Abstract Introduction: México has a high rate of teenage pregnancy, which symbolizes a risk to the health and socio-economic development of this group. The prevention of a second pregnancy at this stage is relevant to improve quality of life. Objective: To explore the social representations of prenatal contraceptive counseling based on the experiences and expectations of pregnant adolescents and health providers in a second level care hospital. Methodology: Qualitative study based on Serge Moscovici’s Social Representations Theory with ten primiparous adolescents in any quarter of pregnancy and seven health providers, adolescents without pregnancy condition were excluded. We used semi-structured interviews recorded and analyzed in their integrity through fluctuating reading by two researchers, the discourse of the proposed thematic axes was contrasted. Integrity, confidentiality, and autonomy were respected. Results: The realities represented by adolescents showed a need for knowledge, values, respect, kindness, and patience. Providers evoked paternalistic counseling, but with recognition of focused counseling and reproductive rights. Conclusion: More participants stated that the ideal time to receive counseling is during pregnancy, since pregnant adolescents expressed the need to receive information and have more time lapse between their pregnancies. The expectations of the Prenatal Contraceptive Counseling (CAP by its acronym in Spanish) differed in terms of values to give rise to a paternalistic attitude on the part of the health provider and the preference of adolescents for counseling based on respect, honesty, and trust, among others.

Abstrato Introdução: O México tem um alto índice de gravidez na adolescência, o que simboliza um risco para a saúde e o desenvolvimento socioeconômico desse grupo. A prevenção de uma segunda gravidez nesta fase é relevante para melhorar sua qualidade de vida. Objetivo: Explorar as representações sociais do aconselhamento contraceptivo pré-natal a partir das experiências e expectativas de gestantes adolescentes e profissionais de saúde em um segundo nível de atenção hospitalar. Metodologia: Estudo qualitativo baseado na Teoria das Representações Sociais de Serge Moscovici com dez adolescentes primíparas em qualquer trimestre da gravidez e sete profissionais de saúde; foram excluídas as adolescentes sem condições de gravidez. Foram utilizadas entrevistas semiestruturadas gravadas e analisadas em sua integridade por meio da leitura flutuante de dois pesquisadores, contrastando o discurso dos eixos temáticos propostos. Integridade, confidencialidade e autonomia foram respeitadas. Resultados: As realidades representadas pelos adolescentes mostraram necessidade de conhecimento, valores, respeito, gentileza e paciência. Os prestadores evocaram aconselhamento paternalista, más com reconhecimento de aconselhamento focado e direitos reprodutivos. Conclusão: Um número maior de participantes afirmou que o momento ideal para receber aconselhamento é durante a gravidez, pois as adolescentes grávidas expressaram a necessidade de receber informações e de ter mais tempo entre as gestações. As expectativas da aconselhamento contraceptivo pré-natal (CAP, na sigla em espanhol) diferiram quanto aos valores para dar lugar a uma atitude paternalista por parte do provedor de saúde e a preferência das adolescentes por uma assessoria baseada no respeito, honestidade, confiança, entre outros

Resumen Introducción: México presenta una tasa elevada de embarazo adolescente lo que simboliza un riesgo a la salud y desarrollo socioeconómico de este grupo. La prevención de un segundo embarazo en esta etapa es relevante para mejorar su calidad de vida. Objetivo: Explorar las representaciones sociales de la consejería anticonceptiva prenatal a partir de las experiencias y expectativas de adolescentes gestantes y proveedores de salud en un hospital de segundo nivel de atención. Metodología: Estudio cualitativo basado en la Teoría de las Representaciones Sociales de Serge Moscovici con diez adolescentes primíparas en cualquier trimestre de embarazo y siete proveedores de salud, se excluyeron adolescentes sin condición de embarazo. Se utilizó entrevista semiestructurada grabadas y analizadas en su integridad mediante lectura fluctuante realizada por dos investigadores, se contrastó el discurso de los ejes temáticos propuesto. Se respetó la integridad, confidencialidad y autonomía. Resultados: Las realidades representadas por las adolescentes mostraron necesidad de conocimientos, valores, respeto, amabilidad y paciencia. Los proveedores evocaron una consejería paternalista, pero con reconocimiento de una consejería focalizada y derechos reproductivos. Conclusión: Las experiencias similares de los participantes fueron que el momento ideal para recibir la consejería es durante el embarazo, en virtud de que las adolescentes embarazadas manifestaron necesidad de recibir información y espaciar sus embarazos. Las expectativas de la consejería anticonceptiva prenatal difirieron en los valores para dar lugar a una actitud paternalista por parte del proveedor de salud y la preferencia de las adolescentes por una consejería basada en el respeto, honestidad, confianza, entre otros.

