{"id":"W4415726461","doi":"10.14740/jmc5199","title":"A Rare Cause of Umbilical Discharge in a Healthy Adult: A Case Report of Patent Urachal Sinus in Primary Care","year":2025,"lang":"en","type":"article","venue":"Journal of Medical Cases","topic":"Urinary and Genital Oncology Studies","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Urachus; Context (archaeology); Physical examination; Umbilicus (mollusc); Incision and drainage; Differential diagnosis; Presentation (obstetrics); Abscess","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":[0.0007580208,0.0001263906,0.0009308817,0.0003381462,0.00002621786,0.000001674501,0.0000922454,0.0001966292,0.00004976875],"category_scores_gemma":[0.003476578,0.00008936125,0.0001787734,0.0003391417,0.0002593587,0.00005947727,0.0001074442,0.000678899,4.123768e-7],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002255847,"about_ca_system_score_gemma":0.001354623,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0004542841,"about_ca_topic_score_gemma":0.001527519,"domain_scores_codex":[0.9973439,0.0001632859,0.001448343,0.0001555148,0.0006783818,0.0002105722],"domain_scores_gemma":[0.9982751,0.0005737959,0.0004212167,0.000161051,0.0003457355,0.0002231162],"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":[0.004843126,0.001682841,0.2500901,0.001318351,0.0001037043,0.7367103,0.001432294,0.00000116474,0.00003028027,0.00002794442,0.000792673,0.002967308],"study_design_scores_gemma":[0.009630053,0.0079675,0.2622596,0.003251155,0.0003000698,0.7071661,0.008630109,0.00001833759,0.0001967212,0.00004435405,0.0004272491,0.0001087407],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.98124,0.00763683,0.000005336572,0.01033285,0.0002113238,0.0002204304,0.00002326893,0.000003467552,0.0003265324],"genre_scores_gemma":[0.9985437,0.0004109684,0.0001309394,0.0007397715,0.00009810314,0.000008496181,0.000007887431,0.000006017776,0.00005409908],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.02954414,"threshold_uncertainty_score":0.416204,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.04477001118635257,"score_gpt":0.3547872333015751,"score_spread":0.3100172221152225,"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."}}