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Record W2074824638 · doi:10.14740/jcgo.v3i2.252

Antenatal Corticosteroid Administration at a Japanese Hospital

2014· article· en· W2074824638 on OpenAlexvenueno aff
Shunji Suzuki

Bibliographic record

VenueJournal of Clinical Gynecology and Obstetrics · 2014
Typearticle
Languageen
FieldMedicine
TopicNeonatal Respiratory Health Research
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineOdds ratioGestationConfidence intervalObstetricsPediatricsEmergency medicinePregnancyInternal medicine

Abstract

fetched live from OpenAlex

According to a report concerning the antenatal corticosteroid (ACS) administration rate among eligible patients who delivered from 24 34 weeks of gestation at a tertiary center in the United States in 2014, 81.3% of them received at least 1 dose of ACS [1]. This rate may be higher than the average ACS administration rate in Japan (about 51% in 2011) [2]. For example, in my institution, one of the major perinatal centers in Tokyo, Japan, only 60 in 135 patients (44%) who delivered from 24 32 weeks of gestation received at least 1 dose of ACS in 2008 2010. The difference in the ACS administration rates between Japan and the United States may be due to the differences in the perinatal care system. In Japan, about half of all pregnancies and deliveries are managed at private clinics without neonatologists; patients with a risk of preterm birth managed at private clinics need to be transported to perinatal centers. There may be some cases of delayed transport leading to a decreased time period for ACS administration at perinatal centers. In my institution, the ACS administration rate (27%: 21 in 79 cases) in cases following transport from private clinics was significantly lower than that in those managed in-house (70%: 39 in 56 cases, odds ratio 0.16, 95% confidence interval 0.07 0.34, P < 0.01 by the Chi-square test). Therefore, in Japan the early transport of patients at risk of preterm delivery from private clinics to perinatal centers may improve the ACS administration rate.

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.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.022
Threshold uncertainty score0.044

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0040.001

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.

Opus teacher head0.062
GPT teacher head0.419
Teacher spread0.357 · 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

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2014
Admission routes1
Has abstractyes

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