Notice bibliographique
Résumé
What is geriatric psychiatry? Simply put, it is the subspecialty dealing with the assessment and management of mental disorders occurring in late life—a period occasionally and somewhat arbitrarily defined as aged 65 years and over (1). This definition falsely simplifies what we do as geriatric psychiatrists and does not acknowledge the scope of practice and the specific skills requisite to this subspecialty. The following are just some of the necessary skills and requirements: an awareness of the physiology of aging and how it affects the pharmacokinetics and pharmacodynamics of psychotropic medications; updated knowledge on the chronic and acute physical illnesses of late life and how they affect cognition and behaviour; a familiarity with medications used to treat chronic medical conditions, in order to evaluate their effects on behaviour and cognition and to avoid potential drug interactions with psychotropics; an expert ability to assess cognitive function and to determine the etiology of cognitive impairment; the ability to work with family systems, using extensive knowledge of community support networks and familiarity with the range of evidence-based psychiatric therapeutic modalities; the capacity to assess competence; and the capacity to deal with the multiple medical or legal issues that arise with elderly patients. Although many of these skills are not the exclusive domain of geriatric psychiatrists, this subspeciality is unique in that the assessment and management of each patient requires these skills. In Canada, geriatric psychiatry is flourishing. The Canadian Academy of Geriatric Psychiatry (CAGP) has over 190 members. The Academy hosts an annual academic meeting and provides residency training and fellowship awards. The CAGP was instrumental in developing the Canadian Coalition for Seniors’ Mental Health (CCSMH)—an organization that includes health professionals, researchers, government officials, caregivers, and seniors’ organizations. The goal of the CCSMH is to support collaborative initiatives to facilitate mental health for seniors through innovation and dissemination of best practices. Canadian geriatric psychiatrists play important roles in international organizations such as Alzheimer’s Disease International, the International Psychogeriatric Association, and the American Association of Geriatric Psychiatry. In 1999, the CAGP cohosted and organized the ninth Congress of the International Psychogeriatric Association—arguably the largest and most successful academic geriatric psychiatry meeting to date. As Canadian geriatric psychiatrists, we hold numerous peer-reviewed research grants, publish in peer-reviewed journals, and sit on international editorial boards. The articles in this issue, covering topics related to depression, dementia, and health services, are only a small sample of our academic activities. We have organized numerous undergraduate and postgraduate training programs in psychiatry across Canada, and we have published widely on educational issues related to geriatric psychiatry (2–6).
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 machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,009 | 0,022 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,002 | 0,001 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,007 | 0,010 |
| Communication savante | 0,010 | 0,022 |
| Science ouverte | 0,002 | 0,009 |
| Intégrité de la recherche | 0,015 | 0,023 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,020 | 0,010 |
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.
score_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 découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».