{"id":"https://openalex.org/W7225401809","doi":"https://doi.org/10.3389/fcdhc.2026.1967413","title":"Diabetes nutrition care among nurses in West Bank hospitals, Palestine: a multicenter assessment of knowledge, attitudes, and practices","display_name":"Diabetes nutrition care among nurses in West Bank hospitals, Palestine: a multicenter assessment of knowledge, attitudes, and practices","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225401809","doi":"https://doi.org/10.3389/fcdhc.2026.1967413"},"language":"en","primary_location":{"id":"doi:10.3389/fcdhc.2026.1967413","doi":"https://doi.org/10.3389/fcdhc.2026.1967413","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fcdhc.2026.1967413","pdf_url":"https://www.frontiersin.org/journals/clinical-diabetes-and-healthcare/articles/10.3389/fcdhc.2026.1967413/pdf","source":{"id":"https://openalex.org/S4210235460","display_name":"Frontiers in Clinical Diabetes and Healthcare","issn_l":"2673-6616","issn":["2673-6616"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1"],"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 Clinical Diabetes and Healthcare","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/clinical-diabetes-and-healthcare/articles/10.3389/fcdhc.2026.1967413/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5037057813","display_name":"Maaweya Jabareen","orcid":"https://orcid.org/0009-0002-5911-6705","observed_orcids":["https://orcid.org/0009-0002-5911-6705"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Maaweya Jabareen","raw_affiliation_strings":["Ministry of Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160998649","display_name":"Raid Jabareen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I21215505","display_name":"Al-Quds University","ror":"https://ror.org/04hym7e04","country_code":"PS","type":"education","lineage":["https://openalex.org/I21215505"]}],"countries":["PS"],"is_corresponding":false,"raw_author_name":"Raid Jabareen","raw_affiliation_strings":["Al-Quds University, Faculty of Health Professions, Department of Nursing"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Al-Quds University, Faculty of Health Professions, Department of Nursing","institution_ids":["https://openalex.org/I21215505"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161033823","display_name":"Raad Al Ubra","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802646120","display_name":"Barzilai Medical Center","ror":"https://ror.org/00hmeez77","country_code":"IL","type":"healthcare","lineage":["https://openalex.org/I2802646120"]}],"countries":["IL"],"is_corresponding":false,"raw_author_name":"Raad Al Ubra","raw_affiliation_strings":["Barzilai Medical Center, Department of Internal Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Barzilai Medical Center, Department of Internal Medicine","institution_ids":["https://openalex.org/I2802646120"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5099104183","display_name":"Ahmad Fasfoos","orcid":"https://orcid.org/0009-0002-9786-8529","observed_orcids":["https://orcid.org/0009-0002-9786-8529"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ahmad Fasfoos","raw_affiliation_strings":["Ministry of Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059484467","display_name":"Omair Bseiso","orcid":"https://orcid.org/0009-0003-0783-2264","observed_orcids":["https://orcid.org/0009-0003-0783-2264"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Omair Bseiso","raw_affiliation_strings":["Ministry of Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119405802","display_name":"Isra Hamoudah","orcid":"https://orcid.org/0009-0000-7313-4235","observed_orcids":["https://orcid.org/0009-0000-7313-4235"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Isra Hamoudah","raw_affiliation_strings":["Ministry of Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161080422","display_name":"Salih Alobra","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I168900957","display_name":"Odessa National Medical University","ror":"https://ror.org/0110at529","country_code":"UA","type":"education","lineage":["https://openalex.org/I168900957"]}],"countries":["UA"],"is_corresponding":false,"raw_author_name":"Salih Alobra","raw_affiliation_strings":["Odesa National Medical University, Faculty of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Odesa National