Resumo A geografia humana desempenha um papel fundamental na adaptação das comunidades ao meio ambiente ao longo do tempo. Ela considera aspectos como a modificação do território, a organização social e as atividades econômicas como o turismo cultural que aborda a geografia, a história e a cultura, valorizando os conhecimentos e processos das comunidades. Portanto, o presente artigo propõe um projeto para criar um Ecomuseu da cultura Chorotega na comunidade de Matambú, localizada na Unidade de Planejamento Turístico Guanacaste Sul, na Costa Rica. A proposta surge como resposta a uma necessidade da comunidade indígena de se envolver no turismo para subsistir, com o objetivo de fomentar o ecoturismo, turismo cultural e criativo no Território Indígena Chorotega Matambú (TICM) e contribuir para a melhoria das condições socioeconômicas da comunidade indígena, preservando e resgatando o senso de pertencimento do patrimônio cultural e natural por parte dos habitantes do território. Após alcançar o objetivo de criar o Ecomuseu “Los Chorotegas” na comunidade de Matambú, haverá uma melhoria na qualidade de vida. Simultaneamente, a comunidade será mais respeitada e reconhecida como a única etnia de origem Mesoamericana presente na Costa Rica.

Abstract Over time, human geography has played a fundamental role in communities’ processes of adaptation to their environment. This involves considerations spanning the modification of territories, social organization, and economic activities such as cultural tourism. This also involves understanding the geographic context of their history and culture to add value to communities’ knowledge and processes. Therefore, this article proposes the creation of a Chorotega Culture Eco-Museum in Matambú, a community located within the South Guanacaste Unit of Touristic Planning, Costa Rica. This proposal arises from the necessity of this indigenous community to be part of the tourism industry as a survival strategy. The objective is to promote ecotourism and cultural and creative tourism in the Matambú Chorotega Indigenous Territory (TICM). This initiative serves as a method to enhance the socio-economic conditions of the indigenous community while helping to preserve and rescue the sense of belonging to its cultural and natural heritage. By achieving the objective of creating “Los Chorotegas” Eco-Museum in the Matambú community, this territory and indigenous group will be respected and valued as the only remaining ethnicity of Mesoamerican origin within Costa Rica, and this recognition can improve their quality of life.

Resumen La geografía humana desempeña un papel fundamental en la adaptación de las comunidades al medio ambiente a lo largo del tiempo, considerando aspectos como la modificación del territorio, organización social, actividades económicas como el turismo cultural que aborda el contexto geográfico, historia y cultura poniendo en valor los saberes y procesos de las comunidades. Por lo tanto, el presente artículo plantea una propuesta para diseñar un Ecomuseo de la cultura Chorotega en la comunidad de Matambú ubicada en la Unidad de Planeamiento Turístico Guanacaste Sur en Costa Rica. La propuesta surge en respuesta a una necesidad de la comunidad indígena de involucrarse en el turismo para subsistir, con el objetivo de fomentar el ecoturismo, turismo cultural y creativo en el Territorio Indígena Chorotega Matambú (TICM) y contribuir al mejoramiento de las condiciones socioeconómicas de la comunidad indígena, conservando y rescatando el sentido de pertenencia del patrimonio cultural y natural por parte de los habitantes del territorio. Cumplido el objetivo de crear el Ecomuseo “Los Chorotegas” en la comunidad de Matambú, mejorará la calidad de vida y a la vez serán más respetados, visibilizados como la única etnia de origen Mesoamericana presente en Costa Rica.

La educación inclusiva representa un derecho de todo ciudadano y es deber del Estado subsidiar una educación sin restricciones y de calidad con el fin de favorecer el logro de una vida plena para todas las personas, atendiendo principalmente a aquellos con necesidades especiales para su aprendizaje. El objetivo de este trabajo fue analizar las políticas públicas de educación inclusiva para las comunidades rurales del Perú. El estudio se sustenta en una revisión sistemática de la bibliografía disponible en las bases de datos Scopus, SciELO y WoS. Fueron analizados 30 artículos cuyo período de publicación se encuentra entre 2018 y 2023. Los resultados muestran que la educación inclusiva sigue siendo un reto para el estado peruano, evidenciándose como factor principal todo tipo de discriminación; no se ha entendido bien el contenido más universal de la educación inclusiva; los docentes no están suficientemente formados para asumir la experiencia de la enseñanza con estudiantes con necesidades especiales y la educación inclusiva e intercultural en las zonas andinas es poco atendida por los Estados. Finalmente, se concluye que la familia andina aún no es involucrada plenamente en la política de inclusión.

