Cook Children's Medical Center Makes Surgical History: The Role of Anesthesia in Separating Conjoined Twins
Why this work is in the frame
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Bibliographic record
Abstract
n January 23, 2023, Cook Children's Medical Center in Fort Worth, Texas, performed groundbreaking surgery for the first time in the hospital's 105-year history.With a team comprising 25 medical professionals, including three anesthesiologists, four pediatric surgeons, two plastic surgeons, and 18 other clinical professionals, conjoined twins JamieLynn and AmieLynn were successfully separated after 11 hours of surgery.Anesthesiologist Chandra Reynolds, MD, Medical Director of Perioperative Services at Cook Children's Medical Center, shared in an interview the extensive planning and challenges faced for this rare surgical event. Pregnancy complicationsJames Finley and Amanda Archiniega, from Saginaw, Texas, were thrilled to learn they were pregnant, after desiring to add one more child to their family of five.The couple was surprised to discover Amanda was carrying twins, however, dur-O ver the past two decades, treatment strategies for various inflammatory and autoimmune conditions have evolved from the use of small molecule broad-spectrum immunomodulators to that of highly targeted B ernard Banks, MBA, PhD, a noted expert on leadership and organizational change, provided two compelling lectures during ASA ® ADVANCE 2023:
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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 | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 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) | 0.004 | 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 it