Cultura

Meaning and Purpose in an Existentialist Philosophical Perspective: A Philosophical Search for the Formation of Life and Values

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

Tian Liang
College of Philosophy, Guizhou University, Guizhou, 550025, China

Abstract

The processes of developing a sense of self and discovering purpose in life seem to be closely related at first glance. The philosophical investigation explores the complex relationship between character and the changing meanings of life. This research explores the complex nature of life by applying a range of philosophical stances to analyze how conceptions that define a person's identity and character change throughout time. To understand the parallel but distinct histories of identity and meaning, it's helpful to consider how each was introduced to the field as well as the philosophical tenets that differ between them in addition to examining their unique definitions. In my opinion, more successful coordination and integration can be accomplished by gaining a deeper comprehension of the characteristics and backgrounds of the two theories.

Keywords : Psychological Theory; Philosophical Underpinnings; Independent Histories.
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