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Record W4387653926 · doi:10.33844/cjm.2023.6031

A Case Study of Eliminating Urinary Tract Infections for an Elderly Woman with Frequent Recurring UTIs

2023· article· en· W4387653926 on OpenAlex
Richard Burns

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
venuePublished in a venue whose home country is Canada.

Bibliographic record

VenueCanadian Journal of Medicine · 2023
Typearticle
Languageen
FieldMedicine
TopicPelvic floor disorders treatments
Canadian institutionsQueen's University
Fundersnot available
KeywordsMedicineShowerMorningUrinary systemUrge incontinenceUrinary incontinenceSurgeryInternal medicine

Abstract

fetched live from OpenAlex

This case study concerns an 84-year-old woman who suffered three UTIs in quick succession after not having had one in over a year. Rather than dealing with these infections once they appeared, it was decided to try and determine what was causing them and then treat this cause. The patient had an over-active bladder and wore incontinence protection to bed at night. One possible cause was infection that could develop from the patient sleeping in soiled incontinence protection. The patient was instructed to shower before going to bed at night and upon arising in the morning. Once this routine was established, the UTIs disappeared. At this writing, the patient has not had a UTI for six months. This success suggests the importance of incontinent women washing before bed and after waking up. For bed ridden patients, or patients in long-term care facilities where daily showers are not possible, perhaps using wet wipes after each bowel movement will also prevent UTIs from occurring.

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.

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)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.426
Threshold uncertainty score0.985

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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 head0.055
GPT teacher head0.328
Teacher spread0.273 · 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