Bibliographic record
Abstract
As I described in the Preface to the January issue of this journal 2014 is the 50th anniversary of the first use of home hemodialysis to treat patients with chronic kidney failure. In the United States use of this modality reached its lowest level in 2002 when only 0.5% of all US dialysis patients were treated by home hemodialysis and since then has gradually increased and by 2011 was 1.29%. According to the 2013 USRDS Report eleven other countries had higher levels—New Zealand, Australia, Denmark, Finland, Canada, the United Kingdom other than Scotland, Sweden, Scotland, the Netherlands, French-speaking Belgium and Hong Kong—with levels ranging from 18.2% to 1.5%. However, this is not the place to discuss the history of home hemodialysis over the last 50 years, why there are these differences, or why the United States, which pioneered use of home hemodialysis, has so few patients today. Because of the increased interest in home hemodialysis a multidisciplinary group of 40 researchers and clinicians has convened over the last year and a half to develop practical tools to help improve the international uptake of this treatment. This expert group has been developing an online practice manual that addresses barriers and challenges to the adoption of home hemodialysis, outlines the basics of providing this treatment, and includes best practices where possible. Both patient- and provider-related topics are addressed, including Machines and Water Treatment, Patient Selection and Training, Prescription of Home HD, Psychosocial Issues and Support, Vascular Access, Funding and Planning, Emergency Care Planning, Patient Referrals/Recruitment/Networking, Workforce Development and Models of Care, and Clinical Governance Structure/Localities and Infrastructure. The process of development is nearing completion and more information will be available in the October issue of this journal. In March of this year, the second overseas meeting of the Hemodialysis University was held in Hyderabad, India. The next Hemodialysis University will be held in Chicago on August 15–16, 2014, at the Chicago Marriott O'Hare Hotel. Directed by Drs. John Daugirdas and Madhukar Misra this will focus on clinically important problems in dialysis, including home hemodialysis and its prescription and delivery, the complexities of anemia management, the complications of hemodialysis, and patient reported outcomes. To register, visit the ISHD website at http://www.ishd.net/. Edited recordings of the proceedings of the Universities also are available on the ISHD website, together with information on the society and how to become a member. Following the very successful 7th International Congress of the ISHD in April of this year in Okinawa, Japan, the 8th International Congress will be cohosted by the ISHD and the Zhongshan Hospital of Fudan University on September 12–14, 2014, in Shanghai China. The co-presidents are Drs. Madhukar Misra and Ding Xiaoqiang—see advertisement in this journal. Details and registration can be found on the ISHD website and at http://www.ISHD2014.cn/. Next year's 9th International Congress of ISHD will be held in collaboration with the Malaysian Society of Nephrology on September 13–16, 2015, in Kuala Lumpur, Malaysia—see advertisement in this journal. Please note: As and from August 1, 2014, all case reports accepted by Hemodialysis International will be published only online except at the editor-in-chief's discretion. All articles in an issue will be listed in the print table of contents of the issue, but case reports will be published only online as a component of each issue. This is a trend developing at this time and other journals have moved all case reports to their e-only pages, with great success. The journal guidelines and the ScholarOne submission site will be modified to report this change. I regret to report that Dr. Karl Nolph, one of the most important figures in the establishment of peritoneal dialysis as an alternative for hemodialysis' died at home today, June 16, 2014—see obituary on page 570.
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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 | 0.003 | 0.023 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.006 | 0.005 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.003 | 0.004 |
| Insufficient payload (model declined to judge) | 0.447 | 0.358 |
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".