Bibliographic record
Abstract
So much has happened since the last editorial in April! Never have the necessities of comprehensive bio-psychosocial-spiritual approaches become more glaring. The COVID Archives – Between April 17, 2020 and June 22, 2020, the recorded number of global cases increased from 1.36 million with 76 000 deaths to 9.04 million with 470 000 deaths. In the United States, they increased from 370 000 cases to 2.31 million with 120 000 deaths. The recorded figures for Canada increased from 16 700 cases with 360 deaths to 103 000 with 8500 deaths. It also became more apparent that the number of cases depended on the prevalence of testing provided while the number of deaths is considered somewhat more reliable. These staggering figures are humbling. Their details also highlight significant gaps in our society's network of health resources. Chief among them was our marginal resources for the care of our elderly and in particular those institutionalized. Addressing Systemic Racism – On May 25, we were confronted with the excruciating, recorded death of George Floyd in Minnesota. This event, occurring at a time where people faced their fears of the pandemic, mass unemployment and isolation, sparked a global movement to redress long standing grievances about discrimination, oppression and police brutality among racial, ethnic and all identified “others”. Analysis of the COVID statistics predictably report higher prevalence among the same identified population groups. On June 10, a video of the March 10th “alleged” assault by RCMP on Chief Allan Adam from the Athabasca Chipewyan First Nation was released, bringing a similar reckoning in our country. In both cases, police dashcam videos, along with videos by witnesses, proved to be game changers for public opinion. Is there a lesson for us as we witness the stigmatization of our patients with addiction and mental illness? It is no surprise that the compounding effect of these social upheavals has resulted in a current spike in overdoses as well. There are now daily promises of sea change which are of relevance to our field. The changes advocated may finally result in the creation of multidisciplinary response teams to respond to addiction and mental health crises instead of sole interventions by law enforcement. The resulting mental health burden of the epidemic for population and care providers alike is also gaining increasing public attention. These crises have long simmered and there is, as yet, no end in sight. This issue of the journal includes six articles reflecting the broad scope of our field. Two of the articles analyze the impact of a comprehensive strategy: Hubberstey and Rutman provide a positive investment analysis of Her Way Program for pregnant and parenting women with substance use issues and other complex factors; Dalton et al describe the experience of health care facilities for challenging emerging adults with substance use disorders and addressing barriers and facilitators of treatment retention. In the current opioid epidemic, the intertwined roles of the pharmaceutical industry and government regulators is highlighted in the commentary by Fischer and Haines-Saah. Points of care drug checking screen for the presence of major psychoactive drugs but the presence of a number of unrecognized adulterants must also be detected. Tobias et al provide a case point with the occasional presence of xylazine, a depressant which may perpetuate desirable effects of opioids. Lucatch et al analyze a small sample of participants with comorbid cannabis use and major depressive disorder who underwent 28 days of cannabis abstinence. Extended abstinence from cannabis was associated with improvement of depressive symptoms. This issue concludes with a literature review by Mauer-Vakil and Bahji. It dissects the still contentious relationship between Compulsive Sexual Behaviour Disorder and Problematic Online Pornography Use (POPU). These disorders are under consideration to be included in the expanding diagnostic category of behavioural addictions. Finally, it is my pleasure to report the promotion of Dr. Anees Bahji, who was Early Career Editor, to the role of Assistant Editor. We are also working with a group of outstanding Early Career Editors: Mariya Cherkasova is in her second year, and we recently welcomed Jasmine Turna PhD, Marlon Danilewitz MD and Emily Hawken PhD. They are the future of the journal.
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 distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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.
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 teacher head, 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".