Case 1: A ‘rash’-ional approach to recalcitrant diaper dermatitis
Bibliographic record
Abstract
A five-month-old female infant who was born at 24 weeks gestational age presented with a five-week history of an erythematous eruption that began in the perineum. It progressed to involve the entire lower face, with areas of excoriations and erythematous crusted patches around the mouth and distal extremities. The rash did not respond to oral nystatin or topical terbinafine. Due to the persistence of the rash and an intercurrent upper respiratory tract infection, the patient presented to the emergency department. Upon review of systems, the patient had mild diarrhea and no history of alopecia. She was exclusively breastfed. The patient's past history included respiratory distress syndrome, bronchopulmonary dysplasia, retinopathy of prematurity and gastroesophageal reflux disease. Physical examination revealed an irritable infant. She had an axillary temperature of 37.8ºC. The rest of her vital signs were normal. She had multiple confluent maculopapular lesions over her perioral and perineal area (Figures 1 and 2), with erosions, desquamation and crusting. Her fingers and toes were similarly affected, with sparing of the inframammary, labial and gluteal creases. The rest of the examination was normal.
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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 | 0.003 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.004 | 0.003 |
| Insufficient payload (model declined to judge) | 0.007 | 0.002 |
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".