{"id":"https://openalex.org/W7204222677","doi":"https://doi.org/10.2147/imcrj.s631439","title":"When Virginity Matters: Transabdominal Cervical Polypectomy in an Adolescent Girl, a Case Report","display_name":"When Virginity Matters: Transabdominal Cervical Polypectomy in an Adolescent Girl, a Case Report","publication_year":2026,"publication_date":"2026-08-01","ids":{"openalex":"https://openalex.org/W7204222677","doi":"https://doi.org/10.2147/imcrj.s631439","pmid":"https://pubmed.ncbi.nlm.nih.gov/42670406","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13526336"},"language":"en","primary_location":{"id":"doi:10.2147/imcrj.s631439","doi":"https://doi.org/10.2147/imcrj.s631439","is_oa":true,"landing_page_url":"https://doi.org/10.2147/imcrj.s631439","pdf_url":"https://www.dovepress.com/article/download/118776","source":{"id":"https://openalex.org/S2738884135","display_name":"International Medical Case Reports Journal","issn_l":"1179-142X","issn":["1179-142X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Medical Case Reports Journal","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://www.dovepress.com/article/download/118776","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5022805904","display_name":"Maram Balouli","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I875646752","display_name":"Damascus University","ror":"https://ror.org/03m098d13","country_code":"SY","type":"education","lineage":["https://openalex.org/I875646752"]}],"countries":["SY"],"is_corresponding":false,"raw_author_name":"Maram Balouli","raw_affiliation_strings":["Obstetrics and Gynecology Department, Faculty of Medicine, Damascus University, Damascus, Syria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Obstetrics and Gynecology Department, Faculty of Medicine, Damascus University, Damascus, Syria","institution_ids":["https://openalex.org/I875646752"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067154025","display_name":"Modar Doyya","orcid":"https://orcid.org/0009-0007-9330-2030","observed_orcids":["https://orcid.org/0009-0007-9330-2030"]},"institutions":[{"id":"https://openalex.org/I875646752","display_name":"Damascus University","ror":"https://ror.org/03m098d13","country_code":"SY","type":"education","lineage":["https://openalex.org/I875646752"]}],"countries":["SY"],"is_corresponding":true,"raw_author_name":"Modar Doyya","raw_affiliation_strings":["Faculty of Medicine, Damascus University, Damascus, Syria"],"raw_orcid":"https://orcid.org/0009-0007-9330-2030","affiliations":[{"raw_affiliation_string":"Faculty of Medicine, Damascus University, Damascus, Syria","institution_ids":["https://openalex.org/I875646752"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089888757","display_name":"Basel Ahmad","orcid":"https://orcid.org/0000-0003-3378-334X","observed_orcids":["https://orcid.org/0000-0003-3378-334X"]},"institutions":[{"id":"https://openalex.org/I875646752","display_name":"Damascus University","ror":"https://ror.org/03m098d13","country_code":"SY","type":"education","lineage":["https://openalex.org/I875646752"]}],"countries":["SY"],"is_corresponding":false,"raw_author_name":"Basel Ahmad","raw_affiliation_strings":["Surgery Department, Damascus University, Damascus, Syria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Surgery Department, Damascus University, Damascus, Syria","institution_ids":["https://openalex.org/I875646752"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064999485","display_name":"Aya Ahmad","orcid":"https://orcid.org/0000-0002-0139-0608","observed_orcids":["https://orcid.org/0000-0002-0139-0608"]},"institutions":[{"id":"https://openalex.org/I875646752","display_name":"Damascus University","ror":"https://ror.org/03m098d13","country_code":"SY","type":"education","lineage":["https://openalex.org/I875646752"]}],"countries":["SY"],"is_corresponding":false,"raw_author_name":"Aya Ahmad","raw_affiliation_strings":["Faculty of Medicine, Damascus University, Damascus, Syria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Medicine, Damascus University, Damascus, Syria","institution_ids":["https://openalex.org/I875646752"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5050495924","display_name":"Dema