Medical University, Faculty of Medicine","institution_ids":["https://openalex.org/I168900957"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5041323754","display_name":"Abdallah Ahmad Alwawi","orcid":"https://orcid.org/0000-0002-1264-241X","observed_orcids":["https://orcid.org/0000-0002-1264-241X"]},"institutions":[{"id":"https://openalex.org/I21215505","display_name":"Al-Quds University","ror":"https://ror.org/04hym7e04","country_code":"PS","type":"education","lineage":["https://openalex.org/I21215505"]}],"countries":["PS"],"is_corresponding":true,"raw_author_name":"Abdallah Alwawi","raw_affiliation_strings":["Al-Quds University, Faculty of Health Professions, Department of Nursing"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Al-Quds University, Faculty of Health Professions, Department of Nursing","institution_ids":["https://openalex.org/I21215505"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5041323754"],"corresponding_institution_ids":["https://openalex.org/I21215505"],"apc_list":{"value":1950,"currency":"CHF","value_usd":2353},"apc_paid":{"value":1950,"currency":"CHF","value_usd":2353},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.8707456,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"7","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.9258000254631042,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"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/T10793","display_name":"Diabetes Management and Education","score":0.9258000254631042,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"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":0.06390000134706497,"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/T13117","display_name":"Health Education and Validation","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.9369999766349792},{"id":"https://openalex.org/keywords/nurses-knowledge-attitudes-and-practices","display_name":"nurses' knowledge, attitudes and practices","score":0.9049999713897705},{"id":"https://openalex.org/keywords/dietary-management","display_name":"dietary management","score":0.7110000252723694},{"id":"https://openalex.org/keywords/perceived-competence","display_name":"perceived competence","score":0.6679999828338623},{"id":"https://openalex.org/keywords/nursing-experience","display_name":"nursing experience","score":0.7680000066757202},{"id":"https://openalex.org/keywords/nursing-education-needs","display_name":"nursing education needs","score":0.5299999713897705},{"id":"https://openalex.org/keywords/palestine","display_name":"Palestine","score":0.902999997138977},{"id":"https://openalex.org/keywords/patient-education","display_name":"patient education","score":0.4950000047683716},{"id":"https://openalex.org/keywords/supported-self-management","display_name":"self-management support","score":0.8650000095367432},{"id":"https://openalex.org/keywords/health-workforce-capacity-building","display_name":"health workforce capacity building","score":0.33000001311302185}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8406000137329102},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.6437000036239624},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5609999895095825},{"id":"https://openalex.org/C100521375","wikidata":"https://www.wikidata.org/wiki/Q2015382","display_name":"Competence (human resources)","level":2,"score":0.4918999969959259},{"id":"https://openalex.org/C64341305","wikidata":"https://www.wikidata.org/wiki/Q4919225","display_name":"Bivariate analysis","level":2,"score":0.4828000068664551},{"id":"https://openalex.org/C2776217022","wikidata":"https://www.wikidata.org/wiki/Q1100933","display_name":"Diabetes management","level":4,"score":0.4684000015258789},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4108999967575073},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.3587000072002411},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.337799996137619},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.3160000145435333},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.3122999966144562},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3025999963283539},{"id":"https://openalex.org/C75141282","wikidata":"https://www.wikidata.org/wiki/Q2358629","display_name":"Medical nutrition