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Design and Implementation of a Pilot Pediatric Emergency Surgical Care Course for Rural Providers in Uganda

2020· article· en· W3173616702 on OpenAlexaff
Sarah Ullrich, Phyllis Kisa, Nensi M. Ruzgar, Martin Situma, Doruk Ozgediz

Bibliographic record

VenuePEDIATRICS · 2020
Typearticle
Languageen
FieldMedicine
TopicGlobal Health and Surgery
Canadian institutionsBC Children's Hospital
Fundersnot available
KeywordsMedicineEconomic shortageMedical emergencyPerioperativeSurgery

Abstract

fetched live from OpenAlex

Background: Low-and-middle-income countries(LMICs) like Uganda, where four pediatric surgeons serve a population of 20 million children, face a severe shortage of pediatric surgeons. Most children with a surgical emergency are treated by non-specialist rural providers and will never meet a pediatric surgeon. Here we describe the design and implementation of a locally driven, pilot pediatric emergency surgical care course for rural providers to address this disparity. Program Report: The course was conducted in February and December of 2018 at two sites in Uganda. Modules included perioperative management, neonatal emergencies, intestinal emergencies, urologic emergencies and trauma which were taught mostly by local Ugandan …

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)0.005
metaresearch head score (Gemma)0.006
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: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.009
Threshold uncertainty score0.031

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0050.006
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0030.001
Scholarly communication0.0010.001
Open science0.0020.003
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0090.001

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 head0.035
GPT teacher head0.348
Teacher spread0.313 · 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

Citations0
Published2020
Admission routes1
Has abstractyes

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