Informational Continuity Is Integral for Successful Transition of Adolescents to Adult Care
Bibliographic record
Abstract
To the Editor: Recent reports have suggested that in spite of rheumatology-specific research in the area, there remained a need for further research and development of transitional care for adolescents reaching adulthood, as highlighted in an editorial and paper in this journal1,2. In the United States, “Six Core Elements of Health Care Transition” have been defined by the federally funded national resource center on transition (Got Transition)3. McManus, et al recently reported a study that observed improvements in all 6 transition quality indicators when these elements were addressed in the clinical setting4. Informational continuity is 1 of several continuities recognized as important in transitional care5 and is reflected in several of the core elements referred to above3,4. Although a medical summary3 as described in core element No. 4 was ranked in the top 2 aspects of successful transition by adult physicians6, … Address correspondence to Dr. N. Chanchlani, Department of Rheumatology, Birmingham Children’s Hospital, Birmingham B4 6NH, UK. E-mail: nchanchlani{at}doctors.org.uk
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 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 | 0.003 | 0.027 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.018 | 0.021 |
| Insufficient payload (model declined to judge) | 0.006 | 0.003 |
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".