Propositions for Sustainable Futures in Durgabai Vyam and Subhash Vyam’s Bhimayana
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
Rina RAMDEV
Sri Venkateswara College, University of Delhi, India
Sri Venkateswara College, University of Delhi, India
Abstract
While critically examining the techno-scientific thrust that props the discourse of sustainability, this paper argues for the inclusion of the humanities and the imaginative counterworlds and complex ontological perspectives that literature offers. As Donna Haraway proposes, “we need stories (and theories) that are just big enough to gather up the complexities and keep the edges open and greedy for surprising new and old connections” (2015: 160). The Indian graphic novel Bhimayana and the artisanal aesthetic of the tribal artists is read for the ways in which it mediates current debates on the posthuman, offering the possibility of intimate affirmative relationalities that could create sustainable futures.
Keywords :
Posthuman, Sustainability, Graphic Novel, Bhimayana, Tribal, Dalit.
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