{"id":"https://openalex.org/W7225318672","doi":"https://doi.org/10.3390/healthcare14213783","title":"Obesity and Diabetes in Pregnancy and Maternal and Child Health: The Gerar Cohort Profile, Brazil","display_name":"Obesity and Diabetes in Pregnancy and Maternal and Child Health: The Gerar Cohort Profile, Brazil","publication_year":2026,"publication_date":"2026-11-05","ids":{"openalex":"https://openalex.org/W7225318672","doi":"https://doi.org/10.3390/healthcare14213783"},"language":"en","primary_location":{"id":"doi:10.3390/healthcare14213783","doi":"https://doi.org/10.3390/healthcare14213783","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare14213783","pdf_url":null,"source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3390/healthcare14213783","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5074670587","display_name":"Mariana Pacheco de Oliveira","orcid":"https://orcid.org/0000-0002-2046-2101","observed_orcids":["https://orcid.org/0000-0002-2046-2101"]},"institutions":[{"id":"https://openalex.org/I4210088382","display_name":"Universidade do Sul de Santa Catarina","ror":"https://ror.org/006qssd78","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210088382"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Mariana Pacheco de Oliveira","raw_affiliation_strings":["Graduate Program in Health Sciences, University of Southern Santa Catarina (UNISUL), Av. Jos\u00e9 Ac\u00e1cio Moreira, 787, Dehon, Tubar\u00e3o 88704900, SC, Brazil","Laboratory of Neurobiology of Inflammatory and Metabolic Processes, University of Southern Santa Catarina (UNISUL), Dehon, Tubar\u00e3o 88704900, SC, Brazil"],"raw_orcid":"https://orcid.org/0000-0002-2046-2101","affiliations":[{"raw_affiliation_string":"Graduate Program in Health Sciences, University of Southern Santa Catarina (UNISUL), Av. Jos\u00e9 Ac\u00e1cio Moreira, 787, Dehon, Tubar\u00e3o 88704900, SC, Brazil","institution_ids":["https://openalex.org/I4210088382"]},{"raw_affiliation_string":"Laboratory of Neurobiology of Inflammatory and Metabolic Processes, University of Southern Santa Catarina (UNISUL), Dehon, Tubar\u00e3o 88704900, SC, Brazil","institution_ids":["https://openalex.org/I4210088382"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079247725","display_name":"Samara Souza Stork","orcid":"https://orcid.org/0000-0003-1271-4417","observed_orcids":["https://orcid.org/0000-0003-1271-4417"]},"institutions":[{"id":"https://openalex.org/I4210088382","display_name":"Universidade do Sul de Santa Catarina","ror":"https://ror.org/006qssd78","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210088382"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Samara Souza Stork","raw_affiliation_strings":["Graduate Program in Health Sciences, University of Southern Santa Catarina (UNISUL), Av. Jos\u00e9 Ac\u00e1cio Moreira, 787, Dehon, Tubar\u00e3o 88704900, SC, Brazil","Laboratory of Neurobiology of Inflammatory and Metabolic Processes, University of Southern Santa Catarina (UNISUL), Dehon, Tubar\u00e3o 88704900, SC, Brazil"],"raw_orcid":"https://orcid.org/0000-0003-1271-4417","affiliations":[{"raw_affiliation_string":"Graduate Program in Health Sciences, University of Southern Santa Catarina (UNISUL), Av. Jos\u00e9 Ac\u00e1cio Moreira, 787, Dehon, Tubar\u00e3o 88704900, SC, Brazil","institution_ids":["https://openalex.org/I4210088382"]},{"raw_affiliation_string":"Laboratory of Neurobiology of Inflammatory and Metabolic Processes, University of Southern Santa Catarina (UNISUL), Dehon, Tubar\u00e3o 88704900, SC, Brazil","institution_ids":["https://openalex.org/I4210088382"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080164170","display_name":"Anna Paula Piovezan","orcid":"https://orcid.org/0000-0001-8817-3552","observed_orcids":["https://orcid.org/0000-0001-8817-3552"]},"institutions":[{"id":"https://openalex.org/I4210088382","display_name":"Universidade do Sul de Santa Catarina","ror":"https://ror.org/006qssd78","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210088382"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Anna Paula Piovezan","raw_affiliation_strings":["Graduate Program in Health Sciences, University of Southern Santa Catarina (UNISUL), Av. Jos\u00e9 Ac\u00e1cio Moreira, 787, Dehon, Tubar\u00e3o 88704900, SC, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Graduate