Effect of Acupuncture on Postoperative Adhesive Intestinal Obstruction
Bibliographic record
Abstract
Adhesive intestinal obstruction (AIO) is a common complication following abdominal or pelvic surgery. However, surgical adhesiolysis to treat AIO is associated with a high rate of recurrence, and thus the clinical management of AIO is challenging. Here we describe the successful treatment of a woman with AIO using acupuncture. A 49-year-old housewife arrived at our clinic in January 2006 complaining of nausea, vomiting, cramping abdominal pain and obstipation. Initial examination showed a distended abdomen that was tender and tympanic on percussion. Hyperactive and high-pitched bowel sounds were audible on auscultation. A midline laparotomy scar and gridiron scar were present on her abdomen (figure 1). Figure 1 Midline laparotomy scar and gridiron scar on the patient's abdomen. The patient had undergone an open appendicectomy for acute appendicitis in 1995 and had experienced intermittent diffuse abdominal pain, nausea, vomiting and constipation after the operation, requiring several attendances at the emergency department. In March 1999 she was readmitted to the hospital to undergo surgical adhesiolysis after an episode of AIO. Between March 2003 and September 2004, she experienced five …
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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 | 0.001 |
| 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 | 0.001 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 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 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".