{"id":"https://openalex.org/W4391574449","doi":"https://doi.org/10.1093/jsxmed/qdae001.049","title":"(053) Penile Entrapment Due to Metal Constriction Rings: Removal, Recovery and Complications","display_name":"(053) Penile Entrapment Due to Metal Constriction Rings: Removal, Recovery and Complications","publication_year":2024,"publication_date":"2024-02-01","ids":{"openalex":"https://openalex.org/W4391574449","doi":"https://doi.org/10.1093/jsxmed/qdae001.049"},"language":"en","primary_location":{"id":"doi:10.1093/jsxmed/qdae001.049","doi":"https://doi.org/10.1093/jsxmed/qdae001.049","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jsxmed/qdae001.049","pdf_url":"https://academic.oup.com/jsm/article-pdf/21/Supplement_1/qdae001.049/56583176/qdae001.049.pdf","source":{"id":"https://openalex.org/S159512450","display_name":"The Journal of Sexual Medicine","issn_l":"1743-6095","issn":["1743-6095","1743-6109"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Sexual Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://academic.oup.com/jsm/article-pdf/21/Supplement_1/qdae001.049/56583176/qdae001.049.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075676723","display_name":"Kaitlyn M. Maddra","orcid":"https://orcid.org/0000-0001-9468-5183","observed_orcids":["https://orcid.org/0000-0001-9468-5183"]},"institutions":[{"id":"https://openalex.org/I184840846","display_name":"Virginia Commonwealth University","ror":"https://ror.org/02nkdxk79","country_code":"US","type":"education","lineage":["https://openalex.org/I184840846"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"K Maddra","raw_affiliation_strings":["Virginia Commonwealth University Health System"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Virginia Commonwealth University Health System","institution_ids":["https://openalex.org/I184840846"]}]},{"author_position":"middle","author":{"id":null,"display_name":"A Matthew","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I184840846","display_name":"Virginia Commonwealth University","ror":"https://ror.org/02nkdxk79","country_code":"US","type":"education","lineage":["https://openalex.org/I184840846"]},{"id":"https://openalex.org/I72019824","display_name":"Virginia Commonwealth University Medical Center","ror":"https://ror.org/057xmsr27","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I72019824"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"A Matthew","raw_affiliation_strings":["Virginia Commonwealth University Health System Department of Surgery/Division of Urology,","Department of Surgery/Division of Urology, Virginia Commonwealth University Health System"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Virginia Commonwealth University Health System Department of Surgery/Division of Urology,","institution_ids":["https://openalex.org/I184840846","https://openalex.org/I72019824"]},{"raw_affiliation_string":"Department of Surgery/Division of Urology, Virginia Commonwealth University Health System","institution_ids":["https://openalex.org/I184840846","https://openalex.org/I72019824"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056038812","display_name":"Andrea D. Juneau","orcid":"https://orcid.org/0009-0006-7383-0525","observed_orcids":["https://orcid.org/0009-0006-7383-0525"]},"institutions":[{"id":"https://openalex.org/I142740786","display_name":"University of Louisville","ror":"https://ror.org/01ckdn478","country_code":"US","type":"education","lineage":["https://openalex.org/I142740786"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"A Juneau","raw_affiliation_strings":["Department of Urology, University of Louisville Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, University of Louisville Health","institution_ids":["https://openalex.org/I142740786"]}]},{"author_position":"middle","author":{"id":null,"display_name":"S Harrington","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210166639","display_name":"Dartmouth Hospital","ror":"https://ror.org/02j3qj605","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210166639"]},{"id":"https://openalex.org/I4390039337","display_name":"Dartmouth Health","ror":"https://ror.org/01pa9ed26","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I107672454","https://openalex.org/I4390039337"]}],"countries":["GB","US"],"is_corresponding":false,"raw_author_name":"S Harrington","raw_affiliation_strings":["Department of Urology, Dartmouth Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Dartmouth Health","institution_ids":["https://openalex.org/I4210166639","https://openalex.org/I4390039337"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002998450","display_name":"Rutul