Analysis Of The Quality Of Public Spending In The Municipalities Of The Huallaga Province, San Martín Region (2020–2024)
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
Hugo Alvarado
Royer Ferrer
Sunil Salas
Pomeyo Valenzuela
Edwin Grandez
Abstract
The purpose of this research is to assess the quality of public spending in the municipalities of the Huallaga Province, San Martín region (Peru), during the 2020–2024 period. The study examines not only budget execution levels but also the efficiency, effectiveness, and sustainability of local public investments. A mixed-methods approach was applied: the quantitative phase employed efficiency and performance indicators based on official administrative records, while the qualitative phase involved semi-structured interviews with municipal officials and document analysis to explore governance, planning, and oversight practices. Results reveal significant heterogeneity in spending quality among municipalities. High budget execution rates do not necessarily lead to sustainable outcomes; institutional factors such as transparency, technical capacity, and planning continuity explain most of the variation. The study’s originality lies in applying an integrated methodological design to an understudied Amazonian context, offering empirical evidence to strengthen local governance and improve strategic resource allocation.
Keywords :
public spending quality, local governance, efficiency, municipalities, Peru..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
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