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Record W2100684952 · doi:10.1136/adc.2005.084517

MANAGING URINARY TRACT INFECTIONS IN YOUNG CHILDREN: Figure 1

2005· article· en· W2100684952 on OpenAlexfundno aff
J H Baumer

Bibliographic record

VenueArchives of Disease in Childhood Education & Practice · 2005
Typearticle
Languageen
FieldMedicine
TopicPediatric Urology and Nephrology Studies
Canadian institutionsnot available
FundersYork University
KeywordsMedicineGuidelineNiceSystematic reviewPediatricsIntervention (counseling)Intensive care medicineCochrane LibraryFamily medicineEvidence-based practiceUrinary systemMEDLINEEvidence-based medicineAntibiotic prophylaxisRandomized controlled trialAlternative medicineAntibioticsSurgeryNursingInternal medicinePathology

Abstract

fetched live from OpenAlex

Urinary tract infections (UTIs) are common in infancy and childhood, affecting approximately 6–7% of girls and 2–3% of boys. Fourteen years have passed since the Royal College of Physicians published clinical guidelines for the management of UTI in children. Large numbers of children undergo imaging investigations and receive antibiotic prophylaxis for extended periods. A Cochrane systematic review in 20041 found inadequate data from available randomised controlled trials (RCTs) to provide evidence as to whether any intervention (antibiotics or surgery) in children with vesico-ureteric reflux confers worthwhile health benefits. In 1999 the American Academy of Pediatrics published a guideline on the diagnosis and management of UTI in children under the age of 2 years, based on a rigorous literature search.2 However, this did not investigate the evidence for a link between childhood UTIs, renal abnormalities, and long term outcome with or without treatment, and its recommendations are therefore open to question.3 Although the National Institute for Health and Clinical Evidence (NICE) is undertaking an evidence based guideline on the subject, this will not be published until May 2007. In the meantime, three recent systematic reviews address aspects of the management of UTI, and provide a useful insight into current evidence as a basis for clinical practice. The first was carried out by the York University Centre for Reviews and Dissemination for the National Health Service R&D Health Technology Assessment Programme.4 Its findings are summarised in Effective Health Care .5 It covers the evidence for the diagnosis and evaluation of UTIs in children under 5 years of age. ### Key points

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 distilled prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.053
Threshold uncertainty score0.619

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.007
GPT teacher head0.288
Teacher spread0.281 · 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 teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
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

Citations2
Published2005
Admission routes1
Has abstractyes

Explore more

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