Cultura

Philosophical Reflections and Practical Strategies on Tourism and National Cultural Heritage

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

Hong Wei
College of History and Tourism Culture, Shanxi Normal University,Taiyuan030032, Shanxi, China

Abstract

Countries like China, which benefit from ancient history and culture, various beliefs and legends that have influenced the formation of many places and rituals, can use the existential philosophy hidden in their hearts to encourage tourists to visit them. benefit In China, various celebrations and rituals have been formed based on religious beliefs, local legends, and historical events, which even the young generation is unaware of. By applying these philosophies in advertising programs and interpretations that tour tourists provide for travelers, it is possible to be more successful in attracting more tourists; One of the places that local people believe has a therapeutic role for physical diseases is Scenic Area of Hehuayuan in Linfen City. Considering the belief of the local people in the field of treatment, this area can lead to the development of health tourism. Therefore, in this research, an attempt is made to provide practical solutions for the development of health tourism. In this research, a questionnaire and SPSS software were used for data analysis, and the data were collected from library studies and similar research. The statistical population consists of 384 tourists from Linfen City. The results obtained from the research show that tourist attractions that are caused by philosophical reflections have an impact on the development of health tourism and these beliefs can enrich the cultural heritage.

Keywords : Tourism, Health Tourism, Spa Springs, Shanxi.
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