Cultura

ISSN 1584-1057 (print)
ISSN 2065-5002 (online)

The Philosophical Exploration of Free Will and Social Responsibility: The Path of Resistance in the Play 'Bartleby the Scrivener'

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

Wang Qian
Shandong Sport University, Sports and Arts College, Shandong Jinan, 250102, China
Tian Ke
Lyceum of the Philippines University, Manila,430072,Philippines

Abstract

German director Bolixin Von Pezer's theatrical play "The Copyist Bartleby" acts as a metaphor for philosophy, crafting a "monologue" through two actors. Within the drama, Bartleby exists in a form of "absence", yet, akin to the central tenet of existentialism, he lurks persistently throughout the entire narrative. His chosen response of "I would prefer not to" serves not only as a rejection of the external world but also as a profound exploration of his inner self. This mode of expression resonates with the potentiality thought of Italian philosopher Agamben. In Agamben's philosophy, saying "no" is not just a form of refusal but also an acknowledgment and experience of potentialities. Through this contemplation, freedom is redefined. It is not just an escape from constraints, but also an embrace and experience of latent possibilities. As philosophers have discussed, our current crisis stems not only from a lack of potential but more so from the misunderstanding and misuse of it. Only by breaking traditional frameworks and disrupting entrenched thought patterns can we genuinely enter the realm of freedom, experience the fullness of "form-of-life", break free from dualistic constraints, and achieve true self-redemption.

Keywords : Bartleby; Potentiality Thought; Freedom; Redemption; Philosophy.
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