{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:41:11Z","timestamp":1777524071377,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,4,13]],"date-time":"2025-04-13T00:00:00Z","timestamp":1744502400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["3U01DE029750"],"award-info":[{"award-number":["3U01DE029750"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      Examine the drip rate from the Dr. Brown's\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Zero-Resistance\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Specialty Feeding System without compression across 8 nipple levels and 3 angles.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Laboratory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>\n                      The drip rate of the Dr. Brown's\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Zero-Resistance\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Specialty Feeding System was assessed with the bottle positioned at 0\u00b0, 30\u00b0, and 45\u00b0 angles across 8 bottle nipple levels: Ultra-Preemie\u2122, Preemie Flow\u2122, Level T, Level 1, Level 2, Level 3, Level 4, and Y-Cut.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s)<\/jats:title>\n                    <jats:p>Milk volume in millimeters extracted per minute (mL\/min) for each bottle nipple level and angle configuration. A one-way analysis of variance was conducted to compare the milk drip rate across 3 angles for each bottle nipple level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean drip rate was 0.0 mL\/min across all nipple levels when the bottle was positioned at a 0\u00b0 angle. No milk drip was observed at any angle for the Y-Cut nipple. Milk drip was observed when the bottle angle increased to 30\u00b0 and 45\u00b0 for nipple levels Ultra-Preemie\u2122 to Level 4 ranging from 1.3 mL\/min up to 19.4 mL\/min.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Milk freely drips from the Dr. Brown's\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Zero-Resistance\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Specialty Feeding System when positioned at 30\u00b0 and 45\u00b0 angles for nipples Ultra-Preemie\u2122 through Level 4, putting infants at risk for aspiration. Clinicians should recommend caregivers position the Specialty Feeding System at a 0\u00b0 angle when infants pause to breathe.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251332389","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T01:47:36Z","timestamp":1744595256000},"page":"1308-1315","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Examining the Effect of Bottle Angle on Milk Drip Rate Using the Dr. Brown's\n                    <sup>\u00ae<\/sup>\n                    Zero-Resistance\n                    <sup>\u00ae<\/sup>\n                    Specialty Feeding System"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2882-7275","authenticated-orcid":false,"given":"Jessica L.","family":"Chee-Williams","sequence":"first","affiliation":[{"name":"Arizona State University"},{"name":"Phoenix Children's Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren L.","family":"Madhoun","sequence":"additional","affiliation":[{"name":"Lancaster Cleft Palate Clinic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"DeLuca","sequence":"additional","affiliation":[{"name":"Joe DiMaggio Children's Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig R.","family":"Williams","sequence":"additional","affiliation":[{"name":"Joe DiMaggio Children's Hospital"},{"name":"Axon Enterprise"},{"name":"Neutron Engines LLC, Phoenix, AZ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy J.","family":"Scherer","sequence":"additional","affiliation":[{"name":"Arizona State University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,13]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1597\/05-173"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0762.109350"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620984351"},{"issue":"2","key":"e_1_3_2_5_2","article-title":"Feeding interventions for growth and development in infants with cleft lip, cleft palate or cleft lip and palate","volume":"2011","author":"Bessell A","year":"2011","unstructured":"Bessell A, Hooper L, Shaw WC, Reilly S, Reid J, Glenny AM. 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