Abstract In retail markets, analysis of perceived value in purchasing processes has been a topic of special interest as it focuses on perception of benefits beyond the product itself. In the face of such interest, an exhaustive bibliographical review was performed regarding its concept and components applied to retail dealers. The methodology is quantitative and cross-sectional, with a descriptive and explanative analysis through structural equation models to analyze the effect of dimensions in perceived value in the dependent variable of intent to purchase. Applied surveys on 390 recurring customers of retail dealers in Bogota. The results revealed that: functional value does have a positive effect on intent to purchase; and there is a relation between functional and symbolic value of purchase. The implications of management in the context of marketing are further discussed, focusing on functional value of a purchase. Actions related to quality, communication, employee training and customer service are recommended. These findings contribute to the literature on consumer behavior within the context of consumption by comparing functional and symbolic value.

Resumen En el ámbito del comercio minorista, el análisis del valor percibido en el proceso de compra ha sido objeto de especial interés por enfocarse en la percepción de beneficios que van más allá del producto en sí. Ante tal interés, se realizó una exhaustiva revisión bibliográfica sobre su concepto y componentes aplicado a establecimientos minoristas. La metodología es cuantitativa y transversal, con un análisis descriptivo y explicativo a través de modelos de ecuaciones estructurales para analizar el efecto de las dimensiones del valor percibido en la variable dependiente de la intención de compra. Se aplicaron encuestas a 390 a clientes habituales de comercios minoristas en Bogotá. Los resultados revelaron que el valor funcional tiene un efecto positivo en la intención de compra; y existe una relación entre el valor funcional y el valor simbólico de la compra. Se discuten las implicaciones de la gestión en el ámbito del marketing, centrándose en el valor funcional de la compra. Se sugieren acciones relacionadas con la calidad, la comunicación, la capacitación de los empleados y el servicio al cliente. Estos hallazgos contribuyen a la literatura sobre el comportamiento del consumidor en el contexto del consumo, al comparar el valor funcional y el valor simbólico.

Resumo Dentro do âmbito do comercio de retalho, a análise do valor percebido no processo de compra tem sido objeto de interesse especial por se focalizar em a percepção de benefícios que vão mais longe do produto direito. Com esse interesse, fez-se uma revisão exaustiva da literatura de seu conceito e componentes aplicados aos estabelecimentos de retalho. A metodologia é quantitativa e transversal, com uma análise descritiva e explicativa por meio de modelos de equações estruturares para analisar o efeito das dimensões do valor percebido na variável dependente da intenção de compra. Fizeram-se pesquisas em 390 clientes usuais de lojas de retalho em Bogotá. Os resultados revelaram que: o valor funcional tem um efeito positivo na intenção de compra; e existe uma relação entre o valor funcional e o valor simbólico da compra. Discutem-se as implicações da gestão no âmbito do marketing, focalizando-se no valor funcional da compra. Sugerem-se ações relacionadas à qualidade, comunicação, capacitação dos empregados y serviço ao cliente. Os resultados contribuem à literatura com relação ao comportamento do consumidor no contexto do consumo, ao comparar o valor funcional e o valor simbólico.

Abstract: The integration of electric mobility is real nowadays. Government policies increasingly focus on encouraging the use of electric vehicles (EVs); particularly, replacing conventional public mobility with electric buses. An adequate energy management of electric bus systems must optimize resource usage, and extend the lifespan of transport units and charging stations, while providing quality service to users. The performance of the EV transport system depends on various deterministic and stochastic variables that need to be accurately simulated to analyze its behavior as closely as possible to real conditions. In this study, a model for the energy analysis of EVs has been implemented, by using the software SUMO (Simulation of Urban Mobility) and applying it to public transport routes in Quito, Ecuador. Through the executed simulations, energy consumption has been estimated and, a sensitivity analysis of the energy consumption of electric bus units to the variations in relevant parameters in the energy management of public transport systems, has been carried out. The impact of certain parameters on energy consumption has been verified, by indicating a significant decrease in the autonomy of EVs on the simulated route under very similar to reality operating conditions. For study case, autonomy reduction of electric bus is around 27% in comparison with manufacturer's specifications. The analysis of energy performance under various traffic scenarios will allow future optimizations of the electric public transport system operation, since traffic levels, variable traffic flow, and pronounced changes in terrain elevation, are considered.

Resumen: La integración de la movilidad eléctrica es una realidad en el mundo actual, las políticas gubernamentales se enfocan cada vez más en incentivar el uso de vehículos eléctricos (VE) particulares, pero, principalmente en reemplazar la movilidad pública convencional por el uso de buses eléctricos. Una adecuada gestión energética de los sistemas de buses eléctricos debe optimizar el uso de recursos, prolongando la vida útil de las unidades de transporte, estaciones de carga y brindando siempre un servicio de calidad a sus usuarios. El desempeño del sistema de transporte mediante VE depende de diversas variables determinísticas y estocásticas que necesitan ser debidamente simuladas a fin de analizar su comportamiento, lo más cercano a las condiciones reales. En el presente trabajo, mediante la aplicación del software SUMO (Simulation of Urban Mobility), se ha implementado un modelo para el análisis energético de VE y se lo ha aplicado en rutas de transporte público en Quito-Ecuador. A partir de las simulaciones realizadas se ha estimado el consumo energético y se ha efectuado un análisis de sensibilidad del consumo energético de las unidades de buses eléctricos ante variaciones de parámetros relevantes en la gestión energética de sistemas de transporte público. Para el caso de estudio se comprueba la reducción de la autonomía del bus eléctrico en 27% de acuerdo con la información del fabricante. El análisis del desempeño energético realizado bajo diversos escenarios de tráfico permitirá en futuros trabajos optimizar la operación de los sistemas de transporte público eléctrico, considerando niveles de tráfico, flujo vehicular variable y pronunciados desniveles en su relieve.

