Resumen (Objetivo). Se evaluó el manglar de Chacarita en el Pacífico Central de Costa Rica, a través de la composición florística y las poblaciones de moluscos asociados de interés comercial, con el fin de proponer actividades de aprovechamiento sustentables en el manglar. (Metodología). Mensualmente y durante un año, se realizaron visitas al área de estudio, con el propósito de establecer una base florística de árboles de mangle y medir el almacenamiento de carbono en el lugar, además, de recolectar moluscos bivalvos para analizar el estado de las poblaciones, con base en las abundancias de organismos hallados y otras características como las longitudes y la masa de estos. En los mangles, se obtuvo el diámetro de la altura de pecho (DAP en cm), la altura (m), el índice de valor de importancia (IVI) y las reservas de carbono (Mg C·ha-1). En cuanto a los moluscos, se examinaron cuatro especies de interés comercial, evaluando la longitud (cm), la masa (g) y el índice gonadosomático. Finalmente, se realizaron valoraciones económicas de los datos obtenidos en el manglar, del turismo e información histórica de pesca para el acopio de Chacarita. (Resultados). Se hallaron cinco especies de mangles, Rhizophora mangle, Rizophora racemosa, Laguncularia racemosa, Avicennia germinans y Pelliciera rhizophorae; P. rhizophorae fue la de mayor índice de valor de importancia. Se obtuvo un almacenamiento de carbono equivalente a 78.49 Mg C·ha-1. Se contabilizaron 357 organismos, de los cuales el 18 % correspondió a Anadara similis, 37.5 % a Anadara tuberculosa, 41.46 % a Leukoma spp. y 3.08 % a Mytella guyanensis. Tomando en cuenta el valor económico de las reservas de carbono y los moluscos bivalvos presentes en los muestreos, se obtuvieron valoraciones económicas de 9812.63 USD·ha-1 y 28 USD·ha-1, respectivamente. (Conclusiones). Las bajas densidades poblacionales de moluscos, especialmente del género Anadara, hacen necesario establecer medidas de gestión que permitan recuperar las poblaciones de estos. La presente investigación propone actividades de aprovechamiento sustentables, como turismo comunitario con fines educativos y culturales.

Resumo (Objetivo). O mangue de Chacarita, no Pacífico Central da Costa Rica, foi avaliado por meio da composição florística e das populações de moluscos associados de interesse comercial, com o objetivo de propor atividades de uso sustentável no mangue. (Metodologia). Foram feitas visitas mensais à área de estudo durante um ano para estabelecer uma base florística de árvores do mangue e medir o armazenamento de carbono no local, bem como para coletar moluscos bivalves para analisar o status das populações, com base na abundância de organismos encontrados e em outras características, como comprimento e massa de tais organismos. Nos manguezais, foram obtidos o diâmetro à altura do peito (DAP em cm), a altura (m), o índice de valor de importância (IVI) e as reservas de carbono (Mg C-ha-1). No que diz respeito aos moluscos, foram examinadas quatro espécies de interesse comercial., avaliando o comprimento (cm), a massa (g) e o índice gonadossomático. Por fim, foram feitas avaliações econômicas de dados de mangue, turismo e informações históricas de pesca para a coleção Chacarita. (Resultados). Foram encontradas cinco espécies de mangue, Rhizophora mangle, Rizophora racemosa, Laguncularia racemosa, Avicennia germinans e Pelliciera rhizophorae; a P. rhizophorae apresentou o índice de valor de importância mais alto. Foi obtido um armazenamento de carbono equivalente a 78.49 Mg C-ha-1. Foram calculados um total de 357 organismos, dos quais 18% correspondeu a Anadara similis, 37.5% Anadara tuberculosa, 41.46% Leukoma spp. e 3.08% Mytella guyanensis. Levando em conta o valor econômico das reservas de carbono e dos moluscos bivalves presentes nas amostras, foram obtidas avaliações econômicas de US$ 9812.63 ha-1 e US$ 28 ha-1, respectivamente. (Conclusões). As baixas densidades populacionais de moluscos, especialmente do gênero Anadara tornam necessário o estabelecimento de medidas de manejo para permitir a recuperação dessas populações. Esta pesquisa propõe atividades de uso sustentável, como o turismo comunitário para fins educacionais e culturais.

Abstract (Objective). The floristic composition and populations of associated molluscs of commercial interest of the Chacarita mangrove forest on the Central Pacific of Costa Rica were evaluated to guide proposals for sustainable exploitation activities in the mangrove forest. (Methodology). Monthly visits to the study area were conducted for one year to establish a floristic baseline of mangrove trees and measure carbon storage. Additionally, bivalve molluscs were collected to analyze the state of their populations based on the abundances of organisms found, as well as other characteristics such as length and mass. Data regarding the mangrove trees included their diameter at breast height (DBH, cm), height (m), importance value index (IVI), and carbon reserves (Mg C·ha-1). Four mollusc species of commercial interest were analyzed, using data on their length (cm), weight (g), and gonodosomatic index. Economic evaluations were also conducted using data obtained from the mangrove forest, as well as tourism and historical fishing data for the collection of Chacarita. (Results). Five species of mangroves were identified: Rhizophora mangle, Rizophora racemosa, Laguncularia racemosa, Avice germinans, and Pelliciera rhizophorae, while P. rhizophorae had the highest importance value index. The study revealed a carbon storage equivalent to 78.49 Mg C·ha-1. A total of 357 organisms were counted, with Anadara similis accounting for 18% of the total count, followed by Anadara tuberculosa (37.5%), Leukoma spp. (41.46%), and Mytella guyanensis (3.08%). When considering the economic value of carbon stocks and the bivalve molluscs obtained from the samples, economic valuations of 9,812.63 USD·ha-1 and 28 USD·ha-1 were determined, respectively. (Conclusions). The low population densities of molluscs, particularly those belonging to the Anadara genus, necessitate the establishment of management measures to facilitate the recovery of these mollusk populations. This research proposes sustainable use activities such as community tourism for educational and cultural purposes.

