{"id":"https://openalex.org/W7225800795","doi":"https://doi.org/10.1111/vox.70415","title":"Digital connectivity in plateletpheresis collections improves productivity and workflow efficiency without compromising donor safety","display_name":"Digital connectivity in plateletpheresis collections improves productivity and workflow efficiency without compromising donor safety","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225800795","doi":"https://doi.org/10.1111/vox.70415"},"language":"en","primary_location":{"id":"doi:10.1111/vox.70415","doi":"https://doi.org/10.1111/vox.70415","is_oa":true,"landing_page_url":"https://doi.org/10.1111/vox.70415","pdf_url":null,"source":{"id":"https://openalex.org/S56953219","display_name":"Vox Sanguinis","issn_l":"0042-9007","issn":["0042-9007","1423-0410"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","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":"Vox Sanguinis","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1111/vox.70415","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5078373485","display_name":"Cesar de Almeida\u2010Neto","orcid":"https://orcid.org/0000-0002-8490-4634","observed_orcids":["https://orcid.org/0000-0002-8490-4634"]},"institutions":[{"id":"https://openalex.org/I17974374","display_name":"Universidade de S\u00e3o Paulo","ror":"https://ror.org/036rp1748","country_code":"BR","type":"education","lineage":["https://openalex.org/I17974374"]},{"id":"https://openalex.org/I4210157969","display_name":"Funda\u00e7\u00e3o Pr\u00f3-Sangue Hemocentro de S\u00e3o Paulo","ror":"https://ror.org/05cjk9k86","country_code":"BR","type":"government","lineage":["https://openalex.org/I4210157969"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Cesar de Almeida\u2010Neto","raw_affiliation_strings":["Apheresis and Quality Control Departments and Technical and Scientific Directorate Funda\u00e7\u00e3o Pr\u00f3\u2010Sangue Hemocentro de S\u00e3o Paulo  S\u00e3o Paulo Brazil","Disciplina de Ci\u00eancias M\u00e9dicas Faculdade de Medicina da Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"],"raw_orcid":"https://orcid.org/0000-0002-8490-4634","affiliations":[{"raw_affiliation_string":"Apheresis and Quality Control Departments and Technical and Scientific Directorate Funda\u00e7\u00e3o Pr\u00f3\u2010Sangue Hemocentro de S\u00e3o Paulo  S\u00e3o Paulo Brazil","institution_ids":["https://openalex.org/I4210157969"]},{"raw_affiliation_string":"Disciplina de Ci\u00eancias M\u00e9dicas Faculdade de Medicina da Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007202804","display_name":"Vanderson Rocha","orcid":"https://orcid.org/0000-0003-0094-619X","observed_orcids":["https://orcid.org/0000-0003-0094-619X","https://orcid.org/0000-0003-3520-7530"]},"institutions":[{"id":"https://openalex.org/I4210157969","display_name":"Funda\u00e7\u00e3o Pr\u00f3-Sangue Hemocentro de S\u00e3o Paulo","ror":"https://ror.org/05cjk9k86","country_code":"BR","type":"government","lineage":["https://openalex.org/I4210157969"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Vanderson Rocha","raw_affiliation_strings":["Apheresis and Quality Control Departments and Technical and Scientific Directorate Funda\u00e7\u00e3o Pr\u00f3\u2010Sangue Hemocentro de S\u00e3o Paulo  S\u00e3o Paulo Brazil"],"raw_orcid":"https://orcid.org/0000-0003-0094-619X","affiliations":[{"raw_affiliation_string":"Apheresis and Quality Control Departments and Technical and Scientific Directorate Funda\u00e7\u00e3o Pr\u00f3\u2010Sangue Hemocentro de S\u00e3o Paulo  S\u00e3o Paulo Brazil","institution_ids":["https://openalex.org/I4210157969"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161484892","display_name":"Denis Alessandro da Silva","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210157969","display_name":"Funda\u00e7\u00e3o Pr\u00f3-Sangue Hemocentro de S\u00e3o Paulo","ror":"https://ror.org/05cjk9k86","country_code":"BR","type":"government","lineage":["https://openalex.org/I4210157969"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Denis Alessandro da Silva","raw_affiliation_strings":["Apheresis and Quality Control Departments and Technical and Scientific Directorate Funda\u00e7\u00e3o Pr\u00f3\u2010Sangue Hemocentro de S\u00e3o Paulo  S\u00e3o Paulo Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Apheresis and Quality Control Departments and Technical and Scientific Directorate Funda\u00e7\u00e3o Pr\u00f3\u2010Sangue