{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T17:57:03Z","timestamp":1780595823184,"version":"3.54.1"},"reference-count":57,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Medical Journal Armed Forces India"],"published-print":{"date-parts":[[2021,4]]},"DOI":"10.1016\/j.mjafi.2021.03.001","type":"journal-article","created":{"date-parts":[[2021,3,25]],"date-time":"2021-03-25T12:41:16Z","timestamp":1616676076000},"page":"129-137","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Advances in management of end stage liver disease in children"],"prefix":"10.1016","volume":"77","author":[{"given":"Aradhana","family":"Aneja","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Scott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0198-7703","authenticated-orcid":false,"given":"Rohit","family":"Kohli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.mjafi.2021.03.001_bib1","doi-asserted-by":"crossref","first-page":"392","DOI":"10.4254\/wjh.v7.i3.392","article-title":"Cirrhosis in children and adolescents: an overview","volume":"7","author":"Pinto","year":"2015","journal-title":"World J Hepatol"},{"issue":"6","key":"10.1016\/j.mjafi.2021.03.001_bib2","doi-asserted-by":"crossref","first-page":"1741","DOI":"10.1053\/j.gastro.2008.02.029","article-title":"Evaluation and management of end-stage liver disease in children","volume":"134","author":"Leonis","year":"2008","journal-title":"Gastroenterology"},{"issue":"2","key":"10.1016\/j.mjafi.2021.03.001_bib3","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.jhep.2018.03.024","article-title":"EASL Clinical Practice Guidelines for the management of patients with decompensated cirrhosis","volume":"69","year":"2018","journal-title":"J Hepatol"},{"key":"10.1016\/j.mjafi.2021.03.001_bib4","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.jpeds.2017.10.066","article-title":"Frailty in children with liver disease: a prospective multicenter study","volume":"194","author":"Lurz","year":"2018","journal-title":"J Pediatr"},{"issue":"2","key":"10.1016\/j.mjafi.2021.03.001_bib5","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1097\/00007890-200207270-00006","article-title":"Development of a pediatric end-stage liver disease score to predict poor outcome in children awaiting liver transplantation","volume":"74","author":"McDiarmid","year":"2002","journal-title":"Transplantation"},{"issue":"11","key":"10.1016\/j.mjafi.2021.03.001_bib6","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.1001\/jamapediatrics.2018.2541","article-title":"Accuracy of the pediatric end-stage liver disease score in estimating pretransplant mortality among pediatric liver transplant candidates","volume":"172","author":"Chang","year":"2018","journal-title":"JAMA Pediatr"},{"issue":"2","key":"10.1016\/j.mjafi.2021.03.001_bib7","first-page":"106","article-title":"Indications for pediatric liver transplantation","volume":"2","author":"McDiarmid","year":"1998","journal-title":"Pediatr Transplant"},{"issue":"4","key":"10.1016\/j.mjafi.2021.03.001_bib8","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1097\/MPG.0000000000002443","article-title":"Nutrition support of children with chronic liver diseases: a joint position paper of the North American society for pediatric gastroenterology, hepatology, and nutrition and the European society for pediatric gastroenterology, hepatology, and nutrition","volume":"69","author":"Mouzaki","year":"2019","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"3","key":"10.1016\/j.mjafi.2021.03.001_bib9","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/S0022-3476(05)81079-0","article-title":"Resistance to the growth-promoting and metabolic effects of growth hormone in children with chronic liver disease","volume":"117","author":"Bucuvalas","year":"1990","journal-title":"J Pediatr"},{"issue":"2","key":"10.1016\/j.mjafi.2021.03.001_bib10","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/S0923-2516(97)89893-7","article-title":"Anti-HBs responses in children vaccinated with different schedules of either plasma-derived or HBV DNA recombinant vaccine","volume":"148","author":"Da Villa","year":"1997","journal-title":"Res