A educação inclusiva representa o direito de todo cidadão e é dever do Estado subsidiar a educação irrestrita e de qualidade, a fim de promover a conquista de uma vida plena para todas as pessoas, atendendo principalmente aqueles com necessidades especiais de aprendizagem. O objetivo deste trabalho foi analisar políticas públicas de educação inclusiva para comunidades rurais no Peru. O estudo baseia-se em uma revisão sistemática da literatura disponível nas bases de dados Scopus, SciELO e WoS. Foram analisados ​​30 artigos cujo período de publicação se situa entre 2018 e 2023. Os resultados mostram que a educação inclusiva continua a ser um desafio para o estado peruano, sendo evidentes todos os tipos de discriminação como fator principal; O conteúdo mais universal da educação inclusiva não foi bem compreendido; Os professores não estão suficientemente capacitados para assumir a experiência de lecionar com alunos com necessidades especiais e a educação inclusiva e intercultural nas áreas andinas é pouco atendida pelos Estados. Por fim, conclui-se que a família andina ainda não está plenamente envolvida na política de inclusão.

Inclusive education represents the rights of every citizen, and the State has to subsidize unrestricted, quality education to promote the achievement of whole life for all people, mainly serving those with special learning needs. This work aimed to analyze public inclusive education policies for rural communities in Peru. The study presents a qualitative approach supported by a systematic review of the literature available in the Scopus, Scielo, and WoS databases; 30 articles were analyzed for publication period between 2018 and 2023. The results show that inclusive education continues to be a challenge for the Peruvian State, with all types of discrimination being evident as the main factor. The universal content of inclusive education has yet to be well understood; Teachers need to be sufficiently trained to assume the experience of teaching a student with special needs, and inclusive and intercultural education in the Andean areas is poorly attended to by the States. Finally, it is concluded that the Andean family still needs to be fully involved in the inclusion policy.

Resumo A pandemia da Covid-19 pode ser considerada um dos maiores problemas de saúde pública internacional dos últimos decénios, sendo evidentes os problemas de saúde mental ligados à imposição do confinamento durante a mesma. Realizamos uma revisão sistemática de literatura com o objetivo de analisar os efeitos da restrição da liberdade e do isolamento social na qualidade de vida das pessoas em Portugal durante o período de pandemia. Recorremos à Biblioteca do Conhecimento Online (B-On), procurando artigos publicados entre setembro de 2019 e março de 2022, e utilizando os termos: “Mental Health AND Confinement OR Quarantine OR Lockdown”, com seleção do campo “[TI Título]” e “Portugal OR Portuguese”. Os artigos incluídos no estudo identificaram efeitos negativos do confinamento no bem-estar mental e no estado emocional, associados a comportamentos de estilo de vida pouco saudáveis, inatividade física e social, má qualidade de sono, comportamentos alimentares pouco saudáveis, desemprego ou inatividade laboral e maior utilização da tecnologia durante o período de confinamento. As medidas de restrição culminaram no agravamento da sintomatologia depressiva, de ansiedade e na diminuição da qualidade de vida, associada a sentimentos de solidão e isolamento social.

Abstract Covid-19 pandemic can be considered one of the biggest international public health problems in the last decades, and had a severe impact on the mental health and wellbeing of people around the world linked to the imposition of confinement. We carried out a systematic literature review with the aim of analyzing the effects of restriction of freedom and social isolation on the quality of life of people in Portugal during the pandemic period. We used the Online Knowledge Library (B-On), looking for articles published between September 2019 and March 2022, and using the terms: “Mental Health AND Confinement OR Quarantine OR Lockdown”, selecting the field “[TI Title]” and “Portugal OR Portuguese”. We tried to identify negative effects of confinement on mental well-being and emotional state, associated with unhealthy lifestyle behaviors, physical and social inactivity, poor sleep quality, unhealthy eating behaviors, unemployment or work inactivity and greater use of technology during the confinement period. The restriction measures culminated in the worsening of depressive and anxiety symptoms and a decrease in quality of life, associated with feelings of loneliness and social isolation.

