A-81Understanding Outcomes and Recovery in the Subacute Stages of West Nile Virus
Bibliographic record
Abstract
Objective: To report clinical, neuropsychological, and functional outcomes in a sample of severe cases of West Nile Virus (WNV) in acute inpatient rehabilitation. Method: Retrospective review of outcome data for 10 participants (2 females, 8 males; M age = 53 + /–12.9), who were all functionally independent prior to admission. Average acute hospitalization was 14 days (range = 3-27) while mean length of stay at inpatient rehabilitation was 17 days (range = 9-92). Assessment included neuropsychological measures (e.g., brief mental status exam, Montreal Cognitive Assessment, and/or Repeatable Battery for Assessment of Neuropsychological Status), medical data (e.g., laboratory findings, neuroimaging), and Functional Improvement Measure (FIM) scores. Results: Neuroimaging was significant for two patients, one with cortical findings and one with cortical and subcortical findings. A strong relationship was found between laboratory results (e.g., potassium, liver, kidney) and cognition at admission and FIM scores and clinical lab results (e.g., sodium, chloride, kidney, and liver function) at discharge. Neuropsychological results indicated deficits in executive functions and verbal memory which were associated with cognitive FIM scores at admit/discharge. Nine patients discharged home under care and supervision, while one patient discharged to a skilled nursing facility. Overall FIM scores improved with a mean gain of 32.3 + /− 12.9. Conclusion Patients demonstrated functional improvement at discharge, though required supervision and ongoing rehabilitation. There were consistencies with prior research, including premorbid medical history as a risk for developing neuroinvasive process, implications for kidney function, and pattern neurocognitive deficits. Results support additional studies assessing data from acute hospitalization, rehabilitation, and post-discharge to identify consistent predictive factors on outcome, recovery, and chronicity.
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) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 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 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".