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Record W4246285559 · doi:10.3899/jrheum.090247

Great Expectations

2009· letter· en· W4246285559 on OpenAlexvenueno aff
Eugene J. Carragee

Bibliographic record

VenueThe Journal of Rheumatology · 2009
Typeletter
Languageen
FieldMedicine
TopicMusculoskeletal pain and rehabilitation
Canadian institutionsnot available
Fundersnot available
KeywordsWhiplashMedicineCervical spineNeck painInjury preventionPoison controlPhysical medicine and rehabilitationMedical emergencySurgeryPathology

Abstract

fetched live from OpenAlex

> Midway upon the journey of our life, > > I found myself within a forest dark, > > For the straightforward path had been lost. > > — The Inferno , Dante Alighieri Commonly after motor-vehicle accidents (MVA), most people are physically fine. Of course, many are reasonably shaken by the prospect of thousands of pounds of metal colliding around their bodies and souls; still, in the absence of fractures, joint disruption, or serious visceral injury, most people walk or drive away, down life’s straightforward path, and the events have little lasting influence. But there are exceptions. The phenomenon of persistent and disabling neck pain after MVA — without serious demonstrable structural injury — has been extensively studied but remains a mysterious process. The incidence of compensation claims and emergency department visits for reported whiplash associated disorders (WAD) has inexorably risen over the past 30 years, despite apparent improvements in motor vehicle safety design. Similarly, despite the apparent better health and resilience in young people, there is evidence that younger people are up to 4 times as likely to file insurance claims or seek treatment after whiplash exposure. Further, the presence of degenerative changes in the cervical spine has, counter-intuitively, not been shown to predispose to increased problems after WAD exposure1. Remarkably, the “usual suspects” that determine most musculoskeletal injury after trauma (force of impact, ligamentous and osseous loads, stabilizing mechanisms, etc.) do not appear to strongly predict eventual WAD problems. Specifically, head restraints, direction of impact, position of the head, awareness of impending impact, the presence of tow bars on bumpers, and so on, all have little if any proven effect on developing WAD problems. And most … Address reprint requests to Dr. Carragee. E-mail: ecarragee{at}mac.com

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)0.004
metaresearch head score (Gemma)0.020
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: none
Teacher disagreement score0.471
Threshold uncertainty score0.754

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0040.020
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0040.003
Scholarly communication0.0110.006
Open science0.0020.007
Research integrity0.0040.005
Insufficient payload (model declined to judge)0.4710.318

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 head0.013
GPT teacher head0.278
Teacher spread0.265 · 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.

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

Citations7
Published2009
Admission routes1
Has abstractyes

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