{"id":"https://openalex.org/W4385452937","doi":"https://doi.org/10.1109/jbhi.2023.3300511","title":"An LSTM-Based Neural Network Wearable System for Blood Glucose Prediction in People With Diabetes","display_name":"An LSTM-Based Neural Network Wearable System for Blood Glucose Prediction in People With Diabetes","publication_year":2023,"publication_date":"2023-08-01","ids":{"openalex":"https://openalex.org/W4385452937","doi":"https://doi.org/10.1109/jbhi.2023.3300511","pmid":"https://pubmed.ncbi.nlm.nih.gov/37527301"},"language":"en","primary_location":{"id":"doi:10.1109/jbhi.2023.3300511","is_oa":true,"landing_page_url":"https://doi.org/10.1109/jbhi.2023.3300511","pdf_url":null,"source":{"id":"https://openalex.org/S2495854775","display_name":"IEEE Journal of Biomedical and Health Informatics","issn_l":"2168-2194","issn":["2168-2194","2168-2208"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Journal of Biomedical and Health Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1109/jbhi.2023.3300511","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070206213","display_name":"F\u00e9lix Tena","orcid":"https://orcid.org/0000-0002-7616-4963"},"institutions":[{"id":"https://openalex.org/I121748325","display_name":"Universidad Complutense de Madrid","ror":"https://ror.org/02p0gd045","country_code":"ES","type":"education","lineage":["https://openalex.org/I121748325"]}],"countries":["ES"],"is_corresponding":true,"raw_author_name":"Felix Tena","raw_affiliation_strings":["Department of Computer Architecture and Automation, Facultad de Informática, Universidad Complutense de Madrid, Madrid, Spain","Department of Computer Architecture and Au-tomation, Facultad de Informatica, Universidad Complutense de Madrid, Madrid, Spain"],"affiliations":[{"raw_affiliation_string":"Department of Computer Architecture and Automation, Facultad de Informática, Universidad Complutense de Madrid, Madrid, Spain","institution_ids":["https://openalex.org/I121748325"]},{"raw_affiliation_string":"Department of Computer Architecture and Au-tomation, Facultad de Informatica, Universidad Complutense de Madrid, Madrid, Spain","institution_ids":["https://openalex.org/I121748325"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022352568","display_name":"\u00d3scar Garnica","orcid":"https://orcid.org/0000-0001-5064-2587"},"institutions":[{"id":"https://openalex.org/I121748325","display_name":"Universidad Complutense de Madrid","ror":"https://ror.org/02p0gd045","country_code":"ES","type":"education","lineage":["https://openalex.org/I121748325"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Oscar Garnica","raw_affiliation_strings":["Department of Computer Architecture and Automation, Facultad de Informática, Universidad Complutense de Madrid, Madrid, Spain","Department of Computer Architecture and Au-tomation, Facultad de Informatica, Universidad Complutense de Madrid, Madrid, Spain"],"affiliations":[{"raw_affiliation_string":"Department of Computer Architecture and Automation, Facultad de Informática, Universidad Complutense de Madrid, Madrid, Spain","institution_ids":["https://openalex.org/I121748325"]},{"raw_affiliation_string":"Department of Computer Architecture and Au-tomation, Facultad de Informatica, Universidad Complutense de Madrid, Madrid, Spain","institution_ids":["https://openalex.org/I121748325"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102878597","display_name":"Juan Lanchares D\u00e1vila","orcid":"https://orcid.org/0000-0003-4192-1300"},"institutions":[{"id":"https://openalex.org/I121748325","display_name":"Universidad Complutense de Madrid","ror":"https://ror.org/02p0gd045","country_code":"ES","type":"education","lineage":["https://openalex.org/I121748325"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Juan Lanchares","raw_affiliation_strings":["Department of Computer Architecture and Automation, Facultad de Informática, Universidad Complutense de Madrid, Madrid, Spain","Department of Computer Architecture and Au-tomation, Facultad de Informatica, Universidad Complutense de Madrid, Madrid, Spain"],"affiliations":[{"raw_affiliation_string":"Department of Computer Architecture and Automation, Facultad de Informática, Universidad Complutense de Madrid, Madrid, Spain","institution_ids":["https://openalex.org/I121748325"]},{"raw_affiliation_string":"Department of Computer Architecture and Au-tomation, Facultad de Informatica, Universidad Complutense de