Ambulatory carriage device (SMHeartCard) for pre-hospital therapy of myocardial infarction: A case report and case series
Bibliographic record
Abstract
SMHeartCard is an on-person carriage device for ASA and Nitroglycerin for pre-hospital use at the onset of symptoms of myocardial infarction, designed to improve access and reduce the time from symptom onset to therapy.We present a case of an 86-year-old male with risk factors for coronary atherosclerosis, who used SMHeartCard at the onset of symptoms.His clinical course was excellent, with the maintenance of normal ejection fraction and absence of heart failure symptoms, and he remains well more than two years later.A case series of sixteen additional SMHeartCard users, compiled from post-marketing feedback to the manufacturer, suggests generally favorable outcomes in this population.In aggregate, these observations, and the well-defined advantages of rapid medical therapy for acute coronary events, suggest SMHeartCard can be used effectively by persons at risk of myocardial infarction.
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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 | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.004 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.004 | 0.003 |
| Science and technology studies | 0.004 | 0.003 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.009 | 0.005 |
| Insufficient payload (model declined to judge) | 0.004 | 0.002 |
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".