{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T15:07:43Z","timestamp":1789139263630,"version":"build-2803163510"},"reference-count":53,"publisher":"Scientific Scholar","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100012021","name":"Iran University of Medical Sciences","doi-asserted-by":"publisher","award":["IR.IUMS.REC.1399.170"],"award-info":[{"award-number":["IR.IUMS.REC.1399.170"]}],"id":[{"id":"10.13039\/100012021","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedics"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.jor.2025.12.025","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T07:58:51Z","timestamp":1765526331000},"page":"206-212","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Initial safety outcomes of adipose-derived mesenchymal stem cell for rotator cuff tear: A 3-year pilot trial"],"prefix":"10.25259","volume":"73","author":[{"given":"Parisa","family":"Nejati","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nahid","family":"Masoumi Shahre Babak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Sobhani Eraghi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lida","family":"Nejati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimia","family":"Didehvar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2771-2994","authenticated-orcid":false,"given":"Ali","family":"Mazaherinezhad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nahid","family":"Nafisi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naser","family":"Amini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Taghi","family":"Joghataei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","reference":[{"key":"10.1016\/j.jor.2025.12.025_bib1","doi-asserted-by":"crossref","first-page":"1805","DOI":"10.2147\/IJGM.S354741","article-title":"Identification of diagnostic biomarkers associated with stromal and immune cell infiltration in fatty infiltration after rotator cuff tear by integrating bioinformatic analysis and machine-learning","author":"Wang","year":"2022","journal-title":"Int J Gen Med"},{"key":"10.1016\/j.jor.2025.12.025_bib2","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1007\/s00264-009-0733-1","article-title":"Short-term results after reversed shoulder arthroplasty (Delta III) in patients with rheumatoid arthritis and irreparable rotator cuff tear","volume":"34","author":"John","year":"2010","journal-title":"Int Orthop"},{"issue":"6","key":"10.1016\/j.jor.2025.12.025_bib3","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1093\/rheumatology\/keh598","article-title":"Diagnosis and relation to general health of shoulder disorders presenting to primary care","volume":"44","author":"Ostor","year":"2005","journal-title":"Rheumatology"},{"issue":"2","key":"10.1016\/j.jor.2025.12.025_bib4","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1308\/003588406X94968","article-title":"Dead men and radiologists don't lie: a review of cadaveric and radiological studies of rotator cuff tear prevalence","volume":"88","author":"Reilly","year":"2006","journal-title":"Ann R Coll Surg Engl"},{"issue":"1","key":"10.1016\/j.jor.2025.12.025_bib5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.clinbiomech.2010.08.001","article-title":"Mechanisms of rotator cuff tendinopathy: intrinsic, extrinsic, or both?","volume":"26","author":"Seitz","year":"2011","journal-title":"Clin Biomech"},{"issue":"10","key":"10.1016\/j.jor.2025.12.025_bib6","doi-asserted-by":"crossref","first-page":"2123","DOI":"10.1177\/0363546510373574","article-title":"Cell therapy in tendon disorders: what is the current evidence?","volume":"38","author":"Obaid","year":"2010","journal-title":"Am J Sports Med"},{"issue":"4","key":"10.1016\/j.jor.2025.12.025_bib7","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1093\/fampra\/cmq119","article-title":"Subacromial corticosteroid injection or acupuncture with home exercises when treating patients with subacromial impingement in primary care\u2014a randomized clinical trial","volume":"28","author":"Johansson","year":"2011","journal-title":"Fam