P43Endocardial fibroelastosis associated with nonimmune hydrops fetalis – case report
Bibliographic record
Abstract
Over 30% of cases with nonimmune hidrops fetalis remain with idiopathic etiology. In cases with known origin, cardiovascular failure is on the first place with over 20%. We report case of 29‐year‐old primigravida, no previous risk factors, 32 second week of gestation. At her first admit to our Hospital, ultrasound examination (performed on SIEMENS Sonoline Versa Pro, 3.5 MHz abdominal probe) revealed obvious signs of severe nonimmune hidrops fetalis: ascites, hepatosplenomegaly, cardiomegaly, pleural and pericard effusion. Prenatal evaluation excludes immune, chromosomal, diabetic, urinary, gastrointestinal, metabolic origin and infection. As there was obvious sign of extreme fetal tahicardia, over 230 hbpm, we conclude that cardiovascular etiology is the main in patogenesis. Because we can not find any big cardiac anomaly, we tried to menage this condition with intravenous administration of digoxin to the mother. Unfortunately, after 3 days there was no proper answer of the therapy and baby died in utero after extreme tahiarithmia, 250 hbpm. Autopsy report maintain our prenatal diagnosis – endocardial fibroelastosis. The conclusion is that early diagnosis and proper investigations in corresponding institution are very important for menagement of nonimmune hydrops fetalis.
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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 | 0.003 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.004 | 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".