Cultura

Research on the Long term Mechanism of Rural Ecological Governance

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

Yiming Wu
Rural Revitalization Academy of Zhejiang Province, Zhejiang A&F University, Hangzhou, 311300, Zhejiang, China

Abstract

This article aims to explore the long-term mechanism for rural ecological governance, intending to provide a theoretical foundation and practical guidance for effectively improving the rural ecological environment. In the research process, the current status and main issues of rural ecological environments were first analyzed, and a theoretical framework for the long-term mechanism was constructed in conjunction with the concept of ecological governance. Through an in-depth study of relevant national policies and the implementation by local governments, as well as an analysis of successful cases, the shortcomings of existing governance models were revealed. This article focuses on how to establish a long-term ecological governance mechanism that aligns with rural realities, clarifying the main indicators, the roles and responsibilities of various stakeholders, and the measures for sustainability and adaptability, striving to achieve a governance model characterized by multi-party collaboration and resource sharing. The study shows that through innovative mechanisms and cooperative governance, the sustainability of rural ecological governance can be effectively enhanced, thereby promoting sustainable rural development. Ultimately, this research provides valuable references for the formulation and practice of relevant policies to facilitate the in-depth advancement of ecological civilization construction.

Keywords : Ecological Restoration;Policy Support;Villager Participation; Sustainable Development; Regulatory Mechanisms.
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