Pract"},{"issue":"12","key":"10.1016\/j.jor.2025.12.025_bib8","doi-asserted-by":"crossref","first-page":"3042","DOI":"10.1177\/0363546520953427","article-title":"Preoperative lymphocyte to monocyte ratio can be a prognostic factor in arthroscopic repair of small to large rotator cuff tears","volume":"48","author":"Sun","year":"2020","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jor.2025.12.025_bib9","doi-asserted-by":"crossref","DOI":"10.1016\/j.biomaterials.2021.120714","article-title":"Conditioned medium of human bone marrow-derived stem cells promotes tendon-bone healing of the rotator cuff in a rat model","volume":"271","author":"Chen","year":"2021","journal-title":"Biomaterials"},{"key":"10.1016\/j.jor.2025.12.025_bib10","article-title":"A randomized controlled trial of the treatment of rotator cuff tears with bone marrow concentrate and platelet products compared to exercise therapy: a midterm analysis","volume":"2020","author":"Centeno","year":"2020","journal-title":"Stem Cell Int"},{"issue":"2","key":"10.1016\/j.jor.2025.12.025_bib11","doi-asserted-by":"crossref","first-page":"219","DOI":"10.2106\/00004623-200402000-00002","article-title":"The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears","volume":"86","author":"Galatz","year":"2004","journal-title":"JBJS"},{"issue":"5","key":"10.1016\/j.jor.2025.12.025_bib12","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1177\/0363546514525336","article-title":"Factors predicting rotator cuff retears: an analysis of 1000 consecutive rotator cuff repairs","volume":"42","author":"Le","year":"2014","journal-title":"Am J Sports Med"},{"issue":"5","key":"10.1016\/j.jor.2025.12.025_bib13","doi-asserted-by":"crossref","first-page":"953","DOI":"10.2106\/JBJS.F.00512","article-title":"Repair integrity and functional outcome after arthroscopic double-row rotator cuff repair: a prospective outcome study","volume":"89","author":"Sugaya","year":"2007","journal-title":"JBJS"},{"issue":"8","key":"10.1016\/j.jor.2025.12.025_bib14","doi-asserted-by":"crossref","first-page":"1496","DOI":"10.1177\/0363546507313574","article-title":"Repair site integrity after arthroscopic transosseous-equivalent suture-bridge rotator cuff repair","volume":"36","author":"Frank","year":"2008","journal-title":"Am J Sports Med"},{"issue":"6","key":"10.1016\/j.jor.2025.12.025_bib15","doi-asserted-by":"crossref","first-page":"1558","DOI":"10.1007\/s11999-009-0818-6","article-title":"Reliability of the grading system for fatty degeneration of rotator cuff muscles","volume":"468","author":"Oh","year":"2010","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"10.1016\/j.jor.2025.12.025_bib16","article-title":"Mesenchymal progenitor cells and their orthopedic applications: forging a path towards clinical trials","volume":"2010","author":"Shenaq","year":"2010","journal-title":"Stem Cell Int"},{"issue":"5","key":"10.1016\/j.jor.2025.12.025_bib17","doi-asserted-by":"crossref","first-page":"1525","DOI":"10.1007\/s12015-022-10369-1","article-title":"A brief overview of global trends in MSC-based cell therapy","volume":"18","author":"Jovic","year":"2022","journal-title":"Stem Cell Rev Rep"},{"issue":"3","key":"10.1016\/j.jor.2025.12.025_bib18","doi-asserted-by":"crossref","DOI":"10.18295\/squmj.2018.18.03.002","article-title":"Sources and clinical applications of mesenchymal stem cells: state-of-the-art review","volume":"18","author":"Berebichez-Fridman","year":"2018","journal-title":"Sultan Qaboos Univ Med J"},{"key":"10.1016\/j.jor.2025.12.025_bib19","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1479-5876-12-8","article-title":"Donor age negatively impacts adipose tissue-derived mesenchymal stem cell expansion and differentiation","volume":"12","author":"Choudhery","year":"2014","journal-title":"J Transl Med"},{"issue":"12","key":"10.1016\/j.jor.2025.12.025_bib20","doi-asserted-by":"crossref","first-page":"3002","DOI":"10.3390\/ijms20123002","article-title":"Mesenchymal stem cells empowering tendon regenerative therapies","volume":"20","author":"Costa-Almeida","year":"2019","journal-title":"Int J Mol