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Record W2095494734 · doi:10.1136/bmj.e1535

A woman with ketoacidosis but not diabetes

2012· article· en· W2095494734 on OpenAlexaff
Habib Rehman

Bibliographic record

VenueBMJ · 2012
Typearticle
Languageen
FieldMedicine
TopicPoisoning and overdose treatments
Canadian institutionsRegina Qu'Appelle Health RegionRegina General Hospital
Fundersnot available
KeywordsAnion gapInternal medicineMedicineDiabetic ketoacidosisRespiratory rateBilirubinHypokalemiaEndocrinologyHeart rateBlood pressureInsulinAcidosis

Abstract

fetched live from OpenAlex

A 41 year old woman presented with a one day history of abdominal pain and vomiting. She had been drinking alcohol and three to four bottles of Iso-Gel (isopropanol) a day for the past two weeks. She was positive for hepatitis C and was known to have used injecting drugs and alcohol in the past. On admission, her blood pressure was 119/72 mm Hg, pulse rate was 110 beats/min, respiratory rate was 28 breaths/min, and temperature was 36.6°C. She was dehydrated but seemed well nourished. She was alert and oriented in time and place. Her abdomen was tender in the epigastric and left upper quadrant regions, without guarding or rigidity. The rest of the physical examination was unremarkable. Laboratory tests showed the following results: haemoglobin 154 g/L (normal range 120-160), white blood cell count 7.6×109/L (4.0-10.0), platelets 82×109/L (150-400), glucose 4.8 mmol/L (3.6-11.0), sodium 139 mmol/L (135-145), potassium 4.9 mmol/L (3.5-5.0), chloride 104 mmol/L (98-110), bicarbonate 12 mmol/L (22-26), anion gap 28 mmol/L (10-20), urea 4.6 mmol/L (3.0-7.1), creatinine 89 µmol/L (60-130), alkaline phosphatase 152 U/L (40-135), alanine aminotransferase 68 U/L (4-55), total bilirubin 33 µmol/L (2-20), albumin 42 g/L (35-50), amylase 276 U/L (20-110), and lactate 1.4 mmol/L (0.7-2.1). Arterial blood pH was 7.27 (7.35-7.45); her partial pressure of carbon dioxide was 22 mm Hg (33-45) and partial pressure of oxygen was 126 mm Hg (75-100) while inhaling 1 L of oxygen per minute. A pregnancy test was negative. Small amounts of ketones were found in the venous blood. Plasma β-hydroxybutyric acid was 7.9 mmol/L (0.02-0.29). Serum osmolality was 304 mmol/kg (280-305). Ethanol …

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)0.000
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.004
Threshold uncertainty score0.013

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.003
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.002
Science and technology studies0.0030.001
Scholarly communication0.0010.002
Open science0.0010.001
Research integrity0.0020.003
Insufficient payload (model declined to judge)0.0040.001

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.

Opus teacher head0.023
GPT teacher head0.288
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

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 designCase report
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

Citations6
Published2012
Admission routes1
Has abstractyes

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