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The Three Delays’ Impact in Uganda: The Disease Burden and Operative Backlog at a New Pediatric Surgery Outpatient Clinic of a Tertiary Center

2020· article· en· W3128007621 on OpenAlexaff
Nensi M. Ruzgar, Amandine Godier-Furnémont, Nasser Kakembo, Maija Cheung, Sarah Ullrich, Ann Nabirye, Harriet Nambooze, Phyllis Kisa, Arlene Muzira, John Sekabira, Doruk Ozgediz

Bibliographic record

VenuePEDIATRICS · 2020
Typearticle
Languageen
FieldMedicine
TopicGlobal Maternal and Child Health
Canadian institutionsBC Children's Hospital
Fundersnot available
KeywordsMedicineTertiary carePediatric surgeryOutpatient surgeryOutpatient clinicInterviewDiseaseEmergency medicineUnit (ring theory)Medical emergencyPediatricsFamily medicineSurgeryAmbulatory

Abstract

fetched live from OpenAlex

Purpose: The disparities in pediatric surgical disease burden and the operative backlog in resource-limited settings are not well-studied but have been used to evaluate pediatric capacity-building needs using the Three Delays Model. We evaluated the three delays –in care-seeking, accessing care-facilities, and receiving adequate care– for patients presenting to the Pediatric Surgery Outpatient Clinic (PSOPC) at one of two hospitals with a dedicated pediatric surgery unit in Uganda. Methods: An interviewer-facilitated survey was administered over 21 months to caregivers of children presenting to the …

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)0.002
metaresearch head score (Gemma)0.008
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.031
Threshold uncertainty score0.062

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.008
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.002
Science and technology studies0.0020.001
Scholarly communication0.0020.001
Open science0.0010.004
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0020.000

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 head0.025
GPT teacher head0.299
Teacher spread0.274 · 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 designObservational
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

Citations1
Published2020
Admission routes1
Has abstractyes

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