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Record W1693555797 · doi:10.1093/pch/13.4.299a

Case 2: The accidental tourist

2008· article· en· W1693555797 on OpenAlexaff
Sergio Fanella, Leigh Fraser-Roberts

Bibliographic record

VenuePaediatrics & Child Health · 2008
Typearticle
Languageen
FieldMedicine
TopicInfectious Diseases and Tuberculosis
Canadian institutionsUniversity of Manitoba
Fundersnot available
KeywordsAccidentalTourismMedicineBusinessMedical emergencyGeography

Abstract

fetched live from OpenAlex

A 10-year-old boy presented with a two-week history of progressive left elbow swelling, stiffness and achy pain. Before symptom onset, he had a minor fall at school and recalled knocking the same elbow against the ground, with no initial problems. He denied any fevers or systemic symptoms. His past history was unremarkable. His family had emigrated from the Philippines in 2005. On examination, the patient appeared well and was afebrile. His left elbow and distal humerus were swollen, with mild diffuse tenderness, and decreased flexion and extension. Warmth and erythema were not detected. The remainder of the examination was normal. Laboratory results showed a normal complete blood count, an erythrocyte sedimentation rate of 44 mm/h (normal 0 mm/h to 10 mm/h) and negative blood cultures after five days. Radiographs of his left elbow showed a large joint effusion and several lucencies in the distal humeral metaphysis (Figure 1). Joint aspiration revealed 5300×106/L white blood cells (24% neutrophils), with negative Gram stain and culture. The patient's bone scan demonstrated increased flow in the distal humerus. His bone biopsy, before antibiotic therapy, was sent for stains and cultures for bacteria, fungi and acid-fast bacilli, which were all negative. Pathology showed a chronic inflammatory infiltrate and no granulomas.

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 distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.107
Threshold uncertainty score0.780

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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 head0.014
GPT teacher head0.274
Teacher spread0.260 · 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 teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
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

Citations2
Published2008
Admission routes1
Has abstractyes

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