{"id":"https://openalex.org/W3091991725","doi":"https://doi.org/10.47391/jpma.013","title":"Adult congenital cardiac life-long needs evaluation in a low-middle income country, Pakistan","display_name":"Adult congenital cardiac life-long needs evaluation in a low-middle income country, Pakistan","publication_year":2020,"publication_date":"2020-10-01","ids":{"openalex":"https://openalex.org/W3091991725","doi":"https://doi.org/10.47391/jpma.013","mag":"3091991725","pmid":"https://pubmed.ncbi.nlm.nih.gov/33475538"},"language":"en","primary_location":{"id":"doi:10.47391/jpma.013","doi":"https://doi.org/10.47391/jpma.013","is_oa":true,"landing_page_url":"https://doi.org/10.47391/jpma.013","pdf_url":null,"source":{"id":"https://openalex.org/S26751084","display_name":"Journal of the Pakistan Medical Association","issn_l":"0030-9982","issn":["0030-9982"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-d","medline","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4320800574","host_organization_name":"Pakistan Medical Association","host_organization_lineage":["https://openalex.org/P4320800574"],"host_organization_lineage_names":["Pakistan Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Pakistan Medical Association","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.47391/jpma.013","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5052242343","display_name":"Laila Akbar Ladak","orcid":"https://orcid.org/0000-0002-7015-0413","observed_orcids":["https://orcid.org/0000-0002-7015-0413","https://orcid.org/0009-0005-4348-066X"]},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Laila Akbar Ladak","raw_affiliation_strings":["Charles Perkins Centre, Sydney Nursing School, The University of Sydney, Sydney, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Charles Perkins Centre, Sydney Nursing School, The University of Sydney, Sydney, Australia","institution_ids":["https://openalex.org/I129604602"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111374567","display_name":"D Pearson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Disty Pearson","raw_affiliation_strings":["Department of Cardiovascular Medicine, Boston Childrens Hospital, Boston, United States of America"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Medicine, Boston Childrens Hospital, Boston, United States of America","institution_ids":["https://openalex.org/I1288882113"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059433867","display_name":"Kathy J. Jenkins","orcid":"https://orcid.org/0000-0002-8702-988X","observed_orcids":["https://orcid.org/0000-0002-8702-988X"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kathy Jenkins","raw_affiliation_strings":["Department of Cardiology, Harvard Medical School, Boston, United States of America"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Harvard Medical School, Boston, United States of America","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102745964","display_name":"Muneer M. Amanullah","orcid":"https://orcid.org/0000-0002-6260-3806","observed_orcids":["https://orcid.org/0000-0002-6260-3806","https://orcid.org/0000-0002-1304-2336"]},"institutions":[{"id":"https://openalex.org/I4210141678","display_name":"National Institute of Cardiovascular Diseases","ror":"https://ror.org/0425pdj49","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I4210141678"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Muneer Amanullah","raw_affiliation_strings":["Department of Pediatric Cardiac Surgery, Pediatric Cardiac Services, National Institute of Cardiovascular Diseases, Karachi, Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric Cardiac Surgery, Pediatric Cardiac Services, National Institute of Cardiovascular Diseases, Karachi, Pakistan","institution_ids":["https://openalex.org/I4210141678"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018690635","display_name":"Waris Ahmad","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I118185606","display_name":"Aga Khan University","ror":"https://ror.org/03gd0dm95","country_code":"PK","type":"education","lineage":["https://openalex.org/I118185606","https://openalex.org/I4210114929"]},{"id":"https://openalex.org/I2802929321","display_name":"Aga Khan University Hospital","ror":"https://ror.org/05xcx0k58","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I118185606","https://openalex.org/I2802929321","https://openalex.org/I4210114929"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Waris Ahmad","raw_affiliation_strings":["Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan","Department of Pediatrics Cardiac Surgery, The Aga Khan University, Karachi, Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan","institution_ids":["https://openalex.org/I118185606","https://openalex.org/I2802929321"]},{"raw_affiliation_string":"Department of Pediatrics Cardiac Surgery, The Aga Khan University, Karachi, Pakistan","institution_ids":["https://openalex.org/I118185606"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109475099","display_name":"Kaitlin Doherty Schmeck","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I61372060","display_name":"PA Consulting Group","ror":"https://ror.org/03jh7vc52","country_code":"GB","type":"company","lineage":["https://openalex.org/I61372060"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Kaitlin Doherty Schmeck","raw_affiliation_strings":["Healthcare Sector, PA Consulting