Cultura

Cultural Research on Environmental Protection Strategies of Tsukuba City, Japan: How to Integrate Traditional and Modern Thoughts to Promote Environmental Protection

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

DABALAQIQIGE WU
Inner Mongolia Minzu University, School of Foreign Languages, Mongols, Tongliao City, Inner Mongolia, 028000, China

Abstract

Tsukuba City, Japan, stands as a captivating example of a modern research and education hub. Our single-case study explored the potential for integrating traditional Japanese environmental philosophies with modern environmental protection practices in Tsukuba City. We employed a mixed-methods approach, first conducting a survey with 52 participants from various environmental and cultural disciplines. The survey assessed their knowledge of traditional philosophies, perceptions of current environmental practices, and attitudes towards integrating these approaches. Our findings revealed a moderate level of self-reported familiarity with traditional philosophies, along with a belief in their potential contribution to environmental protection. Regarding current practices, participants expressed a mix of positive and negative views, with some questioning the effectiveness of existing programs and advocating for a stronger focus on community engagement. Encouragingly, the survey indicated a generally positive attitude towards integrating traditional and modern approaches. The interviews highlighted a range of knowledge regarding traditional philosophies, with some participants expressing a desire to learn more. Perceptions of current practices were mixed, with concerns raised about the over-reliance on technological solutions. A key theme emerged around the importance of community engagement in environmental efforts.  Our findings suggest a receptive environment for integrating traditional and modern approaches in Tsukuba City.

Keywords : Tsukuba City, Japan, Environmental Protection, Cultural, Traditional and Modern.
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