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Is primary prevention of asthma possible?

2000· review· en· W2163979822 on OpenAlexaff
Allan B. Becker

Bibliographic record

VenuePediatric Pulmonology · 2000
Typereview
Languageen
FieldMedicine
TopicAsthma and respiratory diseases
Canadian institutionsUniversity of Manitoba
Fundersnot available
KeywordsAsthmaMedicineWindow of opportunityDiseaseEnvironmental healthAllergyHygiene hypothesisPublic healthImmunologyIntensive care medicinePathology

Abstract

fetched live from OpenAlex

The increased prevalence of asthma over the past quarter century has become a major public health problem for the industrialized world. Asthma is a disease process which has a strong heritable component which is impacted by multiple environmental factors. Given the rapid increase in asthma prevalence, it is difficult to ascribe the change to a genetic alteration. Therefore, the focus for understanding the changing prevalence of asthma must be on environmental factors. This article reviews factors which may contribute, in whole or in part, to the development of the disease process. In questioning whether it is possible to prevent development of a disease (primary prevention), it is critical to understand these factors. The environment may even have an impact on the fetus during intrauterine life. There does appear to be a "window of opportunity" in early life where a variety of factors, including food and inhalant allergen exposure, exposure to pollutants, and infection with both viral and bacterial agents, may be important in initiating the development of asthma and allergy. Potential approaches to primary prevention of asthma and allergy must consider each of these important factors. Given that asthma is a multifactorial disease with both complex genetic and environmental components, it is unlikely that any single intervention will significantly decrease the prevalence of asthma.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.990
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.000
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.031
GPT teacher head0.332
Teacher spread0.301 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations25
Published2000
Admission routes1
Has abstractyes

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