Group, Cambridge, Massachusetts, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Healthcare Sector, PA Consulting Group, Cambridge, Massachusetts, United States","institution_ids":["https://openalex.org/I61372060"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062095482","display_name":"Amy Verstappen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I71999127","display_name":"Universitat de Barcelona","ror":"https://ror.org/021018s57","country_code":"ES","type":"education","lineage":["https://openalex.org/I71999127"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Amy Verstappen","raw_affiliation_strings":["Global Health, University of Barcelona, Barcelona, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Global Health, University of Barcelona, Barcelona, Spain","institution_ids":["https://openalex.org/I71999127"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018609633","display_name":"Babar Sultan Hasan","orcid":"https://orcid.org/0000-0002-9141-7578","observed_orcids":["https://orcid.org/0000-0002-9141-7578"]},"institutions":[{"id":"https://openalex.org/I118185606","display_name":"Aga Khan University","ror":"https://ror.org/03gd0dm95","country_code":"PK","type":"education","lineage":["https://openalex.org/I118185606","https://openalex.org/I4210114929"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Babar Sultan Hasan","raw_affiliation_strings":["Department of Paediatrics and Child Heath, Aga Khan University, Karachi, Pakistan","Department of Pediatrics and Child Health, The Aga Khan University, Karachi, Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Paediatrics and Child Heath, Aga Khan University, Karachi, Pakistan","institution_ids":["https://openalex.org/I118185606"]},{"raw_affiliation_string":"Department of Pediatrics and Child Health, The Aga Khan University, Karachi, Pakistan","institution_ids":["https://openalex.org/I118185606"]}]}],"institutions":[],"countries_distinct_count":5,"institutions_distinct_count":8,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":650,"currency":"USD","value_usd":650},"apc_paid":{"value":650,"currency":"USD","value_usd":650},"fwci":0.1792,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.52471567,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":94},"biblio":{"volume":"70","issue":"12(B)","first_page":"1","last_page":"16"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10300","display_name":"Congenital Heart Disease Studies","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"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/T10300","display_name":"Congenital Heart Disease Studies","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"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/T11579","display_name":"Cardiovascular and Diving-Related Complications","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"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/T12823","display_name":"Adolescent and Pediatric Healthcare","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/adult-congenital-heart-disease","display_name":"adult congenital heart disease","score":0.9990000128746033},{"id":"https://openalex.org/keywords/lifelong-care","display_name":"lifelong care","score":0.7889999747276306},{"id":"https://openalex.org/keywords/barriers-to-care","display_name":"barriers to care","score":0.8880000114440918},{"id":"https://openalex.org/keywords/health-professionals-knowledge","display_name":"health professionals' knowledge","score":0.5289999842643738},{"id":"https://openalex.org/keywords/cost-barriers","display_name":"cost barriers","score":0.6600000262260437},{"id":"https://openalex.org/keywords/travel-barriers","display_name":"travel barriers","score":0.8859999775886536},{"id":"https://openalex.org/keywords/patient-education","display_name":"patient education","score":0.6169999837875366},{"id":"https://openalex.org/keywords/low-middle-income-countries","display_name":"low-middle income countries","score":0.7440000176429749},{"id":"https://openalex.org/keywords/pakistan","display_name":"Pakistan","score":0.9200000166893005}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9351524710655212},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.5921692252159119},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5261751413345337},{"id":"https://openalex.org/C2991659908","wikidata":"https://www.wikidata.org/wiki/Q241588","display_name":"Middle income","level":2,"score":0.4516420364379883},{"id":"https://openalex.org/C83864248","wikidata":"https://www.wikidata.org/wiki/Q177323","display_name":"Developing country","level":2,"score":0.4429605007171631},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.44040510058403015},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.37861210107803345},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","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},{"id":"https://openalex.org/C4249254","wikidata":"https://www.wikidata.org/wiki/Q3044431","display_name":"Demographic economics","level":1,"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/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","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":"D006268","descriptor_name":"Health Facilities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006330","descriptor_name":"Heart Defects, Congenital","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D006330","descriptor_name":"Heart