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Background and Purpose: Application of different deformable dose accumulation (DDA) solutions makes institutional comparisons after online-adaptive magnetic resonance-guided radiotherapy (OA-MRgRT) challenging. The aim of this multi-institutional study was to analyze accuracy and agreement of DDA-implementations in OA-MRgRT. Material and Methods: One gold standard (GS) case deformed with a biomechanical-model and five clinical cases consisting of prostate (2x), cervix, liver, and lymph node cancer, treated with OA-MRgRT, were analyzed. Six centers conducted DDA using institutional implementations. Deformable image registration (DIR) and DDA results were compared using the contour metrics Dice Similarity Coefficient (DSC), surface-DSC, Hausdorff-distance (HD95%), and accumulated dose-volume histograms (DVHs) analyzed via intraclass correlation coefficient (ICC) and clinical dosimetric criteria (CDC). Results: For the GS, median DDA errors ranged from 0.0 to 2.8 Gy across contours and implementations. DIR of clinical cases resulted in DSC > 0.8 for up to 81.3% of contours and a variability of surface-DSC values depending on the implementation. Maximum HD95%=73.3 mm was found for duodenum in the liver case. Although DVH ICC > 0.90 was found after DDA for all but two contours, relevant absolute CDC differences were observed in clinical cases: Prostate I/II showed maximum differences in bladder V28Gy (10.2/7.6%), while for cervix, liver, and lymph node the highest differences were found for rectum D2cm3 (2.8 Gy), duodenum Dmax (7.1 Gy), and rectum D0.5cm3 (4.6 Gy). Conclusion: Overall, high agreement was found between the different DIR and DDA implementations. Case- and algorithm-dependent differences were observed, leading to potentially clinically relevant results. Larger studies are needed to define future DDA-guidelines.

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Félix Guattari, a French philosopher and psychotherapist often recognized for his collaboration with Gilles Deleuze, also published important work of his own. The way he conceptualizes subjectivity and schizoanalysis (later developed into institutional analysis) can incite us to interpret our social contexts differently and to help frame an emancipatory path in nursing. At La Borde, a psychiatric clinic, subjectivity was seen as the real power that lies within the institutions; invisible and flowing through all levels of the hierarchal structure-like waves-each of them unique but still part of the same ocean. Even with its elusive character, this concept can be wielded through psychotherapeutic techniques of analysis which aim to reduce hierarchies, encourage collaborations, decentralize levers of power and promote initiatives that arise from the base. These concepts deserve further exploration when it comes to modern institutional issues like the ones present in Quebec's (Canada) healthcare system. Therefore, this article borrows theorizations elaborated through psychotherapy and applies them to the hospital institution which is seen as an organized, stable structure (the molar line), while paying attention to fluid, changing processes and the multiplicity of desires for transformation (the molecular line), to promote nursing movements that escape and abolish these structures, creating new possibilities and new forms of thinking (the line of flight).

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Shifts from direct implementation to advocacy-based programming have been documented across many non-governmental organisation (NGO) sectors, including animal welfare. Semi-structured interviews with 32 staff from different positions within animal welfare NGOs explored recent programming changes. Maintaining a balance between direct implementation and advocacy-based activities emerged as a strong theme. The findings suggest that risks are associated with both the direct implementation status quo and transitioning to an advocacy-based focus. Risks of the former include treating symptoms rather than root causes of welfare problems. Organisational change can be disruptive and necessitates realignment of core competences, in turn influencing NGO mission. Identified risks of transition include loss of individuals whose values fail to align with new programming directions, increased upwards accountability requirements for accessing institutional donors and difficulties when phasing out direct implementation approaches. Whilst having to be dynamic, NGOs need to evaluate the risks associated with programming decisions, considering their vision, mission and staff identity in order to ensure that welfare programming is as effective as possible.

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Cientes de que as práticas profissionais nos serviços de saúde mental podem refletir a institucionalização da atenção psicossocial no âmbito técnico-assistencial, o objetivo da pesquisa foi analisar esse processo de institucionalização por meio das práticas profissionais de um Centro de Atenção Psicossocial. Trata-se de um estudo descritivo e qualitativo, parte de uma pesquisa-intervenção. Os dados foram analisados sob à luz do referencial teórico da Análise Institucional e do modelo de atenção psicossocial. Embora o movimento instituinte da Reforma Psiquiátrica brasileira (RPb) tensione o manicômio instituído, os profissionais tendem a reproduzi-lo na prática. Apesar da fragilidade teórico-prática, alguns percebem a necessidade de promover a autonomia do sujeito; porém, observa-se o efeito Mühlmann em suas práticas, que, nesse caso, significa uma falsificação/distorção dos princípios da RPb. Faz-se necessária a criação de dispositivos de reflexão e transformação do cuidado em saúde mental para enfrentar esse efeito institucional.(AU)

Conscientes de que las prácticas profesionales en los servicios de salud mental pueden reflejar la institucionalización de la atención psicosocial en el ámbito técnico-asistencial, el objetivo fue analizar el proceso de institucionalización por medio de las prácticas profesionales de un Centro de Atención Psicosocial. Es un estudio descriptivo y cualitativo, parte de una investigación-intervención. Los datos se analizaron a la luz del referencial teórico del análisis institucional y del modelo de atención psicosocial. Aunque el movimiento instituyente de la Reforma Psiquiátrica brasileña (RPb) tensione el manicomio instituido, los profesionales tienden a reproducirlo en la práctica. A pesar de la fragilidad teórico-práctica, algunos perciben la necesidad de promover la autonomía del sujeto, pero se observa el Efecto Mühlmann en sus prácticas que, en este caso, significa falsificación- distorsión de los principios de la RPb. Es necesaria la creación de dispositivos de reflexión y transformación del cuidado en salud mental para enfrentar ese efecto institucional.(AU)

