{"id":"W4410699389","doi":"10.1186/s13741-025-00535-7","title":"Effect of butorphanol nasal spray administration on patient cooperativity during labor epidural placement: a single-center randomized controlled trial","year":2025,"lang":"en","type":"article","venue":"Perioperative Medicine","topic":"Anesthesia and Pain Management","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"Science, Technology and Innovation Commission of Shenzhen Municipality","keywords":"Medicine; Anesthesia; Visual analogue scale; Randomized controlled trial; Apgar score; Analgesic; Umbilical artery; Butorphanol; McGill Pain Questionnaire; Surgery; Pregnancy; Gestational age; Gestation","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.004522189,0.001736117,0.006690648,0.0007379084,0.0008331716,0.001760213,0.001568564,0.002931378,0.007469586],"category_scores_gemma":[0.005576566,0.001040009,0.003083487,0.0009283955,0.001959044,0.001612997,0.000693985,0.002467166,0.0007401956],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001209119,"about_ca_system_score_gemma":0.003137078,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001547798,"about_ca_topic_score_gemma":0.0024078,"domain_scores_codex":[0.9962624,0.002147909,0.0003660319,0.0006008144,0.0003157894,0.0003071245],"domain_scores_gemma":[0.9959508,0.001514775,0.001077319,0.0002957751,0.0004050009,0.000756264],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"randomized_trial","study_design_gemma":"randomized_trial","study_design_scores_codex":[0.9885533,0.005422044,0.0002489459,0.0007735599,0.000865909,0.00001563593,0.00002737101,0.00006363967,0.0004703773,0.00002782214,0.0001129953,0.003418322],"study_design_scores_gemma":[0.9494807,0.04875685,0.000611581,0.00003916114,0.0006523444,0.000006722729,0.00001580183,0.0001757022,0.00009319759,0.000035378,0.0001233825,0.000009278968],"study_design_candidate":"randomized_trial","study_design_consensus":"randomized_trial","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9632822,0.009005016,0.001525403,0.0007772102,0.00140535,0.02169642,0.0008899145,0.0001460065,0.001272597],"genre_scores_gemma":[0.9622841,0.004184945,0.003682302,0.0009571772,0.0008718215,0.02554701,0.0004680999,0.00002355843,0.001980918],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.007469586,"threshold_uncertainty_score":0.02498829,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.008574038504652137,"score_gpt":0.2889673180287795,"score_spread":0.2803932795241273,"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."}}