Cultura

Sustainable Tourism In Traditional Villages, As A Rural Development Strategy

VOLUME 22, 2024

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

VOLUME 6, 2023

L. A. Jiménez- Rodríguez
R. Vargas Ortegón
R. Gamboa Suarez

Abstract

This article explores an important topic, sustainable tourism, through the analysis of rural tourism supply and demand. Its objective is to evaluate the potential viability of agrotourism and the direct links between positive sociocultural, environmental and economic contributions, which are becoming increasingly important, rural tourism and agrotourism are emerging as key strategies for sustainable development.

Methodology from a post-positivist paradigm, with a qualitative approach and applying grounded theory, which was approached to experts with expertise through interview;

Results characterized elements such as innovation and sustainability are fundamental for the growth and success of rural tourism, since they contribute to the creation of resilient and prosperous communities by generating economic and social benefits, due to the fact that by introducing new technologies, creative activities and unique and traditional experiences, innovation improves the attractiveness of rural destinations and enhances the visitor experience.

Conclusions is to implement a strategic transformation towards sustainable management of rural tourism, where it provides different pathways towards sustainable management, strategic transformation and thus reduce some obstacles associated with the complexity of rural tourism management.

Keywords : Agrotourism, rural development, ecotourism, rural tourism, sustainable..
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