Cultura

Key Management Skills for 21st Century Entrepreneurs

VOLUME 23, 2026

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

VOLUME 6, 2023

Tipán Tapia, Luis Alfredo, Molina Díaz, Rolando Patricio, Montero Berru, Mercedes Beatríz, Pazmiño-Linzán, Jhony Fabián, Carrillo Punina, Alvaro Patricio, Suárez Vaca, Wilmer Adrian, Ñacata Loachamin, Nathaly Alexandra

Abstract

Within a landscape of digital transformation, global sustainability and increasing economic uncertainty, managerial skills play a fundamental role in the consolidation of entrepreneurship. This analysis set out to determine the competencies with the greatest impact on the success of active entrepreneurs in the 21st century, especially those who are part of the field of micro, small and medium-sized enterprises (MSMEs). An instrument validated by experts was used, composed of a Likert-type scale that examined between 10 and 15 fundamental managerial competencies, through a correlational and quantitative descriptive method. The sample included entrepreneurs who had a minimum of two years of formal activity. A statistical analysis was carried out that included the analysis of differences by age, sector and gender, PLS-SEM models, logistic regression and EFA (exploratory factor analysis). The findings indicated that emotional intelligence and transformational leadership are competencies that emerge as relevant predictors of business success, which supports the initial assumption. Functional groupings of competencies and important distinctions between groups were also identified, indicating the need for segmented training programmes. For policymakers, institutions that support companies, and researchers, this study provides a validated model of managerial competencies applicable to today's entrepreneurs. It is concluded that being successful as an entrepreneur not only implies having technical skills, but also improving strategic soft skills that enhance leadership, adaptation, and decision-making in complicated situations.

Keywords : Management skills, Entrepreneurial success, Emotional intelligence, Transformational leadership..
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