Systematic Review of Factors Limiting the Successful Management of Public Investment Projects
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
Gustavo Andrés Rincón Camargo, William Orlando Alvarez Araque, Hilda Lucia Jiménez Orozco
Abstract
The management of public investment projects has limitations that affect the proper management of invested resources, hindering the expected impact on public works and services. Therefore, the objective of this study is to analyze the limiting factors of public investment projects and propose improvement practices based on a systematic review of the academic literature. The study was conducted from a qualitative approach and under a documentary review design. The emerging results allow us to identify recurring problems, such as the low adoption of methodologies for the public sector, persistent defects in technical planning, poor administrative management, and resistance to change on the part of the managers themselves. Therefore, it is appropriate to carry out management training processes, increase stakeholder participation, or form groups with skills in innovation and technology management. This leads to the conclusion that in order to overcome these barriers, administrative, technical, and cultural reforms must be implemented to encourage transparency, reduce bureaucracy, and improve inter-institutional integration.
Keywords :
Public investment, Management, Projects.
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