The Realistic Enlightenment of Sewer Facilities in 19th Century Britain on the Collaborative Management System of Cross Regional Water Pollution
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
Yu Sun
Anhui Normal University, Wuhu 241000, Anhui, China
Anhui Normal University, Wuhu 241000, Anhui, China
Abstract
With the development of China's economy and the convenience brought by the industrialization of urban chemicals, it has also brought pollution to water resources, especially the serious cross regional water pollution. Although various policies have been formulated by the central and local governments, the problem of water pollution remains prominent. This article, based on the treatment of sewage facilities in the UK, proposes to strictly control the discharge of industrial wastewater, flexibly control discharge standards, encourage the construction of large sewage treatment plants, improve sewage charging systems, etc., in order to improve the methods of cross regional water pollution collaborative governance in China and provide a practical basis for the collaborative governance system, to further promote environmental protection in China.
Keywords :
Sewer Facilities, Cross Regional, Water Pollution, Collaborative Governance..
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