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Record W2168990620 · doi:10.14797/mdcvj.98

Personalized Medicine: An Idea Whose Time is Approaching

2007· article· en· W2168990620 on OpenAlexaff
Robert Roberts

Bibliographic record

VenueMethodist DeBakey Cardiovascular Journal · 2007
Typearticle
Languageen
FieldMedicine
TopicCardiomyopathy and Myosin Studies
Canadian institutionsUniversity of Ottawa
Fundersnot available
KeywordsMedicineCoronary artery diseasePersonalized medicineAngioplastyClinical trialDiseaseIntensive care medicineCardiac catheterizationInternal medicineInterventional cardiologyCardiologyBioinformatics

Abstract

fetched live from OpenAlex

The field of Cardiology has seen major advancements in the past 50 years, including the advent of cardiac catheterization, bypass surgery, angioplasty, defibrillators and ablation. Basic research and clinical trials have defined the efficacy and safety of a range of treatments such as statin therapy for coronary artery disease and ACE inhibitors for heart failure. As a result, this "evidence-based medicine" has lead to the development and widespread use of clinical guidelines that have helped reduce cardiac mortality by more than 50% over the past 30 years.The 21st century is poised to implement an even higher standard of evidence-based medicine - namely, therapy personalized to an individual's genetic variants. The gene is the most fundamental biological unit of the human body, responsible for generating and regulating proteins that perform the body's functions. Genes and their regulators determine which, when and how many proteins are synthesized in response to a host of signals, which makes genetics a major factor in many diseases. In fact, it is well recognized that more than 50% of one's predisposition to coronary artery disease is genetic. While coronary artery disease (CAD) is still the number-one killer in the Western world, the availability of the DNA sequence of human genes could mean its demise in the 21st century.

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)0.030
metaresearch head score (Gemma)0.038
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.030
Threshold uncertainty score0.156

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0300.038
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0030.001
Bibliometrics0.0030.002
Science and technology studies0.0050.039
Scholarly communication0.0130.031
Open science0.0030.009
Research integrity0.0150.028
Insufficient payload (model declined to judge)0.0090.004

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 head0.041
GPT teacher head0.329
Teacher spread0.288 · 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 designTheoretical or conceptual
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

Citations3
Published2007
Admission routes1
Has abstractyes

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Same venueMethodist DeBakey Cardiovascular JournalSame topicCardiomyopathy and Myosin StudiesFrench-language works237,207