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Record W2963279826 · doi:10.1164/rccm.201906-1233le

Reply to Bancalari <i>et al</i> . and to Isayama and Shah

2019· letter· en· W2963279826 on OpenAlexaff
Erik A. Jensen

Bibliographic record

VenueAmerican Journal of Respiratory and Critical Care Medicine · 2019
Typeletter
Languageen
FieldMedicine
TopicNeonatal Respiratory Health Research
Canadian institutionsUniversity of TorontoMount Sinai Hospital
Fundersnot available
KeywordsMedicine

Abstract

fetched live from OpenAlex

predicting respiratory outcomes (1, 6).Evaluation of the data from Jensen and colleagues may provide supporting or refuting evidence for this maturational cutoff for defining BPD.We agree that our goal should be to adopt an evidenceinformed or data-driven approach to identify neonates of extremely low gestational age with a future risk of developing pulmonary and neurodevelopmental issues.The critical task for members of the neonatal community is to decide what we aim to achieve in defining BPD.Do we want to identify nearly all children who may develop adverse outcomes (minimum false negatives), do we want to rule out all who may not develop adverse outcomes (minimum false positives), or do we want to settle for a compromise and accept a middle ground?The answer may require careful thinking.We may want to use criteria with minimum false negatives when identifying children for closer surveillance during childhood, to predict and manage respiratory adverse outcomes; use criteria with minimum false positives when testing experimental therapies, to rationalize exposure for many children; and use "compromise" criteria (with acceptable sensitivity and specificity cutoffs) for quality improvement initiatives, benchmarking, and assessing trends.Discussions about these issues need to happen through an international forum and consensus process, as is currently underway via the International Neonatal Consortium (1).Purpose-defined BPD criteria derived from an international consensus process and supported by data are essential for avoiding ongoing confusion and inconsistency.

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)0.007
metaresearch head score (Gemma)0.045
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.028
Threshold uncertainty score0.040

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0070.045
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.002
Bibliometrics0.0020.001
Science and technology studies0.0030.004
Scholarly communication0.0040.006
Open science0.0040.002
Research integrity0.0280.052
Insufficient payload (model declined to judge)0.0090.011

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 head0.037
GPT teacher head0.396
Teacher spread0.358 · 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 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

Citations2
Published2019
Admission routes1
Has abstractyes

Explore more

Same venueAmerican Journal of Respiratory and Critical Care Medicine→Same topicNeonatal Respiratory Health Research→French-language works237,207→