Dapting, Reorganizing and Reinterpeting: A Systemic Reading of the Diagnosis of Autism Spectrum Disorden in the Family
VOLUME 23, 2026
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Marcela Rábago de Ávila, Carlos Antonio Navarrete Cueto, Maira Rosalía Flores Peña, Ruiz-Bernés Salvador, Rodríguez Lara Claudia, Montes Quiroz Alejandrina, Cruz Lima Carmen Julia, Rodríguez Ocampo Angélica Nallelhy
Abstract
This study aimed to analyze how family structure, dynamics, and beliefs are involved in the daily experience of caregiving and adaptation in Mexican families with a son or daughter diagnosed with Autism Spectrum Disorder in Nayarit. A qualitative methodology was used, with an exploratory scope and thematic content analysis based on the results obtained. Semi-structured interviews, field diaries, and observation logs were conducted for data collection. A convenience sample consisted of 13 participants. The categories obtained were: family structure, dynamics, and beliefs. The new reconfigurations brought about by the diagnosis of ASD can be observed: roles, responsibilities, agreements, negotiations, and the redefinition of the diagnosis. This raises the need to approach this diagnosis from a comprehensive perspective that combines individual, family, and social factors
Keywords :
Autism Spectrum Disorder, family structure, family dynamics, family beliefs, systemic therapy..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
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