Cultura

The Romantic Turn of Industrial Rationality:A Case Study of Landscape Changes on Dartmoor in Southwestern England in the 19th Century

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

Ge Kao
Department of History, Tsinghua University, Beijing, 100084, China

Abstract

Dartmoor in Devon, southwest England, is an ecological habitat with Blanket Bog as the predominant soil type. After the 1760s, industrial activities considerably changed Dartmoor's surface and subsurface landscapes. Against the background of the industrial landscape eroding the natural landscape, the romantic trend of thought colored the pale landscape narrative in the past, transforming the British people's sympathy for the environment into empathy for the environment in the 19th century. The academic tradition believed that romanticism was a treason to enlightenment rationality. However, romanticism was the development of enlightened rationality based on inheriting rational thinking tools to seek the way of harmonious coexistence between humans and nature.

Keywords : Dartmoor, Ecological Preservation, Romanticism.
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