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Record W4410744411 · doi:10.1186/s13054-025-05435-2

Phrenic stimulation decreases brain injury biomarkers in sedated mechanically ventilated patients: preliminary observations

2025· article· en· W4410744411 on OpenAlexaff
Bassi Thiago, R. Nimma Elizabeth, Parfait Melodie, Reynolds Steve, Decavèle Maxens, Demoule Alexandre, Martin Dres

Bibliographic record

VenueCritical Care · 2025
Typearticle
Languageen
FieldMedicine
TopicRespiratory Support and Mechanisms
Canadian institutionsSimon Fraser UniversityLungpacer Medical (Canada)University of Toronto
Fundersnot available
KeywordsMedicineAnesthesiaEmergency medicineStimulationIntensive care medicineInternal medicine

Abstract

fetched live from OpenAlex

Astrocytes assist in modulating the breathing cycle.Mechanically ventilated sedated patients have their respiratory drive suppressed, which may affect astrocytes' function.This pilot study showed that phrenic nerve stimulation may protect astrocyte function and activity, maintaining the integrity of the blood-brain barrier in these patients.Neural control of respiratory rhythm is a complicated process controlled by both neuron and glia cells across subcortical and cortical networks, sending rhythmic or non-rhythmic inputs to respiratory motoneurons in the spinal cord [1].Glial cells, specifically astrocytes, also play a major role in controlling blood-brain barrier permeability, acting as "the brain's gatekeepers" [1].Cervical

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 machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.002
Threshold uncertainty score0.007

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0020.000

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.

Opus teacher head0.028
GPT teacher head0.343
Teacher spread0.315 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

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".

Quick stats

Citations4
Published2025
Admission routes1
Has abstractyes

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