A preterm infant with abnormal movements
Bibliographic record
Abstract
A preterm female neonate is born to a 31-year-old gravida 1 para 0 mother at 33 + 4/7 weeks of gestation via spontaneous vaginal delivery at a community hospital. Her mother received routine antenatal care, with protective serologies and normal prenatal ultrasounds. The pregnancy was complicated by an antepartum hemorrhage at 28 weeks of gestation, and she received a course of steroids. The mother’s medical history includes fibromyalgia treated with 60 mg of duloxetine daily for the duration of the pregnancy. At birth, the newborn had hypotonia of all four limbs and poor respiratory effort. Positive pressure ventilation was given for 2 min. The infant was then placed on continuous positive airway pressure (CPAP) of 5 cmH2O at an FiO2 of 90% which was weaned to 40% after stabilization with an SpO2 of 92%. Apgar scores were 2, 5, and 9 at 1, 5, and 10 min, respectively. At 10 min of life, she had bilateral extension and internal rotation of both arms, apnea with desaturations, cycling movements of the lower limbs, and episodes of jitteriness. Cord arterial blood gas showed pH 7.09, pCO2 73, bicarbonate 16, and base excess of −9. Cord venous blood gas showed pH 7.14, pCO2 59, bicarbonate 16, and base excess −10.
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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 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 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) | 0.003 | 0.001 |
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.
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".