{"id":"W4413010221","doi":"10.1136/leader-2025-001257","title":"Clearing the air: a systematic review on leadership challenges with sustainable inhaler prescribing","year":2025,"lang":"en","type":"review","venue":"BMJ Leader","topic":"Inhalation and Respiratory Drug Delivery","field":"Medicine","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Ottawa; Memorial University of Newfoundland","funders":"","keywords":"Context (archaeology); Systematic review; Champion; Health care; MEDLINE; Inhaler; Medicine; Best practice; Medical education; Public relations; Business; Nursing; Political science; Geography","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":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.001479589,0.0005903546,0.002967266,0.0003186535,0.00021034,0.00004140238,0.0003255847,0.0003394118,0.0000672562],"category_scores_gemma":[0.000884592,0.000283804,0.0006135551,0.0005042966,0.0001178764,0.00008203121,0.00008642786,0.001088256,0.0003451324],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002520961,"about_ca_system_score_gemma":0.0008273329,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.000003149778,"about_ca_topic_score_gemma":0.000002330796,"domain_scores_codex":[0.9964491,0.0008078774,0.0009755577,0.0005617873,0.0006436704,0.000561974],"domain_scores_gemma":[0.9972574,0.000604992,0.0005222214,0.001244866,0.0002629116,0.0001076202],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"systematic_review","study_design_gemma":"systematic_review","study_design_scores_codex":[0.00001465019,0.00004792244,1.174348e-7,0.9748214,0.0004146479,0.000245308,0.0002319955,0.000001664835,9.879178e-9,0.000875645,0.003878072,0.01946856],"study_design_scores_gemma":[0.0001915341,0.00007892078,2.619982e-7,0.6840146,0.004018486,0.000218896,0.002695463,0.000002081885,3.760683e-7,6.841168e-7,0.3085441,0.0002346737],"study_design_candidate":"systematic_review","study_design_consensus":"systematic_review","genre_codex":"review","genre_gemma":"review","genre_scores_codex":[1.266454e-7,0.962719,0.000007654236,0.004844815,0.0001029501,0.01031125,0.000001690763,0.0001287685,0.02188372],"genre_scores_gemma":[0.00001825656,0.9314702,0.00001282304,0.00582873,0.0002719828,0.001282221,0.00001531618,0.00008332553,0.06101721],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.304666,"threshold_uncertainty_score":0.9999614,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1700089813768865,"score_gpt":0.3660930585916126,"score_spread":0.1960840772147261,"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."}}