Under the assumption that professional practices in mental health services can reflect the institutionalization of psychosocial care in the technical-assistance context, the objective was to analyze the institutionalization process through the professional practices of a Psychosocial Care Center. It is a descriptive and qualitative study, part of intervention research. The data were analyzed in light of the theoretical framework of Institutional Analysis and the psychosocial care model. Although the founding movement of the Brazilian Psychiatric Reform puts tension on the established asylum, professionals tend to reproduce it in practice. Despite the theoretical-practical fragility, some perceive the need to promote the subject's autonomy, but the Mühlmann Effect is observed in their practices, which, in this case, means falsification-distortion of the principles of the Brazilian Psychiatric Reform. It is necessary to create devices for reflection and transformation of mental health care to face this institutional effect.(AU)

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This comparison of institutions of science advice during COVID-19 between the Westminster systems of England/UK and Ontario/Canada focuses on the role of science in informing public policy in two central components of the response to the pandemic: the adoption of non-pharmaceutical interventions (NPIs) and the procuring of vaccines. It compares and contrasts established and purpose-built bodies with varying degrees of independence from the political executive, and shows how each attempted to manage the tensions between scientific and governmental logics of accountability as they negotiated the boundary between science and policy. It uses the comparison to suggest potential lessons about the relative merits and drawbacks of different institutional arrangements for science advice to governments in an emergency.

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Agri-environmental and climate schemes are an important policy instrument in the Common Agricultural Policy of the European Union to maintain biodiversity and safeguard ecosystem services provision for human wellbeing. In the presented dataset, we analyzed 19 innovative contracts for agri-environmental and climate schemes from six European countries, representing examples of four different contract types: result-based, collective, land tenure, and value chain contracts. Our analytical approach comprised three steps: In the first step, we used a method mix combining literature review, web search, and expert consultation to identify potential case examples for the innovative contracts. In the second step, we employed a survey, which was structured in accordance with Ostrom's institutional analysis and development framework to collect detailed information on each contract. The survey was either filled in by us authors, based on information retrieved from websites and other data sources, or by experts directly involved in the different contracts. Based on the collected data, in the third step, an in-depth analysis was conducted on the public, private, and civil actors involved from different governance levels (local, regional, national, or international) and the roles these actors perform in contract governance. The dataset generated through these three steps contains 84 data files, which includes tables, figures, maps, and a text file. The dataset can be re-used by all interested in result-based, collective, land tenure, and value chain contracts for agri-environmental and climate schemes. Each contract is characterized in great detail by 34 variables making the dataset suitable for further institutional and governance analysis.

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With global urbanization on the increase and cities now hosting more than half of the planet's population, there are concerns regarding the protection of urban commons as part of sustainability efforts, especially in sub-Saharan Africa. Decentralized urban planning is a policy tool and practice that is used to organize urban infrastructure for sustainable development. Yet, how it can be used to sustain the urban commons remains fragmented in the literature. This study reviews and synthesizes urban planning and urban commons literature using the Institutional Analysis and Development Framework and the non-cooperative game theory to identify how urban planning can protect and sustain the urban commons - green commons, land commons, and water commons - in Ghana. The study, based on the determination of different theoretical scenarios for the urban commons, identified that decentralized urban planning can help sustain the urban commons, but it is operationalized in an unfavorable political environment. For green commons, there are competing interests and poor coordination amongst planning institutions, and the absence of self-organizing bodies in managing the use of such resources. For land commons, increased land litigations are characterized by corruption and poor management of land cases in the formal land courts, and despite the existence of self-organizing institutions, these institutions have failed to act responsibly to protect land commons due to the increasing demands and values (profitability) of lands in urban areas. For water commons, urban planning has not been fully decentralized and there is also the absence of self-organizing bodies in urban water use and management. This is coupled with the waning of customary water protection provisions in urban centers. Based on the findings, the study generally proposes institutional strengthening as the bedrock for enhancing the sustainability of the urban commons through urban planning and should therefore be of policy focus moving forward.

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This study investigates how processes of horizontal policy transfer can unfold in the context of devolution, examining the development of legislation on minimum unit pricing (MUP) in Wales, following on from Scotland's earlier policy decision. The study draws on a range of sources, including primary documents, media coverage, and interviews with policy participants. Our analysis identifies the importance of the specific character of Welsh political institutions, particularly the emphasis given to participation and consultation in policymaking. In the case of MUP, we document a process of policy-oriented learning, where policymakers made a concerted effort to draw on an assortment of expertise and experiences, including but not limited to the Scottish model. We also find that the Welsh public health policy community was well placed to support the framing of MUP and to address limitations in policy capacity. The findings hold implications for future studies of learning, devolution, and alcohol policy more generally.

