Bibliographic record
Abstract
QUESTION: What constitutes optimal pneumococcal immunization for children with splenic dysfunction or asplenia? COMMENT: This is a very important question for paediatricians and one that causes confusion. All provinces now have routine immunization programs that include seven-valent pneumococcal conjugate vaccine (PCV7), but children with asplenia will continue to need special attention from paediatricians for additional immunizations and illness evaluations. Children with absent or diminished splenic function are at markedly increased risk for invasive pneumococcal infections (and other infections not reviewed here) (1). Bloodstream infection can progress rapidly, causing septic shock and other life-threatening complications. Importantly, the risk of pneumococcal infection is abnormally elevated throughout childhood, although the absolute risk is highest in early childhood (younger than five years of age). Pneumococcal infections in young asplenic children are mainly caused by the seven serotypes included in PCV7. These types remain important throughout childhood, but other types become increasingly prevalent after five years of age.
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 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 | 0.008 | 0.071 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.003 | 0.003 |
| Scholarly communication | 0.003 | 0.007 |
| Open science | 0.003 | 0.004 |
| Research integrity | 0.023 | 0.013 |
| Insufficient payload (model declined to judge) | 0.103 | 0.041 |
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".