Cultura

From Policy to Practice: Governance Reforms and Commercialization in Indian Higher Education

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Priti Sharma, Dr. Tania Gupta

Abstract

Commercialization has become one of the most influential forces reshaping higher education in India, particularly in the decades following economic liberalization. While global market pressures are often viewed as the central driver, this paper argues that commercialization is largely the outcome of deliberate state action—expressed through legislative reforms, regulatory restructuring, judicial interventions, and shifting public-finance priorities. Drawing on an in-depth analysis of national policies, Five-Year Plans, major committee reports, regulatory statutes, budget documents, and international frameworks, this paper traces the evolution of state-led commercialization from the National Policy on Education (1986) to the National Education Policy (2020). The analysis reveals how the government's changing governance approach transformed higher education from a welfare-oriented public service into a system increasingly shaped by competition, private participation, cost recovery, and performance-based mechanisms. The paper examines the gap between policy objectives and actual practice and highlights the consequences of commercialization for equity, quality, and accountability. It concludes that commercialization is now structurally embedded in Indian higher education, with the State functioning simultaneously as enabler, regulator, and promoter of market-oriented reforms.

Keywords : Commercialization, Higher Education Policy, Privatization, NEP 2020, Academic Capitalism, Governance, Regulation, India.
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