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The concept of commoning is continuing to gain scholarly interest, with multiple definitions and interpretations across different research communities. In this article, we define commoning as the actions by groups with shared interests towards creating shared social and relational processes as the basis of governance strategy. Perhaps it can be more simply defined as collective ways of relating and governing. This article addresses two specific gaps in the commoning literature: (1) to bridge disparate strands of literature on commoning by briefly reviewing each and arguing for integration through epistemic pluralism, and (2) to explicitly examine how power is manifest in commoning processes by bringing in a framework on power (i.e., power over, power with, power to, power within) to understand the links between power and commoning governance processes in two case studies. The two cases are tourism governance on Gili Trawangan, Indonesia and aquatic food production systems in Bulacan, Philippines. We preface this analysis with the argument that power is an integral part of the commoning concept, but that it has yet to be analytically integrated to applications of the broader institutional analysis and development framework or within the networks of action situations approach. We argue that by making explicit how an analysis of power can be coupled to a network of action situations analysis in a qualitative way, we are advancing a key feature of the commoning concept, which we introduce as rooted in epistemic and analytical pluralism in the analysis of governance. In the discussion, we expand on how each case study reveals each of the four power dynamics, and how they improve the understanding of commoning as a pluralistic and perhaps bridging analytical concept.

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Introducción: la evaluación científica y los estudios bibliométricos han devenido en procesos de gran interés e importancia debido a que la investigación científica es un indicador de calidad para las instituciones científicas y académicas. La Universidad de Ciencias Médicas de Granma es una institución de Educación Médica Superior cuya finalidad es la formación y desarrollo de las Ciencias Médicas en la región basada en la integración docencia-asistencia-investigación. Es por esto que se hace necesario comprender el impacto y el comportamiento de su producción científica desde una perspectiva internacional. Objetivo: analizar la producción científica de la Universidad de Ciencias Médicas de Granma en la base de datos bibliográfica Scopus. Métodos: se realizó un estudio bibliométrico retrospectivo y de carácter descriptivo de toda la producción científica de la Universidad de Ciencias Médicas de Granma, usando como fuente de información la base de datos Scopus. Resultados: se identificó una alta concentración de trabajos en idioma español y en revistas cubanas de Q4 aunque predominaron las investigaciones originales. La colaboración internacional se comportó favorable. Por último, el posicionamiento internacional de la universidad es todavía insustancial. Conclusiones: la producción científica de la UCMG presenta valores moderados en cuanto a los indicadores de productividad, visibilidad e impacto. Este comportamiento presenta una marcada tendencia al aumento para los últimos años y se prevé un mejoramiento de estos patrones en años futuros.

Introduction: scientific evaluation and bibliometric studies have become processes of great interest and importance because scientific research is a quality indicator for scientific and academic institutions. The University of Medical Sciences of Granma is an institution of Higher Medical Education whose purpose is the training and development of Medical Sciences in the region based on teaching-assistance-research integration. This is why it is necessary to understand the impact and behavior of its scientific production from an international perspective. Objective: to analyze the scientific production of the Granma University of Medical Sciences in the Scopus bibliographic database. Methods: a retrospective and descriptive bibliometric study of all the scientific production of the University of Medical Sciences of Granma was carried out, using the Scopus database as a source of information. Results: a high concentration of works in the Spanish language and in Cuban Q4 journals was identified, although original research predominated. International collaboration behaved favourably. Finally, the international positioning of the university is still insubstantial. Conclusions: the scientific production of the UCMG presents moderate values ​​in terms of indicators of productivity, visibility and impact. This behavior shows a marked upward trend in recent years and an improvement in these patterns is expected in future years.

Introdução: a avaliação científica e os estudos bibliométricos tornaram-se processos de grande interesse e importância, pois a pesquisa científica é um indicador de qualidade para as instituições científicas e acadêmicas. A Universidade de Ciências Médicas do Granma é uma instituição de Ensino Superior Médico cuja finalidade é a formação e o desenvolvimento das Ciências Médicas na região com base na integração ensino-assistência-pesquisa. Por isso, é necessário compreender o impacto e o comportamento de sua produção científica a partir de uma perspectiva internacional. Objetivo: analisar a produção científica da Universidade de Ciências Médicas do Granma na base de dados bibliográfica Scopus. Resultados: identificou-se alta concentração de artigos em periódicos Q4 espanhóis e cubanos, emboratenha predominado pesquisas originais. A colaboração internacional foi favorável. Por fim, o posicionamento internacional da universidade aindaé insubstancial. Conclusões: a produção científica da UCMG apresenta valores moderados em termos de indicadores de produtividade, visibilidade e impacto. Esse comportamento mostra uma acentuada tendência de aumento nos últimos anos e espera-se uma melhora nesses padrões nos próximos anos.

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Abstract Cartography is an ethical, aesthetic, and political way of doing research and producing knowledge that is insistently inhabited by the unknown with feminism being a powerful tool to analyze power relations. This study aims to map cartography itself to think about how feminist epistemologies and methodologies allow cartography to question itself about the ways in which it functions, its tools, and implications. This is a theoretical text based on a research that interviewed women in prisons in Brazil and Portugal that crosses cartographic clues and feminist inspirations to vouch that research is more about the path we trace than the finished product at the end. We also propose clues for thinking cartography as a policy for producing knowledge inscribed in politics and defend that a feminist approach to cartography can radicalize the production of knowledge based on the perspective of philosophy of difference.