Hemocentro de S\u00e3o Paulo  S\u00e3o Paulo Brazil","institution_ids":["https://openalex.org/I4210157969"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161482248","display_name":"Alessandra Andrade Barbosa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210157969","display_name":"Funda\u00e7\u00e3o Pr\u00f3-Sangue Hemocentro de S\u00e3o Paulo","ror":"https://ror.org/05cjk9k86","country_code":"BR","type":"government","lineage":["https://openalex.org/I4210157969"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Alessandra Andrade Barbosa","raw_affiliation_strings":["Apheresis and Quality Control Departments and Technical and Scientific Directorate Funda\u00e7\u00e3o Pr\u00f3\u2010Sangue Hemocentro de S\u00e3o Paulo  S\u00e3o Paulo Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Apheresis and Quality Control Departments and Technical and Scientific Directorate Funda\u00e7\u00e3o Pr\u00f3\u2010Sangue Hemocentro de S\u00e3o Paulo  S\u00e3o Paulo Brazil","institution_ids":["https://openalex.org/I4210157969"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004310358","display_name":"Luiz Augusto Silva Nani","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210157969","display_name":"Funda\u00e7\u00e3o Pr\u00f3-Sangue Hemocentro de S\u00e3o Paulo","ror":"https://ror.org/05cjk9k86","country_code":"BR","type":"government","lineage":["https://openalex.org/I4210157969"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Luiz Augusto Silva Nani","raw_affiliation_strings":["Apheresis and Quality Control Departments and Technical and Scientific Directorate Funda\u00e7\u00e3o Pr\u00f3\u2010Sangue Hemocentro de S\u00e3o Paulo  S\u00e3o Paulo Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Apheresis and Quality Control Departments and Technical and Scientific Directorate Funda\u00e7\u00e3o Pr\u00f3\u2010Sangue Hemocentro de S\u00e3o Paulo  S\u00e3o Paulo Brazil","institution_ids":["https://openalex.org/I4210157969"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161424906","display_name":"Patr\u00edcia Cresoni Sierra","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210157969","display_name":"Funda\u00e7\u00e3o Pr\u00f3-Sangue Hemocentro de S\u00e3o Paulo","ror":"https://ror.org/05cjk9k86","country_code":"BR","type":"government","lineage":["https://openalex.org/I4210157969"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Patr\u00edcia Cresoni Sierra","raw_affiliation_strings":["Apheresis and Quality Control Departments and Technical and Scientific Directorate Funda\u00e7\u00e3o Pr\u00f3\u2010Sangue Hemocentro de S\u00e3o Paulo  S\u00e3o Paulo Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Apheresis and Quality Control Departments and Technical and Scientific Directorate Funda\u00e7\u00e3o Pr\u00f3\u2010Sangue Hemocentro de S\u00e3o Paulo  S\u00e3o Paulo Brazil","institution_ids":["https://openalex.org/I4210157969"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161439547","display_name":"Ricardo Silva","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ricardo Silva","raw_affiliation_strings":["Terumo Blood and Cell Technologies  S\u00e3o Paulo Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Terumo Blood and Cell Technologies  S\u00e3o Paulo Brazil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028188209","display_name":"M\u00e1rcia Cardoso","orcid":"https://orcid.org/0000-0002-4951-4091","observed_orcids":["https://orcid.org/0000-0002-4951-4091"]},"institutions":[{"id":"https://openalex.org/I4210135156","display_name":"Terumo (Belgium)","ror":"https://ror.org/043vk3t22","country_code":"BE","type":"company","lineage":["https://openalex.org/I4210119124","https://openalex.org/I4210135156"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Marcia Cardoso","raw_affiliation_strings":["Terumo Blood and Cell Technologies  Zaventem Belgium"],"raw_orcid":"https://orcid.org/0000-0002-4951-4091","affiliations":[{"raw_affiliation_string":"Terumo Blood and Cell Technologies  Zaventem Belgium","institution_ids":["https://openalex.org/I4210135156"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5035676777","display_name":"Alfredo Mendrone","orcid":"https://orcid.org/0000-0002-3090-4575","observed_orcids":["https://orcid.org/0000-0002-3090-4575"]},"institutions":[{"id":"https://openalex.org/I4210157969","display_name":"Funda\u00e7\u00e3o Pr\u00f3-Sangue Hemocentro de S\u00e3o