ABSTRACT The macroeconomic approach is a way of analyzing and studying issues related to the global analysis of the economy. The objective of this paper is to estimate the influence of macro- economic determinants on the achievement of the monetary poverty reduction targets in Paraguay during the period 1997-2020. It works specifically with the first two targets that have to do with the eradication of extreme poverty and the reduction to 50% of total poverty. The macroeconomic determinants analyzed are GDP, CPI, the Gini index and social spending. For this purpose, we propose the application of an econometric model which, based on regression models, allows us to calculate the incidence of each of the variables analyzed on monetary poverty. In addition, projections are made to infer whether or not the objectives of SDG 1 can be met and under what conditions. The results obtained allow us to affirm, on one hand, that all the determinants analyzed have a significant impact on monetary poverty and, on the other hand, allow us to infer that none of the targets can be met by 2030, either by maintaining constant or even increasing economic growth. This leads to the conclusion that the effectiveness of poverty reduction strategies lies in combining efforts that link GDP growth with equitable redistribution of resources and social investment.

RESUMEN Este trabajo tiene como objetivo estimar la influencia de los determinantes macroeconómicos en la consecución de las metas de reducción de pobreza monetaria en Paraguay durante el período 1997-2020. Los determinantes macroeconómicos analizados son el PIB, el IPC, el índice de Gini y el gasto social. Para el efecto, se propone la aplicación de un modelo econométrico, el cual, a partir de modelos de regresión, permite calcular la incidencia de cada una de las variables analizadas sobre la pobreza monetaria. Además, se realizan proyecciones para inferir si se pueden cumplir o no con los objetivos del ODS 1 y bajo qué condiciones. Los resultados obtenidos permiten afirmar, por un lado, que todos los determinantes analizados inciden significativamente sobre la pobreza monetaria y, por otro lado, permiten inferir que ninguna de las metas se puede cumplir al 2030, ya sea manteniendo constante o incluso aumentando el crecimiento económico. Esto permite concluir que la eficacia en las estrategias de reducción de pobreza radica en combinar esfuerzos que vinculen el aumento del PIB con la redistribución equitativa de recursos y la inversión social.

ABSTRACT Cuba faces a complex situation related to the warranty of the pillars of food and nutrition security; due to the international economic crisis, the irrational use of natural resources and the impact of climate change; a situation that gets worse due to the lack of financial resources and the effects of the coronavirus pandemic. In this scene, the Cuban State and Government´s bet to approve the Plan of Food Sovereignty and Nutrition Education and its consequent legal instrumentation, the Law of Food Sovereignty and Food and Nutrition Security. The present article contains the construction process of these legal regulations, the novel methodologies used for their elaboration, and the systematization of good practices and lessons learned in this legislative process.

RESUMEN Cuba enfrenta un contexto complejo para garantizar los pilares de la seguridad alimentaria y nutricional; producto de la crisis económica internacional, la utilización irracional de los recursos naturales y el impacto del cambio climático, la cual se acentúa con la carencia de recursos financieros y los efectos de la pandemia del coronavirus. Ante este escenario, el Estado y Gobierno cubanos apostaron por aprobar un Plan de Soberanía Alimentaria y Educación Nutricional y su instrumentación jurídica, la Ley Soberanía Alimentaria y Seguridad Alimentaria y Nutricional y su Reglamento. El presente artículo aborda el proceso de construcción de estas normas legales, las metodologías novedosas utilizadas para su elaboración, con una sistematización de las buenas prácticas y lecciones aprendidas en este proceso legislativo.

Resumen La eficiencia técnica es una herramienta económica utilizada para determinar el uso de los recursos empresariales para mejorar su capacidad productiva. El objetivo fue establecer la relación existente entre los factores de la producción y la eficiencia técnica. La metodología para el análisis de la información obtenida se utilizó el análisis envolvente de datos (DEA) apoyado en los indicies de localización y de urbanización. Como resultados se evidenció que el rendimiento constante (CRS) más alto se ubica en el año 2016 y llega a 0,77046 y, el rendimiento variable (VRS) más representativo se presenta en el año 2018 con 0,97901. El índice de localización promedio es de 27,8402. En última instancia a través de un modelo econométrico se obtiene la relación directa entre las variables, para obtener un soporte más concreto en los resultados de la investigación. En conclusión, todas las empresas se ubican en la provincia de Pichicha exclusivamente y la eficiencia técnica tiene una relación directa con el capital incurrido (Ci) y la materia prima (Mp) además de los índices de localización y urbanización.

Abstract Technical efficiency is an economic tool used to determine the use of business resources to improve their productive capacity. The objective was to establish the relationship between production factors and technical efficiency. The methodology for the analysis of the information obtained was the data envelopment analysis (DEA) supported by the location and urbanization indexes. As results, it was evidenced that the highest constant return (CRS) is in the year 2016 and reaches 0.77046 and, the most representative variable return (VRS) is presented in the year 2018 with 0.97901. The average location index is 27.8402. Ultimately, through an econometric model, the direct relationship between the variables is obtained, to obtain a more concrete support in the results of the investigation. In conclusion, all the companies are in the province of Pichincha exclusively and technical efficiency has a direct relationship with the capital incurred (Ci) and the raw material (Mp) in addition to the location and urbanization indices.

La educación ha experimentado cambios significativos debido a la conmoción social, económica y, sobre todo, sanitaria causada por la pandemia de Covid-19. Este evento ha obligado a aquellos con las condiciones adecuadas a realizar una transición temporal hacia una nueva forma de recibir la educación. En este sentido, el presente artículo tiene como objetivo: evaluar cómo respondieron los docentes durante la educación remota y su capacidad para adaptarse a este nuevo modelo, a través de un análisis documental de los últimos cinco años. Se utilizó el método analítico, para conocer el nivel de preparación de los docentes en competencias digitales en el contexto latinoamericano entre los años 2019 y 2023, a través de una recopilación de datos, mediante una revisión exhaustiva de la literatura científica disponible en repositorios y bibliotecas. El enfoque de este estudio fue cualitativo y descriptivo, basado en artículos especializados. Como resultado principal, se encontró una necesidad urgente de implementar un plan de formación que aborde las necesidades de los docentes en competencias digitales. En conclusión, es esencial que los docentes interactúen y dominen las herramientas tecnológicas para no solo consumir información y recursos, sino también para ser productores de contenido educativo