D. Patel","orcid":"https://orcid.org/0000-0003-4664-981X","observed_orcids":["https://orcid.org/0000-0003-4664-981X"]},"institutions":[{"id":"https://openalex.org/I1335289525","display_name":"Montefiore Medical Center","ror":"https://ror.org/044ntvm43","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1335289525","https://openalex.org/I19772626"]},{"id":"https://openalex.org/I4210112371","display_name":"Montefiore Health System","ror":"https://ror.org/01x0e6k76","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210112371"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"R Patel","raw_affiliation_strings":["Department of Urology, Montefiore Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Montefiore Medical Center","institution_ids":["https://openalex.org/I1335289525","https://openalex.org/I4210112371"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110193564","display_name":"Kara L. Watts","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1335289525","display_name":"Montefiore Medical Center","ror":"https://ror.org/044ntvm43","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1335289525","https://openalex.org/I19772626"]},{"id":"https://openalex.org/I4210112371","display_name":"Montefiore Health System","ror":"https://ror.org/01x0e6k76","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210112371"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"K Watts","raw_affiliation_strings":["Department of Urology, Montefiore Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Montefiore Medical Center","institution_ids":["https://openalex.org/I1335289525","https://openalex.org/I4210112371"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004902938","display_name":"Uzoma A. Anele","orcid":"https://orcid.org/0000-0002-3509-7856","observed_orcids":["https://orcid.org/0000-0002-3509-7856"]},"institutions":[{"id":"https://openalex.org/I142740786","display_name":"University of Louisville","ror":"https://ror.org/01ckdn478","country_code":"US","type":"education","lineage":["https://openalex.org/I142740786"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"U Anele","raw_affiliation_strings":["Department of Urology, University of Louisville Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, University of Louisville Health","institution_ids":["https://openalex.org/I142740786"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024241639","display_name":"J. Tyler Roseman","orcid":"https://orcid.org/0000-0001-6031-4595","observed_orcids":["https://orcid.org/0000-0001-6031-4595"]},"institutions":[{"id":"https://openalex.org/I184840846","display_name":"Virginia Commonwealth University","ror":"https://ror.org/02nkdxk79","country_code":"US","type":"education","lineage":["https://openalex.org/I184840846"]},{"id":"https://openalex.org/I72019824","display_name":"Virginia Commonwealth University Medical Center","ror":"https://ror.org/057xmsr27","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I72019824"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"T Roseman","raw_affiliation_strings":["Virginia Commonwealth University Health System Department of Surgery/Division of Urology,","Department of Surgery/Division of Urology, Virginia Commonwealth University Health System"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Virginia Commonwealth University Health System Department of Surgery/Division of Urology,","institution_ids":["https://openalex.org/I184840846","https://openalex.org/I72019824"]},{"raw_affiliation_string":"Department of Surgery/Division of Urology, Virginia Commonwealth University Health System","institution_ids":["https://openalex.org/I184840846","https://openalex.org/I72019824"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5042599075","display_name":"Steven J. MacDonald","orcid":"https://orcid.org/0000-0001-7838-0603","observed_orcids":["https://orcid.org/0000-0001-7838-0603"]},"institutions":[{"id":"https://openalex.org/I130769515","display_name":"Pennsylvania State University","ror":"https://ror.org/04p491231","country_code":"US","type":"education","lineage":["https://openalex.org/I130769515"]},{"id":"https://openalex.org/I82783531","display_name":"Penn State Milton S. Hershey Medical Center","ror":"https://ror.org/01h22ap11","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I82783531"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"S Macdonald","raw_affiliation_strings":["Penn State Health Milton S. Hershey Medical Center Division of Urology,","Division of Urology, Penn State Health Milton S. Hershey Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Penn State Health Milton S. Hershey Medical Center Division of Urology,","institution_ids":["https://openalex.org/I130769515","https://openalex.org/I82783531"]},{"raw_affiliation_string":"Division of Urology, Penn State Health