{"id":"https://openalex.org/W7225379229","doi":"https://doi.org/10.1111/jhn.70372","title":"Dietary Management and Mental Health Considerations in Adult Gastroparesis: A Cross\u2010Sectional Survey of Dietitians","display_name":"Dietary Management and Mental Health Considerations in Adult Gastroparesis: A Cross\u2010Sectional Survey of Dietitians","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225379229","doi":"https://doi.org/10.1111/jhn.70372","pmid":"https://pubmed.ncbi.nlm.nih.gov/42993028","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13742114"},"language":"en","primary_location":{"id":"doi:10.1111/jhn.70372","doi":"https://doi.org/10.1111/jhn.70372","is_oa":true,"landing_page_url":"https://doi.org/10.1111/jhn.70372","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jhn.70372","source":{"id":"https://openalex.org/S86419656","display_name":"Journal of Human Nutrition and Dietetics","issn_l":"0952-3871","issn":["0952-3871","1365-277X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Human Nutrition and Dietetics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jhn.70372","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5108300957","display_name":"Gemma P. Fagan","orcid":"https://orcid.org/0009-0007-2552-8847","observed_orcids":["https://orcid.org/0009-0007-2552-8847"]},"institutions":[{"id":"https://openalex.org/I183935753","display_name":"King's College London","ror":"https://ror.org/0220mzb33","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I183935753"]},{"id":"https://openalex.org/I200166805","display_name":"Guy's and St Thomas' NHS Foundation Trust","ror":"https://ror.org/00j161312","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I200166805"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Gemma P. Fagan","raw_affiliation_strings":["Department of Nutritional Sciences King's College London London UK","Guy's and St Thomas' NHS Foundation Trust, King's College London London UK"],"raw_orcid":"https://orcid.org/0009-0007-2552-8847","affiliations":[{"raw_affiliation_string":"Department of Nutritional Sciences King's College London London UK","institution_ids":["https://openalex.org/I183935753"]},{"raw_affiliation_string":"Guy's and St Thomas' NHS Foundation Trust, King's College London London UK","institution_ids":["https://openalex.org/I183935753","https://openalex.org/I200166805"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054908825","display_name":"Danielle E. Bear","orcid":"https://orcid.org/0000-0001-5211-5553","observed_orcids":["https://orcid.org/0000-0001-5211-5553"]},"institutions":[{"id":"https://openalex.org/I183935753","display_name":"King's College London","ror":"https://ror.org/0220mzb33","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I183935753"]},{"id":"https://openalex.org/I200166805","display_name":"Guy's and St Thomas' NHS Foundation Trust","ror":"https://ror.org/00j161312","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I200166805"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Danielle E. Bear","raw_affiliation_strings":["Department of Nutritional Sciences King's College London London UK","Guy's and St Thomas' NHS Foundation Trust, King's College London London UK"],"raw_orcid":"https://orcid.org/0000-0001-5211-5553","affiliations":[{"raw_affiliation_string":"Department of Nutritional Sciences King's College London London UK","institution_ids":["https://openalex.org/I183935753"]},{"raw_affiliation_string":"Guy's and St Thomas' NHS Foundation Trust, King's College London London UK","institution_ids":["https://openalex.org/I183935753","https://openalex.org/I200166805"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5068092470","display_name":"Miranda C. E. Lomer","orcid":"https://orcid.org/0000-0002-9369-8115","observed_orcids":["https://orcid.org/0000-0002-9369-8115"]},"institutions":[{"id":"https://openalex.org/I183935753","display_name":"King's College London","ror":"https://ror.org/0220mzb33","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I183935753"]},{"id":"https://openalex.org/I200166805","display_name":"Guy's and St Thomas' NHS Foundation Trust","ror":"https://ror.org/00j161312","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I200166805"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Miranda C. E. Lomer","raw_affiliation_strings":["Department of Nutritional Sciences King's College London London UK","Guy's and St Thomas' NHS Foundation Trust, King's College London London UK"],"raw_orcid":"https://orcid.org/0000-0002-9369-8115","affiliations":[{"raw_affiliation_string":"Department of Nutritional Sciences King's College London London UK","institution_ids":["https://openalex.org/I183935753"]},{"raw_affiliation_string":"Guy's and St Thomas' NHS Foundation Trust, King's College London London UK","institution_ids":["https://openalex.org/I183935753","https://openalex.org/I200166805"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5108300957"],"corresponding_institution_ids":["https://openalex.org/I183935753","https://openalex.org/I200166805"],"apc_list":{"value":4120,"currency":"USD","value_usd":4120},"apc_paid":{"value":4120,"currency":"USD","value_usd":4120},"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":"39","issue":"6","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10365","display_name":"Gastrointestinal motility and