MétaCan
Menu
Back to cohort
Record W1931378163

"A completely preventable death".

2002· article· en· W1931378163 on OpenAlexaboutno aff
Barbara Sibbald

Bibliographic record

VenuePubMed · 2002
Typearticle
Languageen
FieldHealth Professions
TopicDisaster Response and Management
Canadian institutionsnot available
Fundersnot available
KeywordsFeelingMedicinePediatricsGerontologyMedical emergencyPsychology
DOInot available

Abstract

fetched live from OpenAlex

During his 10 years as a ward of the Children's Aid Society of Ontario, Joshua Durnford lived in 16 residential facilities.On Feb. 15, 2000 -aged 18 years but with a mental age physicians placed at 12 years -he died in an adult detention centre.He had complained of feeling unwell for 4 days but received no treatment.His death from neuroleptic malignant syndrome (NMS, see box), was "completely preventable," a physician testified at the subsequent inquest.Most of the inquest's 45 recommendations were aimed at improving correctional and children's services, but there is no law requiring their implementation.Durnford was the third Ontario teen with complex physical, developmental and psychiatric needs to die while in care in the past 5 years, says the Office of Child and Family Service Advocacy, an arm's-length agency that watches out for children in government care.Chief Advocate Judy Finlay says these were the province's first deaths of this type.And the number of these complex cases is growing.Three years ago, Finlay's office was handling 200 of them, many involving children with neurologic disorders; today it handles 400.The problem, says Finlay, is that "there's no place for them."Two of the 3 deaths involved the misuse of physical restraints.In 1999, 13-year-old William Edgar was asphyxiated while being restrained at a residence near Peterborough, Ont.The inquest ruled that he died by homicide, but no criminal charges were laid.Stephanie Jobin, an autistic 13-year-old girl, suffocated while being physically restrained at Digs for Kids in Brampton, Ont., in 1998.She'd had 30 different workers in only 6 weeks."If a parent had straddled a kid with a beanbag chair on her back, we'd all hear about it," says Finlay."If the state does it, we turn a blind eye."(An inquest was finally called in her death

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)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesInsufficient payload (model declined to judge)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Other · Consensus signal: none
Teacher disagreement score0.606
Threshold uncertainty score0.998

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0030.002

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 head0.279
GPT teacher head0.373
Teacher spread0.093 · 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; both teacher heads agree on what is shown here.

Study designNot applicable
Domainnot available
GenreOther

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

Citations1
Published2002
Admission routes1
Has abstractyes

Explore more

Same venuePubMedSame topicDisaster Response and ManagementFrench-language works237,207