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Record W4387151771 · doi:10.1515/9781800738850-008

Chapter 4. The Making of the World’s Most Lenient Guideline

2023· book-chapter· en· W4387151771 on OpenAlexaboutno aff

Bibliographic record

VenueBerghahn Books · 2023
Typebook-chapter
Languageen
FieldMedicine
TopicClinical practice guidelines implementation
Canadian institutionsnot available
Fundersnot available
KeywordsGuidelineBusinessMedicinePathology

Abstract

fetched live from OpenAlex

U nlimited" was a category of the number of embryos to transfer (NET) in the International Federation of Fertility Societies (IFFS) report in 2001 (Jones and Cohen 2001)."Unlimited" indicates the absence of guideline for NET.The IFFS reported that among thirty-nine countries surveyed, more than half had guidelines or statutes to limit NET.Taiwan was included in that report, under the category "unlimited," with "< 6" supplied in parentheses, meaning that the customary NET was fewer than six (ibid.: S12)."Fewer than six" may have looked extreme in comparison with those countries doing double embryo transfer, but it may in fact have been an underestimate in Taiwan, for according to Taiwan's national registry data, in 2000 nearly 20 percent of cycles were implanted with six, seven, eight, or nine embryos (ROC Department of Health 2003).Canada and Greece also reported "unlimited" NET, with "< 6" again supplied in parentheses.In contrast, as chapters 1 and 2 have shown, Sweden, the UK, Belgium, and Japan had moved to a maximum of two or three embryos transferred as early as the 2000s, with enforcement from the state or medical society.Taiwan did not build any guideline on NET until 2005, and it has been revised three times since then.Although Taiwan is no longer listed under the category "unlimited," its NET guidelines have been one of the most lenient in the world.This chapter analyzes the making of the NET guideline in Taiwan.How did Taiwan start the NET regulation?Who are the key stake-

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)0.012
metaresearch head score (Gemma)0.027
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.997
Threshold uncertainty score0.061

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0120.027
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0030.002
Science and technology studies0.0030.003
Scholarly communication0.0060.005
Open science0.0030.003
Research integrity0.0070.008
Insufficient payload (model declined to judge)0.0150.008

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 head0.250
GPT teacher head0.444
Teacher spread0.195 · 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.

Study designQualitative
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
Published2023
Admission routes1
Has abstractyes

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