Education has undergone significant changes due to the social, economic and, above all, health upheaval caused by the Covid-19 pandemic. This event has forced those with the right conditions to make a temporary transition to a new way of receiving education. In this sense, the objective of this article is to: evaluate how teachers responded during remote education and their ability to adapt to this new model, through a documentary analysis of the last five years. The analytical method was used to know the level of preparation of teachers in digital skills in the Latin American context between 2019 and 2023, through a data collection, through an exhaustive review of the scientific literature available in repositories and libraries. The focus of this study was qualitative and descriptive, based on specialized articles. As a main result, an urgent need was found to implement a training plan that addresses the needs of teachers in digital skills. In conclusion, it is essential that teachers interact and master technological tools to not only consume information and resources, but also to be producers of educational content

Abstract During the neoliberal regime, food policy in Mexico focused on the paradigm of ensuring physical and economic access to safe and cheap food; However, the measures to meet this objective caused, among other things, a trade deficit in basic foods such as corn, orientation of production towards export crops, environmental and people’s health deterioration. In response to this problem, in the mid-1990s, the concept of food sovereignty gained strength. This paradigm contributed to making visible the problems faced by small family productive units and the importance of including in public policy actions that respect the diversity of cultivated seeds, traditional agricultural practices, the care of resources and the reproduction of culturally accepted foods. In this context, the objective of this work is to characterize corn production in three lake regions of Michoacán (Mexico) from the perspective of food sovereignty and, based on this, raise considerations for its strengthening. A comparative analysis was carried out on the approaches of the food sovereignty paradigm based on own information obtained through a survey applied to corn producers from three lake regions of the state of Michoacán. The results show the coexistence of diverse production systems ranging from traditional to intensive production in each region, with manifest experiences of food sovereignty in the Pátzcuaro region and silent in the Cuitzeo region.

Resumen Durante el régimen neoliberal, la política alimentaria en México se centró en el paradigma de asegurar el acceso físico y económico a alimentos inocuos y baratos; sin embargo, las medidas para atender este objetivo provocaron, entre otras consecuencias, un creciente déficit en la balanza comercial de alimentos básicos como el maíz, la orientación de la producción hacia cultivos de exportación, y el paulatino deterioro de la calidad ambiental y de la salud de las personas. Frente a esta compleja problemática, a mediados de la década de los años noventa, surge con fuerza el paradigma de soberanía alimentaria, cuyo concepto contribuyó a visibilizar los problemas que enfrentan las pequeñas unidades productivas familiares y la importancia de incluir en la política pública acciones que respeten la diversidad de las semillas cultivadas, las prácticas agrícolas tradicionales, el cuidado de los recursos y la reproducción de alimentos culturalmente aceptados. En este contexto, el presente trabajo tiene como objetivo caracterizar la producción de maíz de tres regiones lacustres de Michoacán desde la perspectiva de la soberanía alimentaria y, a partir de ello, delinear algunas consideraciones de política pública para su fortalecimiento. Para ello, se realizó un análisis comparado sobre los planteamientos del paradigma de soberanía alimentaria a partir de información propia obtenida mediante una encuesta aplicada a productores de maíz de tres regiones lacustres del estado de Michoacán. Los resultados muestran la coexistencia de diversos sistemas productivos que van desde los tradicionales hasta la producción intensiva en cada región, observando experiencias de soberanía alimentaria manifiestas en la región Pátzcuaro y silenciosas en la región Cuitzeo.

RESUMEN Introducción: Las barreras de acceso a los servicios de salud primario conforman estructuras sociales que agravan la situación de salud de los adolescentes, impactando negativamente en el ejercicio pleno de la salud sexual reproductiva, situando a los adolescentes en una población de riesgo social. Objetivo: Determinar las barreras en el acceso a los servicios primarios de Salud Sexual y Reproductiva de atención diferenciada a los adolescentes del Centro de Salud I - 4 Pampa Grande Tumbes 2018. Metodología: Estudio analítico de caso control, se entrevistaron a 288 adolescentes del tercero, cuarto y quinto de secundaria de la institución educativa pública Túpac Amaru del centro poblado Pampa Grande de Tumbes en el año 2019, entre experimento y control con una razón de 1 a 1. Se aplicaron cuestionarios anónimos para evaluar las barreras de accesibilidad a los servicios primarios de salud. Se recogieron variables: características sociodemográficas y culturales que son consideradas, como barreras de acceso a los servicios de salud. Se realizó un análisis descriptivo e inferencial con el programa SPSS® v.23. Resultados: La edad, sexo e ingreso económico están directa y significativamente relacionadas con la accesibilidad a los servicios de salud sexual y reproductiva (p<0.01 IC 95 %); La disposición de recursos económicos para asumir los costos de traslado al centro de salud (OR = 4,23); la utilización del transporte público (OR = 1,58), el conocimiento de los servicios de salud sexual y reproductiva (OR = 1,15) incrementan la probabilidad de acceder a los servicios de salud sexual y reproductiva de los adolescentes. Discusión: Las barreras socioeconómicas a los servicios de salud sexual y reproductiva de los adolescentes son modificables y dependen de la gestión en salud pública.

ABSTRACT Introduction: The barriers to access to primary health services make up social structures that aggravate the health situation of adolescents, negatively impacting the full exercise of reproductive sexual health, placing adolescents in a population at social risk. Objective: To determine the barriers in the access to the primary services of Sexual and Reproductive Health of differentiated attention to the adolescents of the Health Center I - 4 Pampa Grande Tumbes 2018. Methods: Analytical case control study, 288 adolescents from the third, fourth and fifth grade of secondary school of the public educational institution Túpac Amaru in the Pampa Grande de Tumbes town center were interviewed in 2019, between experiment and control with a ratio of 1 to 1. Anonymous questionnaires were applied to assess accessibility barriers to primary health services. Variables were collected: sociodemographic and cultural characteristics that are considered as barriers to access to health services. A descriptive and inferential analysis was carried out with the SPSS® v.23 program. Results: Age, sex and economic income are directly and significantly related to accessibility to sexual and reproductive health services (p<0.01 95% CI); The availability of economic resources to assume the costs of transportation to the health center (OR = 4.23); the use of public transport (OR = 1.58), knowledge of sexual and reproductive health services (OR = 1.15) increase the probability of accessing sexual and reproductive health services for adolescents. Discussion: Socioeconomic barriers to sexual and reproductive health services for adolescents are modifiable and depend on public health management.