Program in Health Sciences, University of Southern Santa Catarina (UNISUL), Av. Jos\u00e9 Ac\u00e1cio Moreira, 787, Dehon, Tubar\u00e3o 88704900, SC, Brazil","institution_ids":["https://openalex.org/I4210088382"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023382914","display_name":"Anna Quialheiro","orcid":"https://orcid.org/0000-0002-4168-6585","observed_orcids":["https://orcid.org/0000-0002-4168-6585"]},"institutions":[{"id":"https://openalex.org/I4210096930","display_name":"Cooperativa de Ensino Superior Polit\u00e9cnico e Universit\u00e1rio","ror":"https://ror.org/00w7bj245","country_code":"PT","type":"education","lineage":["https://openalex.org/I4210096930"]},{"id":"https://openalex.org/I4403386637","display_name":"Instituto de Investiga\u00e7\u00e3o e Forma\u00e7\u00e3o Avan\u00e7ada em Ci\u00eancias e Tecnologias da Sa\u00fade","ror":"https://ror.org/02nxphm19","country_code":"PT","type":"facility","lineage":["https://openalex.org/I4210096930","https://openalex.org/I4403386637"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Anna Quialheiro","raw_affiliation_strings":["Vale do Ave School of Health, Polytechnic Institute of Health of the North (CESPU), 4760-409 Vila Nova de Famalic\u00e3o, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Vale do Ave School of Health, Polytechnic Institute of Health of the North (CESPU), 4760-409 Vila Nova de Famalic\u00e3o, Portugal","institution_ids":["https://openalex.org/I4210096930","https://openalex.org/I4403386637"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053113107","display_name":"Gislaine Tezza Rezin","orcid":"https://orcid.org/0000-0002-1352-0369","observed_orcids":["https://orcid.org/0000-0002-1352-0369"]},"institutions":[{"id":"https://openalex.org/I4210088382","display_name":"Universidade do Sul de Santa Catarina","ror":"https://ror.org/006qssd78","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210088382"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Gislaine Tezza Rezin","raw_affiliation_strings":["Graduate Program in Health Sciences, University of Southern Santa Catarina (UNISUL), Av. Jos\u00e9 Ac\u00e1cio Moreira, 787, Dehon, Tubar\u00e3o 88704900, SC, Brazil","Laboratory of Neurobiology of Inflammatory and Metabolic Processes, University of Southern Santa Catarina (UNISUL), Dehon, Tubar\u00e3o 88704900, SC, Brazil"],"raw_orcid":"https://orcid.org/0000-0002-1352-0369","affiliations":[{"raw_affiliation_string":"Graduate Program in Health Sciences, University of Southern Santa Catarina (UNISUL), Av. Jos\u00e9 Ac\u00e1cio Moreira, 787, Dehon, Tubar\u00e3o 88704900, SC, Brazil","institution_ids":["https://openalex.org/I4210088382"]},{"raw_affiliation_string":"Laboratory of Neurobiology of Inflammatory and Metabolic Processes, University of Southern Santa Catarina (UNISUL), Dehon, Tubar\u00e3o 88704900, SC, Brazil","institution_ids":["https://openalex.org/I4210088382"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5073116165","display_name":"Betine Pinto Moehlecke Iser","orcid":"https://orcid.org/0000-0001-6061-2541","observed_orcids":["https://orcid.org/0000-0001-6061-2541"]},"institutions":[{"id":"https://openalex.org/I4210088382","display_name":"Universidade do Sul de Santa Catarina","ror":"https://ror.org/006qssd78","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210088382"]}],"countries":["BR"],"is_corresponding":true,"raw_author_name":"Betine Pinto Moehlecke Iser","raw_affiliation_strings":["Graduate Program in Health Sciences, University of Southern Santa Catarina (UNISUL), Av. Jos\u00e9 Ac\u00e1cio Moreira, 787, Dehon, Tubar\u00e3o 88704900, SC, Brazil"],"raw_orcid":"https://orcid.org/0000-0001-6061-2541","affiliations":[{"raw_affiliation_string":"Graduate Program in Health Sciences, University of Southern Santa Catarina (UNISUL), Av. Jos\u00e9 Ac\u00e1cio Moreira, 787, Dehon, Tubar\u00e3o 88704900, SC, Brazil","institution_ids":["https://openalex.org/I4210088382"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5073116165"],"corresponding_institution_ids":["https://openalex.org/I4210088382"],"apc_list":{"value":2700,"currency":"CHF","value_usd":3258},"apc_paid":{"value":2700,"currency":"CHF","value_usd":3258},"fwci":0.0,"has_fulltext":false,"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":"14","issue":"21","first_page":"3783","last_page":"3783"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10673","display_name":"Gestational