Acute Neurological Complications in Pediatric Diabetic Ketoacidosis
Bibliographic record
Abstract
Diabetic ketoacidosis (DKA) is an acute and serious complication of diabetes mellitus, mostly type one.It is associated with a high risk of morbidity and mortality if not treated promptly.1 Several acute neurological complications may occur in DKA, with cerebral injury that may lead to cerebral edema, being the most common.Other less common and less known acute neurological complications include stroke and electrolyte derangements.The latter can lead to seizures or cardiac arrest with consequent brain hypoxicischemic injury.[1][2][3][4][5][6][7][8] In this article, we summarize the common and lesser-known acute neurological complications of DKA.Importantly, we emphasize that the clinical presentations of some acute neurological complications of DKA overlap, and thus the correct diagnosis may be overlooked.Prompt recognition of the various neurological complications and targeted treatment is essential for the successful management of these patients.Although not the focus of this article, it is important to be aware that a mixed picture of DKA and hyperosmolar hyperglycemic state may also present with severe neurologic presentations and poor outcomes.
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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 | 0.001 |
| 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".