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Claude Bernard, the Spinal Cord, and Anesthesia

2001· letter· en· W2022979327 on OpenAlexaff
Gilles Plourde

Bibliographic record

VenueAnesthesiology · 2001
Typeletter
Languageen
FieldArts and Humanities
TopicHistory of Medicine Studies
Canadian institutionsMcGill University
Fundersnot available
KeywordsMedicineSpinal cordMagnetic resonance imagingCauda equinaSpinal anesthesiaAnesthesiaCordAbnormalitySurgeryRadiology

Abstract

fetched live from OpenAlex

In Reply:-Our response to the letter of Dr. de Jong has an anatomic basis. The spinal cord ends at the level of L1, and our spinal puncture was performed at L2-L3; therefore, it is extremely unlikely it was a "stab in the back" of the spinal cord. Secondly, a patient would perceive some kind of a paresthesia if one touched the spinal cord or any of the roots of cauda equina, which our patient did not report. Although it might be difficult to see such minute injuries, if we did inject into the spinal cord, the magnetic resonance image should show some minor changes at this level, and the magnetic resonance image showed no spinal cord abnormality. Finally, with many poorly defined clinical syndromes, such as transient neurologic symptom, newer symptoms do get reported as the medical community becomes aware of the clinical condition. Therefore, as good clinicians performing spinal anesthesia on a regular basis, we differ with Dr. de Jong in regard to the clinical diagnosis.

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 categoriesMeta-epidemiology (narrow), Science and technology studies, Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.029
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0010.003
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
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 head0.042
GPT teacher head0.249
Teacher spread0.207 · 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.

Study designNot applicable
Domainnot available
GenreCommentary

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

Citations1
Published2001
Admission routes1
Has abstractyes

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