Paulo","ror":"https://ror.org/05cjk9k86","country_code":"BR","type":"government","lineage":["https://openalex.org/I4210157969"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Alfredo Mendrone\u2010Junior","raw_affiliation_strings":["Apheresis and Quality Control Departments and Technical and Scientific Directorate Funda\u00e7\u00e3o Pr\u00f3\u2010Sangue Hemocentro de S\u00e3o Paulo  S\u00e3o Paulo Brazil"],"raw_orcid":"https://orcid.org/0000-0002-3090-4575","affiliations":[{"raw_affiliation_string":"Apheresis and Quality Control Departments and Technical and Scientific Directorate Funda\u00e7\u00e3o Pr\u00f3\u2010Sangue Hemocentro de S\u00e3o Paulo  S\u00e3o Paulo Brazil","institution_ids":["https://openalex.org/I4210157969"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4150,"currency":"USD","value_usd":4150},"apc_paid":{"value":4150,"currency":"USD","value_usd":4150},"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":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12735","display_name":"Blood donation and transfusion practices","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"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/T12735","display_name":"Blood donation and transfusion practices","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"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/T10693","display_name":"Blood transfusion and management","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"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/T11314","display_name":"Clinical Laboratory Practices and Quality Control","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3607","display_name":"Medical Laboratory Technology"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C2779867487","wikidata":"https://www.wikidata.org/wiki/Q952508","display_name":"Plateletpheresis","level":4,"score":0.902999997138977},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.6833999752998352},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5181999802589417},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.42590001225471497},{"id":"https://openalex.org/C204983608","wikidata":"https://www.wikidata.org/wiki/Q2111958","display_name":"Productivity","level":2,"score":0.41819998621940613},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.38690000772476196},{"id":"https://openalex.org/C43214815","wikidata":"https://www.wikidata.org/wiki/Q7310987","display_name":"Reliability (semiconductor)","level":3,"score":0.3571999967098236},{"id":"https://openalex.org/C200601418","wikidata":"https://www.wikidata.org/wiki/Q2193887","display_name":"Reliability engineering","level":1,"score":0.3513999879360199},{"id":"https://openalex.org/C2776738589","wikidata":"https://www.wikidata.org/wiki/Q618446","display_name":"Apheresis","level":3,"score":0.2964000105857849},{"id":"https://openalex.org/C113843644","wikidata":"https://www.wikidata.org/wiki/Q901882","display_name":"Interface (matter)","level":4,"score":0.29260000586509705},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.28700000047683716},{"id":"https://openalex.org/C2994072243","wikidata":"https://www.wikidata.org/wiki/Q763244","display_name":"Blood bank","level":2,"score":0.28110000491142273},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.28060001134872437},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.27469998598098755},{"id":"https://openalex.org/C2777904410","wikidata":"https://www.wikidata.org/wiki/Q7397","display_name":"Software","level":2,"score":0.26489999890327454},{"id":"https://openalex.org/C105339364","wikidata":"https://www.wikidata.org/wiki/Q2297740","display_name":"Software deployment","level":2,"score":0.26030001044273376},{"id":"https://openalex.org/C2776689292","wikidata":"https://www.wikidata.org/wiki/Q23925170","display_name":"Platelet transfusion","level":3,"score":0.25209999084472656},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.25110000371932983}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1111/vox.70415","doi":"https://doi.org/10.1111/vox.70415","is_oa":true,"landing_page_url":"https://doi.org/10.1111/vox.70415","pdf_url":null,"source":{"id":"https://openalex.org/S56953219","display_name":"Vox Sanguinis","issn_l":"0042-9007","issn":["0042-9007","1423-0410"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","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":"Vox