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Record W3089529666 · doi:10.1136/bmj.m3550

Giving oral medicines and supplements to children

2020· article· en· W3089529666 on OpenAlexaff
Deonne Dersch‐Mills, Bonnie J. Kaplan

Bibliographic record

VenueBMJ · 2020
Typearticle
Languageen
FieldMedicine
TopicPharmaceutical studies and practices
Canadian institutionsUniversity of CalgaryAlberta Health Services
Fundersnot available
KeywordsCompoundingMedicinePillPharmacyAlternative medicineFamily medicinePediatricsTraditional medicinePharmacology

Abstract

fetched live from OpenAlex

### What you need to know A 6 year old boy undergoing treatment for acute myelogenous leukaemia is discharged from hospital to continue treatment from home. He is unable to swallow tablets or capsules and so must use compounded liquid formulations, some of which have only seven day stability. His family live in a remote area, two hours’ drive to the nearest compounding pharmacy. They bring a cooler every week when they drive to obtain medication refills because the medications must be refrigerated at all times. The medications are unpalatable, and his parents are spending up to three hours three times a day, every day, trying to give him his medication. Giving medications to children who cannot yet swallow tablets or capsules (hereafter referred to collectively as “pills”) is a common problem without a universal solution. Frequently, parents, clinicians, and pharmacists attempt to crush tablets, empty capsules into food, search for alternative dosage forms, or find a different medicine altogether. Unfortunately, finding alternative formulations that children will accept can be challenging. Oral liquid formulations are sometimes a viable solution, but many oral liquid preparations are not commercially available, can be difficult to measure and dose correctly, or may …

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)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.462
Threshold uncertainty score0.557

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

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 head0.100
GPT teacher head0.440
Teacher spread0.340 · 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 teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEmpirical

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

Citations4
Published2020
Admission routes1
Has abstractyes

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