Hydrophobia Associated with Severe Hypernatremia, Acute Kidney Injury, and Rhabdomyolysis
Bibliographic record
Abstract
A 33-year-old male was brought to the emergency department (ED) by his family with a 10-day history of decreased to no oral intake and a progressive unsteady gait. He had a known history of major depressive disorder, agoraphobia, acrophobia, and hydrophobia, which had not been treated with any medications; he had been followed up by outpatient psychiatry. On arrival at the ED, he was noted to be drowsy, with a Glasgow Coma Score (GCS) of 14/15 (E4, V4, M6), blood pressure of 85/40 mm Hg, heart rate of 140 beats/minute, temperature of 38.5°C, respiratory rate of 38 breaths/minute, and oxygen saturation at 95% on room air. He was noted to be severely dehydrated with dry mucous membranes, a flat jugular venous pressure, mottled skin, and anuria. He was resuscitated in the ED with 4 L of intravenous normal saline over 4 hours and started on empiric intravenous antibiotics, piperacillin-tazobactam 4.5 g IV q6h, for presumptive septic shock.
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 | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| 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".