Sanguinis","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1111/vox.70415","doi":"https://doi.org/10.1111/vox.70415","is_oa":true,"landing_page_url":"https://doi.org/10.1111/vox.70415","pdf_url":null,"source":{"id":"https://openalex.org/S56953219","display_name":"Vox Sanguinis","issn_l":"0042-9007","issn":["0042-9007","1423-0410"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","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":"Vox Sanguinis","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":15,"referenced_works":["https://openalex.org/W1808855293","https://openalex.org/W2087364953","https://openalex.org/W2122388839","https://openalex.org/W2154488151","https://openalex.org/W2621741324","https://openalex.org/W2754211108","https://openalex.org/W2970271140","https://openalex.org/W3173715059","https://openalex.org/W4295856892","https://openalex.org/W4409190224","https://openalex.org/W4410852778","https://openalex.org/W4414022642","https://openalex.org/W4415669544","https://openalex.org/W4417442865","https://openalex.org/W7119495181"],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"and":[2,20,23,42,49,69,98,140,145,164,173,200,203,229],"Objectives":[3],"Blood":[4,63],"banks":[5],"face":[6],"pressure":[7],"to":[8,35,90,162],"meet":[9],"the":[10,80,99,113,153,218,233],"growing":[11],"demand":[12],"for":[13,109,186,253],"platelet":[14,46,130,134,211],"components":[15],"while":[16],"improving":[17,170,239],"operational":[18,174],"efficiency":[19],"maintaining":[21],"donor":[22,123,157,243],"patient":[24],"safety.":[25,244],"This":[26,51,245],"study":[27,54],"describes":[28],"a":[29,92,250],"data\u2010driven":[30,230],"strategy":[31],"using":[32],"connectivity":[33],"tools":[34],"reduce":[36],"data":[37,124,158,171],"transfer":[38],"errors,":[39],"optimize":[40],"workflow,":[41],"safely":[43],"implement":[44],"high\u2010yield":[45,110],"collections.":[47],"Materials":[48],"Methods":[50],"retrospective":[52],"observational":[53],"analyzed":[55],"plateletpheresis":[56,117,191],"procedures":[57],"performed":[58],"with":[59],"Trima":[60],"Accel\u2122":[61],"Automated":[62],"Collection":[64],"System":[65],"between":[66,95],"January":[67],"2022":[68],"November":[70,78],"2025":[71],"at":[72],"Funda\u00e7\u00e3o":[73],"Pr\u00f3\u2010Sangue,":[74],"S\u00e3o":[75],"Paulo.":[76],"In":[77],"2022,":[79],"Terumo":[81],"Operational":[82],"Medical":[83],"Equipment":[84],"Software":[85],"(TOMEs\u2122)":[86],"middleware":[87],"was":[88],"implemented":[89],"establish":[91],"bidirectional":[93,154],"interface":[94,155],"apheresis":[96],"devices":[97],"blood":[100,254],"bank":[101],"information":[102],"system.":[103],"Data\u2010driven":[104],"simulations":[105],"identified":[106],"donors":[107,181,215],"eligible":[108],"collections,":[111],"enabling":[112],"introduction":[114],"of":[115,152,180,236],"triple\u2010dose":[116,187,237],"in":[118,213,257],"October":[119],"2024.":[120],"Variables":[121],"included":[122],"discrepancies,":[125],"adverse":[126],"events,":[127],"procedure":[128],"duration,":[129],"yield,":[131],"predicted":[132],"post\u2010procedure":[133,210],"counts,":[135],"anticoagulant":[136],"use,":[137],"inter\u2010donation":[138],"intervals,":[139],"workflow":[141],"efficiency.":[142,175],"Outcomes":[143],"before":[144,202],"after":[146,204],"implementation":[147,205,235],"were":[148],"compared.":[149],"Results":[150],"Integration":[151],"reduced":[156],"discrepancies":[159],"from":[160],"47%":[161],"3%,":[163],"decreased":[165],"manual":[166],"interactions":[167],"by":[168,223],"30%,":[169],"reliability":[172],"Simulations":[176],"showed":[177],"that":[178],"30%":[179],"met":[182],"Brazilian":[183,224],"regulatory":[184],"criteria":[185],"plateletpheresis.":[188],"After":[189],"implementation,":[190],"productivity":[192,240],"increased":[193],"16%.":[194],"Adverse":[195],"event":[196],"rates":[197],"remained":[198,216],"low":[199],"comparable":[201],"(8.2%":[206],"vs.":[207],"7.9%).":[208],"Predicted":[209],"counts":[212],"triple":[214],"within":[217],"device":[219],"safety":[220],"threshold":[221],"recommended":[222],"policies.":[225],"Conclusion":[226],"Digital":[227],"integration":[228],"decision\u2010making":[231],"enable":[232],"safe":[234],"plateletpheresis,":[238],"without":[241],"compromising":[242],"approach":[246],"may":[247],"serve":[248],"as":[249],"practical":[251],"model":[252],"centers,":[255],"particularly":[256],"resource\u2010limited":[258],"settings.":[259]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}