RESUMEN Introducción: en Paraguay en 1996 se crea la Escuela de Instrumentación y Área Quirúrgica, vinculada a una universidad pública, a partir del 2008 se crean otras ofertas en el sector privado. El instrumentador quirúrgico puede desempeñarse como instrumentador, circulante, coordinador general de quirófanos y coordinador de la central de esterilización. Objetivo: conocer la situación del ejercicio profesional del licenciado instrumentador quirúrgico en Paraguay. Metodología: estudio descriptivo, cuantitativo y trasversal. La muestra es de 167 licenciados, egresados de instituciones pública y privadas. Muestreo no probabilístico por conveniencia, el instrumento de recolección de datos es un cuestionario electrónico. Resultados: el 74 % son mujeres, el 50 % presenta un rango de edad de 21 a 30 años, 79,6 % egresados de una institución pública, 40 % dice tener dificultad moderada para el primer empleo. El acceso al empleo, 71 % fue por contactos personales, el 72 % se dedica a instrumentar, el 60 % tiene una antigüedad laboral de 1 a 5 años. Entre los posgrados, el 30 % posee didáctica universitaria. Discusión: instrumentador quirúrgico, reúne las exigencias para ocupar otras funciones además de instrumentar y circular en el quirófano. Igualmente, en otros estudios se evidencia menor participación en el área administrativa, docencia, mercadeo y ventas. Han trascurrido 20 años del egreso de las primeras promociones, siendo una profesión novel, poco visualizado. Es de subrayar que el estado puede ahorrar recursos económicos al contratar a instrumentadores, puesto que son expertos en los cuidados asépticos y competentes en optimizar los tiempos quirúrgicos al que se expone el paciente.

ABSTRACT Introduction: In Paraguay the school of Instrumentation and Surgical Area was created in 1996 linked to the National University, and in 2008 onwards other offers were created in the private sector. The Surgical Instrument Technician can work as instrumentalist, circulating nurse, general coordinator of operating rooms, and coordinator of the central sterilization unit. Objective: to know the work environment of the professional and licensed Surgical Instrument Technician in Paraguay. Methodology: descriptive, quantitative and cross-sectional study. The sample is 167 graduates, graduates of public and private institutions. Non-probability sampling for convenience, the data collection instrument is an electronic questionnaire. Results: 74% are women, 50% have an age range between 21 and 30 years old, 79.6% graduated from a public institution, 40% say they have moderate difficulty finding their first job in the field. Access to employment, 71% was through personal contacts, 72% is dedicated to work as Instrument Technicians, 60% have a job seniority of 1 to 5 years. Among the postgraduates, 30% are university didactics certified. Discussion: Surgical Instrument Technicians meet the requirements to perform other functions in addition to instrumentation and circulating nurses in the operating room. Similarly, other studies show less participation in the administrative area, teaching, marketing and sales. 20 years have elapsed since the first Technicians graduated, being a new profession, not given the importance it deserves. It is noteworthy that the state can save economic resources by hiring Surgical Instrument Technicians, since they are experts in aseptic care and competent in minimizing the amount of time the patient spends in surgery.

South African National Senior Certificate examination reports consistently reflect poor performance in STEM (science, technology, engineering, and mathematics) subjects when compared to other subjects. This has resulted in a decline in the uptake of STEM subjects because many students perceive them as being difficult to learn. This phenomenon is not unique to South Africa, as many other African and developed countries are facing similar difficulties in terms of student participation in STEM subjects. Reasons for the low uptake of STEM subjects include perceived difficulty, perceived lack of ability, classroom experience of STEM subjects, and lack of enjoyment. Thus, STEM educators across the globe are confronted with the challenge of making the subjects attractive, accessible to, and relevant for students. Humanising the teaching of STEM subjects by building on Indigenous knowledges has been suggested as a way that secondary education could deal with these challenges, and turn them into STEM capabilities. The incorporation of Indigenous and other local knowledges into STEM subjects could promote authentic learning experiences, relevance, and inclusivity if teachers were prepared for this, and appropriate resources made available. In Africa, many children enrol in school while they are concurrently engaged in subsistence economic activities rooted in Indigenous practices. Leveraging the insights gained from these activities could humanise and enhance the relevance of school STEM curricula. Karanga beer brewing is one such activity that we participated in as children and, in this paper, we report our exploration of the science related to Karanga beer brewing and how it can be a way of humanising and promoting the relevance of school science and other STEM subjects.

