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Record W1969105200 · doi:10.1055/s-2005-922100

Evidence-Based Practice for Cognitive-Communication Disorders after Traumatic Brain Injury

2005· article· en· W1969105200 on OpenAlex
Lyn S. Turkstra, Mary Kennedy

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueSeminars in Speech and Language · 2005
Typearticle
Languageen
FieldMedicine
TopicTraumatic Brain Injury Research
Canadian institutionsnot available
Fundersnot available
KeywordsIntervention (counseling)ReimbursementEvidence-based medicineEvidence-based practiceTraumatic brain injuryClinical PracticePsychologyCognitionMEDLINEHealth carePerspective (graphical)MedicinePsychiatryAlternative medicineNursing

Abstract

fetched live from OpenAlex

As clinicians, we sincerely believe that our intervention improves the lives of those we serve. In the case of neurogenic communication disorders, however, this belief is not always supported by data. The disability rights movement in the 1980s led us to consider client outcomes beyond clinical settings, and we had little measurable evidence that our intervention made a meaningful difference in these contexts. Reimbursement limitations further forced us to scrutinize our practice for evidence of both efficacy (a significant benefit demonstrated in a clinical trial) and effectiveness (benefit to an individual in clinical practice). At the same time, there was a movement toward evidence-based practice in medicine, led in part by the Evidence-Based Medicine Working Group at McMaster University in Ontario, Canada. Thus, we joined a community of health care practitioners engaged in the process of creating evidence-based guidelines for intervention.

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.

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)0.001
metaresearch head score (Gemma)0.004
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.974
Threshold uncertainty score0.536

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.004
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)0.0000.000

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 head0.042
GPT teacher head0.386
Teacher spread0.344 · 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