The purpose of this study is to analyze the new forms of labor subordination experienced by domestic Workers operating through apps and digital platform companies. Given the contexto of intensified datafication and financialization of everyday life and neoliberal hegemony, there is a need to undertand how the socio-sexual Division of labor functions in this scenario. With the rise of the platformization of labor and the intensification of uberization, new forms of control, management, and subordination of labor are being employed, exacerbating the precariousness and informalization of workers. In the contexto of platformization of domestic work, domestic Workers, who already faced a precarious and undervalued work reality, are now doubly subordinated: by the client and by the platform company. The research began with a bibliographic and documentar review of the Terms of Use of platform companies and is currently using na active online questionnaire to profile the women working through these platforms. Initial data frm the questionnaire may suggest some hypotheses, such as changes in the profile of workers who are domestic workers through apps in terms of age and race, and that the characteristics of informalization and precariousness of domestic work are manifesting in the contexto of labor platformization.

O objetivo deste trabalho é analisar as novas formas de subordinação de trabalho de diaristas que atuam por meio de aplicativos e empresas-plataformas digitais. Considerando a conjuntura de intensificação da dataficação e financeirização da vida cotidiana e da hegemonia neoliberal, há a necessidade de compreender como a divisão sociossexual do trabalho se comporta neste cenário. Com a ascensão do fenômeno da plataformização do trabalho e a intensificação da uberização, novas formas de controle, gerenciamento e subordinação do trabalho estão sendo utilizadas, acentuando a precarização e informalização dos trabalhadores. No contexto de plataformização do trabalho doméstico, as diaristas, que já enfrentavam uma realidade precarizada e desvalorizada de trabalho, agora se encontram duplamente subordinadas: pelo cliente e pela empresaplataforma. A pesquisa, então, se iniciou com uma pesquisa bibliográfica e documental pelos Termos de Uso das empresas-plataformas e atualmente está com um questionário online ativo afim de conseguir traçar o perfil das mulheres que trabalham por meio das plataformas. Os dados iniciais retirados do questionário podem indicar algumas hipóteses, como a mudança de perfil das trabalhadoras que atuam como diaristas por meio dos aplicativos em relação à idade e raça, e que as características de informalização e precariedade do trabalho doméstico vêm se manifestando em um contexto de plataformização do trabalho.

Resumen: Esta investigación tiene por objeto adaptar y validar el instrumento denominado Perfil de Implementación del Proyecto (PIP) para la evaluación de proyectos realizados en Latinoamérica. Participaron 420 profesionales involucrados, ya sea como líderes o miembros de equipos, en proyectos culminados en el periodo 2020-2021. Como el instrumento fue elaborado en inglés se utilizó un procedimiento de traducción y re-traducción, en el cual participaron expertos profesionales y académicos en gestión de proyectos junto con traductores certificados, para su adaptación a la población hispanoparlante en Latinoamérica. Para el análisis factorial exploratorio se seleccionó el método de extracción de mínimos cuadrados no ponderados, obteniéndose cuatro factores críticos de éxito: Comunicación con el cliente, seguimiento y planeación, alta gerencia, y capacidades técnicas, con coeficientes Cronbach Alpha comprendidos entre .876 y .933. Posteriormente se aplicó el análisis factorial confirmatorio, el cual demostró que el instrumento posee validez convergente y discriminante y, en consecuencia, puede ser utilizado en la academia para futuras investigaciones sobre la gestión de proyectos, y en lo profesional para evaluar el desempeño de proyectos ecuatorianos, contemplando la limitación de que el porcentaje de participación de proyectos de otros países de Latinoamérica en la muestra de estudio fue del 22 %.

Abstract: This research aims to adapt and validate the Project Implementation Profile (PIP) instrument for evaluating projects carried out in Latin America. Four hundred twenty professionals participated as leaders or team members in projects completed in 2020-2021. As the instrument was developed in English, a translation and retranslation procedure was used, in which professional and academic experts in project management participated, along with certified translators, for its adaptation to the Spanish-speaking population in Latin America. For the exploratory factor analysis, the unweighted least squares extraction method was selected, obtaining four critical success factors: Communication with the client, monitoring and planning, senior management, and technical capabilities, with Cronbach Alpha coefficients between .876 and 933. Subsequently, confirmatory factor analysis was applied, demonstrating that the instrument has convergent and discriminant validity and, consequently, can be used in academia for future research on project management and professionally to evaluate the performance of Ecuadorian projects, considering the limitation that the percentage of participation of projects from other Latin American countries in the study sample was 22%.

