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Outcomes of a multidisciplinary approach to the management of the metabolic syndrome

2008· article· en· W2098863081 on OpenAlexvenueno aff
Adam Telner, Alan Gervais, Stephanie Amos

Bibliographic record

VenueCanadian Pharmacists Journal / Revue des Pharmaciens du Canada · 2008
Typearticle
Languageen
FieldHealth Professions
TopicObesity and Health Practices
Canadian institutionsnot available
Fundersnot available
KeywordsMultidisciplinary approachMetabolic syndromeMedicineSociologyInternal medicineSocial scienceObesity

Abstract

fetched live from OpenAlex

Background:Patients with the metabolic syndrome (determined by NCEP ATPIII criteria) are at increased risk for the development of diabetes, cardiovascular disease, and cancer.Objectives:We sought to determine whether treating patients at a dedicated community-based clinic using a multidisciplinary program would result in positive changes in predetermined clinical indicators of the metabolic syndrome.Methods:Patients were referred to the clinic by either family physicians or specialists. They were seen individually by a health care team consisting of a registered dietitian, a registered nurse, a pharmacist, and an endocrinologist. Patients were counselled with regard to lifestyle changes and pharmacotherapy in order to achieve targets for glucose, lipids, blood pressure, and weight. Patients remained on the program for a maximum of 6 months.Results:There were statistically significant changes for the first 76 patients who completed at least 4 of 6 monthly visits. The following parameters decreased: waist c...

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 machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.008
Threshold uncertainty score0.016

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.001
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0040.000

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 head0.103
GPT teacher head0.387
Teacher spread0.285 · 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 source (direct Gemma or distilled Codex), 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

Citations9
Published2008
Admission routes1
Has abstractyes

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