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Record W289424700 · doi:10.1093/pch/16.9.539

Improving standards for paediatric clinical trials

2011· article· en· W289424700 on OpenAlexaffabout
Anne Junker, Terry P. Klassen

Bibliographic record

VenuePaediatrics & Child Health · 2011
Typearticle
Languageen
FieldMedicine
TopicPharmaceutical studies and practices
Canadian institutionsUniversity of ManitobaChildren's Hospital Research Institute of ManitobaChild and Family Research InstituteBC Children's HospitalUniversity of British Columbia
Fundersnot available
KeywordsMedicineClinical trialIntensive care medicineInternal medicine

Abstract

fetched live from OpenAlex

We may say that “children are not small adults”, but do we take this sentiment to heart when prescribing medicines? Publicity about the increased risk of suicide in youth with mood disorders treated with selective serotonin reuptake inhibitors (1), and the risk of serious side effects in young children administered over-the-counter cough and cold medications (2) highlights attention that is being devoted worldwide to the lack of evidence on which to base therapeutic decisions for the care of children. Physicians who treat children often must decide between withholding treatment proven effective in older patients or using medications ‘off-label’, with insufficient information about drug dose, metabolism, known side effects or appropriate formulations. However, there is strong pressure for change, and to improve the number, quality and reporting of paediatric clinical trials. The WHO has been advocating for ‘better medicines for children’, and legislative incentives in the United States and Europe encourage the conduct of paediatric clinical trials. There is an urgent need for Canada to act with similar legislative incentives in this area.

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)0.819
metaresearch head score (Gemma)0.880
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesMetaresearch
DomainCandidate signal: Methods · Consensus signal: Methods
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Methods · Consensus signal: none
Teacher disagreement score0.181
Threshold uncertainty score0.223

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.8190.880
Meta-epidemiology (narrow)0.0030.007
Meta-epidemiology (broad)0.0080.010
Bibliometrics0.0190.021
Science and technology studies0.0050.015
Scholarly communication0.0320.024
Open science0.0180.020
Research integrity0.0370.042
Insufficient payload (model declined to judge)0.0260.030

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 head0.266
GPT teacher head0.508
Teacher spread0.242 · 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; the direct Gemma label and the distilled Codex classifier agree on what is shown here.

Study designNot applicable
DomainMethods
GenreMethods

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

Citations7
Published2011
Admission routes2
Has abstractyes

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