In utero arterial thrombosis treated with recombinant tissue plasminogen activator in an infant of a diabetic mother: A case report and literature review
Bibliographic record
Abstract
P oor arterial vascularization of a limb presenting at birth is a rare but serious problem, with most reported cases occurring as a sequelae of umbilical artery catheterization, sepsis, congenital heart disease, thromboembolism or dehydration (1,2). It has previously been reported that infants of diabetic mothers (IDM) have an increased risk of both venous and arterial thrombosis (1,2). Traditional management is supportive, including hydration, nutritional support, cleaning of the wound, dressing changes and antibiotics to prevent secondary infections Unfortunately, this conservative approach often leads to limb amputation at the level of the elbow, wrist or knee between 3 h and two months of age (5-8). We present a rare case of a female IDM who suffered arterial thrombosis that was aggressively treated with selective angiography to administer Alteplase (Genentech, USA), a recombinant tissue plasminogen activator.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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.
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 teacher head, 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".