Cultura

Social Fabric and Bioethical Deliberation: Correlational Analysis Between Ethical Education and Social Capital in Urban Environments

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, Luis Eduardo Muñoz Guerrero, Fermín Carreño Meléndez

Abstract

This study analyzed the relationship between ethical education, bioethical deliberation, and perceived social capital in urban environments. A quantitative, non-experimental, cross-sectional, correlational-explanatory design was used with a sample of 412 adult urban residents. Three Likert-type scales were applied to measure ethical education, bioethical deliberation, and urban social capital. Descriptive statistics, Pearson correlations, hierarchical linear regression, and mediation analysis with 5,000 bootstrap samples were conducted. Results showed significant positive correlations between ethical education and bioethical deliberation (r = .62, p < .001), ethical education and social capital (r = .48, p < .001), and bioethical deliberation and social capital (r = .57, p < .001). Regression analysis indicated that bioethical deliberation was the strongest predictor of urban social capital (β = .41, p < .001), followed by ethical education (β = .36, p < .001). Mediation analysis confirmed that bioethical deliberation partially mediated the relationship between ethical education and social capital, explaining 45.8% of the total effect. These findings are consistent with recent literature that highlights deliberation in bioethics education, civic reasoning, and social capital as relevant mechanisms for community resilience, democratic participation, and social cohesion . The study concludes that ethical education strengthens urban social fabric when it is translated into deliberative practices oriented toward dialogue, recognition, cooperation, and the common good.

Keywords : ethical education; bioethical deliberation; social capital; urban communities; social cohesion; civic reasoning..
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