The Development of an Interdependent Relationship Between Buddhism and the Early Japanese State from the Asuka Period to the Nara Period
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
Xidong Fang
School of Literatures, Languages and Cultures, University of Edinburgh, Edinburgh, UK
School of Literatures, Languages and Cultures, University of Edinburgh, Edinburgh, UK
Abstract
Buddhism was introduced to Japan in the 6th century, sparking a series of political debates that lasted for four centuries. Monarchs of classical Japan made significant efforts to elevate the status of Japanese Buddhism. However, this article aims to highlight that the promotion of Buddhism was always accompanied by political tension, a trend particularly evident during the reigns of the empresses. The flourishing and prosperity of Japanese Buddhism was the legacy of this mutually beneficial relationship.
Keywords :
Japanese Buddhism, Asuka Period, Nara Period, National Religion, Legitimacy.
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