A Pleuroperitoneal Shunt for Interactive Pleural Effusions With Yellow Nail Syndrome
Bibliographic record
Abstract
Yellow nail syndrome is a relatively rare disease that is characterized by yellow nail, lymphedema and pleural effusion. These symptoms occur to various degrees, but occasionally pleural effusions are interactive and can become life-threatening. We report the case of a 15-year-old girl with yellow nail syndrome with interactive bilateral pleural effusions who was treated with pleuroperitoneal shunting. Drainage from the pleural cavity to the peritoneal cavity improved oxygenation and permitted removal of bilateral chest tubes that had been inserted for long term relief. We discuss the benefits and difficulties of this procedure and define the characteristics of patients with yellow nail syndrome who were treated with pleuroperitoneal shunt for pleural effusions, based on a literature review. The procedure may be an alternative rescue strategy for patients with interactive pleural effusions. doi:10.4021/jmc202w
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| 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 teacher head, 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".