Cultura

Business Strategy for Human Talent, at the Cantonal Agricultural Center for Progress of Sarapiquí CACPROSA, Based on the Organizational Structure

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

Lilia Socorro Calderón Barrera, Derly Astrid Ortiz Salamanca, Alejandro Fonseca Bayona3

Abstract

This study aims to generate a human talent business strategy to enhance staffing in CACPROSA, supported by an adequate organizational structure. Through a qualitative approach with case study design and interviews with the four administrative managers of the organization, the current state of staffing, its strengths and weaknesses, the relationship with the organizational structure, and the existing monitoring and evaluation mechanisms were analyzed. The results reveal a predominantly informal human talent management, with the absence of structured job planning, verbal hiring, lack of standardized processes of selection, induction, evaluation and development of personnel. 100% of the interviewees agreed on the urgent need to create an area specialized in human talent management. It is concluded that the lack of a formal structure and clear policies has limited the operational efficiency and development of the staff in CACPROSA, generating reactive and unprofessionalized practices. As a main recommendation, it is proposed to formally create the Human Resources Management area, accompanied by a business strategy that contemplates technical and structured processes in all stages of the human talent management cycle, aligned with a new organizational structure that guarantees efficiency, sustainability and institutional well-being.

Keywords : Business strategy, human talent, organizational structure..
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