Sci"},{"key":"10.1016\/j.jor.2025.12.025_bib21","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10616-009-9233-9","article-title":"Indirect co-culture with tenocytes promotes proliferation and mRNA expression of tendon\/ligament related genes in rat bone marrow mesenchymal stem cells","volume":"61","author":"Luo","year":"2009","journal-title":"Cytotechnology"},{"issue":"19-20","key":"10.1016\/j.jor.2025.12.025_bib22","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.1089\/ten.tea.2016.0248","article-title":"The use of cocultured mesenchymal stem cells with tendon-derived stem cells as a better cell source for tendon repair","volume":"22","author":"Wu","year":"2016","journal-title":"Tissue Eng Part A"},{"issue":"2","key":"10.1016\/j.jor.2025.12.025_bib23","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1177\/0363546517735850","article-title":"Mesenchymal stem cell secretome improves tendon cell viability in vitro and tendon-bone healing in vivo when a tissue engineering strategy is used in a rat model of chronic massive rotator cuff tear","volume":"46","author":"Sevivas","year":"2018","journal-title":"Am J Sports Med"},{"issue":"8","key":"10.1016\/j.jor.2025.12.025_bib24","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1016\/j.matbio.2010.08.005","article-title":"Synthesis of embryonic tendon-like tissue by human marrow stromal\/mesenchymal stem cells requires a three-dimensional environment and transforming growth factor \u03b23","volume":"29","author":"Kapacee","year":"2010","journal-title":"Matrix Biol"},{"issue":"2","key":"10.1016\/j.jor.2025.12.025_bib25","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.jcyt.2014.10.006","article-title":"In vitro mutual interaction between tenocytes and adipose-derived mesenchymal stromal cells","volume":"17","author":"Veronesi","year":"2015","journal-title":"Cytotherapy"},{"issue":"7","key":"10.1016\/j.jor.2025.12.025_bib26","doi-asserted-by":"crossref","first-page":"5383","DOI":"10.1002\/jcp.26363","article-title":"Crosstalk between adipose stem cells and tendon cells reveals a temporal regulation of tenogenesis by matrix deposition and remodeling","volume":"233","author":"Costa\u2010Almeida","year":"2018","journal-title":"J Cell Physiol"},{"key":"10.1016\/j.jor.2025.12.025_bib27","doi-asserted-by":"crossref","first-page":"S22","DOI":"10.1016\/S0020-1383(14)70006-3","article-title":"Application of adipose tissue-derived stem cells in a rat rotator cuff repair model","volume":"45","author":"Mora","year":"2014","journal-title":"Injury"},{"issue":"3","key":"10.1016\/j.jor.2025.12.025_bib28","doi-asserted-by":"crossref","first-page":"509","DOI":"10.3727\/096368915X686968","article-title":"Human adipose-derived stem cells accelerate the restoration of tensile strength of tendon and alleviate the progression of rotator cuff injury in a rat model","volume":"24","author":"Chen","year":"2015","journal-title":"Cell Transplant"},{"key":"10.1016\/j.jor.2025.12.025_bib29","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1007\/s00264-015-2937-x","article-title":"Stromal vascular stem cell treatment decreases muscle fibrosis following chronic rotator cuff tear","volume":"40","author":"Gumucio","year":"2016","journal-title":"Int Orthop"},{"key":"10.1016\/j.jor.2025.12.025_bib30","doi-asserted-by":"crossref","first-page":"1456","DOI":"10.1177\/0363546520908847","article-title":"Adipose stem cell-derived exosomes decrease fatty infiltration and enhance rotator cuff healing in a rabbit model of chronic tears","volume":"48","author":"Wang","year":"2020","journal-title":"Am J Sports Med"},{"issue":"13","key":"10.1016\/j.jor.2025.12.025_bib31","doi-asserted-by":"crossref","first-page":"3347","DOI":"10.1177\/0363546520964445","article-title":"Engineered cell sheets for the effective delivery of adipose-derived stem cells for tendon-to-bone healing","volume":"48","author":"Shin","year":"2020","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jor.2025.12.025_bib32","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.biomaterials.2018.10.037","article-title":"Engineered