Notice bibliographique
Résumé
To the Editor; I would like to thank Korenblum et al for drawing attention to a valuable and underutilized method of accessing our adolescent population. However, I would also like to correct an inadvertent omission from their article in the May issue of Paediatrics & Child Health, titled ‘It is time to make the grade: Reaching Canadian youth through school-based health centres’. The authors describe a handful of school-based health centres (SBHCs) existing across the country but do not refer to any in the province of Alberta. Here in Edmonton, Alberta, we have an established SBHC that has been providing services for >10 years. Our SBHC exists in the unique environment of a high school for pregnant and parenting teens. Currently, our team consists of two paediatricians, two paediatric nurses, a dedicated birth-control nurse, a mental health counselor and an addictions counselor. The teen parents we support are seen in clinic space within the school for any health care concerns. Their issues vary widely but most frequently involve mental health and contraception. Trust can be a big issue for these young mothers from difficult backgrounds, and having a static group of consistently available health care providers increases their likelihood of accessing care. Also, the adolescent mothers are able to bring their children (many of whom are cared for at the onsite daycare) to be seen by our paediatricians without missing class or having to arrange for outside transportation. The presence of health care providers on site at the school thereby not only benefits the teenage parents and children we serve, but also decreases the burden on our emergency rooms and urgent care clinics. There is a paucity of literature on the effectiveness of SBHCs for adolescent parents. A PubMed search identified only one retrospective review comparing outcomes for pregnant adolescents receiving care in an SBHC with those receiving prenatal care in a hospital based clinic in Baltimore (Maryland) between 1995 and 1997. The authors demonstrated both a decrease in the number of low birth weight infants born and a decreased school dropout rate for mothers receiving care in the SBHC (1,2). I strongly agree with the statements made by Korenblum et al that SBHCs demonstrate significant mental health, medical, educational and financial benefits. These statements are all the more true in a school-based program for adolescent parents in which the health needs of a high-risk population, as well as those of their children, can be addressed. I would challenge my paediatrician colleagues to remember this vulnerable group when considering establishing any new SBHC.
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 | 0,002 | 0,033 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,002 | 0,001 |
| Communication savante | 0,004 | 0,002 |
| Science ouverte | 0,002 | 0,001 |
| Intégrité de la recherche | 0,015 | 0,012 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,036 | 0,020 |
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 ».