Resumo A conceção de programas de promoção do bem-estar para companheiros de mulheres diagnosticadas com cancro da mama implica a existência de instrumentos de medida específicos, que considerem os domínios efetivamente relevantes para esta população. O objetivo deste estudo exploratório foi construir e validar uma escala para avaliar o impacto do diagnóstico e tratamento do cancro da mama nos companheiros. Uma amostra de conveniência de 84 companheiros de mulheres que tiveram diagnóstico de cancro da mama respondeu ao questionário desenvolvido no presente estudo, questionário sociodemográfico, Escala de qualidade de vida do familiar/cuidador do doente oncológico (CQOLC) e versão portuguesa da Hospital Anxiety and Depression Scale (HADS). Foi desenvolvida a Escala de Avaliação do Impacto do Cancro da Mama nos Companheiros (EAICMC), com 24 itens, organizados em três fatores. A EAICMC revelou boa fiabilidade (α = 0,82). A correlação item-total e item-subescalas comprovou a sua aceitável validade interna convergente/discriminante e a distribuição das respostas pelos seus itens demonstrou que possui uma razoável sensibilidade. A correlação entre os scores obtidos na EAICMC, HADS e CQOLC confirmou a validade externa da escala. Trata-se de um instrumento bem aceite e que poderá ser útil para a prática clínica.

Abstract The design of wellbeing promotion programs for the partners of women diagnosed with breast cancer requires the existence of specific measuring instruments that take into account the domains that are actually relevant to this population. The aim of this exploratory study was to construct and validate a scale to assess the impact of breast cancer diagnosis and treatment on partners. A convenience sample of 84 partners of women diagnosed with breast cancer answered the questionnaire developed in this study, a sociodemographic questionnaire, the Cancer Patient Family/Caregiver Quality of Life Scale (CQOLC) and the Portuguese version of the Hospital Anxiety and Depression Scale (HADS). The Assessment of the Impact of Breast Cancer on Companions Scale (EAICMC) was developed, with 24 items, organized into three factors. The EAICMC showed good reliability (α=0.82). The item-total and item-subscale correlation proved its acceptable convergent/discriminant internal validity and the distribution of responses across its items showed that it has reasonable sensitivity. The correlation between the scores obtained on the EAICMC, HADS and CQOLC confirmed the scale's external validity. It is a well-accepted instrument that could be useful in clinical practice.

Resumen La presente revisión sistemática sintetizó la evidencia de la interacción de la calidad de vida con el mindfulness rasgo en población adulta. Para esto, basado en la metodología PRISMA, se consideraron artículos cuantitativos con resultados primarios de asociación entre calidad de vida y mindfulness en adultos de 18 a 65 años, publicados entre 1979 y 2022, en inglés y español. Se realizaron búsquedas en Scopus, Web of Science, PubMed y PsycNet. El riesgo de sesgo se evaluó mediante una herramienta de puntuación del rigor metodológico. Al finalizar, 10 artículos cumplieron los criterios, los cuales evidencian que el mindfulness rasgo puede mejorar la calidad de vida de los adultos de forma moderada a alta, debido al proceso de aceptación y afrontamiento de manera consciente, sin juicios y reacciones, al minimizar efectos negativos como el estrés. Además, se identifican retos respecto a la conceptualización, medición e inclusión de terceras variables.

Abstract The present systematic review synthesizes the evidence of the interaction of quality of life with trait mindfulness in the adult population. Following the PRISMA methodology, quantitative articles with primary results on the association between quality of life and mindfulness in adults aged 18 to 65 years, published between 1979 and 2022 in English and Spanish, were considered. Searches were carried out in Scopus, Web of Science, PubMed, and PsycNet. The risk of bias was assessed using a methodological rigor scoring tool. In the end, 10 articles that met the criteria showed that the mindfulness trait may improve the quality of life of adults in a moderate to high way, due to the process of acceptance and coping consciously, without judgments and reactions, minimizing negative effects such as stress. Additionally, challenges regarding the conceptualization, measurement, and inclusion of third variables were identified.

RESUMEN La formación del profesional en psicología exige no solo conocimientos académicos, sino también equilibrio emocional, de ahí que la importancia que reviste investigar el bienestar psicológico (BP) se adscribe al interés por caracterizar las dimensiones de este desde la perspectiva de Carol Ryff. De esta manera, se planteó como objetivo describir las dimensiones del BP en universitarios de la carrera de psicología de una universidad pública de Honduras. La investigación fue cuantitativa - descriptiva, con diseño no experimental, transversal, tomando la población total bajo una muestra por conveniencia, conformada por 77 estudiantes voluntarios, matriculados en Psicología durante el primer período del 2022, utilizando la escala de BP de Ryff. Los principales hallazgos evidenciaron que el 93.5% manifestaron un nivel elevado de BP y en nivel alto el 6.5%; no se mostraron niveles moderados y bajos. En cuanto a las dimensiones, las más significativas ubicadas en nivel medio de BP fueron crecimiento personal, 87% y dominio del entorno, 86%. El 66% de hogares fueron funcionales y el 85% con creencias espirituales, los cuales pueden considerarse factores significativos frente a los resultados encontrados, concluyendo que la mayoría de la población se ubica en niveles elevados y altos de BP.