The purpose of this article is to demonstrate how the once-off increase in regional income that will result from investment in roads and the recurring increase in regional income that will stem from the use of economically viable new roads can be estimated. Once-off economic benefits occur because of the multiplier effect triggered by the initial investment expenditure on a road, while recurring economic benefits result from the income accelerator effect that use of the road during its service period will have. To determine the regional income multiplier effect of the investment expenditure on a proposed road during its construction period, it is necessary to estimate (i) the tax amounts included in the investment amount as a ratio of the total project investment amount, (ii) the monetary amount saved by project workers as a ratio of the total project investment amount, and (iii) the expenditure on imported project inputs as a ratio of the total project investment amount. An analysis that incorporates the above-mentioned three fund leakages from the circular flow of regional income will show that the representative income multiplier of South African rural paved road construction projects has a value of 4,58. The gross national income multiplier effect stemming from road construction expenditure can be categorised as follows: In the rating scale above, a gross national income multiplier effect stemming from road construction projects with a value of less than 2,00 is regarded as "poor", because such a multiplier value is usually associated with economically unviable road projects. Gross national road construction multiplier effects with a value of 2,00 or more are associated with economically viable projects. An analysis as referred to above will show that, with a once-off gross income multiplier value of 4,58, the construction of economically viable roads will afford the government a "very good" opportunity to generate income effectively, especially considering that the national economy-wide gross income multiplier in South Africa is 3,27, which shows that the gross income multiplier of road construction is 40% higher than the economy-wide gross income multiplier. The reasons why the once-off gross regional income multiplier stemming from construction expenditure on rural road projects is "very good" are as follows: Multiplier Rating 1 – 1,99 Poor 2 – 2,99 Satisfactory 3 – 3,99 Good 4 – 4,99 Very good < 5 Excellent (1) A substantial proportion of the payroll of road construction workers is subject to zero or low personal income tax rates. (2) The propensity to consume among rural, unskilled and semi-skilled workers (in areas where rural roads are constructed) is generally high, which implies a low savings leakage. (3) Labourers needed for road construction are usually recruited from (or from close by) the areas where a road is to be built. Furthermore, low-income earners tend to buy and consume goods that are produced locally. (4) Generally, there is a relatively small need to import economic resources for road construction projects. Items like timber, sand, stone, gravel, filling material, bitumen, cement, steel and most of the road construction equipment are of regional or, at least, South African origin. The pace at which an economically viable road will stimulate regional income will be reflected by the new traffic it induces and any existing traffic that it diverts from less beneficial roads. In the social cost-benefit analysis of a road, it is estimated by what proportion induced and diverted traffic will increase the road user surplus. This expected proportional increase in road user surplus will accelerate (stimulate) the once-off regional multiplier and is termed the "regional income stimulation factor". Project-driven induced investment activities - i.e. downstream investment activities made possible by the provision of the road - usually (a) involve technically more sophisticated construction projects than the analysed road itself, (b) require the importation of a greater proportion of finished goods and specialised equipment, and (c) involve more skilled and highly skilled workers, whose income is subject to high income tax rates and who exhibit a higher propensity for saving than unskilled workers. Such downstream activities will collectively have a greater leakage effect than that incorporated in the once-off regional multiplier pertaining to construction of the road, which will depress the magnitude of the recurring regional income accelerator. The different formulae used to calculate the recurring income accelerator are detailed in the body of the article.

Hierdie artikel dui aan hoe die eenmalige verhoging in streeksinkome wat uit investeringsbesteding tydens die bou van 'n pad spruit, en die herhalende bykomende streeksinkome wat uit die gebruik van 'n ekonomies geregverdigde nuwe pad spruit, deur onderskeidelik streeksinkomevermenigvuldigerontleding en streeksinkome-versnellerontleding beraam kan word. Om die effek van die streeksinkomevermenigvuldiger van die uitgawe verbonde aan die bou van 'n pad te bepaal, moet (i) die belastings wat by die bou-uitgawe ingesluit is, as 'n verhouding van die totale bou-uitgawe, (ii) die bedrae geld wat deur projekwerkers gespaar word, as 'n verhouding van die totale bou-uitgawe, en (iii) die besteding aan ingevoerde projekinsette, as 'n verhouding van die totale bou-uitgawe, bepaal word. Ontledings wat bogenoemde drie fondslekkasies uit die kringloop van streeksinkome in ag neem, toon dat die verteenwoordigende inkomevermenigvuldiger van Suid-Afrikaanse bouprojekte vir buitestedelike geplaveide paaie 'n waarde van 4,58 het. Op die beoordelingskaal van inkomevermenigvuldigerwaardes vir die bou van buitestedelike paaie bied dit aan die staat 'n "baie goeie" geleentheid om inkome te genereer, veral as in ag geneem word dat die gemiddelde inkomevermenigvuldiger van besteding in die Suid-Afrikaanse ekonomie 'n waarde van 3,27 het. Die formules waarmee die eenmalige inkomevermenigvuldiger beraam word, word in die liggaam van die artikel uiteengesit. Die herhalende versnelde streeksinkome wat uit die gebruik van 'n ekonomies lewensvat-bare pad spruit, is gelyk aan die produk van (a) die huidige waarde van die herhalende pad-gebruikersvoordele wat uit die gebruik van die pad spruit, en (b) die waarde van die streeks-inkomeversneller van die gebruik van die pad. 'n Streeksinkomeversneller wat as verstekwaarde kan dien in die ekonomiese-impakontleding van 'n ekonomies lewensvatbare geplaveide buitestedelike pad in gevalle waar dit nie haalbaar is om 'n projek-eie versneller te probeer beraam nie, word in die artikel bereken. Die formules waarmee die herhalende-inkomeversneller beraam word, word in die liggaam van die artikel uiteengesit.

