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Record W4408452042 · doi:10.1016/j.lana.2025.101037

Barriers and solutions in women’s health research and clinical care: a call to action

2025· review· en· W4408452042 on OpenAlexaff
Judith G. Regensteiner, Melissa McNeil, Stephanie S. Faubion, Martha Gulati, Hadine Joffe, Rita F. Redberg, Stacey E. Rosen, Jane E.B. Reusch, W Klein

Bibliographic record

VenueThe Lancet Regional Health - Americas · 2025
Typereview
Languageen
FieldMedicine
TopicSex and Gender in Healthcare
Canadian institutionsWomen's Health Research Institute
FundersNational Institute of Arthritis and Musculoskeletal and Skin DiseasesNational Institute of Diabetes and Digestive and Kidney DiseasesU.S. Department of Veterans Affairs
KeywordsCall to actionAction (physics)Health carePsychologyMedicineNursingFamily medicinePolitical scienceBusinessAdvertising

Abstract

fetched live from OpenAlex

It is now recognized that there are significant differences between the sexes affecting prevalence, incidence, and severity over a broad range of diseases, although the extent of the differences is not fully elucidated. Until the early 1990s, women were excluded from most clinical trials and the limited research including women focused primarily on diseases affecting fertility and reproduction. For these reasons, the prevention, diagnosis, and treatment of chronic diseases in women continue to be based primarily on historical findings in men, and sex-specific clinical guidelines are often lacking. Many illnesses, ranging from cardiovascular disease to cancer to mental health issues, for example, differ by sex in terms of prevalence and adverse effects. Research is needed to understand how medically relevant biological sex differences optimally inform sex-specific prevention, diagnosis, and treatment strategies for women and men. In this way, sex-specific clinical guidelines can be developed where warranted, using evidence-based data.

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)0.256
metaresearch head score (Gemma)0.227
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Review · Consensus signal: none
Teacher disagreement score0.256
Threshold uncertainty score0.917

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.2560.227
Meta-epidemiology (narrow)0.0020.003
Meta-epidemiology (broad)0.0090.007
Bibliometrics0.0050.007
Science and technology studies0.0060.023
Scholarly communication0.0230.047
Open science0.0080.023
Research integrity0.0330.042
Insufficient payload (model declined to judge)0.0190.004

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 head0.708
GPT teacher head0.637
Teacher spread0.071 · 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 designNot applicable
Domainnot available
GenreReview

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

Citations17
Published2025
Admission routes1
Has abstractyes

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