Abstract: The purpose of this research study is to describe the factors that influence consumers' purchasing decisions in live shopping broadcasts. The proposed research methodology is based on the qualitative paradigm with an interpretative approach. A semi-structured questionnaire is applied to interview 25 people who had participated in live shopping transmissions at least once. The results show eight families codes: (1) motivation, (2) participation, (3) trust, (4) influence of social networks, (5) time pressure, (6) customer satisfaction, (7) distrust and problems, and (8) quality of service. The aesthetic aspect of the seller and the endorsement of a celebrity have no valorization. In conclusion, the purchase decision variables of live shopping broadcasts do not differ significantly with respect to what has been found in previous literature.

Resumen: El propósito de esta investigación es describir los factores que influyen en la decisión de compra de los consumidores en transmisiones de compras en vivo. La metodología está fundamentada en el paradigma cualitativo con enfoque interpretativo. Se ocupa un cuestionario semi-estructurado para realizar entrevistas a 25 personas que han participado en las transmisiones de compra en vivo al menos una vez. El análisis de los datos se realiza mediante la teoría fundamentada de Glaser y Strauss. Los resultados muestran ocho familias de códigos: (1) motivación, (2) participación, (3) confianza, (4) influencia redes sociales, (5) presión por tiempo, (6) satisfacción del cliente, (7) desconfianza y problemas, y (8) calidad del servicio. El aspecto estético del vendedor y la determinación de una celebridad no son valorizables. En conclusión, las variables de decisión de compra de las transmisiones de compra en vivo, en general, no difieren respecto con lo encontrado en la literatura previa.

Abstract: Hospitals, as the main entities providing medical services, face the crucial question of how to ensure the fairness and accessibility of medical services in strengthening the construction of integrity ethics. Patient-centered care is the code of conduct for medical services, requiring hospitals to provide high-quality and efficient medical services. This study delves into patients’ experiences, needs, and expectations regarding the construction of integrity ethics in hospitals, aiming to offer guidance and practical pathways for protecting patient rights, promoting reforms in the medical service system, and building trust-based doctor-patient relationships. In the context of an aging population and the goal of achieving universal health coverage, it is essential to allocate medical resources reasonably, ensuring the quality and credibility of medical services. Based on the stance of protecting patient rights, this study analyzes the current state of China’s medical service system and proposes specific measures to improve the quality of medical services and patient satisfaction, striving to provide valuable references for fostering positive interaction between patients and hospitals.

Resumen: Los hospitales, como principales entidades proveedoras de servicios médicos, se enfrentan a un punto crucial: cómo garantizar la equidad y la accesibilidad de los servicios médicos en el fortalecimiento de la construcción de la ética de la integridad. La atención centrada en el paciente es el código de conducta de los servicios médicos, que exige a los hospitales la prestación de servicios médicos eficientes y de alta calidad. Este estudio profundiza en las experiencias, necesidades y expectativas de los pacientes en relación con la construcción de una ética de la integridad en los hospitales, con el objetivo de ofrecer orientación y vías prácticas para proteger sus derechos, promover reformas en el sistema de servicios médicos y construir relaciones médico-paciente basadas en la confianza. En el contexto del envejecimiento de la población y el objetivo de lograr una cobertura sanitaria universal, es esencial asignar los recursos médicos de manera razonable, garantizando la calidad y la credibilidad de los servicios médicos. Partiendo de la postura de proteger los derechos del paciente, este estudio analiza el estado actual del sistema de servicios médicos en China y propone medidas concretas para mejorar su calidad y la satisfacción del paciente, esforzándose por ofrecer referencias para promover una interacción positiva entre pacientes y hospitales.

Resumo: Hospitais, como principais entidades fornecedoras de serviços médicos, enfrentam a questão crucial de como garantir equidade e acessibilidade dos serviços médicos no fortalecimento da construção de integridade ética. Cuidados centrados no paciente é o código de conduta para serviços médicos, requerendo que hospitais forneçam serviços médicos de alta qualidade e eficientes.Esse estudo investiga as experiências, necessidades e expectativas dos pacientes a respeito da construção de integridade ética nos hospitais, visando oferecer diretrizes e caminhos práticos para a proteção dos direitos dos pacientes, promovendo reformas no sistema de serviços médicos e construindo relações médico-paciente baseadas na confiança. No contexto do envelhecimento da população e do objetivo de alcançar cobertura universal da saúde, é essencial alocar recursos médicos de forma satisfatória, garantindo a qualidade e credibilidade dos serviços médicos. Baseado na orientação de proteger os direitos dos pacientes, esse estudo analisa o estado atual do sistema de serviços médicos da China e propõe medidas específicas para melhorar a qualidade dos serviços médicos e a satisfação dos pacientes, aspirando fornecer referências valiosas para promover uma interação positiva entre pacientes e hospitais.

