MODERN ASPECTS OF DIAGNOSTIC AND SURGICAL TREATMENT OF PATIENTS WITH GALLSTONE DISEASE AND HIATAL HERNIA COMORBID COURSE
Bibliographic record
Abstract
Summary. Introduction. As of today, the issue of timely diagnosis and surgical treatment of gallstone disease (GD) and hiatal hernia (HH) comorbid course is extremely relevant and in need of attention. Aim. Improvement of diagnosis and surgical treatment of patients with GD and HH comorbid course by performing simultaneous laparoscopic surgery. Materials and methods. The main group consisted 16 patients, who were treated for the comorbid course of GD and HH by performing simultaneous laparoscopic surgery. The comparison group was made of 15 patients with similar pathologies with laparoscopic surgical treatment during two patients visits to the hospital. The study was carried out on the basis of the GI «V. T. Zaitsev IGЕS NAMSU». Results of the research. The average duration of simultaneous laparoscopic surgery in the main group of patients was ((87.5±17.5) min, p<0.05) and was significantly lower than in the comparison group – ((101.2±9.3) min, p<0, 05). The total volume of blood loss was (45.5±11.1 ml, p<0,01) in the main group of patients, while in the comparison group — ((79.1±5.7) ml, p<0,01). The average intensity of the pain syndrome (according to the McGill pain questionnaire) in the postoperative period in the main group of patients was ((3.1±0.8) points, p<0.01), and in the comparison group – ((7.9±0.7) points, p<0.01). The total duration of preoperative examination of patients in the main group was ((1.33±0.5) days, p<0.05) and in the comparison group — ((3.22±0.65) days, p<0.05). The average total number of temporary incapacity of workdays in the main group did not exceed ((5.5±1.1) days, p<0.05), while in the comparison group — ((11.2±0.6) days, p<0,05). Conclusions. It has been proven that simultaneous laparoscopic surgical intervention is the method of choice for treating patients with GD and HH comorbid course. In addition, the results of the study demonstrate the importance of careful diagnosis of patients for the presence of GD and HH comorbid course, considering of high probability of their combination.
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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 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 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 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 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 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".