Cultura

Marriage as a Singular Legal Institution in Colombian Institutional History: Strategy, Law and Slavery in the Cauca Region (1804–1843)

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

Ramsés López Santamaría

Abstract

This article analyzes the unique character of marriage as a legal institution in Colombian institutional history during the transition between the late colonial period and the early Republic (1804–1843). Based on the paleographic and diplomatic study of three original judicial files preserved in the Collection of the Old Central Archive of Cauca (José María Arboleda Llorente Historical Research Center, University of Cauca) —Signaturas 10256 (Col. JII–14cr), 4016 (Rep. JIII–8em) and 1771 (Ind. JI–3cr)— the work shows that marriage worked, in Cauca legal practice,  as a mechanism of articulation between the right to slavery and the right to freedom, generating unresolved tensions between the system of the Seven Parts, Bourbon legislation and republican constitutionalism. It is proposed that this singularity is not accidental but structural: marriage occupied an ambivalent position in Indian and New Granada law, both as an instrument of social control and as a vector for claiming rights for the enslaved population. The findings contribute to the historiography of Hispanic American law, the history of slavery, and studies of institutional history in Colombia.

Keywords : marriage; slavery; history of law; colonial Cauca; legal institutions; manumission..
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