{"id":"W40095133","doi":"10.1017/s148180350001263x","title":"Profound metabolic acidosis from pyroglutamic acidemia: an underappreciated cause of high anion gap metabolic acidosis","year":2010,"lang":"en","type":"article","venue":"Canadian Journal of Emergency Medicine","topic":"Renal function and acid-base balance","field":"Medicine","cited_by":13,"is_retracted":false,"has_abstract":false,"ca_institutions":"Vancouver General Hospital; University of British Columbia","funders":"","keywords":"Metabolic acidosis; Medicine; Anion gap; Pyroglutamic acid; Acidosis; Internal medicine; Intensive care medicine; Cardiology; Biochemistry; Chemistry","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":["metaepi_narrow","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.0009351117,0.0004246596,0.001400134,0.0009417069,0.0001744133,0.00001098934,0.0004079041,0.0003362488,0.01093678],"category_scores_gemma":[0.001329602,0.000322245,0.0003018744,0.001139169,0.0002769697,0.0004184202,0.00001573953,0.001195288,0.00002751793],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00008751443,"about_ca_system_score_gemma":0.001440649,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.02779187,"about_ca_topic_score_gemma":0.04328701,"domain_scores_codex":[0.9964176,0.0001824407,0.001674941,0.0003954504,0.0007136465,0.0006159213],"domain_scores_gemma":[0.9950576,0.00008472979,0.0009924314,0.0006784459,0.001124846,0.002061991],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"bench_or_experimental","study_design_gemma":"observational","study_design_scores_codex":[0.0005687613,0.0002755795,0.1488573,0.0001185249,0.001798594,0.0002945396,0.001682973,0.00003683801,0.8116332,0.002198837,0.01989473,0.01264012],"study_design_scores_gemma":[0.009171885,0.002260719,0.7004983,0.000950405,0.004804058,0.0003678486,0.001425967,0.0002605545,0.1380482,0.003141057,0.1381498,0.0009211759],"study_design_candidate":"bench_or_experimental","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9734986,0.01009037,0.0003059872,0.00414791,0.01090339,0.000341671,0.00009377121,0.00002637918,0.000591905],"genre_scores_gemma":[0.991383,0.003590192,0.0005659278,0.000633011,0.00304186,0.000009030862,0.0001173114,0.00006689077,0.000592766],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.673585,"threshold_uncertainty_score":0.999923,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.07778888940145845,"score_gpt":0.3356709903890408,"score_spread":0.2578821009875824,"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."}}