therapy","level":2,"score":0.28949999809265137},{"id":"https://openalex.org/C2992435398","wikidata":"https://www.wikidata.org/wiki/Q6934595","display_name":"Multicenter study","level":3,"score":0.2818000018596649},{"id":"https://openalex.org/C2779318504","wikidata":"https://www.wikidata.org/wiki/Q1438035","display_name":"Research design","level":2,"score":0.27880001068115234},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.2736999988555908},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.2667999863624573},{"id":"https://openalex.org/C2910683987","wikidata":"https://www.wikidata.org/wiki/Q5572348","display_name":"Glucose test","level":3,"score":0.26589998602867126},{"id":"https://openalex.org/C2993797112","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing practice","level":2,"score":0.25099998712539673}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.3389/fcdhc.2026.1967413","doi":"https://doi.org/10.3389/fcdhc.2026.1967413","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fcdhc.2026.1967413","pdf_url":"https://www.frontiersin.org/journals/clinical-diabetes-and-healthcare/articles/10.3389/fcdhc.2026.1967413/pdf","source":{"id":"https://openalex.org/S4210235460","display_name":"Frontiers in Clinical Diabetes and Healthcare","issn_l":"2673-6616","issn":["2673-6616"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1"],"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 Clinical Diabetes and Healthcare","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:6f407bbe298f4da5bb3d1a7a61ccdfd1","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/6f407bbe298f4da5bb3d1a7a61ccdfd1","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 Clinical Diabetes and Healthcare, Vol 7 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fcdhc.2026.1967413","doi":"https://doi.org/10.3389/fcdhc.2026.1967413","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fcdhc.2026.1967413","pdf_url":"https://www.frontiersin.org/journals/clinical-diabetes-and-healthcare/articles/10.3389/fcdhc.2026.1967413/pdf","source":{"id":"https://openalex.org/S4210235460","display_name":"Frontiers in Clinical Diabetes and Healthcare","issn_l":"2673-6616","issn":["2673-6616"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1"],"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 Clinical Diabetes and Healthcare","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Zero hunger","score":0.4359000027179718,"id":"https://metadata.un.org/sdg/2"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225401809.pdf","grobid_xml":"https://content.openalex.org/works/W7225401809.grobid-xml"},"referenced_works_count":50,"referenced_works":["https://openalex.org/W1554956769","https://openalex.org/W2059904674","https://openalex.org/W2131589323","https://openalex.org/W2155444919","https://openalex.org/W2160901128","https://openalex.org/W2254674995","https://openalex.org/W2274992485","https://openalex.org/W2604846766","https://openalex.org/W2749362841","https://openalex.org/W2806268667","https://openalex.org/W2922284139","https://openalex.org/W2939377558","https://openalex.org/W2950432505","https://openalex.org/W2962776973","https://openalex.org/W2977733147","https://openalex.org/W3002417765","https://openalex.org/W3004780690","https://openalex.org/W3034297471","https://openalex.org/W3117472221","https://openalex.org/W3137852105","https://openalex.org/W3175658489","https://openalex.org/W3197290564","https://openalex.org/W4282827183","https://openalex.org/W4282920943","https://openalex.org/W4320167762","https://openalex.org/W4361204864","https://openalex.org/W4383621289","https://openalex.org/W4387139237","https://openalex.org/W4391280095","https://openalex.org/W4391349605","https://openalex.org/W4393115605","https://openalex.org/W4393238471","https://openalex.org/W4403418002","https://openalex.org/W4405543461","https://openalex.org/W4405693938","https://openalex.org/W4405878693","https://openalex.org/W4405917289","https://openalex.org/W4409131520","https://openalex.org/W4411059963","https://openalex.org/W4413847695","https://openalex.org/W4414280825","https://openalex.org/W4416041632","https://openalex.org/W4416457244","https://openalex.org/W4416948016","https://openalex.org/W4417361655","https://openalex.org/W4417523995","https://openalex.org/W7117327054","https://openalex.org/W7135030047","https://openalex.org/W7154704927","https://openalex.org/W7167625756"],