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Record W1648335738 · doi:10.1093/pch/9.7.473

Case 1: Pneumonia with hypotension and a rash

2004· article· en· W1648335738 on OpenAlexaff
Ronik Kanani, W Gary Smith

Bibliographic record

VenuePaediatrics & Child Health · 2004
Typearticle
Languageen
FieldMedicine
TopicStreptococcal Infections and Treatments
Canadian institutionsHospital for Sick Children
Fundersnot available
KeywordsRashMedicinePneumoniaAnesthesiaIntensive care medicineDermatologyInternal medicine

Abstract

fetched live from OpenAlex

A four-year-old boy presented to a secondary level centre in transfer from a small community hospital. He had been unwell for six days. His initial problem was abdominal pain, but on day 3 of his illness he developed fever and diarrhea. He had no specific respiratory complaints, but nevertheless, a chest x-ray (CXR) was performed and was normal. His symptoms persisted and he began developing respiratory distress. One day before transfer, he was admitted to the community hospital with a diagnosis of pneumonia confirmed on CXR and was started on intravenous cefuroxime. No blood culture was performed. He continued to have fever and required oxygen to maintain oxygen saturation above acceptable levels. Furthermore, he experienced significant hypotension (70/50 mmHg), which was treated with normal saline boluses. On initial evaluation, he had a temperature of 38.7°C, a heart rate of 150 beats/min, a respiratory rate of 60 breaths/min, a blood pressure of 100/60 mmHg and an oxygen saturation of 97% in 1 L of oxygen by nasal prongs. He looked unwell and was in moderate to severe respiratory distress. He had bilateral nonpurulent conjunctivitis, and some tender anterior and posterior auricular nodes. There was pain and decreased air entry over the right chest. He also had a diffuse maculopapular rash and red, swollen lips and hands.

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 imitation

Not 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.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.006
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.007
Threshold uncertainty score0.016

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.006
Meta-epidemiology (narrow)0.0030.002
Meta-epidemiology (broad)0.0020.002
Bibliometrics0.0020.002
Science and technology studies0.0050.002
Scholarly communication0.0020.002
Open science0.0020.002
Research integrity0.0070.005
Insufficient payload (model declined to judge)0.0050.001

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.

Opus teacher head0.015
GPT teacher head0.273
Teacher spread0.257 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designCase report
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2004
Admission routes1
Has abstractyes

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