Milton S. Hershey Medical Center","institution_ids":["https://openalex.org/I130769515","https://openalex.org/I82783531"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":9,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3728,"currency":"USD","value_usd":3728},"apc_paid":null,"fwci":0.8266,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.70106911,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"21","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":0.9804999828338623,"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"}},"topics":[{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":0.9804999828338623,"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"}},{"id":"https://openalex.org/T11713","display_name":"Genital Health and Disease","score":0.009999999776482582,"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/T11910","display_name":"Foreign Body Medical Cases","score":0.005100000184029341,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/penile-incarceration","display_name":"penile incarceration","score":0.652999997138977},{"id":"https://openalex.org/keywords/ring-removal","display_name":"ring removal","score":0.7260000109672546},{"id":"https://openalex.org/keywords/penile-skin-necrosis","display_name":"penile skin necrosis","score":0.843999981880188},{"id":"https://openalex.org/keywords/fournier-s-gangrene","display_name":"Fournier's gangrene","score":0.8539999723434448},{"id":"https://openalex.org/keywords/urethrocutaneous-fistula","display_name":"urethrocutaneous fistula","score":0.9829999804496765},{"id":"https://openalex.org/keywords/erectile-dysfunction","display_name":"erectile dysfunction","score":0.8920000195503235},{"id":"https://openalex.org/keywords/substance-abuse","display_name":"substance abuse","score":0.7139999866485596},{"id":"https://openalex.org/keywords/urological-emergencies","display_name":"urological emergencies","score":0.640999972820282},{"id":"https://openalex.org/keywords/stainless-steel-ring","display_name":"stainless steel ring","score":0.5540000200271606}],"concepts":[{"id":"https://openalex.org/C174940676","wikidata":"https://www.wikidata.org/wiki/Q495626","display_name":"Constriction","level":2,"score":0.7874436378479004},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6938788890838623},{"id":"https://openalex.org/C119060515","wikidata":"https://www.wikidata.org/wiki/Q1916617","display_name":"Interquartile range","level":2,"score":0.563433051109314},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5000882148742676},{"id":"https://openalex.org/C2777786686","wikidata":"https://www.wikidata.org/wiki/Q58","display_name":"Penis","level":2,"score":0.4701932370662689},{"id":"https://openalex.org/C2776915481","wikidata":"https://www.wikidata.org/wiki/Q1066302","display_name":"Entrapment","level":2,"score":0.4606265127658844},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0913374125957489}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1093/jsxmed/qdae001.049","doi":"https://doi.org/10.1093/jsxmed/qdae001.049","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jsxmed/qdae001.049","pdf_url":"https://academic.oup.com/jsm/article-pdf/21/Supplement_1/qdae001.049/56583176/qdae001.049.pdf","source":{"id":"https://openalex.org/S159512450","display_name":"The Journal of Sexual Medicine","issn_l":"1743-6095","issn":["1743-6095","1743-6109"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Sexual Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1093/jsxmed/qdae001.049","doi":"https://doi.org/10.1093/jsxmed/qdae001.049","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jsxmed/qdae001.049","pdf_url":"https://academic.oup.com/jsm/article-pdf/21/Supplement_1/qdae001.049/56583176/qdae001.049.pdf","source":{"id":"https://openalex.org/S159512450","display_name":"The Journal of Sexual Medicine","issn_l":"1743-6095","issn":["1743-6095","1743-6109"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Sexual Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9940000176429749}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4391574449.pdf","grobid_xml":"https://content.openalex.org/works/W4391574449.