Bibliographic record
Abstract
A REPORT RECENTLY RELEASED BY THE HEART AND STROKE FOUNDATION of Canada drew attention to the wide variation in prices of many basic healthy foods that exists within the provinces and across the country. The Foundation’s Annual Report on Canadians’ Health also highlighted the fact that the ability of many Canadians to incorporate healthy food items, like fresh fruit and vegetables, into their diet is limited by cost. I’m confident that pharmacists are aware that up to 80% of coronary heart disease, stroke and type 2 diabetes can be prevented through lifestyle measures that include healthy eating. I’m not sure, though, that pharmacists are familiar with the term “food security,” which is said to exist when “all people, at all times, have the economic and physical access to sufficient, safe and nutritious food necessary to meet their dietary needs and food preferences for an active and healthy life.” So how is food security (or insecurity) relevant to the average pharmacist’s practice? If you ever discuss healthy dietary choices with patients as part of chronic disease management or prevention plans and don’t address the potential barriers to implementing those choices, you’re missing an important element. Patients need their health care providers to be sensitive to their social history and factors that influence their ability to self-manage any chronic condition. Dietary choices are especially important in the treatment of diabetes, with nutritional therapy being a common first step in improving glycemic control for many patients. In the special supplement enclosed with this issue, you’ll find pharmacist-specific guidelines, tips and tools for the the management and prevention of diabetes — including lifestyle management. We hope you UN RAPPORT RECEMMENT PUBLIE PAR LA FONDATION DES MALADIES du cœur du Canada a attire l’attention sur l’etonnant ecart de prix entre les provinces et les diverses regions du pays quant au cout et a l’accessibilite d’un grand nombre d’aliments sains de base. Le Bulletin de sante annuel de la Fondation souligne aussi le fait que de nombreux Canadiens se passent d’introduire des aliments sains dans leur alimentation, comme des fruits et legumes frais, en raison de leur prix trop eleve . Il ne fait aucun doute que les pharmaciens sont au courant que plus de 80 % des cas de maladie coronarienne, d’accident vasculaire cerebral et de diabete de type 2 peuvent etre evites en adoptant une alimentation saine. Cependant, je ne sais pas si les pharmaciens connaissent la definition de « securite alimentaire », a savoir : « la securite alimentaire existe lorsque tous les etres humains ont, a tout moment, un acces physique et economique a une nourriture suffisante, saine et nutritive leur permettant de satisfaire leurs besoins energetiques et leurs preferences alimentaires pour mener une vie saine et active ». Alors, en quoi la pratique des pharmaciens est-elle concernee par la securite (ou insecurite) alimentaire? Si vous avez a parler de choix alimentaires sains avec des patients dans le cadre d’un plan de gestion d’une maladie chronique ou d’un plan de prevention et que vous n’abordez pas les obstacles possibles pouvant empecher les patients de se procurer les aliments sains que vous proposez, vous passez a cote d’un element important. Les fournisseurs de soins de sante doivent etre sensibles aux antecedents et aux facteurs sociaux qui ont une incidence sur la capacite des patients a gerer eux-memes leur etat de sante. Les choix alimentaires sont d’autant plus importants dans le traitement du diabete, la therapie alimentaire etant habituellement la premiere etape de controle de la glycemie pour de nombreux patients. Le supplement insere dans ce numero propose des lignes directrices, des conseils et des outils destines aux pharmaciens concernant les plans de gestion et de prevention du diabete, y compris la prise en charge du mode de vie. J’espere que ces renseignements constitueront une ressource indispensable pour vous et vos patients. ■ Securite et insecurite alimentaires au Canada
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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 | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.006 |
| Science and technology studies | 0.012 | 0.002 |
| Scholarly communication | 0.005 | 0.001 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.002 | 0.004 |
| Insufficient payload (model declined to judge) | 0.016 | 0.001 |
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".