Education systems are shaped by various internal and external contextual forces (De Beer, 2017). External contextual trends typically include language, demography, geography, technology, politics, and financial and economic trends. Religion represents one of these external contextual trends that can affect an education system (see Van der Walt, Potgieter & Wolhuter, 2010; Wolhuter & Van der Walt, 2018). Making use of established metabletic-comparative methodology, this article seeks to highlight the impact of religion as a formative factor of education in the BRICS countries. Religion is treated significantly differently in the education systems of the BRICS member states. In schools in India and China, no religious activities are allowed in accordance with the respective constitutions, while any religious activities may take place in schools in Brazil, Russia and South Africa, provided that the activities comply with particular guidelines. Broadly considered, any religious activities are conducted in primary schools in Brazil, provided that attendance is voluntary. Religion in Brazilian schools is influenced by the strong position of the Roman Catholic faith in Brazilian society, which could potentially be detrimental to minority groups in Brazil (Senefonte, 2018:440). Learners in Russia, according to Russian law, are free to choose for themselves the religious module in which they wish to receive education. Schools in Russia do not, however, always implement this legislation correctly, since a school's resources actually determine which module the learners should take. The manner in which religion is being dealt with, causes unhappiness among learners and parents as they do not really have freedom of choice regarding the religious module in which they wish to receive instruction (Zöllner, 2016). The legislation in China clearly states that no religious activities may take place in public schools, yet the ruling party of China intends to enshrine tenets of atheism in learners in schools (Vickers, 2022; Wang & Froese, 2020). Compared to the other BRICS member states, China has the most officially, constitutionally recognised ethnic groups. In terms of legislation and policy formulations, the ethnic minority groups obtain various benefits in terms of education. The wide variety of ethnic groupings poses various challenges to the government of China as the views of all these groups in the education system have to be taken into account. Various documents, including the South African Schools Act 76 of 1996, and other education policies provide clear guidelines as to how religion ought to be dealt with in South African schools. In South Africa, learners are taught various major deities worldwide. All learners in South Africa are exposed to the concept of religion through the subject Life Orientation (Grades 7-12). Teachers in South Africaface the challenge of respecting all kinds of religions and not preaching their own views on a religion. This challenge of respecting all religions can result in conflict in schools, as learners may feel that they will be discriminated against if one type of religion is singled out, for example during assembly. This underscores the role and value of South African teachers in inculcating citizenship values (see Wolhuter, Janmaat, Van der Walt & Potgieter, 2020). The Government of India faces opposition from minority groups with regard to religion in schools as the socio-political hegemony religion is especially preferred in terms of the drafting of academic textbooks (Traub, 2018). This preferential treatment of a particular religion is contrary to the Indian constitution, as no single religion may be singled out, nor should any religion be discriminated against (Majumdar, 2018). The preference given to a particular religion in textbooks can result in a negative impact on the education system of India. The analysis and interpretation show that there is still a close relationship between religion and education in the BRICS countries. However, all five BRICS member states face different problems regarding religion and each of the five member states also deals with its problems differently. This conclusion is now unpacked in this summary, and in detail defended in the ensuing full text. In terms of dealing with religion, South Africa appears to be more tolerant than Brazil, Russia, India and China, although this tolerance still causes more problems for the South African government, in the sense of opposition from various adherents of a wide variety of faith groupings who would like schools to play a role in strengthening the religious beliefs of their children. Several court cases have been fought in South Africa as schools struggle to accommodate the wishes of all religious groups in South Africa (see Nthontho, 2020). In contrast to forces in all the BRICS countries trying to separate religion and (public) education, the United Nations Declaration of Human Rights, the proto-charter of Human Rights Charters in the contemporary world, Article 26 states that everyone has the right to education, education should be oriented towards the total development of the child's personality, and that parents have a preferential right to decide on the type of education their children should receive. The BRICS member states can learn from each other how to deal with religion in schools, even though none have yet managed to deal satisfactorily with religion in education. The common factor among all five BRICS countries is that religion is used again and again (consciously or unconsciously) to reinforce political or ideological hegemony. It seems that the shortcoming in all these countries is pointing to a lack of recognition of the place and role of religion in the lives of their citizens and that secular-political objectives, notably the forcing of official ideological hegemony, as well as the achievement of national unity above the full recognition of religious freedom, are also stated in the education system and in citizens 'choice of the kind of religious education of their children. As a result, the role of religion in creating a strong moral fibre for a society therefore never seems to come into its own. Moreover, judging by the United Nations Charter's Human Rights provisions on education, educative education (incl. teaching and learning), in accordance with its full scope of semantic value, does not currently come into its own. The same seems to be the case as regards the human right to parental advocacy with respect to religious education. The experience of the BRICS countries in terms of religion-in-education shows that it is sensible and even necessary, for example, along the path of enlarged parental speech in education and school autonomy, to allow more room for religious freedom in education. The BRICS countries are currently being proposed as the leading grouping of the Global South in a new formative world order. Against this background, current trends regarding religion-in-education in these countries therefore probably represent a bold example. However, it should nonetheless be denounced by the academic community and better examples should subsequently be extracted and presented from other national education systems from future research.

'n Onderwysstelsel word deur verskeie samelewingskontekstuele kragte gevorm. Hierdie kontekstuele faktore sluit taal, demografie, geografie, tegnologie, politiek en finansiële en ekonomiese tendense in. Godsdiens is een van die laasgenoemde tendense wat 'n onderwys-stelsel kan beïnvloed. Die BRICS-organisasie bestaan uit Brasilië, Rusland, Indië, Sjina en Suid-Afrika en is 'n supra-nasionale blok wat baie aandag in die openbare sowel as akademiese diskoers oor internasionale politiek en maatskaplike kwessies trek (De Beer, 2017). Godsdiens word wyd geag as 'n omstrede en sensitiewe faktor in onderwysstelsels (sien Van der Walt, Potgieter & Wolhuter, 2010). In hierdie artikel word godsdiens as vormgewende faktor van die onderwysstelsels in die BRICS-lande ondersoek, om die waarde daarvan as 'n aanskouingsles vir Suid-Afrika en ander lande te bepaal. Die BRICS-lidlande is doelbewus vir hierdie navorsing gekies weens die besondere waarde van hierdie lande as vertoonvenster van onderwysstelsels se antwoord op samelewingstendense van die een-en-twintigste eeu. Dokumentontleding is uitgevoer ten opsigte van beleidsdokumente, wetgewing, artikels en staatspublikasies, ten einde inligting in te samel. In die verwerking en interpretasie van inligting is die metableties-vergelykende metode gebruik ten einde beste praktyke ten opsigte van die hantering van godsdiens in die onderwysstelsels vanuit die BRICS-lidlande te identifiseer. Die ondersoek het ernstige tekortkominge in al die BRICS-lande se hantering van godsdiens in onderwys aan die lig gebring. Nie een van die lande se beleid of praktyk slaag die toets, soos gemeet aan die Verenigde Nasies se Handves van Menseregte nie. Die noodsaak van voortgesette navorsing oor die plek van godsdiens in die onderwysstelsels van die wêreld word ten slotte verduidelik.

