Cultura

'Onwudinuba' Philosophy: The Hermeneutics of Death as a Component of Wealth in Igbo Cosmology

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

Johnson Ifeanyi Okeke
Department of Philosophy/Religion & Cultural Studies, Alex Ekwueme Federal University, Ndufu-Alike, Ikwo, Ebonyi State, Nigeria.
Ernest Chibuzo Osuchukwu
Department of Philosophy/Religion & Cultural Studies, Alex Ekwueme Federal University, Ndufu-Alike, Ikwo, Ebonyi State, Nigeria.

Abstract

This study x-rays the philosophical meanings, interpretations, and intersections of death and wealth in the African Igbo cosmology. Using such tools as oral interviews, ethnography and participant observations, the researchers extracted data from both primary and secondary sources to clarify some misconceptions surrounding wealth and death in Igboland. This research is timely because amidst a growing literature on the Igbo people and her culture, discourses on the complementarity of death and wealth have lacked attention over the years. This work fills this gap through the application of hermeneutic approach which enabled an informed conclusion that the Igbo believe in two types of death: the bad and good deaths. The findings provide a better understanding of African Igbo culture, death, wealth, and the meanings they attach to life which is equally important for a harmonious relationship and a stable social order. The paper calls for a re-examination of the narratives surrounding peripheral interpretations given to this aspect of Igbo culture. It further contributed to the growing volumes of literature on Igbo history, indigenous philosophy, and religion, among others.

Keywords : Philosophy, Hermeneutics, Wealth, Death, Cosmology.
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