BACKGROUND: There was a need to investigate the appropriateness of the standard manual wheelchairfor occupational performance in Thulamela Municipality Vhembe District, Limpopo. METHODS: An observational cross-sectional descriptive design using simple random sampling was used to select n=60 wheelchair users who were issued with standard manual wheelchairs between 2014 and 2018. The Wheelchair Outcome Measure was used to investigate the participants' level of satisfaction in engagement in ADL and IADL and the suitability of the wheelchair in terms of the user's comfort and satisfaction with positioning and prevention of skin breakdown. Descriptive statistics were used to analyse the data. RESULTS: The wheelchair users viewed activity participation in the home as important and were generally satisfied with their standard manual wheelchairs while performing occupational activities at home and outside the home. A total of (n=46; 78%) of the participants felt comfortable in their wheelchair. CONCLUSIONS: Wheelchair prescription should take into consideration the occupational choices of the user. Further qualitative studies to explore the factors that determined the participants' choices for their activity participation goals should be undertaken. IMPLICATIONS FOR PRACTICE • Training of new occupational therapy staff in each facility in the Thulamela district to equip them with the skills to prescribe wheelchairs is necessary. • The level of importance that wheelchair participants attached to level of importance of activity participation inside and outside the home was high therefore there is a need to consider the client's occupational choices when prescribing wheelchairs. • The wheelchair needs to facilitate participation in a wide range of occupational choices ranging from self-care activities and watching TV in the home to visiting friends and family and attending events outside the home.

Abstract: The animation process, as one of the key areas within the hotel, plays a fundamental role in the general operation of the installation. That said, it is essential to plan and carry out recreational and cultural activities from a creative, efficient and innovative approach. For this reason, the general objective of this scientific article is to propose activities within the framework of creative tourism to complement the animation program of the Brisas Guardalavaca hotel. The methodology used contains dissimilar investigative tools and techniques such as observation, rain of ideas, the checklist, the identification of strengths and weaknesses, among others. In addition, some bibliometric tools were used to support the study and the Science Direct database of Scopus was used. The results show some difficulties in the hotel animation process, despite its positive image and good condition in general. Likewise, various activities were proposed to meet the needs of children, the elderly, the newly married, the disabled, etc. As conclusions, the importance of perfecting and updating the recreation plans of an entity is recognized, being according to the new client needs and in harmony with the changing environment to reach high levels of satisfaction.

Resumen: El proceso de Animación, como una de las áreas claves dentro del hotel, juega un papel fundamental en el funcionamiento general de la instalación. Dicho esto, resulta imprescindible planificar y llevar a cabo las actividades recreativas y culturales desde un enfoque creativo, eficiente e innovador. Por tal razón, el objetivo general del presente artículo científico consiste en proponer actividades en el marco del turismo creativo para complementar el programa de animación del hotel Brisas Guardalavaca. La metodología empleada contiene disímiles herramientas y técnicas investigativas como la observación, la lluvia de ideas, la lista de chequeo, la identificación de fortalezas y debilidades, entre otras. Además se emplearon algunas herramientas bibliométricos para apoyar el estudio y se hizo uso de la base de datos Science Direct de Scopus. Los resultados muestran algunas dificultades en el proceso de Animación del hotel, a pesar de su imagen positiva y buen estado en general. Asimismo, fueron propuestas diversas actividades en aras de satisfacer las necesidades de los niños, las personas de la tercera edad, los recién casados, los discapacitados, etc. Como conclusiones se reconoce la importancia de perfeccionar y actualizar los planes de recreación de una entidad, estando a acorde a las nuevas necesidades de los clientes y en armonía con el entorno cambiente para alcanzar altos niveles de satisfacción.

Abstract The probability of influencing the skin microbiome for addressing skin disorders opens a novel aisle of therapy. This study aimed to evaluate the efficacy of skin microbiota transplantation (sMt) for cutaneous adverse food reactions (caFr) in dogs. Ten client-owned dogs with caFr were included in the study. Unenriched heterologous sMt was performed using Nivea Skin Refining Clear-Up Strips (N-cUs). The bacterial microbiota of skin samples was analysed by next-generation sequencing of the 16S rRNA gene. Other relevant biomarkers were involved in VAS (visual analogue scale of pruritus score), CADESI-04 (canine atopic dermatitis extent and severity index) and epidermal corneometric analysis. Increased Faecalibacterium (0 to 1.9 %), Peptoclostridium (5.49 % to 9.11 %) and Collinsella (0.65 % to 8.91 %), and decreased Fusobacterium (19.16 % to 9.06 %), Porphyromona (8.75 % to 0.13 %), Streptococcus (1.63 % to 0.14 %) and Staphylococcus (1.09 % to 0.49 %) was evidenced before and after sMt, respectively. Treatment with sMt effectively controlled clinical signs and drastically reduced median VAS pruritus (6.5 vs. 2) and CADESI-04 scores (74.50±22.62 to 19.30±11.30) (p<0,001). In addition, skin pH and hydration values were improved (p<0,001) after sMt. The heterologous and unenriched sMt with N-cUs could be responsible for the clinical recovery observed in this study.

