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Record W3000530944 · doi:10.29173/hsi174

Integrating abortion into Canada’s primary health care system with mifepristone

2019· article· en· W3000530944 on OpenAlex
Grady Arnott, Grace Sheehy, Katheryn J. LaRoche

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
venuePublished in a venue whose home country is Canada.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueHealth Science Inquiry · 2019
Typearticle
Languageen
FieldMedicine
TopicReproductive Health and Contraception
Canadian institutionsUniversity of Ottawa
Fundersnot available
KeywordsMifepristoneAbortionPrimary careMedicineObstetricsGynecologyFamily medicinePregnancyBiology

Abstract

fetched live from OpenAlex

Although the majority of abortions worldwide are performed surgically, termination of pregnancy using medication (termed "medication abortion" in reproductive health fields) 1 is becoming more common due to its costeffectiveness, accessibility, and desirability among patients. Mifepristone, also known as RU486, is an anti-progesterone steroid, and it is considered the gold standard of medication abortion. 2 This medication is taken in the form of a tablet and is effective for early abortion up through 63 days (nine weeks) after the start of the last menstrual period. When mifepristone is used in conjunction with misoprostol, a medication that induces uterine contractions, the regimen results in a complete abortion 95-98% of the time. 2 Despite this regimen being the international gold standard, mifepristone is currently not registered in Canada and is therefore unavailable for commercial distribution in the country. However, early 2014 was met with national media reports and discussions within the published literature about a pending Health Canada application to register the drug. n the midst of awaiting a decision from Health Canada, it is important to consider the potential role for mifepristone in Canada's healthcare system. Mifepristone could increase access to abortion at the primary health care level due to the fact that it can be prescribed and administered by a variety of providers. 4 Therefore, mifepristone's registration in Canada should be of tremendous interest to primary health care practitioners and patients.

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.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.504
Threshold uncertainty score0.996

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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 head0.018
GPT teacher head0.330
Teacher spread0.312 · 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