{"id":"W7124283897","doi":"10.1353/nib.2025.a979958","title":"Our Journey Through Ontario's Health Care System with a Child with Down Syndrome","year":2025,"lang":"en","type":"article","venue":"Narrative Inquiry in Bioethics","topic":"Down syndrome and intellectual disability research","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"","funders":"","keywords":"Down syndrome; Health care; MEDLINE; Prenatal care; Self care","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":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow","research_integrity"],"consensus_categories":[],"category_scores_codex":[0.0007914976,0.0003846849,0.0009599678,0.0003418525,0.000408691,0.0000839568,0.0002637171,0.0003620772,0.0001969195],"category_scores_gemma":[0.0002252645,0.0002560368,0.00009972819,0.001439271,0.00101238,0.0002329709,0.00009605144,0.00257416,0.00007676417],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.002823759,"about_ca_system_score_gemma":0.004658583,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.02706222,"about_ca_topic_score_gemma":0.1431966,"domain_scores_codex":[0.9967147,0.0004221481,0.0005907878,0.0007046558,0.0008854289,0.0006822601],"domain_scores_gemma":[0.9981971,0.0001176668,0.0001193338,0.0006653635,0.0006788298,0.0002216597],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.003369421,0.0007673953,0.1007055,0.003970027,0.0006469375,0.000428168,0.8703931,0.00005996322,0.00001526525,0.008081231,0.01117432,0.0003886739],"study_design_scores_gemma":[0.003818117,0.007331165,0.0267091,0.008335046,0.00005716702,0.00209701,0.9444318,0.00002395563,0.0002442212,0.00006466266,0.006493384,0.0003943495],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.8811664,0.001661265,0.001215185,0.05741608,0.0004791709,0.003052631,0.0000260579,0.0001942306,0.05478897],"genre_scores_gemma":[0.9940773,0.00005688126,0.0007571507,0.00192765,0.00006555879,0.0001270574,0.00006142615,0.00003379351,0.002893152],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1161343,"threshold_uncertainty_score":0.9999892,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1161438245951346,"score_gpt":0.4218911176704569,"score_spread":0.3057472930753223,"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."}}