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Record W2599572143 · doi:10.1093/pch/10.9.539

Case 1: The importance of a complete history

2005· article· en· W2599572143 on OpenAlexaffabout
Kent Saylor

Bibliographic record

VenuePaediatrics & Child Health · 2005
Typearticle
Languageen
FieldMedicine
TopicInfectious Encephalopathies and Encephalitis
Canadian institutionsMontreal Children's Hospital
Fundersnot available
KeywordsMedicinerhinorrheaPast medical historyPhysical examinationRespiratory rateAnesthesiaPediatricsPneumoniaRefluxSurgeryInternal medicineHeart rateBlood pressure

Abstract

fetched live from OpenAlex

A 10-month-old Cree boy from northern Quebec presented to his family doctor with a three-day history of rhinorrhea, cough and fever. He had presented to the clinic with these symptoms on each of the two previous days and was sent home with a diagnosis of viral upper respiratory tract infection. His appetite had decreased, he was described as “cranky” and he had vomited once. There were no ill contacts. He had been a healthy child apart from some gastroesophageal reflux, for which he was taking domperidone and ranitidine. On physical examination, he had a low-grade fever (38.2°C), a pulse of 150 beats/min and a respiratory rate of 40 breaths/min, with an oxygen saturation of 94% in room air. He looked unwell and was irritable, but his physical examination was nonspecific apart from mild intercostal retractions. On investigation, his white blood cell count was 13.3×109/L (normal range 6×109/L to 17.5×109/L), with 34% neutrophils, and his chest x-ray was suggestive of a mild left lower lobe pneumonia. He was admitted and treated with intravenous antibiotics. He initially seemed to improve with the intravenous fluids and antibiotics. On the second day of his admission, his grandparents, who spoke better English than his mother, provided some additional information. They had witnessed his “eyes rolling back” or “wandering” over the past few weeks and thought that he had decreased activity and shown some vague behavioural changes over the past month. Around this time, his eyes were noted to intermittently roll back in his head, with some tremors and stiffness of his lower extremities. On the third day of his hospitalization, he deteriorated rapidly, becoming very spastic and poorly responsive, with a tonic-clonic convulsion. He was given phenobarbital and phenytoin and intubated for transport to a tertiary care centre. At the tertiary care centre, the patient remained intubated and sedated, and continued on his antibiotics and anticonvulsants. A further test was performed, which revealed the diagnosis.

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 distilled prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.621
Threshold uncertainty score0.360

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.025
GPT teacher head0.267
Teacher spread0.241 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2005
Admission routes2
Has abstractyes

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