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Record W2903974082 · doi:10.1097/mpg.0000000000002205

Fecal Microbiota Transplantation for Recurrent <i>Clostridium difficile</i> Infection and Other Conditions in Children

2018· article· en· W2903974082 on OpenAlexaff
Zev Davidovics, Sonia Michail, Maribeth R. Nicholson, Larry K. Kociolek, Nikhil Pai, Richard Hansen, Tobias Schwerd, A Jordan Maspons, Raanan Shamir, Hania Szajewska, Nikhil Thapar, Tim de Meij, Alexis Mosca, Yvan Vandenplas, Stacy A. Kahn, Richárd Kellermayer

Bibliographic record

VenueJournal of Pediatric Gastroenterology and Nutrition · 2018
Typearticle
Languageen
FieldMedicine
TopicClostridium difficile and Clostridium perfringens research
Canadian institutionsMcMaster UniversityMcMaster Children's Hospital
FundersNational Center for Advancing Translational SciencesCures Within ReachEunice Kennedy Shriver National Institute of Child Health and Human DevelopmentGeorgia Clinical and Translational Science Alliance
KeywordsClostridium difficileMedicineFecal bacteriotherapyMicrobiomeDiseaseTransplantationFecesInflammatory bowel diseaseUlcerative colitisColitisIntensive care medicineInternal medicineImmunologyGastroenterologyBioinformaticsMicrobiologyAntibiotics

Abstract

fetched live from OpenAlex

Fecal microbiota transplantation (FMT) is becoming part of the treatment algorithms against recurrent Clostridium difficile infection (rCDI) both in adult and pediatric gastroenterology practice. With our increasing recognition of the critical role the microbiome plays in human health and disease, FMT is also being considered as a potential therapy for other disorders, including inflammatory bowel disease (Crohn disease, ulcerative colitis), graft versus host disease, neuropsychiatric diseases, and metabolic syndrome. Controlled trials with FMT for rCDI have not been performed in children, and numerous clinical and regulatory considerations have to be considered when using this untraditional therapy. This report is intended to provide guidance for FMT in the treatment of rCDI in pediatric patients.

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 imitation

Not 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.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: none
Teacher disagreement score0.002
Threshold uncertainty score0.006

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0020.000

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 head0.013
GPT teacher head0.289
Teacher spread0.276 · 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 source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreReview

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

Citations122
Published2018
Admission routes1
Has abstractyes

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Same venueJournal of Pediatric Gastroenterology and NutritionSame topicClostridium difficile and Clostridium perfringens researchFrench-language works237,207