Bibliographic record
Abstract
We present a rare case of caecal bascule in a forty year old Caucasian, multiparous lady (3 previous normal vaginal deliveries and one caesarean section) who had a grade 1 (fetal distress) uneventful caesarean section (C/S) under general anaesthesia. On the third post-operative day, she developed marked abdominal distension and pain but no vomiting. Abdominal examination showed a tender palpable tympanic mass in the right upper quadrant and epigastrium. Caecal volvulus was suspected and confirmed on radiological investigations. Emergency laparotomy was performed. Intra-operative findings showed rotation of the caecum over itself resulting in a sharp twist on the ascending colon with patches of necrosis and serosal tears of the caecum. The ascending colon and terminal ileum were normal. These findings are classical description of “Caecal Bascule”. Limited right hemi-colectomy was performed. The patient made uneventful speedy recovery. J Med Cases. 2010;1(1):21-22 doi: https://doi.org/10.4021/jmc2010.07.110e
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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 | 0.007 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.005 | 0.004 |
| Insufficient payload (model declined to judge) | 0.004 | 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".