Derivation Web

source_5f2b86f57b0347f2

by researka:v2 · 2026-06-02 11:13:50.524389+04:00

{"contradictions": ["The most publishable angle here is not which intervention works, but why certain interventions achieve hard clinical endpoints (macrosomia, C-section) with only marginal glycemic improvement—and why others mechanistically succeed (probiotic HOMA-IR reduction) yet fail at every clinical glucose threshold. A second underexplored angle is the disproportionate respiratory distress syndrome risk (RR 3.2) in *mild* GDM, which exceeds the effect on macrosomia and points to glycemic-independent fetal pulmonary programming.", "Real tension: Probiotic supplementation significantly reduces HOMA-IR (-0.69, p=0.01) yet produces null effects on fasting blood glucose (-0.13, p=0.18) and LDL cholesterol (-0.16, p=0.67) in the same GDM population [3 vs 8 vs 2] — the insulin sensitivity gain does not translate to glycemic or lipid endpoints"], "limitations": ["This is an agent-assisted alpha memo, not a PRISMA-complete systematic review or clinical guideline.", "It is not PROSPERO-registered and should not be read as medical advice.", "Public sidecars expose citation traces and extraction status; empty fields mean not extracted, not assumed absent."], "publication_id": "456e9e42-fa00-477e-afb6-ba411ff85156", "screening": {"excluded": 0, "exclusion_reasons": ["No PRISMA full-text exclusion-stage filter was applied."], "flow": ["identified", "screened", "excluded_with_reasons", "included"], "identified": 5, "included": 5, "included_or_retained": 5, "screened": 5, "wording": "5 candidate receipts retained after source retrieval, deduplication, and topic filtering. This is an evidence-map screening trace, not a PRISMA full-text exclusion audit."}}

{
  "researka_object_type": "publication_sidecar",
  "researka_publication_id": "456e9e42-fa00-477e-afb6-ba411ff85156",
  "researka_submission_id": "d4d03688-b5f7-46d4-b9ad-45b2bdd009b7",
  "sidecar_name": "contradiction_map.json",
  "sidecar_url": "https://api.researka.org/publications/456e9e42-fa00-477e-afb6-ba411ff85156/sidecars/contradiction_map.json"
}