{"id":"https://openalex.org/W4388219706","doi":"https://doi.org/10.1089/end.2023.0430","title":"From Consensus to Validation: A Multicenter Study for Design and Development of a Holmium Laser Enucleation of the Prostate Hydrogel Simulation Platform","display_name":"From Consensus to Validation: A Multicenter Study for Design and Development of a Holmium Laser Enucleation of the Prostate Hydrogel Simulation Platform","publication_year":2023,"publication_date":"2023-11-02","ids":{"openalex":"https://openalex.org/W4388219706","doi":"https://doi.org/10.1089/end.2023.0430","pmid":"https://pubmed.ncbi.nlm.nih.gov/37917099"},"language":"en","primary_location":{"id":"doi:10.1089/end.2023.0430","doi":"https://doi.org/10.1089/end.2023.0430","is_oa":false,"landing_page_url":"https://doi.org/10.1089/end.2023.0430","pdf_url":null,"source":{"id":"https://openalex.org/S182300451","display_name":"Journal of Endourology","issn_l":"0892-7790","issn":["0892-7790","1557-900X"],"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-100","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Endourology","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/A5077027255","display_name":"Lauren M. Shepard","orcid":"https://orcid.org/0000-0002-0926-1587","observed_orcids":["https://orcid.org/0000-0002-0926-1587"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lauren Shepard","raw_affiliation_strings":["Department of Urology, Johns Hopkins University James Buchanan Brady Urological Institute, Baltimore, Maryland, USA","Department of Urology, Simulation Innovation Lab, Baltimore, Maryland, USA"],"raw_orcid":"https://orcid.org/0000-0002-0926-1587","affiliations":[{"raw_affiliation_string":"Department of Urology, Johns Hopkins University James Buchanan Brady Urological Institute, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"Department of Urology, Simulation Innovation Lab, Baltimore, Maryland, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004339852","display_name":"Nathan Schuler","orcid":"https://orcid.org/0000-0002-9633-8668","observed_orcids":["https://orcid.org/0000-0002-9633-8668"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nathan Schuler","raw_affiliation_strings":["Department of Urology, Johns Hopkins University James Buchanan Brady Urological Institute, Baltimore, Maryland, USA","Department of Urology, Simulation Innovation Lab, Baltimore, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Johns Hopkins University James Buchanan Brady Urological Institute, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"Department of Urology, Simulation Innovation Lab, Baltimore, Maryland, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003492143","display_name":"Gopal Narang","orcid":"https://orcid.org/0000-0002-0626-8994","observed_orcids":["https://orcid.org/0000-0002-0626-8994"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gopal Narang","raw_affiliation_strings":["Department of Urology, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA"],"raw_orcid":"https://orcid.org/0000-0002-0626-8994","affiliations":[{"raw_affiliation_string":"Department of Urology, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076449306","display_name":"Shaan A. Setia","orcid":"https://orcid.org/0000-0002-3798-5208","observed_orcids":["https://orcid.org/0000-0002-3798-5208"]},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shaan Setia","raw_affiliation_strings":["Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031593648","display_name":"Akhil Kumar Das","orcid":"https://orcid.org/0000-0001-8773-4717","observed_orcids":["https://orcid.org/0000-0001-8773-4717"]},"institutions":[{"id":"https://openalex.org/I204250578","display_name":"University of California, Irvine","ror":"https://ror.org/04gyf1771","country_code":"US","type":"education","lineage":["https://openalex.org/I204250578"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Akhil Das","raw_affiliation_strings":["Department of Urology, University of California Irvine, Orange, California, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, University of California Irvine, Orange, California, USA","institution_ids":["https://openalex.org/I204250578"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071460870","display_name":"Nicole L. Miller","orcid":"https://orcid.org/0000-0003-3408-0574","observed_orcids":["https://orcid.org/0000-0003-3408-0574"]},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nicole Miller","raw_affiliation_strings":["Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013838492","display_name":"Mitchell R. Humphreys","orcid":"https://orcid.org/0000-0003-3252-9518","observed_orcids":["https://orcid.org/0000-0003-3252-9518"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I4210127938","display_name":"Mayo Clinic Hospital","ror":"https://ror.org/03660jn93","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099","https://openalex.org/I4210127938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mitchell Humphreys","raw_affiliation_strings":["Department of Urology, Mayo Clinic, Phoenix, Arizona, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Mayo