{"id":"https://openalex.org/W3209033701","doi":"https://doi.org/10.14260/jemds/2021/722","title":"Perineal Hygienic Practices in Patients of Himalayan Foothills - A Descriptive Study","display_name":"Perineal Hygienic Practices in Patients of Himalayan Foothills - A Descriptive Study","publication_year":2021,"publication_date":"2021-10-11","ids":{"openalex":"https://openalex.org/W3209033701","doi":"https://doi.org/10.14260/jemds/2021/722","mag":"3209033701"},"language":"en","primary_location":{"id":"doi:10.14260/jemds/2021/722","doi":"https://doi.org/10.14260/jemds/2021/722","is_oa":true,"landing_page_url":"https://doi.org/10.14260/jemds/2021/722","pdf_url":"https://doi.org/10.14260/jemds/2021/722","source":{"id":"https://openalex.org/S4210170031","display_name":"Journal of Evolution of Medical and Dental Sciences","issn_l":"2278-4748","issn":["2278-4748","2278-4802"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["poland-20"],"host_organization":"https://openalex.org/P4322614713","host_organization_name":"Akshantala Enterprises Private Limited","host_organization_lineage":["https://openalex.org/P4322614713"],"host_organization_lineage_names":["Akshantala Enterprises Private Limited"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Evolution of Medical and Dental Sciences","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.14260/jemds/2021/722","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5084824498","display_name":"Shashi Prateek","orcid":"https://orcid.org/0000-0002-2239-4966","observed_orcids":["https://orcid.org/0000-0002-2239-4966"]},"institutions":[{"id":"https://openalex.org/I1324840837","display_name":"Hewlett-Packard (United States)","ror":"https://ror.org/059rn9488","country_code":"US","type":"company","lineage":["https://openalex.org/I1324840837"]},{"id":"https://openalex.org/I4387152206","display_name":"All India Institute of Medical Sciences Rishikesh","ror":"https://ror.org/05qjwb041","country_code":"IN","type":"government","lineage":["https://openalex.org/I4387152206"]}],"countries":["IN","US"],"is_corresponding":false,"raw_author_name":"Shashi Prateek","raw_affiliation_strings":["HP) ","Department of Obstetrics & Gynaecology, AIIMS Rishikesh, Uttarakhand, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"HP) ","institution_ids":["https://openalex.org/I1324840837"]},{"raw_affiliation_string":"Department of Obstetrics & Gynaecology, AIIMS Rishikesh, Uttarakhand, India","institution_ids":["https://openalex.org/I4387152206"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Ankita Yadav","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1324840837","display_name":"Hewlett-Packard (United States)","ror":"https://ror.org/059rn9488","country_code":"US","type":"company","lineage":["https://openalex.org/I1324840837"]},{"id":"https://openalex.org/I4387152206","display_name":"All India Institute of Medical Sciences Rishikesh","ror":"https://ror.org/05qjwb041","country_code":"IN","type":"government","lineage":["https://openalex.org/I4387152206"]}],"countries":["IN","US"],"is_corresponding":false,"raw_author_name":"Ankita Yadav","raw_affiliation_strings":["HP) ","Department of Obstetrics & Gynaecology, AIIMS Rishikesh, Uttarakhand, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"HP) ","institution_ids":["https://openalex.org/I1324840837"]},{"raw_affiliation_string":"Department of Obstetrics & Gynaecology, AIIMS Rishikesh, Uttarakhand, India","institution_ids":["https://openalex.org/I4387152206"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080773871","display_name":"Latika Chawla","orcid":"https://orcid.org/0000-0001-8220-2105","observed_orcids":["https://orcid.org/0000-0001-8220-2105","https://orcid.org/0000-0002-9160-4162"]},"institutions":[{"id":"https://openalex.org/I1324840837","display_name":"Hewlett-Packard (United States)","ror":"https://ror.org/059rn9488","country_code":"US","type":"company","lineage":["https://openalex.org/I1324840837"]},{"id":"https://openalex.org/I4387152206","display_name":"All India Institute of Medical Sciences Rishikesh","ror":"https://ror.org/05qjwb041","country_code":"IN","type":"government","lineage":["https://openalex.org/I4387152206"]}],"countries":["IN","US"],"is_corresponding":false,"raw_author_name":"Latika Chawla","raw_affiliation_strings":["HP) ","Department of Obstetrics & Gynaecology, AIIMS Rishikesh, Uttarakhand, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"HP) ","institution_ids":["https://openalex.org/I1324840837"]},{"raw_affiliation_string":"Department of Obstetrics & Gynaecology, AIIMS Rishikesh, Uttarakhand, India","institution_ids":["https://openalex.org/I4387152206"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Deepti Chaudhary","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1324840837","display_name":"Hewlett-Packard (United