Transient cough-induced blindness in temporal arteritis
Bibliographic record
Abstract
A 71-year-old previously healthy man, vacationing in Arizona, was admitted for a 1-month history of cough and progressive fatigue limiting his ambulation. With paroxysms of coughing, he described bilateral vision loss for 5 to 10 seconds. His vision grayed and “tunneled down” (i.e., from periphery to center) before blindness. Sometimes, he had transient bilateral blurring with “stars” but no diplopia. He denied presyncope. There was no hemoptysis, dyspnea, or pleurisy. He had no headache, scalp tenderness, jaw claudication, or morning stiffness, but had diffuse bone and muscle pains. He had constitutional symptoms including anorexia, night sweats, and 20-lb weight loss. Other than his Arizona holiday, his infectious contact and medical history was unremarkable. He had low risk of atherosclerosis: he was fit and a nonsmoker, had no family history, and had systolic pressures <135 mm Hg without bruits, low-density lipoprotein–cholesterol of 2.3 mmol/L, hemoglobin A1c of 5.8%, and normal baseline EKG. In hospital he had fevers from 38.7 to 40.4°. There was no lymphadenopathy or temporal artery tenderness. …
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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 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.005 | 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".