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Record W2928853013 · doi:10.3899/jrheum.180639

Hydroxychloroquine — How Much Is Too Much?

2019· letter· en· W2928853013 on OpenAlexvenueno aff
Vaneet K. Sandhu, Michael H. Weisman

Bibliographic record

VenueThe Journal of Rheumatology · 2019
Typeletter
Languageen
FieldMedicine
TopicDrug-Induced Ocular Toxicity
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineQuinineHydroxychloroquineMalariaAntimalarial AgentGovernment (linguistics)Spanish Civil WarHeroinWorld War IIFamily medicineMedical prescriptionDiseasePsychiatryDrugChloroquineInternal medicinePharmacologyPathologyHistoryInfectious disease (medical specialty)Coronavirus disease 2019 (COVID-19)

Abstract

fetched live from OpenAlex

Although initially approved for medical use in the United States by the Food and Drug Administration in the 1950s, antimalarial treatment of clinical disease actually dates back to the 1630s in Peru, stemming from the “fever tree,” later identified as Cinchona officialis in 1742 by Carl Linnaeus in Europe1. Later, quinine was isolated from Cinchona bark2, yielding the subsequent boom in the development of these agents for the antimalarial market. When the Dutch Cinchona plantations were overrun and captured during World War II, a synthetic version of quinine was created — quinacrine — and was used for malaria prevention, an activity funded and supported by the war effort in the United States3,4. The quinacrine story bears an uncanny similarity to the development of synthetic corticosteroids, which was also supported by the needs of the US government for the war effort during the exact same time period. It was in 1951, after the war was over, that Allied soldiers taking longterm quinacrine demonstrated improved signs and symptoms of systemic lupus erythematosus (SLE)5. Just a few years later (1955), hydroxychloroquine (HCQ) was synthesized, and a successful scale-up created this cornerstone drug for treating SLE. It is now on the World Health Organization list of essential medications needed in a basic health system6. In this issue of The Journal , Tselios, et al … Address correspondence to Dr. V.K. Sandhu, Loma Linda University Medical Center, Rheumatology, 11375 Campus St., Loma Linda, California 92354, USA. E-mail: vksandhu{at}llu.edu

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 imitation

Not 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.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Research integrity
Consensus categoriesResearch integrity
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.099
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0010.006
Insufficient payload (model declined to judge)0.0000.001

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.

Opus teacher head0.020
GPT teacher head0.259
Teacher spread0.239 · 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; both teacher heads agree on what is shown here.

Study designNot applicable
Domainnot available
GenreCommentary

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

Citations5
Published2019
Admission routes1
Has abstractyes

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