Madrid, Madrid, Spain","institution_ids":["https://openalex.org/I121748325"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5085569944","display_name":"J. Ignacio Hidalgo","orcid":"https://orcid.org/0000-0002-3046-6368"},"institutions":[{"id":"https://openalex.org/I121748325","display_name":"Universidad Complutense de Madrid","ror":"https://ror.org/02p0gd045","country_code":"ES","type":"education","lineage":["https://openalex.org/I121748325"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"J. Ignacio Hidalgo","raw_affiliation_strings":["Department of Computer Architecture and Automation, Facultad de Informática, Universidad Complutense de Madrid, Madrid, Spain","Department of Computer Architecture and Au-tomation, Facultad de Informatica, Universidad Complutense de Madrid, Madrid, Spain"],"affiliations":[{"raw_affiliation_string":"Department of Computer Architecture and Automation, Facultad de Informática, Universidad Complutense de Madrid, Madrid, Spain","institution_ids":["https://openalex.org/I121748325"]},{"raw_affiliation_string":"Department of Computer Architecture and Au-tomation, Facultad de Informatica, Universidad Complutense de Madrid, Madrid, Spain","institution_ids":["https://openalex.org/I121748325"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5070206213"],"corresponding_institution_ids":["https://openalex.org/I121748325"],"apc_list":null,"apc_paid":null,"fwci":1.8638,"has_fulltext":false,"cited_by_count":9,"citation_normalized_percentile":{"value":0.87065217,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":96,"max":99},"biblio":{"volume":"29","issue":"8","first_page":"5515","last_page":"5526"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.9729999899864197,"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/T10560","display_name":"Diabetes Management and Research","score":0.9729999899864197,"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/T11021","display_name":"ECG Monitoring and Analysis","score":0.9616000056266785,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"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/computer-science","display_name":"Computer science","score":0.8101112842559814},{"id":"https://openalex.org/keywords/implementation","display_name":"Implementation","score":0.6991549134254456},{"id":"https://openalex.org/keywords/wearable-computer","display_name":"Wearable computer","score":0.6967498064041138},{"id":"https://openalex.org/keywords/field-programmable-gate-array","display_name":"Field-programmable gate array","score":0.681205689907074},{"id":"https://openalex.org/keywords/artificial-neural-network","display_name":"Artificial neural network","score":0.6157916188240051},{"id":"https://openalex.org/keywords/software","display_name":"Software","score":0.5412819385528564},{"id":"https://openalex.org/keywords/energy-consumption","display_name":"Energy consumption","score":0.489303320646286},{"id":"https://openalex.org/keywords/embedded-system","display_name":"Embedded system","score":0.4715792238712311},{"id":"https://openalex.org/keywords/hardware-acceleration","display_name":"Hardware acceleration","score":0.4482189416885376},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.3901159167289734},{"id":"https://openalex.org/keywords/computer-architecture","display_name":"Computer architecture","score":0.36471325159072876},{"id":"https://openalex.org/keywords/machine-learning","display_name":"Machine learning","score":0.3473219871520996},{"id":"https://openalex.org/keywords/computer-hardware","display_name":"Computer hardware","score":0.3433249592781067},{"id":"https://openalex.org/keywords/operating-system","display_name":"Operating system","score":0.10478729009628296}],"concepts":[{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.8101112842559814},{"id":"https://openalex.org/C26713055","wikidata":"https://www.wikidata.org/wiki/Q245962","display_name":"Implementation","level":2,"score":0.6991549134254456},{"id":"https://openalex.org/C150594956","wikidata":"https://www.wikidata.org/wiki/Q1334829","display_name":"Wearable computer","level":2,"score":0.6967498064041138},{"id":"https://openalex.org/C42935608","wikidata":"https://www.wikidata.org/wiki/Q190411","display_name":"Field-programmable gate array","level":2,"score":0.681205689907074},{"id":"https://openalex.org/C50644808","wikidata":"https://www.wikidata.org/wiki/Q192776","display_name":"Artificial neural