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Record W3023871864 · doi:10.29309/tpmj/2020.27.05.3808

Gossypiboma: A case study of medical error in obstetrician Tertiary Care Hospital.

2020· article· en· W3023871864 on OpenAlexaff
Ikram Ali, Muhammad Kashif, Muhammad Owais Aziz, Haider Darain

Bibliographic record

VenueThe Professional Medical Journal · 2020
Typearticle
Languageen
FieldMedicine
TopicHemostasis and retained surgical items
Canadian institutionsSt. Lawrence River Institute of Environmental Sciences
Fundersnot available
KeywordsMedicineGossypibomaObstetrics and gynaecologyTertiary careForeign bodySurgeryGeneral surgeryIntervention (counseling)ObstetricsPregnancyNursing

Abstract

fetched live from OpenAlex

Pakistan is striving hard to achieve millennial developmental goals by considering multiple factors. However, maternal mortality and morbidity due to medical errors remain unnoticed and undocumented due to lack of reporting system. This case report is based on a multigravida, who presented with severe abdominal pain and tenderness. She was on multiple medications after five months of three consecutive surgeries including initial surgery for uterine rupture during labor. On examination, a mass was noticed in the umbilical region. A foreign body was suspected on ultrasound and diagnosed as gossypiboma after surgery. It is usually misdiagnosed and needs attention especially considering differential diagnosis in post-operative patients. Such errors might be avoided by properly counting number of gauze pieces before and after an intervention, and usage of radio opaque gauze pieces.

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.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.007
Threshold uncertainty score0.015

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.003
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0030.002
Science and technology studies0.0040.002
Scholarly communication0.0020.002
Open science0.0010.002
Research integrity0.0030.003
Insufficient payload (model declined to judge)0.0040.001

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 head0.036
GPT teacher head0.366
Teacher spread0.330 · 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

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designCase report
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2020
Admission routes1
Has abstractyes

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