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Learnings from a rapid spread of COVID-19 in a suburban Canadian hospital

2023· article· en· W4411630343 on OpenAlex

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.

venuePublished in a venue whose home country is Canada.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueCanadian Journal of Infection Control · 2023
Typearticle
Languageen
FieldMedicine
TopicEmergency and Acute Care Studies
Canadian institutionsnot available
Fundersnot available
KeywordsCoronavirus disease 2019 (COVID-19)2019-20 coronavirus outbreakGeographySevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)VirologyMedicineOutbreakInternal medicineInfectious disease (medical specialty)

Abstract

fetched live from OpenAlex

Background: This study describes a SARS-CoV-2 outbreak which was declared in a community hospital, and discusses the lessons learned that could inform future outbreak prevention and control efforts. Methods: The outbreak took place from September 16, 2020 to October 26, 2020 when COVID-19 incidence in the community was low and the COVID-19 vaccine was not yet available. Epidemiological data, patient clinical information, and whole genome sequencing were utilized for the outbreak investigation and analysis. Results: The index case was a patient whose positive status was unknown to staff and whose symptoms on admission did not fit the screening criteria at the time. A total of 19 patients were linked to the outbreak during the study period, with an attack rate of 29%. All-cause mortality for patient cases was 37%. Whole genome sequencing confirmed genetic relatedness of all patient cases. Conclusion: Vigilance for atypical clinical presentation, strategic patient cohorting, and minimizing movement of positive and exposed patients may help limit transmission. Whole genome sequencing can supplement epidemiological data to inform outbreak investigations.

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)0.000
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.151
Threshold uncertainty score0.788

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.002
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)0.0010.000

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 head0.012
GPT teacher head0.256
Teacher spread0.244 · 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