Bibliographic record
Abstract
A 12-year-old girl was referred to the paediatric gastroenterology service with a history of chronic constipation and fecal incontinence. The symptoms were present for seven years, with frequent passage of stools in the clothes. She also experienced intermittent nocturnal enuresis. There was no abdominal pain, bloating, nausea, vomiting, diarrhea, rectal bleeding, dysuria, chronic cough, fatigue or weight loss. Her history was otherwise unremarkable, with no problem passing meconium after birth and a normal stool pattern in infancy. Her growth and development were normal. The child was in foster care and a family history was not available. The patient was tried on a variety of laxative therapies including lactulose, oral polyethylene glycol and repeated rectal enemas. The patient had a difficult and protracted course over several years, with frequent stool incontinence. Cognitive behavioural therapy was provided by a professional psychologist. Due to uncertain compliance with oral therapy, lavage with polyethylene glycol via a nasogastric tube had been tried several times for fecal disimpaction. Investigations included normal thyroid function tests, serum calcium and urinalysis. An abdominal radiograph had revealed fecal loading in the distal colon. On examination, she was obese with a weight between the 90th and 95th percentiles, and a height between the 10th and 25th percentiles. Her body mass index was 29.8 kg/m2 (greater than the 97th percentile). There was no pallor, clubbing or thyromegaly. The abdomen was soft and nondistended, with no tenderness, organomegaly or masses. (A previous rectal examination conducted by the referring physician revealed stool in the rectum.) Examination of the nervous system and spine was normal. A diagnostic laboratory 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 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 | 0.000 |
| 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 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".