disorders","score":0.8535000085830688,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"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/T10365","display_name":"Gastrointestinal motility and disorders","score":0.8535000085830688,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"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/T13960","display_name":"Dietetics, Nutrition, and Education","score":0.11420000344514847,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10263","display_name":"Eating Disorders and Behaviors","score":0.013000000268220901,"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/gastroparesis","display_name":"gastroparesis","score":0.9919999837875366},{"id":"https://openalex.org/keywords/eating-disorders","display_name":"eating disorders","score":0.8230000138282776},{"id":"https://openalex.org/keywords/eating-disorder-screening","display_name":"eating disorder screening","score":0.7149999737739563},{"id":"https://openalex.org/keywords/dietary-management","display_name":"dietary management","score":0.6489999890327454},{"id":"https://openalex.org/keywords/mental-health-support","display_name":"mental health support","score":0.7160000205039978},{"id":"https://openalex.org/keywords/anxiety-and-depression","display_name":"anxiety and depression","score":0.6489999890327454},{"id":"https://openalex.org/keywords/multidisciplinary-care","display_name":"multidisciplinary care","score":0.6899999976158142}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9412000179290771},{"id":"https://openalex.org/C2778769438","wikidata":"https://www.wikidata.org/wiki/Q943897","display_name":"Gastroparesis","level":4,"score":0.885699987411499},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.6546000242233276},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.5449000000953674},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.5264999866485596},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.4909000098705292},{"id":"https://openalex.org/C2776263783","wikidata":"https://www.wikidata.org/wiki/Q5275067","display_name":"Dietary management","level":2,"score":0.45570001006126404},{"id":"https://openalex.org/C2777286182","wikidata":"https://www.wikidata.org/wiki/Q6746702","display_name":"Management of depression","level":3,"score":0.4065000116825104},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4023999869823456},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.3946000039577484},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.38600000739097595},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.3714999854564667},{"id":"https://openalex.org/C2776394216","wikidata":"https://www.wikidata.org/wiki/Q373822","display_name":"Eating disorders","level":2,"score":0.3529999852180481},{"id":"https://openalex.org/C34320749","wikidata":"https://www.wikidata.org/wiki/Q17087302","display_name":"Weight management","level":4,"score":0.3199999928474426},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.29330000281333923},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.2777000069618225},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.26589998602867126},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2603999972343445},{"id":"https://openalex.org/C110379092","wikidata":"https://www.wikidata.org/wiki/Q1571836","display_name":"Social environment","level":2,"score":0.2540000081062317},{"id":"https://openalex.org/C3017896982","wikidata":"https://www.wikidata.org/wiki/Q5906358","display_name":"Healthy eating","level":3,"score":0.25049999356269836}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001068","descriptor_name":"Feeding and Eating Disorders","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","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":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008603","descriptor_name":"Mental Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018529","descriptor_name":"Nutritional Support","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018589","descriptor_name":"Gastroparesis","qualifier_ui":"Q000178","qualifier_name":"diet therapy","is_major_topic":true},{"descriptor_ui":"D018589","descriptor_name":"Gastroparesis","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D064686","descriptor_name":"Nutritionists","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D064686","descriptor_name":"Nutritionists","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1111/jhn.70372","doi":"https://doi.org/10.1111/jhn.70372","is_oa":true,"landing_page_url":"https://doi.org/10.1111/jhn.70372","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jhn.70372","source":{"id":"https://openalex.org/S86419656","display_name":"Journal of Human Nutrition and Dietetics","issn_l":"0952-3871","issn":["0952-3871","1365-277X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Human Nutrition and Dietetics","raw_type":"journal-article"},{"id":"pmid:42993028","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42993028","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":"Journal of human nutrition and dietetics : the official journal of the British Dietetic Association","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13742114","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13742114/","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":"J Hum Nutr