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Record W2515486716 · doi:10.5334/jbr-btr.905

Post Caesarean Ogilvie’s Syndrome

2016· article· en· W2515486716 on OpenAlex
Aurore Margot, Hamoir Xavier

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueJournal of the Belgian Society of Radiology · 2016
Typearticle
Languageen
FieldMedicine
TopicIntestinal Malrotation and Obstruction Disorders
Canadian institutionsHôpital Notre-Dame
Fundersnot available
KeywordsMedicineBloatingAscending colonColonoscopySigmoid colonDescending colonDistensionTransverse colonPneumoperitoneumLumen (anatomy)Abdominal distensionAbdominal painSurgeryGastroenterologyInternal medicineRectumLaparoscopyColorectal cancer

Abstract

fetched live from OpenAlex

A 35-year-old woman underwent a caesarean at 39 weeks and 6 days of her pregnancy. The operation was done without complications. Over the next days, the patient complained about abdominal bloating and nausea. Clinical examination noted a decrease in peristalsis. The biological analysis showed an inflammatory syndrome with a C-Reactive Protein (CRP) level of 143 mg/L and hyperneutrophilia up to 13930/μl. Abdominal contrastenhanced Computed Tomography (CT) was performed and revealed distension (with air-fluid levels) of the stomach, the small bowel and both ascending and transverse colon (Figure 1). The descending and sigmoid colons showed no sign of distension. No transitional mechanical obstacle could be found. Furthermore, the presence of a pneumoperitoneum was to be seen in the light of the history of her recent caesarean section. The diameter of the caecum was 11 cm. Post caesarean Ogilvie’s syndrome was suspected and consecutively colonoscopy was carried out three days after delivery. It showed dilation of the transverse and right colonic lumen for which exsufflation was accomplished. There was an ulcerated and necrotic layer in the lower caecum towards the hepatic flexure of the colon. A close biological and clinical monitoring was recommended. The next day, the patient still complained about abdominal bloating. A plain abdominal X-ray showed an significant pneumoperitoneum and hydroaeric levels in the intestines (Figure 2). The patient underwent right hemicolectomy; anatomopathology revealed ceacal wall necrosis.

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.

Full frame distilled prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.635
Threshold uncertainty score0.239

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.011
GPT teacher head0.248
Teacher spread0.237 · 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