{"id":"W4416247865","doi":"10.3899/jrheum.2025-0651","title":"Refractory Systemic Sclerosis–Related Digital Ulcer Successfully Treated With Hyperbaric Oxygen Therapy: A Case Report and Literature Review","year":2025,"lang":"en","type":"article","venue":"The Journal of Rheumatology","topic":"Systemic Sclerosis and Related Diseases","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Toronto; University Health Network; Toronto Western Hospital; Mount Sinai Hospital","funders":"","keywords":"Refractory (planetary science); Gangrene; Hyperbaric oxygen; Concomitant; Complication; Systemic antibiotics; Narcotic; Chemotherapy; Nifedipine","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":true,"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":[0.0003057017,0.001301787,0.001150365,0.003160093,0.001502004,0.001842572,0.001539874,0.004116252,0.002038979],"category_scores_gemma":[0.001328818,0.0005191868,0.0009936317,0.003146607,0.001473127,0.002062389,0.0009420755,0.001589811,0.001054908],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0005963965,"about_ca_system_score_gemma":0.0007149625,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0009245732,"about_ca_topic_score_gemma":0.001538063,"domain_scores_codex":[0.999427,0.00006871115,0.0001705148,0.0001116216,0.0001035826,0.0001187594],"domain_scores_gemma":[0.9992819,0.0002146884,0.0002491254,0.00005877713,0.00007268973,0.0001228198],"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":[0.00002115085,0.00005124869,0.003158754,0.0006220439,0.0000393403,0.9847556,0.0001843805,0.00007741798,0.0006136628,0.0002014038,0.001966837,0.008308098],"study_design_scores_gemma":[0.000009625774,0.00002367727,0.002031131,0.0002397389,0.00005954594,0.989809,0.0002554951,0.00009733413,0.0002603411,0.0001522751,0.007045447,0.00001630241],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"review","genre_gemma":"empirical","genre_scores_codex":[0.2861555,0.6665142,0.005591118,0.006722485,0.004238503,0.0003394432,0.0005057997,0.0002657947,0.02966723],"genre_scores_gemma":[0.674086,0.3037433,0.00270203,0.005149984,0.009908959,0.0001089847,0.0005848068,0.00004041621,0.003675579],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.004116252,"threshold_uncertainty_score":0.006821096,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01101572015429185,"score_gpt":0.2457779995170808,"score_spread":0.234762279362789,"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."}}