Cultura

Reconceptualizing English Language Teaching in the Digital Era: Examining Technology-Enhanced Instruction and its Impact on Learner Engagement and Language Proficiency

VOLUME 22, 2025

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

VOLUME 6, 2023

Dr. N. Chitra1, Dr. S. Gunasekaran

Abstract

The rapid digitalization of education has significantly reshaped English Language Teaching (ELT), demanding a reconceptualization of pedagogical practices to address contemporary learner needs. Traditional teacher-centered approaches often fail to sustain learner engagement or effectively develop language proficiency in digitally mediated learning environments. In this context, the present study examines the role of technology-enhanced instruction in fostering learner engagement and improving English language proficiency among undergraduate students in higher education.

Adopting a mixed-methods research design, the study was conducted with undergraduate learners exposed to technology-integrated ELT practices, including multimedia resources, interactive tasks, and digitally supported classroom activities. Quantitative data were collected through pre- and post-language proficiency tests and learner engagement questionnaires, while qualitative insights were obtained through classroom observations and semi-structured interviews. The findings reveal a statistically significant improvement in learners’ language proficiency and a marked increase in cognitive, emotional, and behavioral engagement when technology-enhanced instruction is systematically integrated into ELT classrooms.

The study further demonstrates that digital instructional practices promote learner autonomy, collaborative learning, and meaningful language use, thereby bridging the gap between language input and communicative application. By situating technology as a pedagogical facilitator rather than a mere instructional aid, this research contributes to contemporary ELT scholarship and offers practical insights for curriculum designers, educators, and policymakers. The study underscores the need for purposeful and pedagogically grounded integration of digital tools to enhance the effectiveness of English language teaching in the digital era.

Keywords : Digital ELT; Technology-Enhanced Instruction; Learner Engagement; Language Proficiency; Higher Education; Pedagogical Innovation.
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