Bibliographic record
Abstract
There is no doubt that modern clinical medicine in the West is practiced in a pluralistic and multicultural context. Yet nowadays, there is frequently a divide between the moral values of clinicians and those of their patients. Whereas many clinicians, whatever their own personal beliefs, ascribe to a basically secular morality that emphasizes such values as individual autonomy and social utility, many of their patients ascribe to cultural and religious traditions that emphasize such values as obedience to God and the responsibility of families and communities to care for their own. In addition, whereas it is usually quite easy to negotiate respect for the strictly ritual requirements of such patients in such areas as prayer and diet, it is more difficult to negotiate great differences in moral perspectives between clinicians and their patients when it comes to practical questions involved in medical treatment in general and the treatment of the patient at hand in particular. Sometimes these differences need to be more generally negotiated in the public policy discussions that take place in hospital ethics committees or even in legislative and judicial settings. Other times, these differences need to be more particularly negotiated on a case-by-case basis between clinicians and their patients and the patients' immediate families, plus those from their traditional communities authorized by patients and their families, such as priests, rabbis, pastors, or imams, to provide them with moral guidance or even moral governance.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.004 | 0.004 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.283 | 0.131 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".