Oligomeganephronia in an Adult Presenting With Features of Chronic Kidney Disease
Bibliographic record
Abstract
We report the case of a 29-year-old man with oligomeganephronia (OMN) who presented with symptoms of chronic kidney disease (CKD). Radiological and ultrasound images showed bilateral mildly small and uneven kidneys. Right renal biopsy was performed. Under light microscopy, the number of glomeruli in histological samples was decreased and the remaining glomeruli were markedly enlarged without mesangial proliferation. The obsolescent glomeruli had findings compatible with segmental sclerosis. Tubules were dilated and enlarged, and there was a presumptive primitive duct enclosed by a smooth muscle collar. Dysplastic changes in the biopsy specimen suggested that the cause of the patient’s small kidneys was a congenital anomaly rather than acquired kidney disease. OMN is one of the probable causes of CKD in adults. Angiotensin type II receptor blockers may be an effective treatment for focal segmental glomerulosclerosis due to OMN. J Med Cases. 2015;6(8):362-366 doi: https://doi.org/10.14740/jmc2212w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot 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.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".