A mobilidade internacional dos quadros qualificados em Portugal: análise aos jornais "Público" e "Jornal de Notícias"

Dissertação de mestrado em Sociologia (área de especialização em Desenvolvimento e Políticas Sociais)Esta dissertação foi elaborada no âmbito do Mestrado em Sociologia, na área de especialização em Desenvolvimento e Políticas Sociais. O objetivo deste trabalho é fazer uma análise dos conteúdos do “Jornal de Notícias” e do “Público” que versam sobre a mobilidade internacional de quadros qualificados portugueses. Esta pesquisa abrangeu o período desde 1 de Janeiro de 2008 até 28 de Fevereiro de 2013. A “fuga de cérebros” tem sido objeto de algum debate no espaço público (incluindo os meios de comunicação) abrangendo motivos e consequências. É possível identificar tipologias diversas de atores, assim como estratégias diferenciadas destes em relação ao assunto. Entre os mais relevantes a destacar estão: i) os atores políticos, com relevo na tomada de decisão, incluindo partidos políticos, organizações de profissionais e outros organismos associativos, ii) os atores mediáticos, jornalistas e comentadores; ii) os profissionais propriamente ditos e iii) o público e população em geral, que participa mais ou menos intensa e diretamente na emergência e na definição desse debate. A pesquisa alimenta-se de uma análise de conteúdo de documentos e de informação veiculada através de discursos, entrevistas e comentários veiculados pela versão on line dos jornais citados. Esta análise permitirá identificar e compreender como a mobilidade de quadros altamente qualificados é perspetivada no debate público e que efeitos têm estes modos de entendimento sobre o comportamento dos diversos atores participantes. Permitirá também perceber de que forma e até que ponto a mobilidade e a emigração de quadros altamente qualificados é um assunto de interesse de discussão social e política e quais atores intervêm nesse debate e com que finalidade. No primeiro capítulo desta dissertação, define-se o conceito de mobilidade internacional de quadros qualificados e faz-se uma análise a evolução histórica e ao panorama atual deste fenómeno no Mundo em geral e em Portugal em particular. O segundo capítulo aborda a necessidade de a sociologia apresentar um olhar crítico e reflexivo sobre os efeitos ideológicos da crescente atenção sobre a mobilidade internacional. Neste enquadramento, faz-se o ponto de partida para a análise empírica, analisa em que ponto se encontra o debate público em Portugal sobre esta temática e que representações sociais constroem em relação a estes quadros profissionais. Já no terceiro capítulo, elabora-se hipóteses para a problemática levantada. Neste processo, trabalha-se os fundamentos teóricos sobre este fenómeno e a “perfomatividade” dos seus discursos. No quarto capítulo aponta-se a metodologia utilizada e o modelo de análise empregado. No quinto, apresenta-se as informações obtidas na análise de dados e a apresentação de discursos mais relevantes que fundamentam o debate público. Por último, fazemos algumas considerações finais sobre o tema e apresentamos um resumo dos resultados.This dissertation was prepared under a Master in Sociology, specialty Development and Social Policy. The objective of this work is to make an analysis of the contents of media discourse from "Jornal de Notícias” and “Público” about the international mobility of qualified Portuguese people. This research encompasses the period from January 1st, 2008 until February 28th, 2013. The "brain drain" has been the subject of some debate in the public space (including the media) including reasons and consequences. It is possible to identify different types of actors as well as different strategies of those in relation to the matter. Among the most relevant ones to highlight there are: i) political actors, with emphasis on decision making, including political parties, professional organizations and other associative organizations, ii) the media actors, journalists and commentators ii) professionals particularly involved in the process and iii) the public and the general population that participates more or less intense and directly in the emergence and definition of this debate. The research feeds on a content analysis of documents and information conveyed through discourses, interviews and commentaries conveyed by the online version of the journals cited. This analysis will identify and understand how the mobility of highly qualified is perceived in public debate and what effects these modes can bring in understanding about the behavior of the various actors involved. It will also allow an understanding of how and to what extent the mobility and emigration of highly qualified is a matter of interest for social discussion and which political actors are involved in this debate and for what purpose. In the first chapter of this thesis, we define the concept of international mobility of qualified and do an analysis of the historical evolution and current situation of this phenomenon in the world in general and in Portugal. The second chapter mentions the need of Sociology to present a critical and reflective perception about the ideological effects of the growing attention to international mobility. This framing is the starting point for the empirical analysis, and examines at what point is the public debate on this issue in Portugal and which social representations are constructed regarding these professionals. In the third chapter, we draw up hypotheses to the problem raised. In this process, we work on theoretical foundations based on the ideological dichotomy between the Marxist perspective and Liberal thinking of this phenomenon and the "Performativity" of his discourse. In the fourth chapter it is discussed the methodology and the analysis model used. In the fifth chapter it is presented the information obtained from the data analysis and of discourses most relevant that underlie the public debate. Finally we make some final remarks about the theme and a summary of the results

