Effects of primary prevention on early childhood caries in Canadian First Nations children ages 0-4 years
Bibliographic record
Abstract
Early childhood caries (ECC) in Canadian First Nations (FN) children is at disproportionately high levels compared to the national average.Current literature suggests a paradigm shift in approach to the causes and management ofECC can significantly decrease these levels.The purpose of this paper is to critically analyze the question "For Canadian First Nations children, ages 0-4 years, could the introduction of primary disease prevention and self management reduce levels of ECC compared with the present model of care?''Reviews, randomized-controlled-trials (RCT), guidelines, and articles were searched through bibliographic databases including Cochrane database, Ovid MEDLINE, and Cumulative Index to Nursing and Allied Health Literature (CINAHL).Results indicate primary disease prevention can significantly decrease levels ofECC in high risk children.Recommendations were developed to guide Nurse Practitioners (NPs) in the initiation and provision of primary preventative oral health care to FN mothers and infants.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.011 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".