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Record W4241507161 · doi:10.3899/jrheum.171430

Drs. Aggarwal and Oddis reply

2018· letter· en· W4241507161 on OpenAlexvenueno aff
Rohit Aggarwal, Chester V. Oddis

Bibliographic record

VenueThe Journal of Rheumatology · 2018
Typeletter
Languageen
FieldMedicine
TopicIgG4-Related and Inflammatory Diseases
Canadian institutionsnot available
FundersUniversity of Pittsburgh
KeywordsAntisynthetase syndromeAutoantibodyMedicineAnti-nuclear antibodyRheumatologyAutoimmunityMyositisImmunologyPulmonologistInterstitial lung diseaseAntibodyInternal medicineLungIntensive care medicine

Abstract

fetched live from OpenAlex

We appreciate the feedback from Fritzler, et al 1, on our article “A Negative Antinuclear Antibody Does Not Indicate Autoantibody Negativity in Myositis: Role of Anticytoplasmic Antibody as a Screening Test for Antisynthetase Syndrome,” published in The Journal 2. Our primary goal was to simply call attention to the many clinical laboratories in the United States that will report a negative antinuclear antibody (ANA) and not report the presence of cytoplasmic staining, which could indicate the presence of an antisynthetase autoantibody. This indeed may be in the setting of other commercial autoantibodies (i.e., rheumatoid factor, antineutrophil cytoplasmic antibodies, etc.) also being reported as negative. The clinical correlate of this is that the patient with the antisynthetase syndrome (particularly those with non-Jo1 autoantibodies) may not fully manifest the entire clinical spectrum of the antisynthetase syndrome but could certainly present with lung dominant disease. Thus, when autoantibody testing is ordered on this subset of patients, there is the possibility that the report yields a “negative” ANA. This forme fruste of autoimmune interstitial lung … Address correspondence to Dr. R. Aggarwal, UPMC Arthritis and Autoimmunity Center, Division of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh, 3601 Fifth Ave., Suite 2B, Pittsburgh, Pennsylvania 15213, USA. E-mail: aggarwalr{at}upmc.edu

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: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.269
Threshold uncertainty score0.825

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0000.000

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 head0.010
GPT teacher head0.241
Teacher spread0.231 · 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
GenreCommentary

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

Citations2
Published2018
Admission routes1
Has abstractyes

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