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Identification of the Epidural Space

2005· letter· en· W2045568634 on OpenAlexaffabout
Stephen H. Halpern, Pamela Angle

Bibliographic record

VenueAnesthesia & Analgesia · 2005
Typeletter
Languageen
FieldMedicine
TopicAnesthesia and Pain Management
Canadian institutionsHealth Sciences CentreSunnybrook Health Science Centre
Fundersnot available
KeywordsLidocaineExact testIncidence (geometry)MedicineAnesthesiaStatistical significanceGroup (periodic table)Value (mathematics)Air spaceSurgeryMathematicsStatisticsInternal medicinePhysicsEngineering

Abstract

fetched live from OpenAlex

To the Editor: We read with interest the article by Evron et al. (1). Unfortunately, there are some ambiguities in the tables that cast doubt on the main conclusions. In particular, it is not possible, in Table 2 of their article, to determine how the P values were derived. Using a two-tailed Fisher's exact test and comparing the “air” to the “lidocaine” groups the P value for the incidence of accidental dural puncture is 0.2, not <0.02. If the two lidocaine groups are combined, the P value becomes 0.035, favoring the combined group. This does not make clinical sense, since the needle in the “air + lidocaine” group is placed using loss of resistance to air. Also, the P value for the incidence of unblocked segments is 0.06 when the “air” group is compared to the “lidocaine” group and 0.03 when air is compared to the “ air +lidocaine” group. While the latter value is statistically significant, it may be due to either the increase in volume of 2% lidocaine in the “air + lidocaine” group (3 vs 6 mL), or statistical error (multiple testing). When reporting P values, it is important to state exactly how they were derived in order to aid in interpretation. Stephen Halpern, MD Pamela Angle, MD Department of Anaesthesia Sunnybrook and Women's College Health Sciences Centre Toronto, Canada [email protected]

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 machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.026
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.014
Threshold uncertainty score0.018

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.026
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0020.001
Science and technology studies0.0010.002
Scholarly communication0.0030.005
Open science0.0040.001
Research integrity0.0140.018
Insufficient payload (model declined to judge)0.0050.004

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 head0.013
GPT teacher head0.244
Teacher spread0.231 · 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 source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEmpirical

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

Citations0
Published2005
Admission routes2
Has abstractyes

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