Hierdie sewe-jaar longitudinale opvoedingstudie evalueer drie akademiese afleweringsmodusse vir deeltydse MBA-studente in hul Bemarkingsbestuursmodule, naamlik vol kontak (20172019), vol aanlyn tydens COVID-19 se harde inperking (2020-2021 en die daaropvolgende gemengde modus (2022-2023). Die studie het ten doel om te bepaal of die afleweringsmodus studente se akademiese prestasie beduidend beïnvloed. Die eenrigting-variansie-analise (EVA) het beduidende verskille tussen die afleweringsmodusse vir individuele opdragte (normatiewe assessering) en groepgevallestudies (summatiewe assessering) geïdentifiseer. Daar was ook betekenisvolle verskille tussen die akademiese prestasie ten opsigte van die finale saamgestelde portefeulje van kennis (wat as eksamen dien). Hierdie portefeulje bestaan uit 'n prakties-toegepaste bemarkingsplan. Die post-hoc toetse het getoon dat studente aansienlik beter gevaar het tydens die gemengde afleweringsmodus in individuele opdragte, terwyl die volledige aanlyn modus laer punte vir die groepgevallestudies gehad het. Beide die gemengde en volledige kontakmodusse het beduidende opeenvolgende verbetering vir die groepgevallestudies getoon, wat in elke gevallestudie verbetering getoon het namate die semester gevorder het. Dit verskil van volledige aanlyn onderrig. Die gemengde modus het ook aansienlik beter gevaar in die eksamen- en finale modulepunte en het selfs beter gevaar as volkontakklasse.

The COVID-19 pandemic significantly transformed the tertiary education landscape. Traditional contact universities were forced abruptly to adopt a full-distance education mode, a situation neither the students nor lecturers were prepared for. Many lectures and teaching activities were developed on the fly as universities struggled to roll out the needed support in double-time for lecturers and students. This new normal for education required integrating technology, advanced communication software, revised assessment techniques, and recognising the need for flexible and adaptable approaches to teaching and learning. Students also evolved and gained technological proficiency, adaptability, time management, soft skills, social media proficiency, and an awareness of health and well-being. Albeit uncertain in redefining the new normal, universities continue to provide quality education. However, exactly how university education should be delivered to a new breed of students in a new business environment is a challenge. This is even more so in the case of executive MBA students. After the hard lockdown and restrictions were lifted on 21 September 2020, the North-West University Business School started to explore other modes of academic content delivery. Reinstating a full contact delivery mode was not an option because of remaining restrictions. High technological investment, online-educated lecturers and students, and benefits and developments during online learning now form a new normal for the Business School. Which teaching method, or rather, which mode of delivery, is the most relevant and adequate? Should the MBA lectures return to the historic full-contact delivery mode, stick with the newly established full online mode, or attempt to integrate the benefits of both into a hybrid mode of delivering business education to a new breed of technology-savvy students? This study, therefore, examines the academic performance of the different delivery modes by comparing data of Executive MBA Marketing management students at the NWU Business School in South Africa. The study examines the academic performance of these students from 2017 up to 2023. The panel database consists of Executive MBA students'marks for the module in Marketing Management from 2017 up to 2023. The database contains marks for individual assignments, groupwork case studies, final individual- and groupwork marks, exam marks and the final module mark. The final assessment is a portfolio of evidence comprising a detailed marketing plan for a product, service, or organisation of choice. The mode of delivery served as the dependent variable, while the independent variables comprised the marks for each assignment (groupwork, individual and portfolio of evidence). Three delivery modes were compared, namely full-contact (2017-2019), full-online (2020-2021), and the post-pandemic hybrid mode currently in effect (2022-2023). The data comprised 630 cases. However, the analysis of variance (ANOVA) used 532 cases to compare the different groupwork assignments (230 full-contact students, 159 full-online students, and 143 hybrid students). Cronbach's alpha coefficient measured the data's reliability, and one-way ANOVA determined significant differences (p<.05) between the academic performance of the three delivery modes. The analysis confirmed that significant differences exist between the modes of delivery for individual assignments, group case studies and exams (p<.05). The Tukey ab post-hoc tests showed that students performed significantly better during the hybrid delivery mode in individual assignments (69.2%) than full contact (63.8%). Regarding the individual assignment, the full online (63.8%) and full contact (63.7%) delivery modes perform significantly worse than the hybrid (69.2%) delivery mode. Regarding the first group case study (Group Assignment 1), full online performs (67.3%) significantly worse than hybrid (71.1%) and full contact (73.6%) delivery modes. There is no significant difference between the hybrid and full contact delivery modes. In the second, third, and fourth group case studies (Group Assignments 2, 3 & 4), the hybrid delivery mode (82.37%, 75.4%, 82.7%) outperforms the full contact (75.4, 80.1%, 86.6%) and full-online (71.4%, 71.4%, 67.8%) modes. The hybrid delivery mode, therefore, proves to be more conducive towards academic performance in group work. Finally, in considering the final module mark, the hybrid delivery mode (71.0%) is significantly higher than the other two delivery modes. However, there is no significant difference between full online (67.5%) and full-contact (67.2%) delivery modes regarding the final module mark. Nevertheless, it is noteworthy that the better performance in the final module marks is a function of the groupwork where the students analysed case studies together. There are no significant differences in the exam marks between the delivery modes, so better academic performance in the hybrid mode of delivery where groupwork is concerned culminates in the better module mark. Based on the findings, it is evident that the hybrid mode of delivery results in the best academic performance. This observation is based on three reasons, namely 1) students performed better in both the normative and summative assessments during hybrid tuition; 2) there is continuous progressive learning throughout the semester regarding the group case studies (summative assessment). They learn to improve and hone their skills to analyse better and apply business solutions to real-life problems experienced by organisations. This is based on students' improving marks in the group case studies as they become more proficient in analysing and answering the applied case studies because they learn from each case study; and 3) the students perform better academically in their normative assessments and earn higher final module marks (partially due to reason 2). It is concluded that the hybrid delivery mode facilitates the academic performance of post-pandemic executive MBA Marketing management students. JEL KODES: I23, I21, M30

