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Record W2128338622 · doi:10.1086/504878

<i>Editorial Commentary:</i>Genetic Screening to Prevent Abacavir Hypersensitivity Reaction: Are We There Yet?

2006· editorial· en· W2128338622 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueClinical Infectious Diseases · 2006
Typeeditorial
Languageen
FieldMedicine
TopicDrug-Induced Adverse Reactions
Canadian institutionsSt. Paul's Hospital
Fundersnot available
KeywordsAbacavirMedicineHypersensitivity reactionIntensive care medicineDermatologyFamily medicineImmunologyHuman immunodeficiency virus (HIV)Antiretroviral therapy

Abstract

fetched live from OpenAlex

spective use of pharmacogenetic screening positively impacts patient outcome. Abacavir hypersensitivity reaction is a potentially life-threatening disease that occurs in ∼5% of patients initiating therapy with this drug. It sets itself apart from the majority of other drug toxicities encountered in clinical practice—which tend to be multifactorial in etiology, dose related, and pharmacologically predictable—in that its occurrence appears to be largely unrelated to dose, and its clinical presentation is more severe in cases of reexposure. Furthermore, clinical diagnosis of this disease (which most commonly presents 9‐11 days after initiation of therapy) has been confounded by an overlap of symptoms and signs with those of other drug hypersensitivities, viral infections, and immune restoration diseases. Although the occurrence of abacavir hypersensitivity reaction has been more common in Caucasian subjects (occurring in 8% of such subjects who initiate abacavir therapy), other clinical factors have not been useful in the prediction of this disease, and the risk of morbidity and even mortality on rechallenge precludes future use of abacavir in an individual who has been labeled with abacavir hypersensitivity syndrome.

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.

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)0.001
metaresearch head score (Gemma)0.004
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Research integrity
Consensus categoriesResearch integrity
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Editorial · Consensus signal: Editorial
Teacher disagreement score0.036
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.004
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0020.003
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 head0.030
GPT teacher head0.360
Teacher spread0.330 · 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