374 NUTRITIONAL FAILURE AND CACHEXIA IN A PEDIATRIC PALLIATIVE CARE POPULATION.
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.
Bibliographic record
Abstract
<h3></h3> Children with neurologic and metabolic conditions face significant challenges with nutrition. Often, they require assistance with feeding, whether surgical or medical, to prevent weight loss and malnutrition. Among pediatric palliative caregivers, the phenomenon of nutritional failure is known to occur in these children at the end of life; however, it has never been documented in the literature. The goal of this research study was to retrospectively illustrate and document the time course of nutritional failure in children with metabolic and/or neurologic conditions by reviewing a select series of cases. Our hypothesis was that unexplained nutritional failure is a marker for the end of life trajectory in children with these underlying diseases. An extensive review of literature regarding the above phenomenon was performed. In addition, a series of representative cases from children who died while at Canuck Place—a pediatric palliative hospice—was studied. Charts were reviewed for information regarding the nutrition route and composition, the results of relevant laboratory and imaging studies, and the symptoms of feeding intolerance that led to nutritional failure prior to death. Nutritional failure, which manifested as progressive intolerance of enteral feeding despite modifications in the artificial route used, the formula composition, and the use of a variety of medications, was observed in the representative cases of children. Symptoms of worsening gastroesophageal reflux, vomiting, abdominal bloating, ileus, seizures, and pain preceded the end of life in each of the case studies. The clinical phenomenon of nutritional failure at end of life is an important guide to the management of these children as well as a prognostic indicator for both clinicians and families.
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 imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it