{"id":"https://openalex.org/W2092005122","doi":"https://doi.org/10.4103/0019-509x.98909","title":"Feasibility of organ-preservation strategies in head and neck cancer in developing countries","display_name":"Feasibility of organ-preservation strategies in head and neck cancer in developing countries","publication_year":2012,"publication_date":"2012-01-01","ids":{"openalex":"https://openalex.org/W2092005122","doi":"https://doi.org/10.4103/0019-509x.98909","mag":"2092005122","pmid":"https://pubmed.ncbi.nlm.nih.gov/22842163"},"language":"en","primary_location":{"id":"doi:10.4103/0019-509x.98909","doi":"https://doi.org/10.4103/0019-509x.98909","is_oa":false,"landing_page_url":"https://doi.org/10.4103/0019-509x.98909","pdf_url":null,"source":{"id":"https://openalex.org/S165423279","display_name":"Indian Journal of Cancer","issn_l":"0019-509X","issn":["0019-509X","1998-4774"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","medline","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian Journal of Cancer","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113518947","display_name":"NP Trivedi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I288496929","display_name":"Narayana Health","ror":"https://ror.org/05kx1ke03","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I288496929"]},{"id":"https://openalex.org/I4210102983","display_name":"Mazumdar Shaw Medical Centre","ror":"https://ror.org/018vx9t46","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I288496929","https://openalex.org/I4210102983"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"NP Trivedi","raw_affiliation_strings":["Department of Head and Neck Oncology, Mazumdar-Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Head and Neck Oncology, Mazumdar-Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, India","institution_ids":["https://openalex.org/I288496929","https://openalex.org/I4210102983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108382840","display_name":"Vikram Dilip Kekatpure","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I288496929","display_name":"Narayana Health","ror":"https://ror.org/05kx1ke03","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I288496929"]},{"id":"https://openalex.org/I4210102983","display_name":"Mazumdar Shaw Medical Centre","ror":"https://ror.org/018vx9t46","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I288496929","https://openalex.org/I4210102983"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"VD Kekatpure","raw_affiliation_strings":["Department of Head and Neck Oncology, Mazumdar-Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Head and Neck Oncology, Mazumdar-Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, India","institution_ids":["https://openalex.org/I288496929","https://openalex.org/I4210102983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108496266","display_name":"NN Trivedi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I288496929","display_name":"Narayana Health","ror":"https://ror.org/05kx1ke03","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I288496929"]},{"id":"https://openalex.org/I4210102983","display_name":"Mazumdar Shaw Medical Centre","ror":"https://ror.org/018vx9t46","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I288496929","https://openalex.org/I4210102983"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"NN Trivedi","raw_affiliation_strings":["Department of Head and Neck Oncology, Mazumdar-Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Head and Neck Oncology, Mazumdar-Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, India","institution_ids":["https://openalex.org/I288496929","https://openalex.org/I4210102983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085747971","display_name":"Moni Abraham Kuriakose","orcid":"https://orcid.org/0000-0001-7861-9741","observed_orcids":["https://orcid.org/0000-0001-7861-9741"]},"institutions":[{"id":"https://openalex.org/I288496929","display_name":"Narayana Health","ror":"https://ror.org/05kx1ke03","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I288496929"]},{"id":"https://openalex.org/I4210102983","display_name":"Mazumdar Shaw Medical Centre","ror":"https://ror.org/018vx9t46","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I288496929","https://openalex.org/I4210102983"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"MA Kuriakose","raw_affiliation_strings":["Department of Head and Neck Oncology, Mazumdar-Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Head and Neck Oncology, Mazumdar-Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, India","institution_ids":["https://openalex.org/I288496929","https://openalex.org/I4210102983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111774634","display_name":"Girish Shetkar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I288496929","display_name":"Narayana Health","ror":"https://ror.org/05kx1ke03","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I288496929"]},{"id":"https://openalex.org/I4210102983","display_name":"Mazumdar Shaw Medical Centre","ror":"https://ror.org/018vx9t46","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I288496929","https://openalex.org/I4210102983"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"G Shetkar","raw_affiliation_strings":["Department of Head and Neck