Prenatal diagnosis of right-sided congenital diaphragmatic hernia
Bibliographic record
Abstract
This case report details the prenatal diagnosis and management of a right-sided congenital diaphragmatic hernia (CDH) in a 37-year-old pregnant woman.In the 22 nd week of the pregnancy, a screening ultrasound revealed an abnormal mass in the right fetal chest, suspected to be a diaphragmatic hernia.A series of fetal ultrasound and echocardiographic examinations were conducted, revealing a mass of intestines in the right chest displacing the heart (with normal heart anatomy).Fetal magnetic resonance imaging at 27 weeks confirmed the diaphragmatic hernia.Subsequent monitoring revealed unfavourable prognostic indicators, including a decreased lung-tohead ratio (LHR) index.Premature rupture of membranes occurred in the 28th week.An urgent caesarean section was performed at 31 weeks due to the onset of labour and signs of fetal distress, and a female newborn with a birth weight of 1800 g was delivered.Right-sided diaphragmatic hernia was confirmed postnatally.Surgical intervention was undertaken to relocate the intestines and close the diaphragmatic defect.Despite initial efforts, the newborn's respiratory and circulatory function deteriorated, leading to the unfortunate demise on the sixth day of life.
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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 | 0.003 |
| 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 | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.005 | 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".