{"id":"W4416695816","doi":"10.3390/medicina61122104","title":"Topical Spermidine Hyaluronate (Spd-HA) in Vulvovaginal Atrophy: A Preliminary Study","year":2025,"lang":"en","type":"article","venue":"Medicina","topic":"Menopause: Health Impacts and Treatments","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Health Care Foundation","funders":"","keywords":"Genitourinary system; Menopause; Vaginal atrophy; Adverse effect; Lower urinary tract symptoms; Postmenopausal women; Vagina; Vulvodynia","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":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0003322719,0.0002229461,0.0005393012,0.0002981987,0.00007627632,0.000009175859,0.0001084929,0.00007086226,0.0003226788],"category_scores_gemma":[0.0001993907,0.0001621253,0.00001579985,0.0004063676,0.00007029413,0.00005000524,0.0000719605,0.000376287,0.00006598516],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002594793,"about_ca_system_score_gemma":0.0002957968,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.000603954,"about_ca_topic_score_gemma":0.00006928202,"domain_scores_codex":[0.998179,0.00009946927,0.0004479422,0.0003938418,0.000402685,0.0004771279],"domain_scores_gemma":[0.9990753,0.0000935569,0.00005455957,0.0004426075,0.00005076483,0.0002831929],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.006151703,0.005857649,0.8995359,0.0009441758,0.0003730434,0.01218493,0.002681067,0.000006596825,0.0008163532,0.0005474904,0.005412393,0.0654887],"study_design_scores_gemma":[0.0161647,0.02295639,0.9511571,0.000574624,0.0003633077,0.0001244986,0.0005080179,0.000169223,0.0001081246,0.0003106772,0.007430133,0.0001332345],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9755864,0.001242108,0.00002768035,0.0101101,0.0004780125,0.001412967,0.000002420674,0.00006032331,0.01107994],"genre_scores_gemma":[0.9912528,0.00005374377,0.0001748488,0.002176267,0.0001878497,0.00004852345,0.00001443818,0.00001767547,0.006073902],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.06535547,"threshold_uncertainty_score":0.6611277,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02967536579250307,"score_gpt":0.366758985987357,"score_spread":0.3370836201948539,"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."}}