Cultura

The Upcycling and Reappropriation – On Art-Specific Circular Economy in the Age of Climate Change

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

Janez STREHOVEC
Institute of new media art and e-literature, Ljubljana, Slovenia

Abstract

Whereas mainstream theories of environmental art and sustainable development consider art as a domain suitable for the application of environmentally friendly procedures, such as the circular economy, trash management and digitization, this research article focuses on the internal development of the autopoetic and self-referential art machine, which generates an art-specific sustainability. The circular environmental economy coexists with the circular art economy, which implies changes in the aesthetics and poetics of the artwork; it deploys upcycling to use art trash in creating a new, higher value object. Art-specific sustainability contributes to the power and complexity of the art machine with new conceptual interventions and devices. These devices allow art to resist threats from other fields and to redefine itself. As sustainable development agendas of international organizations take into account the social, political, and economic initiatives that promote ethics, inclusion, and tolerance, this article discusses the contributions of contemporary environmental art to expanded concepts of the political and science. In particular, art activism, in cooperation with civil society, can be an important driver in areas that parliamentary politics overlooks.

Keywords : environmental art, sustainable development, art activism, art-specific circular economy, upcycling, reappropriation, Antropocene, social inclusion..
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