Cultura

Theoretical-Methodological Foundations and Practical Mechanisms of Teaching English Based on a Competency Approach in Higher Education Institutions

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

Azizova Zulfizar Fazilovna, Ortikova Musallam Jaxongir Qizi, Kamalova Dilnoza Kurbanbayevna, Sapayeva Zeyvar Jamolatdinovna, Abdanbekova Nilufar Rikhsievna

Abstract

This scientific article explores the fundamental theoretical foundations and practical derivations of transitioning from traditional methods to a competency-based approach in the modern higher education paradigm of teaching English. The paper analyzes mechanisms for adapting the linguistic abilities of future specialists to the socio-professional environment, as well as innovative methodological models that unlock communicative potential. Throughout the study, issues regarding the integration of international standards and the national educational context in forming students' speech strategies are highlighted. The conclusions of the article serve to transform the quality of foreign language teaching in higher education and foster the sustainable development of professional-communicative competence in students.

Keywords : ICT integration, practical mechanisms, autonomous learning, knowledge transformation, facilitation, English language, innovative methods, flipped classroom (inversion learning), personnel competitiveness, professional-communicative competence, case-study technology, communicative competence, competency-based approach, criterial assessment, project-based method, problem-based learning, speech strategies, higher education, professional adaptation, student-centered learning, international standards..
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