Bibliographic record
Abstract
HISTORY: 21-year-old female collegiate hockey player with a history of migraines presents to training room to discuss return to play after extensive evaluation of recurrent unresponsive episodes that started seven months ago. Her first episode occurred while playing softball. She fell to the ground without any preceding symptoms. Unresponsiveness lasted less than a minute and she had no tongue-biting, loss of urine, or post-ictal state. She reported palpitations and headache but denies chest pain, shortness of breath, dizziness. Next episode occurred while playing hockey. During practice she slumped to the ice suddenly. Denied preceding chest pain, shortness of breath, lightheadedness. No headache or palpitations with this episode. Recounts other episodes that were unwitnessed and occurred in the patient's dorm room without injury to the patient. Unresponsive episodes last from seconds to minutes. SOCIAL HISTORY: From Canada - member of First Nation. Studying athletic training. Has twin sister - notes sibling rivalry. Patient first family member to succeed in college. Entire community follows her progress on hockey/softball teams. Denies abuse history. PHYSICAL EXAMINATION: Not orthostatic, regular pulse. 1/6 systolic ejection murmur without radiation, no change with vagal maneuvers. Lungs clear to auscultation. Neuro - awake, alert, oriented x3. Cranial nerves II-XII intact. Sensation intact to light touch, hot/cold and position sense. Motor strength 5/5 in upper extremities/ lower extremities bilaterally. 2+ patellar and Achilles reflexes bilaterally. No dysmetria or dysdiadochokinesia. DIFFERENTIAL DIAGNOSIS: 1) Arrhythmia 2) Valvulopathy 3) Hypertrophic cardiomyopathy 4) Vasovagal syncope 5) Orthostatic hypotension 6) Seizure 7) Secondary gain Test and results: EKG - NSR with short PR interval. Echo - normally contractile ventricles with normal ejection fraction. Exercise stress test normal. Holter monitor - negative. MRI of the brain - normal. EEG - no epileptiform activity. Normal electrolytes, A1c, H&H. FINAL WORKING DIAGNOSES: Secondary gain, uncontrolled migraines, depression TREATMENT/OUTCOMES: -Patient started on bupropion, enrolled in counseling -Working with PCP and neurologist on triggers for headaches, prophylactic regimen -Patient currently participating in hockey
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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 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.013 | 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".