Oncology, Mazumdar-Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Head and Neck Oncology, Mazumdar-Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, India","institution_ids":["https://openalex.org/I288496929","https://openalex.org/I4210102983"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5022383852","display_name":"B. V. Manjula","orcid":"https://orcid.org/0000-0001-8823-0801","observed_orcids":["https://orcid.org/0000-0001-8823-0801"]},"institutions":[{"id":"https://openalex.org/I288496929","display_name":"Narayana Health","ror":"https://ror.org/05kx1ke03","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I288496929"]},{"id":"https://openalex.org/I4210102983","display_name":"Mazumdar Shaw Medical Centre","ror":"https://ror.org/018vx9t46","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I288496929","https://openalex.org/I4210102983"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"BV Manjula","raw_affiliation_strings":["Department of Head and Neck Oncology, Mazumdar-Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Head and Neck Oncology, Mazumdar-Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, India","institution_ids":["https://openalex.org/I288496929","https://openalex.org/I4210102983"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.3266,"has_fulltext":false,"cited_by_count":5,"citation_normalized_percentile":{"value":0.60300926,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"49","issue":"1","first_page":"15","last_page":"15"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10307","display_name":"Head and Neck Cancer Studies","score":0.9442999958992004,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10307","display_name":"Head and Neck Cancer Studies","score":0.9442999958992004,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13123","display_name":"Advances in Oncology and Radiotherapy","score":0.05350000038743019,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10619","display_name":"Esophageal Cancer Research and Treatment","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/head-and-neck-cancer","display_name":"head and neck cancer","score":0.8759999871253967},{"id":"https://openalex.org/keywords/organ-preservation","display_name":"organ preservation","score":0.9599999785423279},{"id":"https://openalex.org/keywords/chemoradiotherapy","display_name":"chemoradiotherapy","score":0.9940000176429749},{"id":"https://openalex.org/keywords/feasibility","display_name":"feasibility","score":0.6119999885559082},{"id":"https://openalex.org/keywords/developing-countries","display_name":"developing countries","score":0.8899999856948853},{"id":"https://openalex.org/keywords/cobalt-radiotherapy","display_name":"cobalt radiotherapy","score":0.8669999837875366},{"id":"https://openalex.org/keywords/treatment-costs","display_name":"treatment costs","score":0.4659999907016754},{"id":"https://openalex.org/keywords/treatment-adherence","display_name":"medication adherence","score":0.4399999976158142},{"id":"https://openalex.org/keywords/salvage-therapy","display_name":"salvage therapy","score":0.7049999833106995},{"id":"https://openalex.org/keywords/clinician-perceptions","display_name":"clinician perceptions","score":0.421999990940094}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8682204484939575},{"id":"https://openalex.org/C83864248","wikidata":"https://www.wikidata.org/wiki/Q177323","display_name":"Developing country","level":2,"score":0.590775728225708},{"id":"https://openalex.org/C3018411727","wikidata":"https://www.wikidata.org/wiki/Q3867488","display_name":"Head and neck","level":2,"score":0.5447997450828552},{"id":"https://openalex.org/C2776530083","wikidata":"https://www.wikidata.org/wiki/Q1783924","display_name":"Head and neck cancer","level":3,"score":0.5213505029678345},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.5126461386680603},{"id":"https://openalex.org/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.5109707117080688},{"id":"https://openalex.org/C2778424827","wikidata":"https://www.wikidata.org/wiki/Q5090613","display_name":"Chemoradiotherapy","level":3,"score":0.49502938985824585},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4394896328449249},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.38912707567214966},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.26122820377349854},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.1400495171546936},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.1224457323551178},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000971","descriptor_name":"Antineoplastic Combined Chemotherapy Protocols","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D002294","descriptor_name":"Carcinoma, Squamous Cell","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D002294","descriptor_name":"Carcinoma, Squamous Cell","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D002294","descriptor_name":"Carcinoma, Squamous Cell","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D002945","descriptor_name":"Cisplatin","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":false},{"descriptor_ui":"D003131","descriptor_name":"Combined Modality Therapy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003906","descriptor_name":"Developing Countries","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005472","descriptor_name":"Fluorouracil","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":false},{"descriptor_ui":"D006258","descriptor_name":"Head