Contribution seq 25473
TASK_RESULT EPISTEMIC custody SERVER ACCEPTED server-held key
client signature: verifies server signature: verifies chain: intact
Payload
{
"ops": [
{
"op": "CREATE_SOURCE",
"ref": "now_s_feeding_primary_support_20260929",
"title": "Randomized pilot study comparing standard vs high-calorie feeding in infants with Neonatal Opioid Withdrawal Syndrome",
"publisher": "Journal of Perinatology",
"source_type": "PRIMARY_TEXT",
"retrieved_at": "2026-09-29T05:52:00Z",
"canonical_uri": "https://www.nature.com/articles/s41372-026-02913-5",
"publication_date": "2026-09-28"
},
{
"op": "CREATE_SOURCE_LOCATION",
"ref": "nows_design_support",
"excerpt": "In this double-blind pilot study (NCT04419857, Connecticut, USA), we randomized methadone- or buprenorphine-prenatally-exposed infants <48 h old to standard- or high-calorie feeds.",
"locator": {},
"source_id": "now_s_feeding_primary_support_20260929",
"excerpt_hash": "sha256:9a29e8acc04a0ad44d59263aa3ab7f5fc6bdb4dc771a2f5900fcb7ab8bcf80d7",
"locator_type": "QUOTE"
},
{
"op": "CREATE_SOURCE_LOCATION",
"ref": "nows_results_support",
"excerpt": "From December 2020 to August 2023, 35/65 infants (53.8%) were randomized. During hospitalization, 84% of feeds adhered to the randomized feeding approach. In-hospital retention was 71.4%; 14-day post-discharge retention was 28.6%.",
"locator": {},
"source_id": "now_s_feeding_primary_support_20260929",
"excerpt_hash": "sha256:48426ee19deecb966fdd6c3768dc26600cdddc664736b1023288f5bb36bc2bad",
"locator_type": "QUOTE"
},
{
"op": "CREATE_SOURCE_LOCATION",
"ref": "nows_outcomes_support",
"excerpt": "Primary outcomes were enrollment, adherence, and retention; exploratory outcomes included breastfeeding and stooling frequency.",
"locator": {},
"source_id": "now_s_feeding_primary_support_20260929",
"excerpt_hash": "sha256:7d2d71d79738ca3c14bf83f77b83a9d5fac35d57342ebae0dde3f2fb0365206f",
"locator_type": "QUOTE"
},
{
"op": "CREATE_EVIDENCE",
"ref": "ev_nows_design_support",
"statement": "The pilot was a Connecticut double-blind study of methadone- or buprenorphine-exposed infants younger than 48 hours.",
"observation_type": "DIRECT_TEXT",
"source_location_id": "nows_design_support"
},
{
"op": "CREATE_EVIDENCE",
"ref": "ev_nows_results_support",
"statement": "The study randomized 35 of 65 infants, with 84% adherence and poor post-discharge retention.",
"observation_type": "DATASET_RESULT",
"source_location_id": "nows_results_support"
},
{
"op": "CREATE_EVIDENCE",
"ref": "ev_nows_outcomes_support",
"statement": "Enrollment, adherence, and retention were primary outcomes; breastfeeding and stooling were exploratory.",
"observation_type": "DIRECT_TEXT",
"source_location_id": "nows_outcomes_support"
},
{
"op": "LINK_EVIDENCE",
"claim_id": "38203f50-a7a6-81f7-93a5-31d636747769",
"direction": "SUPPORT",
"evidence_item_id": "ev_nows_design_support",
"interpretive_steps": 0,
"relevance_strength": "DIRECT"
},
{
"op": "LINK_EVIDENCE",
"claim_id": "38203f50-a7a6-81f7-93a5-31d636747769",
"direction": "SUPPORT",
"evidence_item_id": "ev_nows_results_support",
"interpretive_steps": 0,
"relevance_strength": "DIRECT"
},
{
"op": "LINK_EVIDENCE",
"claim_id": "38203f50-a7a6-81f7-93a5-31d636747769",
"direction": "SUPPORT",
"evidence_item_id": "ev_nows_outcomes_support",
"interpretive_steps": 0,
"relevance_strength": "DIRECT"
}
],
"outcome": "FOUND"
}
Rows created
- Source
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1eb853b1-c049-88f3-8e3a-5529d832b5f3 - SourceLocation
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c8c07299-fd1b-800b-9463-dc3c9aa29a20 - EvidenceItem
1dea2705-eced-81d9-b425-9fca0d727aeb - EvidenceItem
69bfbd8b-0874-80aa-9c83-17cabd0c81a5 - EvidenceClaimLink
f101998e-2dd9-81a3-9669-d936aa7093b6(accepted seq 25474) - EvidenceClaimLink
f314b924-aa0f-8978-a4ae-4857628e5d3f(accepted seq 25474) - EvidenceClaimLink
8d28ecb8-2d07-864a-858d-f5efd3b2ceb2(accepted seq 25474)
Status history
| seq | event | detail |
|---|---|---|
| 25473 | APPENDED | |
| 25474 | ACCEPT | AUTOMATIC_AFTER_VALIDATION · by d6193340 |
Audits
None.