{"id":"https://openalex.org/W2773914529","doi":"https://doi.org/10.1177/0018720817744729","title":"Bag Valve Mask Ventilation as a Perceptual-Cognitive Skill","display_name":"Bag Valve Mask Ventilation as a Perceptual-Cognitive Skill","publication_year":2017,"publication_date":"2017-12-04","ids":{"openalex":"https://openalex.org/W2773914529","doi":"https://doi.org/10.1177/0018720817744729","mag":"2773914529","pmid":"https://pubmed.ncbi.nlm.nih.gov/29202248"},"language":"en","primary_location":{"id":"doi:10.1177/0018720817744729","is_oa":false,"landing_page_url":"https://doi.org/10.1177/0018720817744729","pdf_url":null,"source":{"id":"https://openalex.org/S83386566","display_name":"Human Factors The Journal of the Human Factors and Ergonomics Society","issn_l":"0018-7208","issn":["0018-7208","1547-8181"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human Factors: The Journal of the Human Factors and Ergonomics Society","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5026232061","display_name":"Joel Mumma","orcid":"https://orcid.org/0000-0002-6434-9178"},"institutions":[{"id":"https://openalex.org/I1285730425","display_name":"Navicent Health","ror":"https://ror.org/00qd1fk85","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285730425"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Joel M. Mumma","raw_affiliation_strings":["Navicent Health, Macon, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Navicent Health, Macon, Georgia","institution_ids":["https://openalex.org/I1285730425"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090969784","display_name":"Francis T. Durso","orcid":"https://orcid.org/0000-0002-2189-2963"},"institutions":[{"id":"https://openalex.org/I1285730425","display_name":"Navicent Health","ror":"https://ror.org/00qd1fk85","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285730425"]},{"id":"https://openalex.org/I130701444","display_name":"Georgia Institute of Technology","ror":"https://ror.org/01zkghx44","country_code":"US","type":"education","lineage":["https://openalex.org/I130701444"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Francis T. Durso","raw_affiliation_strings":["Georgia Institute of Technology, Atlanta","Navicent Health, Macon, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Georgia Institute of Technology, Atlanta","institution_ids":["https://openalex.org/I130701444"]},{"raw_affiliation_string":"Navicent Health, Macon, Georgia","institution_ids":["https://openalex.org/I1285730425"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064026543","display_name":"M. K. Dyes","orcid":null},"institutions":[{"id":"https://openalex.org/I1285730425","display_name":"Navicent Health","ror":"https://ror.org/00qd1fk85","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285730425"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michelle Dyes","raw_affiliation_strings":["Navicent Health, Macon, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Navicent Health, Macon, Georgia","institution_ids":["https://openalex.org/I1285730425"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037403272","display_name":"Rogelio dela Cruz","orcid":null},"institutions":[{"id":"https://openalex.org/I1285730425","display_name":"Navicent Health","ror":"https://ror.org/00qd1fk85","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285730425"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rogelio dela Cruz","raw_affiliation_strings":["Navicent Health, Macon, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Navicent Health, Macon, Georgia","institution_ids":["https://openalex.org/I1285730425"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078958422","display_name":"Valerie P. Fox","orcid":null},"institutions":[{"id":"https://openalex.org/I1285730425","display_name":"Navicent Health","ror":"https://ror.org/00qd1fk85","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285730425"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Valerie P. Fox","raw_affiliation_strings":["Navicent Health, Macon, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Navicent Health, Macon, Georgia","institution_ids":["https://openalex.org/I1285730425"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5053182427","display_name":"Mary Hoey","orcid":null},"institutions":[{"id":"https://openalex.org/I1285730425","display_name":"Navicent Health","ror":"https://ror.org/00qd1fk85","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285730425"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mary Hoey","raw_affiliation_strings":["Navicent Health, Macon, Georgia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Navicent Health, Macon, Georgia","institution_ids":["https://openalex.org/I1285730425"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5026232061"],"corresponding_institution_ids":["https://openalex.org/I1285730425"],"apc_list":{"value":1500,"currency":"USD","value_usd":1500},"apc_paid":null,"fwci":2.1719,"has_fulltext":false,"cited_by_count":18,"citation_normalized_percentile":{"value":0.87039092,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":97},"biblio":{"volume":"60","issue":"2","first_page":"212","last_page":"221"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10645","display_name":"Cardiac Arrest and Resuscitation","score":0.9959999918937683,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"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/T10645","display_name":"Cardiac Arrest and Resuscitation","score":0.9959999918937683,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"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/T11095","display_name":"Emergency