Bibliographic record
Abstract
A twelve-year-old, immobile, tube-fed GMFCS Level V spastic quadriparetic child with cerebral palsy was brought to a neurology clinic for a scheduled follow-up visit.Examination of this child reveals multiple cutaneous lesions, which upon further investigation turn out to be rat bites.A four-year-old child, the offspring of recent immigrants to Canada from a developing nation has a severe global developmental delay without apparent etiology despite detailed investigations including metabolic, genetic and neuro-imaging studies.At follow-up, it is made known that previous home educator and rehabilitation services visits have been suspended by local service providers due to an extensive cockroach infestation in the family's rental apartment.A family on social assistance has a three-year-old child with global developmental delay receiving rehabilitation services (physiotherapy, occupational therapy, speech language pathology) from a local regional center.These services are terminated when they move to an adjacent region.At this adjacent region's pediatric rehabilitation center, their child is put at the end of the waiting list (approximately one year) for intake.The above incidents are drawn from an academic pediatric neurology practice in a country that has ranked at the top of the United Nations Human Development Index nine times since 1990 and had a ranking of fourth overall most recently in 2008. 1 The incidents illustrate that even within the wealthiest and most blessed of nations, real disparities that obviously impact on health do exist.These incidents also illustrate the need to emphasize our role as advocates for our patients.An advocate is one who speaks, writes, pleads or acts in support or defence or behalf of a person or cause.Recognized synonyms include; agent, champion, defender, exponent, partisan, promoter or proponent.An advocate engages in the action or process of advocacy.The word's origin lies in the 14th century and borrow directly from the Latin "advocare" meaning to summon that combines "ad" and "vocare" (to call or voice). 2 Medical advocacy has many possible characteristics including informing, empowering, protecting, supporting and representing the interests and needs of the patient.3 This Editorial will focus on an additional feature generally assumed to be both non-contentious and beneficent; that is ensuring fair access to available resources.4 This feature is thought to be non-contentious because it reflects the practical application of the philosophical concept of "justice" that within the Canadian milieu has been operationalized as an accepted social construct of a distributive model that eliminates or minimizes bias.5 Within this model every individual has an equal right to available resources,
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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 | 0.004 | 0.025 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.005 | 0.004 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.011 | 0.018 |
| Insufficient payload (model declined to judge) | 0.015 | 0.008 |
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".