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Record W4247621498 · doi:10.1093/pch/11.6.345

Case 1: First seizure in a new immigrant

2006· article· en· W4247621498 on OpenAlexaffabout
MD DTM FRCPC Jason Brophy, Jay Keystone

Bibliographic record

VenuePaediatrics & Child Health · 2006
Typearticle
Languageen
FieldMedicine
TopicEpilepsy research and treatment
Canadian institutionsToronto General HospitalHospital for Sick Children
Fundersnot available
KeywordsImmigrationMedicineEpilepsyPsychologyPsychiatryPolitical science

Abstract

fetched live from OpenAlex

A previously well 13-year-old girl presented to hospital with a right focal seizure involving the hand, mouth and eye, which progressed to a secondary, generalized, tonic-clonic seizure lasting 10 min. Subsequent to this, she suffered postictal confusion and a generalized headache. The patient had no other localized or constitutional symptoms. Her medical history included one hospital admission at one year of age for cellulitis. Born to Afghani and Pakistani parents, she was raised in New Delhi, India, and immigrated to Canada one year before her presentation. Her immunizations were updated on arrival in Canada. There were no known tuberculosis contacts or history of tuberculosis in her family. She took no medications, and had taken no over-the-counter or illicit drugs. She was seen initially in a community hospital, where her seizure was successfully controlled with a loading dose of intravenous phenytoin, and a computed tomography (CT) scan of her head revealed an enhancing lesion in the left frontal cortex. Accordingly, she was transferred to a tertiary care centre for neurosurgical assessment with a provisional diagnosis of central nervous system glioma. A further history revealed no risk factors for HIV, and no family history of vasculitis or thrombosis. Her physical examination and all bloodwork, including complete blood count, electrolytes and toxicology screen, were normal. Further investigations revealed the diagnosis.

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)0.000
metaresearch head score (Gemma)0.004
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.008
Threshold uncertainty score0.017

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.004
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.002
Science and technology studies0.0050.001
Scholarly communication0.0020.002
Open science0.0010.002
Research integrity0.0060.003
Insufficient payload (model declined to judge)0.0040.001

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 head0.017
GPT teacher head0.293
Teacher spread0.276 · 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.

The models applied no category: nothing in the taxonomy fit this work.
Study designCase report
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

Citations0
Published2006
Admission routes2
Has abstractyes

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