Perioperative Care of an Infant With Wolf-Hirschhorn Syndrome: Is There a Risk of Malignant Hyperthermia
Bibliographic record
Abstract
Wolf-Hirschhorn (WH) syndrome is a rare chromosomal abnormality with deletion of the short arm of chromosome 4. Associated clinical signs and symptoms of the condition include intrauterine growth restriction, severe psychomotor retardation, failure to thrive, characteristic facial features, profound developmental delays, seizures, and various congenital midline fusion anomalies. Given the associated congenital anomalies, anesthetic care may be required for various surgical interventions. We report a 3-month-old girl with WH syndrome scheduled for gastrostomy tube placement. Previous reports of anesthetic care for such patients are reviewed and potential perioperative concerns are discussed. J Med Cases. 2016;7(4):126-129 doi: http://dx.doi.org/10.14740/jmc2418w
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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 | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 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 | 0.000 |
| 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 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".