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Record W4232434409 · doi:10.1136/bmj.k2341

Dyspareunia

2018· article· nl· W4232434409 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueBMJ · 2018
Typearticle
Languagenl
FieldMedicine
TopicSexual function and dysfunction studies
Canadian institutionsSt. Thomas Hospital
Fundersnot available
KeywordsMedicineDistressPsychosexual developmentSexual intercourseVaginaGynecologyPsychologyPopulationSurgeryClinical psychologyDevelopmental psychology

Abstract

fetched live from OpenAlex

### What you need to know A 45 year old woman presents to her general practitioner with a five year history of painful sex. This had been so severe she has been unable to have intercourse for two years. She complains of being dry and tight, despite using oestrogen vaginal pessaries. She had one child 10 years ago, delivered by caesarean section. She recalled a midwife commenting her vagina was too small during labour. On further questioning she revealed that the problem had become much worse since her husband lost his job three years ago. She expresses concern about the toll this problem is taking on her marriage, and becomes tearful. Dyspareunia is a common but poorly understood problem affecting around 7.5% of sexually active women aged 16-74 years.1 It describes persistent or recurrent pain with attempted or complete vaginal entry or penile-vaginal intercourse.2 Understanding whether the pain is superficial or deep can help to identify its cause.3 Dyspareunia is most common in women aged 55-64 years (10.4%) and those aged 16-24 years (9.5%).1 It is an important and neglected area of female health,45 associated with substantial morbidity and distress. Box 1 includes some comments from women who have experienced the symptoms. Box 1 ### Patients’ accounts of dyspareunia Patients’ views collected from an urban psychosexual clinic to illustrate the impact of dyspareunia.RETURN TO TEXT

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.

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)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesInsufficient payload (model declined to judge)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.372
Threshold uncertainty score0.970

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
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)0.0310.127

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 head0.068
GPT teacher head0.364
Teacher spread0.295 · 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