Diabetes Research and Management","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/T10673","display_name":"Gestational Diabetes Research and Management","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/T11629","display_name":"Birth, Development, and Health","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child 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/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"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/pre-pregnancy-obesity","display_name":"pre-pregnancy obesity","score":0.9919999837875366},{"id":"https://openalex.org/keywords/gestational-diabetes-mellitus","display_name":"gestational diabetes mellitus","score":1.0},{"id":"https://openalex.org/keywords/oxidative-stress-biomarkers","display_name":"oxidative stress biomarkers","score":0.8679999709129333},{"id":"https://openalex.org/keywords/maternal-and-child-health-outcomes","display_name":"maternal and child health outcomes","score":0.734000027179718},{"id":"https://openalex.org/keywords/umbilical-cord-blood","display_name":"umbilical cord blood","score":0.8980000019073486},{"id":"https://openalex.org/keywords/placental-tissue","display_name":"placental tissue","score":0.8949999809265137},{"id":"https://openalex.org/keywords/child-development","display_name":"child development","score":0.5180000066757202},{"id":"https://openalex.org/keywords/postpartum-follow-up","display_name":"postpartum follow-up","score":0.703000009059906},{"id":"https://openalex.org/keywords/biospecimen-collection","display_name":"biospecimen collection","score":0.7260000109672546}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8154000043869019},{"id":"https://openalex.org/C2779434492","wikidata":"https://www.wikidata.org/wiki/Q126691","display_name":"Gestational diabetes","level":4,"score":0.6863999962806702},{"id":"https://openalex.org/C2776955114","wikidata":"https://www.wikidata.org/wiki/Q172563","display_name":"Umbilical cord","level":2,"score":0.6266000270843506},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.6144000291824341},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.5662000179290771},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5598000288009644},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.5501000285148621},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.5117999911308289},{"id":"https://openalex.org/C2780914630","wikidata":"https://www.wikidata.org/wiki/Q914952","display_name":"Cord blood","level":2,"score":0.5098999738693237},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.45260000228881836},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.4300999939441681},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.38609999418258667},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.3221000134944916},{"id":"https://openalex.org/C2775887326","wikidata":"https://www.wikidata.org/wiki/Q3308829","display_name":"Prenatal care","level":3,"score":0.3077000081539154},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2833999991416931},{"id":"https://openalex.org/C172680121","wikidata":"https://www.wikidata.org/wiki/Q26513","display_name":"Fetus","level":3,"score":0.28220000863075256},{"id":"https://openalex.org/C2778376644","wikidata":"https://www.wikidata.org/wiki/Q2253111","display_name":"Gestational age","level":3,"score":0.2718000113964081}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3390/healthcare14213783","doi":"https://doi.org/10.3390/healthcare14213783","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare14213783","pdf_url":null,"source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3390/healthcare14213783","doi":"https://doi.org/10.3390/healthcare14213783","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare14213783","pdf_url":null,"source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320321091","display_name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","ror":"https://ror.org/00x0ma614"},{"id":"https://openalex.org/F4320322025","display_name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","ror":"https://ror.org/03swz6y49"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":29,"referenced_works":["https://openalex.org/