Cultura

A Study of the Changing Livelihood Patterns in Northern and Southern China from a Geographical Determinism Perspective

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

Yuhao Yang
The Research Center of Northwest Nationalities of Lanzhou University, Gansu, 730020, China.

Abstract

For a considerable period of time, there has been a divergence of opinion among scholars regarding the concept of "nature". In some cultural systems, the natural environment is regarded as passive and subject to human control. This belief is often accompanied by the idea that human beings can overcome heaven. In contrast, in other cultural systems, the natural environment is viewed as having unlimited magical powers and as being in control of human destiny. This control is seen as absolute and unquestionable. Since the inception of humanity, livelihoods have been the primary means of ensuring survival. From a cultural perspective, the relationship between humans and the natural environment can be examined through the lens of geographic environmental determinism. The evolution of human societies, from their initial primitive forms to the advent of agriculture and pastoralism, and finally to the industrial age, can be seen to be shaped by geographical factors. It is evident that the trajectory of human societal development has consistently followed a similar pattern. It is accurate to conclude that, with the accelerated advancement of science and technology within human society, we have acquired the capacity to influence the natural environment in ways that were previously unfeasible. This has resulted in the natural environment no longer exerting a decisive influence on human beings. However, it is irrefutable that environmental factors continue to exert a significant influence on human activities. This article examines the formation and transformation of livelihoods in North and South China, analysing the evolving roles of environmental factors and their cultural implications throughout this process. It begins by exploring the evolving meanings of geo-environmental determinism itself.

Keywords : Geo-Environmental Determinism; Livelihood Options; Livelihood Change..
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