Abstract The objective of the research was to design a netnography model for the analysis of the gastronomic tourism scenario of the international destination of Los Cabos, Mexico through tourism promotion and digital footprint reviews. The research was qualitative, exploratory and descriptive in scope. A netnography model was designed, in two stages, first a guide for the corporate website for the Los Cabos Tourism Trust, in the tab of restaurants by region (gastronomic offer) and second category a virtual observation guide for evaluation and review of comments on TripAdvisor (evaluation of diners). The results showed that in the culinary scene of the international destination of Los Cabos diners have diverse categories representative of the municipality, mainly: seafood (42%), international cuisine (40%), Mexican cuisine (31%), luxury restaurants (19%) and signature cuisine (12%). The garden-to-table experience based on sustainable gastronomy is a trend among diners. There are three gastronomic proposals in the rural zone of the municipality of Los Cabos with regional food, in addition to a gastronomic district 23400, composed of 15 restaurants. In relation to the perception of the diners in the evaluations on TripAdvisor is 4.5/5 so it was considered positive, they indicated high satisfaction in quality, service, atmosphere and ambience. The profile of the traveler who opts for gourmet food rates it as 5/5 excellent. In conclusion, the proposed model facilitated the identification of components of the gastronomic scenario of the tourist destination.

Resúmen El objetivo de la investigación fue diseñar una modelo de netnografía para el análisis del escenario del turismo gastronómico del destino internacional de Los Cabos, México a través de la promoción turística y reseñas de la huella digital. La investigación fue cualitativa de alcance exploratoria y descriptivo. Se diseñó un modelo de netnografía, en dos etapas, primero una guía para la página web corporativa para el Fideicomiso de Turismo de Los Cabos, en la pestaña de restaurantes por región (oferta gastronómica) y categoría segunda una guía de observación virtual para evaluación y revisión de comentarios en TripAdvisor (evaluación de los comensales). Los resultados mostraron que en la escena culinaria del destino internacional de Los Cabos los comensales tienen diversas categorías representativas del municipio, principalmente: mariscos (42%), cocina internacional (40%), cocina mexicana (31%), restaurantes de lujo (19%) y cocina de autor (12%). La experiencia del huerto a la mesa basada en una gastronomía sustentable es una tendencia en los comensales. Existen tres propuestas gastronómicas en la zona rural del municipio de Los Cabos con comida regional, además de un distrito gastronómico 23400, compuesto por 15 restaurantes. Con relación a la percepción de los comensales en las evaluaciones en TripAdvisor es 4.5/5 por lo que se consideró positivo, indicaron alta satisfacción en calidad, servicio, atmósfera y ambiente. El perfil de viajero que opta por comida gourmet lo califica en 5/5 excelente. En conclusión, el modelo propuesto facilito la identificación de componentes del escenario gastronómico del destino turístico.

Abstract Public organizations must adopt people management practices that contribute to the availability of professionals with an appropriate and engaged profile to generate quality public service provision. However, there are contextual variables that can make it difficult to use best practices from the literature in the context of public organizations. Goal: to identify the challenges for adopting people management practices in the public sector. Methods: The research is descriptive, cross-sectional, with a qualitative approach, based on data collected with an open question in an electronic questionnaire answered by 34 professional master's students in public administration who have an average experience of 19 years in the public sector and 7.7 years with people management. The data was consolidated with Bardin's word cloud and content analysis. Results: Five thematic categories and 21 subcategories of challenges were identified: organizational behavior barrier (with 3 subcategories); lack of preparation for adopting practices (with 2 subcategories); lack of organizational support (with 4 subcategories); limitations inherent to the public sector context (with 2 subcategories), limitations in people management practices (with 10 subcategories) Conclusions. The study highlighted contextual aspects of public organizations that have made it difficult to adopt people management practices more effectively, in addition to identifying the main difficulties in the practices themselves, which can help managers to establish actions to overcome these challenges. The qualitative method allowed us to obtain information related to the topic that was not initially foreseen in the collection, but that emerged from the answers, giving greater richness to the understanding of the phenomenon studied.

Resumo As organizações públicas devem adotar práticas de gestão de pessoas que contribuam para disponibilidade de profissionais com perfil adequado e engajado para gerar uma prestação de serviços públicos de qualidade. No entanto, existem variáveis contextuais que podem dificultar o uso de melhores práticas da literatura no contexto de organizações públicas. Objetivo: identificar os desafios para adoção das práticas de gestão de pessoas no setor público. Métodos: A pesquisa é descritiva, transversal, com abordagem qualitativa, a partir de dados coletados com pergunta aberta em um questionário eletrônico respondido por 34 alunos de mestrado profissional em administração pública que possui experiência média de 19 anos no setor público e de 7,7 anos com gestão de pessoas. Os dados foram consolidados com nuvem de palavras e análise de conteúdo de Bardin. Resultados: Foram identificadas cinco categorias temáticas e 21 subcategorias de desafios: barreira do comportamento organizacional (com 3 subcategorias); falta de preparo para adoção de práticas (com 2 subcategorias); falta de suporte organizacional (com 4 subcategorias); limitações inerentes ao contexto do setor público (com 2 subcategorias),, limitações nas práticas de gestão de pessoas (com 10 subcategorias) Conclusões. O estudo evidenciou aspectos contextuais das organizações públicas que tem dificultando a adoção de práticas de gestão de pessoas de forma mais efetiva, além de identificar quais as principais dificuldades nas práticas em si, o que pode contribuir com os gestores para estabelecer ações de superação destes desafios. O método qualitativo permitiu obter informações relacionadas ao tema que não estavam previstas inicialmente na coleta, mas que emergiram das respostas dando maior riqueza para compreensão do fenômeno estudado.

