Diagnóstico y manejo de las complicaciones cardiacas en el paciente con distrofia muscular de Duchenne
Bibliographic record
Abstract
La distrofia muscular de Duchenne (DMD) es una condición hereditaria, grave y progresiva que afecta la musculatura causando daño progresivo y debilidad posterior. Es la distrofia muscular más frecuente y severa en la infancia. Conforme progresa la enfermedad, se evidencia compromiso del músculo cardiaco con la presencia de miocardiopatía dilatada y miocardiopatía hipertrófica o restrictiva que conllevan a falla cardiaca. Actualmente, no se cuenta con un tratamiento curativo para la DMD o sus complicaciones cardiovasculares. Sin embargo, el uso de glucocorticoides, la rehabilitación física, la ventilación mecánica no invasiva y el manejo multidisciplinario con un enfoque cardiorrespiratorio y ortopédico han evidenciado una modificación de la historia natural de la enfermedad. El presente artículo proporciona una síntesis sobre el diagnóstico y tratamiento de los pacientes con diagnóstico de distrofia muscular de Duchenne que presentan complicaciones cardiovasculares.
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How this classification was reachedexpand
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 | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.001 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 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 teacher head, 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".