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Record W4403054793 · doi:10.58931/cait.2021.117

Asthma Management: A Review of GINA Recommendations from 2019

2021· review· en· W4403054793 on OpenAlexaffabout
Jason K. Lee

Bibliographic record

VenueCanadian allergy & immunology today. · 2021
Typereview
Languageen
FieldMedicine
TopicAsthma and respiratory diseases
Canadian institutionsUniversity of British Columbia
Fundersnot available
KeywordsMedicineAsthma managementAsthmaIntensive care medicineInternal medicine

Abstract

fetched live from OpenAlex

Asthma is a chronic condition that affects more than 3.8 million people in Canada. It is a condition that if not controlled may result in significant morbidity and mortality. Asthma is the leading cause of absenteeism from school and one of the leading causes of work loss through both absenteeism and presenteeism. The direct costs of asthma, including hospitalization, healthcare professional services and medication and indirect costs, including decreased productivity, are estimated at $2.1 billion annually. The cost of asthma to the Canadian economy is expected to climb to $4.2 billion annually by 2030. While many detrimental consequences of asthma stem from the condition itself, a significant proportion of the morbidity associated with asthma is also a result of systemic corticosteroids used to treat asthma exacerbations. There are many factors that lead to uncontrolled asthma, such as inappropriate and/or inadequate treatment of the condition. Access to appropriate treatment for realistic and achievable disease management, is critical in reducing the likelihood of experiencing an asthma exacerbation The Global Initiative for Asthma (GINA) Scientific Committee has developed a sophisticated set of procedures to review the world’s literature with regard to asthma management and to update the GINA documents to reflect this state-of-the-art information. The output is a report entitled Global Strategy for Asthma Management and Prevention complete with teaching slides and an abridged “pocket guide” of the main report’s recommendations. All of this is made freely available at ginasthma.org. and includes an update to reflect the COVID-19 pandemic. The GINA report is not a set of guidelines but, rather, an “integrated evidence-based strategy focusing on translation into clinical practice”for health care practitioners with the goal of reducing both short- and long-term asthma exacerbations and adverse events. This article will focus on the key changes to the latest iteration of GINA recommendations for asthma management.

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 score0.827
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0030.001
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0120.001

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 head0.021
GPT teacher head0.302
Teacher spread0.281 · 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

Citations0
Published2021
Admission routes2
Has abstractyes

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