Notice bibliographique
Résumé
My clerkship year was full of firsts: My first time in a hospital setting; my first time seeing patients independently; and my first time managing patients who were acutely ill. During my surgical clerkship, I met many patients whose stories lingered in my mind long after they had left my care. Each had a unique story, but they all were stuck in the same heart-wrenching limbo between life and death. Reflecting on this limbo inspired me to create Tug of War, on the cover of this issue. A tug of war pits 2 opposing forces against each other in a test of strength and will for one force to overcome the other. Like the angel reaching toward the brightest star, my patients were reaching for something beyond the physical world. The chain around the angel’s ankle represents all the factors that were trying to pull a patient back toward life: their family and friends, and us, the physicians fighting to keep them alive. It was hard to tell which side would win, the force of nature pulling them toward the great beyond or the chain that anchored them down on Earth. I cannot speak to the experiences of the patient, family, or friends, but as the medical student on the surgical team, I found waiting and hoping day-by-day for small changes in clinical status to be excruciating. We had done all that we could, and all that was left to do was wait and see if our patient, our angel, would respond. In my digital painting, the angel is covered in cuts, her dress is torn, and her wing is broken to represent the battle wounds that she acquired during her fight for her life. Every morning, we would assess if there were any signs of improvement in our patient’s condition. Family and friends would wait at the bedside anxiously and hopefully, but as the days turned into weeks with minimal to no change, their hope slowly melted to desperation. In my digital painting, I chose to reflect this loss of hope through the sky full of stars that fall and fade into a blanket of nothingness in the foreground, like a series of unfulfilled wishes. I thought about these patients often and wondered if they had tipped in either direction. Whenever I felt disheartened about their situations, I added a bit more to the picture, and it evolved over the weeks of my surgery rotation. Pouring those emotions into art helped me come to terms with the uncertainty surrounding each prognosis and accept that our medical team provided each patient with the best care we possibly could. This piece is my tribute to my patients’ stalemate battles, their stories with indeterminate endings. Tug of War
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 | 0,001 | 0,012 |
| Méta-épidémiologie (sens strict) | 0,002 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,005 | 0,001 |
| Communication savante | 0,007 | 0,003 |
| Science ouverte | 0,001 | 0,003 |
| Intégrité de la recherche | 0,005 | 0,007 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,306 | 0,116 |
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 ».