{"id":"https://openalex.org/W4396561991","doi":"https://doi.org/10.1001/jamanetworkopen.2024.9131","title":"Label Accuracy of Weight Loss Dietary Supplements Marketed Online With Military Discounts","display_name":"Label Accuracy of Weight Loss Dietary Supplements Marketed Online With Military Discounts","publication_year":2024,"publication_date":"2024-05-01","ids":{"openalex":"https://openalex.org/W4396561991","doi":"https://doi.org/10.1001/jamanetworkopen.2024.9131","pmid":"https://pubmed.ncbi.nlm.nih.gov/38691359","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11063798"},"language":"en","primary_location":{"id":"doi:10.1001/jamanetworkopen.2024.9131","doi":"https://doi.org/10.1001/jamanetworkopen.2024.9131","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamanetworkopen.2024.9131","pdf_url":null,"source":{"id":"https://openalex.org/S4210217848","display_name":"JAMA Network Open","issn_l":"2574-3805","issn":["2574-3805"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American 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":"JAMA Network Open","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1001/jamanetworkopen.2024.9131","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5030296217","display_name":"Cindy C Crawford","orcid":"https://orcid.org/0000-0003-0256-8014","observed_orcids":["https://orcid.org/0000-0003-0256-8014"]},"institutions":[{"id":"https://openalex.org/I1280259254","display_name":"Henry M. Jackson Foundation","ror":"https://ror.org/04q9tew83","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1280259254"]},{"id":"https://openalex.org/I148314036","display_name":"Uniformed Services University of the Health Sciences","ror":"https://ror.org/04r3kq386","country_code":"US","type":"education","lineage":["https://openalex.org/I148314036"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cindy Crawford","raw_affiliation_strings":["Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward H\u00e9bert School of Medicine, Uniformed Services University, Bethesda, Maryland","Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc, Bethesda, Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward H\u00e9bert School of Medicine, Uniformed Services University, Bethesda, Maryland","institution_ids":["https://openalex.org/I148314036"]},{"raw_affiliation_string":"Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc, Bethesda, Maryland","institution_ids":["https://openalex.org/I1280259254"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039173092","display_name":"Bharathi Avula","orcid":"https://orcid.org/0000-0002-8656-9526","observed_orcids":["https://orcid.org/0000-0002-8656-9526"]},"institutions":[{"id":"https://openalex.org/I368840534","display_name":"University of Mississippi","ror":"https://ror.org/02teq1165","country_code":"US","type":"education","lineage":["https://openalex.org/I368840534","https://openalex.org/I4210141039"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bharathi Avula","raw_affiliation_strings":["National Center for Natural Products Research, School of Pharmacy, University of Mississippi, University, Mississippi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Center for Natural Products Research, School of Pharmacy, University of Mississippi, University, Mississippi","institution_ids":["https://openalex.org/I368840534"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073612040","display_name":"Andrea T. Lindsey","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1280259254","display_name":"Henry M. Jackson Foundation","ror":"https://ror.org/04q9tew83","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1280259254"]},{"id":"https://openalex.org/I148314036","display_name":"Uniformed Services University of the Health Sciences","ror":"https://ror.org/04r3kq386","country_code":"US","type":"education","lineage":["https://openalex.org/I148314036"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrea T. Lindsey","raw_affiliation_strings":["Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward H\u00e9bert School of Medicine, Uniformed Services University, Bethesda, Maryland","Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc, Bethesda, Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward H\u00e9bert School of Medicine, Uniformed Services