ABSTRACT Professional training in psychology requires not only academic knowledge, but also emotional balance, hence the importance of investigating psychological well-being (BP) is attached to the interest in characterizing its dimensions from Carol Ryff's perspective. In this way, the objective was to describe the dimensions of BP in university students of the psychology career of a public university in Honduras. The research was quantitative - descriptive, with a non-experimental, cross-sectional design, taking the total population under a convenience sample, made up of 77 volunteer students, enrolled in Psychology during the first period of 2022, using the Ryff BP scale. The main findings showed that 93.5% had a high level of BP and 6.5% had a high level; moderate and low levels were not shown. As for the dimensions, the most significant ones located in the middle level of BP were personal growth, 87% and mastery of the environment, 86%. 66% of homes were functional and 85% with spiritual beliefs, which can be considered significant factors compared to the results found, concluding that most of the population is located at high and high levels of BP.

RESUMEN En el Estado mexicano de Tabasco se sufrieron inundaciones durante la pandemia COVID-19; ambos factores implicaron el cierre de escuelas durante varias semanas, por ello las clases debieron ser por internet y televisión. Todo lo anterior significó mayores cargas de trabajo, así como nuevas demandas para las personas dedicadas a la docencia. Por tanto, el objetivo del estudio es identificar el grado de afectación durante las inundaciones y la pandemia COVID-19 sobre la calidad de vida de los docentes. Así, se lanzó una encuesta por internet para ser respondida voluntaria y anónimamente, aplicándose los siguientes instrumentos: Desequilibrio entre el Esfuerzo y las Recompensas: Engagement, Síndrome de Quemarse por el Trabajo, y Salud Mental y Física Percibidas, recibiéndose 276 cuestionarios. Se obtuvieron índices omega de confiabilidad dentro de las normas aceptadas internacionalmente. Se calcularon las medias de cada factor, así como las correlaciones entre ellos. En términos generales los factores positivos dieron mediciones superiores a los negativos, indicando fortaleza psicológica en las personas dedicadas a la docencia aún durante situaciones extremadamente difíciles. Las limitaciones del estudio son: estar restringido a un área geográfica y no haber sido obtenido al azar. Se sugiere efectuar otras investigaciones a fin de generalizar los resultados.

ABSTRACT In the Tabasco Mexican State there were severe flows due to abundant rain during the COVID-19; these two phenomena imply closing schools during several weeks, so classes should be by internet and tv, meaning new demands and workloads for teachers. So, the objective of the study is to identify the degree of affectation during the floods and the COVID-19 pandemic on the quality of life of teachers. Thus, an internet survey was launched to be answered voluntarily and anonymously, applying the following instruments: Effort-Rewards-Imbalance, Engagement, Burnout syndrome, and Perceived Physical and Mental Health, receiving 276 questionnaires. The obtained omega reliability indexes were located among the international accepted norms. Means and standard deviations as well as correlations were calculated. In general terms positive factors rendered higher scores than the negative ones, indicating the psychological strength of teachers even during extremely difficult situations. The limitations of the study are: questionnaires were obtained only from a reduced geographical area and participants were not randomly assigned to a group. Therefore, it is suggested to carry out other investigations in order to generalize the results.