Abstract Objectives: characterize, in a sociodemographic and clinical perspective, pacients who underwent videoendoscopy of swallowing and had oropharyngeal dysphagia during their hospital stay. Furthermore, it is also intended to find strategies to improve the quality of the response to pacientes in need of videoendoscopy of swallowing. Case study: this study is based on a sample collected in Centro Hospitalar Universitário Santo António, between january 2019 and september 2021, including. Materials and Methods: the clinical data and image studies from 157 pacients were retrospectively analyzed. After careful selection, all cases that did not meet the inclusion criteria were excluded from the study. Thus, 143 patients were selected for analysis. Results and conclusions: this study identifies determining factors of FOIS level variability, detecting severe patients in a preliminary, pre-VED phase, reducing waiting time by over 70%, and consequently improving service quality in all its dimensions.

Resumo Objetivos: caracterizar, do ponto de vista sociodemográfico e clínico, os doentes submetidos a videoendoscopia da deglutição que, no decurso do seu internamento, apresentaram quadro de disfagia orofaríngea; encontrar estratégias para melhorar a qualidade da resposta aos doentes que necessitem de recorrer a videoendoscopia da deglutição. Desenho do Estudo: este estudo tem por base uma amostra recolhida no Centro Hospitalar Universitário Santo António, entre janeiro de 2019 e setembro de 2021, inclusive. Material e Métodos: foram analisados retrospetivamente os processos clínicos e estudos imagiológicos de 157 doentes. Após seleção cuidada, foram excluídos do estudo todos os casos que não cumpriram os critérios de inclusão. Assim, obtiveram-se para análise 143 doentes. Resultados e Conclusões: este estudo identifica fatores determinantes da variabilidade do nível FOIS, detetando doentes graves numa fase preliminar, pré-VED, diminuindo o tempo de espera em mais de 70%, e, consequentemente, melhorando a qualidade do serviço em todas as suas dimensões.

RESUMO O artigo propõe contribuir para a reflexão sobre princípios e estratégias promotoras de saúde em territórios vulnerabilizados, tendo como objetivo específico avaliar o papel que pode ser desempenhado por uma política e serviço público de base local, permanente e participativo, desenvolvido por meio de assessoria técnica com enfoque na requalificação do espaço da moradia e do habitat que favoreça a população mais vulnerabilizada e promova soluções positivas em sua qualidade de vida. O trabalho tem sua fundamentação teórico-metodológica no campo da saúde urbana, referenciada na perspectiva crítica da complexidade do fenômeno saúde-doença, mais especificamente quando relaciona a vulnerabilidade socioambiental e os condicionantes do ambiente construído à saúde coletiva. O artigo utiliza como caso referência a experiência desenvolvida pela Fiocruz Mata Atlântica, da Fundação Oswaldo Cruz, e busca verificar a identificação dos fatores determinantes e de processos de determinação social da saúde, bem como a apropriação de princípios e estratégias de ação desse campo disciplinar. Os resultados parciais dessa experiência em curso apresentam avanços não somente nas transformações objetivas dos fatores determinantes relacionados com o ambiente construído, mas também na organização social e na articulação intersetorial nesse contexto, assim como na construção de referências para políticas públicas. vulnerabilizados local participativo vida teóricometodológica teórico metodológica urbana saúdedoença, saúdedoença doença, doença saúde-doença coletiva Atlântica Cruz disciplinar contexto públicas

ABSTRACT The article proposes to contribute to reflection on health promoting principles and strategies in vulnerable territories, aiming at the specific objective to evaluate the role that can be played by a local, permanent, and participatory policy and public service, developed through technical assistance with a focus on improving the housing space and the habitat that favors the most vulnerable population and promotes positive solutions in their quality of life. The work has its theoretical methodological foundation in the field of urban health, referenced from the critical perspective of the complexity of the health-disease phenomenon, more specifically when it relates the social and environmental vulnerability and the conditions of the built environment to collective health. The article uses as a reference the experience developed by FIOCRUZ Mata Atlântica, of the Oswaldo Cruz Foundation, and seeks to verify the identification of social determinants and processes of social determination of health as well as the appropriation of principles and strategies of action of this disciplinary field. The partial results of this ongoing experience have advances not only in the objective transformations of determining factors related to the built environment, but also in the social organization and intersectoral articulation in this context, as well as the construction of references for public policies. territories local permanent service life healthdisease disease phenomenon Atlântica Foundation context policies

ABSTRACT To improve the quality of the educational service, changes in pedagogical direction are required. This implies the presence of committed teacher leaders who can guide the rest of the team towards the improvement of educational experiences. The objective of the research was to propose a pedagogical management model for teacher leadership in an educational institution in the state. The study, of a quantitative nature and with a non-experimental, descriptive and propositional design, involved the participation of 47 teachers, to whom a questionnaire was applied in order to evaluate their level of teacher leadership, according to the dimensions: professional development, inclusive school improvement and collaborative culture. The results indicated that 87.2% of the teachers surveyed indicated that their teaching leadership was at a medium level and a lower percentage, representing 12.8%, stated that it was at a high level. The dimensions evaluated are also at a medium level: professional development 87.2%, inclusive school improvement 78.7% and collaborative culture 85.1%. Subsequently, the theoretical foundations supporting the proposal were presented and the pedagogical management model was designed and validated by a group of experts. The conclusion of the study highlights the need to implement a pedagogical management model that encourages greater participation of teachers in various educational activities through better leadership.

