Cultura

Institutional Strategies for Training in University Entrepreneurship. Analysis in a Public University

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

Sandra Milena Zambrano Vargas
Universidad Pedagógica y Tecnológica de Colombia (UPTC). sandra.zambrano01@uptc.edu.co. ORCID:0000-0003-3492-6971
Lina María Otálora Gómez
Universidad Pedagógica y tecnológica de Colombia (UPTC), lina.otalora@uptc.edu.co. ORCID: 0000-0002-2656-2269
Efrén Ariolfo Báez Conde
Universidad Pedagógica y tecnológica de Colombia (UPTC), fren.baez@uptc.edu.co. ORCID: 0000-0003-3942-8912

Abstract

In the Colombian context, entrepreneurship training has been consolidated as a relevant need for social and economic growth. The objective of this article is to analyze the experience developed by the Pedagogical and Technological University of Colombia in the implementation of an entrepreneurial training strategy that leads to a culture of entrepreneurship in the community. Methodologically, a single case study design was adopted, descriptive with a mixed approach, based on the application of a satisfaction instrument applied to 1,073 participants, highlighting the high acceptance and motivation of the population, who participated not only in training processes, but also in different actions carried out within the entrepreneurial ecosystem of the institution. Direct observation was also used, which helped in the improvement of didactic material depending on the results obtained and the level of satisfaction of the groups and individual entrepreneurs who received the training. The importance of strengthening the UPETECA entrepreneurial ecosystem is concluded, following the actions carried out so far and improving the interrelations of all the actors inclined to participate in it, including external actors from private companies and government entities.

Keywords : Entrepreneurship, agile methodologies, didactic tools, personal development.
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