{"id":"W4394060598","doi":"10.7759/cureus.57778","title":"A Critically Ill Influenza A-Positive Patient With Spontaneous Pneumomediastinum, Superimposed Bacterial Pneumonia, and Bilateral Pneumothoraces","year":2024,"lang":"en","type":"article","venue":"Cureus","topic":"Pneumothorax, Barotrauma, Emphysema","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Columbia College","funders":"","keywords":"Pneumomediastinum; Medicine; Nasal cannula; Pneumonia; ARDS; Viral pneumonia; Pneumothorax; Respiratory distress; Intensive care medicine; Bacterial pneumonia; Respiratory failure; Emergency department; Pediatrics; Internal medicine; Lung; Surgery; Cannula; Coronavirus disease 2019 (COVID-19); Disease; Infectious disease (medical specialty)","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"],"consensus_categories":[],"category_scores_codex":[0.0001815929,0.0006095477,0.0007516011,0.0002217277,0.0001471984,0.0003252646,0.0001714982,0.0002620695,0.0002546412],"category_scores_gemma":[0.000337121,0.0004725954,0.0001420789,0.0003663505,0.0004239065,0.0004466129,0.0001469094,0.0005556202,0.0001185382],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.000251167,"about_ca_system_score_gemma":0.0003226322,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0001346663,"about_ca_topic_score_gemma":0.0000869397,"domain_scores_codex":[0.9968081,0.0001333208,0.0006076364,0.0009992281,0.0006294781,0.0008221993],"domain_scores_gemma":[0.9979004,0.000338628,0.00006847666,0.000524541,0.0005101244,0.0006578796],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"bench_or_experimental","study_design_gemma":"case_report","study_design_scores_codex":[0.002427749,0.0005496524,0.00282773,0.0007920167,0.0005352984,0.06093166,0.008020367,0.0000062723,0.9064681,0.0004588363,0.0002810994,0.01670124],"study_design_scores_gemma":[0.01073828,0.04535105,0.3312658,0.01151864,0.003999603,0.3808417,0.00548562,0.004600943,0.1203971,0.001412,0.07747941,0.006909798],"study_design_candidate":"bench_or_experimental","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9920236,0.001220903,0.00002750317,0.002561352,0.0007462231,0.001037578,0.0002113375,0.0005056254,0.001665882],"genre_scores_gemma":[0.9958007,0.00006142379,0.001194491,0.00182126,0.0005946357,0.00009795997,0.00007817789,0.0001609085,0.000190451],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.786071,"threshold_uncertainty_score":0.9997725,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01181953838501289,"score_gpt":0.2691424865114616,"score_spread":0.2573229481264487,"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."}}