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Use of neuroprotective therapy in nontraumatic intracranial hemorrhage: results of open-label randomized trial

2025· article· en· W4411974183 on OpenAlexaboutno aff
Kh. D. Mongush, A. V. Kyrgys, A. A. Dongak, М. Г. Жестикова

Bibliographic record

VenueThe Clinician · 2025
Typearticle
Languageen
FieldMedicine
TopicIntracerebral and Subarachnoid Hemorrhage Research
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineRandomized controlled trialNeuroprotectionOpen labelSurgeryInternal medicine

Abstract

fetched live from OpenAlex

Aim. To investigate the effectiveness and safety of Cellex® drug (active substance is polypeptides from the brain of pig embryos) in nontraumatic intracranial hemorrhage.Material and methods. The study included 116 patients with hypertensive intracranial hemorrhage aged between 30 and 80 years. Patients of the treatment group (n = 61) in addition to the basic therapy were administered 0.1 mg (1 mL) of Cellex® once a day for 10 days while patients of the control group (n = 55) only received basic therapy in accordance with the clinical guidelines on management of patients with hypertensive intracranial hemorrhage. For 30 days, dynamics per the Glasgow Coma Scale, stroke severity per the National Institute of Health Stroke Scale (NIHSS), patient disability per the Modified Rankin Scale (mRаnkin), Barthel and Rivermead scales, speech disorders per the Speech Questionnaire, cognitive functions per the Montreal Cognitive Assessment and a number of other characteristics were evaluated.Results. Percentage of survived patients (96.7 %) was higher in the Cellex® group compared to the control group (p = 0.0237). In the Cellex ® group, speech function per the Speech Questionnaire improved from 17.0 (14.0–22.0) to 24.0 (21.0–27.0) (p = 0.009) while in the control group no significant improvement in speech function was observed. A trend toward more significant decrease in stroke severity per NIHSS, patient disability per the mRаnkin, Barthel and Rivermead scales in the Cellex® group compared to the control group was observed. Cognitive functions per the Montreal Cognitive Assessment improved in the Cellex® group from 14.0 (12.0–22.5) to 20.0 (14.5–25.0) points. No adverse events were observed in the patient group receiving Cellex®.Conclusion. High efficacy and safety of Cellex® drug in patients with hypertensive intracranial hemorrhage were confirmed.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.005
metaresearch head score (Gemma)0.008
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Randomized trial · Consensus signal: Randomized trial
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.180
Threshold uncertainty score0.948

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0050.008
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.122
GPT teacher head0.408
Teacher spread0.286 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designRandomized trial
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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