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Record W4241989519 · doi:10.1093/qjmed/hcl126

Response

2006· article· en· W4241989519 on OpenAlexaff
M.L. Halperin, K.S. Kamel

Bibliographic record

VenueQJM · 2006
Typearticle
Languageen
FieldMedicine
TopicRenal function and acid-base balance
Canadian institutionsUniversity of TorontoSt. Michael's Hospital
Fundersnot available
KeywordsComputer science

Abstract

fetched live from OpenAlex

Sir, We thank Dr Rosival for his interesting comments. It is true that important authorities, such as those he cited, do state that a low pH in arterial blood can lead to a decreased level of consciousness. Nevertheless, one must ask: ‘What is the compelling evidence to believe that this is ‘cause-and-effect’, rather than an association’. Paraphrasing Beveridge, 1 one can never prove anything to be correct experimentally. Rather the scientific principle is that one ‘flawless’ experiment with an ‘ugly fact’ will disprove a ‘beautiful hypothesis’, even if the association is observed in many situations’. In this context, since the blood pH can fall below 7.0 during a sprint 2 while there is no obvious ‘deterioration in CNS status’, these data are not consistent with a direct linkage between a decreased level of consciousness and a very low blood pH. Our impression is that a decrease in CNS function may be seen when metabolic acidosis is accompanied by a low ECF volume with poor haemodynamics. 3 The essence of the argument is as follows. While it may seem obvious that the severity of the metabolic acidosis (indicated by how low the concentration of in plasma was) is the most important determinant of the H + load to be removed by the brain, the novel features of the bicarbonate buffer system described in reference 3 prompts us now to think otherwise.

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 score0.454
Threshold uncertainty score0.787

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)0.0000.001

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 head0.007
GPT teacher head0.246
Teacher spread0.239 · 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

Citations1
Published2006
Admission routes1
Has abstractyes

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