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Clinical Vistas: Generalized peritonitis

2002· article· en· W37795550 on OpenAlexvenueaboutno aff
Henry D. Hildebrand

Bibliographic record

VenueCanadian Medical Association Journal · 2002
Typearticle
Languageen
FieldMedicine
TopicGastrointestinal disorders and treatments
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineLaparotomyVomitingAbdomenMeckel's diverticulumSurgeryNauseaDiverticulum (mollusc)PeritonitisAbdominal painAppendicitisPhysical examinationGeneral surgeryRectal examinationAcute abdomenInternal medicine

Abstract

fetched live from OpenAlex

A 16-year-old girl who was 4 months pregnant was seen at a hospital in Kenya. She presented with a 3-day history of abdominal pain, nausea and vomiting. Examination revealed a visibly ill young woman with a somewhat distended and generally tender, silent abdomen; the size of the uterus was normal for the stage of gestation. The laboratory work and clinical picture were indicative of generalized peritonitis. At laparotomy the abdomen was filled with purulent fluid. The pelvic organs (aside from the 4-month pregnancy), stomach, duodenum and appendix were unremarkable. Examination of the small bowel revealed a perforated Meckel's diverticulum, which was resected. On opening the resected specimen, a neatly curled and viable ascaris (roundworm) was found within the diverticulum. The patient received broad-spectrum antibiotics and antihelminthic treatment and made an uneventful postoperative recovery. H.D. Hildebrand Emeritus Clinical Professor of Surgery University of British Columbia Vancouver, BC

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)0.000
metaresearch head score (Gemma)0.002
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.009
Threshold uncertainty score0.029

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.002
Meta-epidemiology (narrow)0.0020.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0010.001
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0090.001

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 head0.021
GPT teacher head0.289
Teacher spread0.268 · 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 designCase report
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

Citations3
Published2002
Admission routes2
Has abstractyes

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