{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T17:50:18Z","timestamp":1792605018628,"version":"4.5.0"},"reference-count":42,"publisher":"BMJ","issue":"6660","license":[{"start":{"date-parts":[[1988,11,26]],"date-time":"1988-11-26T00:00:00Z","timestamp":596505600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ"],"published-print":{"date-parts":[[1988,11,26]]},"abstract":"<jats:p>The clinical symptoms and signs were assessed in 20 consecutive patients developing infection with the human immunodeficiency virus (HIV). All were male homosexuals and all presented with a glandular-fever-like illness. Changes in laboratory values were compared with findings in 40 HIV negative male homosexual controls. In the 10 patients for whom date of exposure to the virus could be established the incubation period was 11-28 days (median 14). One or two days after the sudden onset of fever patients developed sore throat, lymphadenopathy, rash, lethargy, coated tongue, tonsillar hypertrophy, dry cough, headache, myalgia, conjunctivitis, vomiting, night sweats, nausea, diarrhoea, and palatal enanthema. Twelve patients had painful, shallow ulcers in the mouth or on the genitals or anus or as manifested by oesophageal symptoms; these ulcers may have been the site of entry of the virus. During the first week after the onset of symptoms mild leucopenia, thrombocytopenia, and increased numbers of banded neutrophils were detected (p less than 0.0005). The mean duration of acute illness was 12.7 days (range 5-44). All patients remained healthy during a mean follow up period of 2.5 years. Heightened awareness of the typical clinical picture in patients developing primary HIV infection will alert the physician at an early stage and so aid prompt diagnosis and help contain the epidemic spread of AIDS.<\/jats:p>","DOI":"10.1136\/bmj.297.6660.1363","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T15:19:55Z","timestamp":1238685595000},"page":"1363-1368","source":"Crossref","is-referenced-by-count":90,"title":["Clinical picture of primary HIV infection presenting as a glandular-fever-like illness."],"prefix":"10.1136","volume":"297","author":[{"given":"H.","family":"Gaines","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"von Sydow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. O.","family":"Pehrson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Lundbegh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1988,11,26]]},"reference":[{"key":"ref_1","first-page":"537","article-title":"Acute AIDS retrovirus infection. Definition of a clinical illness associated with seroconversion","volume":"i:","author":"Cooper, D.A.; Gold, J.; Maclean, P.; ei al","year":"1985","unstructured":"Cooper DA, Gold J, Maclean P, ei al. Acute AIDS retrovirus infection. Definition of a clinical illness associated with seroconversion. Lancet 1985;i: 537-40.","journal-title":"Lancet"},{"key":"ref_2","first-page":"3613","article-title":"Primary LAVI\/HTLV-III infection","volume":"82","author":"Sonnerborg, A.; Gaines, H.; Julander, I.","year":"1985","unstructured":"Sonnerborg A, Gaines H, Julander I, et al. Primary LAVI\/HTLV-III infection. Lakartidningen 1985;82:3613-6.","journal-title":"Lakartidningen"},{"key":"ref_3","first-page":"151","article-title":"Sensitivity of western blotting (compared with ELISA and immunofluorescence) during seroconversion after HTLV-III infcction","volume":"1","author":"Ulstrup, J.C.; Skaug, K.; Figenschau, K.J.; ei al","year":"1986","unstructured":"Ulstrup JC, Skaug K, Figenschau KJ, ei al. Sensitivity of western blotting (compared with ELISA and immunofluorescence) during seroconversion after HTLV-III infcction. Lancet 1986;i: 1 151-2.","journal-title":"Lancet"},{"key":"ref_4","first-page":"814","article-title":"Needlestick HlI' seroconversion in a niursc","volume":"ii:","author":"Neisson-Vernant, C.; Arfi, S.; Mathez, D.","year":"1986","unstructured":"Neisson-Vernant C, Arfi S, Mathez D, et al. Needlestick HlI' seroconversion in a niursc. L,ancet 1986;ii:814."