RESUMEN El creciente uso de la digitalización en la enseñanza superior exige el uso de diversas tecnologías de la información y la comunicación (TICs). Sin embargo, los estudios han demostrado que el uso de las TICs induce al tecnoestrés y, en ocasiones a la tecnoadiccción. El objetivo principal de este trabajo fue estudiar el impacto psicológico del uso de las TICs en estudiantes universitarios de población Argentina en contexto pandemia COVID-19. El diseño metodológico fue no experimental de corte transversal bajo un estudio descriptivo, correlacional y de diferencia de grupos. La muestra estuvo constituida por 1656 estudiantes universitarios con una edad promedio de 24.69 (DE = 6.52, Mín = 18, Máx = 66; el 78.2% eran mujeres y el 21.8% eran varones). Los resultados informaron niveles de tecnoestrés entre altos y muy altos, predominantemente en mujeres que utilizaron el celular y la computadora para fines académicos. A su vez, se hallaron relaciones positivas y significativas entre la edad de los participantes, el tiempo de experiencia universitaria y la frecuencia en el uso de la computadora. Se obtuvieron correlaciones negativas y significativas entre la frecuencia del uso del celular y las dimensiones Fatiga, Escepticismo y Adicción. La frecuencia en el uso de la computadora para fines académicos correlacionó de forma positiva y significativa con las dimensiones Ansiedad, Fatiga, Escepticismo e Ineficacia. Se concluye que el impacto psicológico del uso de las TICs en estudiantes universitarios de población Argentina en contexto pandemia COVID-19 produjo modificaciones en la calidad de vida y en las actividades de la vida cotidiana del alumnado.

ABSTRACT The increasing use of digitalization in higher education requires the use of various information and communication technologies (ICTs). However, studies have shown that the use of ICTs induces techno-stress and, sometimes, techno-addiction. The main objective of this work was to study the psychological impact of the use of ICTs in university students from Argentina in the context of the COVID-19 pandemic. The methodological design used was non-experimental, cross-sectional, descriptive, correlational and group difference. The sample consisted of 1656 university students with a mean age of 24.69 (SD = 6.52, Min = 18, Max = 66; 78.2% were female and 21.8% were male). The results reported high to very high levels of technostress, predominantly in women who used cell phones and computers for academic purposes. In turn, positive and significant relationships were found between participants' age, length of university experience and frequency of computer use. Negative and significant correlations were obtained between the frequency of cell phone use and the dimensions Fatigue, Skepticism and Addiction. Finally, the frequency of computer use for academic purposes correlated positively and significantly with the dimensions Anxiety, Fatigue, Skepticism and Inefficacy. It can be concluded that the psychological impact of the use of ICTs in university students from the Argentine population in the context of the COVID-19 pandemic produced modifications in the quality of life and daily life activities of the students.

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.

ABSTRACT Currently, there is a progressive trend towards population aging. The purpose of this research was to present an educational strategy for students of the 5th level of Gerontology that contributes to the promotion of physical activity in older adults. The research was framed in a mixed methodology and a cross-sectional descriptive design. Scientific methods were used that in the theoretical order include analysis-synthesis, inductive-deductive and structural systemic and as empirical methods documentary review, observation, survey and interviews, applied to a sample of 38 subjects. The study revealed the importance of physical activity as a strategy that allows achieving active aging with quality of life. According to these results, the application of an educational strategy, structured in three stages and two phases, contributes to the self-management of student learning, where the professional context becomes an authentic training space.

RESUMEN En la actualidad, existe una tendencia progresiva al envejecimiento de la población. El propósito de esta investigación consistió exponer una estrategia educativa para los estudiantes del 5.º nivel de Gerontología que contribuya a la promoción de la actividad física en el adulto mayor. La investigación se enmarcó en una metodología mixta y un diseño descriptivo de corte transversal. Se emplearon métodos científicos que en el orden teórico se encuentran análisis-síntesis, inductivo-deductivo y el sistémico estructural, y como métodos empíricos la revisión documental, la observación, la encuesta y entrevistas, las cuales fueron aplicadas a una muestra de 38 sujetos y revelan la importancia de la actividad física como estrategia que permite alcanzar un envejecimiento activo y con calidad de vida en la tercera edad. Según estos resultados, la aplicación de una estrategia educativa estructurada en tres etapas y dos fases contribuye a la autogestión del aprendizaje de los estudiantes, donde el contexto profesional se convierte en un auténtico espacio de formación.

RESUMO Atualmente, há uma tendência progressiva de envelhecimento da população. O objetivo desta pesquisa foi apresentar uma estratégia educacional para estudantes do 5º nível de Gerontologia que contribua para a promoção da atividade física em idosos. A pesquisa foi enquadrada em uma metodologia mista e um desenho descritivo transversal. Foram utilizados os métodos científicos teórico, indutivo-dedutivo e sistêmico-estrutural, e os métodos empíricos foram revisão documental, observação, inquérito e entrevistas, que foram aplicados a uma amostra de 38 sujeitos e revelam a importância da atividade física como estratégia para alcançar o envelhecimento ativo e a qualidade de vida dos idosos. De acordo com esses resultados, a aplicação de uma estratégia educacional estruturada em três etapas e duas fases contribui para o autogerenciamento da aprendizagem dos alunos, em que o contexto profissional se torna um autêntico espaço de treinamento.

