Cultura

PUBLIC EDUCATION POLICY IN COLOMBIA: JURISPRUDENTIAL ANALYSIS

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

Pedro Alfonso Sánchez Cubides
Universidad Pedagógica y Tecnológica de Colombia (UPTC), Colombia
Claudia Esperanza Saavedra Bautista
Universidad Pedagógica y Tecnológica de Colombia (UPTC), Colombia
Claudia Figueroa
Universidad Pedagógica y Tecnológica de Colombia (UPTC), Colombia

Abstract

The realization of the right to education is developed through the formation of public education policy, which contributes to the fact that this right transcends from the declarative to the effective. The objective of this article is to analyze the jurisprudential treatment that the Constitutional Court has given to public education policy in Colombia. The debate revolves around the fact that there are advances in the field of education as a result of the formulation and implementation of the respective policy. However, there is still a gap between the declarative and the effective in terms of the right to education, especially in terms of quality and coverage, as essential supports of the education system, despite being central issues in the different instruments that support public education policy in Colombia. Methodologically, the text is installed in the interpretative paradigm and the study is approached from the documentary method, starting from theoretical and conceptual references on public education policy in Colombia. The deliberation concludes that the Constitutional Court of Colombia has consolidated a structural understanding of education as a fundamental right and as a public service with a social function, whose materialization necessarily depends on the design, implementation and evaluation of public education policy consistent with constitutional mandates. 

Keywords : education, right to education, public policy, public education policy, jurisprudential analysis.
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