University, Bethesda, Maryland","institution_ids":["https://openalex.org/I148314036"]},{"raw_affiliation_string":"Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc, Bethesda, Maryland","institution_ids":["https://openalex.org/I1280259254"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013500556","display_name":"Kumar Katragunta","orcid":"https://orcid.org/0000-0002-8787-4602","observed_orcids":["https://orcid.org/0000-0002-8787-4602"]},"institutions":[{"id":"https://openalex.org/I368840534","display_name":"University of Mississippi","ror":"https://ror.org/02teq1165","country_code":"US","type":"education","lineage":["https://openalex.org/I368840534","https://openalex.org/I4210141039"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kumar Katragunta","raw_affiliation_strings":["National Center for Natural Products Research, School of Pharmacy, University of Mississippi, University, Mississippi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Center for Natural Products Research, School of Pharmacy, University of Mississippi, University, Mississippi","institution_ids":["https://openalex.org/I368840534"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049082763","display_name":"Ikhlas Ahmed Khan","orcid":"https://orcid.org/0000-0001-5464-4643","observed_orcids":["https://orcid.org/0000-0001-5464-4643"]},"institutions":[{"id":"https://openalex.org/I368840534","display_name":"University of Mississippi","ror":"https://ror.org/02teq1165","country_code":"US","type":"education","lineage":["https://openalex.org/I368840534","https://openalex.org/I4210141039"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ikhlas A. Khan","raw_affiliation_strings":["National Center for Natural Products Research, School of Pharmacy, University of Mississippi, University, Mississippi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Center for Natural Products Research, School of Pharmacy, University of Mississippi, University, Mississippi","institution_ids":["https://openalex.org/I368840534"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5053070044","display_name":"Patricia Anne Deuster","orcid":"https://orcid.org/0000-0002-7895-0888","observed_orcids":["https://orcid.org/0000-0002-7895-0888"]},"institutions":[{"id":"https://openalex.org/I148314036","display_name":"Uniformed Services University of the Health Sciences","ror":"https://ror.org/04r3kq386","country_code":"US","type":"education","lineage":["https://openalex.org/I148314036"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Patricia A. Deuster","raw_affiliation_strings":["Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward H\u00e9bert School of Medicine, Uniformed Services University, Bethesda, Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward H\u00e9bert School of Medicine, Uniformed Services University, Bethesda, Maryland","institution_ids":["https://openalex.org/I148314036"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5053070044"],"corresponding_institution_ids":["https://openalex.org/I148314036"],"apc_list":{"value":3000,"currency":"USD","value_usd":3000},"apc_paid":{"value":3000,"currency":"USD","value_usd":3000},"fwci":4.14,"has_fulltext":false,"cited_by_count":12,"citation_normalized_percentile":{"value":0.94596741,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":98},"biblio":{"volume":"7","issue":"5","first_page":"e249131","last_page":"e249131"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12878","display_name":"Pharmaceutical Quality and Counterfeiting","score":0.986299991607666,"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"}},"topics":[{"id":"https://openalex.org/T12878","display_name":"Pharmaceutical Quality and Counterfeiting","score":0.986299991607666,"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/T12539","display_name":"Pharmacology and Obesity Treatment","score":0.006399999838322401,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology (medical)"},"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/T10902","display_name":"Complementary and Alternative Medicine Studies","score":0.004999999888241291,"subfield":{"id":"https://openalex.org/subfields/2707","display_name":"Complementary and alternative medicine"},"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/supplement-labeling-accuracy","display_name":"supplement labeling accuracy","score":0.7039999961853027},{"id":"https://openalex.org/keywords/military-personnel","display_name":"military personnel","score":0.6800000071525574},{"id":"https://openalex.org/keywords/dietary-supplement-adulteration","display_name":"supplement