Cultura

Arab Institutions and their Ability to Compete Globally in Light of Global Technological Development

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

Mohamed Balla Mohamed Elfaki

Abstract

This research aims to shed light on one of the most important and controversial issues, particularly in the Arab world: the importance of technology in improving the quality of services within companies and raising their standards to achieve the desired progress in efficient business operations. It also explores the significance of this in effective institutional management and achieving international ISO standards by enhancing the quality of services provided by employees to customers within Arab organizations.

This raises several important questions that are prominent in the world of business management within the Arab world. Among the most important of these questions are:

To what extent have institutions in the Arab world mastered the use of technology, and to what extent has it contributed to accelerating administrative processes?

How can Arab companies achieve global competitiveness through technological advancements and meet international ISO standards?

To what extent have Arab governments been able to integrate into the new international system, and what are the most prominent means and tools they have used to integrate new technologies into business management? Based on the above, we will attempt, through a critical analytical approach, to determine the importance of good management in the development of companies through the effective use of technology and the world of technology, which plays a significant role in raising the level of employee efficiency and accelerating the completion of required tasks.

Keywords : Total Quality Management, Arab World, Business Administration, ISO Standards.
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