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    Professional development and job satisfaction in pain medicine

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    Zusammenfassung Hintergrund Schmerzmedizin ist eine interdisziplinäre und interprofessionelle Spezialisierung. Aufgrund von Nachwuchssorgen und Überalterung, insbesondere bei Ärzten, ist es von Bedeutung, berufliche Entwicklung und Karrierewege in die Schmerzmedizin besser zu verstehen. Ziel der Arbeit Ziel dieser Untersuchung ist es, die beruflichen Wege von Menschen, die in einer Einrichtung der spezialisierten schmerzmedizinischen/schmerztherapeutischen Versorgung tätig sind, deren Motivation und Arbeitszufriedenheit zu erfassen. Material und Methoden Mit einem standardisierten Online-Fragebogen wurden über kooperierende Fachgesellschaften und Verbände deren Mitglieder befragt. Ergebnisse Es wurden Angaben von 398 Ärzten, 78 Psychologen, 62 Physiotherapeuten, 3 Ergotherapeuten und 23 Pflegefachpersonen in die Auswertung einbezogen. Die Altersverteilung lag eher in höheren Altersgruppen, der größte Anteil an Antwortenden war zwischen 51 und 60 Lebensjahren. Auf den Karrierewegen kamen die Teilnehmenden erst nach vielen Jahren Berufstätigkeit klinisch mit der Schmerzmedizin in Kontakt. Gerade bei Ärzten zeigt sich dabei eine Latenz von fast einem Jahrzehnt nach Approbation (8 ± 6 Jahre (max. 30) bzw. 5 ± 6 (min. 0, max. 28) Jahre), bzw. bereits als Facharzt gearbeitet zu haben, bis zur ersten klinischen Tätigkeit in einer spezialisierten schmerzmedizinischen Einrichtung (Psychologen 5 ± 5 (min. 0, max. 22) Jahre nach ihrem Studienabschluss bzw. 4 ± 5 (min. 0, max. 16) Jahre nach Approbation; PEP 1 ± 9 (min. 0, max. 37) Jahre nach Ausbildungsabschluss). Hinsichtlich motivationaler Faktoren werden intrinsische Aspekte höher bewertet als monetäre. Vereinbarkeitsfragen standen eher im Mittelfeld der Gewichtung. Bzgl. der Arbeitszufriedenheit in der Schmerzmedizin zeichnet sich bei den Antwortenden ein Bild mit insgesamt höheren Werten bei der Angabe der Zufriedenheit ab, wobei in den Kategorien „Aufstiegsmöglichkeiten“, „Zusatzverdienstmöglichkeiten“ und „Anerkennung der Tätigkeit bei Vorgesetzten“ die niedrigsten Zufriedenheitswerte angegeben werden. Über 1/3 der Befragten gab an, dass berufliche Änderungen mit Wechsel aus der Schmerzmedizin anstehen, insbesondere der Rentenbeginn. Diskussion Die Ergebnisse unterstreichen die Wahrnehmung kritischer Zukunftsaussichten und lassen Risiken hinsichtlich der zukünftigen Versorgungssicherung von Menschen mit chronischen Schmerzen erkennen. Sie liefern erstmals einen Einblick in die Wege von Mitarbeitenden in die Schmerzmedizin und zu deren Motivationen und Arbeitsplatzzufriedenheit, die bei der Diskussion um die personelle Zukunftssicherung Berücksichtigung finden sollten.Abstract Background Pain medicine is an interdisciplinary and interprofessional field of specialisation. Due to concerns about new recruits and an aging workforce, especially among physicians, it is important to better understand professional and career pathways in pain medicine. Objectives The aim of this study was to record the occupational routes of people working in an institution specialised in pain medicine/pain management as well as their motivation and job satisfaction. Materials and methods A standardised online questionnaire was used to survey members via cooperating scientific societies and organisations. Results Data from 398 physicians, 78 psychologists, 62 physiotherapists, three occupational therapists and 23 nursing professionals were included in the analysis. The age distribution skewed towards higher age groups, with the majority of respondents aged between 51 and 60 years. The respondents usually first came into clinical contact with pain medicine after many years of work. In the case of physicians in particular, there was a delay of almost a decade after their licence to practise. With regard to motivational factors, intrinsic aspects were rated higher than monetary ones. Work-life balance issues tended to be in the middle of the ranking. Regarding job satisfaction in pain medicine, the overall satisfaction of the respondents was high, with the lowest satisfaction ratings being given in the categories “opportunities for further career development”, “additional income options” and “recognition by superiors”. A significant proportion of respondents (1/3) stated that career changes were forthcoming—changes outside a pain medicine setting or in particular retirement. Conclusions The results emphasise the critical perspectives regarding the future provision of care for people with chronic pain. The results provide, for the first time, an insight into the career routes of staff in the field of pain medicine and their motivations and job satisfaction, which should be considered in the discussion about ensuring personnel resources in the future.Zusammenfassung Hintergrund Schmerzmedizin ist eine interdisziplinäre und interprofessionelle Spezialisierung. Aufgrund von Nachwuchssorgen und Überalterung, insbesondere bei Ärzten, ist es von Bedeutung, berufliche Entwicklung und Karrierewege in die Schmerzmedizin besser zu verstehen. Ziel der Arbeit Ziel dieser Untersuchung ist es, die beruflichen Wege von Menschen, die in einer Einrichtung der spezialisierten schmerzmedizinischen/schmerztherapeutischen Versorgung