Minimizing Risk Associated With Vitamin K Deficiency Bleeding During Ankyloglossia Release of Infants
Bibliographic record
Abstract
The practice of releasing restrictive oral frenula, more commonly known as tongue or lip ties has increased markedly in recent years. Providers who perform release of restrictive frenula include otolaryngologists, pediatricians, family practitioners, dentists, and nurse practitioners. It has been documented in the literature that training and protocols vary among providers regarding diagnosis, education, and auxiliary care. In this post-coronavirus disease 2019 (COVID-19) world, resistance to vaccinations of newborns may also lead to resistance to administration of vitamin K immediately after delivery. Vitamin K deficiency bleeding (VKDB) is a potentially fatal sequela of ankyloglossia release if vitamin K has not been administered to the infant. This paper focuses on and proposes a protocol to mitigate or eliminate the risk of VKDB during infant tongue tie release based on the standards of care established by the American Academy of Pediatrics and the College of Family Physicians of Canada and the principle of primum non nocere (first, do no harm), one of the principal precepts of the Hippocratic Oath. Int J Clin Pediatr. 2024;13(1):1-7 doi: https://doi.org/10.14740/ijcp526
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 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 teacher head, 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".