{"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":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.001627364,0.00021579,0.0004770976,0.00007234319,0.0006608925,0.00009988724,0.0001232359,0.00005826343,0.00006716568],"category_scores_gemma":[0.00002153828,0.0001180086,0.00006418948,0.00006480522,0.0002028913,0.0001285755,0.00008831148,0.0002864025,0.00002165662],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002468465,"about_ca_system_score_gemma":0.00035417,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0006671349,"about_ca_topic_score_gemma":0.0001525133,"domain_scores_codex":[0.9980266,0.0003024291,0.0004353322,0.0003167766,0.0002906772,0.0006281523],"domain_scores_gemma":[0.9989353,0.0002425661,0.000156121,0.0004224015,0.00002121509,0.0002224073],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.0004700253,0.000101449,0.003114131,0.008059803,0.000338497,0.0003611903,0.005919604,0.0004078845,0.00003939302,0.002987593,0.9696094,0.008591013],"study_design_scores_gemma":[0.001334991,0.001203122,0.004501086,0.0006685233,0.00009229819,0.0004780288,0.009720539,0.006720521,0.00002227793,0.0000340543,0.9749873,0.0002372936],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.7160354,0.0774435,0.000148687,0.19505,0.001266195,0.00553757,0.0007215136,0.0002605262,0.003536688],"genre_scores_gemma":[0.9390271,0.005127172,0.00009569872,0.02309249,0.001238305,0.0000700676,0.0007036131,0.0000547005,0.03059089],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.2229917,"threshold_uncertainty_score":0.5083117,"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."}}