{"id":"https://openalex.org/W2117480909","doi":"https://doi.org/10.1093/qjmed/hcu077","title":"\u2018Time-to-amphotericin B\u2019 in cryptococcal meningitis in a European low-prevalence setting: analysis of diagnostic delays","display_name":"\u2018Time-to-amphotericin B\u2019 in cryptococcal meningitis in a European low-prevalence setting: analysis of diagnostic delays","publication_year":2014,"publication_date":"2014-04-10","ids":{"openalex":"https://openalex.org/W2117480909","doi":"https://doi.org/10.1093/qjmed/hcu077","mag":"2117480909","pmid":"https://pubmed.ncbi.nlm.nih.gov/24722846"},"language":"en","primary_location":{"id":"doi:10.1093/qjmed/hcu077","doi":"https://doi.org/10.1093/qjmed/hcu077","is_oa":false,"landing_page_url":"https://doi.org/10.1093/qjmed/hcu077","pdf_url":null,"source":{"id":"https://openalex.org/S139075330","display_name":"QJM","issn_l":"0033-5622","issn":["0033-5622","1460-2393","1460-2725"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"QJM: An International Journal of Medicine","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/A5069351305","display_name":"Juri Katchanov","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I75951250","display_name":"Freie Universit\u00e4t Berlin","ror":"https://ror.org/046ak2485","country_code":"DE","type":"education","lineage":["https://openalex.org/I75951250"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"J. Katchanov","raw_affiliation_strings":["From the Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany juri.katchanov@charite.de","From the 1Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and 2Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany juri.katchanov@charite.de","institution_ids":["https://openalex.org/I75951250"]},{"raw_affiliation_string":"From the 1Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and 2Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany","institution_ids":["https://openalex.org/I75951250"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089767325","display_name":"Max von Kleist","orcid":"https://orcid.org/0000-0001-6587-6394","observed_orcids":["https://orcid.org/0000-0001-6587-6394"]},"institutions":[{"id":"https://openalex.org/I75951250","display_name":"Freie Universit\u00e4t Berlin","ror":"https://ror.org/046ak2485","country_code":"DE","type":"education","lineage":["https://openalex.org/I75951250"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"M. von Kleist","raw_affiliation_strings":["From the Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany","From the 1Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and 2Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany","institution_ids":["https://openalex.org/I75951250"]},{"raw_affiliation_string":"From the 1Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and 2Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany","institution_ids":["https://openalex.org/I75951250"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108344991","display_name":"Keikawus Arast\u00e9h","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I75951250","display_name":"Freie Universit\u00e4t Berlin","ror":"https://ror.org/046ak2485","country_code":"DE","type":"education","lineage":["https://openalex.org/I75951250"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"K. Arast\u00e9h","raw_affiliation_strings":["From the Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany","From the 1Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and 2Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany","institution_ids":["https://openalex.org/I75951250"]},{"raw_affiliation_string":"From the 1Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and 2Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany","institution_ids":["https://openalex.org/I75951250"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5042403757","display_name":"Hartmut Stocker","orcid":"https://orcid.org/0000-0001-9656-8474","observed_orcids":["https://orcid.org/0000-0001-9656-8474"]},"institutions":[{"id":"https://openalex.org/I75951250","display_name":"Freie Universit\u00e4t Berlin","ror":"https://ror.org/046ak2485","country_code":"DE","type":"education","lineage":["https://openalex.org/I75951250"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"H. Stocker","raw_affiliation_strings":["From the Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany","From the 1Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and 2Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany","institution_ids":["https://openalex.org/I75951250"]},{"raw_affiliation_string":"From the 1Department of Infectious Diseases, Vivantes Auguste-Viktoria Klinikum, Berlin and 2Department of Mathematics and Computer Science, Freie Universit\u00e4t