States)","ror":"https://ror.org/059rn9488","country_code":"US","type":"company","lineage":["https://openalex.org/I1324840837"]},{"id":"https://openalex.org/I4387152206","display_name":"All India Institute of Medical Sciences Rishikesh","ror":"https://ror.org/05qjwb041","country_code":"IN","type":"government","lineage":["https://openalex.org/I4387152206"]}],"countries":["IN","US"],"is_corresponding":false,"raw_author_name":"Deepti Chaudhary","raw_affiliation_strings":["HP) ","Department of Obstetrics & Gynaecology, AIIMS Rishikesh, Uttarakhand, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"HP) ","institution_ids":["https://openalex.org/I1324840837"]},{"raw_affiliation_string":"Department of Obstetrics & Gynaecology, AIIMS Rishikesh, Uttarakhand, India","institution_ids":["https://openalex.org/I4387152206"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022837205","display_name":"Neetu Kochhar","orcid":"https://orcid.org/0000-0003-3370-2802","observed_orcids":["https://orcid.org/0000-0003-3370-2802"]},"institutions":[{"id":"https://openalex.org/I1324840837","display_name":"Hewlett-Packard (United States)","ror":"https://ror.org/059rn9488","country_code":"US","type":"company","lineage":["https://openalex.org/I1324840837"]},{"id":"https://openalex.org/I4387152206","display_name":"All India Institute of Medical Sciences Rishikesh","ror":"https://ror.org/05qjwb041","country_code":"IN","type":"government","lineage":["https://openalex.org/I4387152206"]}],"countries":["IN","US"],"is_corresponding":false,"raw_author_name":"Neetu Kochhar","raw_affiliation_strings":["HP) ","Department of Obstetrics & Gynaecology, AIIMS Rishikesh, Uttarakhand, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"HP) ","institution_ids":["https://openalex.org/I1324840837"]},{"raw_affiliation_string":"Department of Obstetrics & Gynaecology, AIIMS Rishikesh, Uttarakhand, India","institution_ids":["https://openalex.org/I4387152206"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104909397","display_name":"Shailja Sharma","orcid":"https://orcid.org/0000-0002-6313-3594","observed_orcids":["https://orcid.org/0000-0002-6313-3594"]},"institutions":[{"id":"https://openalex.org/I1324840837","display_name":"Hewlett-Packard (United States)","ror":"https://ror.org/059rn9488","country_code":"US","type":"company","lineage":["https://openalex.org/I1324840837"]},{"id":"https://openalex.org/I4387152206","display_name":"All India Institute of Medical Sciences Rishikesh","ror":"https://ror.org/05qjwb041","country_code":"IN","type":"government","lineage":["https://openalex.org/I4387152206"]}],"countries":["IN","US"],"is_corresponding":false,"raw_author_name":"Shailja Sharma","raw_affiliation_strings":["HP) ","Department of Obstetrics & Gynaecology, AIIMS Rishikesh, Uttarakhand, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"HP) ","institution_ids":["https://openalex.org/I1324840837"]},{"raw_affiliation_string":"Department of Obstetrics & Gynaecology, AIIMS Rishikesh, Uttarakhand, India","institution_ids":["https://openalex.org/I4387152206"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024758808","display_name":"Rakhi Gaur","orcid":"https://orcid.org/0000-0003-0835-4383","observed_orcids":["https://orcid.org/0000-0003-0835-4383"]},"institutions":[{"id":"https://openalex.org/I46781620","display_name":"Eternal University","ror":"https://ror.org/05ch82e76","country_code":"IN","type":"education","lineage":["https://openalex.org/I46781620"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Rakhi Gaur","raw_affiliation_strings":["Akal College of Nursing , Eternal University , Baru Sahib (","Akal College of Nursing, Eternal University, Baru Sahib (HP)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Akal College of Nursing , Eternal University , Baru Sahib (","institution_ids":["https://openalex.org/I46781620"]},{"raw_affiliation_string":"Akal College of Nursing, Eternal University, Baru Sahib (HP)","institution_ids":["https://openalex.org/I46781620"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5063378191","display_name":"Nitika Grover","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387152206","display_name":"All India Institute of Medical Sciences Rishikesh","ror":"https://ror.org/05qjwb041","country_code":"IN","type":"government","lineage":["https://openalex.org/I4387152206"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Nitika Grover","raw_affiliation_strings":["Department of Obstetrics & Gynaecology , AIIMS Rishikesh , Uttarakhand , India","Department of Obstetrics and Gynecology, AIIMS Rishikesh, Dehradun, Uttarakhand, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics & Gynaecology , AIIMS Rishikesh , Uttarakhand , India","institution_ids":["https://openalex.org/I4387152206"]},{"raw_affiliation_string":"Department of Obstetrics and Gynecology, AIIMS