adulteration","score":0.8840000033378601},{"id":"https://openalex.org/keywords/misbranding","display_name":"misbranding","score":0.8159999847412109}],"concepts":[{"id":"https://openalex.org/C544821477","wikidata":"https://www.wikidata.org/wiki/Q718113","display_name":"Weight loss","level":3,"score":0.6721007823944092},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.47703784704208374},{"id":"https://openalex.org/C3018363719","wikidata":"https://www.wikidata.org/wiki/Q645858","display_name":"Dietary supplement","level":2,"score":0.4511909484863281},{"id":"https://openalex.org/C112698675","wikidata":"https://www.wikidata.org/wiki/Q37038","display_name":"Advertising","level":1,"score":0.3994155824184418},{"id":"https://openalex.org/C31903555","wikidata":"https://www.wikidata.org/wiki/Q1637030","display_name":"Food science","level":1,"score":0.3738783001899719},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.22485128045082092},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.2030521035194397},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.05765634775161743},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0533980131149292}],"mesh":[{"descriptor_ui":"D000329","descriptor_name":"Advertising","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":"D008889","descriptor_name":"Military Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011356","descriptor_name":"Product Labeling","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015431","descriptor_name":"Weight Loss","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019440","descriptor_name":"Anti-Obesity Agents","qualifier_ui":"Q000032","qualifier_name":"analysis","is_major_topic":false},{"descriptor_ui":"D019587","descriptor_name":"Dietary Supplements","qualifier_ui":"Q000032","qualifier_name":"analysis","is_major_topic":true},{"descriptor_ui":"D019587","descriptor_name":"Dietary Supplements","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D040541","descriptor_name":"Marketing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1001/jamanetworkopen.2024.9131","doi":"https://doi.org/10.1001/jamanetworkopen.2024.9131","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamanetworkopen.2024.9131","pdf_url":null,"source":{"id":"https://openalex.org/S4210217848","display_name":"JAMA Network Open","issn_l":"2574-3805","issn":["2574-3805"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American 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":"JAMA Network Open","raw_type":"journal-article"},{"id":"pmid:38691359","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38691359","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":"JAMA network open","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11063798","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/instance/11063798/bin/jamanetwopen-e249131-s001.pdf","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Netw Open","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1001/jamanetworkopen.2024.9131","doi":"https://doi.org/10.1001/jamanetworkopen.2024.9131","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamanetworkopen.2024.9131","pdf_url":null,"source":{"id":"https://openalex.org/S4210217848","display_name":"JAMA Network Open","issn_l":"2574-3805","issn":["2574-3805"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American 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":"JAMA Network Open","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.7246000170707703}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":36,"referenced_works":["https://openalex.org/W2045187492","https://openalex.org/W2059796825","https://openalex.org/W2141818305","https://openalex.org/W2322653522","https://openalex.org/W2330664058","https://openalex.org/W2765512001","https://openalex.org/W2767443138","https://openalex.org/W2888441686","https://openalex.org/W2889734823","https://openalex.org/W2896771549","https://openalex.org/W2913056041","https://openalex.org/W2946227237","https://openalex.org/W3015201496","https://openalex.org/W3022423927","https://openalex.org/W3080737450","https://openalex.org/W3134770384","https://openalex.org/W3139524297","https://openalex.org/W3171384791","https://openalex.org/W3183764507","https://openalex.org/W3185453577","https://openalex.org/W3194335234","https://openalex.org/W3195103798","https://openalex.org/