Resumen La probabilidad de influir en el microbioma de la piel para abordar trastornos dermatológicos abre una nueva vía de terapia. El objetivo del presente trabajo fue evaluar la eficacia del trasplante de microbiota cutánea (sMt) en diez perros con reacciones en piel, adversas a los alimentos (caFr). Se realizó un sMt heterólogo no enriquecido mediante el uso de tiras clarificadoras Nivea Skin Refining Clear-Up (N-cUs). Se prefirió la secuenciación de próxima generación para investigar la microbiota bacteriana en las muestras de piel de los animales estudiados. Otros biomarcadores relevantes estuvieron involucrados en la puntuación de prurito VAS, CADESI-04 y análisis corneométrico epidérmico (hidratación y pH). El gen 16S rRNA clasificó con éxito la presencia de un aumento de Faecalibacterium (0 a 1,9%), Peptoclostridium (5,49 % a 9,11 %) y Collinsella (0,65 % a 8,91 %), mientras que se observó una disminución de Fusobacterium (19,16 % a 9,06 %), Porphyromonas (8,75 % a 0,13 %), Streptococcus (1,63 % a 0,14 %) y Staphylococcus (1,09 % a 0,49 %), antes y después del sMt. El tratamiento con sMt controló eficazmente los signos clínicos y redujo drásticamente la mediana del prurito VAS (6,5 vs. 2) y las puntuaciones CADESI-04 (74,50±22,62 a 19,30±11,30) (p<0,001). Además, tanto el pH de la piel como los valores de hidratación se vieron alterados (p<0,001) después del sMt. El sMt heterólogo y no enriquecido con N-cUs podría ser responsable de la recuperación clínica observada en este estudio

Abstract Introduction: The role of the nurse in the preoperative period involves identifying the client's needs and the risk factors related to the entire perioperative period. This preoperative preparation is not always a straightforward process and has some challenges that are important to explore in order to highlight the autonomous intervention of nurses during this period. Objective: To explore the difficulties perceived by nurses in the preoperative preparation of clients undergoing scheduled general surgery. Methods: An exploratory, qualitative study was carried out. To collect data, 23 semi-structured interviews were carried out with nurses who had been working in operating theatres or general surgery departments for more than 5 years. The data was analyzed using Bardin's content analysis technique. Results: Three thematic units emerged from the content analysis: difficulties experienced, contributions of the preoperative nursing consultation, and aspects to be taken into account when organizing the consultation. The difficulties mentioned by the nurses centered on the preparation of the surgical client and the conditions for this preparation. Conclusion: Identifying nurses' perceptions of the preoperative preparation that is currently carried out for clients undergoing scheduled general surgery made it possible to find out about the difficulties they experience. Preoperative preparation should be structured and take into account various dimensions such as physical, emotional, knowledge and logistical aspects. These results will contribute to improving the nursing care provided during the perioperative period.

Resumen Introducción: El papel de la enfermera en el periodo preoperatorio implica identificar las necesidades del cliente y los factores de riesgo relacionados con todo el periodo perioperatorio. Esta preparación preoperatoria no siempre es un proceso sencillo y presenta algunos retos que es importante explorar para enfatizar la intervención autónoma de las enfermeras durante este periodo. Objetivo: Conocer las dificultades percibidas por los enfermeros en la preparación preoperatoria de los clientes sometidos a cirugía general programada. Métodos: Se realizó un estudio exploratorio y cualitativo. Para recoger los datos, se realizaron 23 entrevistas semiestructuradas a enfermeras que llevaban más de 5 años trabajando en quirófanos o departamentos de cirugía general. Los datos se analizaron mediante la técnica de análisis de contenido de Bardin. Resultados: Del análisis de contenido surgieron tres unidades temáticas: dificultades experimentadas, aportaciones de la consulta de enfermería preoperatoria y aspectos a tener en cuenta en la organización de la consulta. Las dificultades mencionadas por las enfermeras se centraron en la preparación del cliente quirúrgico y en las condiciones de esta preparación. Conclusión: Identificar las percepciones de los enfermeros sobre la preparación preoperatoria que se realiza actualmente a los clientes sometidos a cirugía general programada permitió conocer las dificultades que experimentan. La preparación preoperatoria debe ser estructurada y tener en cuenta varias dimensiones, como los aspectos físicos, emocionales, de conocimiento y logísticos. Estos resultados contribuirán a mejorar los cuidados de enfermería prestados durante el periodo perioperatorio.

