Cultura

Migration Governance in a Multipolar World: How Emerging Powers Challenge Western-Designed Institutional Regimes

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

Sonal Tamta, Avdhesh Singh

Abstract

The global governance architecture for international migration has historically reflected Western institutional preferences, enshrined through the 1951 Refugee Convention, UNHCR's mandate, and recent Global Compacts prioritising developed nation interests whilst preserving sovereign border control. Yet as geopolitical power becomes increasingly multipolar, emerging economies (particularly the BRICS coalition) contest these frameworks, arguing they inadequately represent developing country interests and concentrate refugee and migrant populations in poorer nations whilst wealthier states maintain restrictive admission policies. This article interrogates whether emerging power contestation generates genuine governance alternatives or merely reproduces exclusionary logics under different institutional wrappings. The central argument contends that whilst emerging powers have successfully challenged Western institutional frameworks' legitimacy, they have not developed comprehensive counter-regimes addressing core tensions between state sovereignty, migrant protection, and responsibility-sharing. The analysis reveals that Western institutional design has undergone systematic downgrading from binding to non-binding frameworks, permitting states to appear internationally cooperative whilst maintaining complete discretion over immigration policies. The International Organisation for Migration's consolidation as global lead agency represents victory for labour mobility paradigms over worker protection frameworks. Developing countries hosting disproportionate refugee populations (Turkey, Jordan, Colombia, Uganda) contest this architecture, recognising that non-binding governance enables wealthy states to avoid burden-sharing obligations. Examining BRICS, ASEAN, and Cartagena Declaration alternatives, the article demonstrates that emerging power initiatives similarly operate within structural constraints producing convergence around non-binding governance across all geopolitical blocs. Four fundamental contradictions remain unresolved: sovereignty versus protection obligations, burden distribution versus resource constraints, labour mobility expansion versus worker protection standards, and state rights versus migrant rights. The multipolar moment thus represents institutional pluralism within similar structural constraints rather than governance renewal. Meaningful transformation requires addressing political contradictions that no purely institutional reform can resolve, demanding political movements prioritising migrant protection over sovereign border control rather than merely rearranging institutional frameworks.

Keywords : migration governance; BRICS; non-binding frameworks; emerging powers institutional pluralism; responsibility-sharing;.
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