Cultura

Competitiveness in Boyacá Based on an Organizational Strategic Diagnosis for the Tourism Sector

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

Efrén Ariolfo Báez Conde, Olga Rocío Márquez Moreno, Sandra Milena Zambrano Vargas

Abstract

This article analyzes the factors that influence tourism competitiveness in the department of Boyacá (Colombia), based on a strategic organizational diagnosis of the sector. Constant changes in tourist demand, evolving visitor consumption habits, and the search for more sustainable tourism have driven the entire tourism value chain to adapt to new service modalities. Despite possessing countless comparative advantages, Boyacá shows significant competitiveness gaps, ranking ninth in the Departmental Competitiveness Index (2018). Through the application of Serna's (2014) strategic diagnostic model integrating the External Opportunity and Threat Profile (POAM), the Internal Capability Profile (PCI), Key Success Factors (KSF), and the SWOT matrix critical gaps in the department's tourism value chain were identified, along with offensive, defensive, adaptive, and survival strategies to improve Boyacá's competitive position. Findings reveal structural weaknesses in infrastructure, human talent, innovation, marketing, and governance, but also significant opportunities arising from tourism internationalization, strategic alliances, and the potential of cultural and gastronomic tourism. The study concludes that the department's tourism competitiveness requires multidimensional intervention, articulated among public, private, and academic sectors.

Keywords : Tourism competitiveness, strategic diagnosis, SWOT, Boyacá, tourism value chain, competitive advantage..
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