Cultura

Narratives of the Virocene: a visual ethnography with basis on the film Contagion

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

Weiwei YE
Shanghai University, China
Maximiliano E. KORSTANJE
University of Palermo, Argentina

Abstract

Over the recent years, some authors have questioned the hegemony of mankind (Anthropocene) over nature. The recent virus outbreak known as COVID19 starts a new period known as “violence” where humans are forced to recede to the private sphere. The COVID19 pandemic not only alerted the health authorities but also disposed of extreme measures which included the close of borders, airspaces, as well as the imposition of lockdown and social distancing. Not only global commerce but also the tourism industry was placed on the brink of collapse. In this grim landscape, the problem of climate change is far from being solved. While steps to reverse the greenhouse gas emission should be taken globally coordinating efforts among nations, the current climate of tension without mentioning the geopolitical discrepancies (among countries) impedes the formation of global sustainable institutions to monitor and regulate the effects of climate change. The present article centers on a visual ethnography on the film Contagion, to lay the foundations towards a new understanding of ideology and its effects on ecological justice.

Keywords : COVID-19, Ecological Justice, Virocene, Crisis, Ideology, Contagion.
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