Rishikesh, Dehradun, Uttarakhand, India","institution_ids":["https://openalex.org/I4387152206"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.16985619,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":93},"biblio":{"volume":"10","issue":"41","first_page":"3562","last_page":"3565"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10428","display_name":"Reproductive tract infections research","score":0.17309999465942383,"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"}},"topics":[{"id":"https://openalex.org/T10428","display_name":"Reproductive tract infections research","score":0.17309999465942383,"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"}},{"id":"https://openalex.org/T12054","display_name":"Menstrual Health and Disorders","score":0.15809999406337738,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.09009999781847,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"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/perineal-hygiene","display_name":"perineal hygiene","score":0.9990000128746033},{"id":"https://openalex.org/keywords/female-genital-hygiene","display_name":"female genital hygiene","score":0.9589999914169312},{"id":"https://openalex.org/keywords/menstrual-hygiene","display_name":"menstrual hygiene","score":0.906000018119812},{"id":"https://openalex.org/keywords/sanitary-pads","display_name":"sanitary pads","score":0.796999990940094},{"id":"https://openalex.org/keywords/self-examination","display_name":"self-examination","score":0.593999981880188},{"id":"https://openalex.org/keywords/health-education","display_name":"health education","score":0.531000018119812},{"id":"https://openalex.org/keywords/himalayan-foothills","display_name":"Himalayan foothills","score":0.734000027179718},{"id":"https://openalex.org/keywords/women-s-reproductive-health","display_name":"women's reproductive health","score":0.7300000190734863}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8977165222167969},{"id":"https://openalex.org/C2779771394","wikidata":"https://www.wikidata.org/wiki/Q12171","display_name":"Menstruation","level":2,"score":0.527451753616333},{"id":"https://openalex.org/C547646559","wikidata":"https://www.wikidata.org/wiki/Q162297","display_name":"Hygiene","level":2,"score":0.5257863998413086},{"id":"https://openalex.org/C2780202899","wikidata":"https://www.wikidata.org/wiki/Q5873","display_name":"Sexual intercourse","level":3,"score":0.49428701400756836},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4534660577774048},{"id":"https://openalex.org/C121752807","wikidata":"https://www.wikidata.org/wiki/Q1981388","display_name":"Reproductive health","level":3,"score":0.4254835247993469},{"id":"https://openalex.org/C10885799","wikidata":"https://www.wikidata.org/wiki/Q80015","display_name":"Obstetrics and gynaecology","level":3,"score":0.42540404200553894},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.3859248459339142},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.3604505658149719},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.21116411685943604},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.18530318140983582},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","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},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.14260/jemds/2021/722","doi":"https://doi.org/10.14260/jemds/2021/722","is_oa":true,"landing_page_url":"https://doi.org/10.14260/jemds/2021/722","pdf_url":"https://doi.org/10.14260/jemds/2021/722","source":{"id":"https://openalex.org/S4210170031","display_name":"Journal of Evolution of Medical and Dental Sciences","issn_l":"2278-4748","issn":["2278-4748","2278-4802"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["poland-20"],"host_organization":"https://openalex.org/P4322614713","host_organization_name":"Akshantala Enterprises Private Limited","host_organization_lineage":["https://openalex.org/P4322614713"],"host_organization_lineage_names":["Akshantala Enterprises Private Limited"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Evolution of Medical and Dental Sciences","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.14260/jemds/2021/722","doi":"https://doi.org/10.14260/jemds/2021/722","is_oa":true,"landing_page_url":"https://doi.org/10.14260/jemds/2021/722","pdf_url":"https://doi.org/10.14260/jemds/2021/722","source":{"id":"https://openalex.org/S4210170031","display_name":"Journal of Evolution of Medical and Dental Sciences","issn_l":"2278-4748","issn":["2278-4748","2278-4802"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["poland-20"],"host_organization":"https://openalex.org/P4322614713","host_organization_name":"Akshantala Enterprises Private Limited","host_organization_lineage":["https://openalex.org/P4322614713"],"host_organization_lineage_names":["Akshantala Enterprises Private