Resumo: Introdução: a centralização do ensino superior em Montevidéu implica custos econômicos para as famílias do interior do país, o desenraizamento familiar e a perda de recursos humanos. A formação de especialistas em Pediatria no interior do país começou na década de 1980. Nos últimos anos foi fortalecida acrescentando cenários de aprendizagem, professores, recursos didáticos e avaliações. Objetivo: descrever a experiência de descentralização do ensino de especialistas em Pediatria entre 2007 e 2021 nos departamentos de Maldonado, Paysandú, Rivera e Salto. Metodologia: estudo descritivo, incluindo estudantes de pós-graduação em Pediatria que se formaram em Maldonado, Paysandú, Rivera e Salto, no período 2007-2021. Descrevemos o número de especialistas formados, as características pessoais ou familiares que influenciaram a decisão de fazer o curso no interior do país, o desempenho curricular, o local de prática profissional e recursos humanos docentes disponíveis. Resultados: no período analisado, 88 alunos fizeram a pós-graduação nas cidades avaliadas, 33 deles em regime de residência. Eram nativos/residentes no local, 78. 57 terminaram a pós-graduação, 19 ainda estavam em formação e 4 desistiram. Uma porcentagem variável das disciplinas obrigatórias do curso foi cursada no interior do país. O tempo médio para a realização das atividades obrigatórias foi de 3,3 anos. Sessenta trabalham no lugar de pós-graduação ou en cidades próximas. Paysandú y Salto tem 34 horas docentes/semana, Maldonado 6 horas docentes/semana e docentes honorários. Rivera tem docentes/tutores honorários. Conclusões: a descentralização do ensino de Pediatria é uma grande conquista para as cidades do interior, que formam seus próprios recursos humanos, permitindo que se estabeleçam nessas cidades. É necessário melhorar a oferta de atividades curriculares e a carga horária de ensino.

Resumen: Introducción: centralizar estudios superiores en Montevideo implica para las familias del interior del país gastos económicos, desarraigo familiar y pérdida de recursos humanos. La formación de especialistas en Pediatría en el interior comenzó en la década de 1980. En los últimos años se ha fortalecido, agregando escenarios de aprendizaje, docentes, recursos didácticos y evaluaciones. Objetivo: describir la experiencia en la descentralización de la docencia de especialistas en Pediatría entre 2007 y 2021 en los departamentos de Maldonado, Paysandú, Rivera y Salto. Metodología: estudio descriptivo, incluyendo estudiantes del posgrado de especialistas en Pediatría que realizaron su formación en Maldonado, Paysandú, Rivera y Salto, entre 2007 y 2021. Se describe el número de especialistas formados, las características personales o familiares que incidieron en la decisión de realizar el curso en el interior, desempeño curricular, lugar de ejercicio profesional, recursos humanos docentes disponibles. Resultados: en el período analizado 88 estudiantes cursaron el posgrado en las ciudades evaluadas, 33 en régimen de residencia. Eran oriundos/residentes del lugar, 78. Egresaron 57; 19 se encontraban cursando, 4 abandonaron. Un porcentaje variable de las instancias obligatorias del curso se realizaron en el interior. El tiempo promedio para realizar todas las actividades obligatorias fue de 3,3 años. Ejercen en el lugar de formación o en ciudades cercanas, 60. Paysandú y Salto cuentan con 34 horas docentes/semana. Maldonado con 6 horas docentes/semana y docentes honorarios. Rivera cuenta con docentes/tutores honorarios. Conclusiones: la descentralización de la docencia de Pediatría es un gran logro para las ciudades del interior, que forman sus propios recursos humanos, permitiendo que se radiquen en estas ciudades. Es necesario mejorar la oferta de actividades curriculares y horas docentes.

Abstract: Introduction: Centralizing higher education studies in Montevideo entails economic expenses, family uprooting, and loss of human resources for families living in the interior of Uruguay. The training of pediatric specialists outside the capital city began in the 1980s. In recent years, this innovations has been reinforced by adding learning scenarios, teachers, didactic resources, and evaluations. Objective: to describe the experience of decentralizing the teaching of pediatric specialists between 2007 and 2021 in Maldonado, Paysandú, Rivera, and Salto. Method: Descriptive study, including postgraduate students of pediatris who completed their training in Maldonado, Paysandú, Rivera, and Salto between 2007 and 2021. The study describes the number of specialists trained, personal or family characteristics that influenced the decision to take the course in the interior, academic performance, place of professional practice, and available teaching staff. Results: during the study period, 88 students undertook postgraduate studies in the evaluated cities, 33 of which studied in a residency program. Of these, 78 were native to or residents of the area. Fifty six pediatricians graduated, 18 were still enrolled, and 4 dropped out. A variable percentage of the course’s mandatory components were conducted in the interior. Average time to complete all mandatory activities was 3.3 years. Sixty graduates practice in the place of training or in nearby cities. Paysandú and Salto have 34 hours of teaching per week; Maldonado has 6 hours per week and honorary teachers. Rivera has honorary teachers/tutors. Conclusions: the decentralization of pediatric teaching is a significant achievement for inland cities in the interior of the country, as it allows them to train their own human resources, enabling them to settle in these cities. There is a need to improve the offer of curricular activities and teaching hours.

Resumo Introdução: A promoção da literacia em saúde é crucial para que os utentes possam tomar decisões adequadas em matéria de saúde, promovendo uma utilização mais eficiente dos recursos e contribuindo para a sua sustentabilidade. Objetivos: Promover a literacia em saúde entre os utentes de seis Unidades de Saúde Familiar (USF) no Norte de Portugal acerca da organização e estrutura dos cuidados de saúde primários (CSP) e a especialidade médica de medicina geral e familiar (MGF). Métodos: Estudo observacional, prospetivo, do tipo coorte. Foram aplicados questionários em formato Google® Docs a utentes com 18 ou mais anos, que preenchiam os critérios de inclusão, antes e após um mês da intervenção. A intervenção consistiu na visualização de um vídeo formativo preparado pelos autores acerca da organização e os recursos dos CSP e a especialidade de MGF. Resultados: O questionário pré-intervenção foi preenchido por 274 utentes, 165 visualizaram o vídeo educativo e 113 preencheram o questionário pós-intervenção. Apenas 88 utilizadores participaram em todas as fases do projeto e foram considerados elegíveis para a interpretação dos resultados. Após a intervenção verificou-se uma melhoria estatisticamente significativa na classificação geral obtida no questionário, com um aumento na percentagem de respostas corretas de 66,7% para 72,7% (p=0,004; IC 95%). Verificou-se também um aumento na taxa de respostas corretas em quase todas as questões aplicadas. Discussão e Conclusão: A literacia em saúde ajuda os cidadãos a tomar melhores decisões em relação à sua saúde, com um consequente impacto económico e social. Este projeto culminou na criação de uma ferramenta multimédia capaz de melhorar os conhecimentos dos utentes portugueses acerca dos CSP, passível de ser replicada noutros locais do País.