and Neck Neoplasms","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D006258","descriptor_name":"Head and Neck Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006258","descriptor_name":"Head and Neck Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006295","descriptor_name":"Health Resources","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007194","descriptor_name":"India","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017408","descriptor_name":"Guidelines as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.4103/0019-509x.98909","doi":"https://doi.org/10.4103/0019-509x.98909","is_oa":false,"landing_page_url":"https://doi.org/10.4103/0019-509x.98909","pdf_url":null,"source":{"id":"https://openalex.org/S165423279","display_name":"Indian Journal of Cancer","issn_l":"0019-509X","issn":["0019-509X","1998-4774"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","medline","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian Journal of Cancer","raw_type":"journal-article"},{"id":"pmid:22842163","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22842163","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian journal of cancer","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W1973715482","https://openalex.org/W1975359601","https://openalex.org/W1982799708","https://openalex.org/W1992321269","https://openalex.org/W2010073547","https://openalex.org/W2015294409","https://openalex.org/W2015712245","https://openalex.org/W2025528528","https://openalex.org/W2031579870","https://openalex.org/W2066785241","https://openalex.org/W2068083175","https://openalex.org/W2095688437","https://openalex.org/W2100961085","https://openalex.org/W2115468522","https://openalex.org/W2132154809","https://openalex.org/W2132425160","https://openalex.org/W2139554459","https://openalex.org/W2144386392","https://openalex.org/W2149335127","https://openalex.org/W2152988216","https://openalex.org/W2168917739","https://openalex.org/W2397055856","https://openalex.org/W2743627984"],"related_works":["https://openalex.org/W116869102","https://openalex.org/W2115468522","https://openalex.org/W2325702138","https://openalex.org/W2702867054","https://openalex.org/W2400839907","https://openalex.org/W2057900188","https://openalex.org/W2097675858","https://openalex.org/W2086129522","https://openalex.org/W2022639790","https://openalex.org/W2136488384"],"abstract_inverted_index":{"BACKGROUND:":[0],"Chemoradiotherapy":[1],"is":[2],"an":[3],"established":[4],"strategy":[5],"for":[6,110,194,240],"organ":[7,108],"preservation":[8,109],"in":[9,34,45,48,98,114,162,219,231,244],"head-neck":[10,99,112],"cancer.":[11],"These":[12],"protocols":[13,81,214],"are":[14],"associated":[15],"with":[16,67,95],"added":[17],"toxicity":[18],"and":[19,25,77,82,152,196,234],"need":[20],"support":[21,124,212],"infrastructure.":[22],"Practice":[23],"setup":[24],"availability":[26],"of":[27,42,79,137,144,166,187,200],"resources":[28],"vary":[29],"at":[30],"the":[31,40,188,201],"community":[32],"level":[33],"developing":[35,49,220,245],"countries.":[36,50,221,246],"AIM:":[37],"To":[38],"evaluate":[39],"feasibility":[41,78,235],"organ-preservation":[43,80,125,213,229],"strategies":[44,230],"different":[46],"settings":[47],"SETTINGS":[51],"AND":[52,56],"DESIGN:":[53],"Survey.":[54],"MATERIALS":[55],"METHODS:":[57],"In":[58],"a":[59],"questionnaire-based":[60],"study,":[61],"questions":[62],"were":[63,101,106,130,147],"directed":[64],"to":[65,71,123,149,157,211,227],"clinicians":[66,94,105,138,173],"varied":[68],"practice":[69,85,97],"setups":[70],"gather":[72],"information":[73],"regarding":[74],"infrastructure,":[75],"finance,":[76],"their":[83,115,145,170,241],"current":[84],"trends.":[86],"STATISTICAL":[87],"ANALYSIS:":[88],"Descriptive.":[89],"RESULTS:":[90],"Responses":[91],"from":[92],"100":[93],"focused":[96],"oncology":[100],"analyzed.":[102],"Sixty-one":[103],"percent":[104,128,136],"practicing":[107],"advanced":[111],"cancers":[113],"practice.":[116],"However,":[117],"65%":[118],"centers":[119,218,233],"lacked":[120],"sufficient":[121],"infrastructure":[122,209],"protocols.":[126],"Forty":[127],"patients":[129,146,178,189,202],"treated":[131],"on":[132,169],"cobalt-radiotherapy":[133],"machine.":[134],"Fifty-nine":[135],"suggested":[139],"that":[140,155,175],"less":[141,163,197],"than":[142,164,198],"third":[143],"fit":[148],"undergo":[150,183],"chemoradiation":[151],"67%":[153],"believed":[154],"adherence":[156],"treatment":[158,195],"protocol":[159],"was":[160],"observed":[161],"two-thirds":[165],"cases.":[167],"Based":[168],"experience":[171],"82%":[172],"felt":[174],"only":[176],"one-third":[177,199],"requiring":[179],"salvage":[180],"would":[181],"actually":[182],"treatment.":[184,206],"The":[185,208],"majority":[186],"(68%)":[190],"used":[191],"personal":[192],"funds":[193],"could":[203],"afford":[204],"complete":[205],"CONCLUSIONS:":[207],"needed":[210],"varies":[215],"significantly":[216],"between":[217],"It":[222],"may":[223],"not":[224],"be":[225,238],"feasible":[226],"perform":[228],"certain":[232],"guidelines":[236],"should":[237],"made":[239],"judicious":[242],"use":[243]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":1},{"year":2014,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}