{"id":"W4206542671","doi":"10.3389/fcimb.2021.769950","title":"The Effect of Gender-Affirming Medical Care on the Vaginal and Neovaginal Microbiomes of Transgender and Gender-Diverse People","year":2022,"lang":"en","type":"review","venue":"Frontiers in Cellular and Infection Microbiology","topic":"Reproductive tract infections research","field":"Immunology and Microbiology","cited_by":52,"is_retracted":false,"has_abstract":true,"ca_institutions":"Women's College Hospital; University of Toronto; Western University; Mount Sinai Hospital","funders":"National Institute of Nursing Research; Schulich School of Medicine and Dentistry; Canadian Institutes of Health Research; National Institutes of Health; National Institute of Allergy and Infectious Diseases; Schulich School of Medicine and Dentistry, Western University","keywords":"Transgender; Vagina; Vaginoplasty; Medicine; Gynecology; Testosterone (patch); Lesbian; Gender dysphoria; Physiology; Psychology; Internal medicine; Surgery","routes":{"ca_aff":true,"ca_fund":true,"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"],"consensus_categories":[],"category_scores_codex":[0.001750673,0.0004379655,0.001327598,0.0005623782,0.000573921,0.00001881717,0.000276223,0.0006263735,0.0002344767],"category_scores_gemma":[0.0002327249,0.0002666375,0.0002529162,0.0003924385,0.001640269,0.00005007199,0.0002648054,0.001468861,0.000004600344],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001202081,"about_ca_system_score_gemma":0.0001857676,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0001741736,"about_ca_topic_score_gemma":0.00003563076,"domain_scores_codex":[0.9953393,0.002838299,0.0006376707,0.0006825601,0.00006667862,0.0004355218],"domain_scores_gemma":[0.9978242,0.001341266,0.0003277804,0.0004149001,0.00005517238,0.00003666394],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"not_applicable","study_design_scores_codex":[0.0005840159,0.0002434016,0.01690813,0.01313003,0.00289811,0.00002132135,0.003913495,0.000004895498,0.01615897,0.000386612,0.003633969,0.942117],"study_design_scores_gemma":[0.001347124,0.00116765,0.0004208993,0.0003182572,0.0005922024,0.001139097,0.0008183082,0.000001325803,0.004072933,0.0000361801,0.9897431,0.0003429744],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.06869743,0.9282566,0.000161923,0.00003545293,0.001478576,0.001068837,0.0001057825,0.00001580495,0.0001796417],"genre_scores_gemma":[0.03957405,0.9599038,0.00001726637,0.000009530608,0.00003760714,0.0001186046,0.0002187803,0.00003289022,0.0000874815],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.9861091,"threshold_uncertainty_score":0.9999786,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03376682327209306,"score_gpt":0.3069932755046053,"score_spread":0.2732264522325122,"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."}}