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Record W4246878350 · doi:10.1016/j.ijid.2016.02.089

Rabies encephalitis

2016· article· en· W4246878350 on OpenAlexaff
Andora Jackson

Bibliographic record

VenueInternational Journal of Infectious Diseases · 2016
Typearticle
Languageen
FieldImmunology and Microbiology
TopicRabies epidemiology and control
Canadian institutionsUniversity of Manitoba
Fundersnot available
KeywordsRabiesRabies virusMedicineVirologyVaccinationLyssavirusEncephalitisVirusImmunologyRhabdoviridae

Abstract

fetched live from OpenAlex

Abstract: Rabies is an acute infection of the nervous system in human and animals caused by rabies virus. Transmission usually occurs via a bite of an infected animal; transmission via aerosols and by tissue or organ transplantation are rare. Worldwide, endemic dog rabies is responsible for the vast majority of human cases, particularly in Asia and Africa. There are about 60,000 fatal human cases annually, and almost half are in children. Dog rabies can become well controlled by mass vaccination of dogs, which has proved to be very successful in Latin America. However, dog rabies remains uncontrolled in Asia and Africa. Rabies can be very effectively prevented after recognized exposures in humans by wound cleansing and active and passive immunization with rabies vaccine and rabies immune globulin, respectively. Human rabies has characteristic clinical features, including hydrophobia, and there are both encephalitic and paralytic forms of disease with progressive illness to death. Antemortem diagnostic laboratory tests include detection of rabies virus RNA (by reverse transcription - polymerase chain reaction amplification) in saliva or skin biopsies, rabies virus antigen detection in skin biopsies, and/or detection of neutralizing anti-rabies virus antibodies in serum and cerebrospinal fluid. When patients are treated aggressively in critical care units, there often are cardiac and/or respiratory complications and progression to multisystem organ dysfunction. Rabies is virtually always fatal and most survivors have received one or more doses of rabies vaccine prior to the onset of their clinical illness. There is no established effective therapy for rabies. The Milwaukee protocol, which includes therapeutic coma, lacks a clear scientific rationale and has proven to be ineffective and should no longer be used for the management of human rabies. Our understanding of basic mechanisms involved in the pathogenesis of rabies are quite limited and have proven to be an important barrier for the development of novel therapeutic approaches for the disease. There is recent evidence that rabies virus induces mitochondrial dysfunction in infected cells, which results in oxidative stress due to generation of reactive oxygen species and neuronal injury. This advance may lead to new approaches to the therapy of rabies.

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)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.270
Threshold uncertainty score0.999

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)0.0020.000

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 head0.006
GPT teacher head0.254
Teacher spread0.248 · 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.

Study designObservational
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
Published2016
Admission routes1
Has abstractyes

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