Clinic, Phoenix, Arizona, USA","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I4210127938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017941913","display_name":"Amy Elizabeth Krambeck","orcid":"https://orcid.org/0000-0001-8255-598X","observed_orcids":["https://orcid.org/0000-0001-8255-598X"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amy Krambeck","raw_affiliation_strings":["Department of Urology, Northwestern University School of Medicine, Chicago, Illinois, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Northwestern University School of Medicine, Chicago, Illinois, USA","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5000568474","display_name":"Ahmed Ghazi","orcid":"https://orcid.org/0000-0002-4325-1446","observed_orcids":["https://orcid.org/0000-0002-4325-1446"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Ahmed Ghazi","raw_affiliation_strings":["Department of Urology, Johns Hopkins University James Buchanan Brady Urological Institute, Baltimore, Maryland, USA","Department of Urology, Simulation Innovation Lab, Baltimore, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Johns Hopkins University James Buchanan Brady Urological Institute, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"Department of Urology, Simulation Innovation Lab, Baltimore, Maryland, USA","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5000568474"],"corresponding_institution_ids":["https://openalex.org/I145311948"],"apc_list":null,"apc_paid":null,"fwci":3.1458,"has_fulltext":false,"cited_by_count":14,"citation_normalized_percentile":{"value":0.92775521,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"38","issue":"1","first_page":"60","last_page":"67"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.9672999978065491,"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"}},"topics":[{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.9672999978065491,"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"}},{"id":"https://openalex.org/T11984","display_name":"Anatomy and Medical Technology","score":0.020600000396370888,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10279","display_name":"Urinary Bladder and Prostate Research","score":0.003700000001117587,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"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/holmium-laser-enucleation-of-the-prostate","display_name":"holmium laser enucleation of the prostate","score":0.9959999918937683},{"id":"https://openalex.org/keywords/benign-prostatic-hyperplasia","display_name":"benign prostatic hyperplasia","score":0.8399999737739563},{"id":"https://openalex.org/keywords/surgical-simulator","display_name":"surgical simulator","score":0.8299999833106995},{"id":"https://openalex.org/keywords/delphi-consensus","display_name":"Delphi consensus","score":0.7509999871253967},{"id":"https://openalex.org/keywords/three-dimensional-printing","display_name":"three-dimensional printing","score":0.7200000286102295},{"id":"https://openalex.org/keywords/surgical-training","display_name":"surgical training","score":0.5600000023841858},{"id":"https://openalex.org/keywords/learning-curve","display_name":"learning curve","score":0.8560000061988831},{"id":"https://openalex.org/keywords/simulator-validation","display_name":"simulator validation","score":0.5270000100135803},{"id":"https://openalex.org/keywords/enucleation-time","display_name":"enucleation time","score":0.6169999837875366}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7548428177833557},{"id":"https://openalex.org/C188261085","wikidata":"https://www.wikidata.org/wiki/Q5380862","display_name":"Enucleation","level":2,"score":0.6963135600090027},{"id":"https://openalex.org/C105776082","wikidata":"https://www.wikidata.org/wiki/Q617473","display_name":"Likert scale","level":2,"score":0.5396385788917542},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.5265294313430786},{"id":"https://openalex.org/C34585555","wikidata":"https://www.wikidata.org/wiki/Q1368723","display_name":"Learning curve","level":2,"score":0.48247602581977844},{"id":"https://openalex.org/C44154836","wikidata":"https://www.wikidata.org/wiki/Q45045","display_name":"Simulation","level":1,"score":0.35043764114379883},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.29560112953186035},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2707514762878418},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.1158761978149414},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003245","descriptor_name":"Consensus Statements as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006695","descriptor_name":"Holmium","qualifier_ui":null,"qualifier_name":null,"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":"D011467","descriptor_name":"Prostate","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011470","descriptor_name":"Prostatic Hyperplasia","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020100","descriptor_name":"Hydrogels","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020728","descriptor_name":"Transurethral Resection of