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Record W2415694876

Soundings: If I ruled the world

2002· article· en· W2415694876 on OpenAlexaboutno aff
George Dunea

Bibliographic record

Venuenot available
Typearticle
Languageen
FieldHealth Professions
TopicChild and Adolescent Health
Canadian institutionsnot available
Fundersnot available
KeywordsIrrational numberAuditMedicineLawMedical emergencyPolitical scienceBusiness
DOInot available

Abstract

fetched live from OpenAlex

In the first year of my dictatorship I will ban sugar coated doughnuts, atonal music, phenylbutazone, and hospital public relations departments. With the ruthlessness of irrational dictators I will outlaw multivitamin pills, ties with horizontal stripes, malpractice lawyers, useless expensive drugs, and hot and cold water taps that turn in opposite directions. Handsome women will not chew gum with their mouths open, petty bureaucrats will not notify their 500 employees of their two days' absence from the office. Committees, especially on ethics and audits, will meet only on Saturdays, only for 30 minutes, no chairs provided. The police will destroy all answering machines announcing “I am away from my desk . . . but your call is very important to us.” There will be other excesses. The priests of evidence based medicine will be proscribed, their proselytes reduced to meeting in catacombs. Banned will be charts with idiotic problem lists instead of diagnoses. In journals the number of authors will not exceed that of patients studied, and abbreviations will be forbidden, thus allowing articles to be read without reference to a glossary. Generic drug names will have no more than three syllables; “me too” drugs will be limited to four in any class; and drug company sponsored studies will be closely scrutinised for inherent biases in their protocols. Banned will be computed tomography for stress headache, endoscopies for obvious gastritis, cardiac catheterisations for costochondritis. Doctors will make rounds in a quiet environment, nurses will accompany them, charts and x rays will be at the bedside, and comatose patients will not watch television during rounds. Some doctors will take calligraphy lessons or their noses will grow by an inch for every illegible word written. Just as in Francophone Montreal, there will be a language police. Passengers will not “deplane”; patients will not be “clients,” doctors not “providers,” clinics not “health centres,” and prepaid plans not “health maintenance organisations”—because they do nothing of the sort. The young will not be allowed to pontificate that the world is going to hell, nor the old reminisce about the good old days. The dictatorship will last 70 years, then be overthrown by agents of the evidence based movement.

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)0.004
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: Not applicable
GenreCandidate signal: Other · Consensus signal: none
Teacher disagreement score0.084
Threshold uncertainty score0.281

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0040.025
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0130.012
Scholarly communication0.0150.013
Open science0.0020.007
Research integrity0.0090.027
Insufficient payload (model declined to judge)0.0840.050

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 head0.083
GPT teacher head0.404
Teacher spread0.320 · 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
GenreOther

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

Citations0
Published2002
Admission routes1
Has abstractyes

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