Cultura

Philosophical and Cultural Dimensions of Critical Thinking Development in EFL Public Speaking through Asynchronous Online Discussions: A Social Network 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

Peipei Chen
School of Foreign Language Studies, Wenzhou Medical University, Wenzhou, 325035, China.
Yan Lin
School of Foreign Language Studies, Wenzhou Medical University, Wenzhou, 325035, China.
Xinfang Ma
School of Foreign Language Studies, Wenzhou Medical University, Wenzhou, 325035, China.
Yanle Zhang
School of Foreign Language Studies, Wenzhou Medical University, Wenzhou, 325035, China.

Abstract

Asynchronous online discussions (AODs) are widely used in hybrid courses and online education. AODs with high levels of interaction can enhance students' cognitive development and knowledge construction, providing a solid platform for the development of deep learning and critical thinking skills. However, few empirical studies have been conducted on the effectiveness of asynchronous online discussion methods. In this study, AOD was used as the pre-class activity of offline oral output. With social network analysis (SNA) and quantitative analysis, we compared the effect of three different facilitation strategies in AODs on students' interaction level, as well as examined the correlation between individual students' interaction patterns in AOD and their critical thinking ability assessment in EFL public speaking. According to the study, peer-facilitated asynchronous online discussions can significantly improve network density and centrality, increase strong associations between members, and facilitate sub-group formation compared to teacher facilitation. Meanwhile, node strength had a more significant positive correlation with the subsequent performance of critical thinking ability in EFL public speaking than node degree.

Keywords : Discursive Development, Social Network Analysis, Asynchronous Online Discussion, Oral Language Teaching.
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