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Record W2095909156 · doi:10.1136/bmj.325.7354.3

Causes of failure of eradication of Helicobacter pylori

2002· editorial· en· W2095909156 on OpenAlexaff
Peter J. Jenks

Bibliographic record

VenueBMJ · 2002
Typeeditorial
Languageen
FieldMedicine
TopicHelicobacter pylori-related gastroenterology studies
Canadian institutionsInstitute of Infection and Immunity
FundersWellcome Trust
KeywordsHelicobacter pyloriHelicobacter InfectionsMedicineComputer scienceGastroenterology

Abstract

fetched live from OpenAlex

Eradication of Helicobacter pylori from the gastric and duodenal mucosa of infected patients is the most important goal in the management of peptic ulcer disease and other conditions associated with H pylori .1 The survival capabilities of H pylori in the stomach make it difficult to eradicate, and effective treatment requires multidrug regimens consisting of two antibiotics (usually selected from clarithromycin, metronidazole, amoxicillin, and tetracycline), combined with acid suppressants and bismuth compounds.2 A significant proportion of patients do not respond to treatment, and adverse treatment outcome is associated with advanced age, smoking, high intragastric bacterial load before treatment, bacterial genotype, and host genetic polymorphisms of the cytochrome-P450 isoenzymes that are specifically involved in the metabolism of proton pump inhibitors.3 Adherence to the drug regimen is particularly important for successful eradication of infection and can be improved by education of patients and programmes to improve compliance.4 But as in many other infectious diseases, antibiotic resistance is the major cause of treatment failure. Meta-analyses have established beyond doubt that resistance to either the macrolide or 5-nitroimidazole component …

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)0.007
metaresearch head score (Gemma)0.034
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: Editorial · Consensus signal: Editorial
Teacher disagreement score0.008
Threshold uncertainty score0.039

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0070.034
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0040.001
Bibliometrics0.0020.002
Science and technology studies0.0010.001
Scholarly communication0.0030.002
Open science0.0030.001
Research integrity0.0080.007
Insufficient payload (model declined to judge)0.0060.002

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 head0.018
GPT teacher head0.289
Teacher spread0.272 · 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
GenreEditorial

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

Citations42
Published2002
Admission routes1
Has abstractyes

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Same venueBMJSame topicHelicobacter pylori-related gastroenterology studiesFrench-language works237,207