Cultura

Environmental Pollution as a Health Cultural Risk: The Role of Documentation, Sterilization Practices, and Clinical Pharmacy in Strengthening Patient Safety Culture in Pollution-Related Emergency, Dental, and Optometric Care

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

Saleh Salem Saleh Al-Saad, Mohammed Saleh Ali Alqarawi, Al-Hassan Ali Mansour Al-Yami, Abdul Karim Muhammad Nasser Al-Yami
Mohammed Saleh Mohammed Al-Yami, Ola Abdullah Alnemri, Ali Salem Al Alhendi, Hadi Saleh H. Al Qorad, Mohammed Mohsen Alsharif, Hamad Awad Hamad Al-Wa’lah

Abstract

This study explores the growing prevalence of pediatric asthma in Saudi Arabia, focusing specifically on  Jeddah city, and examines the significant role of environmental pollutants in exacerbating the condition. Asthma, a chronic inflammatory respiratory disease, affects millions of children worldwide and is influenced by genetic and environmental factors. This study surveyed 400 children diagnosed with asthma and their caregivers in Jeddah, highlighting household allergens like dust mites and environmental pollutants such as vehicle emissions, industrial fumes, and airborne dust particles, as key contributors to the exacerbation of asthma symptoms. Findings indicate that children living in areas with high pollution levels, including heavy traffic zones and industrial vicinities, exhibit increased asthma prevalence and severity. Additionally, the study highlights the influence of sociodemographic factors, such as parental education and household hygiene, on asthma incidence. Public health implications emphasize the need for targeted interventions to reduce exposure to harmful pollutants and allergens, as well as increased awareness among caregivers and the broader community. The research advocates for stronger environmental regulations, improved healthcare systems, and community awareness programs to mitigate the impact of asthma on Saudi children, particularly in urban areas with significant industrial and traffic-related pollution.

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