Resumo A cartografia é uma postura ética-estética-política de fazer pesquisa, uma forma de produzir conhecimento habitada insistentemente pelo desconhecido e o feminismo é uma ferramenta potente para analisar as relações de poder. O objetivo deste estudo é cartografar a própria cartografia para pensar de que maneiras, na tessitura de um campo, as epistemologias e metodologias feministas permitem à cartografia interrogar-se a si mesma acerca de seus modos de funcionamento, ferramentas e implicações. Trata-se de artigo teórico de uma pesquisa que entrevistou mulheres em prisões no Brasil e em Portugal. Cruzamos pistas da cartografia com inspirações feministas para mostrar que fazer pesquisa é mais o percurso que traçamos do que um produto pronto ao final. Propomos pistas para entender a cartografia como política de produção de conhecimento inscrito na política e defendemos que uma dobradura feminista no ethos cartográfico pode radicalizar a produção de conhecimento da perspectiva da filosofia da diferença.

Resumen La cartografía es una forma ética-estética-política de hacer investigación, una forma de producir conocimiento que está insistentemente habitada por el desconocido, y las prácticas feministas son herramientas poderosas para analizar las relaciones de poder. El objetivo de este estudio es cartografiar la propia cartografía para pensar cómo, en el tejido de un campo, las epistemologías y metodologías feministas permiten a la cartografía interrogarse sobre sus modos de funcionamiento, herramientas e implicaciones. Se trata de un artículo teórico de una investigación realizada a través de entrevistas con mujeres presas en Brasil y Portugal. Cruzamos pistas cartográficas con inspiraciones feministas para mostrar que investigar es más el camino que trazamos que un producto acabado al final. Proponemos pistas para entender la cartografía como una política de producción de conocimiento inscrito en la política y argumentamos que un pliegue feminista del ethos cartográfico puede radicalizar la producción de conocimiento desde la filosofía de la diferencia.

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RESUMO. Esse artigo analisa a institucionalização da assistência social no Brasil e a implicação dos trabalhadores sociais neste campo. Partimos da narrativa de vida de Maria, que da experiência religiosa parte para a militância nos movimentos sociais e institucionaliza sua prática na ampliação da assistência social do governo de Luiz Inácio Lula da Silva em 2004. Neste contexto de luta e paixões, Maria investe em um saber prático que se torna o ponto de partida para a construção de uma sobreimplicação. Pelo método de narrativas de vida e da análise institucional, o trabalho contempla o campo micropolítico de um percurso biográfico para chegar a aspectos sócio-históricos da constituição da pasta no país e a construção de uma sensibilidade peculiar por parte dos trabalhadores. Essa sensibilidade, construída nas experiências anteriores ao trabalho social e potencializada no encontro com a política institucionalizada, pode adoecer os profissionais e favorecer a precarização da política pública quando alimenta um compromisso pessoal que se nega a enxergar a complexidade do que seja manter a seguridade social com competência e seriedade no país.

RESUMEN Analizamos la institucionalización de la Asistencia Social en Brasil y la implicación de los trabajadores sociales en este campo. Para esto, partimos de la narrativa de la vida de María, que a partir de la experiencia religiosa, comienza a ser militante en los movimientos sociales e institucionaliza su práctica en la expansión de la Asistencia Social del gobierno de Luiz Inácio Lula da Silva en 2004. En este contexto de lucha y pasiones, María invierte en conocimiento práctico que se convierte en el punto de partida para la construcción de una sobreimplicación. A través de la metodología de la historia de la vida y el análisis institucional, el trabajo contempla el campo micropolítico de una ruta biográfica para llegar a los aspectos sociohistóricos de la constitución de la pasta en el país y la construcción de una sensibilidad peculiar por parte de los trabajadores. Esta sensibilidad, basada en experiencias previas al trabajo social y mejorada en el encuentro con la política institucionalizada, puede enfermar a los profesionales y favorece la precariedad de las políticas públicas cuando alimenta un compromiso personal que se niega a ver la complejidad de lo que significa mantener la seguridad social con competencia y seriedad en el país.

ABSTRACT. This article analyses the institutionalization of Social Assistance in Brazil and the implication of social workers in this field. For this, we start from Maria's life narrative, which from religious experience, starts to militancy in social movements and institutionalizes its practice in the expansion of Social Assistance. Maria invests in practical knowledge that becomes the beginning for construction of an overimplication. Through theory and institutional analysis, the work contemplates the micropolitical field of a biographical path to reach socio-historical aspects of the constitution of the paste in the country and the building of a peculiar sensitivity on the part of the workers. This sensitivity, built on experiences prior to social work and enhanced in the encounter with institutionalized politics, can make professionals sick and favors the precariousness of public policy when it feeds a personal commitment that refuses to see the complexity of what it means to maintain social security with competence and seriousness in the country.

