CEREBRAL DYSFUNCTION IN CHILDREN WITH DECOMPENSATED TYPE 1 DIABETES MELLITUS
Bibliographic record
Abstract
Обследовано 54 подростка, из них 27 пациентов с сахарным диабетом (СД) 1-го типа после перенесенного диабетического кетоацидоза (ДКА) и 27 условно здоровых пациентов. Проведена диагностика церебральной недостаточности по Монреальской когнитивной шкале и нейропсихологический скрининг с целью оценки минимальной мозговой дисфункции. Обнаружено, что пациенты с СД 1-го типа, после перенесенного ДКА имели достоверное снижение когнитивных функций - 22 [21-24] баллов, по сравнению с условно здоровыми детьми 29 [28-30] баллов (р=0,000). Выявлены достоверные нарушения по праксису (р=0,0019) и письму (р=0,000) у пациентов с СД 1-го типа, что говорит о наличие минимальной мозговой дисфункции на этапе декомпенсации заболевания. Показана корреляционная связь между выявленной мозговой дисфункцией, длительностью заболеванием СД 1-го типа и количеством экстренных госпитализаций с ДКА в анамнезе. The study involved 54 adolescents, of whom 27 were patients with type 1 diabetes mellitus (DM) recently emerging out of an episode of diabetic ketoacidosis (DKA), and 27 apparently healthy patients. Participants were tested for cerebral insufficiency using the Montreal Cognitive Assessment tool, and underwent neuropsychological screening to assess minimal brain dysfunction. It was found that the patients with type 1 DM after DKA had a significant decrease in cognitive functions with a score of 22 [21-24] points compared with the apparently healthy children who had a score of 29 [28-30] points (p=0.000). Significant impairments in praxis (p=0.0019) and writing (p=0.000) were found in patients with type 1 DM, which indicates the presence of minimal brain dysfunction during disease decompensation. A correlation has been demonstrated between the identified brain dysfunction, duration of type 1 DM, and the number of emergency hospitalizations for DKA in a patient’s history.
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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 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 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".