Changing patterns in demography of XXXX in a developing country: the @entity408 Train effect--what lies ahead?

@entity1 @entity2419 @entity85 @entity3384 @entity408
BACKGROUND: The past decade has seen tremendous changes in the management of @entity2419 with the advent of the @entity408 Train project. The present study evaluates the effect of the @entity408 Train project on the demographics of @entity2419 . METHOD: Data collected over the past three decades were studied retrospectively. The number of cases, age at presentation, and relative proportion of @entity3384 @entity1 were analyzed. Thirty @entity1 operated on at the authors' institute for @entity3384 were evaluated for their awareness of @entity2419 , and the results were compared with those of 22 @entity1 operated on elsewhere in camp settings. RESULTS: The numbers of @entity1 with @entity2419 treated at the authors' institute from 1980 to 1989, 1990 to 1999, and 2000 to 2009 were 1189, 1050, and 374, respectively. However, the number with @entity2419 has remained nearly constant over the three decades. The mean age of reporting for treatment of @entity2419 was 16 months after being operated on for @entity3384 at the authors' institute and 41 months after being operated on elsewhere in camps. All @entity1 operated on at the authors' institute expressed awareness of holistic treatment of @entity2419 . Of the 22 @entity1 operated on at other camps, 16 were ignorant about the time scale and 19 were unaware of the consequences of nonadherence to the treatment protocol. Nineteen of the 22 @entity1 felt that enough information was not provided to them at initial surgery. CONCLUSION: The authors recommend that cleft counseling, continued cleft care for the @entity85 , and responsible behavior by the initial operating team should be the goals for the future.