Resumo Introdução: O papel do enfermeiro no pré-operatório passa por identificar as necessidades dos clientes e os fatores de risco relacionados com todo o período perioperatório. Esta preparação pré-operatória nem sempre é um processo linear e reveste-se de alguns desafios que é importante explorar para dar relevo à intervenção autónoma do enfermeiro neste período. Objetivo: Conhecer as dificuldades percecionadas pelos enfermeiros na preparação pré-operatória de clientes submetidos a cirurgia geral programada. Métodos: Foi realizado um estudo exploratório, de abordagem qualitativa. Para a recolha de dados foram realizadas 23 entrevistas semiestruturadas a enfermeiros que exercem a sua atividade em bloco operatório ou serviços de cirurgia geral há mais de 5 anos. Os dados foram analisados pela técnica de análise de conteúdo de Bardin. Resultados: Da análise de conteúdo emergiram três unidades temáticas: dificuldades sentidas, contributos da consulta de enfermagem pré-operatória e aspetos a atender na organização da consulta. As dificuldades referidas pelos enfermeiros centraram-se na preparação do cliente cirúrgico e nas condições para essa preparação. Conclusão: A identificação da perceção dos enfermeiros acerca da preparação pré-operatória que é efetuada atualmente aos clientes submetidos a cirurgia geral programada permitiu conhecer as dificuldades sentidas por estes. A preparação pré-operatória deverá ser estruturada e ter em conta várias dimensões como a física, a emocional, o conhecimento e os aspetos logísticos. Estes resultados contribuirão para a melhoria dos cuidados de enfermagem prestados durante o período perioperatório.

INTRODUCTION: Holistic healthcare service delivery requires rehabilitation personnel to consider all the components of health that influence the client's quality of life. However, there is limited literature on approaches to implementing rehabilitation services within South African public healthcare. This study explored rehabilitation personnel's (such as occupational therapists, speech therapists, physiotherapists) use of occupation-based practice impairment-based practice and the barriers and facilitators associated with their practice choice. METHODS: A qualitative research design was conducted through semi-structured interviews (13 participants), a focus group (4 participants) and community mapping. Purposive sampling was utilised to select participants in the iLembe district, KwaZulu-Natal, South Africa. Data were analysed using deductive thematic analysis. FINDINGS: Three themes emerged from the study; Attitudes towards impairment-based practice, Reflections on OBP, and The way forward. The need to focus on all the components of health rather than just the disease and the benefits of using the occupation-based practice approach were highlighted. Additionally, different factors required to implement holistic rehabilitation services and the barriers to OBP were identified. CONCLUSION: Although the study identified OBP benefits, various barriers associated with its implementation were identified. Rehabilitation personnel, community stakeholders, and clients must work together to improve OBP implementation in public healthcare by combating the barriers identified in the study. IMPLICATIONS FOR PRACTICE: This study has implications for rehabilitation service implementation in the iLembe district public healthcare sector. OBP was perceived to have more quality of life and health outcomes, which leads to implications for practice. There is a need to transition from the medical model with approaches only focusing on body structures and functions into approaches that consider all the components of health, such as the OBP. Even though there are barriers towards OBP implementation, rehabilitation personnel can still promote its implementation through inter-professional practice, continuous professional development and health promotion. Furthermore, there are implications for undergraduate programmes to equip undergraduates with the skills to implement OBP within under-resourced facilities.

