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Record W1589521999

Consent and Conflict in Medico-Legal Decision-Making at the End of Life

2010· article· en· W1589521999 on OpenAlexaboutno aff
Shawn Harmon

Bibliographic record

VenueUniversity of New Brunswick Law Journal · 2010
Typearticle
Languageen
FieldHealth Professions
TopicEthics in medical practice
Canadian institutionsnot available
Fundersnot available
KeywordsEmotiveSWORDLegislatureFunction (biology)End-of-life careInformed consentEngineering ethicsPolitical sciencePublic relationsLaw and economicsLawSociologyComputer scienceMedicineEngineeringPalliative careNursing
DOInot available

Abstract

fetched live from OpenAlex

New technologies are both making life more efficient and productive, and more complex and precarious. Medical technologies in particular are proving to be a double-edged sword, increasing options and expectations while exciting important ethical concerns. Advances have now extended our life-preserving capability well beyond our healing or vitalityrestoring capability. This reality often results in great infirmity at the end of life, and it means that knowledge and care around end-of-life decisions is essential. This paper examines the consent model in this setting, exploring concepts of ‘capacity’ and ‘best interests’, and the function of Advance Directives, drawing on legislative and judicial authorities from across Canada. In the course of the analysis, it exposes the ethical values which nourish these concepts and practices, and concludes with some practical suggestions for medical law practitioners giving advice in this highly emotive setting.

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 distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.004
metaresearch head score (Gemma)0.007
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies, Research integrity, Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.778
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.007
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.005
Insufficient payload (model declined to judge)0.0040.000

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.

Opus teacher head0.055
GPT teacher head0.392
Teacher spread0.337 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2010
Admission routes1
Has abstractyes

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