{"id":"https://openalex.org/W7220850706","doi":"https://doi.org/10.3389/fpsyg.2026.1779042","title":"Psychological impact and resilience among healthcare workers following the 2023 Kahramanmara\u015f earthquakes: systematic review and meta-analysis","display_name":"Psychological impact and resilience among healthcare workers following the 2023 Kahramanmara\u015f earthquakes: systematic review and meta-analysis","publication_year":2026,"publication_date":"2026-10-07","ids":{"openalex":"https://openalex.org/W7220850706","doi":"https://doi.org/10.3389/fpsyg.2026.1779042","pmid":"https://pubmed.ncbi.nlm.nih.gov/42908558","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13682973"},"language":"en","primary_location":{"id":"doi:10.3389/fpsyg.2026.1779042","doi":"https://doi.org/10.3389/fpsyg.2026.1779042","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1779042","pdf_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1779042/pdf","source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychology","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1779042/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5078822616","display_name":"Metin \u00c7\u0131naro\u011flu","orcid":"https://orcid.org/0000-0001-6342-3949","observed_orcids":["https://orcid.org/0000-0001-6342-3949"]},"institutions":[{"id":"https://openalex.org/I282159120","display_name":"\u0130stanbul Ni\u015fanta\u015f\u0131 \u00dcniversitesi","ror":"https://ror.org/04tah3159","country_code":"TR","type":"education","lineage":["https://openalex.org/I282159120"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"Metin \u00c7\u0131naro\u011flu","raw_affiliation_strings":["Department of Psychology, Faculty of Administrative and Social Science, \u0130stanbul Ni\u015fanta\u015f\u0131 University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychology, Faculty of Administrative and Social Science, \u0130stanbul Ni\u015fanta\u015f\u0131 University","institution_ids":["https://openalex.org/I282159120"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5095890281","display_name":"Eda Y\u0131lmazer","orcid":"https://orcid.org/0009-0009-3377-5025","observed_orcids":["https://orcid.org/0009-0009-3377-5025","https://orcid.org/0000-0003-1293-8357"]},"institutions":[{"id":"https://openalex.org/I25010766","display_name":"Hali\u00e7 University","ror":"https://ror.org/022xhck05","country_code":"TR","type":"education","lineage":["https://openalex.org/I25010766"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Eda Y\u0131lmazer","raw_affiliation_strings":["Department of Psychology, Faculty of Arts and Sciences, Hali\u00e7 University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychology, Faculty of Arts and Sciences, Hali\u00e7 University","institution_ids":["https://openalex.org/I25010766"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5078822616"],"corresponding_institution_ids":["https://openalex.org/I282159120"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.57452725,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":"1779042","last_page":"1779042"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10242","display_name":"Posttraumatic Stress Disorder Research","score":0.9477999806404114,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10242","display_name":"Posttraumatic Stress Disorder Research","score":0.9477999806404114,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11430","display_name":"Disaster Response and Management","score":0.01810000091791153,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10168","display_name":"COVID-19 and Mental Health","score":0.014700000174343586,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/healthcare-workers","display_name":"healthcare workers","score":0.7540000081062317},{"id":"https://openalex.org/keywords/2023-kahramanmaras-earthquakes","display_name":"2023 Kahramanmara\u015f earthquakes","score":0.9670000076293945},{"id":"https://openalex.org/keywords/posttraumatic-stress-disorder","display_name":"post-traumatic stress disorder","score":0.9179999828338623},{"id":"https://openalex.org/keywords/psychological-resilience","display_name":"psychological resilience","score":0.6940000057220459},{"id":"https://openalex.org/keywords/disaster-mental-health","display_name":"disaster mental health","score":0.7039999961853027},{"id":"https://openalex.org/keywords/secondary-traumatic-stress","display_name":"secondary traumatic stress","score":0.5659999847412109},{"id":"https://openalex.org/keywords/hardiness","display_name":"hardiness","score":0.8629999756813049},{"id":"https://openalex.org/keywords/adaptive-coping-strategies","display_name":"adaptive coping","score":0.9610000252723694},{"id":"https://openalex.org/keywords/fatigue","display_name":"fatigue","score":0.5289999842643738},{"id":"https://openalex.org/keywords/unmet-basic-needs","display_name":"unmet basic needs","score":0.8799999952316284},{"id":"https://openalex.org/keywords/peer-support","display_name":"peer support","score":0.7369999885559082},{"id":"https://openalex.org/keywords/spirituality","display_name":"spirituality","score":0.5540000200271606},{"id":"https://openalex.org/keywords/emergency-preparedness","display_name":"disaster preparedness","score":0.781000018119812},{"id":"https://openalex.org/keywords/disaster-recovery","display_name":"disaster