Article View – Cultura

The United Nations Narrative of Climate Change: The Logic of Apocalypse

VOLUME 20, 2023

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

VOLUME 6, 2023

Sanja IVIC
Institute for European Studies, Serbia

Abstract

This paper emphasizes the crucial role that language use plays in climate change communication. In particular, this paper examines UN public discourse and narratives about climate change. It will be shown that the climate change is often described as a "threat to human wellbeing" and as an external enemy—the Other. On the other hand, humanity is often portrayed as a victim of climate change. The consequence of this rhetoric and logic of apocalypse is insufficient action in relation to climate change. The narrative construction of the Other that is described as a threat is founded on binary oppositions: we/they, self/other, culture/nature, human/non-human and so forth. As long as climate change is described as an external enemy and "independent matter" and climate policy is based on binary oppositions, action to combat climate change will remain insufficient.

Keywords : United Nations, SDG 13, climate change, narrative, apocalypse, Other.

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