Case 2: An infant with hypotonia and constipation
Bibliographic record
Abstract
A five-month-old female infant was brought to the emergency department with a three-day history of poor feeding and a one-week history of constipation. There was no history of fever, irritability, vomiting, breathing difficulty, or exposure to sick contacts or medications. She was born after an uncomplicated full-term pregnancy and delivery, and her developmental milestones were attained appropriately. She was breastfed, and three weeks before admission, the parents introduced fruits and vegetables made by puréeing organic produce in a blender. On physical examination, she was afebrile, alert and in no respiratory distress. The neurological examination was notable for ptosis, decreased facial expression, weak cry, diffuse hypotonia, reduced muscle power and absent deep tendon reflexes. Initial investigations revealed normal serum electrolytes, calcium, magnesium, phosphate, venous blood gas, complete blood count, ammonium, lactate and creatine kinase. Cultures of blood, urine and cerebrospinal fluid were performed (and subsequently found to be negative), and a computed tomography scan of the head was normal.
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 | 0.001 | 0.008 |
| Meta-epidemiology (narrow) | 0.004 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.008 | 0.004 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
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".