Virol"},{"issue":"1","key":"10.1016\/j.mjafi.2021.03.001_bib11","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/S0899-9007(97)00226-8","article-title":"Nutritional assessment in pediatrics","volume":"14","author":"Mascarenhas","year":"1998","journal-title":"Nutrition"},{"issue":"6","key":"10.1016\/j.mjafi.2021.03.001_bib12","doi-asserted-by":"crossref","first-page":"e117","DOI":"10.1097\/MPG.0000000000001746","article-title":"Body composition predicts growth in infants and toddlers with chronic liver disease","volume":"65","author":"Hurtado-L\u00f3pez","year":"2017","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"3","key":"10.1016\/j.mjafi.2021.03.001_bib13","first-page":"358","article-title":"Body composition and components of energy expenditure in children with end-stage liver disease","volume":"36","author":"Greer","year":"2003","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"10","key":"10.1016\/j.mjafi.2021.03.001_bib14","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1002\/hep4.1244","article-title":"Placebo-controlled randomized trial of an intestinal bile salt transport inhibitor for pruritus in Alagille syndrome","volume":"2","author":"Shneider","year":"2018","journal-title":"Hepatol Commun"},{"issue":"5","key":"10.1016\/j.mjafi.2021.03.001_bib15","doi-asserted-by":"crossref","first-page":"763","DOI":"10.3748\/wjg.v23.i5.763","article-title":"Current and future therapies for inherited cholestatic liver diseases","volume":"23","author":"van der Woerd","year":"2017","journal-title":"World J Gastroenterol"},{"issue":"5","key":"10.1016\/j.mjafi.2021.03.001_bib16","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1007\/s12072-020-10070-w","article-title":"Ileal bile acid transporter inhibition as an anticholestatic therapeutic target in biliary atresia and other cholestatic disorders","volume":"14","author":"Karpen","year":"2020","journal-title":"Hepatol Int"},{"issue":"5","key":"10.1016\/j.mjafi.2021.03.001_bib17","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1111\/j.1399-3046.2005.00351.x","article-title":"Immunization of pediatric solid-organ transplantation candidates: immunizations in transplant candidates","volume":"9","author":"Campbell","year":"2005","journal-title":"Pediatr Transplant"},{"issue":"3","key":"10.1016\/j.mjafi.2021.03.001_bib18","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/S0022-3468(97)90611-4","article-title":"Biliary atresia: the King's College hospital experience (1974\u20131995)","volume":"32","author":"Davenport","year":"1997","journal-title":"J Pediatr Surg"},{"issue":"12","key":"10.1016\/j.mjafi.2021.03.001_bib19","doi-asserted-by":"crossref","first-page":"1980","DOI":"10.1016\/j.jpedsurg.2006.08.022","article-title":"Pediatric gastroesophageal varices: treatment strategy and long-term results","volume":"41","author":"Mitsunaga","year":"2006","journal-title":"J Pediatr Surg"},{"issue":"4","key":"10.1016\/j.mjafi.2021.03.001_bib20","first-page":"430","article-title":"Endoscopic sclerotherapy of esophageal varices in infants and children","volume":"10","author":"Thapa","year":"1990","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"2","key":"10.1016\/j.mjafi.2021.03.001_bib21","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1136\/archdischild-2015-310022","article-title":"Portal hypertension and its management in children","volume":"103","author":"Grammatikopoulos","year":"2018","journal-title":"Arch Dis Child"},{"issue":"8","key":"10.1016\/j.mjafi.2021.03.001_bib22","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1111\/j.1399-3046.2006.00597.x","article-title":"Expert pediatric opinion on the report of the Baveno IV consensus workshop on methodology of diagnosis and therapy in portal hypertension","volume":"10","author":"Shneider","year":"2006","journal-title":"Pediatr Transplant"},{"issue":"1","key":"10.1016\/j.mjafi.2021.03.001_bib23","first-page":"41","article-title":"Octreotide therapy for control of acute gastrointestinal bleeding in children","volume":"38","author":"Eroglu","year":"2004","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"5","key":"10.1016\/j.mjafi.2021.03.001_bib24","first-page":"600","article-title":"Octreotide