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.
Bibliographic record
Abstract
BACKGROUND: Full-thickness defects to the plantar surface of the foot present a challenge to the reconstructive surgeon. Skin grafts and a variety of flap procedures have been described to resurface this site, but not all achieve a return to normal foot function. For the plantar surface of the heel, the previously described medial plantar flap can produce successful results. However, this method leaves a donor site, which requires skin grafting. This is a report of a modification of the medial plantar flap into a V-Y configuration that allows direct closure of the donor site. METHODS: Three defects of the plantar surface of the heel were resurfaced: case 1, a spina bifida patient with a 45-mm-wide debrided pressure sore; and cases 2 and 3, patients with defects resulting from wide excisions of melanomas that were 47 and 57 mm wide, respectively. Patients in cases 2 and 3 were reviewed at 1 year for mobility, gait, and sensation in the flap. RESULTS: The patients in cases 2 and 3 were able to attain full, unrestricted mobility and objectively near-normal sensation of the resurfaced skin. In the patient in case 1, a problematic pressure sore was healed after an intermediate period of wound dehiscence, with a robust, bulky flap. CONCLUSIONS: This modified flap retains the advantages of the traditional medial plantar flap while minimizing its donor-site problems. It has permitted satisfactory long-term functional results, optimizing restoration of foot function, and is a useful option that can be considered for resurfacing the problematic plantar surface of the heel.
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 imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it