Cultura

The Subject Educated in Colombia: Governing Secondary School Education And Forming Social Subjects (1956 - 2015)

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

Dr. Luis F. Vásquez Zora, Dr. Alex Dueñas Peña, Mg. Diana M. Cuellar Sánchez

Abstract

This article problematizes the formation of models of the educated subject in Colombia through an analysis of the curriculum and the governance of secondary education between 1956 and 2015. The methodology employed consists of research and analysis of historical sources concerning the social ordering of the transmission of certain forms of knowledge and the silencing of others, as well as norms and practices of curricular governance aimed at shaping a particular social subject. Among the research findings, three educational series are identified: (1) the curricular plan and the formation of the administrative subject (1956–1970); (2) the systematization of the curriculum through educational technology for the production of the standardized and informatized subject (1978–2000); and (3) curriculum management for the production of the subject of excellence, entrepreneurship, and innovation (2002–2015). The article demonstrates how the secondary education curriculum in Colombia functions as a sophisticated social technology of knowledge and governance: of knowledge, insofar as it privileges and organizes the social transmission of specific forms of knowledge; and of governance, insofar as it shapes, guides, excludes, or resists the constitution of particular social subjects.

Keywords : Subject. Middle education. Curriculum. Government. Colombia..
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