{"id":"W3094241332","doi":"10.1016/j.ijscr.2020.10.076","title":"Complicating factors in the management of advanced Bouveret syndrome in frail and medically complex patients","year":2020,"lang":"en","type":"article","venue":"International Journal of Surgery Case Reports","topic":"Biliary and Gastrointestinal Fistulas","field":"Medicine","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"McGill University","funders":"","keywords":"Gallstone ileus; Medicine; Gastric outlet obstruction; Impaction; Ileus; Complication; Surgery; Gallstones; Gallbladder; General surgery; Gastroenterology; Internal medicine; Fistula","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0005511632,0.00008452257,0.0003009209,0.0001307119,0.00001292893,0.000008832851,0.00006010118,0.00002232867,0.00003563309],"category_scores_gemma":[0.0003315218,0.00005892695,0.00008565055,0.0001336289,0.00005796717,0.0000950199,0.00004577124,0.0002165855,1.996475e-7],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00004416427,"about_ca_system_score_gemma":0.00004338107,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00002702009,"about_ca_topic_score_gemma":0.000004732531,"domain_scores_codex":[0.9982205,0.00004580207,0.0009589251,0.0001169735,0.0005643042,0.00009349205],"domain_scores_gemma":[0.9987366,0.0002935158,0.0006024326,0.00007986124,0.0001952746,0.00009226649],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.000147622,0.0001838642,0.7799518,0.00007520645,0.00007354614,0.215735,0.0002730887,0.00002290622,0.00009780331,0.00001938332,0.0001557597,0.003264029],"study_design_scores_gemma":[0.0004636186,0.0001176574,0.8887563,0.0006574595,0.00002272729,0.1089286,0.0005375753,0.000043329,0.00002853478,0.00008883576,0.0003124344,0.00004287092],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9964817,0.00004759439,0.00005411436,0.002991059,0.0001309292,0.0001127224,0.00000515205,0.000002699647,0.0001740229],"genre_scores_gemma":[0.9986791,0.00002939812,0.0008143153,0.0004290036,0.00002504439,0.000001454246,0.00001358065,0.000005560907,0.000002541098],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1088046,"threshold_uncertainty_score":0.2402971,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.05015869053875902,"score_gpt":0.2968543732455605,"score_spread":0.2466956827068015,"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."}}