INTRODUCTION: Self-employment, in which individuals work for themselves in a small business or microenterprise to earn an income or generate a salary, has been encouraged to facilitate employment opportunities in South Africa. However, participation in self-employment within the community served by professionals such as occupational therapists is limited by many factors, including effective government initiatives, such as implementing the Small Enterprise Development Agency (SEDA) policies. To enable individuals and community participation in this type of work for those with occupational dysfunction, mainly persons with disabilities, professionals such as occupational therapists need to understand the structural, contextual and occupational outcomes related to self-employment. Based on the Framework for Occupational Justice, this study explored the occupation of self-employment in microenterprises in the low-resourced urban community of Alexandra Township. METHOD: A quantitative descriptive non-experimental design study was used to identify informal microenterprises in the community using a transect walk and community mapping. Structured interviews were conducted to complete a questionnaire with key informants (service providers and business owners) who provided perceptions on factors that impacted the occupational outcomes of microenterprises. RESULTS: Structural and contextual factors from the participants' experience resulted in unjust occupational outcomes, which indicates that occupational rights, particularly participation, choice and balance, were negatively affected by the lack of opportunities, such as jobs. Occupational marginalisation and imbalance were reported since many businesses lacked adequate and appropriate space for trade. Some business owners, however, reported just occupational outcomes related to the occupational right for meaningful occupation in providing a service to the community and financial income to support themselves and their families. CONCLUSION: Occupational therapists need to play various active roles in raising the consciousness of unjust occupational outcomes and support for just occupational outcomes that are achieved in engagement in self-employment in informal microenterprises. IMPLICATIONS FOR PRACTICE: Occupational therapists should take note of the factors and occupational outcomes of being self-employed identified in this study and consider the roles they could play in expediting success in this occupation for clients. Occupational therapists could assume: • A collaborative role, such as referring and working with various key role players or sectors in the interest of sourcing and providing opportunities for skills development for those entering self-employment, particularly in entrepreneurial training. This may include working with the government (e.g., Department of Labour and Small Enterprise Development Agency), private sector (e.g., yes4youth), other professions (social workers and industrial psychologists) and organisations for persons with disabilities (e.g., Disabled People South Africa). • A researcher role by conducting further research in this field, e.g., the development of an evidence-based framework on self-employment for occupational therapists. More research is still needed on, e.g., domains such as performance patterns, performance skills and client factors related to self-employment for persons with disabilities. • An educator's role by incorporating and teaching content on self-employment as an occupation when training occupational therapy students. • A clinical role, where they could assist with adaptations to the skills, tasks or environment to facilitate engagement in self-employment. Essential aspects to consider by the occupational therapist together with their clients during the collaborative occupational therapy process include, but are not limited to, o The client's motivation, dedication and whether self-employment is the client's primary choice. o The client's potential to be self-employed and their level of resilience in dealing with factors affecting self-employment in the informal labour sector.

INTRODUCTION: Clinical utility is an important attribute in selecting an assessment tool. The study aimed to determine the perceptions of South African occupational therapists of the clinical utility of Modular Arrangement of Predetermined Time Standards (MODAPTS) work samples when assessing a client's work ability. The research objectives were to determine whether MODAPTS is perceived to be credible, practical, useful, and easy to use. METHODOLOGY: A quantitative, cross-sectional, descriptive research design was used. Non-probability sampling with elements of voluntary response- and snowball sampling was used to recruit respondents. An electronic questionnaire was developed using Qualtrics, which was distributed electronically via the Occupational Therapy Association of South Africa, WhatsApp and Telegram. RESULTS: Data were based on 52 completed questionnaires, analysed through descriptive statistics MODAPTS was perceived as practical, useful, credible, and asy to use in practice. Main barriers to the use of MODAPTS included the timeliness of developing work samples, lack of MODAPTS training, and having other more useful and reliable assessment tools. Experienced occupational therapists used MODAPTS more often than inexperienced occupational therapists. CONCLUSION: Clinical utility of work samples developed using MODAPTS has been confirmed. This supports the use of work samples developed using MODAPTS as part of work assessments as a cost-effective, practical tool. IMPLICATIONS FOR PRACTICE: • Development of contextually relevant work samples. •Use of MODAPTS work samples as an outcome measure during intervention. • Application during rehabilitation goal setting. • Cost effective application of MODAPTS work samples in a variety of settings.

BACKGROUND: The transfer of all types of knowledge in occupational therapy practice is complex, and there is little agreement globally on the most important types of knowledge that inform clinical practice. This study aimed to uncover the perspectives of occupational therapists in the Free State, South Africa on knowledge transfer in clinical practice. METHODOLOGY: Q methodology was used to collect data from 14 occupational therapists utilising Q Method Software. RESULTS: Factor analysis revealed two factors with eigenvalues of greater than 1. Factor 1 had an eigenvalue of 2.97, and factor 2 had an eigenvalue of 1.48. These two factors were constructed from six and five participants' Q Sorts respectively, with the highest factor loads for factor 1 and factor 2. Thematic content analysis of these two factors identified two themes, namely: client-centred philosophy and practice informed through clinical reasoning. CONCLUSION: The strategic use of Q methodology presented empirical evidence of the transfer and utilisation of all types of knowledge in clinical practice in the Free State, South Africa. The results indicated the transfer of propositional, procedural, personal, and client knowledge strengthens client-centred practice and manifests in clinical reasoning. Furthermore, the results indicate an interdependence between the types of knowledge, meaning that it is important that therapists utilise all types of knowledge and not rely on only one form of knowledge when they work with patients to promote well-being. IMPLICATIONS FOR PRACTICE: • Q Methodology is an ideal research method to identify the subjective perspectives of participants where different opinions on a topic might exist. • Clinicians hold a wealth of practice experience and personal knowledge that should be shared and captured through research. • The client's voice needs to be heard more often to ensure client-centred practice is not only an idea on paper.