},{"key":"ref_5","first-page":"545","article-title":"Acute HTLV-III infection in a case followed from onset to seroconversion","volume":"144","author":"Biggs, B.; Newton-Johni, H.F.","year":"1986","unstructured":"Biggs B, Newton-Johni HF. Acute HTLV-III infection in a case followed from onset to seroconversion. Med 7Aust 1986;144:545-7.","journal-title":"Med 7Aust"},{"key":"ref_6","first-page":"161","article-title":"'I'he acute exanthem associated with seroconversion to human '-cell lymphotropic s-irus III in a homosexual man..7 Infect","volume":"12","author":"true","year":"1986","unstructured":"Rustin MHA, Ridley CM, Smith MD, et al. 'I'he acute exanthem associated with seroconversion to human '-cell lymphotropic s-irus III in a homosexual man..7 Infect 1986;12:161-3."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1056\/NEJM198604243141711","article-title":"Mlorse l)L. HTLV-III\/LAV seroconversion following a deep intramuscular needlestick injury","volume":"314","author":"Stricof, R.L.","year":"1986","unstructured":"Stricof RL, Mlorse l)L. HTLV-III\/LAV seroconversion following a deep intramuscular needlestick injury. Al EnglJ7 Med 1986;314: 1115.","journal-title":"Al EnglJ7 Med"},{"key":"ref_8","first-page":"284","article-title":"Akut LAk'\/HTLN-III- infektion","volume":"101","author":"Weismann, K.; Wantzin, G.L.; Orskov Lindhardt, B.","year":"1986","unstructured":"Weismann K, Wantzin GL, Orskov Lindhardt B. Akut LAk'\/HTLN-III- infektion. NordMed 1986;101:284-5."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1001\/jama.1987.03400090080038","article-title":"Diagnosis of human immunodeficiencv sirus infection in seronegative homosexuals presenting with an acute viral syndrome","volume":"258","author":"Kessler, H.A.; Blaauw, B.; Spear, J.","year":"1987","unstructured":"Kessler HA, Blaauw B, Spear J, et al. Diagnosis of human immunodeficiencv sirus infection in seronegative homosexuals presenting with an acute viral syndrome.JAMA 1987;258: 1196-9.","journal-title":"JAMA"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"13","DOI":"10.3109\/00365548709032372","article-title":"Febrile pharyngitis as the primarv sign of HIV infection in a cluster of cases Ilnked by sexual contact","volume":"19","author":"Valle, S.L.","year":"1987","unstructured":"Valle SL. Febrile pharyngitis as the primarv sign of HIV infection in a cluster of cases Ilnked by sexual contact. Scandj Infect Dis 1987;19: 13-7.","journal-title":"Scandj Infect Dis"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1182\/blood.V68.1.89.89","article-title":"Natural history of primary infection with LAv' in multitransfused patients. AIDS-Hemophilia French Studv Group","volume":"68","author":"Archibald, D.W.; Zon, L.; Groopman, J.E.","year":"1986","unstructured":"Archibald DW, Zon, L, Groopman JE, et al. Natural history of primary infection with LAv' in multitransfused patients. AIDS-Hemophilia French Studv Group. Blood 1986;68:89-94.","journal-title":"Blood"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1016\/S0140-6736(87)92985-0","article-title":"Long latency precedes overt seroconversion in sexually transmitted human immunodeficiency virus infection","volume":"ii:","author":"Ranki, A.; Valle, S.L.; Krohn, M.","year":"1987","unstructured":"Ranki A, Valle SL, Krohn M, et al. Long latency precedes overt seroconversion in sexually transmitted human immunodeficiency virus infection. Lancet 1987;ii:589-93.","journal-title":"Lancet"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1226","DOI":"10.1056\/NEJM198511073131911","article-title":"AIDS-related complex in a heterosexual man seven weeks after transfusion","volume":"313","author":"Fincher, R.M.E.; De Silva, M.; Lobel, S.","year":"1985","unstructured":"Fincher RME, De Silva M, Lobel S, et al. AIDS-related complex in a heterosexual man seven weeks after transfusion. N EnglJ_ Med 1985;313: 1226-7.","journal-title":"N EnglJ_ Med"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.1016\/S0140-6736(86)91423-6","article-title":"Lymphadenopathy syndrome and seroconversion two months after single use of needle shared with an AIDS patient","volume":"i:","author":"Vittecoq, D.; Autran, B.; Bourstyn, E.","year":"1986","unstructured":"Vittecoq D, Autran B, Bourstyn E, et al. Lymphadenopathy syndrome and seroconversion two months after single use of needle shared with an AIDS patient. Lancet 1986;i: 1280.","journal-title":"Lancet"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/S0140-6736(85)91247-4","article-title":"HTLV-III