{"id":"W2076478382","doi":"10.1007/s11552-015-9759-6","title":"Achieving the Optimal Epinephrine Effect in Wide Awake Hand Surgery using Local Anesthesia without a Tourniquet","year":2015,"lang":"en","type":"article","venue":"Hand","topic":"Orthopedic Surgery and Rehabilitation","field":"Medicine","cited_by":123,"is_retracted":false,"has_abstract":true,"ca_institutions":"McMaster University; Saint John Regional Hospital","funders":"","keywords":"Medicine; Tourniquet; Lidocaine; Epinephrine; Anesthesia; Vasoconstriction; Surgery; Local anesthesia","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":[0.002156153,0.0001596657,0.0004202457,0.0001477609,0.0001104506,0.00004568155,0.00004052453,0.00009598345,0.00003332288],"category_scores_gemma":[0.0009328797,0.00009790157,0.0001074516,0.0002611499,0.0002858281,0.0001224912,0.00002203313,0.0002261983,0.00001429537],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00007361295,"about_ca_system_score_gemma":0.000225553,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0001449982,"about_ca_topic_score_gemma":0.00002716534,"domain_scores_codex":[0.9986201,0.0003286876,0.0003092286,0.0002113762,0.0002658705,0.0002647601],"domain_scores_gemma":[0.9982681,0.00119773,0.00008169317,0.0002260222,0.00007212617,0.0001543519],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0007323297,0.0001021091,0.9697905,0.0001270151,0.00003143152,0.0005003356,0.0009826104,0.0006055278,0.005604228,0.000003484464,0.0007526993,0.0207677],"study_design_scores_gemma":[0.00648449,0.001405342,0.8965356,0.003074799,0.0004081899,0.003836356,0.001400166,0.01541947,0.02914021,0.00005839049,0.04142654,0.0008103845],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9948905,0.0006612678,0.002364521,0.001380391,0.0001391185,0.000370854,5.965391e-7,0.00002689176,0.0001658804],"genre_scores_gemma":[0.9985638,0.00001354446,0.0004531212,0.0004082584,0.0002049947,0.0000193451,0.00001076779,0.00002330093,0.0003029057],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.07325488,"threshold_uncertainty_score":0.399231,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03173526173118525,"score_gpt":0.2902892569852922,"score_spread":0.258553995254107,"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."}}