Bibliographic record
Abstract
T he Chronic Kidney Disease Program is a multidisciplinaryoutpatient clinic and outreach program at St Paul's Hospital in Saskatoon, Saskatchewan.The clinic opened in July 2001 with a vision to care for, educate, and support individuals and their families along the continuum of chronic kidney disease to achieve optimal outcomes.The clinic serves the northern half of the province and as of September 2010 had about 550 patients.The program's health care team has grown substantially since 2001 and now consists of nephrologists, registered nurses, an Aboriginal health educator, a dialysis access nurse, a dietician, a diabetes clinician, a social worker, an exercise therapist, a pharmacist, and support staff.The clinical pharmacist position (1 full-time equivalent [FTE]) was created in mid-2008, at the request of the hospital's department of Renal Services, and Angela McKinnon has held the position since then.Renal Services has an additional 4.3 FTE pharmacist positions in other areas (Hemodialysis, Home Therapies, and Transplant).The Chronic Kidney Disease Clinic has a diverse patient population, and the clinic team faces many challenges in providing patient care, including linguistic and cultural barriers and financial and travel issues.Most patients have stage 3 to 5 chronic kidney disease (creatinine clearance less than 60 mL/min) due to a variety of causes.The patients range in age from 18 to over 90 years, and more than half (52%) have diabetes mellitus.The team works with patients to slow the progression of their disease and to manage the associated symptoms, educating them about treatment options as the disease progresses.The clinic pharmacist provides a number of services to both patients and other members of the team.Each patient is referred to the Chronic Kidney Disease Clinic by his or her nephrologist.At the initial appointment, the patient meets with all team members for a needs assessment.The pharmacist obtains the patient's medication
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.007 |
| Meta-epidemiology (narrow) | 0.001 | 0.002 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.013 | 0.002 |
| Scholarly communication | 0.004 | 0.003 |
| Open science | 0.003 | 0.004 |
| Research integrity | 0.024 | 0.013 |
| Insufficient payload (model declined to judge) | 0.150 | 0.019 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".