{"id":"W2579989238","doi":"10.1128/aac.02054-16","title":"A Clostridium difficile Lineage Endemic to Costa Rican Hospitals Is Multidrug Resistant by Acquisition of Chromosomal Mutations and Novel Mobile Genetic Elements","year":2017,"lang":"en","type":"article","venue":"Antimicrobial Agents and Chemotherapy","topic":"Clostridium difficile and Clostridium perfringens research","field":"Medicine","cited_by":29,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"Vicerrectoría de Investigación, Universidad de Costa Rica; Wellcome; Universidad de Costa Rica; Public Health Agency; Consejo Nacional de Rectores; Public Health Agency of Canada; Wellcome Trust","keywords":"Clostridium difficile; Lineage (genetic); Mobile genetic elements; Biology; Multiple drug resistance; Microbiology; Genetics; Virology; Gene; Antibiotics; Genome","routes":{"ca_aff":false,"ca_fund":true,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0001079599,0.0001983445,0.0001219333,0.0003459327,0.0003029361,0.000279254,0.0001082755,0.0001452023,0.0007544315],"category_scores_gemma":[0.0002613961,0.00007382948,0.0001003251,0.0004031983,0.0001314255,0.00007731542,0.0002147088,0.0001271773,0.0001315566],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002223612,"about_ca_system_score_gemma":0.0001793907,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.009556547,"about_ca_topic_score_gemma":0.01230939,"domain_scores_codex":[0.9999022,0.00002335465,0.000006821773,0.00002605338,0.00001802303,0.00002360024],"domain_scores_gemma":[0.999859,0.00001967363,0.00006483356,0.00001900458,0.0000247172,0.00001284208],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.000303533,0.00005770059,0.6715919,0.0001613764,0.00005826317,0.00122679,0.001120208,0.0003371738,0.2996594,0.0002334949,0.0003672298,0.02488285],"study_design_scores_gemma":[0.000005498596,0.00008025379,0.9866238,0.00003272394,0.00002481922,0.001772962,0.0005567586,0.0004566724,0.007640013,0.00004312793,0.002757016,0.000006255577],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9989645,0.0002549289,0.0001382702,0.00003333041,9.06207e-7,0.000006352835,0.0001259484,0.000004282605,0.0004713246],"genre_scores_gemma":[0.9990921,0.0001631929,0.0003289094,0.00002950298,0.000002113984,0.000003252372,0.0001915798,0.000001807437,0.0001876019],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.009556547,"threshold_uncertainty_score":0.01900184,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01452423061713281,"score_gpt":0.3029097148550191,"score_spread":0.2883854842378862,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}