RESUMEN En este artículo, se lleva a cabo un análisis de los factores que obstaculizan la efectiva y eficiente administración de los recursos del Estado, y se realiza una propuesta de un nuevo paradigma para la gestión pública. Múltiples obstáculos impiden alcanzar el bienestar de la ciudadanía con atención a su diversidad; eliminarlos; y redefinir la gestión pública con un cambio de prioridades de las políticas públicas que permitirá alcanzar crecimiento con inclusión. El vector de inclusión requiere inversiones importantes en capital humano -educación, salud y tecnología- para elevar el bienestar y la calidad de vida, y en infraestructura física, para alcanzar mayor productividad y absorción del progreso tecnológico. Las prioridades son: empleo registrado (formal) y productivo, reforma del sector salud, educación e inversiones con criterio de integración social. Estas prioridades son comprendidas por siete lecciones de la política macroeconómica que pueden adaptarse a la nueva gestión pública.

ABSTRACT This article conducts an analysis of the factors hindering the effective and efficient administration of state resources and proposes a new paradigm for public management. Multiple obstacles prevent achieving the well-being of the diverse citizenry, necessitating their elimination and a redefinition of public management with a shift in policy priorities to promote inclusive growth. The inclusion vector requires significant investments in human capital, including education, health, and technology, to enhance well-being and quality of life, as well as in physical infrastructure to boost productivity and absorb technological progress. Priorities include formal and productive employment, healthcare sector reform, education, and socially integrated investments. Seven lessons from macroeconomic policy are outlined as applicable to the new public management.

Abstract Urban trees play an important role within cities due to the environmental services they provide and their contribution to mitigating the current climate crisis. In this context, the objective of this study was to evaluate the tree vegetation of five public parks in the Texcoco de Mora municipality in order to estimate the environmental services they provide. A census was carried out per park and the data were processed through the i-Tree® Eco v6 software. 1 325 individuals from 23 families and 37 genera were recorded with a richness of 55 species in the five parks, an average density of 157 trees ha-1 and a total of 242.6 megagrams of carbon storage with a carbon capture of 10.5 Mg year-1. The avoided rain runoff was 481 m3 year-1 and the value represented by these environmental services is MXN $894 514.93 for carbon storage, MXN $38 650 annually for carbon capture, and MXN $481.93 for runoff. The replacement value of the trees reaches MXN $24 408 534. A tree cover of 30 485 m2 was estimated, which represents a factor of 0.86 m2 inhabitant-1. It is concluded that Texcoco is below the recommended factor of trees per inhabitant proposed by the UN. It is necessary to study the green areas, medians, alignment trees and community parks, to achieve a more complete panorama of the municipality.

Resumen El arbolado urbano desempeña un papel importante dentro de las ciudades por los servicios ambientales que provee y por su contribución a la mitigación de la actual crisis climática. En ese contexto, el objetivo del presente estudio consistió en evaluar la vegetación arbórea de cinco parques públicos del municipio Texcoco de Mora a fin de estimar los servicios ambientales que proporcionan. Se realizó un censo por parque y se procesaron los datos a través del software i-Tree ® Eco V6. Se registraron 1 325 individuos de 23 familias y 37 géneros con una riqueza de 55 especies en los cinco parques, una densidad promedio de 157 árboles ha-1 y un total de 242.6 megagramos de almacenamiento de carbono con una captura de 10.5 Mg año-1. El escurrimiento de lluvia evitado fue de 481 m3 año-1 y el valor que representan estos servicios ambientales en pesos es de MXN $894 514.93 para el almacenamiento de carbono, MXN $38 650 anuales para la captura del mismo y MXN $481.93 para el escurrimiento. El valor de sustitución del arbolado es de MXN $24 408 534.00. Se estimó una cobertura arbórea de 30 485 m2, lo cual representa un factor de 0.86 m2 habitante-1. Se concluye que Texcoco está por debajo del factor recomendado de arbolado por habitante propuesto por la ONU. Es necesario estudiar las áreas verdes, camellones, árboles de alineamiento y parques comunitarios para tener un panorama del municipio más completo.

