Systematic Review of Factors Limiting the Effectiveness of Cash Transfers in Reducing Poverty
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Aldemar García Riaño
William Orlando Alvarez Araque
Andrea Yaelt Lemus Vergara
Abstract
This research analyzes the cash transfers provided by the State and their effects on families living in poverty. The problem lies in the fact that, despite being widespread and frequent, these transfers fail to reduce high rates of structural poverty, which may mean that their effectiveness is determined by institutional, operational, or social factors. Therefore, this study seeks to analyze the factors that determine the ineffectiveness of cash transfers in vulnerable households. The integrated methodology is qualitative, with a descriptive approach and a systematic review design. The results reflect critical perceptions regarding the coverage and frequency of the support received, the connection with formal employment opportunities, and the lack of institutional guidance for the productive use of resources. It is concluded that, although transfers can serve to meet certain emerging needs in families, they do not lead to a significant change in their poverty situation, given that this depends above all on structural failures in the implementation of transfers and on an approach that integrates family self-sustainability.
Keywords :
Vulnerable families, Poverty, Family sustainability, Cash transfers..
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