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O modo de produzir o cuidado ocorre na relação entre trabalhador da saúde e a pessoa a ser cuidada, por meio de instrumentos, saberes ou pelas relações estabelecidas no próprio encontro. Nesse processo as distintas formas de produção do cuidado são entendidas à luz da concepção de saúde dos envolvidos na prática cuidativa. No contexto da pessoa com artrite reumatoide a falta de intervenção em momento oportuno pode acarretar em dores, processos inflamatórios, deformidades e incapacidades. Com o objetivo de analisar a produção do cuidado no contexto das pessoas com artrite reumatoide, por meio de uma abordagem qualitativa, foi possível o deslocamento do pesquisador in-mundo para construção de uma pesquisa interferência, apoiado em alguns conceitos da análise institucional. Nesse processo, acompanhado pelo diário de pesquisa, foi possível caminhar pela produção de itinerários terapêuticos de seis mulheres com artrite reumatoide; construir fluxogramas analisadores com trabalhadores dos diferentes serviços, equipes da atenção primária à saúde e do centro de especialidades e apoio diagnóstico do município de Rondonópolis-MT, e experimentar momentos de reflexão com grupos de trabalhadores e gestores do Sistema Único de Saúde. Como resultado a constatação coletiva de um cuidado médico centrado, com todos os seus elementos instituídos (medicalização, fracionamento do individuo, foco na doença), produtor de esperas, filas, restrições no acesso - que não viabiliza a produção de cuidados e sim a produção de atos burocráticos. É urgente, a necessidade de fomentar forças instituintes que permitam o desenvolvimento de intervenções pautadas nas necessidades de saúde, para viabilizar uma produção do cuidado com base no alcance de boas condições de vida; acesso irrestrito às ações e serviços, vínculos com trabalhadores que se responsabilizem pelo cuidado e disparem estímulos de autonomia e autocuidado. Além disso, fomentar a possibilidade de autoanalise e autogestão para que, grupos de gestores e trabalhadores, imergidos em processos reflexivos consigam repensar as ações e desenvolver estratégias instituintes para reorganizar a centralidade do cuidado para pessoa a ser cuidada. Como pistas para novas interferências: a queixa de dor não pode ser banalizada, é necessário resgatar as ações de matriciamento e investir em protocolos que definam as responsabilidades, em especial, na garantia do acesso e do cuidado longitudinal.

The way of producing care occurs in the relationship between the health worker and the person to be cared for, through instruments, knowledge or the relationships established in the meeting itself. In this process, the different forms of care production are understood in the light of the health concept of those involved in the care practice. In the context of the person with rheumatoid arthritis, the lack of timely intervention can lead to pain, inflammatory processes, deformities and disabilities. With the objective of analyzing the production of care in the context of people with rheumatoid arthritis, through a qualitative approach, it was possible for the researcher to move in-world to build an interference research, supported by some concepts of institutional analysis. In this process, accompanied by the research diary, it was possible to walk through the production of therapeutic itineraries of six women with rheumatoid arthritis; build analyzer flowcharts with workers from different services, primary health care teams and the specialty center and diagnostic support in the municipality of Rondonópolis-MT, and experience moments of reflection with groups of workers and managers of the Unified Health System. As a result, the collective realization of a centered medical care, with all its instituted elements (medicalization, individual fractionation, focus on the disease), producer of waits, queues, access restrictions - which does not enable the production of care, but the production of bureaucratic acts. There is an urgent need to foster instituting forces that allow the development of interventions based on health needs, to enable the production of care based on the achievement of good living conditions; unrestricted access to actions and services, links with workers who are responsible for care and trigger autonomy and self-care stimuli. In addition, promoting the possibility of self-analysis and self-management so that groups of managers and workers, immersed in reflective processes, are able to rethink actions and develop instituting strategies to reorganize the centrality of care for the person to be cared for. As clues for new interferences: the complaint of pain cannot be trivialized, it is necessary to rescue matrix actions and invest in protocols that define responsibilities, in particular, in guaranteeing access and longitudinal care.

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This opinion article addresses teleworking, which has gained momentum in Brazil due to the COVID-19 pandemic. The discussions arose from a course in the Professional Master's Degree in Health Services Management at a nursing school in the state of Minas Gerais, Brazil. The authors raised teleworking-related questions, which are not only affecting their lives, but also the lives of workers in general, causing problems socially, economically, and related to workers' health. The reflections were drawn up using some concepts from institutional analysis. This article aimed to analyze teleworking as an analyzer of work in the context of the COVID-19 pandemic. As teleworking rapidly took off, the benefits were envisioned, but the potential detriments of this type of work were not considered. As a result, many professionals working from home began to work in unsuitable conditions, lacking the necessary infrastructure and support to perform their activities, such as ergonomic furniture, equipment, materials, internet access, technical assistance, training, and support. However, teleworking should not be overlooked, as many workers have identified with this type of work and many organizations have benefited from it becoming institutionalized. However, we cannot remain "numb," waiting for some miraculous reversion to pre-pandemic conditions, in order to organize the new type of "normal" in the world of work in a less alienated way.

O presente artigo de reflexão aborda a modalidade de trabalho home office, que se intensificou no Brasil a partir do contexto da pandemia da covid-19. As reflexões foram originárias de discussões realizadas em uma disciplina do Curso de Mestrado Profissional em Gestão de Serviços de Saúde, de uma Escola de Enfermagem do estado de Minas Gerais. Os autores problematizaram questões relacionadas ao home office, que estão interferindo em suas vidas, mas, também, na vida dos trabalhadores de modo geral, ocasionando problemas sociais, econômicos e relativos à saúde do trabalhador. As reflexões foram elaboradas em articulação com alguns conceitos da Análise Institucional. O objetivo é analisar o home office considerando-o como analisador do trabalho no contexto da pandemia da covid-19. A partir da célere instalação do trabalho remoto, idealizou-se os benefícios e não foram considerados os possíveis prejuízos dessa modalidade de trabalho. Assim, diversos profissionais em home office passaram a trabalhar em condições inadequadas, sem a infraestrutura necessária e o suporte para a realização das atividades, como a disponibilização de mobiliário ergonômico, equipamentos, materiais, acesso à internet, assistência técnica, capacitações e acompanhamentos. Entretanto, não se pode desprezar a alternativa do home office, pois diversos trabalhadores se identificaram com essa modalidade de trabalho e muitas organizações se beneficiam com a sua institucionalização. Ao mesmo tempo, não se pode ficar "entorpecido", à espera de um milagroso regresso à realidade pré-pandêmica, para organizar de forma menos alienada o novo tipo de "normalidade" no mundo do trabalho.

