{"id":"W4406821032","doi":"10.1016/j.gastha.2025.100625","title":"Ripple Effect: Safety, Cost, and Environmental Concerns of Using Sterile Water in Endoscopy","year":2025,"lang":"en","type":"review","venue":"Gastro Hep Advances","topic":"Medical Device Sterilization and Disinfection","field":"Immunology and Microbiology","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"Université de Montréal; Centre Hospitalier de l’Université de Montréal","funders":"","keywords":"Endoscopy; Ripple; Sterile water; Environmental science; Medicine; Business; Operations management; Surgery; Engineering; Pulp and paper industry; Electrical engineering","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"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":[0.06164865,0.001015915,0.001615901,0.004101906,0.001722639,0.007508317,0.00194409,0.006305027,0.00742491],"category_scores_gemma":[0.2868981,0.0006062866,0.002974842,0.002866083,0.006946156,0.006159921,0.003411767,0.00454884,0.0009519446],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.007038856,"about_ca_system_score_gemma":0.01130522,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.004561134,"about_ca_topic_score_gemma":0.008086934,"domain_scores_codex":[0.9271819,0.03980781,0.01017171,0.002483813,0.01902407,0.001330592],"domain_scores_gemma":[0.5636595,0.350928,0.04056446,0.006068274,0.03648223,0.002297512],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00295608,0.0001736116,0.0188951,0.07456784,0.004116917,0.00361628,0.003999444,0.001482302,0.001526524,0.04328185,0.173689,0.6716951],"study_design_scores_gemma":[0.0005484264,0.002257918,0.02261824,0.1625976,0.01128181,0.006358678,0.01233723,0.001398288,0.005914416,0.08054053,0.6936986,0.0004481804],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.01294644,0.619952,0.005516394,0.3299578,0.01522658,0.0005189536,0.0006739922,0.0001636892,0.01504421],"genre_scores_gemma":[0.2811548,0.369952,0.02082455,0.2968863,0.02246198,0.001124676,0.0003829417,0.000318802,0.006893961],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.06164865,"threshold_uncertainty_score":0.3260331,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01600657901472474,"score_gpt":0.3180189528422689,"score_spread":0.3020123738275441,"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."}}