Cultura

Sustainability and Environmental Bioethics: A Quantitative Study on the Formation of Ecological Awareness in Academic Communities

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

Mariana Martinez, Edwin Orlando Pino Panchi, Luis Eduardo Muñoz Guerrero

Abstract

This study analyzed the relationship between sustainability education, environmental bioethics, and ecological awareness in academic communities from a quantitative approach. A non-experimental, cross-sectional, and correlational design was applied through a survey administered to members of a higher education institution. The main variables were sustainability education, environmental bioethical sensitivity, and ecological awareness. The findings showed favorable levels of ecological awareness, with stronger scores in the value-based dimension than in the behavioral one. Positive relationships were found between sustainability education and ecological awareness, while environmental bioethical sensitivity showed an even stronger association. Differences were also identified according to institutional role. The study concludes that university ecological education requires not only sustainability content but also an ethical foundation that strengthens environmental responsibility and helps reduce the gap between knowledge and action.

Keywords : Sustainability; environmental bioethics; ecological awareness; higher education; university education..
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