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Record W2159505730 · doi:10.1093/qjmed/hcr275

A woman with headache and ptosis

2012· article· en· W2159505730 on OpenAlex
Habib Rehman

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

VenueQJM · 2012
Typearticle
Languageen
FieldMedicine
TopicOtolaryngology and Infectious Diseases
Canadian institutionsUniversity of SaskatchewanRegina Qu'Appelle Health Region
Fundersnot available
KeywordsMedicineComplete blood countGastroenterologyJaundiceInternal medicineSurgery

Abstract

fetched live from OpenAlex

A 61-year-old woman presented to the ER with worsening right-sided headaches. She had noticed a painful blister behind her right 3rd molar about a week ago. Chills and rigors associated with myalgias and arthralgias followed. Two days later she developed right-sided headaches, which got worse over the next few days. Vital signs were normal on presentation. Physical examination did not reveal any signs of meningism, respiratory, abdominal or urogenital infection. Her past medical history was significant for a lumbar laminectomy, depression, gastroesophageal reflux disease, hysterectomy and bladder suspension. Her medications included rabeprazole and paroxetine. She did not smoke or drink and denied recreational drug use. Peripheral blood white cell count was 24.2 × 109/l (4.0–10.0) with neutrophil predominance of 22.2. Hemoglobin was 135 g/l (120.0–160.0), platelets 301 × 109/l (150.0–400.0), alkaline phosphatase 161U/l (40–135), alanine aminotransferase 34U/l (4–55), aspartate aminotransferase 16U/l (5–35) and albumin 31. ESR was 83 mm/h. Urea, creatinine and electrolytes were in the normal range. Intravenous acyclovir and morphine was commenced. Computerized scan (CT) of the head was reported normal. A lumbar puncture revealed red cell count of 9 × 106 (0–1), white cell count of 16 × 106 (0–5) with 74% neutrophils, proteins of 0.57 g/l (0.15–0.60) and glucose of 4.0 mmol/l (2.7–4.2). Blood cultures grew gram-positive cocci in chains, subsequently identified as alpha-hemolytic Streptococcus. HSV PCR in the CSF came back negative. Acyclovir was discontinued. Ceftriaxone and Vancomycin were commenced. Headaches worsened over the next 2 days and spread to the occipital and left retro-orbital areas and she became photophobic. Five days after her presentation, ptosis of the left eyelid and restricted upward gaze of the eye …

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)0.000
metaresearch head score (Gemma)0.000
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 score0.018
Threshold uncertainty score0.197

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
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 head0.010
GPT teacher head0.249
Teacher spread0.239 · 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