Management skills as a strategic factor in the management of local public projects
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
Lina María Otálora Gómez, Jenny Edith Parada Camargo, Jorge Alberto Garzón Ortíz
Abstract
Some municipal entities face problems in the execution of their projects, affecting the development of objectives, admiration and well-being of their community, based on this situation the managerial skills of municipal cabinet leaders were analyzed, and their impact on project management within the local public administration. The study was developed using a mixed explanatory approach with a quantitative predominance, integrating structured questionnaires, semi-structured interviews and review of projects executed by the different municipal agencies. The population was made up of secretaries of office and officials attached to the municipal cabinet. The instrument assessed five managerial dimensions: leadership, communication, self-awareness, teamwork, and search for results, using a five-point Likert scale. The results showed strengths in collaborative work and achievement orientation, while leadership presented the lowest score, reflecting limitations related to team motivation, strategic communication and organizational leadership.
Keywords :
skills, project management, public administration, management.
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