{"id":"W4242929684","doi":"10.14740/jmc2032e","title":"Distal Followed by Proximal Gastrointestinal Obstruction Due to Gallstones","year":2015,"lang":"en","type":"article","venue":"Journal of Medical Cases","topic":"Biliary and Gastrointestinal Fistulas","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Medicine; Enterotomy; Gallstones; Laparotomy; Ileum; Gastroenterology; Surgery; Jejunum; Cholecystitis; Complication; Gastric outlet obstruction; Bowel obstruction; Cholecystectomy; Gallstone ileus; Fistula; Gallbladder; Internal medicine","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":[0.0009495867,0.0001702887,0.0004539485,0.0001148061,0.00004452903,0.00002381551,0.0001765405,0.00006255643,0.0002568972],"category_scores_gemma":[0.006991398,0.000121501,0.0001711121,0.0001896145,0.000145548,0.0001044875,0.00005920691,0.0006043751,0.00002684869],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001220268,"about_ca_system_score_gemma":0.0005260148,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00003377973,"about_ca_topic_score_gemma":0.00001075292,"domain_scores_codex":[0.9971231,0.00008020848,0.000619576,0.0001639022,0.001721538,0.0002916599],"domain_scores_gemma":[0.9973267,0.0002048738,0.0002235476,0.0001340384,0.0004344115,0.001676476],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"case_report","study_design_scores_codex":[0.01245784,0.002211801,0.2219237,0.0002680687,0.0001361187,0.1037899,0.0004201826,0.00002498432,0.01400956,0.0002301417,0.6310804,0.01344726],"study_design_scores_gemma":[0.005355435,0.01585115,0.03157096,0.001884294,0.0002447605,0.9254116,0.00133109,0.0002487071,0.0019304,0.0001586972,0.01576611,0.0002467555],"study_design_candidate":"case_report","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9759657,0.0002265464,0.003555156,0.01938564,0.0004480135,0.0001428818,0.00001001092,0.00002581509,0.0002402117],"genre_scores_gemma":[0.9874149,0.000003467874,0.01019447,0.0008821599,0.001151708,0.000002899486,0.000007905696,0.0000187816,0.0003237141],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.8216218,"threshold_uncertainty_score":0.8369861,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03195567889269962,"score_gpt":0.3056073169962452,"score_spread":0.2736516381035456,"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."}}