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Record W4255262629 · doi:10.15353/cjo.v82i4.1350

Malignant Hypertension

2020· article· en· W4255262629 on OpenAlexvenueno aff
Emily Rose Carr

Bibliographic record

VenueCanadian journal of optometry/CJO. Canadian journal of optometry · 2020
Typearticle
Languageen
FieldMedicine
TopicRetinal Imaging and Analysis
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineVisual acuityFundus (uterus)RetinopathyOphthalmologyVisual fieldDiabetic retinopathyRetinalHypertensive retinopathyOptometryVisual impairmentDiseaseDiabetes mellitusInternal medicine

Abstract

fetched live from OpenAlex

Abstract: Case review follows a 49-year-old patient with malignant hypertension with retinopathy and resultant visual decline. Case Report: Severely uncontrolled hypertension manifested as malignant hypertensive retinopathy. The patient presented with substantial retinal and visual changes and was monitored over 6 months. While the patient experienced marked improvement in visual acuity, significant retinal damage occurred and the patient experienced persistent qualitative vision and visual field loss. Discussion: Observed fundus changes are consistent with advanced risk for morbidity and mortality associated with hypertension. Management of systemic disease is a critical step in reversing retinal manifestations and minimizing the risk for permanent vision loss. The criticality of systemic treatment also applies to lowed risk for systemic vascular events that may compromise quality of life. This case demonstrates that improvement in Snellen acuity does not always parallel functional visual improvement. Eye care providers managing these cases should consider both systemic risks and visual outcome.

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)0.001
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient 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 score0.033
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0070.005
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0010.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0010.000

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 head0.024
GPT teacher head0.301
Teacher spread0.277 · 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

Citations0
Published2020
Admission routes1
Has abstractyes

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