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Record W7117450542 · doi:10.19181/demis.2025.5.4.7

Clustering of Regions of the Far East by the Level of Health Determinants

2025· article· W7117450542 on OpenAlex
E. V. Polyanskaya

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueDEMIS Demographic research · 2025
Typearticle
Language
FieldMedicine
TopicHealthcare Systems and Public Health
Canadian institutionsnot available
Fundersnot available
KeywordsCluster analysisMultivariate statisticsFuzzy clusteringSilhouetteFuzzy logicPopulationRelevance (law)

Abstract

fetched live from OpenAlex

The aim of the study is to cluster the Far Eastern regions according to the level of their key health determinants, considering demographic, socioeconomic, environmental, and behavioral factors that are specific to each region. The study’s relevance is due to ongoing demographic crises and the pronounced differentiation between regions in terms of key demographic indicators. The methodology included multivariate statistical analysis using t-Distributed Stochastic Neighbour Embedding (t-SNE), k-means clustering, fuzzy-means clustering and self-organized maps, as well as correlation analysis. Clustering of the Far Eastern Federal District’s subjects was performed based on their health determinant levels. Classical and modern approaches were considered as a theoretical basis for defining and assessing these determinants, including international experiences (WHO, the Ottawa Charter), and domestic research. As a result, regions were clustered into groups with different health determinant structures and levels. Key internal and external factors affecting population health were identified. Scientific novelty lies in using a combination of modern clustering methods to normalize indicators, analyze fuzzy affiliations of regions to groups, visualize multivariate data, identify topological relationships between groups, and assess clustering quality using the silhouette coefficient. The use of neural networks and fuzzy logic classification methods significantly improves data analysis quality and clustering results. Practical significance lies in applying the resulting clusters to targeted regional policies, such as targeted resource allocation for prevention programs, improved infrastructure, and monitoring public health systems.

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.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.032
metaresearch head score (Gemma)0.004
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Research integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.405
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0320.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0010.008
Science and technology studies0.0010.003
Scholarly communication0.0000.000
Open science0.0020.001
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0000.000

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 head0.339
GPT teacher head0.489
Teacher spread0.150 · 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