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    L’intégration du dispositif de la cellule d’urgence médico-psychologique (CUMP) dans la pratique des médecins correspondants du SAMU (MCS) en Auvergne-Rhône-Alpes (AURA)

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    Background: The Emergency Medical Psychological Unit (CUMP) was created to provide psychological support in the aftermath of critical incidents. The Corresponding Physicians of the Emergency Medical Service (MCS) are general practitioners who act as first line responders, intervening upstream of the Mobile Emergency and Resuscitation Service (SMUR) upon regulation by the SAMU call center (Centre 15). As documented in numerous studies, they are frequently confronted with interventions carrying a high risk of psychological repercussions. To address this need, a new support system specifically dedicated to MCS has been implemented in the Auvergne Rhône Alpes region, in partnership with the Mountain Doctors Association. Objective: The aim of this work is to explore the experiences of MCS with the CUMP system and to identify possible avenues for its improvement. Methods: This is a qualitative study conducted according to the principles of Interpretative Phenomenological Analysis (IPA). Nine semi structured interviews were carried out with MCS from the Auvergne Rhône Alpes region who had contacted the CUMP system. Results: The MCS report a heavy emotional burden associated with critical interventions, often accompanied by feelings of isolation, guilt, or impostor syndrome. Recourse to the CUMP is generally perceived as beneficial, owing to its responsiveness and the quality of listening provided. However, several limitations are highlighted: difficulties in establishing contact, lack of systematic follow up, limited awareness of the system, and a mismatch between expectations and the current offer, which remains focused primarily on psychological support. The study suggests simple yet necessary adjustments, such as clearer presentation of the system, more accessible contact modalities, stronger medico psychological coordination, and the development of peer support networks. Conclusion: The CUMP is perceived by the MCS as a valuable source of support, thanks to its responsiveness and attentive listening. However, its integration remains limited by difficulties in establishing contact, the absence of systematic follow up, and a mismatch with their expectations, particularly regarding technical feedback. Optimizing the CUMP appears essential to prevent psychotraumatic repercussions, strengthen the resilience of the MCS, and ensure the sustainability of their commitment in isolated territories.Contexte : La cellule d’urgence médico-psychologique (CUMP) a été créée afin d’apporter un soutien psychologique à la suite d’incidents critiques. Les Médecins Correspondants SAMU (MCS) sont des médecins généralistes de premier recours qui interviennent en amont du Service Mobile d’Urgence et de Réanimation (SMUR) sur régulation du centre 15. Comme documenté dans de nombreuses études, ils sont souvent confrontés à des interventions à risque de répercussions psychologiques. Pour répondre à ce besoin, un nouveau dispositif dédié au MCS a été mis en œuvre dans la région Auvergne Rhône-Alpes, en partenariat avec l’association Médecins de Montagne. Objectif : L’objectif de ce travail est d’explorer le vécu du dispositif de la CUMP par les MCS et de dégager des pistes d’amélioration de ce dernier. Méthode : Il s’agit d’une étude qualitative menée selon les principes de l’analyse phénoménologique interprétative. 9 entretiens semi-dirigés ont été réalisés auprès de MCS de la région AURA, ayant sollicité le dispositif de la CUMP. Résultats : Les MCS décrivent une forte charge émotionnelle liée aux interventions critiques, associée à un sentiment d’isolement, de culpabilité ou d’imposture. Le recours à la CUMP est globalement perçu comme bénéfique, grâce à sa réactivité et à la qualité d’écoute proposée. Toutefois, plusieurs limites sont relevées : difficultés de contact, absence de suivi systématique, méconnaissance du dispositif et décalage entre attentes et offre actuelle centrée sur le soutien psychologique. L’étude propose des ajustements simples mais nécessaires, comme une meilleure présentation du dispositif, modalités de contact adaptées, articulation médico psychologique et réseaux de pairs. Conclusion : La CUMP est perçue par les MCS comme un soutien précieux, grâce à sa réactivité et son écoute, mais son intégration reste limitée par des difficultés de contact, l’absence de suivi systématique et un décalage avec leurs attentes, notamment en matière de retour technique. L’optimisation de la CUMP apparaît essentielle pour prévenir les répercussions psychotraumatiques, renforcer la résilience des MCS et assurer la pérennité de leur engagement dans les territoires isolés

    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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    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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