Cultura

Socio-Spatial Segregation And The Integrating Processes Of Tourism Geography In Popular Neighborhoods Of The Colombian Andean Region

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

Tannia Alvarez Meneses, Jorge Enrique Gamba Niño, Eliana Leonor Valderrama Orozco

Abstract

The socio-spatial segregation of low-income neighborhoods in the Colombian Andean region leads to urban exclusion, precarious infrastructure, and a weakening of the social fabric, negatively impacting territorial integration, local development opportunities, and the quality of life of residents. The geography of tourism is considered an alternative approach to mitigate the impacts of this phenomenon. The purpose of this study is to shape urban integration from the perspective of tourism geography in low-income neighborhoods of the Colombian Andean region. The research employs an exploratory qualitative approach, using a neighborhood that has undergone decades of socio-spatial segregation as a case study. The study identified perceptions of exclusion, meanings associated with the place, and tourism potential linked to local identity and the natural environment. The findings demonstrate that the symbolic recognition of the territory and the activation of community-based tourism practices strengthen social cohesion and urban integration. It is concluded that the geography of tourism is a relevant tool for promoting integrative processes in contexts of socio-spatial segregation in the Colombian Andean region, and that its results contribute to decision-making for the development of tourism activities as a strategy for integrating segregated popular neighborhoods in the Colombian Andean region.

Keywords : Socio-spatial segregation, popular neighborhoods, tourist geography, integration..
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