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Record W1847723381

Defusing the intra-abdominal ticking bomb: intestinal malrotation in children.

2000· article· en· W1847723381 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenuePubMed · 2000
Typearticle
Languageen
FieldMedicine
TopicIntestinal Malrotation and Obstruction Disorders
Canadian institutionsQueen's University
Fundersnot available
KeywordsMedicineLethargyVomitingBarium enemaVolvulusEmergency departmentAbdomenIntussusception (medical disorder)SurgeryPhysical examinationIleusAppendicitisResuscitationPediatricsGeneral surgeryInternal medicineColonoscopy
DOInot available

Abstract

fetched live from OpenAlex

The caseA 6-month-old girl presents to her pediatrician with lethargy; she has been vomiting and the vomit is bile stained. She is admitted to hospital for tests. Plain radiographs of the abdomen and barium enema examination are normal. Results of an upper gastrointestinal (GI) study are suspicious for, but not diagnostic of, intestinal malrotation. The patient improves quickly and is discharged the following day. Over the next 2 months she continues to have similar short-lived episodes lasting a few hours, for which she is seen in the emergency department by on-call physicians. Her pediatrician initiates investigations to rule out an endocrine cause of the vomiting, when she has to be readmitted to hospital because of a severe episode. On this occasion, the girl9s condition rapidly deteriorates and, despite active resuscitation during a barium enema examination to rule out intussusception, she dies. Post-mortem examination shows midgut infarction due to malrotation-associated volvulus with peritonitis.

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.

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: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.777
Threshold uncertainty score0.704

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 studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

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 head0.013
GPT teacher head0.227
Teacher spread0.214 · 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