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A Análise Institucional tem como intuito principal provocar os indivíduos nas instituições a estabelecer um processo de autoanálise e autogestão. Assim, este trabalho consiste no relato de uma análise institucional realizada no Corpo de Bombeiros Militar de um município do Rio Grande do Sul, como tarefa obrigatória para a conclusão de Estágio Básico do Curso de Psicologia. Foram realizadas visitas ao Corpo de Bombeiros, nas quais pode-se observar o funcionamento da instituição. Posteriormente, foram propostas rodas de conversas, nas quais foi lançada como pergunta disparadora de diálogo: "o que significa ser bombeiro para você?". Isso posto, emergiu enquanto demanda a busca de identidade própria dos bombeiros e a necessidade de uma atenção mais sensível às questões institucionais. Destaca-se o anseio dos trabalhadores sobre a necessidade de um profissional da psicologia inserido no cotidiano do quartel militar, disponível para intervenções individuais e coletivos nas unidades de trabalho. (AU)

El Análisis Institucional tiene como objetivo principal provocar individuos de instituciones a establecer un proceso de autoanálisis y autogestión. Así, este trabajo consta del informe de un análisis institucional realizado en el Cuerpo de Bomberos Militares de un municipio de Rio Grande do Sul, como tarea obligatoria para la Formación Básicadel Curso de Psicología. Se realizaron visitas al Cuerpo de Bomberos y se observóel funcionamiento de la institución. Posteriormente, se propusieron rondas de conversaciones y se lanzó la pregunta "¿qué significa ser bomberopara ti?" desencadenante de diálogo. Dicho esto, surgió como una demanda por la búsqueda de una identidad de los bomberos militares, marcando una diferencia en relación a los policías militares, así como la necesidad de una atención más sensible a las cuestiones institucionales.Se destaca la ansiedad de los trabajadores por la necesidad de un psicólogo insertado en la vida cotidiana del cuartel militar, disponible para intervencionesindividualesycolectivasen todas las unidadesde trabajo. (AU)

Institutional Analysis has the main purpose of provoking individuals in institutions to establish a process of self-analysis and self-management. Thus, this study is the report of an institutional analysis accomplished in the Military Fire Department of a municipality in Rio Grande do Sul, as a mandatory task to complete Basic Internshipof the Psychology Course. Visits were made to the Fire Department, in whichwas possible to observe the institution's functioning. Subsequently, rounds of conversations were proposed, in which the question "what does it mean to be a fireman for you?" was launched as a triggering fordialogue. That said, it emerged as a demand for the search for an identity of military firefighters, marking a difference in relation to military police officers, as well as the need for more sensitive attention to institutional issues.Stands out the workers' anxiety about the need for a psychologist inserted in the daily life of the military barracks, available for individual and collective care in allwork units. (AU)

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Facing Institutional Analysis in the context of Collective Health as a driver of the Primary Health Care model, the objective was to analyze its appropriation in primary studies and the use of the theoretical-methodological and conceptual framework of an institution in its three moments: instituted, instituting and institutionalization. Study of scope review carried out in the databases of the Virtual Health Library, portal of journals of the Coordination for the Improvement of Higher Education Personnel and Google Academic. Original articles in the languages of Portuguese, English, Spanish, French, published from 1987 to 2021 were included. The grouping of quantitative findings was through descriptive statistics and the PRISMA-ScR checklist. The analysis of the narrative data was organized in the webQDA® software. It resulted in 34 articles, published from 2003 to 2020 both nationally and internationally, with research related to collective health, mental health, family-team relationship, family health, primary care, continuing education, micropolitics of health work. The areas that most opted for Institutional Analysis form Nursing and Psychology. The meanings and the concept of institution are confirmed in the findings, pointing to a profusion in formats and use. Presents concepts and tools capable of adapting the analysis of health practices. 

Ante el análisis institucional en el contexto de la Salud Colectiva como motor del modelo de Atención Primaria de Salud, se buscó analizar su apropiación en estudios primarios y el uso del marco teórico-metodológico y conceptual de una institución en sus tres momentos: instituido, instituyente e institucionalizado. Estudio de revisión de alcance realizado en las bases de datos de la Biblioteca Virtual en Salud, portal de revistas de la Coordinación para el Perfeccionamiento del Personal de Educación Superior y Google Académico. Se incluyeron artículos originales en los idiomas portugués, inglés, español, francés, publicados desde 1987 hasta 2021. La agrupación de los hallazgos cuantitativos fue a través de estadísticas descriptivas y la lista de verificación PRISMA-ScR. El análisis de los datos narrativos se organizó en el software webQDA®. Resultó en 34 artículos, publicados de 2003 a 2020 tanto a nivel nacional como internacional, con investigaciones relacionadas con la salud colectiva, la salud mental, la relación familia-equipo, la salud familiar, la atención primaria, la educación continua, la micropolítica del trabajo en salud. Las áreas que más optaron por el Análisis Institucional son Enfermería y Psicología. Los significados y el concepto de institución se confirman en los hallazgos, apuntando a una profusión en formatos y uso. Presenta conceptos y herramientas con la capacidad de disfrazar el análisis de las prácticas de salud.