Adwan","orcid":"https://orcid.org/0000-0002-7166-8580","observed_orcids":["https://orcid.org/0000-0002-7166-8580"]},"institutions":[{"id":"https://openalex.org/I875646752","display_name":"Damascus University","ror":"https://ror.org/03m098d13","country_code":"SY","type":"education","lineage":["https://openalex.org/I875646752"]}],"countries":["SY"],"is_corresponding":false,"raw_author_name":"Dema Adwan","raw_affiliation_strings":["Obstetrics and Gynecology Department, Faculty of Medicine, Damascus University, Damascus, Syria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Obstetrics and Gynecology Department, Faculty of Medicine, Damascus University, Damascus, Syria","institution_ids":["https://openalex.org/I875646752"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5067154025"],"corresponding_institution_ids":["https://openalex.org/I875646752"],"apc_list":{"value":2320,"currency":"USD","value_usd":2320},"apc_paid":{"value":2320,"currency":"USD","value_usd":2320},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"Volume 19","issue":null,"first_page":"1","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11589","display_name":"Gynecological conditions and treatments","score":0.9994999766349792,"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"}},"topics":[{"id":"https://openalex.org/T11589","display_name":"Gynecological conditions and treatments","score":0.9994999766349792,"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"}},{"id":"https://openalex.org/T10989","display_name":"Uterine Myomas and Treatments","score":9.999999747378752e-05,"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"}},{"id":"https://openalex.org/T12866","display_name":"Urologic and reproductive health conditions","score":0.0,"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/cervical-polyp","display_name":"cervical polyp","score":0.871999979019165},{"id":"https://openalex.org/keywords/virginity","display_name":"virginity","score":0.6290000081062317},{"id":"https://openalex.org/keywords/adolescent-girls","display_name":"adolescent girls","score":0.6859999895095825},{"id":"https://openalex.org/keywords/abnormal-uterine-bleeding","display_name":"abnormal uterine bleeding","score":0.8870000243186951},{"id":"https://openalex.org/keywords/intermenstrual-bleeding","display_name":"metrorrhagia","score":0.9589999914169312},{"id":"https://openalex.org/keywords/anemia","display_name":"anemia","score":0.906000018119812},{"id":"https://openalex.org/keywords/pelvic-mri","display_name":"pelvic MRI","score":0.6700000166893005}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9617999792098999},{"id":"https://openalex.org/C2780581329","wikidata":"https://www.wikidata.org/wiki/Q7226727","display_name":"Polypectomy","level":5,"score":0.8246999979019165},{"id":"https://openalex.org/C2780218171","wikidata":"https://www.wikidata.org/wiki/Q244913","display_name":"Vaginal bleeding","level":3,"score":0.4991999864578247},{"id":"https://openalex.org/C2777687323","wikidata":"https://www.wikidata.org/wiki/Q1268495","display_name":"Metrorrhagia","level":5,"score":0.47940000891685486},{"id":"https://openalex.org/C2779494336","wikidata":"https://www.wikidata.org/wiki/Q550675","display_name":"Hysterectomy","level":2,"score":0.4343999922275543},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.42969998717308044},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.42170000076293945},{"id":"https://openalex.org/C2909633097","wikidata":"https://www.wikidata.org/wiki/Q3083434","display_name":"Endometrial Polyp","level":3,"score":0.3880999982357025},{"id":"https://openalex.org/C2778220009","wikidata":"https://www.wikidata.org/wiki/Q160105","display_name":"Cervical cancer","level":3,"score":0.36959999799728394},{"id":"https://openalex.org/C2780778865","wikidata":"https://www.wikidata.org/wiki/Q1130374","display_name":"Laparotomy","level":2,"score":0.3691999912261963},{"id":"https://openalex.org/C2780955771","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Abdominal