Limited"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Evolution of Medical and Dental Sciences","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.6025999784469604,"id":"https://metadata.un.org/sdg/5","display_name":"Gender equality"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3209033701.pdf","grobid_xml":"https://content.openalex.org/works/W3209033701.grobid-xml"},"referenced_works_count":11,"referenced_works":["https://openalex.org/W1968349979","https://openalex.org/W2067750803","https://openalex.org/W2400140712","https://openalex.org/W2556630333","https://openalex.org/W2589255758","https://openalex.org/W2893708336","https://openalex.org/W2896718736","https://openalex.org/W2920987240","https://openalex.org/W2943617218","https://openalex.org/W2965566336","https://openalex.org/W2982578953"],"related_works":["https://openalex.org/W7162123309","https://openalex.org/W7215642051","https://openalex.org/W2904625896","https://openalex.org/W2810951719","https://openalex.org/W4414667793","https://openalex.org/W2964763375","https://openalex.org/W3203533167","https://openalex.org/W2726269000","https://openalex.org/W3087207738","https://openalex.org/W4250667117"],"abstract_inverted_index":{"BACKGROUND":[0],"It":[1],"has":[2,20],"been":[3],"said":[4],"that":[5,43,178],"health":[6,15,282],"is":[7,26,44,72,172,268],"wealth":[8],"and":[9,30,40,112,242],"when":[10],"it":[11,19],"comes":[12],"to":[13,37,48,59,80,149,156,175,288,293],"reproductive":[14],"of":[16,28,55,67,92,104,110,119,129,182,217,233,254,278],"a":[17,21,51,269],"women":[18,66,121,255],"significant":[22],"value":[23],"indeed.":[24],"There":[25],"lot":[27],"loops":[29],"holes":[31],"in":[32,50,65,102,108,123,228,261,291],"perineal":[33,62,98,168,218],"hygiene":[34,63,267],"practices":[35,64,280],"due":[36],"incomplete":[38],"knowledge":[39],"various":[41],"myth":[42],"transferred":[45],"from":[46,89,240],"generation":[47,49],"family.":[52],"The":[53,126],"aim":[54],"the":[56,61,105,124,166,176,183,186,204,213],"study":[57,60,75,163,212,234],"was":[58,87,131,220,236],"Himalayan":[68],"foothills.":[69],"METHODS":[70],"This":[71],"an":[73],"observational":[74],"performed":[76,290],"between":[77],"March":[78],"2019":[79],"February":[81],"2020":[82],"at":[83,114],"AIIMS":[84,115],"Rishikesh.":[85,116],"Data":[86],"extracted":[88],"OPD":[90],"records":[91],"patients":[93,139],"which":[94],"included":[95],"details":[96],"on":[97],"hygiene,":[99,227,300],"routinely":[100],"asked":[101],"one":[103],"three":[106],"units":[107],"department":[109],"obstetrics":[111],"gynaecology":[113],"RESULTS":[117],"Total":[118],"2400":[120],"participated":[122],"study.":[125,263],"mean":[127],"age":[128],"subjects":[130,184],"32\u00b1":[132],"6.9(Range":[133],"12":[134],"-":[135],"80":[136],"years).":[137],"Maximum":[138],"were":[140],"married":[141],"(92":[142],"%),":[143],"mostly":[144],"Hindus":[145],"(48":[146],"%)":[147,154],"belonging":[148],"upper":[150],"lower":[151],"class":[152],"(37.5":[153],"according":[155],"modified":[157],"Kuppuswamy":[158],"socioeconomic":[159],"scale.":[160],"In":[161,210],"this":[162],"we":[164],"studied":[165],"routine":[167],"cleaning":[169],"practices,":[170],"Attention":[171],"being":[173],"drawn":[174],"fact":[177],"only":[179,200],"15":[180],"%":[181,194,202,232,244],"cleaned":[185],"genital":[187,266,299],"area":[188],"with":[189],"water":[190],"after":[191,207],"urination,":[192],"5":[193],"while":[195],"changing":[196],"pads":[197,239],"during":[198,259],"menstruation,":[199],"1.5":[201],"washed":[203],"genitalia":[205],"immediately":[206],"sexual":[208,257],"intercourse":[209,258],"present":[211,229,262],"commonest":[214],"method":[215],"removal":[216],"hair":[219],"shaving":[221],"(38.4":[222],"%).":[223],"While":[224],"analysing":[225],"menstrual":[226],"study,":[230],"42.5":[231],"population":[235],"using":[237],"sanitary":[238],"market":[241],"35":[243],"used":[245],"homemade":[246],"cloth":[247],"pads.":[248],"Ninety":[249],"eight":[250],"point":[251],"seven":[252],"percent":[253],"avoided":[256],"menstruation":[260],"CONCLUSIONS":[264],"Female":[265],"vital":[270],"topic.":[271],"Awareness":[272],"should":[273],"be":[274,289],"increased":[275],"regarding":[276],"maintenance":[277],"hygienic":[279],"through":[281],"education":[283],"programmes.":[284],"More":[285],"studies":[286],"need":[287],"order":[292],"provide":[294],"directions":[295],"for":[296,320],"proper":[297],"female":[298],"as":[301,303],"well":[302],"guidelines.":[304],"KEY":[305],"WORDS":[306],"Perineal":[307,314,316],"Hygiene,":[308,313],"Pubic":[309],"Hair":[310],"Grooming,":[311],"Menstrual":[312],"Itching,":[315],"Rashes,":[317],"Long":[318],"Mirror":[319],"Self":[321],"Examination.":[322]},"counts_by_year":[{"year":2025,"cited_by_count":1}],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2021-11-08T00:00:00"}
