Adenomyosis: clinicist’s tactics through the prism of domestic and international guidelines
Bibliographic record
Abstract
Today, both adenomyosis and endometriosis are at the forefront of scientific debate. The kinship of adenomyosis and endometriosis at first glance still raise no doubts, since there is reliable scientific evidence of the fact that the pathogenesis of these disease entities has much in common. However, despite the continuing similarity, adenomyosis is currently considered as a separate disorder; in the updated International Classification of Diseases 11th Revision adenomyosis is not included in the endometriosis section (GA10 Endometriosis), but allocated to a separate category (GA11 Adenomyosis). The development of the guidelines on the diagnosis and treatment of adenomyosis by two organizations at once, the Asian Society of Endometriosis and Adenomyosis and the Society of Obstetricians and Gynaecologists of Canada, in 2023 is an indirect evidence of that. Using dienogest 2 mg as monotherapy or dienogest-based combined oral contraceptives (for patients in need of reliable contraception) is one of the most suitable options for the long-term effective adenomyosis symptom management.
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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 | 0.023 | 0.050 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.005 | 0.003 |
| Science and technology studies | 0.001 | 0.004 |
| Scholarly communication | 0.004 | 0.006 |
| Open science | 0.003 | 0.004 |
| Research integrity | 0.005 | 0.009 |
| Insufficient payload (model declined to judge) | 0.005 | 0.002 |
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".