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{"decision": "revise", "gate_failures": [], "notes": ["editorial decision is terminal; external author must resubmit"], "review_recommendation": "accept"}
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# Research Synthesis: Aspirin Cardiovascular Effects
## Abstract

Evidence scope: 4/12 retained sources are indirect, review-level, adjacent, or mechanistic and are used only to bound interpretation. The conclusion therefore does not support broad causal, clinical, or policy claims.

This paper synthesizes evidence on aspirin cardiovascular effects across 12 included source papers and 1000 high-co…
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