Bone Mineral Density After Burn Injury and Its Relation to the Characteristics of Scar Tissue
Bibliographic record
Abstract
Burn injuries are associated with the negative effects on the musculoskeletal system and are important causes of severe disabilities. The aim of this study was to evaluate bone mineral density (BMD), bone turnover markers, and 25(OH) vitamin D levels in male patients with sustained at least 1 year postburns involving more than 30% of the TBSA in comparison to a control group and evaluate the relation between the characteristics of scar tissue and BMD and 25(OH) vitamin D levels. The study included 25 male patients who previously sustained burn injuries involving more than 30% of the TBSA and 20 healthy subjects as the control group. The burn scars were assessed using the Modified Vancouver Scar Scale Score (MVSSS). BMD at the lumbar spine and femoral neck were measured. The blood tests included calcium, phosphorus, bone-specific alkaline phosphatase, thyroid stimulating hormone, parathyroid hormone, 25(OH) vitamin D, osteocalcin, and β-isomerized form C-terminal telopeptide of type I collagen. The femoral neck z score and bone mass density values, 25(OH) vitamin D3, and bone-specific ALP were significantly lower in injured compared with the control group. There was a negative correlation between MVSSS and vitamin D levels. Femoral bone loss should be taken into consideration in patients who sustain burn injuries and preventive treatment strategies must be adopted in the early treatment of burn injuries. Particularly in patients with high MVSSS should be evaluated for possible vitamin D deficiency during the long term.
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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 | 0.002 | 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 | 0.000 | 0.001 |
| 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".