W4210621087","https://openalex.org/W4212787631","https://openalex.org/W4221071526","https://openalex.org/W4251005504","https://openalex.org/W4280611819","https://openalex.org/W4285490177","https://openalex.org/W4293496876","https://openalex.org/W4296906654","https://openalex.org/W4311582576","https://openalex.org/W4318499681","https://openalex.org/W4367835156","https://openalex.org/W4384522509","https://openalex.org/W4385620503","https://openalex.org/W4386690020"],"related_works":["https://openalex.org/W4405515784","https://openalex.org/W4212787631","https://openalex.org/W3183921644","https://openalex.org/W7107970758","https://openalex.org/W4407587658","https://openalex.org/W1965273084","https://openalex.org/W2503487570","https://openalex.org/W4293496876","https://openalex.org/W4403227222","https://openalex.org/W4210475134"],"abstract_inverted_index":{"Importance:":[0],"Dietary":[1,199,274],"supplements":[2,88],"for":[3,19,27,91,115,141,331],"weight":[4,21,47,92,142],"loss,":[5],"among":[6],"the":[7,13,104,118,124,184,196,215,225,243,257,271,283,293,304,334],"most":[8],"popular":[9],"supplement":[10,138],"products":[11,139,178,227,286,307],"on":[12,195,242,256,270,279],"market,":[14],"are":[15,56,99],"promoted":[16],"not":[17,247,254,321],"only":[18],"losing":[20],"and":[22,32,59,120,130,146,168,189,266,297,326],"shedding":[23],"fat,":[24],"but":[25],"also":[26],"added":[28],"benefits":[29],"of":[30,42,46,260,306],"energy":[31],"performance,":[33],"all":[34],"packed":[35],"into":[36],"1":[37],"capsule":[38],"with":[39,51,319],"multiple":[40,73],"combinations":[41],"ingredients.":[43],"Fraudulent":[44],"marketing":[45],"loss":[48,93,143],"supplements,":[49,325],"some":[50,54,60,259,327],"exaggerated":[52],"claims,":[53],"that":[55,61,231,245],"potentially":[57],"dangerous,":[58],"contain":[62,111],"illegal":[63],"ingredients,":[64,108],"is":[65],"ever":[66],"present,":[67],"especially":[68],"through":[69],"online":[70,90,153],"sources,":[71],"where":[72],"manufacturers":[74],"target":[75],"service":[76],"members":[77],"by":[78,213],"offering":[79],"military":[80,97,156],"discounts.":[81,157],"Objectives:":[82],"To":[83],"examine":[84],"whether":[85,109,177,190],"select":[86],"dietary":[87,137,324],"marketed":[89,140],"from":[94,151,161,282],"companies":[95,154],"advertising":[96,155],"discounts":[98],"accurately":[100,180],"labeled":[101,181],"according":[102,182],"to":[103,121,163,175,183,208],"Supplement":[105,185,200,217,275],"Facts":[106,186],"listed":[107,187,241],"they":[110,191],"any":[112,193],"ingredients":[113,188,240,320,329],"prohibited":[114,330],"use":[116,332],"in":[117,148,323,333],"military,":[119],"qualitatively":[122],"describe":[123,209],"products'":[125],"label":[126,211,244],"claims.":[127],"Design,":[128],"Setting,":[129],"Participants:":[131],"In":[132,299],"this":[133,300],"case":[134,301],"series,":[135],"30":[136,226],"were":[144,159,179,246,287,312],"selected":[145],"purchased":[147],"June":[149],"2023":[150],"12":[152],"Data":[158],"analyzed":[160],"July":[162],"August":[164],"2023.":[165],"Main":[166],"Outcomes":[167],"Measures:":[169],"Liquid":[170],"chromatography-mass":[171],"spectrometry":[172],"was":[173,206],"used":[174],"verify":[176],"contained":[192,328],"substances":[194,269],"DoD":[197,272],"Prohibited":[198,273],"Ingredients":[201,276],"List.":[202],"A":[203],"separate":[204],"analysis":[205,229],"conducted":[207],"product":[210],"claims":[212],"using":[214],"Operation":[216],"Safety":[218],"(OPSS)":[219],"Risk":[220],"Assessment":[221],"Scorecard.":[222,295],"Results:":[223],"Of":[224,236],"tested,":[228],"showed":[230],"25":[232],"had":[233,239,251,268,308],"inaccurate":[234,309],"labels.":[235,310],"these,":[237],"24":[238],"detected":[248],"(misbranded);":[249],"7":[250],"hidden":[252,281],"components":[253],"present":[255],"label,":[258],"which":[261],"would":[262,315],"be":[263,316],"considered":[264,317],"adulterated;":[265],"10":[267],"List":[277],"either":[278],"or":[280],"label.":[284],"All":[285],"rated":[288],"as":[289],"risky":[290],"when":[291],"applying":[292],"OPSS":[294],"Conclusions":[296],"Relevance:":[298],"series":[302],"study,":[303],"majority":[305],"Some":[311],"misbranded,":[313],"others":[314],"adulterated":[318],"allowed":[322],"military.":[335]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":2}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2024-05-02T00:00:00"}