in pediatric patients","volume":"35","author":"Heikenen","year":"2002","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"5","key":"10.1016\/j.mjafi.2021.03.001_bib25","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1586\/17474124.2015.993610","article-title":"Advances in the management of childhood portal hypertension","volume":"9","author":"McKiernan","year":"2015","journal-title":"Expet Rev Gastroenterol Hepatol"},{"issue":"5","key":"10.1016\/j.mjafi.2021.03.001_bib26","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1111\/j.1399-3046.2012.01652.x","article-title":"Portal hypertension in children: expert pediatric opinion on the report of the Baveno v consensus workshop on methodology of diagnosis and therapy in portal hypertension","volume":"16","author":"Shneider","year":"2012","journal-title":"Pediatr Transplant"},{"issue":"7","key":"10.1016\/j.mjafi.2021.03.001_bib27","doi-asserted-by":"crossref","first-page":"1964","DOI":"10.1053\/j.gastro.2018.02.023","article-title":"New developments in managing variceal bleeding","volume":"154","author":"Ibrahim","year":"2018","journal-title":"Gastroenterology"},{"issue":"5","key":"10.1016\/j.mjafi.2021.03.001_bib28","doi-asserted-by":"crossref","first-page":"1964","DOI":"10.1002\/hep.26776","article-title":"Ascites and serum sodium are markers of increased waiting list mortality in children with chronic liver failure","volume":"59","author":"Pugliese","year":"2014","journal-title":"Hepatology"},{"issue":"5","key":"10.1016\/j.mjafi.2021.03.001_bib29","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1097\/MPG.0b013e318213f9f6","article-title":"Pathophysiology, diagnosis, and management of pediatric ascites","volume":"52","author":"Giefer","year":"2011","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"3","key":"10.1016\/j.mjafi.2021.03.001_bib30","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1097\/01.MPG.0000154659.54735.1D","article-title":"Infected and noninfected ascites in pediatric patients","volume":"40","author":"Vieira","year":"2005","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"6","key":"10.1016\/j.mjafi.2021.03.001_bib31","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1016\/S0022-3476(85)80235-3","article-title":"Spontaneous bacterial peritonitis in children with chronic liver disease: clinical features and etiologic factors","volume":"106","author":"Larcher","year":"1985","journal-title":"J Pediatr"},{"issue":"9","key":"10.1016\/j.mjafi.2021.03.001_bib32","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1007\/BF02790393","article-title":"Ascites in childhood liver disease","volume":"73","author":"Yachha","year":"2006","journal-title":"Indian J Pediatr"},{"issue":"6","key":"10.1016\/j.mjafi.2021.03.001_bib33","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1056\/NEJM199908053410603","article-title":"Effect of intravenous albumin on renal impairment and mortality in patients with cirrhosis and spontaneous bacterial peritonitis","volume":"341","author":"Sort","year":"1999","journal-title":"N Engl J Med"},{"issue":"2","key":"10.1016\/j.mjafi.2021.03.001_bib34","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1002\/hep.27210","article-title":"Hepatic encephalopathy in chronic liver disease: 2014 practice guideline by the American association for the study of liver diseases and the European association for the study of the liver","volume":"60","author":"Vilstrup","year":"2014","journal-title":"Hepatology"},{"issue":"7","key":"10.1016\/j.mjafi.2021.03.001_bib35","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1111\/j.1365-2036.2011.04590.x","article-title":"Review article: the design of clinical trials in hepatic encephalopathy--an International Society for Hepatic Encephalopathy and Nitrogen Metabolism (ISHEN) consensus statement","volume":"33","author":"Bajaj","year":"2011","journal-title":"Aliment Pharmacol Therapeut"},{"issue":"4","key":"10.1016\/j.mjafi.2021.03.001_bib36","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1002\/hep.21114","article-title":"Demonstration of interstitial