BACKGROUND: Oral health care workers (OHCWs) are critical in providing holistic treatment and preventing the spread of HIV disease. They are uniquely placed to identify, diagnose, manage and treat HIV-related oral lesions. AIM: To determine oral health clinicians' knowledge and attitudes towards HIV-associated oral lesions. METHODOLOGY: A descriptive cross-sectional survey was conducted at Gauteng's primary health care (PHC) facilities. Data collection targeted the three categories of OHCWs - dentists, dental therapists and oral hygienists. RESULTS: The response rate was 67.5% (n=110), majority of the participants, 76.4% (n=84), were female. Nearly all participants, 91.8% (n=100), agreed that oral lesions are common in people living with HIV and AIDS (PLWHA) and that early diagnosis of HIV/treatment increases PLHIV's life expectancy. More than three-quarters (80%) reported that they had no problem treating patients diagnosed with HIV Almost a third, 36.4% (n=40), listed necrotising periodontal conditions and oral candidiasis 34.5% (n=38) as the most common oral manifestations. Most respondents correctly identified oral candidiasis (92.7%), Kaposi sarcoma (84.5%) and necrotising ulcerative periodontal conditions (80.9%). CONCLUSION: Although OHCWs had sound knowledge of oral manifestations of HIV, training programmes must be prioritised for knowledge transfer. Dental facilities can be used as a health-promoting platform and a viable location for provider-initiated testing and counselling (PICT) and client-initiated counselling and testing (CICT), also known as voluntary counselling and testing (VCT). The use of HIV rapid testing kits is an option to be explored in the dental facility by OHCWs.

Abstract: Variation orders became one of the major issues presented in construction projects. The nature of work in the construction industry is complex and difficult. Thus, variation orders are expected to occur in every project due to its nature. The purpose of this study was to investigate the causes of variation orders in construction projects in Egypt according to the perspective of professional parties working for medium and small-sized construction companies. The main method used for data collection was a questionnaire survey with experts working in the Egyptian construction industry, where 62 participants from 18 construction companies were invited to take part in the study, and 51 of them accepted the invitation. The findings showed the top-ranked causes of variation orders according to small and medium-sized construction companies were poor communication, omissions in the design, financial limitations of the owner, additional work requested by the client, and the contractor’s desire to gain more profits. Thus, a proper understanding of the causes of the problem can help establish a suitable criterion for reducing variation orders in construction projects in Egypt. The contribution of this study lies in the fact that only a very limited number of research explored the perspective of medium and small-sized construction companies in Egypt. The study can be useful for other countries with similar working conditions and still suffering from the adverse impact of variation orders.

Resumen: Las órdenes de cambio se han convertido en uno de los principales problemas observados en los proyectos de construcción. La naturaleza del trabajo en la industria de la construcción es compleja y difícil. Por lo tanto, es de esperar que las órdenes de cambio ocurran en cada proyecto debido a su naturaleza. El propósito de este estudio fue investigar las causas de las órdenes de cambio en proyectos de construcción en Egipto considerando la perspectiva de los profesionales que trabajan para empresas constructoras de tamaño medio y pequeño. El principal método utilizado para la recolección de datos fue una encuesta de cuestionario aplicada a expertos que trabajan en la industria de la construcción egipcia. Se invitó a 62 participantes de 18 empresas constructoras a participar en el estudio, de los cuales 51 aceptaron la invitación. Los hallazgos revelaron que las principales causas de las órdenes de cambio para las empresas constructoras de tamaño mediano y pequeño fueron la comunicación deficiente, omisiones en el diseño, limitaciones financieras del propietario, trabajo adicional solicitado por el cliente y el deseo del contratista de obtener más beneficios. La comprensión adecuada de estas causas puede ser útil para establecer un criterio adecuado para reducir las órdenes de cambio en los proyectos de construcción en Egipto. Este estudio contribuye al mejorar el muy limitado número de investigaciones que han explorado la perspectiva de las empresas constructoras de tamaño mediano y pequeño en Egipto. De igual forma, puede ser útil para otros países con condiciones de trabajo similares y que aún sufren el impacto adverso de las órdenes de cambio.