pain","level":2,"score":0.33469998836517334},{"id":"https://openalex.org/C2775963564","wikidata":"https://www.wikidata.org/wiki/Q597058","display_name":"Hysteroscopy","level":2,"score":0.3237999975681305},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.3124000132083893},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3021000027656555},{"id":"https://openalex.org/C2780136519","wikidata":"https://www.wikidata.org/wiki/Q7161805","display_name":"Pelvic pain","level":2,"score":0.3021000027656555},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.29980000853538513},{"id":"https://openalex.org/C161968269","wikidata":"https://www.wikidata.org/wiki/Q3260901","display_name":"Virginity test","level":2,"score":0.29739999771118164},{"id":"https://openalex.org/C40993552","wikidata":"https://www.wikidata.org/wiki/Q514654","display_name":"Gold standard (test)","level":2,"score":0.296999990940094},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.2897999882698059},{"id":"https://openalex.org/C2777785015","wikidata":"https://www.wikidata.org/wiki/Q4950797","display_name":"Bowel resection","level":2,"score":0.26930001378059387},{"id":"https://openalex.org/C2777740455","wikidata":"https://www.wikidata.org/wiki/Q666412","display_name":"Cervix","level":3,"score":0.26820001006126404},{"id":"https://openalex.org/C83674893","wikidata":"https://www.wikidata.org/wiki/Q7583620","display_name":"Introitus","level":3,"score":0.2531999945640564},{"id":"https://openalex.org/C2778248108","wikidata":"https://www.wikidata.org/wiki/Q5445","display_name":"Anemia","level":2,"score":0.25049999356269836}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.2147/imcrj.s631439","doi":"https://doi.org/10.2147/imcrj.s631439","is_oa":true,"landing_page_url":"https://doi.org/10.2147/imcrj.s631439","pdf_url":"https://www.dovepress.com/article/download/118776","source":{"id":"https://openalex.org/S2738884135","display_name":"International Medical Case Reports Journal","issn_l":"1179-142X","issn":["1179-142X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Medical Case Reports Journal","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13526336","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13526336/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13526336/pdf/IMCRJ-19-631439.pdf","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-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int Med Case Rep J","raw_type":"Text"},{"id":"pmid:42670406","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42670406","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":"International medical case reports journal","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:e8dd82e9532f43e9bc6eced56b17ac17","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/e8dd82e9532f43e9bc6eced56b17ac17","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"International Medical Case Reports Journal, Vol Volume 19, Iss Issue 1, Pp 1-7 (2026)","raw_type":"article"},{"id":"pmh:oai:dovepress.com/118776","doi":null,"is_oa":true,"landing_page_url":"https://www.dovepress.com/when-virginity-matters-transabdominal-cervical-polypectomy-in-an-adole-peer-reviewed-fulltext-article-IMCRJ","pdf_url":null,"source":{"id":"https://openalex.org/S4306401012","display_name":"Dove Medical Press (Taylor and Francis Group)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.2147/imcrj.s631439","doi":"https://doi.org/10.2147/imcrj.s631439","is_oa":true,"landing_page_url":"https://doi.org/10.2147/imcrj.s631439","pdf_url":"https://www.dovepress.com/article/download/118776","source":{"id":"https://openalex.org/S2738884135","display_name":"International Medical Case Reports Journal","issn_l":"1179-142X","issn":["1179-142X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Medical Case Reports Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204222677.pdf","grobid_xml":"https://content.openalex.org/works/W7204222677.