RESUMEN Para mejorar la calidad del servicio educativo, se requiere implementar cambios en la dirección pedagógica. Esto implica la presencia de maestros líderes comprometidos que puedan orientar al resto del equipo hacia la mejora de las experiencias educativas. El objetivo de la investigación fue proponer un modelo de gestión pedagógica para el liderazgo docente en una institución educativa del estado. El estudio, de naturaleza cuantitativa y con un diseño no experimental, descriptivo propositivo, involucró la participación de 47 docentes; a quienes se les aplicó un cuestionario con la finalidad de evaluar su nivel de liderazgo docente, de acuerdo a las dimensiones: desarrollo profesional, mejora escolar inclusiva y cultura colaborativa. Los resultados indicaron que el 87,2% de los profesores encuestados señalaron que el liderazgo docente se sitúa en un nivel medio y en un menor porcentaje, que representa el 12,8%, afirmaron estar en un nivel alto. Las dimensiones evaluadas también se encuentran en un nivel medio: desarrollo profesional 87,2%, mejora escolar inclusiva 78,7% y cultura colaborativa 85,1%. Posteriormente, se expusieron los fundamentos teóricos que respaldan la propuesta y se diseñó el modelo de gestión pedagógica, el cual fue validado por un grupo de expertos. La conclusión del estudio resalta la necesidad de implementar un modelo de gestión pedagógica que fomente una mayor participación de los docentes en diversas actividades educativas mediante un mejor liderazgo.

Abstract Introduction Land use/land cover change (LULCC) alters the quantity and quality of ecosystem services. The economic value of these services is an indicator of change that facilitates conservation, utilization, and restoration activities of ecosystems. Objective To analyze the dynamics of land use/land cover (LULC) from 2000 to 2020 and estimate the ecosystem services value (ESV) as an indicator of ecological degradation in the Copalita River watershed in Oaxaca. Materials and methods Landsat 7 and 8 images captured during the years 2000 and 2020, respectively, were used. Six types of LULC were identified and classified in the watershed, and an intensity analysis was performed. Based on the economic values of biomes previously published, the values of LULC and ecosystem service functions in the watershed were estimated. Results and discussion There is an increase in forest cover (13.23 %), low-cover lands (494.41 %), construction (75.35 %), and wetlands (38.34 %), and a decrease in the area of rainforest (-48.02 %) and water bodies (-32.71 %). LULCC dynamics caused a 2.21 % reduction in the ESV of the watershed. The value of provisioning services increased (49.10 %), while regulation (-12.39 %), cultural (-4.77 %), and support (-3.89 %) values decreased. Conclusions The reduction in the economic value of ecosystem service functions is caused by the effects of LULCC on the decrease in rainforest and water bodies in the watershed.

Resumen Introducción Los cambios en las coberturas y usos de suelo (CCUS) modifican la cantidad y calidad de los servicios ecosistémicos. El valor económico de estos es un indicador de cambio que facilita las actividades de conservación, aprovechamiento y restauración de ecosistemas. Objetivo Analizar la dinámica de coberturas y usos de suelo (CUS) de 2000 a 2020 y estimar el valor de servicios ecosistémicos (VSE) como indicador de la degradación ecológica de la cuenca del río Copalita en Oaxaca. Materiales y métodos Se utilizaron imágenes Landsat 7 y 8 capturadas durante los años 2000 y 2020, respectivamente. Seis tipos de CUS se identificaron y clasificaron en la cuenca y se hizo un análisis de intensidad. Con base en los valores económicos de biomas, previamente publicados, se estimaron los valores de las CUS y de las funciones de los servicios ecosistémicos de la cuenca. Resultados y discusión Existe incremento de las coberturas de bosque (13.23 %), tierras de baja cobertura (494.41 %), construcción (75.35 %) y humedales (38.34 %) y se redujo el área de selva (-48.02 %) y cuerpos de agua (-32.71 %). Los CCUS ocasionaron reducción de 2.21 % del VSE de la cuenca. El VSE de provisión creció (49.10 %) y el de regulación (-12.39 %), cultural (-4.77 %) y de soporte (-3.89 %) disminuyó. Conclusiones La reducción del valor económico de las funciones de los servicios ecosistémicos es causada por los efectos de los CCUS en la disminución de selva y cuerpos de agua en la cuenca.

Abstract The ‘Blue Book’: a Future for Family Medicine in Portugal, edited in 1990 by the Portuguese Association of General Practice and Family Medicine, influenced the subsequent years and built the foundation for the Primary Healthcare Reform, initiated in 2005, but not fully implemented. In the current moment of low professional satisfaction, reviewing the principles that should guide family medicine in the future is important. The family doctor is the individual’s physician, who accompanies people's health throughout their life. Family doctors are specialists in primary healthcare and act according to the core values of family medicine as defined by the WONCA. Their actions form the basis of the health system and are associated with better health outcomes. Therefore, their actions must be centred on the person and the provision of differentiated care, reducing bureaucratic tasks and those with low health value. Physical spaces, equipment, and human resources should be adequately ensured, including the adjustment of the size of patients’ lists to ensure quality and dignified work by the Family Doctor, in every working setting. The Portuguese Association of General Practice and Family Medicine advocates for a performance-based remuneration model appropriate to the family doctor’s activity that compensates and prioritizes value-based healthcare, focusing their actions on the individual and reducing inefficiencies and duplications. This model is based on a new, simplified, and modern quality system grounded in the classic Structure - Process - Results framework but considering the dimensions of patient and professional satisfaction and adequately rewarding clinical work, teamwork, and citizen-centeredness. The present document is an adaptation and translation into English of the book 'A New Future for General and Family Medicine', edited by the Portuguese Association of General Practice and Family Medicine, in 2023.

