Case 1: New onset of seizures in a five-year-old girl
Bibliographic record
Abstract
A five-year-old girl with a history of repaired tetralogy of Fallot and esophageal atresia presented to the emergency department after an unexplained spell, which her father described as jerking movements of her arms with her eyes closed. The episode lasted for 3 min. After the episode, she was floppy and proceeded to vomit. She appeared pale and sleepy with mild hypotonia. Her height was 98 cm (less than the fifth percentile) and her weight was 14.4 kg (less than the fifth percentile). Her weight for height was normal (between the 25th percentile and the 50th percentile) and her records showed a normal growth velocity. Her hemoglobin level was 79 g/L with a low mean corpuscular volume, and her liver enzyme and electrolyte levels were normal. Her blood glucose level was 1.8 mmol/L. She was treated with intravenous dextrose and recovered. Her parents reported that after her gastric pull-up surgery for esophageal atresia at six months of age, she had developed significant gastroesophageal reflux disease with poor gastric emptying. At two-and-a-half years of age, the gastric pull-up was revised and a ‘twist’ in the pull-up was noted with kinking at the level of the diaphragm. She was gastric tube-fed until six months of age, jejunal tube-fed until two-and-a-half years of age and nasogastric tube-fed until four years of age. Once oral feeds were started, she became a picky eater and had frequent dizzy spells. She felt weak at variable times during the day which resolved after a brief nap. On the day of the seizure she had eaten as usual. She was not taking any medications. A referral to the endocrinology department resulted in further testing, which revealed the diagnosis.
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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 | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
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".