Nurse led education plus direct access to imaging improved diagnosis and management of urinary tract infections in children
Bibliographic record
Abstract
Coulthard MG, Vernon SJ, Lambert HJ, et al . A nurse led education and direct access service for the management of urinary tract infections in children: prospective controlled trial. BMJ 2003;327:656–9.[OpenUrl][1][Abstract/FREE Full Text][2] Q In general practice, does nurse practitioner (NP) led education plus direct access to imaging improve diagnosis and management of urinary tract infections (UTIs) in children? ### ![Graphic][3]</img>Design: cluster randomised controlled trial. ### ![Graphic][4]</img>Allocation: {concealed}*. ### ![Graphic][5]</img>Blinding: unblinded. ### ![Graphic][6]</img>Follow up period: mean 20 months. ### ![Graphic][7]</img>Setting: 88 general practices in a paediatric nephrology secondary catchment area in the UK. ### ![Graphic][8]</img>Participants: 107 100 children who were followed up for incidence of UTIs. ### ![Graphic][9]</img>Intervention: 44 general practices were allocated to a NP led intervention (NLI) (n = 55 800 children and 185 physicians) and 44 to usual care (UC) (n = 51 300 children and 161 physicians). Physicians in the NLI group were educated about the study and new management guidelines. Physicians used the … [1]: {openurl}?query=rft.jtitle%253DBMJ%26rft.stitle%253DBMJ%26rft.aulast%253DCoulthard%26rft.auinit1%253DM.%2BG%26rft.volume%253D327%26rft.issue%253D7416%26rft.spage%253D656%26rft.atitle%253DA%2Bnurse%2Bled%2Beducation%2Band%2Bdirect%2Baccess%2Bservice%2Bfor%2Bthe%2Bmanagement%2Bof%2Burinary%2Btract%2Binfections%2Bin%2Bchildren%253A%2Bprospective%2Bcontrolled%2Btrial%26rft_id%253Dinfo%253Adoi%252F10.1136%252Fbmj.327.7416.656%26rft_id%253Dinfo%253Apmid%252F14500439%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/ijlink?linkType=ABST&journalCode=bmj&resid=327/7416/656&atom=%2Febnurs%2F7%2F3%2F73.atom [3]: /embed/inline-graphic-1.gif [4]: /embed/inline-graphic-2.gif [5]: /embed/inline-graphic-3.gif [6]: /embed/inline-graphic-4.gif [7]: /embed/inline-graphic-5.gif [8]: /embed/inline-graphic-6.gif [9]: /embed/inline-graphic-7.gif
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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.
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 teacher head, 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".