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The Effect of Inhaled Salbutamol on Mannitol Evoked Cough Responses: A Double-Blind Randomized Placebo Controlled 2-way Cross-Over Study

2022· article· en· W4313048206 on OpenAlexaffabout
M. Wahab, Ruth P. Cusack, Catie Obminski, Karen Howie, Abbey Schlatman, K. J. Killian, Paul M. O’Byrne, Imran Satia, Gail M. Gauvreau

Bibliographic record

Venue05.01 - Airway pharmacology and treatment · 2022
Typearticle
Languageen
FieldMedicine
TopicRespiratory and Cough-Related Research
Canadian institutionsMcMaster University
Fundersnot available
KeywordsSalbutamolPlaceboBronchoconstrictionMedicineMannitolAnesthesiaBronchodilatorAsthmaPharmacologyAirwayInternal medicineChemistryBiochemistry

Abstract

fetched live from OpenAlex

<b>Background:</b> Salbutamol may have effects on both airway nerves and smooth muscle. The aim of this study was to assess the inhibitory effects of salbutamol on cough responses to inhaled mannitol in allergic asthmatics(AA) and healthy controls(HC). <b>Method:</b> A double-blind randomized placebo controlled 2-way cross-over study was conducted in 20 subjects with mild steroid naïve AA and 20 HC. The maximum number of coughs evoked by mannitol was denoted Emax. Modelling was used to estimate the mean coughs at each dose of mannitol and to compare the effects of intervention (salbutamol vs. placebo) on the cough dose response. <b>Results:</b> Age, sex, baseline lung function were similar between groups. Across both groups salbutamol demonstrated a 26% reduction in Emax compared with placebo (mean coughs 6.04(95% C.I 5.5-6.5) vs.8.12(7.7-8.6), p&lt;0.001). The reduction in coughs after salbutamol compared with placebo were similar in both AA and HC (Fig 1A). Salbutamol prevented bronchoconstriction in AA but no changes in HC demonstrated (Fig 1B). <b>Conclusion:</b> Salbutamol reduces mannitol evoked coughs to a similar extent in both AA and HC. In HC this occurred without any changes in FEV1. Salbutamol may have anti-neuronal properties in inhibiting cough responses. The receptors and nerves involved require further investigation. <b>Funding Sources:</b> Allergen NCE (Canada), Pharmaxis donated mannitol kits.

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)0.004
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Randomized trial · Consensus signal: Randomized trial
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.036
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.000
Bibliometrics0.0000.000
Science and technology studies0.0010.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
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 head0.029
GPT teacher head0.391
Teacher spread0.362 · 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 designRandomized trial
Domainnot available
GenreEmpirical

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

Citations0
Published2022
Admission routes2
Has abstractyes

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