Thrombolysis After Emergency Cesarean Section in Sickle Cell Disease
Bibliographic record
Abstract
Pulmonary embolism (PE) is a rare complication during pregnancy. However, it is still the leading cause of morbidity and mortality. The risk to develop a PE is even higher in patients suffering from an inherited blood disorder like sickle cell disease (SCD). We report on the management of a 28-year-old woman with SCD who was admitted to the hospital with painful sickle cell crisis and developed a massive PE followed by cardiac arrest. The patient could be revived and underwent thrombolysis successfully with recombinant tissue plasminogen activator (r-tPA) 22 h after emergency cesarean section without complications related to thrombolysis. However, she developed an acute kidney injury and transient liver dysfunction which both improved gradually during her course. Finally, she was extubated on the 16th postoperative day and transferred to the obstetric ward on the 21st postoperative day. The patient recovered completely and was discharged home without neurological deficit. J Clin Gynecol Obstet. 2020;9(4):124-128 doi: https://doi.org/10.14740/jcgo668
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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 | 0.000 | 0.002 |
| 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 | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 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 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".