RESUMEN El objetivo de este trabajo fue profundizar los acercamientos y distancias de una directora en el proceso psicoterapéutico. Se trata de un estudio de caso psicodramático utilizando el registro documental de sesiones de psicoterapia bipersonal de tres pacientes atendidos previamente por la primera autora y los relatos de la propia autora sobre sus percepciones en las sesiones. Se presentaron reflexiones que demuestran resultados positivos en relación a las aproximaciones en la relación terapéutica, utilizando el humor, la poesía y la música como formas de conexión entre el psicodramatista y el cliente. psicoterapéutico terapéutica humor cliente

ABSTRACT The objective of this work was to deepen the approaches and distances of a director in the psychotherapeutic process. This is a psychodramatic case study that used the documentary record of bipersonal psychotherapy sessions of three patients previously attended by the first author and the author’s own reports about her perceptions in the sessions. Reflections were presented that demonstrate positive results regarding the approaches in the therapeutic relationship, using humor, poetry, and music as means of connection between the psychodramatist and the client. process authors s relationship humor poetry client

RESUMO O objetivo deste trabalho foi aprofundar as marcas e aproximações de uma diretora no processo psicoterápico. Trata-se de um estudo de caso psicodramático utilizando o registro documental de sessões de psicoterapia bipessoal de três pacientes atendidas anteriormente pela primeira autora e os relatos da própria autora sobre suas percepções nos atendimentos. Foram apresentadas reflexões que demonstram resultados positivos sobre as aproximações na relação psicoterapêutica mediante o humor, a poesia e a música como formas de conexão entre psicodramatista e cliente. psicoterápico Tratase Trata se atendimentos humor cliente

RESUMEN Objetivos: mapear las evidencias científicas relacionadas con las características, temáticas y resultados del uso de podcasts de educación en salud dirigidos a individuos mayores de 18 años en entornos intra o extrahospitalarios. Métodos: revisión de alcance, basada en el método del Joanna Briggs Institute, realizada en 11 bases de datos, incluyendo estudios de 2004 a 2022. Resultados: se seleccionaron 11 estudios, categorizados y destacando las características, resultados evaluados, áreas y condiciones de aplicación del podcast, señalándolo como una herramienta eficaz para promover el cambio de comportamiento, la promoción de la salud y la interacción social, evidenciando su potencial para mejorar el bienestar, la calidad de vida y la autonomía de los usuarios/clientes. Conclusiones: el uso del podcast demuestra ser una herramienta eficaz, innovadora y de bajo costo, con un impacto social significativo, siendo eficaz para el cambio de comportamiento, la satisfacción y la interacción social. Sin embargo, la falta de estudios exhaustivos sobre las metodologías de desarrollo de podcasts representa desafíos a superar. Objetivos características 1 extrahospitalarios Métodos alcance Institute datos 200 2022 Resultados evaluados comportamiento bienestar usuariosclientes usuarios clientes usuarios/clientes Conclusiones costo significativo embargo superar 20 202 2

ABSTRACT Objectives: to map the scientific evidence related to the characteristics, themes, and outcomes of using health education podcasts aimed at individuals over 18 years of age in intra or extrahospital environments. Methods: a scoping review, based on the Joanna Briggs Institute method, conducted in 11 databases, including studies from 2004 to 2022. Results: 11 studies were selected, categorized, highlighting the characteristics, evaluated outcomes, areas, and conditions of podcast application, indicating it as an effective tool for promoting behavioral change, health promotion, and social interaction, demonstrating its potential to improve well-being, quality of life, and user/client autonomy. Conclusions: the use of podcasts proves to be an effective, innovative, and low-cost tool, with a significant social impact, being effective for behavioral change, satisfaction, and social interaction. However, the lack of comprehensive studies on podcast development methodologies represents challenges to be overcome. Objectives characteristics themes 1 environments Methods review method databases 200 2022 Results selected categorized areas application change promotion interaction wellbeing, wellbeing well being, well-being life userclient user client autonomy Conclusions innovative lowcost low cost impact satisfaction However overcome 20 202 2

RESUMO Objetivos: mapear as evidências científicas relacionadas às características, temáticas e desfechos do uso de podcasts de educação em saúde direcionados para indivíduos maiores de 18 anos nos ambientes intra ou extrahospitalares. Métodos: revisão de escopo, baseando-se no método do Joanna Briggs Institute, realizada em 11 bases de dados, incluindo estudos de 2004 a 2022. Resultados: foram selecionados 11 estudos, categorizados e destacando as características, desfechos avaliados, áreas e condições de aplicação do podcast, apontando-o como uma ferramenta eficaz para promover a mudança comportamental, a promoção da saúde e a interação social, evidenciando seu potencial para melhorar o bem-estar, qualidade de vida e autonomia dos usuários/clientes. Conclusões: o uso do podcast demonstra ser uma ferramenta eficaz, inovadora e de baixo custo, com impacto social significativo, sendo eficaz para mudança comportamental, satisfação e interação social. No entanto, a falta de estudos abrangentes sobre as metodologias de desenvolvimento de podcasts representam desafios a serem superados. Objetivos características 1 extrahospitalares Métodos escopo baseandose baseando se Institute dados 200 2022 Resultados avaliados apontandoo apontando comportamental bemestar, bemestar bem estar, estar bem-estar usuáriosclientes usuários clientes usuários/clientes Conclusões custo significativo entanto superados 20 202 2