and Acute Care Studies","score":0.9944000244140625,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"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/T11238","display_name":"Simulation-Based Education in Healthcare","score":0.9943000078201294,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"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/ventilation","display_name":"Ventilation (architecture)","score":0.5651642084121704},{"id":"https://openalex.org/keywords/vital-signs","display_name":"Vital signs","score":0.4470170736312866},{"id":"https://openalex.org/keywords/perception","display_name":"Perception","score":0.4437369704246521},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.4188949167728424},{"id":"https://openalex.org/keywords/cognition","display_name":"Cognition","score":0.4156584143638611},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.39447999000549316},{"id":"https://openalex.org/keywords/applied-psychology","display_name":"Applied psychology","score":0.3574904203414917},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.32552850246429443},{"id":"https://openalex.org/keywords/anesthesia","display_name":"Anesthesia","score":0.14761468768119812},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.14158955216407776}],"concepts":[{"id":"https://openalex.org/C200457457","wikidata":"https://www.wikidata.org/wiki/Q584049","display_name":"Ventilation (architecture)","level":2,"score":0.5651642084121704},{"id":"https://openalex.org/C2776890885","wikidata":"https://www.wikidata.org/wiki/Q1067560","display_name":"Vital signs","level":2,"score":0.4470170736312866},{"id":"https://openalex.org/C26760741","wikidata":"https://www.wikidata.org/wiki/Q160402","display_name":"Perception","level":2,"score":0.4437369704246521},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4188949167728424},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.4156584143638611},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.39447999000549316},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.3574904203414917},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.32552850246429443},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.14761468768119812},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.14158955216407776},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C169760540","wikidata":"https://www.wikidata.org/wiki/Q207011","display_name":"Neuroscience","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002983","descriptor_name":"Clinical Competence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002983","descriptor_name":"Clinical Competence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002983","descriptor_name":"Clinical Competence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004630","descriptor_name":"Emergencies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004630","descriptor_name":"Emergencies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004630","descriptor_name":"Emergencies","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":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008348","descriptor_name":"Manikins","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008348","descriptor_name":"Manikins","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008348","descriptor_name":"Manikins","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008397","descriptor_name":"Masks","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008397","descriptor_name":"Masks","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008397","descriptor_name":"Masks","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010372","descriptor_name":"Pediatrics","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D010372","descriptor_name":"Pediatrics","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D010372","descriptor_name":"Pediatrics","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D011597","descriptor_name":"Psychomotor Performance","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D011597","descriptor_name":"Psychomotor Performance","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D011597","descriptor_name":"Psychomotor Performance","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D014796","descriptor_name":"Visual Perception","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D014796","descriptor_name":"Visual Perception","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D014796","descriptor_name":"Visual Perception","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D016887","descriptor_name":"Cardiopulmonary Resuscitation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D016887","descriptor_name":"Cardiopulmonary Resuscitation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D016887","descriptor_name":"Cardiopulmonary Resuscitation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D056228","descriptor_name":"Feedback, Sensory","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D056228","descriptor_name":"Feedback, Sensory","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D056228","descriptor_name":"Feedback, Sensory","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D058109","descriptor_name":"Airway Management","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D058109","descriptor_name":"Airway Management","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D058109","descriptor_name":"Airway Management","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1177/0018720817744729","is_oa":false,"landing_page_url":"https://doi.org/10.1177/0018720817744729","pdf_url":null,"source":{"id":"https://openalex.org/S83386566","display_name":"Human