Bibliographic record
Abstract
La breve revue de la litterature recente faite par les 2 auteurs canadiens argumente l’utilisation d’une dose unique de steroides. Les antibiotiques couramment prescrits pour prevenir les complications des pharyngites bacteriennes ne reduisent a eux seuls la duree de la maladie que d’une journee. La question de la prescription de steroides en traitement adjuvant de la douleur liee a l'inflammation pharyngee a fait l’objet ces dernieres annees d’essais controles randomises en ambulatoire et de meta-analyses. Chez l’adulte, la combinaison antibiotiques (penicilline ou erythromycine)/corticoides (10 mg dexa ou beta methasone en IM ou oral) reduit la duree de la douleur de 6 heures en moyenne par rapport a l’antibiotherapie seule ; resultats du meme ordre de grandeur chez l’enfant soit en cas de test streptococcique positif (dexamethasone 0,6 mg/kg, maximum 10 mg) plus marques avec 3 prises (0,6 mg/kg par prise), soit en cas de test negatif (alors sans antibiotherapie). Aucun effet secondaire important ou durable n’a ete rapporte. Schams SC, Goldman RD. Steroids as adjuvant treatment of sore throat in acute bacterial pharyngitis. Can Fam Phys. 2012;58:52-4. Que retenir pour notre pratique ? • Il s’agit de petites etudes et de resultats preliminaires a confirmer. • Cependant, comme le concluent les auteurs, « chez des enfants atteints de symptomes severes dus a une pharyngite bacterienne confirmee par test streptococcique rapide, une dose unique par voie orale de dexamethasone peut etre consideree comme un traitement d'appoint des antibiotiques en toute securite ». Mots cles : Douleur ; Pharyngite [Pain; Pharyngitis]
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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 | 0.005 | 0.014 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.003 | 0.003 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.008 | 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".