Abstract Introduction: Promoting health literacy is essential for patients to make informed healthcare decisions, ensuring more efficient resource utilization and contributing to long-term sustainability. Objectives: Enhance health literacy among patients in six health units in Northern Portugal, focusing on the organization and structure of primary healthcare services (PHC) and the medical specialty of general practice/family medicine (GPFM). Methods: An observational, prospective cohort study was conducted. Questionnaires in Google® Docs format were administered to patients aged 18 and older who met the inclusion criteria, both before and one month after the intervention. The intervention involved watching an educational video created by the authors about PHC's organization, resources, and GPFM specialty. Results: The pre-intervention questionnaire received responses from 274 patients, with 165 of them viewing the educational video and 113 completing the post-intervention questionnaire. Eighty-eight participants engaged in all phases of the project and were considered eligible for result analysis. After the intervention, there was a statistically significant improvement in the overall questionnaire score, with the percentage of correct answers increasing from 66.7% to 72.7% (p=0.004; CI 95%). Correct answer rates also improved across most of the questions. Discussion and Conclusion: Health literacy empowers individuals to make informed health choices, resulting in economic and social benefits. This project led to the creation of a multimedia tool that can enhance the understanding of Portuguese patients regarding PHC, with potential for replication in other regions of the country.

Abstract Background Perinatal depression (PND) is a clinical disease developed in any stage during the pregnancy and postpartum period with serious health and economic implications. Objective The aim of this work was to analyze via bibliometrics indicators Mexico’s production on PND to provide a view of the academic landscape and a comprehensive reference for subsequent research in the country. Method The Scopus and Web of Science (WoS) databases were used to perform a search for peer reviewed papers related to PND in México. The search was made following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The extracted data were processed with VOS Viewer to examine link strength and clusters associations of diverse bibliometrics variables. Results A total of 132 records were retrieved and we included 70 studies in the bibliometric analysis after application of the exclusion criteria. The authors with more papers were Navarrete L., and Asunción Lara M. The institutions with more papers were the National Institute of Perinatology, Ramón de la Fuente National Institute of Psychiatry, and National Institute of Public Health of Mexico. A diminution of the research considered in PND is observed in the last two years. Four keyword clusters were identified related to PND: symptoms, prevalence, pregnancy. Discussion and conclusion The scarce literature concerning PND in Mexico compared with other countries could be due the limited collaboration between the health institutes. An urgent need to increase research on PND in Mexico is evident to be applicable in the management of resources in the healthcare system.

Resumen Antecedentes La depresión perinatal (PND) es una enfermedad clínica que se desarrolla en cualquier etapa del embarazo y posparto con graves implicaciones sanitarias y económicas. Objetivo El objetivo de este trabajo fue analizar a través de indicadores bibliométricos la producción de México sobre PND, para brindar una visión del panorama académico y un referente integral para investigaciones posteriores en el país. Método Se utilizaron las bases de datos Scopus y Web of Science (WoS) para realizar una búsqueda de artículos revisados por pares relacionados con la PND en México. La búsqueda se realizó siguiendo los elementos de informes preferidos para revisiones sistemáticas y metaanálisis (PRISMA). Los datos extraídos se procesaron con VOS Viewer para examinar la fuerza de los enlaces y las asociaciones de grupos de diversas variables bibliométricas. Resultados Se recuperaron un total de 132 registros y se incluyeron 70 estudios en el análisis bibliométrico después de la aplicación de los criterios de exclusión. Los autores con más artículos fueron Navarrete L. y Asunción Lara M. Las instituciones con más artículos fueron el Instituto Nacional de Perinatología, el Instituto Nacional de Psiquiatría Ramón de la Fuente y el Instituto Nacional de Salud Pública de México. Se observa una disminución de las investigaciones consideradas en el PND en los últimos dos años. Se identificaron cuatro grupos de palabras clave relacionadas con la PND: síntomas, prevalencia y embarazo. Discusión y conclusión La escasa literatura sobre PND en México en comparación con otros países podría deberse a la limitada colaboración entre los institutos de salud. Se evidencia una necesidad urgente de realizar más investigaciones sobre PND en México que sean aplicables y útiles en la gestión de recursos en el sistema de salud.

ABSTRACT: Community rural tourism is a driving force for local economic development by making sustainable use of a community's resources. The Juan Velasco Alvarado Hilly Dry Forest Private Conservation Area -JVA HDF PCA- has latent tourism potential, which to date, has not been properly exploited by the Juan Velasco Alvarado Peasant Community -JVA PC-. The objective of the study is to formulate a proposal for the development of community rural tourism of the JVA HDF PCA. A situational analysis of the tourist supply and demand of the area was carried out where Pilán Hill, the Inca Mine, the Jaguayes Salas and Cerezo were recognized as the most important tourist resources, whilst the main problem identified was the poor management of tourism in the area. JVA HDF PCA by the JVA PC. As a final result, a proposed action plan was prepared that proposes capacity building, the improvement of ecological infrastructure, and the formation of strategic alliances in order to achieve the sustainability of the natural resources management in the dry forest and the progress of the local community.

RESUMEN: El turismo rural comunitario representa una actividad propulsora del desarrollo económico local aprovechando sosteniblemente los recursos de una comunidad. El Área de Conservación Privada Bosque Seco de Colina Juan Velasco Alvarado -ACP BSC JVA- tiene potencial turístico latente que, hasta la fecha, no ha sido debidamente explotado por la Comunidad Campesina Juan Velasco Alvarado -CC JVA-. El objetivo del estudio consiste en formular una propuesta de desarrollo de turismo rural comunitario del ACP BSC JVA. Se ejecutó un análisis situacional de la oferta y demanda turística del área donde se reconocieron al Cerro Pilán, la Mina Inca, los Jaguayes Salas y Cerezo como los recursos turísticos más importantes, mientras que el principal problema identificado fue la deficiente gestión del turismo del ACP BSC JVA por parte de la CC JVA. Como resultado final, se elaboró una propuesta de plan de acción que plantea el fortalecimiento de capacidades, la mejora de la infraestructura ecológica y la formación de alianzas estratégicas, para así lograr la sostenibilidad de la gestión de los recursos naturales en el bosque seco y el progreso de la comunidad local.