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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 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)0.001
metaresearch head score (Gemma)0.008
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: none
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.046
Threshold uncertainty score0.154

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.008
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.001
Scholarly communication0.0010.001
Open science0.0000.001
Research integrity0.0020.002
Insufficient payload (model declined to judge)0.0460.011

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 head0.100
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 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
GenreOther

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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