Resumo O Livro Azul: um futuro para a Medicina de Família em Portugal, editado em 1990 pela Associação Portuguesa de Médicos de Clínica Geral, marcou os anos seguintes e conceptualizou a Reforma dos Cuidados de Saúde Primários, iniciada em 2005, mas não implementada na totalidade. No momento atual de insatisfação profissional é importante rever os princípios que nortearão a medicina geral e familiar no futuro. O médico de família é Médico da Pessoa. É nessa condição que faz o acompanhamento médico ao longo da sua vida. É especialista em cuidados de saúde primários e atua de acordo com os valores da medicina de família definidos pela WONCA. A sua ação é a base do sistema de saúde em que atua e está associada a melhores resultados de saúde. É, por isso, fundamental que a sua ação seja centralizada na pessoa e na prestação de cuidados diferenciados a esta, reduzindo as tarefas burocráticas e de baixo valor em saúde. Devem ser dadas condições materiais, de espaços físicos e de recursos humanos, incluindo adequação do tamanho das listas para garantir um trabalho digno e de qualidade ao médico de família. A APMGF defende um modelo de remuneração pelo desempenho adequado à atividade do médico de família que compense e priorize o valor em saúde, que centre a sua ação na pessoa e que reduza as ineficiências e duplicações. Este modelo assenta num novo sistema da qualidade simplificado e moderno assente no clássico Estrutura - Processo - Resultados, mas que considere as dimensões de satisfação de utentes e profissionais e que compense adequadamente o trabalho clínico, em equipa e centralidade do cidadão. O presente documento é uma adaptação e tradução para inglês do livro “Um Novo Futuro para a Medicina Geral e Familiar”, editado pela Associação Portuguesa de Medicina Geral e Familiar, em 2023.

ABSTRACT Introduction: This project aimed to recognize relational intelligence as an instrument of cohesion, satisfaction, and professional motivation with inherent repercussions on the quality and safety of care provided, as well as the promotion of healthy work environments. Diagnosis: Was use consensus research to identify the area of intervention, more specifically the “brainstorming” technique, prioritizing relational issues based on the number of times they were mentioned by employees. Objective: Promote relational intelligence in the team at the Surgery A unit, at Hospital Curry Cabral, as a management tool, increasing employee satisfaction in relation to the work environment by at least 20%. Methodology: The methodology used focused on two assessment moments, qualitative and quantitative. The qualitative assessment began with the project “Thinking outside the box…writing inside the box”, in which employees were encouraged to share emotions, suggestions, compliments, complaints, or any other subject they considered relevant. The anonymity of the contributions allowed sincerity and directness in the work environment to emerge without constraints, allowing psychological safety. This strategy was the “driver” of this project because, based on its contributions, it was possible to identify areas that could be improved. For a quantitative analysis, to measure the intended objective, was applied questionnaires on two evaluation moments. Results: With the contributions of the qualitative assessment, mas observed the need for intervention in terms of employees’ mental health. This began new routines, which include weekly reflection meetings, training on interpersonal relationships and health and well-being measures in the team. The strategies used allowed the results obtained in the quantitative evaluation with an increase of 44,1% in the satisfaction of this population. Conclusion: There is an association of the ability to actively listen to employees’ problems and their involvement. Participatory, transformative, and humanized leadership contributed to the well-being of professionals. If is therefore considered that this project added value in terms of improving the working environment, with repercussions on productivity and the quality of service provided to users.

RESUMO Introdução: Este projeto visa reconhecer a inteligência relacional como instrumento de coesão, satisfação e motivação profissional, com inerente repercussão na qualidade e segurança dos cuidados prestados, bem como na promoção de ambientes de trabalho saudáveis. Diagnóstico da situação: Procedeu-se ao diagnóstico da situação utilizando-se a pesquisa de consenso, mais especificamente a técnica de “brainstorming”, para identificar a área de intervenção, priorizando-se as questões relacionais pelo número de vezes que foram mencionadas pelos colaboradores. Objetivo: Promover a inteligência relacional na equipa da unidade Cirurgia A, do Hospital Curry Cabral, como instrumento de gestão, aumentando em pelo menos 20% a satisfação dos colaboradores, em relação ao ambiente de trabalho. Metodologia: A metodologia focou-se em dois momentos de avaliação, qualitativa e quantitativa. A primeira iniciou-se com o projeto “Pensar fora da caixa…escrevendo para dentro da caixa”- nesta os colaboradores foram estimulados a partilhar emoções, sugestões, elogios, reclamações ou qualquer outro assunto que considerassem pertinente. O anonimato dos contributos permitiu que a sinceridade e frontalidade sobre o ambiente de trabalho emergisse sem constrangimentos e em segurança psicológica. Esta estratégia foi, sem dúvida, o “motor” deste projeto pois, a partir dos seus contributos, foi possível identificar as áreas passiveis de melhoria. Para uma análise quantitativa, de forma que existissem indicadores para medir o objetivo pretendido, foram realizados dois momentos de avaliação através da aplicação de questionários. Resultados: Com os contributos da avaliação qualitativa observou-se a necessidade de intervenção a nível da saúde mental dos colaboradores. Deu-se assim inicio a novas rotinas, onde se incluíram reuniões semanais de reflexão, formação sobre relacionamento interpessoal e medidas de saúde e bem-estar na equipa. As estratégias utilizadas permitiram os resultados obtidos na avaliação quantitativa com um aumento de 44,1% na satisfação desta população. Conclusões: A capacidade de escuta ativa dos problemas dos colaboradores e o envolvimento dos mesmos na sua melhoria associado a uma liderança participativa, transformadora e humanizada contribuiu para o bem-estar dos profissionais. Considera-se assim que este projeto acrescentou valor no que diz respeito à melhoria do ambiente de trabalho, com repercussão na produtividade e na qualidade do atendimento feito aos utentes.

