Bibliographic record
Abstract
A 40-year-old male patient presented with distension of abdomen since last 4 years. The distension was progressive and more in upper abdomen. He also developed umbilical hernia since 1 year. There was no jaundice or bleeding. On examination, massive hepatomegaly till right iliac fossa with multiple nodular swellings was felt. The computed tomography of abdomen showed hepatomegaly of 36 cm in size reaching up to pelvis (Fig. 1a). There were multiple variable sized non-enhancing hypodense cystic lesions seen in liver. A 3.4 × 3.5 cm defect was seen in anterior abdominal wall in umbilical region with liver cysts as its content (Fig. 1b). Right kidney was seen in midline in the pelvis facing posteriorly. Both kidneys were enlarged with irregular lobulated contour with cystic lesions (Fig. 1c). The free fluid is seen in abdomen and pelvis. This is a case of polycystic liver and kidney disease with portal hypertension with ascites. Ultrasonography of the family members were normal. The patient was started on salt restricted diet and diuretics. The umbilical hernia was reduced and abdominal binder was applied. The polycystic liver disease occurs as an extra-renal organ involvement in polycystic kidney disease. Rarely its presentation can be isolated. The cystic transformation of liver is secondary to ductal plate malformation and abnormal fluid secretion by cholangiocytes [1]. This can be managed with medications and genetic counseling. The surgical options are fenestration but recurrence is high, segmental hepatic resection if the cysts are localized and liver transplantation with or without kidney transplantation [2].
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 imitationNot 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.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.006 | 0.002 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".