar Ameen Kubayni, Layla Omar Salem Kubayni
Abstract
The landscape of global health security is characterized by an escalating frequency and complexity of infectious disease threats, necessitating a paradigmatic shift from reactive crisis management to a proactive, integrated defense strategy. At the nexus of this strategy lies the critical collaboration between three essential pillars of the healthcare architecture: nursing, medical laboratory services (MLS), and public health agencies. Historically, these disciplines have operated within distinct professional silos, shaped by separate evolutionary trajectories and administrative frameworks. However, the emergence of high-consequence pathogens—ranging from the H1N1 influenza pandemic and the Ebola virus disease epidemic in West Africa to the global COVID-19 crisis—has underscored that the containment of an outbreak is fundamentally a multidisciplinary endeavor. This report provides a comprehensive analysis of the role of interdisciplinary collaboration in enhancing epidemic preparedness, detection, response, and containment, utilizing an analytical and narrative framework to synthesize evidence from recent public health emergencies.
Keywords :
Interdisciplinary Collaboration, Epidemic Preparedness and Response, Healthcare Integration, Public Health Surveillance, Nursing Leadership in Outbreaks, Diagnostic and Laboratory Medicine, Health System Resilience.
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