THE ROLE OF HOMELESSNESS IN HEALTHCARE SERVICE UTILIZATION AND SUBSTANCE USE TREATMENT AMONG HOSPITALIZED PATIENTS WITH COMORBID SUBSTANCE USE DISORDERS

Background: Homelessness and substance use are both associated with increased risk of hospital service utilization and negative health outcomes. The objectives of this dissertation are to enhance understanding of characteristics and health conditions among hospitalized patients with comorbid substance use disorders and who are experiencing homelessness; and to examine the role of homelessness in hospital service utilization and substance use treatment over time. Methods: Data were obtained from the Navigation Services to Avoid Rehospitalization (NavSTAR) trial and included health information exchange (HIE) data for hospital encounters over 12-months of follow-up. In addition to HIE data, substance use treatment data was obtained through self-report at follow-up interviews. Participants were adult patients who were hospitalized and enrolled in the NavSTAR trial. Differences in characteristics and selected health outcomes between participants experiencing homelessness and participants who were stably housed were assessed by bivariate comparisons and multivariable logistic regression. Propensity score weighted Cox regression survival analysis for recurrent events was used to assess the association between homelessness and hospital service utilization. Propensity score weighted logistic regression was used to estimate odds of any treatment entry, 30-day retention and any treatment discontinuation, and propensity score weighted Cox proportional hazards regression was implemented to estimate time-to treatment entry and treatment exit. Results: Forty-three percent of participants reported experiencing homelessness at study enrollment. In bivariate analyses, homelessness was associated with younger age, White race, higher rates of opioid and cocaine use disorder, lifetime injection drug use, and mental health diagnoses. Compared to those who were stably housed, those experiencing homelessness had greater risk of emergency department utilization through 12-month follow-up for both medical and psychiatric reasons. Substance use treatment entry rates were low overall and there were no differences in odds of treatment entry, 30-day retention, or treatment discontinuation by housing status. In the analysis of treatment discontinuation, the association of homelessness was moderated by receipt of patient navigation. Conclusions: This dissertation highlights the complex healthcare needs of persons with comorbid substance use disorders who are experiencing homelessness and have been hospitalized, as well as the importance of implementing multi-pronged, integrated services in addressing these health needs

Capitulation de Metz : Résponse

AntepSignaturizad

Carte g'en'erale du Bassin de la Plata [cartographic material] /

Map of the Rio de la Plata Basin (River Plate) in South America covering Uruguay, southern Brazil and Argentina. Relief shown by hachures.; In lower left margin: Grav'ee par Regnier et Dourdet, 8 Passage Ste, Marie (Rue de Bac).; In lower right margin: Lithie. de Gratia.; Also available in an electronic version via the Internet at: http://nla.gov.au/nla.map-rm1585; Piece missing from sheet 1

Capitulation de Metz : réponse du général Coffinières de Nordeck, à ses détracteurs.

Mode of access: Internet

Croquis du Bagatay / par M. A. Coffinières de Nordeck, Lieutenant de Vaisseau, commandant le Göeland

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Opioid Use Disorder Treatment Linkage at Strategic Touchpoints Using Buprenorphine (OUTLAST-B): Rationale, Design, and Evolution of a Randomized Controlled Trial.

BACKGROUND: Despite the effectiveness and growing availability of treatment for opioid use disorder (OUD) with buprenorphine, many people with OUD do not access treatment services. This article describes the rationale, methodological design, evolution, and progress of an ongoing clinical trial of treatment linkage strategies for people with untreated OUD. METHODS: The study, titled Opioid Use Disorder Treatment Linkage at Strategic Touchpoints using Buprenorphine (OUTLAST-B), uses strategic touchpoints, initially sexual health clinics and subsequently broadened to other service venues and participant social networks, for recruitment and screening. Adults with untreated OUD (target N = 360) are randomized to one of the three arms: Usual Care (UC, enhanced with overdose education and naloxone distribution), Patient Navigation (PN), or Patient Navigation with an immediate short-term bridge prescription for buprenorphine (PN + BUP). In the PN and PN + BUP arms, the Patient Navigator works with participants for 2 months to facilitate treatment entry and early retention, resolve barriers (e.g., ID cards, transportation), and provide motivational support. RESULTS: The primary outcome is OUD treatment entry within 30 days of enrollment. Participants are assessed at baseline and followed at 3- and 6-months post-enrollment on measures of healthcare utilization, substance use, and general functioning. Challenges and recruitment adaptations pursuant to the COVID-19 pandemic are discussed. CONCLUSIONS: This study could provide insights on how to reach people with untreated OUD and link them to care through non-traditional routes. TRIAL REGISTRATION: The study is registered at ClinicalTrials.gov (NCT04991974)

Croquis de la rivière et des passes du Saloum / dressé par Mr. le Lieutenant de Vaisseau, A. Coffinières de Nordeck, commandant l'aviso le Goëland ; Aut. Tollemer

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