W1574291747","https://openalex.org/W1577577364","https://openalex.org/W1775749144","https://openalex.org/W1975136933","https://openalex.org/W2004383067","https://openalex.org/W2026261400","https://openalex.org/W2057810394","https://openalex.org/W2080987385","https://openalex.org/W2140889964","https://openalex.org/W2141197497","https://openalex.org/W2669585010","https://openalex.org/W2795187923","https://openalex.org/W2923117777","https://openalex.org/W3006863366","https://openalex.org/W3040409568","https://openalex.org/W3080213859","https://openalex.org/W3144850668","https://openalex.org/W3159531122","https://openalex.org/W3208035755","https://openalex.org/W4232428824","https://openalex.org/W4281943326","https://openalex.org/W4284973568","https://openalex.org/W4292229870","https://openalex.org/W4361828145","https://openalex.org/W4387181732","https://openalex.org/W4387798600","https://openalex.org/W4402772883","https://openalex.org/W4406550019","https://openalex.org/W4417461291"],"related_works":["https://openalex.org/W7215099250","https://openalex.org/W4378745012","https://openalex.org/W4415765524","https://openalex.org/W2292463353","https://openalex.org/W1996406367","https://openalex.org/W6982408201","https://openalex.org/W4312524176","https://openalex.org/W2108457492","https://openalex.org/W2537132329","https://openalex.org/W4387131462"],"abstract_inverted_index":{"Background:":[0],"Pre-pregnancy":[1],"obesity":[2,51,164],"and":[3,15,33,52,61,66,90,107,126,172,190,229,242],"GDM":[4],"increase":[5],"maternal\u2013fetal":[6],"oxidative":[7,58],"stress,":[8],"but":[9],"their":[10,62,80],"consequences":[11],"for":[12,204],"women\u2019s":[13],"health":[14,68],"child":[16,67],"development":[17],"are":[18],"still":[19],"unclear.":[20],"Objectives:":[21],"This":[22],"paper":[23],"describes":[24],"the":[25,37,47,134,147,155,197,214,223],"methodological":[26],"design,":[27],"recruitment":[28,241],"strategy,":[29],"data":[30],"collection":[31,123,244],"methods,":[32],"baseline":[34],"characteristics":[35],"of":[36,119,141,177,210],"Gerar":[38,236],"Cohort,":[39],"a":[40,84],"prospective":[41],"longitudinal":[42],"study":[43,130],"designed":[44],"to":[45],"investigate":[46],"relationship":[48],"between":[49],"pre-pregnancy":[50],"gestational":[53,182],"diabetes":[54,183],"mellitus":[55],"(GDM)":[56],"with":[57,121,181],"stress":[59],"biomarkers":[60],"effects":[63],"on":[64],"maternal":[65],"outcomes":[69],"through":[70],"12":[71,117,127,232],"months":[72,118,228],"postpartum.":[73],"Methods:":[74],"Women":[75],"were":[76,98,110,113,144,151,161,179,194,202],"recruited":[77,145],"early":[78],"in":[79,83,86,146,167],"prenatal":[81],"care":[82],"city":[85],"Southern":[87],"Brazil.":[88],"Sociodemographic":[89],"clinical":[91],"data,":[92],"as":[93,95],"well":[94],"blood":[96,106,122,188],"samples,":[97],"collected":[99],"each":[100],"trimester.":[101],"At":[102],"childbirth,":[103],"umbilical":[104,186],"cord":[105,187],"placental":[108,192],"tissue":[109],"collected.":[111,195],"Children":[112],"followed":[114,152],"up":[115,153],"until":[116,154],"age,":[120],"at":[124,207,217,226,231],"4":[125,218],"months.":[128,233],"The":[129,235],"was":[131,165],"approved":[132],"by":[133],"Research":[135],"Ethics":[136],"Committee.":[137],"Results:":[138],"A":[139],"total":[140],"189":[142],"women":[143,178],"first":[148],"trimester;":[149,157],"136":[150],"third":[156],"23":[158],"pregnancy":[159],"losses":[160],"recorded.":[162],"Pre-gestational":[163],"observed":[166],"24.3%":[168],"(95%":[169,174],"CI":[170,175],"18.4\u201331.1),":[171],"27%":[173],"20.8\u201333.9)":[176],"diagnosed":[180],"mellitus.":[184],"Fifty-nine":[185],"samples":[189],"61":[191],"fragments":[193],"In":[196],"children\u2019s":[198],"follow-up,":[199],"71":[200],"children":[201,221],"taken":[203],"ophthalmological":[205],"examination":[206],"1":[208],"month":[209],"age;":[211],"60":[212],"attended":[213,222],"pediatric":[215],"consultation":[216],"months;":[219],"56":[220],"neurological":[224],"evaluation":[225],"6":[227],"50":[230],"Conclusions:":[234],"Cohort":[237],"successfully":[238],"implemented":[239],"its":[240],"biospecimen":[243],"procedures":[245],"within":[246],"public":[247],"healthcare":[248],"services.":[249]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-11-06T00:00:00"}