Cultura

Reciprocity and Sustainability in HEI-Community Engagement: Assessing Higher Education Institution-Community Partnerships as Basis for a Sustainability Plan

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

Mary Ann T. Enriquez
Western Mindanao State University, Zamboanga City, Philippines
Wylen L. Lipanglipang
Western Mindanao State University, Zamboanga City, Philippines

Abstract

Background: Higher Education Institutions are mandated to deliver extension as a core function, yet the sustainability of partnerships is rarely examined through an axiological lens. Purpose: This study assessed HEI-community partnerships in Zamboanga City across assessment (inputs, process, outcomes), monitoring, and evaluation as basis for a sustainability plan. Methods: A descriptive-quantitative survey of 223 stakeholders (28 BLGU officials, 2 key persons, 2 staff, 191 beneficiaries) from four adopted barangays of one public and one private HEI used a validated AACCUP-based instrument (α=0.986). Data were analyzed using weighted mean, independent t-test, and ANOVA. Results: Partnership was Extensive for inputs (M=3.66), process (M=3.62), monitoring (M=3.52), evaluation (M=3.56) and Moderate for outcomes (M=3.50), overall M=3.59 (Extensive). Significant differences existed by HEI type (private > public, p<0.05) and respondent type (staff/key persons > beneficiaries, p<0.001). Conclusion: Partnerships are structurally sound but outcome-moderate, revealing a gap between delivery and institutionalized transformation. A five-pillar sustainability plan anchored on legitimacy, reciprocity, and distributive justice is proposed.

Keywords : HEI-community partnership, extension program, sustainability plan, reciprocity, social capital, axiology.
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