Adolescent medicine in Canada: A positive step for paediatricians and adolescents
Notice bibliographique
Résumé
O ur most important goal in preparing this issue of Paediatrics & Child Health, which is dedicated to the second decade of life, was to avoid the onslaught of negative themes that so often accompany both the public media and the medical literature when issues of adolescence are addressed.The article by Saewyc and Tonkin (pages 43-47) is dedicated to this very idea.In reading this paper, it is heartening to hear that most teens are content and well adjusted, do not get pregnant or use drugs, feel connected to family and community, and go on to lead selfsufficient lives.We read that teenagers are hopeful and optimistic, and are generally not involved in behaviours that put their health in jeopardy.The 'paradigm shift' discussed by the authors proposes that we move away from identifying risk in teens, and instead, identify protective factors and resilience in our clinical work.This shift is vital to the future of Canada's teens, and as paediatricians and health care professionals, we can lead the way to changing the prevalent focus on the negative and redirect our energies to identifying the strengths of the youth we care for.Our second goal in preparing this issue was to focus on topics that would be of use and interest to clinicians.Therefore, the articles and statements included deal with topics we see everyday in our clinics, hospitals and emergency rooms.Some of the topics deal with a presenting symptom such as fatigue, adherence, sexuality or drug use, while others are related to a patient population such as teen boys or hospitalized youth.Improving our communication with teens is the focus in the commentary by and the Canadian Paediatric Society's statement on harm reduction (pages 53-56), which discusses the principles of engaging youth in reducing negative health outcomes.All of these papers are intended to present an approach to understanding and intervening with youth to improve well being.These articles also demonstrate the diversity of topics seen by adolescent medicine specialists, and the diversity of activities they engage in, such as clinical care, conducting and interpreting research, and advocating for Canadian youth.Although no overriding 'theme' was intended for these articles, we saw that one did emerge: dialogue.In this issue, the authors emphasize that the ability of health care professionals to dialogue with teens and their families is paramount; irrespective of the teen's reason for visiting the doctor.We learn that dialoguing with teens is very different from interviewing teens.When we dialogue, we listen in a different way, we try to engage the teen more in the interview and we pause to provide some feedback along the way.Techniques such as motivational interviewing and active listening are becoming expected tools
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 | 0,008 | 0,026 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,003 | 0,003 |
| Études des sciences et des technologies | 0,019 | 0,008 |
| Communication savante | 0,014 | 0,008 |
| Science ouverte | 0,003 | 0,010 |
| Intégrité de la recherche | 0,013 | 0,021 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,010 | 0,001 |
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 ».