Cultura

Rethinking Teaching from Territories: Approaches from Public Policy, Educational Policy, And Teacher Policy

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

Dr. Luis F. Vásquez Zora, Dr. Alex Dueñas Peña, Mg. Diana M. Cuellar Sánchez

Abstract

Reflecting on teachers’ work based on the specific realities of each territory or local context, and from different public policy perspectives, remains a highly relevant topic. This paper proposes to analyze and reconsider teaching practice by taking local realities into account, addressing it across different policy levels: general public policy, educational policy, and teacher-specific policy. A qualitative and interpretive approach is adopted; therefore, a documentary analysis is conducted in which the meanings and interpretations attributed to various experiences are described, analyzed, and interpreted. The units of analysis underpinning the study include institutional discourses on teachers’ work, conceptions of teaching embedded in policies, teaching experiences in territorial contexts, and public policy guidelines, among others. The paper provides findings that contribute to understanding how the social, economic, and cultural conditions of the context influence the way teaching work is carried out. Among the conclusions, it is highlighted that teaching must be analyzed from different angles: general regulatory frameworks, an understanding of the territories where teaching is practiced, and the need to rethink it in order to promote a more comprehensive, situated, and contextualized understanding of teachers’ work.

Keywords : .
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