ABSTRACT The research work presents the conclusions of the analysis of the use of electrical energy as a resource in businesses classified as micro and small that are located in the city of San Lorenzo and registered in the same municipality. The general objective was established to “Analyze the effectiveness of electricity consumption in MSMEs in San Lorenzo and its relationship with the Green Economy in 2023”, research related to Sustainable Development Goal No. 8 Decent Work and Economic Growth that promotes inclusive and sustained economic growth as a strategy to drive progress, create decent jobs for all and improve living standards. This research had a qualitative-quantitative approach. The main results obtained were the following, 62% of the MSMEs in the city of San Lorenzo present some criterion of effectiveness in relation to the use of electrical energy, 78% of the MSMEs affirm that the quality of the supply in the electrical service It is poor and not safe. 86% of microentrepreneurs responded that electricity consumption is part of the cost of their products or services, 71% affirm that the rate for electricity consumption can be improved for the benefit of MSMEs. 65% maintain that the use of electrical energy has a direct effect on their costs and 91% of MSMEs affirm that they can use electrical energy more efficiently and rationally.

RESUMEN El trabajo de investigación presenta las conclusiones del análisis del aprovechamiento en la utilización de la energía eléctrica como recurso en los negocios tipificados como micro y pequeños que se encuentran situados en la ciudad de San Lorenzo y catastrados en el mismo municipio. Se estableció como objetivo general “Analizar la efectividad del consumo de energía eléctrica en las mipymes de San Lorenzo y su relación con la Economía verde en el año 2023”, investigación relacionada a el Objetivo de Desarrollo Sustentable N° 8 Trabajo Decente y Crecimiento Económico que promueve un crecimiento económico inclusivo y sostenido como estrategia para impulsar el progreso, crear empleos decentes para todos y mejorar los estándares de vida. Esta investigación fue de enfoque cuali-cuantitativo. Los principales resultados obtenidos fueron los siguientes, el 62% de las mipymes de la ciudad de San Lorenzo presentan algún criterio de efectividad en relación a la utilización de energía eléctrica, el 78% de las mipymes afirman que la calidad del suministro en el servicio eléctrico es deficiente y no seguro. El 86% de los microemprendedores respondieron que el consumo de energía eléctrica forma parte del costo de sus productos o servicios, el 71% afirma que la tarifa por el consumo de energía eléctrica puede ser mejorada en provecho de las mipymes. Un 65% sostiene que la utilización de la energía eléctrica tiene un efecto directo en sus costos y un 91% de las mi pymes afirman que pueden utilizar en forma más eficiente y racional la energía eléctrica.

RESUMEN El artículo presenta los resultados de un proceso de investigación centrado en la digitalización y puesta en disponibilidad pública del archivo de ¡Adelante! El Periódico de la Usina Popular de Tandil, un órgano de prensa editado en la localidad bonaerense de Tandil, Argentina, entre 1934 y 1942. Dicha publicación nace en el proceso de creación de la Usina Popular, una entidad que buscó brindar un servicio accesible y de calidad para llevar energía eléctrica a los tandilenses. La digitalización de estos materiales de archivo y su puesta a disposición en repositorios de acceso abierto plantea, por un lado, una serie de interrogantes acerca de las relaciones que se establecen entre los procesos comunicacionales, las tecnologías digitales y las políticas públicas que pugnan llevarla adelante, al mismo tiempo que exigió la conformación de un equipo multidisciplinario que involucró el diálogo con las investigaciones históricas que contribuyen a la construcción de una historia de los medios de prensa de ciudades medias de la provincia de Buenos Aires.

ABSTRACT The article presents the results of a research process focused on the digitization and public availability of the ¡Adelante! The newspaper of the Usina Popular de Tandil, a press organ published in the town of Tandil, Argentina, between 1934 and 1942. This publication was born in the process of creating the Popular Power Plant, an entity that sought to provide accesibility and quality service to bring electrical energy to the people of Tandil. The digitization of these archive materials and their availability in open access repositories raises, on the one hand, a series of questions about the relationships established between communication processes, digital technologies and the public policies that seek to carry it out, whereas at the same time, it demanded the formation of a multidisciplinary team that involved dialogue with historical research that contributes to the construction of a history of the press in medium-sized cities in the province of Buenos Aires.

RESUMO O artigo apresenta os resultados de um processo de pesquisa focado na digitalização e disponibilização pública do arquivo de ¡Adelante! El Periódico de la Usina Popular de Tandil, órgão de imprensa publicado na cidade de Tandil, em Buenos Aires, Argentina, entre 1934 e 1942. Esta publicação nasceu no processo de criação da Usina Popular, entidade que buscava fornecer um serviço acessível e de qualidade para levar energia elétrica à população de Tandil. A digitalização destes materiais arquivísticos e a sua disponibilização em repositórios de acesso aberto levanta, por um lado, uma série de questões sobre as relações estabelecidas entre os processos de comunicação, as tecnologias digitais e as políticas públicas que procuram realizá-lo, que exigiu a formação de uma equipe multidisciplinar que envolveu o diálogo com as pesquisas históricas que contribuem para a construção de uma história da mídia impressa nas cidades médias da província de Buenos Aires.