Cultura

From Analysis to Accountability: Normativity, Interpretation, and the Limits of Method in Discourse Studies

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Dr. Abdelkader Makhlouf
Dr. Amel May

Abstract

The current epistemic state of discourse study is marked by a high degree of methodological expertise and theoretical diversity. However, there is a constant challenge associated with the lack of a normative account. The invocation of concepts such as context, power, ideology, and practice are widely invoked in contemporary research and analysis. The principles for the assessment of an interpretation are nevertheless still implicit to a great degree and often remain under-theorized in methodological discussions. This article presents a normatively informed framework of interpretive accountability that reconsiders discourse analysis as a reason-giving activity instead of a method-centered procedure. It argues that a prioritization of methodological refinement has caused a form of epistemological lag, where claims are being made without sufficient normative definition or justification . Drawing on philosophy of language, pragmatics, and social theory, the article demonstrates that discourse analysis cannot coherently operate as a scholarly practice if reduced to a unity of expert techniques divorced from an explicit account of normativity. In this respect, the article does not propose a technologically driven innovation but rather reconceptualizes discourse analysis itself qua practice by examining linguistic description, practical inference, and critical political evaluation highlighting the limitations of methodologically driven approaches to interpretation.

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