Notice bibliographique
Résumé
A 10-month-old Cree boy from northern Quebec presented to his family doctor with a three-day history of rhinorrhea, cough and fever. He had presented to the clinic with these symptoms on each of the two previous days and was sent home with a diagnosis of viral upper respiratory tract infection. His appetite had decreased, he was described as “cranky” and he had vomited once. There were no ill contacts. He had been a healthy child apart from some gastroesophageal reflux, for which he was taking domperidone and ranitidine. On physical examination, he had a low-grade fever (38.2°C), a pulse of 150 beats/min and a respiratory rate of 40 breaths/min, with an oxygen saturation of 94% in room air. He looked unwell and was irritable, but his physical examination was nonspecific apart from mild intercostal retractions. On investigation, his white blood cell count was 13.3×109/L (normal range 6×109/L to 17.5×109/L), with 34% neutrophils, and his chest x-ray was suggestive of a mild left lower lobe pneumonia. He was admitted and treated with intravenous antibiotics. He initially seemed to improve with the intravenous fluids and antibiotics. On the second day of his admission, his grandparents, who spoke better English than his mother, provided some additional information. They had witnessed his “eyes rolling back” or “wandering” over the past few weeks and thought that he had decreased activity and shown some vague behavioural changes over the past month. Around this time, his eyes were noted to intermittently roll back in his head, with some tremors and stiffness of his lower extremities. On the third day of his hospitalization, he deteriorated rapidly, becoming very spastic and poorly responsive, with a tonic-clonic convulsion. He was given phenobarbital and phenytoin and intubated for transport to a tertiary care centre. At the tertiary care centre, the patient remained intubated and sedated, and continued on his antibiotics and anticonvulsants. A further test was performed, which revealed the diagnosis.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».