Resumo: A prática de mindfulness tornou-se um tema relevante devido às evidências de sua eficácia para o tratamento de muitas condições de saúde, especialmente as de saúde mental, que suscitaram o interesse de clientes e psicoterapeutas quanto a sua aplicação clínica. No entanto, não há dados sobre o conhecimento de mindfulness por parte de psicólogos clínicos, o que afeta diretamente a habilidade de utilizar ou recomendar práticas baseadas na. Este estudo, de levantamento descritivo, exploratório e transversal, buscou caracterizar o conhecimento sobre mindfulness descrito por psicólogos clínicos brasileiros. Participaram do estudo 417 psicólogos de diferentes abordagens e estados brasileiros, que responderam a um questionário online. Dados quantitativos foram analisados por frequências, proporções e teste qui-quadrado. Para dados qualitativos, utilizou-se o método de classificação hierárquica descendente. Dessa maneira, foram identificadas cinco classes de descrição de mindfulness: ausência de conhecimento, efeitos, abordagem terapêutica, técnicas e definição operacional. Concluiu-se que os resultados refletem a necessidade de integrar o tema na formação acadêmica em psicologia, capacitando mais o psicólogo para fornecer adequadamente ao cliente informações, recomendações ou aplicação de mindfulness no contexto da prática clínica. Resumo tornouse tornou se mental clínica entanto descritivo transversal brasileiros 41 online frequências quiquadrado. quiquadrado qui quadrado. quadrado qui-quadrado qualitativos utilizouse utilizou descendente maneira efeitos terapêutica operacional Concluiuse Concluiu psicologia informações 4

Resumen: La práctica de atención plena ha cobrado relevancia debido a la evidencia de efectividad para muchas afecciones de salud, sobre todo de salud mental, la cual despertó el interés de clientes y psicoterapeutas con respecto a su aplicación clínica. Sin embargo, no existen datos sobre el conocimiento que tienen los psicólogos clínicos sobre la atención plena, lo que incide directamente en la capacidad de utilizar o recomendar prácticas basadas en esta práctica en el contexto clínico. Este estudio descriptivo, exploratorio y transversal tuvo como objetivo caracterizar el conocimiento sobre atención plena descrito por psicólogos clínicos brasileños. En este estudio participaron 417 psicólogos de diferentes enfoques y estados brasileños quienes respondieron un cuestionario en línea. Los datos cuantitativos se analizaron por frecuencias, proporciones y prueba de chi-cuadrado. Para los datos cualitativos se utilizó el método de clasificación jerárquica descendente. Como resultado, se identificaron cinco clases de descripción de atención plena: falta de conocimiento, efectos, enfoque terapéutico, técnicas y definición operativa. Se concluye que los resultados muestran la necesidad de integrar el tema en la formación académica en psicología, ofreciendo más capacitación al psicólogo para proporcionar al cliente información, recomendaciones o aplicación de la atención plena en el contexto de la práctica clínica. Resumen mental clínica embargo clínico descriptivo 41 línea frecuencias chicuadrado. chicuadrado chi cuadrado. cuadrado chi-cuadrado descendente resultado efectos terapéutico operativa psicología información 4

Abstract: The practice of mindfulness has become a relevant topic due to the evidence of its effectiveness for treating many health conditions, especially those of mental health, which aroused the interest of clients and psychotherapists regarding its clinical application. However, there is no data on the knowledge that clinical psychologists have about mindfulness, which directly affects their ability to use or recommend practices based on the technique. This descriptive, exploratory, and cross-sectional study aimed to characterize the knowledge about mindfulness described by Brazilian clinical psychologists. A total of 417 psychologists from different approaches and Brazilian states, which answered an online questionnaire, participated in the study. Quantitative data were analyzed by frequencies, proportions, and chi-square test. For qualitative data, the descending hierarchical classification method was used. Thus, five classes of mindfulness description were identified: lack of knowledge, effects, therapeutic approach, techniques, and operational definition. In conclusion, the results reflect the need to integrate the theme in professional training in psychology, better training the psychologist to adequately provide the client with information, recommendations, or application of mindfulness in the context of clinical practice. Abstract conditions However technique descriptive exploratory crosssectional cross sectional 41 states questionnaire frequencies proportions chisquare chi square test used Thus identified effects approach techniques definition conclusion psychology information recommendations 4