Cultura

The Impact of Admission Factors on the Identity Construction and Learning Practices of Chinese LOTE-as-L2 High School Students

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

Bing Zhou
Department of foreign languages, East China Normal University, Shanghai, 200241, China

Abstract

An increasing number of Chinese high school students are choosing to study a language other than English as their first foreign language and opting to use these languages for the higher education entrance exams. However, in Chinese culture, the national college entrance examination (known as Gaokao) is not only a test of academic ability. It also significantly influences the learner’s future social mobility and career development. This study employs Darvin and Norton’s investment model to explore how the exam culture controls the identity construction and learning practices of high school language-other-than-English learners(Darvin & Norton, 2015). This study focuses on 14 high school students from a foreign language school in Shanghai who have chosen Japanese, German, Spanish, and French as their first foreign language. Over the course of a year, using a series of qualitative research methods, this study found that, under the influence of exam culture, learners invest in non-English languages intending to achieve upward social mobility and construct elite identities. This is done by competing for languages with “better resources,” achieving better Gaokao scores through different assessment standards among languages, applying to foreign universities to mitigate the risk of Gaokao, and seeking admission to elite foreign universities and job opportunities abroad through international mobility.

Keywords : Investment, Examination Culture, High School LOTE Learners, Identity, Social Mobility.
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