The best interests of the child and adolescent principle in custody proceedings. Lima, Peru
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
Vilchez-Ruiz, Carlos Alberto
Abstract
This paper analyzes the application of the best interests of the child principle in judicial custody proceedings in Lima, Peru. Using a qualitative approach and a phenomenological design, the research identifies that this principle acts as the guiding framework for ensuring the comprehensive well-being of the minor in the context of parental conflicts. However, the study reveals significant institutional limitations, such as excessive caseloads, delays in technical reports, and judicial reasoning that is often insufficient. Likewise, it examines how parental co-responsibility and shared custody face sociocultural obstacles and gender biases that hinder their effective implementation. The document concludes that protecting the minor requires individualized and interdisciplinary rulings that go beyond legal formalism to ensure genuine protection. Finally, it highlights the need to strengthen the child's participation and the expeditiousness of family courts to preserve their emotional stability
Keywords :
child's best interests; custody; integral protection.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
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