recovery","score":0.4189999997615814}],"concepts":[{"id":"https://openalex.org/C137176749","wikidata":"https://www.wikidata.org/wiki/Q4105337","display_name":"Psychological resilience","level":2,"score":0.6378999948501587},{"id":"https://openalex.org/C73282008","wikidata":"https://www.wikidata.org/wiki/Q1759895","display_name":"Coping (psychology)","level":2,"score":0.5788999795913696},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5444999933242798},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.5437999963760376},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5273000001907349},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.49810001254081726},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.4846999943256378},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.47760000824928284},{"id":"https://openalex.org/C95190672","wikidata":"https://www.wikidata.org/wiki/Q815382","display_name":"Meta-analysis","level":2,"score":0.45350000262260437},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.43779999017715454},{"id":"https://openalex.org/C109359841","wikidata":"https://www.wikidata.org/wiki/Q728944","display_name":"Inclusion (mineral)","level":2,"score":0.4278999865055084},{"id":"https://openalex.org/C3020774429","wikidata":"https://www.wikidata.org/wiki/Q1201886","display_name":"Web of science","level":3,"score":0.3716999888420105},{"id":"https://openalex.org/C3019806175","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health professionals","level":3,"score":0.3700999915599823},{"id":"https://openalex.org/C2780390811","wikidata":"https://www.wikidata.org/wiki/Q1852702","display_name":"Hardiness (plants)","level":3,"score":0.3630000054836273},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3538999855518341},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3474999964237213},{"id":"https://openalex.org/C3020031316","wikidata":"https://www.wikidata.org/wiki/Q6817452","display_name":"Psychological distress","level":3,"score":0.320499986410141},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3149000108242035},{"id":"https://openalex.org/C3019808486","wikidata":"https://www.wikidata.org/wiki/Q1759895","display_name":"Maladaptive coping","level":3,"score":0.30660000443458557},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3019999861717224},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.2897000014781952},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.28679999709129333},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.27970001101493835},{"id":"https://openalex.org/C2779585090","wikidata":"https://www.wikidata.org/wiki/Q3457762","display_name":"Resilience (materials science)","level":2,"score":0.27000001072883606}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fpsyg.2026.1779042","doi":"https://doi.org/10.3389/fpsyg.2026.1779042","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1779042","pdf_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1779042/pdf","source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychology","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13682973","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13682973/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13682973/pdf/fpsyg-17-1779042.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","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Psychol","raw_type":"Text"},{"id":"pmid:42908558","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42908558","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":"Frontiers in psychology","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:6c6ff7f7df0042a981801a597f93a681","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/6c6ff7f7df0042a981801a597f93a681","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":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Psychology, Vol 17 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fpsyg.2026.1779042","doi":"https://doi.org/10.3389/fpsyg.2026.1779042","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1779042","pdf_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1779042/pdf","source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.48510000109672546,"id":"https://metadata.un.org/sdg/8","display_name":"Decent work and economic growth"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"},{"id":"https://openalex.org/study-designs/meta-analysis","display_name":"Meta-Analysis"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220850706.pdf","grobid_xml":"https://content.openalex.org/works/W7220850706.grobid-xml"},"referenced_works_count":39,"referenced_works":["https://openalex.org/W2340938285","https://openalex.org/W2745154337","https://openalex.org/W2914918627","https://openalex.org/W2980717184","https://openalex.org/W3044165223","https://openalex.org/W3049353372","https://openalex.org/W3097901928","https://openalex.org/W3126435602","https://openalex.org/W4304607070","https://openalex.org/W4389336881","https://openalex.org/W4389783541","https://openalex.org/W4392139427","https://openalex.org/W4392642450","https://openalex.org/W4394593589","https://openalex.org/W4394729691","https://openalex.org/W4394747688","https://openalex.org/W4396660110","https://openalex.org/W4399233648","https://openalex.org/W4400212575","https://openalex.org/W4400642657","https://openalex.org/W4400870478","https://openalex.org/W4402605590","https://openalex.org/W4403053972","https://openalex.org/W4403551108","https://openalex.org/W4403708067","https://openalex.org/W4404364929","https://openalex.org/W4404473736","https://openalex.org/W4404526756","https://openalex.org/W4405691896","https://openalex.org/W4407084931","https://openalex.org/W4407274972","https://openalex.org/W4407604756","https://openalex.org/W4411430565","https://openalex.org/W4411613116","https://openalex.org/W4412045518","https://openalex.org/W4413312528","https://openalex.org/W4413612281","https://openalex.org/W4414361032","https://openalex.org/W4415243541"],"related_works":["https://openalex.org/W4413312528","https://openalex.org/W4407274972","https://openalex.org/W7166707520","https://openalex.org/W4407084931","https://openalex.org/W4408286194","https://openalex.org/W7133522010","https://openalex.org/W7154825128","https://openalex.org/W4415325844","https://openalex.org/W4417182010","https://openalex.org/W7215093913"],"abstract_inverted_index":{"Background:":[0],"Healthcare":[1,230],"workers":[2,54,231],"are":[3],"uniquely":[4],"vulnerable":[5],"to":[6,39,194,283],"psychological":[7,47,227],"distress":[8],"following":[9,55,232],"large-scale":[10],"disasters,":[11],"through":[12],"simultaneous":[13],"exposure":[14],"as":[15],"survivors":[16],"and":[17,36,42,49,62,91,102,108,127,135,144,161,176,203,208,226,248,265,273,280],"responders.":[18],"The":[19],"2023":[20,101],"Kahramanmara\u015f":[21,234],"earthquakes":[22,235],"placed":[23],"extraordinary":[24],"demands":[25],"on":[26,45],"frontline":[27],"health":[28],"professionals":[29],"in":[30],"T\u00fcrkiye.":[31],"This":[32],"mixed-methods":[33,70],"systematic":[34,71],"review":[35,72,290],"meta-analysis":[37,122],"aimed":[38],"synthesise":[40],"quantitative":[41,147],"qualitative":[43],"evidence":[44],"post-traumatic":[46],"outcomes":[48],"resilience":[50],"strategies":[51],"among":[52],"healthcare":[53,285],"the":[56,233],"earthquakes.":[57],"Methods:":[58],"Following":[59],"PRISMA":[60],"2020":[61],"Joanna":[63],"Briggs":[64],"Institute":[65],"guidance,":[66],"we":[67],"conducted":[68],"a":[69],"with":[73,131,146,182,244,255],"convergent":[74],"segregated":[75],"synthesis.":[76],"Nine":[77],"sources":[78],"(PubMed,":[79],"Scopus,":[80],"Web":[81],"of":[82,239,263],"Science,":[83],"PsycINFO,":[84],"CINAHL,":[85],"Cochrane":[86],"Library,":[87],"DergiPark,":[88],"TR":[89],"Dizin":[90],"Google":[92],"Scholar)":[93],"were":[94,141,179,251,268],"searched":[95],"for":[96],"studies":[97,113],"published":[98],"between":[99],"February":[100],"September":[103],"2025,":[104],"supplemented":[105],"by":[106],"forward":[107],"backward":[109],"citation":[110],"chasing.":[111],"Twenty":[112],"met":[114],"inclusion":[115],"criteria":[116],"(fifteen":[117],"quantitative,":[118],"five":[119],"qualitative).":[120],"Random-effects":[121],"estimated":[123],"pooled":[124,128],"probable-PTSD":[125],"prevalence":[126],"resilience-distress":[129],"correlations,":[130],"leave-one-out,":[132],"risk-of-bias,":[133],"instrument":[134],"population":[136],"sensitivity":[137],"analyses.":[138],"Qualitative":[139,215],"findings":[140],"synthesised":[142],"thematically":[143],"integrated":[145],"results.":[148],"Results:":[149],"=":[150,188,197],"0.0%),":[151],"but":[152],"two":[153],"applying":[154],"IES-R":[155],"\u2265":[156],"33":[157],"diverged":[158],"widely":[159],"(8.1":[160],"47.7%);":[162],"measurement":[163],"could":[164],"not":[165],"be":[166],"separated":[167],"from":[168],"exposure,":[169],"timing":[170],"or":[171],"sampling.":[172],"Higher":[173],"resilience,":[174],"hardiness":[175],"adaptive":[177,249],"coping":[178,250],"consistently":[180,252],"associated":[181,254],"lower":[183],"traumatic":[184],"stress":[185],"(pooled":[186],"r":[187],"-0.42,":[189],"95%":[190],"CI":[191],"-":[192],"0.52":[193],"-0.31,":[195],"k":[196],"4).":[198],"Structural":[199],"models":[200],"indicated":[201],"direct":[202,245],"coping-mediated":[204],"associations,":[205],"while":[206],"fatigue":[207],"unmet":[209],"basic":[210],"needs":[211],"predicted":[212],"worse":[213],"outcomes.":[214],"synthesis":[216],"identified":[217],"acute":[218],"distress,":[219,241,256],"secondary":[220],"traumatisation,":[221],"spirituality-based":[222],"meaning-making,":[223],"peer":[224],"support":[225],"distancing.":[228],"Conclusion:":[229],"experienced":[236],"high":[237],"levels":[238],"trauma-related":[240],"particularly":[242],"those":[243],"exposure.":[246],"Resilience":[247],"inversely":[253],"although":[257],"cross-sectional":[258],"designs":[259],"cannot":[260],"establish":[261],"direction":[262],"effect,":[264],"organizational":[266],"conditions":[267],"strongly":[269],"implicated.":[270],"Disaster":[271],"preparedness":[272],"recovery":[274],"efforts":[275],"must":[276],"integrate":[277],"individual,":[278],"social,":[279],"structural":[281],"interventions":[282],"safeguard":[284],"workers'":[286],"mental":[287],"health.":[288],"Systematic":[289],"registration:":[291],"https://www.crd.york.ac.uk/PROSPERO/view/CRD420251247026,":[292],"identifier":[293],"CRD420251247026.":[294]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-08T00:00:00"}
