Article View – Cultura

Eco-poetic inquiry for inspiring relationships with local places: exploring a sustainable curriculum of eco-literacy learning

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

Andrejs KŪLNIEKS
University of Saskatchewan

Abstract

In this paper I outline how Poetic Inquiry can serve to help learners develop a closer relationship with the places that they live. An eco-hermeneutic investigation of language helps writers to develop a closer relationship with the places that they live by finding language to describe the plants and animals that grow there. I consider how a deep analysis of language can inspire learners to pay closer attention to local environments and seasonal shifts. A close analysis of being part of the process of collecting and growing food is a place where the sharing of intergenerational is fostered. The sharing of stories also contributes to a deepening of awareness to climate change. By investigating and expanding language to describe experiences within the nearby nature of local places, learners consider how stories of place can also help them uncover and expand their understandings about the Earth.

Keywords : eco-poetic inquiry, ecoliteracy, eco-hermeneutics, and ecojustice education curricula.

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