Cultura

Education 4.0 and Artificial Intelligence in Higher Education: Transforming Pedagogy, Personalization, and Access

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

Mrs. Geetha H, Dr. Nagarathna M L, Ms. Nirmala Bai L, Mr. Harish Kumar K J, Mrs. Prathiba D S, Mrs. Padma S V

Abstract

The emergence of Education 4.0, driven by the Fourth Industrial Revolution, has reconfigured pedagogical practices in higher education through the integration of advanced digital technologies. Among these, Artificial Intelligence (AI) has gained prominence as a key enabler of personalized, data-informed, and learner-centered educational environments. This study examines the pedagogical and institutional implications of AI integration in engineering education, with particular emphasis on its role in transforming instructional design, assessment practices, and learner engagement.

Adopting a design-oriented multiple case study approach, the research synthesizes contemporary literature and analyzes four systematically implemented AI-supported interventions in undergraduate engineering programmes. Data were collected through learning analytics reports, instructor observations, learner reflections, and performance trend analyses over one academic semester. The findings indicate that AI-enabled systems support differentiated learning pathways, enhance formative assessment, promote self-regulated learning, and strengthen professional competencies when embedded within coherent pedagogical frameworks.

The study further highlights critical challenges related to ethical governance, digital equity, algorithmic transparency, and faculty preparedness. By situating AI integration within the principles of Education 4.0, this research offers empirically informed insights for educators, institutional leaders, and policymakers seeking to develop sustainable and inclusive technology-enhanced learning ecosystems.

Keywords : Education 4.0; Artificial Intelligence in Education; Engineering Education; Personalized Learning; Learning Analytics; Blended Learning; Higher Education Pedagogy; Educational Technology Systems.
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