Cultura

Intelligent Cultural Ecologies Through an Analysis of Actors and Values for the Construction of Humanized Technological Futures

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

Piedad Mary Martelo Gómez , Raúl José Martelo Gómez , David Antonio Franco Borré

Abstract

Technological transformations driven by the expansion of artificial intelligence and intensive digitization are profoundly reshaping cultural structures and value systems that guide social life. In this context, culture is increasingly organized as a complex sociotechnical ecology, in which heterogeneous actors interact, and whose positions, interests, and axiological orientations influence the construction of possible futures. This article analyzes these ecologies.

Methodologically, the study adopts a prospective qualitative-quantitative approach based on a review of specialized literature and the application of the MACTOR method, with the participation of a panel of 15 experts. The analysis identified the main actors in the system, their levels of influence and dependence, as well as the axiological convergences and divergences around eleven strategic values ​​linked to technological humanization. The results show a broad convergence in values ​​such as algorithmic justice, common digital well-being, and technological humanization, along with persistent tensions surrounding cultural autonomy and epistemological diversity.

The article concludes that the construction of humanized technological futures depends less on discursive consensus and more on the effective capacity to mobilize values ​​within smart cultural ecologies, underscoring the need for philosophical approaches that integrate axiological analysis, sociotechnical agency, and cultural governance.

Keywords : philosophy of culture; axiology; smart cultural ecologies; actor analysis; technological values; humanized technological futures..
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