cerebral edema with diffusion tensor MR imaging in type C hepatic encephalopathy","volume":"43","author":"Kale","year":"2006","journal-title":"Hepatology"},{"issue":"6","key":"10.1016\/j.mjafi.2021.03.001_bib37","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1111\/j.1572-0241.2008.01788.x","article-title":"Value of the apparent diffusion coefficient for quantification of low-grade hepatic encephalopathy","volume":"103","author":"Sugimoto","year":"2008","journal-title":"Am J Gastroenterol"},{"issue":"5","key":"10.1016\/j.mjafi.2021.03.001_bib38","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1002\/jmri.21342","article-title":"Voxel-based diffusion tensor magnetic resonance imaging evaluation of low-grade hepatic encephalopathy","volume":"27","author":"Kumar","year":"2008","journal-title":"J Magn Reson Imag : JMRI."},{"issue":"3","key":"10.1016\/j.mjafi.2021.03.001_bib39","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1016\/j.jhep.2016.10.026","article-title":"Minimal hepatic encephalopathy in children with chronic liver disease: prevalence, pathogenesis and magnetic resonance-based diagnosis","volume":"66","author":"Srivastava","year":"2017","journal-title":"J Hepatol"},{"issue":"5","key":"10.1016\/j.mjafi.2021.03.001_bib40","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1136\/adc.67.5.603","article-title":"Intensive enteral feeding in advanced cirrhosis: reversal of malnutrition without precipitation of hepatic encephalopathy","volume":"67","author":"Charlton","year":"1992","journal-title":"Arch Dis Child"},{"issue":"suppl 1","key":"10.1016\/j.mjafi.2021.03.001_bib41","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1007\/s12072-017-9812-3","article-title":"Hepatic encephalopathy: a critical current review","volume":"12","author":"Hadjihambi","year":"2018","journal-title":"Hepatol Int"},{"issue":"4","key":"10.1016\/j.mjafi.2021.03.001_bib42","first-page":"352","article-title":"The mechanism of action of lactulose in portal-systemic encephalopathy. Non-ionic diffusion of ammonia in the canine colon","volume":"16","author":"Bircher","year":"1971","journal-title":"Rev Eur Etud Clin Biol Eur J Clin Biol Res"},{"key":"10.1016\/j.mjafi.2021.03.001_bib43","doi-asserted-by":"crossref","first-page":"236963","DOI":"10.1155\/2013\/236963","article-title":"Rifaximin versus nonabsorbable disaccharides for the treatment of hepatic encephalopathy: a meta-analysis","volume":"2013","author":"Wu","year":"2013","journal-title":"Gastroenterol Res and Pract"},{"issue":"9","key":"10.1016\/j.mjafi.2021.03.001_bib44","doi-asserted-by":"crossref","first-page":"1458","DOI":"10.1038\/ajg.2013.219","article-title":"A randomized, double-blind, controlled trial comparing rifaximin plus lactulose with lactulose alone in treatment of overt hepatic encephalopathy","volume":"108","author":"Sharma","year":"2013","journal-title":"Am J Gastroenterol"},{"issue":"4","key":"10.1016\/j.mjafi.2021.03.001_bib45","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1016\/j.jhep.2019.07.002","article-title":"News in pathophysiology, definition and classification of hepatorenal syndrome: a step beyond the International Club of Ascites (ICA) consensus document","volume":"71","author":"Angeli","year":"2019","journal-title":"J Hepatol"},{"issue":"4","key":"10.1016\/j.mjafi.2021.03.001_bib46","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1016\/j.jhep.2014.12.029","article-title":"Diagnosis and management of acute kidney injury in patients with cirrhosis: revised consensus recommendations of the International Club of Ascites","volume":"62","author":"Angeli","year":"2015","journal-title":"J Hepatol"},{"issue":"1","key":"10.1016\/j.mjafi.2021.03.001_bib47","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1007\/s00467-018-3893-7","article-title":"Acute kidney injury in children with chronic liver disease","volume":"34","author":"Deep","year":"2019","journal-title":"Pediatr Nephrol"},{"issue":"10","key":"10.1016\/j.mjafi.2021.03.001_bib48","doi-asserted-by":"crossref","first-page":"1910","DOI":"10.1097\/CCM.0000000000001826","article-title":"Effect of continuous renal replacement therapy on