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Enregistrement W2122031111 · doi:10.1111/jgs.13565

Things Are Better Today

2015· article· en· W2122031111 sur OpenAlexaff
Michael Paci

Notice bibliographique

RevueJournal of the American Geriatrics Society · 2015
Typearticle
Langueen
DomaineSocial Sciences
ThématiqueEducational Leadership and Practices
Établissements canadiensMcGill University Health Centre
Organismes subventionnairesnon disponible
Mots-clésMedicineGuard (computer science)Small townWorld War IIBrotherSpanish Civil WarArt historyHistoryLawSociologyArchaeology

Résumé

récupéré en direct d'OpenAlex

We all moved to the living room after finishing our meal. My family had gathered to celebrate my grandfather's 84th birthday. As we sat around the fireplace, he asked me how my surgical rotations were going. I answered that they were going well, and he replied, with a smile, that he was proud of my chosen profession because he had always had great respect for surgeons. I knew the story that was about to follow. My grandfather grew up in the 1930s and 1940s in a small town called Hirson, in northern France, near the Belgian border. His father worked as a border guard and his mother as a councilor at the local town hall. The Second World War ravaged the town, but personal events also contributed to changing my grandfather's life forever. My grandfather took a deep breath and began telling the story he had already recounted so many times. “You know I lost my mother when I was sixteen?” my grandfather asked. “It was the summer of 1947, and Hirson was just starting to recover from the war,” he continued. “My father had gone to work, and I was helping my mother prepare some vegetables in the kitchen. It was midday, and the sun was shining through the windows. I will always remember my mother telling me how much she loved me and how she was so happy the war was over. As we worked side by side at the counter, she suddenly shrieked, dropped the utensils she was using and collapsed on the floor. She covered her abdomen with her hands as she moaned and cried. As I got down on my knees to help her, she passed out. Her skin turned white, clammy, and cold. I panicked. I shook her inanimate body repeatedly but she wouldn't wake up.” “I ran to the next room and immediately called the mayor's office. As a town councilor, my mother had developed a close relationship with the town mayor, Dr. Fresnel, who was also the town's general surgeon and the director of the local hospital. I got ahold of Dr. Fresnel and told him what had happened. He told me he would come over immediately.” “Minutes later, Dr. Fresnel's car pulled up in front of our house. I opened the front door, and he rushed into the kitchen. He called my mother's name and tried to wake her with no success. He leaned over her to check whether she was still breathing and then quickly pressed on her abdomen. He turned to me and said my mother needed to be brought to the hospital immediately. He then picked her up in his arms, carried her into his car, and rapidly drove off.” My grandfather paused at this point in his story. His eyes started to water and he sighed heavily. The grief from the events that happened 68 years ago still seemed so profound. “By the time my father and I arrived at the hospital, Dr. Fresnel had already finished operating on my mother,” my grandfather resumed. “He met us in the hallway near my mother's room and delivered grim news to my father. ‘Your wife suffered significant internal bleeding,’ he said. ‘We found an ectopic pregnancy. She survived the operation, but I am not sure her heart will sustain the stress.’ In those days, there were no blood transfusions available in hospitals in small towns like ours, and my mother had lost a lot of blood.” “My father and I remained at my mother's bedside throughout the night,” my grandfather continued. “Her skin was pale, and she never really woke up. By the morning, I knew things had taken a turn for the worse. Dr. Fresnel came to meet us again. He led us out of the room and informed us my mother had passed.” We all watched my grandfather wipe away a tear. “Despite my mother's passing,” he went on, “I will always be thankful for Dr. Fresnel's efforts. I know he did his best at the time. If only medicine had been more advanced, she might have survived. We should all be thankful that things are better today.” As I sat next to my grandfather, I reflected on his last sentence. Medicine has indeed progressed significantly over the last half-century. I felt it was now my generation's responsibility to do everything possible to ensure it continued to do so. Conflict of Interest: None. Author Contributions: Michael Paci is the sole author of the manuscript. Sponsor's Role: There were no sponsors or funding received for this manuscript.

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.

Comment cette classification a été obtenuedéplier

Prédiction distillée sur la base complète

Imitation des enseignants

Ni prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.

score de la tête « metaresearch » (Codex)0,003
score de la tête « metaresearch » (Gemma)0,001
Version: codex-gemma-dda1882f352aStatut de validation: machine_predicted_unvalidated
Catégories candidatesaucune
Catégories consensuellesaucune
DomaineSignal candidat: aucune · Signal consensuel: aucune
Devis d'étudeSignal candidat: Sans objet · Signal consensuel: Sans objet
GenreSignal candidat: Empirique · Signal consensuel: Empirique
Score de désaccord entre enseignants0,289
Score d'incertitude au seuil0,246

Scores Codex et Gemma par catégorie

CatégorieCodexGemma
Métarecherche0,0030,001
Méta-épidémiologie (sens strict)0,0000,000
Méta-épidémiologie (sens large)0,0000,000
Bibliométrie0,0000,001
Études des sciences et des technologies0,0000,000
Communication savante0,0000,001
Science ouverte0,0010,000
Intégrité de la recherche0,0000,000
Charge utile insuffisante (le modèle a refusé de juger)0,0000,000

Scores machine (provisoires)

Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.

Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.

Tête enseignante Opus0,064
Tête enseignante GPT0,349
Écart entre enseignants0,286 · la distance entre les deux têtes enseignantes sur ce seul travail
Statut de validationscore_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle

Classification

machine, non validée

Prédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.

Les modèles n’ont appliqué aucune catégorie : rien dans la taxonomie ne correspondait à ce travail.
Devis d'étudeSans objet
Domainenon disponible
GenreEmpirique

Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».

En bref

Citations0
Publié2015
Routes d'admission1
Résumé présentoui

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