Defects, Congenital","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"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":"D010154","descriptor_name":"Pakistan","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020380","descriptor_name":"Needs Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.47391/jpma.013","doi":"https://doi.org/10.47391/jpma.013","is_oa":true,"landing_page_url":"https://doi.org/10.47391/jpma.013","pdf_url":null,"source":{"id":"https://openalex.org/S26751084","display_name":"Journal of the Pakistan Medical Association","issn_l":"0030-9982","issn":["0030-9982"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-d","medline","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4320800574","host_organization_name":"Pakistan Medical Association","host_organization_lineage":["https://openalex.org/P4320800574"],"host_organization_lineage_names":["Pakistan Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Pakistan Medical Association","raw_type":"journal-article"},{"id":"pmid:33475538","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33475538","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":"JPMA. The Journal of the Pakistan Medical Association","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:7335d6135d6c4c15bc099539d31848cc","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/7335d6135d6c4c15bc099539d31848cc","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of the Pakistan Medical Association (2020)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.47391/jpma.013","doi":"https://doi.org/10.47391/jpma.013","is_oa":true,"landing_page_url":"https://doi.org/10.47391/jpma.013","pdf_url":null,"source":{"id":"https://openalex.org/S26751084","display_name":"Journal of the Pakistan Medical Association","issn_l":"0030-9982","issn":["0030-9982"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","dongbi-d","medline","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4320800574","host_organization_name":"Pakistan Medical Association","host_organization_lineage":["https://openalex.org/P4320800574"],"host_organization_lineage_names":["Pakistan Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Pakistan Medical Association","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.4074000120162964}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4409488885","https://openalex.org/W3136872267","https://openalex.org/W3030071339","https://openalex.org/W2965386351","https://openalex.org/W7133221330","https://openalex.org/W2045935350","https://openalex.org/W2904008685","https://openalex.org/W2948944590","https://openalex.org/W2321083526","https://openalex.org/W4206822321"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Adult":[1],"congenital":[2],"heart":[3],"diseases":[4],"(ACHD)":[5],"have":[6],"distinct":[7],"health":[8,35,148],"care":[9,36,44,149,186,241],"needs":[10,41],"that":[11,80,153,233],"require":[12],"life-long":[13,185,234],"care.":[14,50,222],"Limited":[15],"data":[16,96],"is":[17,236],"available":[18],"from":[19],"low-middle":[20],"income":[21],"countries":[22],"(LMIC).":[23],"This":[24],"descriptive":[25],"study":[26],"conducted":[27,56],"in":[28,84,219,228],"Pakistan,":[29],"aimed":[30],"to":[31,49,66,167,190,250],"assess":[32],"patients":[33,104,159,176,209,227,244],"and":[34,45,69,77,135,198,212],"professionals":[37,150],"understanding":[38,183],"of":[39,57,72,101,115,140,146,155,172,182,184,225],"the":[40,46,67,123,147,156,173,202,252],"for":[42,95,242],"ACHD":[43,58,82,103,157,175,208,226,243],"perceived":[47],"barriers":[48,203],"METHODS:":[51],"A":[52,99],"telephone":[53],"survey":[54,63],"was":[55,64,122,132,245],"patients.":[59],"An":[60],"e":[61],"mail":[62],"sent":[65],"paediatric":[68],"adult":[70],"cardiologists":[71],"five":[73],"institutions":[74],"(3":[75],"public":[76],"2":[78],"private)":[79],"provide":[81],"services":[83],"Pakistan.":[85],"Descriptive":[86],"statistics":[87],"(frequencies,":[88],"mean":[89,113],"\u00b1":[90],"SD,":[91],"median)":[92],"were":[93,105,109,201],"used":[94],"analysis.":[97],"RESULTS:":[98],"total":[100],"128":[102],"surveyed,":[106],"65":[107],"(51%)":[108],"females":[110],"with":[111],"a":[112,136,180,248],"age":[114,129],"29.4\u00b110.4":[116],"years.":[117,142],"Atrial":[118],"septal":[119],"defect":[120],"repair":[121],"most":[124],"common":[125],"surgical":[126,137,158],"procedure.":[127],"Mean":[128],"at":[130],"surgery":[131,188],"25.6\u00b110.49":[133],"years,":[134],"follow-up":[138,235],"period":[139],"3.8\u00b12.3":[141],"Majority":[143,224],"(n=3,":[144],"60%)":[145],"(HCPs)":[151],"responded":[152],"75-100%":[154],"would":[160],"need":[161],"lifelong":[162,240],"care,":[163],"yet":[164],"10-25%":[165],"return":[166],"their":[168,195,217],"cardiology":[169],"clinics.":[170],"Most":[171],"surveyed":[174],"(89%,":[177],"n=114)":[178],"demonstrated":[179],"lack":[181],"after":[187],"due":[189],"not":[191,231],"being":[192],"communicated":[193],"by":[194,205],"HCPs.":[196,206],"Cost":[197],"travelling":[199],"issues":[200],"highlighted":[204],"Both":[207],"(96%,":[210],"n=122)":[211],"HCP":[213],"(100%,":[214],"n=5)":[215],"underscored":[216],"interest":[218],"life":[220],"long":[221],"CONCLUSIONS:":[223],"Pakistan":[229],"did":[230],"know":[232],"needed.":[237],"Education":[238],"regarding":[239],"identified":[246],"as":[247],"means":[249],"alleviate":[251],"knowledge":[253],"gap.":[254]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2020-10-15T00:00:00"}