{"id":"W4413594654","doi":"10.1186/s12871-025-03301-w","title":"Esketamine/dexmedetomidine–based opioid-free anesthesia and its association with postoperative bowel and cognitive dysfunction after total laparoscopic hysterectomy","year":2025,"lang":"en","type":"article","venue":"BMC Anesthesiology","topic":"Anesthesia and Pain Management","field":"Medicine","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"Health Commission of Hebei Province","keywords":"Medicine; Dexmedetomidine; Anesthesia; Perioperative; Postoperative cognitive dysfunction; Opioid; Anesthesiology; Hysterectomy; Ileus; Surgery; Internal medicine; Cognition","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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.000667503,0.0001774266,0.0003090848,0.0003809373,0.0002536502,0.0004411728,0.0003061926,0.0003510544,0.0006302419],"category_scores_gemma":[0.002289989,0.0002022931,0.0005284333,0.0004272561,0.0002942185,0.0002739269,0.0003177729,0.0005456707,0.00006601512],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002708717,"about_ca_system_score_gemma":0.0003169003,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001705578,"about_ca_topic_score_gemma":0.002118228,"domain_scores_codex":[0.9996197,0.00009714792,0.00006453333,0.00006379421,0.00007676286,0.00007802199],"domain_scores_gemma":[0.9978071,0.0004502457,0.001272443,0.0001155143,0.00008036305,0.0002743847],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.001428643,0.0002078226,0.9959282,0.00002122881,0.00008929962,0.00009696692,0.00004141262,0.00002696169,0.0003388074,0.00001156085,0.0000217225,0.001787329],"study_design_scores_gemma":[0.00002425077,0.0004564761,0.9990159,0.000004349823,0.00003990261,0.0001770069,0.00006428968,0.0001304576,0.0000420078,0.00001091605,0.00003186433,0.000002460612],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9997528,0.0001589289,0.00001488006,0.000009206924,0.000002409467,0.0000024024,0.00001428389,3.404963e-7,0.00004474523],"genre_scores_gemma":[0.9997914,0.00009874462,0.00002609681,0.000009480763,0.000008627781,0.000003217697,0.00003351264,3.699309e-7,0.00002863084],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.001705578,"threshold_uncertainty_score":0.003530085,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.008209688346990094,"score_gpt":0.2349516074996743,"score_spread":0.2267419191526842,"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."}}