Hospitalización domiciliaria de adolescentes con anorexia nerviosa.
Bibliographic record
Abstract
Introduction: Hospitalization is a necesary treatment in a severe course anorexia nervosa. Nevertheless a significant % of anoretic teenagers can be treated at home, since comorbidity is less frecuent. There is a lot of families willing to try. A clear, detailed treatment plan seems necessary. Hypothesis: Inpatient treatment is necessary in AN. Many AN teenagers can be treated at home. The programme (HCH) is effective. The HCH is cheaper and less traumatic. There are some parents good enough. Objectives: HCC: a ehavioural and familial programme of wich aims are: The recovery of a BMI compatible with outpatient treatment. The introduction of a regular meals pattern. The removal of those social interactions with contribute to the maintenance of the problem. Inclusion criteria: Anorexia nervosa, first episode. EDNOS with rapid weight loss. “Motivated” patients. The patient and her family accept the programme. Parents are being able to cope. BMI more than 14 or –1.5 SD.No suicidal risk. No comorbidity. No cardiological or medical risk. Five steps programme: Cut off mainteinance factors. 0 privilege: complet rest, refeeding I and not bathroom. Refeeding II. Inmediate reinforce (shower, telefone, games, TV). Refeeding III. Inmediate and delayed reinforce (visits, strolls, study) Refeeding IV. Partial return to school. Refeeding V. School and social activities. Progressive refeeding: Increasing refeeding along the programme with increasing caloric intake. Assisted eating: the parents help to eat, to serve dinner, to wait at table, to keep time. Give emotional support during meals and after eating. Working with families: Information to the patient and the parents about the characteristics, significance and consequences of the illness an managment of treatment. Parents organization to cope the ilness. To stay with the patient in order to: help to reffeding; help to rest; help to cope anxiety; to care the ill daughter. To encourage the patient to quit off the illness. Avoid criticism and false atribution. Objectives: Assess “Alexithymia” as a variable in patients with dysthymia. Material and Methods: Alexithymia Toronto Scale 20-items (TAS-20) and Zung`s Self-Rating Depression Scale (SDS) applied to 30 subjects. Mean (X), standard deviation (SD), positive cases percentage (%), Kolmogorov-Smirnov test, t-Student test accepting p ). Depression in dysthymic disorders and alexithymia showed a positive lineal correlation, r=+0.62. Conclusions: Dysthymia shows increased alexithymia.
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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) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.009 | 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".