tätig sind, deren Motivation und Arbeitszufriedenheit zu erfassen. Material und Methoden Mit einem standardisierten Online-Fragebogen wurden über kooperierende Fachgesellschaften und Verbände deren Mitglieder befragt. Ergebnisse Es wurden Angaben von 398 Ärzten, 78 Psychologen, 62 Physiotherapeuten, 3 Ergotherapeuten und 23 Pflegefachpersonen in die Auswertung einbezogen. Die Altersverteilung lag eher in höheren Altersgruppen, der größte Anteil an Antwortenden war zwischen 51 und 60 Lebensjahren. Auf den Karrierewegen kamen die Teilnehmenden erst nach vielen Jahren Berufstätigkeit klinisch mit der Schmerzmedizin in Kontakt. Gerade bei Ärzten zeigt sich dabei eine Latenz von fast einem Jahrzehnt nach Approbation (8 ± 6 Jahre (max. 30) bzw. 5 ± 6 (min. 0, max. 28) Jahre), bzw. bereits als Facharzt gearbeitet zu haben, bis zur ersten klinischen Tätigkeit in einer spezialisierten schmerzmedizinischen Einrichtung (Psychologen 5 ± 5 (min. 0, max. 22) Jahre nach ihrem Studienabschluss bzw. 4 ± 5 (min. 0, max. 16) Jahre nach Approbation; PEP 1 ± 9 (min. 0, max. 37) Jahre nach Ausbildungsabschluss). Hinsichtlich motivationaler Faktoren werden intrinsische Aspekte höher bewertet als monetäre. Vereinbarkeitsfragen standen eher im Mittelfeld der Gewichtung. Bzgl. der Arbeitszufriedenheit in der Schmerzmedizin zeichnet sich bei den Antwortenden ein Bild mit insgesamt höheren Werten bei der Angabe der Zufriedenheit ab, wobei in den Kategorien „Aufstiegsmöglichkeiten“, „Zusatzverdienstmöglichkeiten“ und „Anerkennung der Tätigkeit bei Vorgesetzten“ die niedrigsten Zufriedenheitswerte angegeben werden. Über 1/3 der Befragten gab an, dass berufliche Änderungen mit Wechsel aus der Schmerzmedizin anstehen, insbesondere der Rentenbeginn. Diskussion Die Ergebnisse unterstreichen die Wahrnehmung kritischer Zukunftsaussichten und lassen Risiken hinsichtlich der zukünftigen Versorgungssicherung von Menschen mit chronischen Schmerzen erkennen. Sie liefern erstmals einen Einblick in die Wege von Mitarbeitenden in die Schmerzmedizin und zu deren Motivationen und Arbeitsplatzzufriedenheit, die bei der Diskussion um die personelle Zukunftssicherung Berücksichtigung finden sollten.Abstract Background Pain medicine is an interdisciplinary and interprofessional field of specialisation. Due to concerns about new recruits and an aging workforce, especially among physicians, it is important to better understand professional and career pathways in pain medicine. Objectives The aim of this study was to record the occupational routes of people working in an institution specialised in pain medicine/pain management as well as their motivation and job satisfaction. Materials and methods A standardised online questionnaire was used to survey members via cooperating scientific societies and organisations. Results Data from 398 physicians, 78 psychologists, 62 physiotherapists, three occupational therapists and 23 nursing professionals were included in the analysis. The age distribution skewed towards higher age groups, with the majority of respondents aged between 51 and 60 years. The respondents usually first came into clinical contact with pain medicine after many years of work. In the case of physicians in particular, there was a delay of almost a decade after their licence to practise. With regard to motivational factors, intrinsic aspects were rated higher than monetary ones. Work-life balance issues tended to be in the middle of the ranking. Regarding job satisfaction in pain medicine, the overall satisfaction of the respondents was high, with the lowest satisfaction ratings being given in the categories “opportunities for further career development”, “additional income options” and “recognition by superiors”. A significant proportion of respondents (1/3) stated that career changes were forthcoming—changes outside a pain medicine setting or in particular retirement. Conclusions The results emphasise the critical perspectives regarding the future provision of care for people with chronic pain. The results provide, for the first time, an insight into the career routes of staff in the field of pain medicine and their motivations and job satisfaction, which should be considered in the discussion about ensuring personnel resources in the future

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

    Author Index

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    Nao informado

    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used

    Author Under Sail The Imagination of Jack London, 1893-1902

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    In Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Intro -- Title Page -- Copyright Page -- Dedication -- Contents -- Acknowledgments -- Introduction -- 1. Spirit Truth -- 2. From Absorption to Theatricality and Back Again -- 3. "I Will Build a New Present" -- 4. Sons as Authors -- 5. Fathers as Publishers -- 6. The Daughter as Author -- 7. Lovers as Authors -- 8. At Sea with the Family -- 9. Yellow News, Yellow Stories -- 10. The Return Home -- Notes -- Bibliography -- Index -- About Jay WilliamsIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Description based on publisher supplied metadata and other sources.Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, YYYY. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
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