Cultura

Ukraine War and the Recalibration of India Russia Relations

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

Neeharika Singh

Abstract

The Russia–Ukraine conflict has reshaped the global strategic environment, compelling India to reconsider the nature and scope of its long-standing partnership with Russia. This paper examines how the war has influenced India’s foreign policy decisions, particularly in balancing historical defense, political, and economic ties with Moscow against evolving strategic engagements with Western powers, regional partners, and international institutions. India’s response reflects a pragmatic approach rooted in national interest rather than ideological alignment. The study highlights how concerns related to energy security; defense procurement, trade diversification, and geopolitical stability have guided India’s cautious and calculated diplomatic posture. It also explores India’s efforts to maintain strategic autonomy while navigating pressures from both sides of the global divide. The paper assesses the implications of India’s position for its broader foreign policy framework, multilateral diplomacy, and global leadership aspirations. The analysis suggests that India’s recalibration represents continuity with adaptation of preserving core partnerships to shape new strategic alignments in an increasingly uncertain world order.

Keywords : India’s Foreign Policy; Russia–Ukraine War; Strategic Autonomy; Geopolitics; Energy Security; Defense Cooperation; Global Governance; International Relations; Multilateral Diplomacy..
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