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W1969805364","https://openalex.org/W1978755426","https://openalex.org/W1995563296","https://openalex.org/W2001739359","https://openalex.org/W2014151822","https://openalex.org/W2028841276","https://openalex.org/W2060877840","https://openalex.org/W2073283620","https://openalex.org/W2077723463","https://openalex.org/W2128048749","https://openalex.org/W2131944954","https://openalex.org/W2157678232","https://openalex.org/W2228600478","https://openalex.org/W2418040845","https://openalex.org/W2517867434","https://openalex.org/W2599222067","https://openalex.org/W2610596789","https://openalex.org/W2911804727","https://openalex.org/W4399154167","https://openalex.org/W4402537074","https://openalex.org/W4406095426"],"related_works":["https://openalex.org/W2418040845","https://openalex.org/W2228600478","https://openalex.org/W3037450836","https://openalex.org/W4412493558","https://openalex.org/W2053273748","https://openalex.org/W7135016155","https://openalex.org/W2028803818","https://openalex.org/W2129372670","https://openalex.org/W7167917051","https://openalex.org/W2131944954"],"abstract_inverted_index":{"Introduction:":[0],"Cervical":[1,199],"polyps":[2,111],"are":[3],"common":[4],"benign":[5,174],"lesions,":[6],"typically":[7,115],"found":[8],"in":[9,44,65,72,79,112,203,211,259],"women":[10],"of":[11,74,126,136,196,213,256],"reproductive":[12],"age.":[13],"While":[14,231],"often":[15],"asymptomatic,":[16],"they":[17],"may":[18],"lead":[19],"to":[20,144,193],"abnormal":[21,76],"uterine":[22],"bleeding":[23,139],"and":[24,50,91,104,140,183,205],"secondary":[25],"complications":[26],"such":[27],"as":[28,109,172],"anemia.":[29],"Diagnosis":[30],"is":[31,84,226,249],"usually":[32],"confirmed":[33,171],"through":[34],"transvaginal":[35],"ultrasound":[36],"or":[37],"hysteroscopy;":[38],"however,":[39],"these":[40],"methods":[41],"pose":[42],"challenges":[43],"virgin":[45,129],"women,":[46,68,208],"necessitating":[47],"alternative":[48,243],"diagnostic":[49,219],"therapeutic":[51],"approaches.":[52],"This":[53,251],"case":[54,125,252],"underscores":[55],"several":[56],"clinically":[57],"relevant":[58],"considerations.":[59],"First,":[60],"cervical":[61,110,168],"polyps,":[62,200],"though":[63,201],"uncommon":[64],"young":[66,206],"nulliparous":[67,207],"should":[69],"be":[70],"considered":[71],"cases":[73,212],"refractory":[75],"bleeding.":[77,216],"Second,":[78],"settings":[80],"where":[81,246],"hysteroscopic":[82],"resection":[83,239],"unavailable,":[85],"transabdominal":[86,238],"polypectomy":[87,189,233],"offers":[88],"a":[89,127,133,166,173,241],"safe":[90],"effective":[92],"solution":[93],"for":[94,228,244],"preserving":[95],"anatomical":[96],"integrity.":[97],"The":[98],"patient's":[99,181],"presentation":[100],"with":[101,117,132,151],"severe":[102,152],"metrorrhagia":[103],"anemia":[105,153],"was":[106,190],"particularly":[107],"notable,":[108],"this":[113],"demographic":[114],"manifest":[116],"milder":[118],"symptoms.":[119,197],"Case":[120],"Presentation:":[121],"We":[122],"report":[123],"the":[124,180,235,254],"22-year-old":[128],"Syrian":[130],"woman":[131],"six-year":[134],"history":[135],"heavy":[137],"menstrual":[138],"intermenstrual":[141],"bleeding,":[142],"unresponsive":[143],"medical":[145],"management.":[146],"Upon":[147],"admission,":[148],"she":[149],"presented":[150],"(hemoglobin:":[154],"7.5":[155],"g/dL),":[156],"requiring":[157],"blood":[158],"transfusion.":[159],"Pelvic":[160],"magnetic":[161],"resonance":[162],"imaging":[163,223],"(MRI)":[164],"identified":[165],"large":[167],"polyp,":[169],"later":[170],"adenomatous":[175],"lesion":[176],"on":[177],"histopathology.":[178],"Given":[179],"virginity":[182],"restricted":[184],"vaginal":[185,232,247],"access,":[186],"an":[187],"abdominal":[188],"performed":[191],"leading":[192],"complete":[194],"resolution":[195],"Conclusion:":[198],"rare":[202],"adolescents":[204],"warrant":[209],"consideration":[210],"unexplained":[214],"gynecologic":[215],"A":[217],"thorough":[218],"workup,":[220],"including":[221],"advanced":[222],"when":[224],"necessary,":[225],"essential":[227],"accurate":[229],"identification.":[230],"remains":[234],"standard":[236],"treatment,":[237],"represents":[240],"viable":[242],"patients":[245],"access":[248],"limited.":[250],"highlights":[253],"importance":[255],"individualized":[257],"management":[258],"optimizing":[260],"patient":[261],"outcomes.":[262]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-08-27T00:00:00"}