Case 4: Poor Feeding and Lethargy in a 32-day-old Infant
Why this work is in the frame
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Bibliographic record
Abstract
1. Erin R. Peebles, MD, FRCPC* 2. Tamara A. VanHooren, MD, FRCPC* 3. Anna C. Gunz, MD, FRCPC* 4. Marina I. Salvadori, MD, FRCPC* 1. *Western University, London, Ontario, Canada A 32-day-old boy presents to the emergency department with a 12-hour history of poor feeding and lethargy. The child was born at 34+1 weeks and spent 2 weeks in the NICU, where he was fed infant ready-made formula by gavage feeding as he gradually increased his suckling. He was discharged 5 days before his presentation. On assessment, he is noted to be pale, hypotonic, and irritable. He is hypothermic, with a rectal temperature of 97.0°F (36.1°C). His heart rate is 150 beats/min, and capillary refill is noted to be appropriate. A full sepsis evaluation is performed. White blood cell count is 20,000/μL (20×109/L), hemoglobin is 9.3 g/dL (93 g/L), and platelet count is 63×103/μL (63×109/L). Cerebrospinal fluid analysis shows a white blood cell count of 10,000/μL (10×109/L), a protein level of 1,650 g/dL (16,500 g/L), and a glucose level of 5.6 mg/dL (0.31 mmol/L). He is started on ampicillin, cefotaxime, and acyclovir. Within 5 hours of admission, he becomes mottled and tachycardic (190 beats/min), with intermittent apneas requiring PICU admission. Gram-negative bacilli are identified on gram stain in the cerebrospinal fluid (CSF) 6 hours after presentation; the acyclovir is stopped, and the …
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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 | 0.001 | 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 it