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Record W2139972813 · doi:10.1001/archpedi.158.5.426

Health Care Professionals and Intersex Conditions

2004· article· en· W2139972813 on OpenAlexaff
Joel Frader, Priscilla Alderson, Adrienne Asch, Cassandra L. Aspinall, Dena S. Davis, Alice Dreger, James C. Edwards, Ellen K. Feder, Arthur W. Frank, Lisa Abelow Hedley, Eva Feder Kittay, Jeffrey L. Marsh, Paul Steven Miller, Wendy E. Mouradian, Hilde Lindemann Nelson, Erik Parens

Bibliographic record

VenueArchives of Pediatrics and Adolescent Medicine · 2004
Typearticle
Languageen
FieldBiochemistry, Genetics and Molecular Biology
TopicSexual Differentiation and Disorders
Canadian institutionsUniversity of Calgary
Fundersnot available
KeywordsHealth professionalsHealth careNursingMedicinePsychologyFamily medicinePolitical science

Abstract

fetched live from OpenAlex

A s part of a larger project, a multidisciplinary group convened by The Hastings Center,Garrison, NY,met to considermedical, psychosocial, and ethical issues associated withthe care of children born with atypical genitalia or later found to have other condi-tions now commonly grouped together as “intersex. ” These children may have con-genital adrenal hyperplasia, gonadal dysgenesis, hypospadias, partial or complete androgen insen-sitivity syndrome, etc. This commentary reflects the deliberations of the group, which concluded that none of the appearance-altering surgeries need to be performed quickly; families with chil-dren with intersex conditions require multidisciplinary care; children with intersex conditions de-serve to know the truth about their bodies; families and health care professionals will benefit from rigorous longitudinal studies; and health care professionals need additional training about inter-sex conditions and sexual health generally. Parents andphysicians of childrenwith in-tersex conditions rarely know about the conditionbeforebirth.Therecognition that a child does not appear typically “male” or “female ” prompts distress, confusion, and uncertainty, no matter the age at di-agnosis. When health care professionals

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)0.003
metaresearch head score (Gemma)0.022
Version: metacan-v3-hybrid-931329e0061cValidation 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 score0.019
Threshold uncertainty score0.038

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.022
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0040.004
Scholarly communication0.0020.002
Open science0.0010.002
Research integrity0.0060.004
Insufficient payload (model declined to judge)0.0110.000

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 head0.009
GPT teacher head0.301
Teacher spread0.292 · 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 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

Citations75
Published2004
Admission routes1
Has abstractyes

Explore more

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