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2367520271","https://openalex.org/W2393661876","https://openalex.org/W2375274178","https://openalex.org/W2499495262","https://openalex.org/W1681476849","https://openalex.org/W2487490720","https://openalex.org/W2366629671","https://openalex.org/W2257354782","https://openalex.org/W2063912591","https://openalex.org/W2462099022"],"abstract_inverted_index":{"Abstract":[0],"Introduction":[1],"Penile":[2,350],"incarceration":[3,113,351],"due":[4,114],"to":[5,45,52,71,102,107,115,200,252,274,346,398],"a":[6,11,63,73,96,204,215,250,259,263,283,298,357],"metal":[7,90,116,170,260,353,385],"constriction":[8,59,91,117,187,354,386],"ring":[9,16,118,188,220,355],"is":[10,356],"rare":[12,358],"urologic":[13,359],"emergency.":[14,360],"Improper":[15],"sizing,":[17],"use":[18,26,119,318,343],"of":[19,25,163,179,184,207,340,373],"makeshift":[20],"rings":[21,42,60,171],"or":[22],"prolonged":[23,84,292],"length":[24,183],"can":[27],"cause":[28],"penile/penoscrotal":[29],"entrapment":[30,86],"with":[31,89,111,155,159,203,249,282,311,320],"resulting":[32],"sequelae":[33],"including":[34],"genital":[35],"ischemia,":[36],"necrosis,":[37],"and":[38,55,81,129,133,143,175,222,301,315,344,367,377,394,417],"urinary":[39],"retention.":[40],"Metal":[41],"are":[43,381,391,396,420],"prone":[44],"this":[46,374],"exigent":[47],"situation,":[48],"as":[49,258,266],"they":[50],"tend":[51],"be":[53],"denser":[54],"thicker":[56],"than":[57],"typical":[58],"which":[61,327],"presents":[62],"challenge":[64],"for":[65,148],"safe":[66],"removal.":[67],"Objective":[68],"We":[69,94],"aim":[70],"report":[72],"multi-institutional":[74,366],"experience":[75],"characterizing":[76],"the":[77,121,138,186,254,276,338,364,371],"presentation,":[78],"removal":[79],"methods,":[80],"outcomes":[82],"after":[83,407],"penile":[85,112,321],"in":[87,173,190,237,247,337,383],"patients":[88,154,287,404],"rings.":[92,387],"Methods":[93],"performed":[95],"retrospective":[97],"chart":[98],"review":[99],"from":[100,137,197],"2000":[101],"2023":[103],"at":[104],"participating":[105],"institutions":[106],"identify":[108],"men":[109],"presenting":[110],"using":[120],"following":[122],"ICD-10":[123],"codes:":[124],"S30.842A,":[125],"S30.843,":[126],"W49.04XA,":[127],"S31.24X,":[128],"T19.4.":[130],"Operative/procedural":[131],"tools":[132,380,390],"duration":[134],"were":[135,146,165,177],"recorded":[136],"initial":[139],"emergency":[140],"room":[141],"encounter":[142],"follow-up":[144,419],"notes":[145],"reviewed":[147],"any":[149],"subsequent":[150],"complications.":[151],"Results":[152],"Twelve":[153],"median":[156,205],"age":[157],"55":[158],"interquartile":[160],"range":[161],"(IQR)":[162],"26":[164],"identified":[166],"(Table":[167],"1).":[168],"The":[169,182],"varied":[172],"size,":[174],"most":[176,403],"composed":[178],"stainless":[180],"steel.":[181],"time":[185,206,227],"was":[189,228,235,245,272,328],"place":[191],"before":[192],"seeking":[193],"medical":[194],"attention":[195],"ranged":[196],"3":[198],"hours":[199],"10":[201],"days":[202],"42":[208],"hours,":[209],"(IQR,":[210,231],"60).":[211],"Removal":[212],"instruments":[213],"included":[214],"powered":[216,241,284,378,389],"drill":[217],"cutting":[218,243,379],"tool,":[219],"cutter,":[221],"bolt":[223],"cutters.":[224],"Median":[225],"operative/procedural":[226],"90":[229],"minutes":[230],"63).":[232],"Cool":[233],"irrigation":[234,393],"used":[236,246,273],"all":[238],"cases":[239],"where":[240],"rotary":[242],"tool":[244],"combination":[248],"mechanism":[251],"protect":[253,275],"underlying":[255],"skin":[256,278,322],"such":[257,265],"retractor.":[261],"Additionally,":[262],"barrier":[264],"saline-soaked":[267],"towels":[268],"and/or":[269],"lubricating":[270],"jelly":[271],"surrounding":[277],"during":[279],"operative":[280],"intervention":[281],"tool.":[285],"Most":[286],"reported":[288,304],"full":[289],"recovery":[290],"despite":[291],"entrapment;":[293],"however,":[294],"one":[295,302,309],"patient":[296,303,310],"developed":[297],"urethrocutaneous":[299],"fistula":[300],"diminished":[305],"erectile":[306],"function.":[307],"Interestingly,":[308],"concomitant":[312],"substance":[313,342],"abuse":[314],"vasoconstrictive":[316],"agents":[317],"presented":[319],"necrosis":[323],"requiring":[324],"concurrent":[325],"debridement":[326],"further":[329],"complicated":[330],"by":[331,352],"Fournier\u2019s":[332],"gangrene":[333],"1":[334],"month":[335],"later":[336],"setting":[339],"continued":[341],"non-adherence":[345],"prescribed":[347],"antibiotics.":[348],"Conclusions":[349],"This":[361],"study":[362],"represents":[363],"first":[365],"largest":[368],"investigation":[369],"evaluating":[370],"management":[372,416],"condition.":[375],"Manual":[376],"effective":[382],"removing":[384],"If":[388],"employed,":[392],"retractors":[395],"necessary":[397],"prevent":[399],"thermal":[400],"injury.":[401],"Despite":[402],"fully":[405],"recovering":[406],"removal,":[408],"significant":[409],"complications":[410],"have":[411],"been":[412],"observed.":[413],"Therefore,":[414],"prompt":[415],"proper":[418],"recommended.":[421],"Disclosure":[422],"No.":[423]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":1}],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2025-10-10T00:00:00"}
