{"id":"W3157422498","doi":"10.1016/j.jhsg.2021.03.005","title":"Epinephrine-Containing Digital Nerve Block: A Case of Digital Tip Necrosis Leading to Amputation in a Patient With No Known Vascular, Rheumatologic, or Smoking History","year":2021,"lang":"en","type":"article","venue":"Journal of Hand Surgery Global Online","topic":"Nerve Injury and Rehabilitation","field":"Medicine","cited_by":9,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Epinephrine; Medicine; Lidocaine; Amputation; Cryotherapy; Digital nerve; Anesthesia; Surgery; Nerve block; Ischemia; Internal medicine","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":false,"about_ca":true,"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":[0.0002800878,0.001695714,0.001088391,0.002300611,0.00213111,0.001803683,0.001380509,0.005172275,0.002152459],"category_scores_gemma":[0.003067921,0.001019947,0.001124155,0.001721162,0.001194222,0.001758958,0.001523291,0.003937518,0.001080241],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00134761,"about_ca_system_score_gemma":0.0007350809,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001516358,"about_ca_topic_score_gemma":0.002277785,"domain_scores_codex":[0.9993604,0.00007215303,0.00008243421,0.0001473537,0.0001098318,0.0002278546],"domain_scores_gemma":[0.9985043,0.0004521185,0.0004119566,0.0001092715,0.00007969124,0.0004427032],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"case_report","study_design_gemma":"case_report","study_design_scores_codex":[0.00001359069,0.00002407174,0.001757693,0.00002407151,0.000004536299,0.9969177,0.0001207102,0.00003664416,0.0002918758,0.00008239537,0.0001123635,0.0006142918],"study_design_scores_gemma":[0.000004629924,0.00003246225,0.001237624,0.00001079531,0.000005842968,0.9980531,0.00005484877,0.0001037065,0.0001688396,0.00006240272,0.0002606196,0.000005225001],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9531774,0.01244535,0.007504004,0.00579066,0.0008490676,0.0002504065,0.0003224215,0.0003186919,0.01934208],"genre_scores_gemma":[0.991765,0.002050358,0.001760003,0.001468359,0.0005800956,0.0000330758,0.00007266639,0.00002390048,0.002246537],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.005172275,"threshold_uncertainty_score":0.009777665,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02241558134974075,"score_gpt":0.2765331330032685,"score_spread":0.2541175516535278,"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."}}