{"id":"W4416690835","doi":"10.46747/cfp.711112719","title":"Cushing syndrome presenting as persistent delirium","year":2025,"lang":"en","type":"article","venue":"Canadian Family Physician","topic":"Adrenal Hormones and Disorders","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Alberta","funders":"","keywords":"Delirium; Cushing syndrome; Pituitary disorder; MEDLINE; Pituitary neoplasm; Adrenocortical hyperfunction; Hypopituitarism","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":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.000051962,0.0001537642,0.0002342126,0.0002385657,0.0002073522,0.00004312645,0.000124568,0.00007542949,0.00000691658],"category_scores_gemma":[0.00003156509,0.0001566302,0.0002021872,0.0003653812,0.00005646707,0.00008768724,0.00002974129,0.0001897513,0.0001639191],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002578509,"about_ca_system_score_gemma":0.0007497863,"about_ca_topic_candidate":true,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.03029952,"about_ca_topic_score_gemma":0.003593448,"domain_scores_codex":[0.9989184,0.00001505059,0.0001649604,0.00026849,0.0001509663,0.0004821888],"domain_scores_gemma":[0.9991317,0.00002001982,0.0000323172,0.000284728,0.0001196764,0.0004116015],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.0002722122,0.0006478499,0.01865624,0.001236357,0.002716958,0.005991422,0.002155869,0.0007575314,0.01233804,0.03987934,0.6862664,0.2290818],"study_design_scores_gemma":[0.003982956,0.000563022,0.2151394,0.001499663,0.001214762,0.0001174499,0.03725117,0.007156241,0.0004339692,0.004679259,0.7264899,0.00147219],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"other","genre_gemma":"empirical","genre_scores_codex":[0.4698821,0.001552866,0.00002892526,0.00368714,0.0002043632,0.0002517109,0.000009307872,0.00004651146,0.5243371],"genre_scores_gemma":[0.8735937,0.00001287275,0.0000436077,0.12232,0.00006935582,0.00001202823,0.00003169445,0.00001935191,0.003897337],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.5204397,"threshold_uncertainty_score":0.9761578,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01408921562310575,"score_gpt":0.2465009998455464,"score_spread":0.2324117842224407,"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."}}