Cultura

Permanence and Higher Education, educational challenges

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

Ricardo Esteban Jurado Eraso
Bertha Aurora Muñoz Rodriguez
Esneider Echeverri

Abstract

The phenomenon of permanence in higher education is a complex and multi-causal one, representing one of the main challenges for contemporary educational institutions. The objective of this study was to identify the factors associated with the permanence of students enrolled in the Bachelor's Degree in Physical Education, Recreation and Sports program at the Colombian Polytechnic Jaime Isaza Cadavid in Medellín. A mixed approach was utilized, incorporating quantitative predominance and stratified probability sampling. The Risk Factors for Permanence Questionnaire (CFRP) was utilized, with its validity confirmed by expert judgment and a pilot test (α=0.87). The results indicate that 68% of the students are from low socioeconomic backgrounds, 62% are engaged in both academic pursuits and employment, and 57% have contemplated withdrawing from their studies due to financial constraints. Intrinsic motivation and family support have been identified as protective factors, while poor academic performance (average <3.5) and lack of knowledge regarding institutional support programs have been identified as risk factors. A comprehensive analysis of the extant literature reveals a consensus that student permanence is contingent upon the implementation of multifaceted strategies that encompass the academic, socioeconomic, personal, and institutional dimensions

Keywords : Student permanence, higher education, academic dropout, socioeconomic factors, academic motivation, institutional strategies..
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