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Record W4310556330 · doi:10.12968/nrec.2022.0050

Overprescribing medication in patients with dementia

2022· article· en· W4310556330 on OpenAlexaff
Aysha Mendes

Bibliographic record

VenueNursing and Residential Care · 2022
Typearticle
Languageen
FieldMedicine
TopicPharmaceutical Practices and Patient Outcomes
Canadian institutionsLakeridge Health
Fundersnot available
KeywordsDeliriumDementiaHarmCognitionMedical prescriptionMultitudeMedicineResidential carePsychiatryPsychologyAged careGerontologyNursingSocial psychologyDisease

Abstract

fetched live from OpenAlex

Overprescribing is a common problem among all age groups in modern Western society. However, it is particularly dangerous in older people, especially in those with cognitive problems who cannot voice the effects they are experiencing. A person living with dementia may rely on strong behavioural or emotional expression to indicate their physical symptoms or they may display symptoms of delirium. A multitude of symptoms can be evoked by a toxic cocktail of medications, and it can be difficult to get the attention of care professionals if the person experiencing this has no cognitive awareness of what is happening. This is why staff are so important when it comes to understanding patient behaviour, as well as prescribers who are integral in knowing how to rethink their prescription for someone experiencing more harm than good from their medications.

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)0.001
metaresearch head score (Gemma)0.012
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.004
Threshold uncertainty score0.012

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.012
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0010.001
Science and technology studies0.0010.000
Scholarly communication0.0010.001
Open science0.0000.001
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0040.000

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 head0.031
GPT teacher head0.337
Teacher spread0.307 · 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 designObservational
Domainnot available
GenreEmpirical

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
Published2022
Admission routes1
Has abstractyes

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