Bibliographic record
Abstract
While warming up for her first karate class, a 37-year-old woman with a 29-year history of type 1 diabetes mellitus developed a mild pain on the inside of her left thigh.She believed she had pulled a muscle and left the class to rest.In the ensuing days, the pain gradually worsened followed by swelling of the left thigh.Over the next few weeks, a similar pain and swelling developed over the left calf.She was seen at her local hospital emergency room approximately three weeks after onset, and was prescribed antibiotics.However, the pain and swelling continued and within eight weeks she had lost the ability to weightbear secondary to the pain.She was admitted to hospital for further investigations.She was found to be in mild diabetic ketoacidosis.She had no history of fever, and no source of infection could be identified.Her blood work on admission was significant for a mildly elevated white cell count of 14 (N=4-11x10 9 /l), erythrocyte sedimentation rate (ESR) of 84 (N=0-10 mm/hr), C -reactive protein of 151 (N=<6 mg/L), and normal lactate (0.9; N=0.5-2.2 mmol/L) and creatine kinase (100; N=35-250 U/L).She was started on antibiotics for three weeks.All of her blood, urine, and sputum cultures were negative.She was assessed by the neurology service four months after the initial onset of symptoms.At that time, the pain in her left thigh had resolved, although the swelling remained.She continued to have severe pain and swelling of the left calf that prevented her from weightbearing on the left leg.The pain was localized to the calf and associated with calf tenderness.There was no back pain or radicular symptoms.She did not believe there was any significant weakness.Her bowel and bladder function was normal.She had no involvement of other limbs.Her diabetes was complicated by retinopathy, peripheral neuropathy and end-stage renal disease.She had been on haemodialysis for several years prior to presentation.Physical examination revealed mild symmetrical stocking distribution sensory impairment and absent ankle reflexes bilaterally.There was no focal muscle atrophy.Strength was normal in the right leg but difficult to test in the left leg due to pain.However, strength was at least antigravity in all muscle groups in the left leg.Reflexes were present and symmetric at the knees.The remainder of her neurological exam was unremarkable.The left calf was swollen and the medial gastrocnemius muscle was firm and tender to palpation.The medial left thigh was mildly swollen compared with the right thigh.However, the thigh muscles were soft and non-tender.She had flexion contractures at the left knee and ankle.Doppler study of the left leg did not show any sign of venous thrombosis.A bone scan was normal without evidence of osteomyelitis.Findings on the nerve conduction studies were consistent with a mild symmetrical axonal sensorimotor polyneuropathy, presumably secondary to her diabetes.
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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 | 0.001 | 0.006 |
| Meta-epidemiology (narrow) | 0.003 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.005 | 0.005 |
| Science and technology studies | 0.006 | 0.002 |
| Scholarly communication | 0.004 | 0.003 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.009 | 0.006 |
| Insufficient payload (model declined to judge) | 0.004 | 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".