Oedipism – case report and review
Bibliographic record
Abstract
PathoPhysiologyMental disorders can result in self-injurious behaviors.The term "self-mutilation" describes physical injuries inflicted by an individual to various parts of the body without any conscious intention for suicide.It occurs as a single event or as repeated incidents.Self-mutilations are classified into superficial(biting lips, chewing fingers, burning skin, pulling hairs/eyelashes), stereotypical (repetitive fixed behavior, commonly in institutionalized retards) and major (autocastration, head banging, wristslashing, self-enucleation) subtypes [1][2][3][4].We present the case of oedipism -the most dramatic self-inflicted eye trauma. Case rePortA 32-year-old man was brought by the ambulance to the Emergency Department with suspicion of self-enucleation.He was found at the bus-stop with a recent wound of the left orbit.Medical interview was difficult because he could answer clear only easy questions.All the time he was losing the plot, was distracted, answers for more complicated questions were inadequate.On medical interview he admitted that he had long time history of bipolar illness.Recently (troubles with the girl-friend) he had interrupted medical treatment.At the bus-stop the woman from the billboard had required him to gauge out his eye.Laboratory tests, computed tomography (CT) of the head and facial skeleton were per-formed.Urgent ophthalmological and neurological consultations were recommended.Laboratory tests, besides slight leukocytosis, were within normal limits.No alcohol in blood samples was found.CT imaging revealed small intracranial bleeding (small amount of blood was described in subarachnoid space and cerebral sulci of the temporal part, in cisterns of the base of the brain, in subtentorial reservoirs of the brain, along anterior surface of the brain bridge and medulla oblongata, in the 3 rd ventricle of the brain and along anterior part of the brain sickle) and slight cerebral oedema (temporal part).Orbital imaging unveiled at the left side: no eyeball and optic nerve, orbital emphysema, orbital fat with hematomas.No changes in orbital bones (Figure 1).Ophthalmological examination revealed: • right side: eyeball and orbit without any pathologies; • left side: lack of the eyeball.Rests of the tissues (conjunctiva, muscles), orbital fat and blood clot in the palpebral fissure.Slight tissue bleeding in orbit cavity.At the end of the examination it turned out that the patient had hidden the eyeball in his pocket (Figure 2).After neurological consultation angio-CT was performed: any aneurysms and stable cerebral changes were shown; patient didn't necessitate neurological intervention.Under general anesthesia the orbital wound was surgically dressed.Antibiotics were given intravenously.Follow-up CT did not reveal further changes.
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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 | 0.002 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.008 | 0.006 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.006 | 0.003 |
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".