Stroke Care - More Than Just Saving Brain
Bibliographic record
Abstract
orientated" or "comfort and life prolonging" in intent.Note that attention to comfort is present in both goals and is not the exclusive preserve of patients who are dying.Interventions and support intended to maximize quality of living should be provided concurrently with interventions intended to control disease, where appropriate, or they can be the entire focus of care when no disease-modifying interventions are available 9 .Frequent, recurrent, compassionate communication with patient and their families after a sudden, devastating stroke is a necessity.This needs to be a core part of any guideline or care pathway in palliative care.By understanding and appreciating the beliefs and values of our patients and their families, it is usually possible to find the consensus between their goals of care and what it is medically appropriate to provide.The knowledge, skills and attitudes required in order to provide comfort, manage symptoms and support individuals and families are not necessarily intuitive and are very frequently not well taught in medical schools 10,11 .Opportunities exist to improve collaboration between neurologists, the inter-professional team and specialist palliative care providers to address gaps in the provision of palliative care for stroke.This work from Halifax helps those of us who practice stroke medicine remember that our role is not just to provide disability preventing treatments such as thrombolysis, but also to treat people who are at the end of their life after a stroke, with the goal of maintaining dignity and comfort.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.006 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.003 | 0.007 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.008 | 0.010 |
| Insufficient payload (model declined to judge) | 0.033 | 0.007 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".