Bibliographic record
Abstract
Maternal mental disorders are associated with adverse psychological outcomes in children in countries of low and middle income [1, 2]. Although we believe that Japan is not a poor country, there are some morbid pregnant women who are impoverished economically. Between 2009 and 2013, for example, at our hospital 226 (3.7%) of 6,119 pregnant women could not give birth without financial support from the hospitalization assistance policy (HAP) system by the Japanese Child Welfare Government. The HAP system aids their delivery costs. The main objectives of the HAP system are to help pregnant women who: 1) receive the livelihood protection because they are unable to maintain minimum living standards because of poverty, 2) live in households exempt from the residence tax, and 3) live in households in which the income tax is less than ¥8,400 (about 80 US dollars) per year. In the women without economic problems, 84 women (1.4%) were diagnosed as having mental disorders such as schizophrenia and/or depression requiring medications before or during pregnancy; however, 16 women (7.1%, P < 0.01 by Chi-square test) were diagnosed as having the mental disorders in women under the HAP system. During the pregnancy, in the 84 women of normal economic state, 19 women (22.6%, P < 0.01 by Chi-square test) performed self-interruption of medications and 15 women (17.9%) had the worsening of symptoms; however, in the 16 pregnant women with mental disorders under the HAP system, 10 women (62.5%) performed self-interruption of medications and seven women (43.8%, P = 0.02 by Chi-square test) had the worsening of symptoms. Women with mental disorders sometimes perform self-interruption of medications during pregnancy, and then the selfinterruption of medications sometimes deteriorates their state of mental disorders. They seemed to misunderstand that the medication leads to the adverse outcomes of pregnancy. In addition, the pregnant women impoverished economically may be liable to be as follows: 1) they have often received low education leading to their misunderstanding about the influence of medications on their pregnancies because their parents had been also poor; 2) there may be large time and/or economic burdens in their visiting of psychiatric and obstetrics; and 3) the stress of pregnancy may be easy to hunt down their psychological status because there is no room in their life. These may become negative chains in their lives and these may lead to the poverty and adverse psychological outcomes of their children. The Japanese HAP system aids their delivery costs only. Therefore, in Japan the proper education and sufficient financial support are needed for pregnant women who are impoverished economically to prevent the deterioration of their mental status during pregnancy.
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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 | 0.001 |
| 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 | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
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.
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".