{"id":"W4407623726","doi":"10.1002/pmrj.13354","title":"Flipping the script: Conservative management of a flipped intrathecal baclofen pump","year":2025,"lang":"en","type":"letter","venue":"PM&R","topic":"Botulinum Toxin and Related Neurological Disorders","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Izaak Walton Killam Health Centre; Dalhousie University","funders":"","keywords":"Baclofen; Intrathecal; Medicine; Conservative management; Anesthesia; Surgery; Internal medicine","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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0003108001,0.00173559,0.001412306,0.002676555,0.003412644,0.001494662,0.001577695,0.004300494,0.002979791],"category_scores_gemma":[0.004478352,0.0006655171,0.001378035,0.001198513,0.002005417,0.003248964,0.001839079,0.005161802,0.001140425],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.002965319,"about_ca_system_score_gemma":0.002138922,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00374274,"about_ca_topic_score_gemma":0.008534234,"domain_scores_codex":[0.9988207,0.0001145265,0.0001590109,0.0002368551,0.0003002656,0.0003686183],"domain_scores_gemma":[0.9982141,0.0002972336,0.0005080364,0.00009310724,0.0001678597,0.0007196791],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"case_report","study_design_gemma":"case_report","study_design_scores_codex":[0.00005404751,0.0001516154,0.003860799,0.00006252251,0.00001624247,0.9872798,0.0001925991,0.0002281069,0.001188733,0.0002904902,0.001487523,0.005187655],"study_design_scores_gemma":[0.00001399121,0.0001753047,0.002344626,0.000141859,0.00001749998,0.9928719,0.0002140012,0.001292964,0.0005917092,0.0006020076,0.001702986,0.00003114452],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.8150635,0.0267301,0.04694877,0.05229703,0.005927626,0.001203238,0.0007016399,0.001579934,0.04954812],"genre_scores_gemma":[0.9536865,0.004431007,0.01282367,0.01972499,0.002089432,0.0001222288,0.0002735498,0.0002375275,0.006611072],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.004300494,"threshold_uncertainty_score":0.02151495,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02868927985260041,"score_gpt":0.269433176994627,"score_spread":0.2407438971420266,"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."}}