Unusual Intravenous Application of Insulin in a Case of Patient With Juvenile Diabetes and Subcutaneous Insulin Resistance
Bibliographic record
Abstract
A 44 years old female patient suffering from juvenile diabetes, showed a subcutaneous insulin resistance. Intravenous insulin application was the therapy of choice. Due to various problems of vascular access (mainly thrombosis and infectious problems) an arterio venous shunt was implemented as a last choice. Repeated puncture and insertion of common butterfly canule led to a gnarled transformation of the used vessel. The risk of thrombosis and failing of the vascular access was evident. In the absence of alternatives we tried injection systems for subcutaneous insulin application. The advantage of these systems is lower diameters and more flexible materials, suggesting higher biocompatibility. During this therapy the gnarled transformation decreased, the blood flow in the vascular shunt improved. The use of the small (subcutaneous) infusion systems for intravascular application of insulin showed that to be a save alternative in this case. doi:10.4021/jem85w
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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 | 0.004 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.004 | 0.004 |
| Insufficient payload (model declined to judge) | 0.002 | 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".