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Record W2090141519 · doi:10.1136/bmj.326.7386.405

Ottawa ankle rules for the injured ankle

2003· letter· en· W2090141519 on OpenAlexaboutno aff
John Heyworth

Bibliographic record

VenueBMJ · 2003
Typeletter
Languageen
FieldMedicine
TopicRadiation Dose and Imaging
Canadian institutionsnot available
Fundersnot available
KeywordsAnkleMedicineAnkle injuryAvulsionInternal fixationEmergency departmentRadiographyPhysical therapyPhysical examinationSurgery

Abstract

fetched live from OpenAlex

Papers p 417 What could possibly be more straightforward than the assessment of an injured ankle? Patients with ankle injuries, usually sustained recreationally or in a simple fall, attend emergency departments throughout the world in their hundreds of thousands every year. Most of these patients will have sustained simple injury to ligamentous soft tissue or a small avulsion fracture of no clinical significance. A minority will have sustained more serious fractures, requiring immobilisation or internal fixation. Patients with ankle injury constitute approximately 5% of all patients who visit emergency departments, although fewer than 15% of these patients will have clinically significant fractures. Differentiating between these two groups of patients is not always easy, particularly for relatively inexperienced clinicians. The safety net for indeterminate examination has always been recourse to radiography. However, such an unselective policy has resulted in inestimable numbers of unnecessary exposures to radiation for …

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)0.029
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: Commentary · Consensus signal: Commentary
Teacher disagreement score0.240
Threshold uncertainty score0.477

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.029
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.002
Science and technology studies0.0060.003
Scholarly communication0.0050.003
Open science0.0030.002
Research integrity0.0300.020
Insufficient payload (model declined to judge)0.0630.034

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 head0.028
GPT teacher head0.315
Teacher spread0.288 · 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
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

Citations22
Published2003
Admission routes1
Has abstractyes

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