Diet","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1111/jhn.70372","doi":"https://doi.org/10.1111/jhn.70372","is_oa":true,"landing_page_url":"https://doi.org/10.1111/jhn.70372","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jhn.70372","source":{"id":"https://openalex.org/S86419656","display_name":"Journal of Human Nutrition and Dietetics","issn_l":"0952-3871","issn":["0952-3871","1365-277X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Human Nutrition and Dietetics","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G5570382101","display_name":"NIHR ICA Pre-doctoral Clinical and Practitioner Academic Fellowship 2024","funder_award_id":"NIHR304933","funder_id":"https://openalex.org/F4320319990","funder_display_name":"National Institute for Health and Care Research"}],"funders":[{"id":"https://openalex.org/F4320319990","display_name":"National Institute for Health and Care Research","ror":"https://ror.org/0187kwz08"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225379229.pdf","grobid_xml":"https://content.openalex.org/works/W7225379229.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W1982568210","https://openalex.org/W1991253050","https://openalex.org/W2019447315","https://openalex.org/W2072753692","https://openalex.org/W2112351881","https://openalex.org/W2137514360","https://openalex.org/W2934833371","https://openalex.org/W2991503255","https://openalex.org/W3031689171","https://openalex.org/W3132467827","https://openalex.org/W3158749337","https://openalex.org/W3174756730","https://openalex.org/W3187418540","https://openalex.org/W3204205013","https://openalex.org/W4248022597","https://openalex.org/W4385336986","https://openalex.org/W4389485326","https://openalex.org/W4394961001","https://openalex.org/W4397000973","https://openalex.org/W4414422588","https://openalex.org/W7127158528"],"related_works":["https://openalex.org/W7082968242","https://openalex.org/W2527797008","https://openalex.org/W4384560596","https://openalex.org/W7127158528","https://openalex.org/W4389485326","https://openalex.org/W2953474111","https://openalex.org/W4400672566","https://openalex.org/W2590533368","https://openalex.org/W2342654442","https://openalex.org/W4412625793"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Gastroparesis":[1,18],"is":[2,11,19,57,246,254],"a":[3,14,208,258],"complex":[4],"gastric":[5],"motility":[6],"disorder":[7],"for":[8,44,53,176,195,244,260],"which":[9,230],"diet":[10],"recommended":[12],"as":[13,162,234],"primary":[15],"management":[16,46,263],"strategy.":[17],"associated":[20],"with":[21,27,36,81,95,170],"significant":[22],"physical":[23],"and":[24,29,50,75,101,106,120,160,202,240,248,270],"psychological":[25],"burden,":[26],"anxiety":[28],"depression":[30],"commonly":[31,150],"reported.":[32],"Furthermore,":[33],"gastroparesis":[34,45,82,98,168],"overlaps":[35],"eating":[37],"disorders":[38],"(EDs),":[39],"complicating":[40],"management.":[41],"Clinical":[42],"guidelines":[43],"acknowledge":[47],"this":[48,65],"overlap":[49],"recommend":[51],"screening":[52,175],"EDs,":[54,177],"however":[55],"little":[56],"known":[58],"about":[59],"current":[60],"dietetic":[61],"practice":[62,74],"in":[63,77,83,125,141,166,174,212,237],"managing":[64,78,97,167],"intersection.":[66],"This":[67,256],"study":[68],"aimed":[69],"to":[70,118,127,226,250,273],"explore":[71],"dietitians'":[72],"experiences,":[73],"confidence":[76,173],"adult":[79],"patients":[80],"the":[84,148,200],"context":[85],"of":[86,93,132,179,181,192,219,229,264],"EDs.":[87,128],"METHODS:":[88],"A":[89,130,217],"cross-sectional":[90],"online":[91],"survey":[92,110],"dietitians":[94,225],"experience":[96,182],"was":[99,138,156],"conducted":[100],"distributed":[102],"via":[103],"professional":[104,211],"networks":[105],"social":[107],"media.":[108],"The":[109],"explored":[111],"demographics,":[112],"dietary":[113,142,220,262],"strategies,":[114],"perceived":[115,161,233],"effectiveness,":[116],"barriers":[117],"implementation":[119],"mental":[121,209,251,267],"health":[122,210,252,268],"support,":[123],"particularly":[124,171],"relation":[126],"RESULTS:":[129],"total":[131],"87":[133],"surveys":[134],"were":[135,147],"completed.":[136],"There":[137],"wide":[139],"variation":[140],"strategies":[143,221],"used;":[144],"small-particle":[145],"diets":[146],"least":[149],"implemented,":[151],"while":[152],"artificial":[153],"nutrition":[154],"support":[155,253],"used":[157,223],"more":[158,163,197],"frequently":[159],"effective.":[164],"Confidence":[165],"varied,":[169],"low":[172],"regardless":[178],"years":[180],"(Mann-Whitney":[183],"U":[184],"=":[185,188],"851.4,":[186],"p":[187],"0.790).":[189],"Only":[190],"20%":[191],"respondents":[193],"screen":[194],"EDs":[196,245],"than":[198],"half":[199],"time,":[201],"just":[203],"8%":[204],"reported":[205],"input":[206],"from":[207],"their":[213],"multidisciplinary":[214],"teams.":[215],"CONCLUSION:":[216],"variety":[218],"are":[222,232],"by":[224],"manage":[227],"gastroparesis,":[228,265],"food-first":[231],"less":[235],"effective":[236],"improving":[238],"symptoms":[239],"nutritional":[241],"status.":[242],"Screening":[243],"inconsistent,":[247],"access":[249],"limited.":[255],"demonstrates":[257],"need":[259],"improved":[261],"better":[266],"resources":[269],"standardised":[271],"practices":[272],"improve":[274],"patient":[275],"care.":[276]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-11-07T00:00:00"}