Frente a Análise Institucional no contexto da Saúde Coletiva como impulsionadora do modelo de Atenção Primária à Saúde, objetivou-se analisar sua apropriação em estudos primários e a utilização do referencial teórico-metodológico e conceitual de instituição em seus três momentos: instituído, instituinte e institucionalização. Estudo de revisão de escopo realizada nas bases de dados da Biblioteca Virtual em Saúde, portal de periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior e Google Acadêmico. Incluiu-se artigos originais nos idiomas português, inglês, espanhol, francês, publicados de 1987 a 2021. O agrupamento dos achados quantitativos deu-se por meio da estatística descritiva e o check-list PRISMA-ScR. A análise dos dados narrativos foi organizada no software webQDA®. Resultou em 34 artigos, publicados de 2003 a 2020 tanto do território nacional quanto internacional, com pesquisas relacionadas à saúde coletiva, saúde mental, relação família-equipe, saúde da família, atenção primária, educação permanente, micropolítica do trabalho em saúde. As áreas que mais optaram pela Análise Institucional formam Enfermagem e Psicologia. As significações e o conceito de instituição se confirmam nos achados, apontando uma profusão nos formatos e utilização. Apresenta conceitos e ferramentas com capacidade para aparelhar as análises de práticas em saúde.

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Conhecida como um meio consensual de administração de conflitos, a mediação, ao lado da conciliação, está cada vez mais presente e divulgada no Brasil. No âmbito jurídico, tem sido adotada como estratégia política de reforma do Judiciário. Seu caráter interdisciplinar busca uma justiça restaurativa, não punitiva, mesclando conhecimentos do Direito, da Psicologia e da Comunicação. A mediação, especialmente, a familiar, objetiva prover famílias em conflito de ferramentas de resolução a fim de responsabilizá-las nas tomadas de decisão, bem como promover equilíbrio entre deveres e direitos, estabelecendo confiança e respeito entre seus membros. Este artigo, recorte de uma pesquisa empírica de doutorado, objetiva apresentar as contribuições da perspectiva da Análise Institucional em relação à mediação judicial no âmbito familiar, a partir de uma leitura crítica das propostas consensuais da área, apontando as "encomendas" e "demandas" feitas aos mediadores em suas práticas. Metodologicamente, adotou-se uma perspectiva qualitativa, em que foram utilizadas observação da realidade institucional e entrevistas semiestruturadas realizadas com os mediadores familiares. Elucidaram-se analisadores, emergidos da leitura dos dados construídos no campo e, em seguida, observaram-se as linhas de forças operadas nesse dispositivo.

Known as a consensual means of conflict management, mediation, alongside conciliation, is increasingly present and disseminated in Brazil. In the legal field, it has been adopted as a political strategy for the Judiciary reform. Its interdisciplinary character seeks restorative, non-punitive justice, mixing knowledge of Law, Psychology and Communication. Family mediation aims to provide tools of resolution to families in conflict in order to hold them accountable in decision-making, as well as promote a balance between duties and rights, establishing trust and respect among its members. This article, part of an empirical doctoral research, aims to present the Institutional Analysis perspective contributions related to judicial mediation in the family sphere, from a critical reading of the consensual proposals in the area, pointing out the "orders" and "demands" made to mediators in their practices. Methodologically, a qualitative perspective was adopted, in which observation of the institutional reality and semi-structured interviews conducted with family mediators were used. Analyzers were elucidated, emerged from reading the data constructed in the field, and then the lines of forces operated on this device were observed.

Conocida como un medio consensuado de manejo de conflictos, la mediación, junto a la conciliación, ha estado cada vez más presente y difundida en Brasil. En el ámbito legal, ha sido adoptada como estrategia política para la reforma judicial. Su carácter interdisciplinario busca la justicia reparadora, no punitiva, mezclando conocimientos de Derecho, Psicología y Comunicación. La mediación, especialmente familiar, tiene como objetivo proveera las familias en conflicto de herramientas de resolución para responsabilizarlas en la toma de decisiones, así como promover el equilibrio entre deberes y derechos, estableciendo confianza y respeto entre sus miembros. Este artículo, parte de una investigación empírica de doctorado, tiene como objetivo presentar los aportes desde la perspectiva del Análisis Institucional en relación a la mediación judicial en el ámbito familiar, a partir de una lectura crítica de las propuestas consensuadas en el área, señalando las "órdenes" y "demandas" que se hacen a los mediadores en sus prácticas. Metodológicamente, se adoptó una perspectiva cualitativa, en la que se utilizó la observación de la realidad institucional y entrevistas semiestructuradas realizadas con mediadores familiares. Se dilucidaron los analizadores, surgidos de la lectura de los datos construidos en el campo, y luego se observaron las líneas de fuerzas operadas en este dispositivo.

