Cultura

Associativity in Companies in the City of Ibagué as a Strategy for Organizational Growth

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Mario Samuel Rodríguez Barrero
Roberto Adolfo Díaz Díaz
José Alejandro Vera Calderón

Abstract

Business associativity is consolidated as a decisive strategy to enhance competitiveness, sustainability, and organizational growth in regional contexts. This study analyzed the dynamics of associativity in companies in the city of Ibagué (Colombia), with the purpose of identifying the determining factors that condition its adoption from the perspective of strategic management. A mixed-method methodology was employed, combining qualitative and quantitative techniques supported by descriptive statistics, cross-tabulation, and correlation analysis. The results show that activities related to agricultural production and input marketing exhibit the highest levels of associativity and inter-company cooperation. In contrast, a significant lag was identified in the incorporation of digital technologies, especially in rural areas, where connectivity limitations represent a structural barrier to associative integration. Likewise, it was observed that most respondents (n = 134) do not participate in formal association schemes, although they show a high willingness to join collaborative processes. The findings suggest that associativity in Ibagué faces challenges related to technological gaps and connectivity barriers but offers significant potential to boost regional competitiveness through the strengthening of business networks and the generation of productive synergies. This study provides empirical evidence that contributes to the design of public policies and management strategies aimed at consolidating resilient and innovative business ecosystems.

Keywords : .
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