Bibliographic record
Abstract
Being mortal is about the struggle to cope with the constraints of our biology, with the limits set by genes and cells and flesh and bone.Medical science has given us remarkable power to push against these limits, and the potential value of this power was a central reason I became a doctor.But again and again, I have seen the damage we in medicine do when we fail to acknowledge that such power is finite and always will be.(Gawande 2014: 259) More than ever, contemporary medicine has the potential for relief and torture, and this torture is, of course, always carried out in the name of possible relief.(Our translation, Sicard 2012: 500) Isha, a 12-year-old boy, was a patient on the hematology-oncology ward in a leading pediatric hospital in Canada.He fell ill shortly after his ninth birthday and was diagnosed with leukemia.Chemotherapy and radiation proved insufficient, so Isha underwent a bone marrow transplant.Following a relapse, Isha's mother, Aanandhi 1 , pleaded with the oncology team for a second bone marrow transplant although the protocol for second transplants did not favor a new graft.Aanandhi was very proactive in searching for alternate medical strategies and hoped that 1 Aanandhi, her husband (Isha's stepfather), and Isha immigrated from South America to Canada a few years ago.Aanandhi's family (her mother and brothers) also immigrated, some to Canada, others to the United States.Aanandhi, her husband, and Isha are fluent English speakers.2 Commission spéciale sur la question de mourir dans la dignité, Assemblée nationale du Québec (assnat.qc.ca).Rapport Mourir dans la dignité, 2012: 11. https://numerique.banq.qc.ca/pat rimoine/details/52327/2103522 3 Hirsch, French professor of medicine and medical ethics, refers to this duty of non-abandonment as a core ethical stance.It is a moral (and political
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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 | 0.011 | 0.022 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.013 | 0.028 |
| Scholarly communication | 0.016 | 0.013 |
| Open science | 0.002 | 0.018 |
| Research integrity | 0.010 | 0.018 |
| Insufficient payload (model declined to judge) | 0.029 | 0.006 |
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".