Cultura

Green Supply Chain Management In Selected Manufacturing Industries Of Shivamogga District: A Structural Equation Modelling Approach

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

Vinutha P Shenoy
Dr V. Vikram

Abstract

Environmental sustainability has become an increasingly important strategic concern for manufacturing firms operating under resource constraints and regulatory pressure. In this context, Green Supply Chain Management (GSCM) offers an integrated approach for aligning environmental responsibility with operational objectives. This study investigates the extent to which GSCM practices influence environmental and operational performance in selected manufacturing industries of Shivamogga District, Karnataka. Primary data were collected from 120 manufacturing firms representing agro-based, engineering, food processing, and small-scale industrial sectors. The analysis employs advanced inferential statistical techniques, including Exploratory and Confirmatory Factor Analysis, Structural Equation Modeling, hierarchical regression, and bootstrapped mediation analysis using SPSS and AMOS. The results indicate that green procurement and reverse logistics significantly strengthen environmental performance, while green manufacturing practices exert a direct and substantial effect on operational efficiency. The findings provide empirical evidence that GSCM functions not merely as a compliance mechanism but as a strategic performance enabler for manufacturing firms in semi-urban industrial regions. The study contributes to the growing body of sustainability literature by offering district-level insights and practical implications for managers and policymakers seeking to promote sustainable manufacturing practices.

Keywords : Green Supply Chain Management; Sustainable Manufacturing; Environmental Performance; Operational Performance; Structural Equation Modelling; Manufacturing Industries; Shivamogga District; India.
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