Characterization of the Supply Chain in the Horticultural Production Process Under the Scor Model in the Province of Tundama, Boyacá
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
Serrano-Amado, Ana M, Sanabria-Neira, Nancy C, Chávez-Otálora, Alba M
Abstract
This study characterizes the supply chain of the horticultural sector in the province of Tundama, Boyacá (Colombia), using the SCOR (Supply Chain Operations Reference) model as a guiding framework. Through a mixed-method approach—combining bibliometric analysis, surveys, interviews, and statistical processing—the research identifies critical gaps and improvement opportunities in the areas of production, sourcing, distribution, marketing, and sustainability. The findings reveal a predominantly traditional agricultural structure with limited adoption of advanced technologies, infrastructure deficiencies, high logistical costs, and weaknesses in marketing channels and customer loyalty. Despite these challenges, there is a high willingness among producers to adopt technological innovations and improve sustainability practices. The application of the SCOR model facilitated a comprehensive diagnosis of the chain's strengths and weaknesses, laying the foundation for strategic improvements and more resilient, competitive horticultural supply chains in the region.
Keywords :
Horticultural supply chain; SCOR model; logistics; sustainable agriculture; Colombia; producers; marketing; supply chain characterization; Boyacá..
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