Cultura

Environmental Advances of MSMEs in Colombia over the Last Decade (2013–2023): An Analysis of Policies, Practices, and Challenges

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

Luis Alfonso Moreno Corredor
Doctor en Relaciones Internacionales; Magíster en Relaciones Internacionales Iberoamericanas; Economista. Universidad Pedagógica y Tecnológica de Colombia.
Leonardo Quijano Brand
Magister en Dirección; Administrador de Empresas. Universidad Pedagógica y Tecnológica de Colombia
Sandra Constanza Tiuzo Martínez
Magíster en Administración; Ingeniera Industrial. Universidad Pedagógica y Tecnológica de Colombia.

Abstract

Micro, small, and medium-sized enterprises (MSMEs) account for 99.5% of Colombia's business fabric, generate 79% of employment, and contribute approximately 40% of GDP. Their role in the transition to a sustainable economy is decisive given their penetration across all productive sectors. This article analyzes the environmental advances of Colombian MSMEs during the period 2013–2023, examining the regulatory framework, adopted practices, eco-innovation outcomes, and remaining challenges. A systematic literature review methodology is applied, including documentary analysis of public policies, sector surveys, and indexed academic research. Results show significant normative progress—with milestones such as Law 1819 of 2016, the Climate Action Law (2021), and CONPES 4129—and measurable practical advances: 76% of SMEs had adopted at least one environmental action by the close of the period. However, structural gaps persist: only 29% have formalized environmental plans. The study concludes that progress is real but insufficient, and that deeper institutional coordination is needed to achieve an inclusive green transition.

Keywords : MSMEs, environmental sustainability, eco-innovation, Colombia, corporate environmental policy, green economy.
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