Cultura

Individualism in Cormac McCarthy’s The Road: the Highway to Unsustainability

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

Narie JUNG
Sungkyunkwan University, South Korea

Abstract

Cormac McCarthy’s The Road demonstrates the centrality of individualism to the unsustainability that defines consumer culture in the Anthropocene. His representation of cannibalism not only reflects the main problems of consumer culture but also sheds light on individualism as its driving force. While the cannibalistic world of The Road presents a struggle of individuals for autonomy, the novel’s unnamed boy protagonist shows that empathy can be a viable solution for that struggle. The novel suggests that making consumer culture sustainable means recognizing the violence of individualism and the significance of empathetic consciousness simultaneously. To exit the highway that leads to unsustainability means taking the road of empathy, for only this will potentially lead to sustainability in the Anthropocene.

Keywords : empathy, individualism, The Road, unsustainable consumerism..
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