Cultura

Domestic Violence in Children and Adolescents: An Analysis with a Gender Perspective

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

Concepción Elena Amador-Ahumada, Nadia Noelia De la Espriella Vega, Álvaro Antonio Sánchez Caraballo

Abstract

A bibliographic review of studies on domestic violence against children and adolescents from a gender perspective was conducted. The publications were in English, Portuguese, and Spanish, and the observation period spanned the last 20 years. The search for relevant documents was conducted in the following databases: Pubmed, Proquest, Scopus, and Science Direct. Consequently, a total of 411 referents were recovered. Following the completion of the purging process, 174 of the communications were examined for eligibility. Of these, 55 were determined to be relevant. Child violence is a form of interpersonal violence that manifests within the family unit. The prevalence of this type of violence tends to increase with the age of the child or adolescent, exhibiting a notable gender disparity. Women are disproportionately affected by sexual abuse, while men are more susceptible to physical injury and personal harm. Beginning at the age of 15, domestic violence continues to manifest as violence or psychological abuse for both men and women. The extant literature suggests the existence of gender-differentiated profiles of violence. Girls and adolescents may be more exposed to certain forms of abuse, such as psychological and intra-family sexual abuse. In such cases, violence may persist or increase with age. Conversely, men in the same life courses may experience greater physical aggression from father figures.

Keywords : gender, domestic violence, children, adolescents.
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