Prostate","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D032921","descriptor_name":"Consensus","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D053685","descriptor_name":"Laser Therapy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D053844","descriptor_name":"Lasers, Solid-State","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1089/end.2023.0430","doi":"https://doi.org/10.1089/end.2023.0430","is_oa":false,"landing_page_url":"https://doi.org/10.1089/end.2023.0430","pdf_url":null,"source":{"id":"https://openalex.org/S182300451","display_name":"Journal of Endourology","issn_l":"0892-7790","issn":["0892-7790","1557-900X"],"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-100","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Endourology","raw_type":"journal-article"},{"id":"pmid:37917099","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37917099","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":"Journal of endourology","raw_type":"Multicenter Study"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8560000061988831}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":21,"referenced_works":["https://openalex.org/W1787056332","https://openalex.org/W1914370122","https://openalex.org/W1972932052","https://openalex.org/W1977364632","https://openalex.org/W1984725954","https://openalex.org/W2007367842","https://openalex.org/W2021461132","https://openalex.org/W2045846896","https://openalex.org/W2063240798","https://openalex.org/W2287908587","https://openalex.org/W2519526781","https://openalex.org/W2552314854","https://openalex.org/W2786290639","https://openalex.org/W2811325441","https://openalex.org/W2988342389","https://openalex.org/W3025560351","https://openalex.org/W3087133613","https://openalex.org/W3087422899","https://openalex.org/W3194494948","https://openalex.org/W3214397486","https://openalex.org/W4286699128"],"related_works":["https://openalex.org/W4290860701","https://openalex.org/W4225710341","https://openalex.org/W2115037810","https://openalex.org/W4225248871","https://openalex.org/W6982239975","https://openalex.org/W2907297157","https://openalex.org/W2021461132","https://openalex.org/W2330182399","https://openalex.org/W4246582031","https://openalex.org/W4409268266"],"abstract_inverted_index":{"Background:Holmium":[0],"laser":[1],"enucleation":[2,188],"of":[3,16,27,114,158,171],"the":[4,123,164],"prostate":[5],"(HoLEP)":[6],"has":[7],"emerged":[8],"as":[9],"a":[10,33,36,51,63,74,78,89,102,112,120,126,218,225],"new":[11],"gold":[12],"standard":[13],"for":[14,35,73,130,187,229],"treatment":[15],"benign":[17],"prostatic":[18],"hyperplasia;":[19],"however,":[20],"its":[21],"steep":[22],"learning":[23,43],"curve":[24,44],"hinders":[25],"generalization":[26],"this":[28,42,239],"technique.":[29],"Therefore,":[30],"there":[31],"is":[32,241],"need":[34],"benchtop":[37,227],"HoLEP":[38,53,75,230],"simulator":[39,54,76,124,228,240],"to":[40,100,167,221],"reduce":[41],"and":[45,59,67,94,108,141,149,161,185,208,223],"provide":[46],"training.":[47],"We":[48],"have":[49,215],"developed":[50],"nonbiohazardous":[52,226],"using":[55,105,147],"modern":[56,232],"education":[57,233],"theory":[58],"validated":[60,137],"it":[61],"in":[62],"multicenter":[64,219],"study.":[65],"Materials":[66],"Methods:Six":[68],"experts":[69,118,162,184],"established":[70],"key":[71],"components":[72],"through":[77,231],"Delphi":[79],"consensus":[80],"over":[81],"three":[82],"rounds":[83],"including":[84,238],"250":[85,159],"questions.":[86],"After":[87,111],"consensus,":[88],"digital":[90],"design":[91],"was":[92,136,154],"created":[93],"approved":[95,134],"by":[96],"experts,":[97],"then":[98],"used":[99],"fabricate":[101],"physical":[103,165],"prototype":[104,116],"three-dimensional":[106],"printing":[107],"hydrogel":[109],"molding.":[110],"process":[113],"iterative":[115],"testing,":[117],"completed":[119,217],"survey":[121],"assessing":[122],"with":[125,138],"5-point":[127],"Likert":[128],"scale":[129],"final":[131],"approval.":[132],"The":[133],"model":[135,166],"56":[139],"expert":[140],"novice":[142],"participants":[143],"at":[144],"seven":[145],"institutions":[146],"subjective":[148],"objective":[150],"performance":[151],"metrics.":[152],"Results:Consensus":[153],"reached":[155],"on":[156],"85":[157],"questions,":[160],"found":[163],"adequately":[168],"replicate":[169],"82.5%":[170],"required":[172],"features.":[173],"Objective":[174],"metrics":[175],"were":[176],"statistically":[177],"significant":[178],"(p":[179],"<":[180],"0.0001)":[181],"when":[182],"comparing":[183],"novices":[186],"time":[189],"(37.4":[190],"\u00b1":[191,195,201,205],"8.2":[192],"vs":[193,203,211],"16.7":[194],"6.8":[196],"minutes),":[197],"adenoma":[198],"weight":[199],"(79.6":[200],"20.4":[202],"36.2":[204],"9.9":[206],"g),":[207],"complications":[209],"(6":[210],"22),":[212],"respectively.":[213],"Conclusion:We":[214],"effectively":[216],"study":[220],"develop":[222],"validate":[224],"theory.":[234],"A":[235],"training":[236],"curriculum":[237],"currently":[242],"under":[243],"development.":[244]},"counts_by_year":[{"year":2026,"cited_by_count":7},{"year":2025,"cited_by_count":6},{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2023-11-03T00:00:00"}