network","level":2,"score":0.6157916188240051},{"id":"https://openalex.org/C2777904410","wikidata":"https://www.wikidata.org/wiki/Q7397","display_name":"Software","level":2,"score":0.5412819385528564},{"id":"https://openalex.org/C2780165032","wikidata":"https://www.wikidata.org/wiki/Q16869822","display_name":"Energy consumption","level":2,"score":0.489303320646286},{"id":"https://openalex.org/C149635348","wikidata":"https://www.wikidata.org/wiki/Q193040","display_name":"Embedded system","level":1,"score":0.4715792238712311},{"id":"https://openalex.org/C13164978","wikidata":"https://www.wikidata.org/wiki/Q600158","display_name":"Hardware acceleration","level":3,"score":0.4482189416885376},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.3901159167289734},{"id":"https://openalex.org/C118524514","wikidata":"https://www.wikidata.org/wiki/Q173212","display_name":"Computer architecture","level":1,"score":0.36471325159072876},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.3473219871520996},{"id":"https://openalex.org/C9390403","wikidata":"https://www.wikidata.org/wiki/Q3966","display_name":"Computer hardware","level":1,"score":0.3433249592781067},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.10478729009628296},{"id":"https://openalex.org/C18903297","wikidata":"https://www.wikidata.org/wiki/Q7150","display_name":"Ecology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000076251","descriptor_name":"Wearable Electronic Devices","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000076251","descriptor_name":"Wearable Electronic Devices","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000076251","descriptor_name":"Wearable Electronic Devices","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000465","descriptor_name":"Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000465","descriptor_name":"Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000465","descriptor_name":"Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001786","descriptor_name":"Blood Glucose","qualifier_ui":"Q000032","qualifier_name":"analysis","is_major_topic":true},{"descriptor_ui":"D001786","descriptor_name":"Blood Glucose","qualifier_ui":"Q000032","qualifier_name":"analysis","is_major_topic":true},{"descriptor_ui":"D001786","descriptor_name":"Blood Glucose","qualifier_ui":"Q000032","qualifier_name":"analysis","is_major_topic":true},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","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":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012815","descriptor_name":"Signal Processing, Computer-Assisted","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D012815","descriptor_name":"Signal Processing, Computer-Assisted","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D012815","descriptor_name":"Signal Processing, Computer-Assisted","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D015190","descriptor_name":"Blood Glucose Self-Monitoring","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D015190","descriptor_name":"Blood Glucose Self-Monitoring","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D015190","descriptor_name":"Blood Glucose Self-Monitoring","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D015190","descriptor_name":"Blood Glucose Self-Monitoring","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D015190","descriptor_name":"Blood Glucose Self-Monitoring","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D015190","descriptor_name":"Blood Glucose Self-Monitoring","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D016571","descriptor_name":"Neural Networks, Computer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016571","descriptor_name":"Neural Networks, Computer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016571","descriptor_name":"Neural Networks, Computer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1109/jbhi.2023.3300511","is_oa":true,"landing_page_url":"https://doi.org/10.1109/jbhi.2023.3300511","pdf_url":null,"source":{"id":"https://openalex.org/S2495854775","display_name":"IEEE Journal of Biomedical and Health Informatics","issn_l":"2168-2194","issn":["2168-2194","2168-2208"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Journal of Biomedical and Health Informatics","raw_type":"journal-article"},{"id":"pmid:37527301","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37527301","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,"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":"IEEE journal of biomedical and health