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Talking with your patients about dietary cholesterol, diet and nutrition: best practices for family physicians

2009· article· en· W2144311457 on OpenAlexaff
Richard Ward

Bibliographic record

VenueInternational Journal of Clinical Practice · 2009
Typearticle
Languageen
FieldHealth Professions
TopicObesity and Health Practices
Canadian institutionsUniversity of Calgary
Fundersnot available
KeywordsMedicineBody mass indexWaistDiseaseFamily medicineWeight lossObesityAtherosclerotic cardiovascular diseaseCoronary heart diseaseInternal medicine

Abstract

fetched live from OpenAlex

BACKGROUND: Family physicians, as gatekeepers for the healthcare system, are at the forefront of detecting, diagnosing, and managing diseases. When it comes to coronary heart disease (CHD), patients expect them to be knowledgeable about ways to reduce CHD risk, such as through diet. Unfortunately, most family physicians have not received formal training about nutritional counselling for patients. There is also little time or incentive to educate patients about diet. RESULTS: This has led to the preference for referring patients for dietary counselling. However, when properly informed, family physicians can be effective conduits for dietary counselling. A Danish study showed that patients at risk for CHD who were given nutritional counselling by family physicians experienced significant weight loss, reduction of waist circumference and body mass index, a significant increase in high-density lipoprotein cholesterol, and a significant reduction in the risk of developing cardiovascular disease. CONCLUSIONS: By providing nutritional counselling, physicians can serve as a source for current information and help to correct long-held misperceptions that patients may have regarding diet.

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)0.006
metaresearch head score (Gemma)0.025
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: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.012
Threshold uncertainty score0.041

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0060.025
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0050.001
Scholarly communication0.0020.003
Open science0.0010.002
Research integrity0.0050.003
Insufficient payload (model declined to judge)0.0120.004

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 head0.225
GPT teacher head0.581
Teacher spread0.356 · 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

Citations10
Published2009
Admission routes1
Has abstractyes

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