Cultura

Shaping International Politics and Order in the 20th Century: Great Power Relations, Cold War, and International Organizations

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

Ning Wang
School of History and Civlization, Shaanxi Normal University, Shaanxi, China

Abstract

In the context of economic globalization, the relationship between countries is closer and gradually forms a pattern of common development. At the present stage, the characteristics of great power relations are mainly reflected in the fact that the major powers in the world are in a multi-level balanced relationship, and the great powers are gradually developing into cooperative partners. As our country continues to develop, it is necessary to actively respond to changes in international politics, international order and major country relations, keep pace with the development trends of the international landscape, and promote the sound formation of a new type of major country relations. Based on this, this article analyzes the related contents of international political order, expounds the changes of international relations and international political pattern in the 20th century, introduces the main challenges of current international politics, and puts forward the direction of efforts in building a new pattern of great power relations in our country.

Keywords : International politics in the 20th century; International order; Great Power relations.
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