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Record W2033752366 · doi:10.1056/nejmp0707996

The Vanishing Nonforensic Autopsy

2008· article· en· W2033752366 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

VenueNew England Journal of Medicine · 2008
Typearticle
Languageen
FieldMedicine
TopicAutopsy Techniques and Outcomes
Canadian institutionsUniversity of Ottawa
Fundersnot available
KeywordsMedicineAutopsyMyocardial infarctionPathologicalCirrhosisAortic dissectionMedical diagnosisIntensive care medicineHepatocellular carcinomaCause of deathGeneral surgeryRadiologyPathologySurgeryInternal medicineDiseaseAorta

Abstract

fetched live from OpenAlex

We've all heard about cases in which a patient presumed to have died from acute myocardial infarction was discovered at autopsy to have had an aortic dissection, or a patient who presented with decompensated liver failure from presumed alcoholic cirrhosis but proved at autopsy to have widely metastatic hepatocellular carcinoma. Indeed, an extensive literature documents the frequency with which autopsy reveals clinically significant diagnoses that were missed before death.1 Autopsies also generate more accurate vital statistics, provide pathological descriptions of new diseases, and offer powerful tools for education and quality assurance (see Benefits of Nonforensic Autopsies). Yet despite these benefits, . . .

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)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.629
Threshold uncertainty score0.220

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
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)0.0000.000

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 head0.027
GPT teacher head0.292
Teacher spread0.265 · 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