Bibliographic record
Abstract
The goal of neuroprotection during carotid endarterectomy is a reduction in the frequency and severity of perioperative stroke. This includes cerebral ischemic events secondary to hypoperfusion during cross clamping, emboli, or both. However, rational use of protective techniques requires that patients at risk first be identified. This process begins with a thorough preoperative assessment, including neurological status and angiographic findings. lntraoperative monitoring is the next step in the identification. This can include the awake patient, electroencephalogram, transcranial Doppler, stump pressure or combinations of these. Unfortunately, evidence is lacking to demonstrate that any of these modalities is superior to another or to no monitoring at all. Finally, when a patient is at risk, a protective technique needs to be chosen. The use of surgical shunt placement has received mixed acceptance from surgeons performing these procedures. Barbiturate coma and anticoagulation may offer benefit but come with inherent risks as well. Maintenance of a high mean arterial pressure with vasopressors and fluids may also help improve collateral flow.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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 teacher head, 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".