tendon-fibrocartilage-bone composite and bone marrow-derived mesenchymal stem cell sheet augmentation promotes rotator cuff healing in a non-weight-bearing canine model","volume":"192","author":"Liu","year":"2019","journal-title":"Biomaterials"},{"key":"10.1016\/j.jor.2025.12.025_bib33","doi-asserted-by":"crossref","DOI":"10.1177\/0963689720973647","article-title":"The 3D-printed PLGA scaffolds loaded with bone marrow-derived mesenchymal stem cells augment the healing of rotator cuff repair in the rabbits","volume":"29","author":"Chen","year":"2020","journal-title":"Cell Transplant"},{"key":"10.1016\/j.jor.2025.12.025_bib34","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13287-020-02005-x","article-title":"Bone marrow mesenchymal stem cell-derived exosomes promote rotator cuff tendon-bone healing by promoting angiogenesis and regulating M1 macrophages in rats","volume":"11","author":"Huang","year":"2020","journal-title":"Stem Cell Res Ther"},{"key":"10.1016\/j.jor.2025.12.025_bib35","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13018-020-01631-8","volume":"15","author":"Hurd","year":"2020","journal-title":"J Orthop Surg Res"},{"issue":"5","key":"10.1016\/j.jor.2025.12.025_bib36","doi-asserted-by":"crossref","first-page":"1344","DOI":"10.1177\/03635465221083324","article-title":"Arthroscopic rotator cuff repair augmentation with autologous microfragmented lipoaspirate tissue is safe and effectively improves short-term clinical and functional results: a prospective randomized controlled trial with 24-month follow-up","volume":"50","author":"Randelli","year":"2022","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jor.2025.12.025_bib37","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1038\/s41598-021-04656-z","article-title":"A randomized controlled trial of stem cell injection for tendon tear","volume":"12","author":"Chun","year":"2022","journal-title":"Sci Rep"},{"key":"10.1016\/j.jor.2025.12.025_bib38","first-page":"269","article-title":"A prospective multi-site registry study of a specific protocol of autologous bone marrow concentrate for the treatment of shoulder rotator cuff tears and osteoarthritis","volume":"8","author":"Centeno","year":"2015","journal-title":"J Pain Res"},{"key":"10.1016\/j.jor.2025.12.025_bib39","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1038\/s41394-019-0186-8","article-title":"Autologous, micro fragmented adipose tissue as a treatment for chronic shoulder pain in a wheelchair using individual with spinal cord injury: a case report","volume":"5","author":"Cherian","year":"2019","journal-title":"Spinal Cord Ser Cases"},{"key":"10.1016\/j.jor.2025.12.025_bib40","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.1177\/03635465231154601","article-title":"Prospective randomized trial of biologic augmentation with bone marrow aspirate concentrate in patients undergoing arthroscopic rotator cuff repair","volume":"51","author":"Cole","year":"2023","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jor.2025.12.025_bib41","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1007\/s00167-011-1607-9","article-title":"Conventional rotator cuff repair complemented by the aid of mononuclear autologous stem cells","volume":"20","author":"Ellera Gomes","year":"2012","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.jor.2025.12.025_bib42","doi-asserted-by":"crossref","first-page":"773","DOI":"10.2217\/rme-2023-0086","article-title":"Microfragmented adipose tissue in the treatment of a full-thickness supraspinatus tear: a case report","volume":"18","author":"Ferrell","year":"2023","journal-title":"Regen Med"},{"key":"10.1016\/j.jor.2025.12.025_bib43","doi-asserted-by":"crossref","first-page":"1811","DOI":"10.1007\/s00264-014-2391-1","article-title":"Biologic augmentation of rotator cuff repair with mesenchymal stem cells during arthroscopy improves healing and prevents further tears: a case-controlled study","volume":"38","author":"Hernigou","year":"2014","journal-title":"Int Orthop"},{"key":"10.1016\/j.jor.2025.12.025_bib44","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1080\/10790268.2021.1903140","article-title":"A