informatics","raw_type":null}],"best_oa_location":{"id":"doi:10.1109/jbhi.2023.3300511","is_oa":true,"landing_page_url":"https://doi.org/10.1109/jbhi.2023.3300511","pdf_url":null,"source":{"id":"https://openalex.org/S2495854775","display_name":"IEEE Journal of Biomedical and Health Informatics","issn_l":"2168-2194","issn":["2168-2194","2168-2208"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Journal of Biomedical and Health Informatics","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9100000262260437,"display_name":"Affordable and clean energy","id":"https://metadata.un.org/sdg/7"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":26,"referenced_works":["https://openalex.org/W2064675550","https://openalex.org/W2073960217","https://openalex.org/W2111352982","https://openalex.org/W2143070237","https://openalex.org/W2162157485","https://openalex.org/W2539946989","https://openalex.org/W2568772110","https://openalex.org/W2588448445","https://openalex.org/W2728956140","https://openalex.org/W2754879033","https://openalex.org/W2890653340","https://openalex.org/W3019227464","https://openalex.org/W3150182863","https://openalex.org/W3210902789","https://openalex.org/W3211763632","https://openalex.org/W4254197176","https://openalex.org/W4301971222","https://openalex.org/W6631190155","https://openalex.org/W6685823913","https://openalex.org/W6696004547","https://openalex.org/W6739901393","https://openalex.org/W6743287083","https://openalex.org/W6745148473","https://openalex.org/W6784018277","https://openalex.org/W6784204598","https://openalex.org/W6811309592"],"related_works":["https://openalex.org/W2120447654","https://openalex.org/W2977179488","https://openalex.org/W2144453115","https://openalex.org/W2128223750","https://openalex.org/W4238532390","https://openalex.org/W1967938402","https://openalex.org/W2386041993","https://openalex.org/W1608572506","https://openalex.org/W2518118925","https://openalex.org/W3159273459"],"abstract_inverted_index":{"This":[0,27],"article":[1],"proposes":[2],"the":[3,65,77,90,133,139,180,184,190,193,216],"first":[4],"hardware":[5,41,113,168],"implementation":[6,219],"of":[7,45,89,132],"a":[8,14,24,117,129,221],"low-power":[9],"LSTM":[10,73,211],"neural":[11,61,91,135],"network":[12,62,92,136],"targeting":[13],"wearable":[15,96,222],"medical":[16],"device":[17],"designed":[18],"to":[19,30,94,99,189,214],"predict":[20],"blood":[21,225],"glucose":[22,226],"at":[23,64],"30-minute":[25],"horizon.":[26],"work":[28],"aims":[29],"reduce":[31,100],"energy":[32,57,102,178,197],"consumption":[33,58,103],"by":[34,59],"proposing":[35],"new":[36],"activation":[37],"functions":[38],"that":[39,75],"target":[40,78],"implementation.":[42],"On":[43,192],"top":[44],"this":[46],"proposal,":[47,83],"we":[48,84],"also":[49],"prove":[50],"there":[51],"is":[52,114,125,202],"room":[53],"for":[54,220,224],"improvement":[55],"in":[56,154,200],"applying":[60],"optimizations":[63],"algorithmic,":[66],"such":[67],"as":[68,108,110],"quantization,":[69],"and":[70,149,159,175,205],"architecture":[71],"level,":[72],"hyperparameters,":[74],"consider":[76],"hardware.":[79],"To":[80],"validate":[81],"our":[82],"devise":[85],"an":[86,160],"optimized":[87],"version":[88],"aimed":[93],"be":[95,215],"and,":[97],"therefore,":[98],"its":[101,106,196],"while":[104],"preserving":[105],"accuracy":[107],"much":[109],"possible.":[111],"The":[112],"implemented":[115,137],"on":[116,138],"Xilinx":[118],"Virtex-7":[119],"FPGA":[120,147],"VC707":[121],"Evaluation":[122],"Kit.":[123],"It":[124],"compared":[126,188],"with":[127,165],"(i)":[128],"faithful":[130],"design":[131],"original":[134],"same":[140],"evaluation":[141],"kit,":[142],"(ii)":[143],"three":[144],"state-of-the-art":[145,210],"LSTM-based":[146],"implementations,":[148,182,212],"(iii)":[150],"software":[151,181],"implementations":[152],"running":[153],"cutting-edge":[155],"smartphones:":[156],"OnePlus":[157],"Nord":[158],"Apple":[161],"iPhone":[162],"13":[163],"Pro":[164],"artificial":[166],"intelligence":[167],"accelerators.":[169],"Our":[170],"proposal":[171],"consumes":[172],"between":[173,203],"\u00d71020":[174],"\u00d77":[176],"less":[177],"than":[179,208],"being":[183],"most":[185,217],"efficient":[186],"system":[187,223],"smartphones.":[191],"other":[194,209],"hand,":[195],"efficiency,":[198],"measured":[199],"GFLOP/J,":[201],"\u00d7$2.84$":[204],"\u00d7$7.82$":[206],"greater":[207],"proving":[213],"suitable":[218],"prediction.":[227]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":5}],"updated_date":"2025-11-06T03:46:38.306776","created_date":"2025-10-10T00:00:00"}