Negative pressure wound therapy promoted healing of diabetic foot ulcers more than advanced moist wound therapyCommentary
Bibliographic record
Abstract
P A Blume Dr P A Blume, North American Center for Limb Preservation, New Haven, CT, USA; peter.b@snet.net Is negative pressure wound therapy (NPWT) using vacuum-assisted closure more effective than advanced moist wound therapy (AMWT) for diabetic foot ulcers? ### Design: randomised controlled trial. ### Allocation: concealed. ### Blinding: unblinded. ### Follow-up period: 16 weeks (efficacy) and 26 weeks (safety). ### Setting: 29 diabetic foot and wound clinics in the USA and Canada. Treatment occurred mainly at home (92% of treatment days). ### Patients: 341 patients ⩾18 years of age (mean age 58 y, 79% men) with adequately controlled diabetes who had a stage 2 or 3 calcaneal, dorsal, or plantar foot ulcer ⩾2 cm2 in area after debridement and adequate lower extremity perfusion. Exclusion criteria included active Charcot disease, collagen vascular disease, ulcer …
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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 | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.000 | 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".