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{"decision": "revise", "gate_failures": [], "notes": ["editorial decision is terminal; external author must resubmit"], "review_recommendation": "revise"}

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# Alpha memo: therapeutic hypothermia outcome evidence varies with population or endpoint definition
**One-sentence alpha:** Rewarming-rate effects after therapeutic hypothermia in cardiac arrest may attenuate after adjustment for age and initial rhythm, while separate signals suggest glucose variability during hypothermia and in-hospital versus out-of-hospital arrest context may condition neurolo…