outcome in pediatric acute liver failure","volume":"44","author":"Deep","year":"2016","journal-title":"Crit Care Med"},{"issue":"12","key":"10.1016\/j.mjafi.2021.03.001_bib49","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.3748\/wjg.v24.i12.1285","article-title":"Review article: update on current and emergent data on hepatopulmonary syndrome","volume":"24","author":"Soulaidopoulos","year":"2018","journal-title":"World J Gastroenterol"},{"key":"10.1016\/j.mjafi.2021.03.001_bib50","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.jpeds.2017.12.068","article-title":"Hepatopulmonary syndrome and portopulmonary hypertension in children: recent advances in diagnosis and management","volume":"196","author":"Lee","year":"2018","journal-title":"J Pediatr"},{"issue":"3","key":"10.1016\/j.mjafi.2021.03.001_bib51","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1097\/MPG.0000000000000821","article-title":"Portopulmonary hypertension in liver disease presenting in childhood","volume":"61","author":"Ecochard-Dugelay","year":"2015","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"1","key":"10.1016\/j.mjafi.2021.03.001_bib52","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1007\/s12072-008-9106-x","article-title":"Acute-on-chronic liver failure: consensus recommendations of the Asian Pacific Association for the study of the liver (APASL)","volume":"3","author":"Sarin","year":"2009","journal-title":"Hepatol Int"},{"issue":"1","key":"10.1016\/j.mjafi.2021.03.001_bib53","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1097\/MPG.0b013e318228d7da","article-title":"Acute on chronic liver disease in children from the developing world: recognition and prognosis","volume":"54","author":"Jagadisan","year":"2012","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"4","key":"10.1016\/j.mjafi.2021.03.001_bib54","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1097\/MPG.0000000000001179","article-title":"Pediatric acute-on-chronic liver failure in a specialized liver unit: prevalence, profile, outcome, and predictive factors","volume":"63","author":"Alam","year":"2016","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"3","key":"10.1016\/j.mjafi.2021.03.001_bib55","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1136\/gutjnl-2016-312670","article-title":"Acute-on-chronic liver failure: an update","volume":"66","author":"Hernaez","year":"2017","journal-title":"Gut"},{"issue":"5","key":"10.1016\/j.mjafi.2021.03.001_bib56","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1007\/s12072-018-9887-5","article-title":"Management of acute-on-chronic liver failure: an algorithmic approach","volume":"12","author":"Sarin","year":"2018","journal-title":"Hepatol Int"},{"issue":"5","key":"10.1016\/j.mjafi.2021.03.001_bib57","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1002\/cld.260","article-title":"Approach to pediatric hepatocellular carcinoma","volume":"2","author":"Walther","year":"2013","journal-title":"Clin Liver Dis"}],"container-title":["Medical Journal Armed Forces India"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0377123721000617?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0377123721000617?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T11:50:28Z","timestamp":1759837828000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0377123721000617"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":57,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["S0377123721000617"],"URL":"https:\/\/doi.org\/10.1016\/j.mjafi.2021.03.001","relation":{},"ISSN":["0377-1237"],"issn-type":[{"value":"0377-1237","type":"print"}],"subject":[],"published":{"date-parts":[[2021,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Advances in management of end stage liver disease in children","name":"articletitle","label":"Article Title"},{"value":"Medical Journal Armed Forces India","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.mjafi.2021.03.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Director General, Armed Forces Medical Services. Published by Elsevier, a division of RELX India Pvt. Ltd.","name":"copyright","label":"Copyright"}]}}