pilot study to evaluate micro-fragmented adipose tissue injection under ultrasound guidance for the treatment of refractory rotator cuff disease in wheelchair users with spinal cord injury","volume":"44","author":"Hogaboom","year":"2021","journal-title":"J Spinal Cord Med"},{"key":"10.1016\/j.jor.2025.12.025_bib45","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1186\/s13018-020-01631-8","volume":"15","author":"Hurd","year":"2020","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.jor.2025.12.025_bib46","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.1002\/stem.2855","article-title":"Intratendinous injection of autologous adipose tissue-derived mesenchymal stem cells for the treatment of rotator cuff disease: a first-in-human trial","volume":"36","author":"Jo","year":"2018","journal-title":"Stem Cell"},{"key":"10.1016\/j.jor.2025.12.025_bib47","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1016\/j.arthro.2019.11.120","article-title":"Intratendinous injection of mesenchymal stem cells for the treatment of rotator cuff disease: a 2-Year Follow-Up study","volume":"36","author":"Jo","year":"2020","journal-title":"Arthroscopy"},{"key":"10.1016\/j.jor.2025.12.025_bib48","doi-asserted-by":"crossref","first-page":"2010","DOI":"10.1177\/0363546517702863","article-title":"Does an injection of adipose-derived mesenchymal stem cells loaded in fibrin glue influence rotator cuff repair outcomes? A clinical and magnetic resonance imaging study","volume":"45","author":"Kim","year":"2017","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.jor.2025.12.025_bib49","doi-asserted-by":"crossref","first-page":"867","DOI":"10.3727\/096368917X694705","article-title":"Effect of bone marrow aspirate concentrate-platelet-rich plasma on tendon-derived stem cells and rotator cuff tendon tear","volume":"26","author":"Kim","year":"2017","journal-title":"Cell Transplant"},{"key":"10.1016\/j.jor.2025.12.025_bib50","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13018-017-0693-x","article-title":"Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon","volume":"13","author":"Kim","year":"2018","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.jor.2025.12.025_bib51","article-title":"Microfragmented adipose tissue with adjuvant platelet-rich plasma combination therapy for partial-thickness supraspinatus tear","volume":"13","author":"Marathe","year":"2021","journal-title":"Cureus"},{"key":"10.1016\/j.jor.2025.12.025_bib52","first-page":"14","article-title":"Refractory shoulder pain with osteoarthritis, and rotator cuff tear, treated with micro-fragmented adipose tissue","volume":"2","author":"Striano","year":"2018","journal-title":"Orthop Spine Sports Med"},{"issue":"6","key":"10.1016\/j.jor.2025.12.025_bib53","doi-asserted-by":"crossref","first-page":"3139","DOI":"10.3390\/ijms25063139","article-title":"Cell-based therapies for rotator cuff injuries: an updated review of the literature","volume":"25","author":"Hooper","year":"2024","journal-title":"Int J Mol Sci"}],"container-title":["Journal of Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0972978X25005057?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0972978X25005057?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T14:08:58Z","timestamp":1789135738000},"score":1,"resource":{"primary":{"URL":"https:\/\/jortho.org\/initial-safety-outcomes-of-adipose-derived-mesenchymal-stem-cell-for-rotator-cuff-tear-a-3-year-pilot-trial\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":53,"alternative-id":["S0972978X25005057"],"URL":"https:\/\/doi.org\/10.1016\/j.jor.2025.12.025","relation":{},"ISSN":["0972-978X"],"issn-type":[{"value":"0972-978X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Initial safety outcomes of adipose-derived mesenchymal stem cell for rotator cuff tear: A 3-year pilot trial","name":"articletitle","label":"Article Title"},{"value":"Journal of Orthopaedics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jor.2025.12.025","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}