Cultura

Application of Theories of Motivation, Competencies and Methods in the Arenal Huetar Norte Conservation Area (ACAHN), of the National System of Conservation Areas (SINAC) of Costa Rica, to achieve the Institutional Goals

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, Sonia María Calvo González, Derly Astrid Ortiz Salamanca

Abstract

Objective: This study sought to measure the level of staff motivation, as well as to identify the competencies and methods applied by the heads of the Arenal Huetar Norte Conservation Area (ACAHN), of the National System of Conservation Areas (SINAC) of Costa Rica, to achieve institutional goals.

Methodology: A quantitative approach with a descriptive scope and a non-experimental transectional design was used. The population consisted of 23 employees selected by means of a non-probabilistic sample to whom a questionnaire composed of 3 dimensions was applied: Motivation theories, materials and methods, and competencies.

Results: It was found that 44% of the Regional Office staff perceived a partial level of motivation. In addition, while more than 50% of the area chiefs apply 360° feedback and evaluation and inspirational leadership was identified in the Subregions Office with 63% incidence, 80% partially disagreed with recognition programs in the Protected Areas Office, and a perception of indifference (60%) towards competencies such as effective delegation and empathy in this same office.

Conclusion: The findings underscore the imperative need to boost and strengthen staff motivation at ACAHN by developing comprehensive strategies that address inconsistencies in the application of measurement methods, strengthen key managerial competencies, and significantly improve the quality and effectiveness of recognition programs.

Keywords : Motivation, methods and tools, managerial competencies..
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