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Record W2023136228 · doi:10.1177/1755738013508548

Guided by numbers: how far should we go?

2013· article· en· W2023136228 on OpenAlexaff
Lawrence Leung

Bibliographic record

VenueInnovAiT Education and inspiration for general practice · 2013
Typearticle
Languageen
FieldHealth Professions
TopicMedical Coding and Health Information
Canadian institutionsQueen's University
Fundersnot available
KeywordsExaggerationNormalityMeaning (existential)Action (physics)PsychologyTest (biology)Clinical judgmentCognitive psychologyEpistemologySocial psychologyMedicineMedical physicsPsychotherapistPsychiatryPhilosophy

Abstract

fetched live from OpenAlex

It would be no exaggeration to say that a clinician cannot spend a day without looking at numerical values for laboratory test results and deciding if any actions are needed. In fact, most, if not all, clinicians in daily practice simply rely on the reference values provided by the laboratory to make clinical decisions. However, how often do we question the validity of these reference intervals and understand how they are derived? When should we take action if the results do not fall within the intervals? How far should we treat? This article attempts to examine the philosophy and definition of normality, the meaning and implications of reference intervals, the concept of the receiver operating characteristic curve and finally, the importance and practicality of decision limits regarding the results of biometric tests in clinical medicine.

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)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.292
Threshold uncertainty score0.747

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.002
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

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 head0.302
GPT teacher head0.502
Teacher spread0.200 · 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 designNot applicable
Domainnot available
GenreCommentary

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
Published2013
Admission routes1
Has abstractyes

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