Cultura

Strengthening Educational Quality in Public Universities: Continuous Teacher Training and Institutionalization of Good Practices in Virtual Education

VOLUME 23, 2026

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Herlinda Ortiz Acevedo
Alvarado González Heidy Yajayra
Gladys Andrea Torres Estepa

Abstract

The rapid digital transformation of higher education has challenged public universities to ensure quality in virtual learning environments through sustainable institutional strategies. This study aimed to analyze the impact of continuous teacher professional development on educational quality in public universities and to propose an institutional model for consolidating best practices in virtual education. A mixed-methods sequential explanatory design (QUAN → QUAL) was employed. The quantitative phase included 312 faculty members and 1,248 students from six public universities. Data were analyzed using descriptive statistics, Pearson correlations, multiple regression, ANOVA, and mediation analysis with bootstrap procedures. The qualitative phase involved semi-structured interviews with academic leaders and focus groups with faculty members, analyzed through thematic coding and triangulation.

Results indicated that continuous professional development significantly predicted digital teaching competencies (r = .62, p < .01). Digital competencies mediated the relationship between training and implementation of best practices, which emerged as the strongest predictor of academic performance (β = .37, p < .001) and student satisfaction (r = .74). The structural model explained 58% of the variance in academic achievement (R² = .58). Universities with institutionalized professional development policies showed significantly higher approval rates (up to 14 percentage points) compared to those with non-systematic programs.

Findings highlight that sustainable educational quality in virtual higher education depends not only on technological access but on the institutionalization of continuous teacher training, structured pedagogical innovation, and organizational governance aligned with digital transformation. A five-pillar institutional model is proposed to support systemic quality improvement.

Keywords : Educational quality; continuous professional development; digital teaching competencies; higher education; public universities; virtual education; institutional governance; best practices; mixed-methods research; digital transformation..
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