The Bedford Murder: An Evidence-Based Clinical Mystery
Bibliographic record
Abstract
FAMILY TREE AND CHARACTER LIST Prelude Celia's Distress (Diabetes Mellitus) -Intensity of glucose control in diabetes -Anxiety, insomnia, and benzodiazepines -Affect of stress on glucose levels Joanne's Fear (Pregnancy) -Vaginal birth after cesarean section -Bacterial vaginosis in pregnancy -Asymptomatic bacteriuria in pregnancy Alexander's Secret (Hypertension) -Thiazides in hypertension -Biochemical monitoring when taking statin drugs -Calculating cardiovascular risk -When is ramipril Indicated? -Effect of life stress on blood pressure readings in the office -Smoking cessation counseling during times of life Nancy's Dilemma (Oral Contraceptives) -Third generation progestins and risk of thrombosis -Prevalence of asymptomatic vaginal infection Pierre's Lie (Ankle Injury) -Usefulness of Ottawa ankle rules -Microorganisms in cellulitis from a rusty nail Cecil Starkes (Hematuria) -Likelihood of pathology with asymptomatic hematuria -Usefulness of ultrasound in asymptomatic hermaturia INTERLUDE 1 (Bracken Library, Kingston) Beatrice's Grief (Hypothyroidism) -Effect of excess thyroid replacement on cardiovascular risk -Predictors of abnormal grief reactions Aunt Joan's Rumor (Congestive Heart Failure) -Adding and ACE to well controlled CHF -Predictors of 5 year outcome in CHF Fitz (Ischemic Heart Disease) -Target blood pressures in high-risk coronary artery disease -Target lipid levels in high-risk coronary artery disease Cecilia's Gratitude (Diabetes Mellitus) -Blood pressure control in diabetes mellitus. Alexander's Quest (Hypertension) -Relative importance of cholesterol and Triglycerides on cardiovascular diasease Joanne's Keys (Pregnancy) -Risk of vitamin A in pregnancy John Hagarty (Tennis Elbow) -Effectiveness of local corticosteroid injection in tennis elbow. INTERLUME 2(The Bedford Family Medicine Clinic) Dr. Sharpeis Dilemma (Gonorrhea) -Progression of asymptomatic gonorrhea -Concurrence of HIV and hepatitis C with gonorrhea Fitz's Worse Fear (Angina) -Prognosis with angina two years post coronary artery bypass surgery Robert's Connections (Testicular Lump) -Prognostic features of a testicular lump -Usefulness of ultrasound in diagnosing a testicular lump Gemma and Her Dad (UTI and Color Blindness) -Accuracy of urine nitrates in correctly diagnosing UTI -Adhesive urine specimen collectors in children -Need to investigate children with UTIs -Does color blindness affect ability to drive? Simon Werston ( Gastro-Esophageal Reflux) -Barium studies compared to endoscopy in GERD -Likelihood of malignancy in GERD if no alarm features -Prokinetic agents without serious side effects INTERLUDE3 (The Police Station in Toronto) Jane Harris (Osteoarthritis of the Hip) -Success rate and complication rate of total hip replacement Mary Collier (COPD) -Use of steroids and theophylline in COPD Leonard Nelson (Color Blindness) -Usefulness of Ishihara charts in diagnosing color blindness Afterlude Appendix 1: Understanding the Evidence Tables Appendix 2: Glossary of Terms References
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How this classification was reachedexpand
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 | 0.005 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.004 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.002 | 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 itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
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".