A Palatability of Oral Rehydration Solutions (Pors) Study
Bibliographic record
Abstract
25 surveys were completed by PEM fellows.Fellows agreed that simulations were realistic (average score 4.40).The debriefing sessions were found to be helpful and a positive learning experience (average score 4.45).Instructors were enthusiastic, knowledgeable, and provided a safe learning environment (average score 4.79).PEM fellows enjoyed learning in a multidisciplinary team, found training at the simulator useful, and thought that it should be a mandatory part of their education (average score 4.84). CONCLUSION:We have successfully integrated a simulation-based acute care curriculum into our PEM fellowship program with high satisfaction ratings.Future research will need to be done to assess educational outcomes related to this curriculum.31 oNdaNsetroN adMiNistratioN iN eMerGeNcy dePartMeNts to childreN With GastroeNteritis: a cost-BeNefit aNd cost-effectiVeNess aNalysis *s freedman, M steiner, K chan the hospital for sick children, toronto, ontario BACKGROUND: Ondansetron use in children with gastroenteritis induced vomiting remains a controversial topic despite evidence of clinical effectiveness.Due to the expense of ondansetron, recent clinical practice guidelines have suggested that evidence of cost-effectiveness is necessary to support its routine use.OBJECTIVE: To formally assess the balance of benefits, costs and effects of ondansetron use for children in the Emergency Department (ED) with dehydration and vomiting due to gastroenteritis. DESIGN/METHODS:We conducted a cost-benefit and cost-effectiveness analysis from both health care and societal perspectives using deterministic and Monte Carlo simulations.A decision analysis tree for hypothetical children presenting to an ED, based on previously published ondansetron studies, was developed.The decision tree incorporated the frequency of vomiting, intravenous insertion, hospitalization and ED revisits.We used Canadian and U.S. national databases to derive estimates of the monetary costs associated with the various outcomes and ondansetron use.The economic burden amongst children who are administered ondansetron was compared to those who are not administered ondansetron.RESULTS: U.S.: The analysis was based on an annual hypothetical ED cohort of 269,177 children presenting for care with gastroenteritis, vomiting and mild to moderate dehydration.The routine administration of ondansetron to eligible children would prevent 45,392 intravenous insertions and 11,277 hospitalizations annually.The break-even price per ondansetron dose administered was $356 from the societal perspective and $302 from the health care perspective.At the current average wholesale price, its routine administration would annually save society $91.0 million and the health care system $74.0 million.Canada: The routine administration of ondansetron to a hypothetical cohort of 37,411 annual eligible pediatric ED visits would prevent 6,309 intravenous insertions and 1,567 hospitalizations.The break-even price/dose administered was $59 from the societal perspective and $56 from the health care perspective.Its routine administration would annually save society $1.8 million and the health care system $1.7 million.CONCLUSIONS: From both societal and health care perspectives, the administration of ondansetron to children with dehydration and vomiting secondary to infectious gastroenteritis is cost-effective and provides significant savings.
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How this classification was reachedexpand
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 | 0.002 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| 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 itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, 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".