{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T09:29:00Z","timestamp":1793784540870,"version":"4.6.1"},"reference-count":23,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T00:00:00Z","timestamp":1778284800000},"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":[[2026,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To study the effect of nutrition care process (NCP) on cleft repair timing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Quasi-experimental design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary care hospital with an operational cleft unit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>47 mothers of infants aged 0\u20136 months with cleft lip and palate who fulfilled the eligibility criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>\n                      During the baseline visit, anthropometric measurements of the infant were recorded, and World Health Organization (WHO)\n                      <jats:italic toggle=\"yes\">Z<\/jats:italic>\n                      scores were plotted to identify their nutritional status. Nutritional education according to NCP was imparted to the mothers. In subsequent visits, growth of infants was monitored by anthropometry, education was reiterated and errors rectified. Right surgical timing was classified as on time or delayed according to age in months at surgery. Data collected were analyzed in SPSS software.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s)<\/jats:title>\n                    <jats:p>Nutritional status, timely surgical readiness, educational level regarding nutrition, and feeding techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 47 infants, malnutrition improved from 55.3% mild, 29.8% moderate, and 14.9% severe at the first visit to 66% mild at lip surgery and 70.2% mild at palate surgery, with 68.1% and 70.2% infants respectively achieving timely surgical readiness. Infants with cleft showed consistently lower mean weights than the WHO standards at birth, lip, and palate surgery which was statistically significant (\n                      <jats:italic toggle=\"yes\">p\u2009=\u2009.<\/jats:italic>\n                      001) indicating persistent growth faltering that was more pronounced among males. Mother's education level was significantly associated with timely surgery (\u03c72\u2009=\u20097.964,\n                      <jats:italic toggle=\"yes\">p\u2009=\u2009.<\/jats:italic>\n                      047).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nutrition education effectively assisted infants in attaining the weight necessary for corrective surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261449340","type":"journal-article","created":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T07:36:41Z","timestamp":1778312201000},"page":"4233-4240","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Nutrition Care Process on Surgical Timing in Infants with Cleft Lip and Palate in North Karnataka, India"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0385-3589","authenticated-orcid":false,"given":"Kashamma V.","family":"Uppin","sequence":"first","affiliation":[{"name":"KAHER"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh Shankar","family":"Powar","sequence":"additional","affiliation":[{"name":"KAHER"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roopa M.","family":"Bellad","sequence":"additional","affiliation":[{"name":"KAHER"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit B.","family":"Nilgar","sequence":"additional","affiliation":[{"name":"KAHER"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex M.","family":"Carvalho","sequence":"additional","affiliation":[{"name":"KAHER"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laxmi R.","family":"Jadinavar","sequence":"additional","affiliation":[{"name":"KAHER"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhumati B.","family":"Badanatti","sequence":"additional","affiliation":[{"name":"KAHER"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,9]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.32677\/IJCH.2018.v05.i06.004"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-03581-3"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-025-01031-3"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-023-00704-1"},{"issue":"2","key":"e_1_3_2_6_2","first-page":"80","article-title":"The effect of nurse-led nutritional training given to mothers of infants born with cleft lip\/palate anomalies on the infants\u2019 weight gain required for corrective surgery","volume":"33","author":"Erdost SK","year":"2025","unstructured":"Erdost SK, Erdim L, Aydin Y. The effect of nurse-led nutritional training given to mothers of infants born with cleft lip\/palate anomalies on the infants\u2019 weight gain required for corrective surgery. Turk J Plast Surg. 2025;33(2):80\u201385.","journal-title":"Turk J Plast Surg"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2025.05.013"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2008.04.027"},{"key":"e_1_3_2_9_2","unstructured":"World Health Organization; United Nations Children\u2019s Fund (UNICEF). Indicators for assessing infant and young child feeding practices: definitions and measurement methods. Geneva: World Health Organization; 2021."},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.12.04012"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.4103\/jclpca.jclpca_19_23"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.13.04127"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619878972"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0358.63938"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.4103\/2348-2125.176003"},{"issue":"1","key":"e_1_3_2_16_2","first-page":"76","article-title":"Cleft lip and palate (CLP): An invisible disability or impairment?","volume":"4","author":"Borah MP","year":"2024","unstructured":"Borah MP, Sharma N, Borah T. Cleft lip and palate (CLP): An invisible disability or impairment? 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