Regardless of the statements in the author guidelines, the fact the cases are fictional should have been conveyed to the readers of all of these articles, Juurlink said. In the case of Baby boy blue, “the article was structured as an authentic clinical case, indexed as such, and cited as an actual clinical observation. Readers had no way of knowing it was fictional,” he said. “A narrative that is fictional but published in the format of a genuine case report, without disclosure at the time of publication, is functionally indistinguishable from fabrication in the scientific record.”
For implementers, the locking model adds a fair amount of non-trivial internal bookkeeping. Every operation must check lock state, readers must be tracked, and the interplay between locks, cancellation, and error states creates a matrix of edge cases that must all be handled correctly.
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It is an uncomfortable truth for tech giants: the AI revolution is to a large extent built on labor in low-income countries. What we call “machine learning” is often the result of human hands.