Cultura

Optimizing Capital Cost Structure Through Artificial Intelligence: Empirical Evidence on Business Profitability Using Panel Data

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

Omar Hernan Nova Jaimes
G. Andrea Torres Estepa
Isabel Costa Balarezo

Abstract

The optimization of the financing structure (debt-equity) continues to be a central problem in corporate finance due to its simultaneous impact on risk, weighted average cost of capital (WACC) and profitability. In recent years, artificial intelligence (AI)—in particular, machine learning (ML) and explainable approaches (XAI)—has expanded the ability to estimate target leverage, anticipate financing decisions, and model nonlinear relationships with heterogeneity across firms and over time. This paper develops an empirical approach with panel data that integrates (I) ML to approximate "optimal" capital structure (via prediction of cost of capital and/or target leverage) and (II) panel econometrics to assess the association between closeness to the financial target and profitability (ROA/ROE). Based on recent evidence, it is observed that ML models outperform linear specifications in the prediction of leverage and its determinants, increasing out-of-sample performance; in addition, the interpretability based on SHAP values facilitates the traceability of financial drivers. In parallel, panel studies document that capital structure significantly affects profitability (with industry-dependent outcomes) and that firms gradually adjust toward target debt levels. Implications for financial management, risk control, and model governance are discussed.

Keywords : artificial intelligence; machine learning; capital structure; cost of capital; profitability; panel data; XAI; SHAP..
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