“Que el alimento sea tu medicina”: el dilema de la falta de acceso a la terapia alimentaria en enfermedad celíaca
Bibliographic record
Abstract
Presentación del caso La enfermedad celíaca (EC) es la única patología autoinmune en la cual se conoce el principal desencadenante: el gluten.1 Es así que la adherencia a una estricta dieta libre de gluten (DLG) es esencial en las personas con EC para la recuperación de la mucosa intestinal, el alivio sintomático y la reducción del riesgo de complicaciones como anemia ferropénica, fracturas osteoporóticas y cáncer de intestino delgado.2 Sin embargo, el estricto cumplimiento de la DLG puede dificultarse debido a desafíos sociales y sobre todo por los altos costos de los alimentos libres de gluten.3 Estudios en diferentes poblaciones en Norte América y Europa reportan un costo entre 4 y 5 veces mayor en los alimentos libres de gluten comparado aquellos que contienen gluten.4 Esto es particularmente problemático para quienes dependen de estos alimentos para mantener su salud, como en el caso de la EC.
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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 | 0.005 | 0.009 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.008 |
| Scholarly communication | 0.006 | 0.006 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.006 | 0.005 |
| Insufficient payload (model declined to judge) | 0.007 | 0.001 |
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.
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".