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Record W2046301793 · doi:10.12968/bjom.2012.20.7.493

The impact of a clinical practice guideline on infants with neonatal abstinence syndrome

2012· article· en· W2046301793 on OpenAlex
Jodie Murphy-Oikonen, William Montelpare, Larry Bertoldo, Sarah Southon, Nancy Persichino

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.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueBritish Journal of Midwifery · 2012
Typearticle
Languageen
FieldMedicine
TopicPrenatal Substance Exposure Effects
Canadian institutionsUniversity of AlbertaThunder Bay Regional Health Sciences Centre
Fundersnot available
KeywordsMedicineGuidelinePediatricsPregnancyRetrospective cohort studyWeaningAbstinenceChecklistClinical PracticeIntervention (counseling)CohortPhenobarbitalObstetricsEmergency medicinePhysical therapyInternal medicineNursingPsychiatry

Abstract

fetched live from OpenAlex

Objectives: to evaluate the effectiveness of a clinical practice guideline (CPG) on increasing identification of neonates with neonatal abstinence syndrome (NAS) symptoms based on a toxicology screening protocol, decreasing the mean NAS score for neonates and, decreasing the average length of hospital admission, based on standardised treatment and weaning protocol of morphine or phenobarbital. Methods: A retrospective cohort comparison design compared hospital record data from neonates born in the 6 months prior to, and neonates born in the 6 months following the implementation of the CPG. Results: In addition to the significant decrease in the overall average NAS score, there was also a significant difference in the number of measures taken over time between the two groups. Similarly, the change in CPG led to a significant overall reduction in length of hospital stay among the post-intervention neonates. Conclusion: A high proportion of neonates born to opiate-using pregnant women develop the withdrawal condition known as NAS. This study was successful in describing the benefit of implementing new CPG for managing neonates identified with NAS, and mothers suspected of using substances during their pregnancy.

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)0.004
metaresearch head score (Gemma)0.010
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.574
Threshold uncertainty score0.998

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.010
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

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 head0.021
GPT teacher head0.363
Teacher spread0.342 · 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