Cultura

Reevaluating Silence and Visibility: The Philosophical Significance of Republishing Stephen Shore's Steel Town

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

Xiang Li
University of the Arts London, United Kingdom

Abstract

Stephen Shore's Steel Town features a collection of his photographs of the Rust Belt, taken for the Fortune magazine, and now given visibility to Shore as a photographer after 40 years of silence. Some images had been previously published, while others appeared for the first time in Steel Town. This study interprets these images, drawing on the images of Fortune and Shore’s earlier work, and analyzes the challenges he faced in photographing the Rust Belt. It examines the system of photographic power, ethics, and perspective, exploring how these factors, as well as the changing conditions of American society, contributed to the reappearance of these images forty years later. By situating Steel Town within modern philosophical discourse, the study highlights Photography as a cultural trace, which has the ability to respond to political, social, cultural, and philosophical dimensions across time. A paradigm-shift in Shore’s perspective evoked the insider-outsider dichotomy in him and allowed him to let out the information through his photographs. Additionally, it underscores the potential for photography to offer both theoretical depth and practical analysis, suggesting that future scholarship should focus on the intersection of photography, philosophy, and the social sciences.

Keywords : Stephen Shore; Steel Town; Rust Belt; Photographic Philosophy; Visual Culture; Cultural Trace.
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