{"id":"W4394824761","doi":"10.1016/s2542-5196(24)00070-6","title":"Environmentally sustainable opportunities for health systems: metered-dose inhaler prescribing, dispensing, usage, and waste at The Ottawa Hospital","year":2024,"lang":"en","type":"article","venue":"The Lancet Planetary Health","topic":"Inhalation and Respiratory Drug Delivery","field":"Medicine","cited_by":4,"is_retracted":false,"has_abstract":true,"ca_institutions":"Montfort Hospital; Ottawa Hospital","funders":"","keywords":"Medicine; Carbon footprint; Greenhouse gas; Medical record; Emergency medicine; Inhaler; Health care; Medical emergency; Environmental health; Asthma; Surgery","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0005861723,0.0002352442,0.0001938032,0.001625079,0.001681467,0.002023811,0.0009723072,0.0004160398,0.003433064],"category_scores_gemma":[0.0029426,0.0003198229,0.0004223591,0.003615209,0.0008374673,0.0007249746,0.001240003,0.0006524154,0.0004292473],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.016424,"about_ca_system_score_gemma":0.01314304,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.7691991,"about_ca_topic_score_gemma":0.8620046,"domain_scores_codex":[0.9984484,0.0001420757,0.0002315333,0.0001506337,0.0006138026,0.0004135648],"domain_scores_gemma":[0.9950233,0.000446824,0.002528765,0.0001441942,0.0009000457,0.0009569194],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.00002127715,0.00002118038,0.9962522,0.00004094979,0.00001326244,0.0001137702,0.0002428886,0.00007847852,0.00005586735,0.00003421545,0.000720122,0.002405824],"study_design_scores_gemma":[0.000001842467,0.00002332329,0.9979855,0.00004934076,0.00001022355,0.0001859499,0.000832872,0.0001058265,0.00006667138,0.00002160638,0.0007089303,0.000007902016],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9876889,0.001079578,0.0001270742,0.00167809,0.00001585959,0.0001016294,0.005731364,0.00001389217,0.003563533],"genre_scores_gemma":[0.9960434,0.0009721709,0.0003001609,0.000299914,0.00002090969,0.00004211034,0.001397329,0.000004280508,0.0009197993],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.2308009,"threshold_uncertainty_score":0.4643203,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.05527759056295172,"score_gpt":0.2964809583062133,"score_spread":0.2412033677432616,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}