Cultura

Benchmarking as a Mechanism for the Incremental Formalization of Quality and Capacity Building in Traditional Small Businesses: Evidence of an Emerging Economy

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

Angélica María Contreras Jáuregui, Janeth Lorena Valero Pabón, Claudia Marcela Valero Carvajal

Abstract

In small businesses within emerging economies, benchmarking does not typically fail due to technical deficiencies in the tool itself, but rather because of the inherent fragility of their own organizational structures. Lacking standardized processes, these business units face a chasm between management theory and daily operations, where informality dictates the rules of the game.

This research moves away from the simplistic view of benchmarking as a mere performance mirror; instead, it analyzes it as a driver that creates tension and compels formalization in environments where knowledge is often tacit and unsystematic. The study contributes to the literature by reconceptualizing benchmarking in small-scale contexts and introducing a replicable ordinal framework for evaluating structural gaps. The implications highlight the potential of simplified benchmarking approaches to strengthen organizational stability and resilience in resource-constrained environments.

Keywords : Organizational formalization; quality capability development; Small and medium-sized enterprises (SMEs); capability building; longitudinal case study; Artisanal production systems; organizational learning; emerging markets..
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