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Record W2020460972 · doi:10.1136/ewjm.176.1.60

The future of palliative care in the Islamic world

2002· article· en· W2020460972 on OpenAlexaff
Mohammad Zafir Al-Shahri

Bibliographic record

VenueWestern Journal of Medicine · 2002
Typearticle
Languageen
FieldMedicine
TopicPalliative Care and End-of-Life Issues
Canadian institutionsGrey Nuns Community Hospital
Fundersnot available
KeywordsPalliative careMedicineIslamHealth careCancerDeveloping countryBreast cancerGovernment (linguistics)Economic growthFamily medicineIntensive care medicineNursingBusinessInternal medicineGeographyEconomics

Abstract

fetched live from OpenAlex

Cancer in the developing world, of which the Islamic world is a substantial component, is characterized by far more advanced stages at diagnosis, fewer allocated resources for prevention and treatment, and higher incidence than in countries with more developed health systems.1 The top five cancers in the emerging world are (in descending order) stomach, lung, liver, breast, and cervix, and in developed countries the most common cancers are those of the lung, colorectum, breast, stomach, and prostate.2 In Indonesia, which has an estimated total cancer incidence of about 300,000 cases per year, only 10% are seen in the health care system.3 Similarly, only one cancer unit is available for about 120 million people in Bangladesh.4 Because preventive and curative services for cancer control are underdeveloped in many Islamic countries, the development of palliative care services is a more realistic option for most patients in these countries who have cancer. The available health care services in the Islamic world clearly do not meet patients' needs, and there is little sign that this situation will improve in the foreseeable future. Even if palliative care development is placed on an Islamic country's health care agenda, such development might be handicapped by technical and economic constraints. However, despite this gloomy picture, there are signs that palliative medicine is beginning to take off in the Islamic world. For example, the medical use of morphine for cancer pain control has been steadily increasing during the past few years in many Islamic countries.5 Once a palliative care program takes root in an Islamic country, it usually grows into a thriving service.3,6,7,8,9,10

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)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.400
Threshold uncertainty score0.219

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
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 head0.086
GPT teacher head0.393
Teacher spread0.306 · 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.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
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

Citations17
Published2002
Admission routes1
Has abstractyes

Explore more

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