{"id":"W4414311971","doi":"10.4103/jets.jets_147_25","title":"What’s New in Emergencies, Trauma, and Shock: Stroke Care as a Cycle; How Delays and Readmissions Drive Emergency Department Overcrowding","year":2025,"lang":"en","type":"editorial","venue":"Journal of Emergencies Trauma and Shock","topic":"Emergency and Acute Care Studies","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Hamilton Health Sciences; McMaster University; Population Health Research Institute","funders":"","keywords":"Overcrowding; Emergency department; Stroke (engine); MEDLINE; Emergency medical services","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":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.0005306409,0.001053017,0.002133171,0.00085542,0.0005518766,0.0001291214,0.0003357856,0.0009818744,0.00038439],"category_scores_gemma":[0.00135346,0.000885081,0.0006161542,0.0005751303,0.0001926787,0.0007937054,0.0003118788,0.001882744,0.000001469586],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.000305209,"about_ca_system_score_gemma":0.001044504,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0003800881,"about_ca_topic_score_gemma":0.002462983,"domain_scores_codex":[0.9946864,0.0001677141,0.001903876,0.000925946,0.00141871,0.0008973883],"domain_scores_gemma":[0.9964426,0.0002956165,0.0007792393,0.0004375545,0.00107701,0.0009680087],"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":[0.0005958866,0.0001794829,0.004188508,0.001257729,0.001290335,0.0003865017,0.0109522,0.00000816084,0.0005103961,0.00007591345,0.9612002,0.01935469],"study_design_scores_gemma":[0.003528195,0.002631581,0.006034275,0.003676158,0.002567384,0.0001903747,0.06624115,0.00003236591,0.0003485725,0.0004300262,0.9131672,0.001152678],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.3014632,0.3482549,0.00002939115,0.002540793,0.3447259,0.0007830708,0.0003477754,0.00003728172,0.001817698],"genre_scores_gemma":[0.07608153,0.770856,0.0006288933,0.0001333418,0.1375303,0.00004637712,0.0002195212,0.0001338996,0.01437009],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.4226012,"threshold_uncertainty_score":0.99936,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01570363479770319,"score_gpt":0.3004595794461247,"score_spread":0.2847559446484215,"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."}}