Berlin, Germany","institution_ids":["https://openalex.org/I75951250"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I75951250"],"apc_list":{"value":3323,"currency":"GBP","value_usd":4382},"apc_paid":null,"fwci":1.5491,"has_fulltext":false,"cited_by_count":13,"citation_normalized_percentile":{"value":0.81790355,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"107","issue":"10","first_page":"799","last_page":"803"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11037","display_name":"Fungal Infections and Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"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/T11037","display_name":"Fungal Infections and Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"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/T11381","display_name":"Infectious Diseases and Tuberculosis","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"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/T10873","display_name":"Bacterial Infections and Vaccines","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cryptococcal-meningitis","display_name":"cryptococcal meningitis","score":0.9990000128746033},{"id":"https://openalex.org/keywords/cryptococcus-neoformans","display_name":"Cryptococcus neoformans","score":0.9380000233650208},{"id":"https://openalex.org/keywords/hiv-infection","display_name":"HIV infection","score":0.6060000061988831},{"id":"https://openalex.org/keywords/delayed-diagnosis","display_name":"delayed diagnosis","score":0.9470000267028809},{"id":"https://openalex.org/keywords/time-to-treatment","display_name":"time to treatment","score":0.8560000061988831},{"id":"https://openalex.org/keywords/amphotericin-b","display_name":"amphotericin B","score":0.9559999704360962},{"id":"https://openalex.org/keywords/cerebrospinal-fluid-culture","display_name":"cerebrospinal fluid culture","score":0.8489999771118164},{"id":"https://openalex.org/keywords/cryptococcal-antigen","display_name":"cryptococcal antigen","score":0.6909999847412109},{"id":"https://openalex.org/keywords/india-ink","display_name":"India ink","score":0.6830000281333923},{"id":"https://openalex.org/keywords/csf-cell-count","display_name":"CSF cell count","score":0.8209999799728394},{"id":"https://openalex.org/keywords/low-prevalence-settings","display_name":"low-prevalence settings","score":0.8130000233650208},{"id":"https://openalex.org/keywords/opportunistic-fungal-infection","display_name":"opportunistic fungal infection","score":0.6679999828338623}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8012290000915527},{"id":"https://openalex.org/C2778952914","wikidata":"https://www.wikidata.org/wiki/Q309498","display_name":"Cryptococcus","level":2,"score":0.652116596698761},{"id":"https://openalex.org/C2779629538","wikidata":"https://www.wikidata.org/wiki/Q412223","display_name":"Amphotericin B","level":3,"score":0.5991569757461548},{"id":"https://openalex.org/C2777893358","wikidata":"https://www.wikidata.org/wiki/Q131924","display_name":"Cryptococcus neoformans","level":2,"score":0.5637211203575134},{"id":"https://openalex.org/C2779413141","wikidata":"https://www.wikidata.org/wiki/Q1470140","display_name":"Cryptococcosis","level":2,"score":0.5614853501319885},{"id":"https://openalex.org/C2781026528","wikidata":"https://www.wikidata.org/wiki/Q48143","display_name":"Meningitis","level":2,"score":0.5537002086639404},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.5306528806686401},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.480212539434433},{"id":"https://openalex.org/C2779651940","wikidata":"https://www.wikidata.org/wiki/Q54196","display_name":"Cerebrospinal fluid","level":2,"score":0.4351177513599396},{"id":"https://openalex.org/C3013748606","wikidata":"https://www.wikidata.org/wiki/Q15787","display_name":"Human immunodeficiency virus (HIV)","level":2,"score":0.41456204652786255},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.36420896649360657},{"id":"https://openalex.org/C2779548794","wikidata":"https://www.wikidata.org/wiki/Q578726","display_name":"Antifungal","level":2,"score":0.22577700018882751},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.1251232922077179},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000666","descriptor_name":"Amphotericin B","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000935","descriptor_name":"Antifungal Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D003455","descriptor_name":"Cryptococcus neoformans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005858","descriptor_name":"Germany","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015999","descriptor_name":"Multivariate Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016867","descriptor_name":"Immunocompromised Host","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016919","descriptor_name":"Meningitis, Cryptococcal","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D016919","descriptor_name":"Meningitis, Cryptococcal","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D017088","descriptor_name":"AIDS-Related Opportunistic Infections","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D017088","descriptor_name":"AIDS-Related Opportunistic