Rh sensitization in Canada is not obsolete
Bibliographic record
Abstract
A 35-year-old G3P1TA1 female, blood type A-negative was found to have anti-D antibodies during her previous pregnancy, and that infant required intensive phototherapy for jaundice. Early in her current pregnancy, high-titre anti-D antibodies were detected. However, unexpectedly, fetal transfusion was not required. This infant was born at 36 weeks gestation by induced vaginal delivery for fetal anemia and was clinically well. The infant’s blood type was A-positive and the direct antibody (DAT) on the cord blood was positive with maternal anti-D on the infant’s red blood cells (RBCs). The infant’s indirect bilirubin was 165 µmol/L at 6 hours of life and climbed steadily (rate of rise 5 µmol/L/hour) during the first few days of life despite anticipatory intensive phototherapy. The hemoglobin on the cord blood complete blood count (CBC) was slightly low at 130 g/L. On day 2 and 3 of life, intravenous immunoglobulin (IVIG) was administered (1 g/kg/dose) in an effort to avoid the need for exchange transfusion (1,2). The hemoglobin fell slowly over the course of the first 3 days of life and the infant was transfused packed RBC twice in the first week of life.
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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 | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.048 | 0.005 |
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".