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O Programa Universidade para Todos (ProUni) é uma política de ações afirmativas que concede bolsa para alunos de baixa renda na rede privada de ensino superior. Este texto trata de uma investigação acerca da inserção e a permanência de estudantes prounistas negras na universidade com base na Análise Institucional de René Lourau articulada aos estudos de branquitude crítica. Os dados foram produzidos por meio de entrevistas grupais on-line com quatro estudantes e analisados em conjunto por restituição. Evidenciamos que o ProUni é uma força instituinte por inserir as estudantes na universidade, antes destinadas apenas às elites, e que causa tensões produzidas no encontro com o estabelecimento de ensino. Evidenciamos a urgência do debate a respeito das questões raciais no ambiente acadêmico, espaço em que a branquitude acrítica se institui enquanto norma silenciosa. Desnaturalizando as desigualdades raciais ao desvelar os desconfortos que a discussão apresenta, por escancarar o racismo estrutural em que se assenta na instituição-educação, apontamos a urgência em criar fissuras nessa estrutura. Estrutura que capilarmente compõe, produz e reproduz lógicas opressoras no sistema de ensino superior.

The University for All Program (ProUni, in Portuguese) is an affirmative action policy that grants scholarships to low-income students in private higher education institutions. This paper is about an investigation into the insertion and permanence of black scholarship holders in the university based on René Lourau's Institutional Analysis articulated with critical whiteness studies. The data were produced through online group interviews with four students and analyzed together by restitution. In this study, we evidenced that ProUni is an instituting force for inserting students in the university, a place previously destined for the elites, and that it causes tensions produced in the encounter with the establishment. In addition, we demonstrated the urgency of the debate about racial issues in the academy, a space where uncritical whiteness establishes itself as a silent norm. Denaturalizing racial inequalities by unveiling the discomforts that the discussion presents for opening up the structural racism on which it settles in the institution-education, we point out the urgency to create fissures in this structure. Structure that extensively composes, produces and reproduces oppressive logics in the higher education system.

El Programa Universidad para Todos (ProUni) es una política de acción afirmativa que concede becas a estudiantes de clases bajas en la red de enseñanza superior privada. Este trabajo trata de una investigación sobre la inserción y permanencia de las estudiantes prounistas negras en la universidad, a partir del Análisis Institucional de René Lourau en diálogo con los estudios de la blancura crítica. Los datos se produjeron en línea, mediante entrevistas grupales con cuatro estudiantes y fueran analizados en conjunto por medio de restitución. Evidenciamos que el ProUni es una fuerza instituyente porque inserta a los estudiantes en la universidad, antes destinada sólo a las élites, pero provoca tensiones producidas en el encuentro con el establecimiento. Destacamos la urgencia del debate sobre cuestiones raciales en el ámbito académico, un espacio en el que la blancura acrítica se establece como norma silenciosa. Desnaturalizando las desigualdades raciales al develar las incomodidades que la discusión presenta al exponer el racismo estructural en el que se basan institución-educación, señalamos la urgencia en crear fisuras en esta estructura. Estructura que capilarmente compone, produce y reproduce lógicas opresivas en el sistema de educación superior.

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The economics of abundance, along with the sociology of abundance, the law of abundance, and so forth, should be re-framed, linked, and situated in a common context for empirical rather than conceptual research. Abundance may seem to be a new, big thing, between anxiety over information overload, Big Data, and related technological disruptions. But scholars know that abundance is an ancient phenomenon, which only seemed to disappear as twentieth century social science focused on scarcity instead. Restoring the study of abundance, and figuring out how to solve the problems that abundance might create, means shedding disciplinary blinders and going back to basics. How does abundance, in various forms, create or alleviate social problems? We explain and illustrate how the Governing Knowledge Commons (GKC) framework provides a useful research tool to generate and test hypotheses about abundance in various economic, social, cultural, and legal settings.

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The development of a regionally integrated economy promotes the development of river basin ecological compensation toward cross-regional coordinated governance. The ecological compensation in the Yangtze River Delta has developed by leaps and bounds, which is conducive to the research on the collaborative governance mechanism. Taking the ecological compensation policy data in the Yangtze River Delta as the research object, and using the social network analysis method, this paper analyzes the current situation of cross-basin cooperation in the Yangtze River Delta. A collaborative governance network is formed with 74 ecological compensation agreements, and the distribution law of the overall collaborative network is found. Using IAD to decompose the ecological compensation agreement rules, 303 institutional units were obtained, of which, 198 were selection rules, accounting for 65%. The research results show that: (1) The ecological compensation cooperation in the Yangtze River Delta region is mainly concentrated in the Jiaxing Jiashan, Wujiang District, Suzhou, and Qingpu District, Shanghai, forming a close cooperation triangle network, and Shanghai plays a strong "intermediary" role in it. (2) In institutional grammar analysis, the formulation of rules is biased toward choice rules and payoff rules, that is to say, the content of the rules is mostly how to cooperate and how to reward and punish but there is a lack of specific action scenarios and standards. The combination of social network and institutional analysis and development framework is conducive to the study of the ecological collaborative governance mechanism of the Yangtze River Delta, breaking the gap between different fields and regions, enhancing the enthusiasm for multi-subject governance in the Yangtze River Delta region, and giving full play to the effectiveness of multi-subject governance.

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