Infections","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D017088","descriptor_name":"AIDS-Related Opportunistic Infections","qualifier_ui":"Q000382","qualifier_name":"microbiology","is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057210","descriptor_name":"Delayed Diagnosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061665","descriptor_name":"Time-to-Treatment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1093/qjmed/hcu077","doi":"https://doi.org/10.1093/qjmed/hcu077","is_oa":false,"landing_page_url":"https://doi.org/10.1093/qjmed/hcu077","pdf_url":null,"source":{"id":"https://openalex.org/S139075330","display_name":"QJM","issn_l":"0033-5622","issn":["0033-5622","1460-2393","1460-2725"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"QJM: An International Journal of Medicine","raw_type":"journal-article"},{"id":"pmid:24722846","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/24722846","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":"QJM : monthly journal of the Association of Physicians","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W1976572370","https://openalex.org/W1991321426","https://openalex.org/W2002219664","https://openalex.org/W2046326950","https://openalex.org/W2059038418","https://openalex.org/W2071148979","https://openalex.org/W2099636218","https://openalex.org/W2108521877","https://openalex.org/W2131416019","https://openalex.org/W2169997897","https://openalex.org/W2330910473"],"related_works":["https://openalex.org/W2953748274","https://openalex.org/W7171292514","https://openalex.org/W4225827107","https://openalex.org/W2980756436","https://openalex.org/W2067064557","https://openalex.org/W2504397942","https://openalex.org/W1990721909","https://openalex.org/W2059789603","https://openalex.org/W2487785812","https://openalex.org/W2754063893"],"abstract_inverted_index":{"BACKGROUND:":[0],"Cryptococcal":[1],"meningitis":[2,56,95,197],"is":[3],"a":[4,38,90,159,174,227],"rare":[5],"disease":[6],"in":[7,10,33,62,65,198,217,233,250],"Europe,":[8],"resulting":[9],"delayed":[11,171],"recognition":[12],"and":[13,24,31,73,121,214,242],"slower":[14],"initiation":[15],"of":[16,37,50,70,75,92,97,105,161,177,203,229],"specific":[17],"treatment.":[18],"AIM:":[19],"To":[20],"analyse":[21],"the":[22,25,29,34,108,117,122,153,165],"time-to-treatment":[23,142],"factors":[26],"that":[27],"delay":[28],"diagnosis":[30,91,109,172],"treatment":[32],"low-prevalence":[35],"setting":[36],"European":[39],"centre.":[40],"DESIGN:":[41],"Retrospective":[42],"review":[43],"METHODS:":[44],"We":[45,85],"reviewed":[46],"full":[47],"medical":[48],"records":[49],"all":[51,98],"adult":[52],"patients":[53,88,107,201,220,234],"with":[54,80,89,221,235,240],"cryptococcal":[55,94,196,212],"referred":[57],"to":[58,116,194,207,225,244,255],"an":[59,127],"HIV":[60,150,231,237,248],"centre":[61,120],"Berlin,":[63],"Germany":[64],"10-year":[66],"period":[67],"between":[68],"1st":[69],"October":[71],"2003":[72],"31st":[74],"September":[76],"2013.":[77],"Multivariant":[78],"statistics":[79],"bootstrap-resampling":[81],"were":[82],"performed.":[83],"RESULTS:":[84],"identified":[86],"19":[87],"HIV-related":[93],"(0.55%":[96],"consecutive":[99],"HIV-infected":[100,200,219],"patients).":[101],"In":[102],"almost":[103],"half":[104],"our":[106],"was":[110,143],"not":[111],"considered":[112],"initially":[113],"on":[114],"admission":[115],"secondary":[118],"care":[119],"first":[123],"diagnostic":[124],"clue":[125],"being":[126],"accidental":[128],"positive":[129,149],"blood,":[130],"cerebrospinal":[131],"fluid":[132],"or":[133],"bronchoalveolar":[134],"lavage":[135],"culture":[136],"growing":[137],"Cryptococcus":[138],"neoformans.":[139],"The":[140],"median":[141,160,175],"5":[144],"days":[145,179],"(range:":[146],"1-16).":[147],"Known":[148],"status":[151,238],"accelerated":[152],"time-to-diagnosis":[154],"(p":[155,180],"<":[156,181],"0.05)":[157],"by":[158,173,189],"1.89":[162],"days,":[163],"whereas":[164],"CSF":[166],"cell":[167],"count":[168],"\u2264":[169],"10/\u00b5l":[170],"time":[176],"1.93":[178],"0.1).":[182],"CONCLUSIONS:":[183],"Diagnostic":[184],"delays":[185],"could":[186],"be":[187],"avoided":[188],"encouraging":[190],"practising":[191],"physicians":[192],"(i)":[193],"consider":[195,226,245],"immunosuppressed":[199,218],"irrespective":[202],"neurological":[204],"symptoms;":[205],"(ii)":[206],"test":[208],"for":[209],"India":[210],"ink,":[211],"antigen":[213],"fungal":[215],"cultures":[216],"normal":[222],"CSF;":[223],"(iii)":[224],"possibility":[228],"underlying":[230],"infection":[232],"unknown":[236],"presenting":[239],"meningitis;":[241],"(iv)":[243],"early":[246],"targeted":[247],"testing":[249],"persons":[251],"at":[252],"risk":[253],"according":[254],"locally":[256],"validated":[257],"criteria.":[258]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":1},{"year":2017,"cited_by_count":3},{"year":2015,"cited_by_count":4}],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2016-06-24T00:00:00"}
