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Record W4252296788 · doi:10.14740/jcgo649

Appendicitis in COVID-19-Positive Patient in Postpartum Period: Differential Diagnosis Dilemma

2020· article· en· W4252296788 on OpenAlexvenueno aff
Predrag Savić, Milan Lacković, Ivana Filipović, Vladimir Djukić, Tamara Bakıć, Sladjana Mihajlovic

Bibliographic record

VenueJournal of Clinical Gynecology and Obstetrics · 2020
Typearticle
Languageen
FieldMedicine
TopicAppendicitis Diagnosis and Management
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineCoronavirus disease 2019 (COVID-19)DilemmaDifferential diagnosisAppendicitisPostpartum periodPeriod (music)2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)PediatricsGeneral surgeryInternal medicinePregnancyVirologyPathology

Abstract

fetched live from OpenAlex

The clinical symptoms of appendicitis in puerperium are atypical and often overlap with other symptoms. A 33-year patient, 8 days postpartum, was admitted due to high fever up to 38.7 C, dry cough and data showing that she was in contact with coronavirus disease 2019 (COVID-19)-positive person. She was examined, and laboratory and radiographic evaluations were done. After initial treatment she started recovering well, but on the next day due to deterioration of her condition she was urgently operated and acute appendicitis was diagnosed. The coincidence of symptoms of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and the symptoms of appendicitis, as well as impaired immune status in puerperium, make it difficult to detect appendicitis in a timely manner and open the question if acute viral infection such as SARS-CoV-2 can trigger an acute appendicitis.

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 distilled prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.029
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.064
Threshold uncertainty score0.979

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.029
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

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.

Opus teacher head0.063
GPT teacher head0.366
Teacher spread0.303 · 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 teacher head, not a consensus.

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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