RESUMEN Introducción: La caries es una de las enfermedades crónicas que más afecta a la humanidad, los niños son un grupo de alto riesgo de presentarla. La Calidad de Vida Relacionada con Salud Oral (CVRSO) se refiere a la percepción de las condiciones bucales de uno mismo y la manera en que los factores afectados impactan el bienestar y desempeño en las actividades diarias, el desarrollo de indicadores de esta se ve limitado por el nivel cognitivo de los niños, lo que genera el P-CPQ para determinar la percepción parental. Objetivo: determinar la percepción parental de la calidad de vida relacionada con la salud bucal de los niños de 6 a 10 años. Materiales y Métodos: se realizó un estudio observacional descriptivo con componente analítico. Se llevó a cabo una encuesta a 98 padres, el P-CPQ modificado que consta de 23 preguntas que abarcan las subescalas de síntomas orales, limitaciones funcionales, bienestar emocional y bienestar social. Resultados: Relacionando los resultados del cuestionario con la presencia de caries en dientes permanentes se reportó el aumento de caries con la edad; el sexo femenino predominó entre los participantes con caries siendo el 63,8%. La puntuación media fue de 13,6 (DE=13,1). Se presentó una asociación estadísticamente significativa entre la percepción parental de CVRSO de los niños y la presencia de caries dental en dientes permanentes (p=0,004). Conclusiones: Se concluyó que la presencia de caries en dientes permanentes en niños de 6 a 10 años puede disminuir significativamente la CVRSO en las dimensiones de síntomas orales, limitaciones funcionales y bienestar social.

ABSTRACT Introduction: Caries is one of the chronic diseases that most affects humanity; children are a high-risk group for developing it. Oral Health Related Quality of Life (OHRQL) refers to the perception of one's own oral conditions and the way in which the affected factors impact well-being and performance in daily activities. The development of indicators of this is limited by the cognitive level of the children, which led to the P-CPQ to determine parental perception. Objective: to determine the parental perception of the quality of life related to the oral health of children from 6 to 10 years old. Materials and Methods: This was a descriptive and observational study with an analytical component. A survey of 98 parents was conducted, using the modified P-CPQ which consists of 23 questions covering the subscales of oral symptoms, functional limitations, emotional well-being, and social well-being. Results: Relating the results of the questionnaire with the presence of cavities in permanent teeth, an increase in cavities with age was reported; the female sex predominated among the participants with cavities, being 63.8%. The mean score was 13.6 (SD=13.1). There was a statistically significant association between parental perception of children's OHRQL and the presence of dental caries in permanent teeth (p=0.004). Conclusions: The presence of caries in permanent teeth in children aged 6 to 10 years can significantly reduce OHRQLin the dimensions of oral symptoms, functional limitations and social well-being.

RESUMEN La investigación persiguió el objetivo de conocer la relación existente entre la disponibilidad y utilización de servicios y la calidad de vida de un grupo de personas mayores. La metodología adoptada fue de tipo mixta con diseño convergente o de triangulación de datos. La muestra estuvo conformada por 106 personas mayores de 60 años, residentes en la zona Este de la provincia de Mendoza. Para la recolección de datos se aplicó una entrevista semidirigida, el cuestionario WHOQoL para evaluar calidad de vida, un instrumento ad hoc de Mapas cognitivos, para evaluar disponibilidad y utilización de servicios y como dato secundario se utilizó un Índice de Calidad de Vida elaborado desde CONICET. Entre los resultados, destaca el hecho, según se constató, de que la utilización de servicios predice mejor la calidad de vida autopercibida que otras variables reportadas en investigaciones anteriores, como el género, la edad o la situación de salud. Por otra parte, los tipos de servicios que más colaboran con la calidad de vida son los comerciales y los físico-recreativos. Estos últimos son en su mayoría de origen estatal o de organizaciones del tercer sector, lo que facilita el acceso.

ABSTRACT This research was aimed to understand the relationship among the availability, utilization of services and the quality of life of a group of elderly people. The adopted methodology was a mixed-method approach with a convergent or data triangulation design. The sample consisted of 106 individuals over 60 years old, residing in the Eastern region of the province of Mendoza. Data collection involved semi-structured interviews, the WHOQoL questionnaire to assess quality of life, and Ad Hoc instrument of Cognitive Maps to evaluate availability and utilization of services. A secondary data source was the Quality of Life Index developed by CONICET. Among the most important results, it was found that the utilization of services predicts self-perceived quality of life better than other variables reported in previous research, such as gender, age, or health status. The types of services that contribute the most to the quality of life of the individuals are commercial and physical-recreational services, as confirmed by the participants. Lastly, it is worth noting that physical-recreational services are mostly provided by the state or third-party organizations, which facilitate access for the individuals.