{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:10:37Z","timestamp":1787019037100,"version":"build-2736575974"},"reference-count":33,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study examined whether the 2011 T\u014dhoku earthquake and tsunami affected the birth prevalence of cleft lip and\/or cleft palate (CL\/P) in Miyagi Prefecture, where the earthquake and tsunami caused severe damage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>This was a retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>The study was conducted at university and children\u2019s hospitals in Miyagi Prefecture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>The annual and monthly numbers of infants born with CL\/P were obtained from medical records. The affected period of birth was defined as 1 year from December 1, 2011, to November 30, 2012. The control period was 5 years from January 1, 2006, to December 31, 2010. The annual and monthly numbers of births in Miyagi Prefecture were obtained using e-Stat, which is a portal for Japanese government statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures:<\/jats:title>\n                    <jats:p>Main outcome measures were birth prevalence of CL\/P during the control and affected periods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were no significant differences between the control and affected periods in the prevalence (per 10 000 live births) of cleft lip with or without palate (13.8 vs 16.7; P = .342), isolated cleft palate (5.2 vs 3.2; P = .267), or overall CL\/P (19.0 vs 19.9; P = .799).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>We did not observe that the 2011 T\u014dhoku earthquake and tsunami affected the birth prevalence of CL\/P in Miyagi Prefecture, even though it severely impacted human health in the area.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665619843409","type":"journal-article","created":{"date-parts":[[2019,4,16]],"date-time":"2019-04-16T00:41:02Z","timestamp":1555375262000},"page":"1133-1138","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["The Birth Prevalence of Cleft Lip and\/or Cleft Palate After the 2011 T\u014dhoku Earthquake and Tsunami"],"prefix":"10.1177","volume":"56","author":[{"given":"Yoshimichi","family":"Imai","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takehiko","family":"Sanada","sequence":"additional","affiliation":[{"name":"Miyagi Children\u2019s Hospital, Sendai, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Tachi","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,4,15]]},"reference":[{"key":"bibr1-1055665619843409","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1314873"},{"key":"bibr2-1055665619843409","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2016.101"},{"key":"bibr3-1055665619843409","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X12001070"},{"key":"bibr4-1055665619843409","doi-asserted-by":"publisher","DOI":"10.1597\/09-246"},{"key":"bibr5-1055665619843409","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2015.69"},{"key":"bibr6-1055665619843409","doi-asserted-by":"publisher","DOI":"10.1007\/s10157-017-1395-8"},{"key":"bibr7-1055665619843409","doi-asserted-by":"publisher","DOI":"10.1186\/s12864-016-2380-4"},{"key":"bibr8-1055665619843409","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796017000233"},{"key":"bibr9-1055665619843409","doi-asserted-by":"publisher","DOI":"10.1159\/000363129"},{"key":"bibr10-1055665619843409","unstructured":"Japanese Government Statistics. 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