Factors The Journal of the Human Factors and Ergonomics Society","issn_l":"0018-7208","issn":["0018-7208","1547-8181"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human Factors: The Journal of the Human Factors and Ergonomics Society","raw_type":"journal-article"},{"id":"pmid:29202248","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29202248","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":"Human factors","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.5400000214576721,"id":"https://metadata.un.org/sdg/4","display_name":"Quality Education"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320310207","display_name":"Carnegie Mellon University","ror":"https://ror.org/05x2bcf33"},{"id":"https://openalex.org/F4320310246","display_name":"University of Rochester","ror":"https://ror.org/022kthw22"},{"id":"https://openalex.org/F4320311163","display_name":"American Association of Critical-Care Nurses","ror":"https://ror.org/04s0zae50"},{"id":"https://openalex.org/F4320313925","display_name":"De La Salle University","ror":"https://ror.org/04xftk194"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":24,"referenced_works":["https://openalex.org/W1585220838","https://openalex.org/W1967260404","https://openalex.org/W1967999136","https://openalex.org/W1971066082","https://openalex.org/W1975551448","https://openalex.org/W1983623484","https://openalex.org/W1984434350","https://openalex.org/W1989383413","https://openalex.org/W1998513710","https://openalex.org/W2017282661","https://openalex.org/W2024575991","https://openalex.org/W2026353979","https://openalex.org/W2050064812","https://openalex.org/W2063085086","https://openalex.org/W2068122191","https://openalex.org/W2069436837","https://openalex.org/W2071988838","https://openalex.org/W2073080346","https://openalex.org/W2096568349","https://openalex.org/W2104356465","https://openalex.org/W2123529552","https://openalex.org/W2148564471","https://openalex.org/W2153320006","https://openalex.org/W2308851626"],"related_works":["https://openalex.org/W135666085","https://openalex.org/W2053514191","https://openalex.org/W30340901","https://openalex.org/W4205307318","https://openalex.org/W2162926135","https://openalex.org/W2087901682","https://openalex.org/W4285102294","https://openalex.org/W2052460383","https://openalex.org/W3005991535","https://openalex.org/W3948632"],"abstract_inverted_index":{"Objective":[0],"This":[1,218],"study":[2],"used":[3],"a":[4,43,156],"high-fidelity":[5],"infant":[6,92],"mannequin":[7],"to":[8,36,62,100,213,233,242],"examine":[9],"the":[10,13,67,97,160,179,197,206,214,222,226,240,244],"relationship":[11],"between":[12],"quality":[14,215],"of":[15,24,27,69,90,130,163,196,208,216,228,247],"bag":[16],"valve":[17],"mask":[18],"ventilation":[19,117,164,173],"(BVMV)":[20],"and":[21,45,82,116,136,148,177,230],"how":[22,70],"providers":[23,54,71],"varying":[25],"levels":[26],"experience":[28],"use":[29,73,207,227],"visual":[30,110],"feedback":[31,74,209],"(e.g.,":[32],"electronic":[33,145],"vital":[34,146],"signs)":[35],"guide":[37,234],"their":[38],"performance.":[39,235],"Background":[40],"BVMV":[41,64,211,251],"is":[42],"common":[44],"critical":[46],"procedure":[47],"for":[48,254],"managing":[49],"pediatric":[50],"respiratory":[51,85],"emergencies.":[52],"However,":[53],"do":[55],"not":[56],"consistently":[57],"deliver":[58],"effective":[59,250],"BVMV.":[60,78,94,217],"Efforts":[61],"improve":[63],"have":[65,239],"ignored":[66],"question":[68],"effectively":[72],"often":[75],"available":[76],"during":[77,210],"Method":[79],"Six":[80],"expert":[81],"six":[83],"novice":[84,256],"therapists":[86],"completed":[87],"two":[88],"simulations":[89],"an":[91,105],"requiring":[93],"In":[95],"one,":[96],"technology":[98],"failed":[99],"display":[101],"SpO":[102,131,150,168,186],"2":[103,132,151,169,187],",":[104],"important":[106],"but":[107],"somewhat":[108],"redundant":[109],"cue.":[111],"Eye":[112],"movements,":[113],"verbal":[114,137],"reports,":[115],"rate":[118,158],"(in":[119],"breaths":[120],"per":[121],"minute)":[122],"were":[123,175],"measured":[124],"in":[125,182,205],"each":[126],"simulation.":[127],"Results":[128],"Regardless":[129],"availability,":[133],"eye":[134],"movements":[135],"reports":[138],"suggested":[139],"that":[140,199],"novices":[141,200],"depended":[142],"strongly":[143],"on":[144,221],"signs":[147],"when":[149,167],"was":[152,170,188],"absent":[153],"ventilated":[154],"at":[155],"faster":[157],"(exceeding":[159],"recommended":[161,180],"range":[162,181],"rates)":[165],"than":[166],"present.":[171],"Experts\u2019":[172],"rates":[174],"comparable":[176],"within":[178],"both":[183],"conditions.":[184],"When":[185],"absent,":[189],"experts":[190],"emphasized":[191],"information":[192],"from":[193],"direct":[194],"observation":[195],"patient":[198],"neglected.":[201],"Conclusion":[202],"Individual":[203],"differences":[204],"contribute":[212],"work":[219],"bears":[220],"theoretical":[223],"discussions":[224],"involving":[225],"automation":[229],"nontechnological":[231],"cues":[232],"Application":[236],"These":[237],"results":[238],"potential":[241],"expand":[243],"current":[245],"understanding":[246],"factors":[248],"underlying":[249],"with":[252],"implications":[253],"training":[255],"providers.":[257]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":3},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":2}],"updated_date":"2026-08-21T09:56:20.448147","created_date":"2025-10-10T00:00:00"}
