{"id":"W4239630719","doi":"10.14740/jmc3124w","title":"Sessile Serrated Adenoma of the Appendix and Perforated Cecal Lymphoma in a Nonagenarian on Novel Anticoagulant Undergoing Emergent Surgery: The Challenges, Decision Making and Management of a Rare Case","year":2018,"lang":"en","type":"article","venue":"Journal of Medical Cases","topic":"Intraperitoneal and Appendiceal Malignancies","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Medicine; Appendix; Ascending colon; Surgery; Hemicolectomy; Radiology; Internal medicine; Colorectal cancer; Cancer","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":true,"about_ca":false,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.00108375,0.0001394928,0.0004445328,0.0001333843,0.0001170063,0.0000124357,0.0001203785,0.000102031,0.0001093032],"category_scores_gemma":[0.0003645128,0.00006911087,0.00008462501,0.0002405684,0.0003099722,0.0000513128,0.0001277372,0.0001860588,6.913571e-7],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00003524803,"about_ca_system_score_gemma":0.0001865879,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00008388163,"about_ca_topic_score_gemma":0.0002150656,"domain_scores_codex":[0.9980664,0.0001048463,0.0006636937,0.0001441041,0.0008243265,0.0001965759],"domain_scores_gemma":[0.9986282,0.0005967657,0.0003695067,0.0001509028,0.0001229849,0.0001316164],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"observational","study_design_scores_codex":[0.01944309,0.006952003,0.07162271,0.01078398,0.002421186,0.2632356,0.01471252,0.00006140908,0.01027,0.0110886,0.007017825,0.5823911],"study_design_scores_gemma":[0.01354874,0.005656779,0.5440202,0.06271938,0.001020861,0.3090752,0.04286276,0.009422418,0.008486083,0.0003285189,0.002297227,0.0005618532],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.992781,0.003028214,0.00005158713,0.003620376,0.0002320456,0.0001923335,0.000008846901,0.000003169108,0.00008241089],"genre_scores_gemma":[0.9974866,0.002012171,0.0001295778,0.0002105438,0.0001408844,0.000001824532,9.096779e-7,0.00001088432,0.00000659311],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.5818292,"threshold_uncertainty_score":0.281826,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.05450850658852903,"score_gpt":0.3116416092906629,"score_spread":0.2571331027021339,"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."}}