Effect of AAP Statement Regarding Postnatal Corticosteroids on Ongoing and Future Randomized, Controlled Trials
Bibliographic record
Abstract
To the Editor .— This February the Committee on Fetus and Newborn of the American Academy of Pediatrics (AAP) and the Fetus and Newborn Committee of the Canadian Paediatric Society (CPS) advised, among other recommendations, that the postnatal use of systemic dexamethasone for the prevention or treatment of chronic lung disease should be limited to randomized, controlled trials with survival without long-term developmental impairments as the major endpoint.1 This past June, Halliday, commenting on the early use of dexamethasone, repeated the statements of the AAP and the CPS, and specifically recommended the DART study.2 The DART study is recruiting infants of either <1000 g birth weight or <28 weeks’ gestation who are ventilator-dependent after …
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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 | 0.105 | 0.295 |
| Meta-epidemiology (narrow) | 0.002 | 0.002 |
| Meta-epidemiology (broad) | 0.004 | 0.004 |
| Bibliometrics | 0.002 | 0.003 |
| Science and technology studies | 0.003 | 0.004 |
| Scholarly communication | 0.007 | 0.004 |
| Open science | 0.005 | 0.001 |
| Research integrity | 0.047 | 0.029 |
| Insufficient payload (model declined to judge) | 0.008 | 0.007 |
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".