Cellular effects of ventilator-induced lung injury
Bibliographic record
Abstract
Patients with acute respiratory distress syndrome or acute lung injury often have a number of risk factors that increase the lung’s susceptibility to injury by mechanical ventilation and that also decrease the lung’s ability to repair the damage incurred. Mechanical ventilation may worsen lung injury by physical force as a result of regional lung overdistension or regional lung shear forces generated during receptive opening and collapse of lungs. The structural disruption caused by ventilation can lead to release of inflammatory mediators, and ventilation per se may also directly activate effector cells to release mediators, resulting in systemic inflammation. Recent clinical studies suggest that lung-protective ventilatory strategies can reduce the incidence of ventilator-induced lung injury, resulting in a decrease in mortality. Monitoring of dynamic pressure-time curve during constant inflation may help to predict and minimize ventilator-induced lung injury. Pharmacologic interventions blocking the release of mediators from effector cells and inhibiting the activity of mediators have also shown promise in animal studies.
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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 | 0.000 |
| 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 | 0.001 |
| 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".