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Record W2604349934 · doi:10.1093/pch/16.9.557

Case 1: A newborn in distress

2011· article· en· W2604349934 on OpenAlexaff
Rebecca Levy, Sharon Naymark

Bibliographic record

VenuePaediatrics & Child Health · 2011
Typearticle
Languageen
FieldMedicine
TopicNeonatal Health and Biochemistry
Canadian institutionsSt Joseph's Health CentreHospital for Sick Children
Fundersnot available
KeywordsMedicineRespiratory distressEmergency departmentVaginal deliveryNeonatal intensive care unitRespiratory ratePediatricsPregnancyLethargyHeart rateAnesthesiaInternal medicineBlood pressure

Abstract

fetched live from OpenAlex

A newborn boy presented to the emergency room at 24 h of life with respiratory distress and jitteriness. He was born at term to a G1P0 mother who had an unremarkable pregnancy, protective serologies and no diabetes. She tested negative for group B streptococcus, and had no history of maternal herpes simplex virus infection. She denied smoking, alcohol and recreational drug use during pregnancy. The baby was born at home following an uncomplicated vaginal delivery. At 24 h of life, the baby was still grunting and jittery, and was brought to the emergency department. In the emergency department, he was in moderate respiratory distress. His respiratory rate was 76 breaths/min, with visible subcostal indrawing and nasal flaring. His heart rate was 150 beats/min, O2 saturation was 92% on room air and his rectal temperature was 36.8°C. The infant was alert, appeared warm and pink, but demonstrated fine tremor in all four limbs, which was suppressed by holding his limbs firmly. There were no dysmorphic features, fontanelles were flat, and the infant’s cardiorespiratory examination was normal. Neurological examination revealed normal primitive reflexes, but significantly increased tone to all four limbs. The infant’s bedside glucose level measured 0.34 g/L, which was normalized with a bolus of 10% dextrose in water. Jittery movements and hypertonia persisted despite correction of hypoglycemia. Full septic work-up was performed, and the infant was started on broad-spectrum antibiotics and admitted to the neonatal intensive care unit. Additional information from the mother provided 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)0.000
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: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.431
Threshold uncertainty score0.533

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
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 head0.026
GPT teacher head0.289
Teacher spread0.262 · 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 designObservational
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
Published2011
Admission routes1
Has abstractyes

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