Poza Honda Wildlife As A Living Laboratory Of Sustainability: Implementing Regenerative Tourism For Socio-Environmental Resilience In Manabí, Ecuador
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
Digna María Basurto Intriago
Martha Tatiana Velásquez Gutiérrez
Mario Marlon Zambrano Segovia
Silvia Andrea Andrade Vera
Luccy Elena Zambrano Mendoza
Gabriel Bellettini Vela
Abstract
Ecotourism models based on traditional passive sustainability sought to reduce impact, but often failed to produce a net positive impact or any real adaptive capacity in relation to socio-environmental crises. The bottom-up approach was also applied to analyze the implementation of the "Poza Honda Wildlife, Living Laboratory of Sustainability" project in the province of Manabí (Ecuador), where a forest reserve with significant tourism potential has been established. The methodological design was a qualitative and descriptive case study, with content analysis of the articulation of governance, sustainable production, and social economy.
The project effectively combined biodiversity management with the production of new bio-trade products for the benefit of 622 people. This approach was built on Analog Forestry, which fostered both ecological rehabilitation and the socioeconomic empowerment of women and youth. It was evident that the implementation of regenerative tourism and social solidarity economy practices made an important contribution to increasing economic diversification, and more inclusive local governance also strengthened the destination's resilience to external shocks.
Keywords :
Regenerative Tourism, Socio-environmental Resilience, Biotrade, Community-Based Ecotourism, Poza Honda..
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