"related_works":["https://openalex.org/W4361204864","https://openalex.org/W4405368680","https://openalex.org/W4391280095","https://openalex.org/W4405368457","https://openalex.org/W4323347826","https://openalex.org/W4387139237","https://openalex.org/W7153439396","https://openalex.org/W4405917289","https://openalex.org/W1554956769","https://openalex.org/W2585282988"],"abstract_inverted_index":{"Background":[0],"Nutritional":[1],"management":[2,46],"is":[3],"central":[4],"to":[5,11,36,101,210,329],"diabetes":[6,27,48,226,272,296],"care,":[7],"and":[8,16,24,41,70,76,93,121,160,183,201,219,229,240,256,269,309,325,333],"nurses":[9,64],"contribute":[10],"nutritional":[12,45],"assessment,":[13],"patient":[14,227,273],"education,":[15],"self-management":[17],"support.":[18],"Evidence":[19],"on":[20],"nurses\u2019":[21,38],"knowledge,":[22,39,90],"attitudes,":[23,40,312],"practices":[25,42],"regarding":[26,43],"nutrition":[28],"in":[29,50,110,152,293,302],"Palestine":[30],"remains":[31],"limited.":[32],"This":[33],"study":[34,60],"aimed":[35],"assess":[37],"the":[44,53,260,330],"of":[47,154,259,323],"mellitus":[49],"hospitals":[51,72,305],"across":[52],"West":[54,303],"Bank,":[55],"Palestine.":[56],"Methods":[57],"A":[58,83],"cross-sectional":[59],"included":[61],"400":[62],"hospital-based":[63],"recruited":[65],"through":[66],"approximately":[67],"20":[68],"governmental":[69],"non-governmental":[71],"between":[73],"May":[74],"1":[75],"July":[77],"1,":[78],"2026,":[79],"using":[80,88,103],"convenience":[81],"sampling.":[82],"structured":[84],"questionnaire":[85],"assessed":[86],"knowledge":[87,136,149,308],"20-item":[89],"15-item":[91,94],"attitude,":[92],"practice":[95,190,315,326],"questionnaires.":[96],"Scores":[97],"were":[98,116,208,232,244,275,291,317,327],"primarily":[99],"standardized":[100,143,189],"0\u2013100":[102],"min\u2013max":[104],"normalization,":[105],"with":[106,126,234,246,254,277,285],"percentage-of-maximum":[107,213],"scoring":[108],"examined":[109],"a":[111],"sensitivity":[112],"analysis.":[113],"Non-parametric":[114],"tests":[115],"used":[117],"for":[118],"bivariate":[119],"analyses,":[120],"multivariable":[122],"generalized":[123],"linear":[124],"models":[125],"robust":[127],"standard":[128],"errors":[129],"identified":[130],"associated":[131,233,245,253,276,284],"factors.":[132],"Results":[133],"The":[134,165,187],"median":[135],"score":[137,168,191],"was":[138,150,169,192,251,281],"16.0":[139],"(IQR:":[140],"14.0\u201317.0)":[141],"(mean":[142],"score:":[144,174],"76.20":[145],"\u00b1":[146,171,176,194],"12.76).":[147],"High":[148],"observed":[151],"80.5%":[153],"nurses,":[155],"while":[156,313],"18.8%":[157],"had":[158,162,179,197,216,221],"moderate":[159],"0.8%":[161],"poor":[163,185,203,222],"knowledge.":[164,236],"mean":[166,188],"attitude":[167,255,286,324],"52.27":[170],"9.60/75":[172],"(standardized":[173],"62.12":[175],"15.99);":[177],"56.3%":[178],"positive,":[180],"35.8%":[181],"moderate,":[182,200],"8.0%":[184],"attitudes.":[186,249],"39.47":[193],"21.52;":[195],"13.0%":[196],"good,":[198],"51.0%":[199],"36.0%":[202],"practice.":[204,223,279,288],"These":[205],"categorical":[206,321],"distributions":[207],"sensitive":[209,328],"standardization;":[211],"under":[212],"scoring,":[214],"77.3%":[215],"positive":[217],"attitudes":[218],"8.8%":[220],"Greater":[224],"monthly":[225,271],"volume":[228,274],"previous":[230],"counseling":[231],"higher":[235,270],"Longer":[237],"nursing":[238],"experience":[239],"greater":[241],"perceived":[242],"competence":[243],"more":[247],"favorable":[248,311],"Practice":[250],"positively":[252],"consistent":[257],"use":[258],"Initial":[261],"Nursing":[262],"Assessment":[263],"Sheet":[264],"guideline,":[265],"whereas":[266],"older":[267],"age":[268],"lower":[278],"Knowledge":[280],"not":[282],"independently":[283],"or":[287],"Overall,":[289],"88.5%":[290],"interested":[292],"working":[294,301],"as":[295],"link":[297],"nurses.":[298],"Conclusion":[299],"Nurses":[300],"Bank":[304],"demonstrated":[306],"high":[307],"generally":[310],"self-reported":[314],"scores":[316],"comparatively":[318],"lower;":[319],"however,":[320],"descriptions":[322],"score-standardization":[331],"method":[332],"should":[334],"be":[335],"interpreted":[336],"cautiously.":[337]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-07T00:00:00"}
