Female Self-Injury and Self-Healing in Contemporary German Literature
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
Yawen Ma
German Language and Literature，Southwest Jiaotong University，Chengdu，China.
German Language and Literature，Southwest Jiaotong University，Chengdu，China.
Abstract
Self-injury is often regarded as an abnormal or even morbid behavior. Relevant literary works are always classified as non-mainstream categories. However, in recent years, with the increasing popularity of this topic, many German literature works have stepped into the ranks of best-selling novels, and even been included in reading materials in German primary and secondary schools. It is thus clear that while attracting widespread attention, such works also have certain educational significance. This article is oriented by the self-abuser’s development of self-identification, takes the theme of female self-injury in the contemporary German novels as the research category, analyzes the expression from the aspects of narrative structure and characterization, and explores the positive value of this topic embodied in literature.
Keywords :
Contemporary German Literature; Female Self-Injury; Trauma Narrative; Self-Identification.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
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