infection associated with glandular-fever-like illness in a haemophiliac","volume":"i:","author":"Tucker, J.; Ludlam, C.A.; Craig, A.","year":"1985","unstructured":"Tucker J, Ludlam CA, Craig A, et al. HTLV-III infection associated with glandular-fever-like illness in a haemophiliac. Lancet 1985;i:585.","journal-title":"Lancet"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1056\/NEJM198503073121014","article-title":"Lymphadenopathy syndrome in two thalassemic patients after LAV contamination by blood transfusion","volume":"312","author":"Boiteux, F.; Vilmer, E.; Girot, R.","year":"1985","unstructured":"Boiteux F, Vilmer E, Girot R, et al. Lymphadenopathy syndrome in two thalassemic patients after LAV contamination by blood transfusion. N Engl J Med 1985;312:648-9.","journal-title":"N Engl J Med"},{"key":"ref_17","first-page":"611","article-title":"HTLV-III seroconversion associated with heat-treated factor VIII concentrate","volume":"i:","author":"White, G.C.; Matthews, T.J.; Weinhold, K.J.","year":"1986","unstructured":"White GC, Matthews TJ, Weinhold KJ, et al. HTLV-III seroconversion associated with heat-treated factor VIII concentrate. Lancet 1986;i:611-2.","journal-title":"Lancet"},{"key":"ref_18","first-page":"803","article-title":"Seroconversion to HTLV-III in haemophiliac given heat-treated factor VIII concentrate","volume":"i:","author":"Franceschi, S.; Tirelli, U.; Vaccher, E.","year":"1986","unstructured":"Franceschi S, Tirelli U, Vaccher E, et al. Seroconversion to HTLV-III in haemophiliac given heat-treated factor VIII concentrate. Lancet 1986;i: 803-4.","journal-title":"Lancet"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"369","DOI":"10.3109\/00365548709018484","article-title":"Primary infection with HIV in a severely immunosuppressed patient with acute leukemia","volume":"19","author":"Ruutu, P.; Suni, J.; Oksanen, K.","year":"1987","unstructured":"Ruutu P, Suni J, Oksanen K, et al. Primary infection with HIV in a severely immunosuppressed patient with acute leukemia. ScandJ Infect Dis 1987;19: 369-72.","journal-title":"ScandJ Infect Dis"},{"issue":"2","key":"ref_20","first-page":"125","article-title":"Acute HIV illness following blood transfusion in three African children","volume":"1988","author":"Colebunders, R.; Greenberg, A.E.; Francis, H.","unstructured":"Colebunders R, Greenberg AE, Francis H, et al. Acute HIV illness following blood transfusion in three African children. AIDS 1988;2:125-7.","journal-title":"AIDS"},{"key":"ref_21","first-page":"1206","article-title":"Acute encephalopathy coincident with seroconversion for anti-HTLV-III","volume":"i:","author":"Came, C.A.; Tedder, R.S.; Smith, A.","year":"1985","unstructured":"Came CA, Tedder RS, Smith A, et al. Acute encephalopathy coincident with seroconversion for anti-HTLV-III. Lancet 1985;i: 1206-8.","journal-title":"Lancet"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"880","DOI":"10.7326\/0003-4819-103-6-880","article-title":"Primary human T-lymphotropic virus type III infection","volume":"103","author":"Ho, D.D.; Sarngadharan, M.G.; Resnick, L.","year":"1985","unstructured":"Ho DD, Sarngadharan MG, Resnick L, et al. Primary human T-lymphotropic virus type III infection. Ann Intern Med 1985;103:880-3.","journal-title":"Ann Intern Med"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1016\/S0140-6736(86)90956-6","article-title":"Acute neuropathy coincident with seroconversion for anti-LAV\/HTLV-III","volume":"i:","author":"Piette, A.M.; Tusseau, F.; Vignon, D.","year":"1986","unstructured":"Piette AM, Tusseau F, Vignon D, et al. Acute neuropathy coincident with seroconversion for anti-LAV\/HTLV-III. Lancet 1986;i:852.","journal-title":"Lancet"},{"key":"ref_24","first-page":"1210","article-title":"Severe illness associated with appearance of antibody to human immunodeficiency virus in an African","volume":"293","author":"Biggar, R.J.; Johnson, B.K.; Musoke, S.S.","year":"1986","unstructured":"Biggar RJ, Johnson BK, Musoke SS, et al. Severe illness associated with appearance of antibody to human immunodeficiency virus in an African. BrMedJf 1986;293:1210-1.","journal-title":"BrMedJf"},{"key":"ref_25","first-page":"591","article-title":"Guillain-Barre syndrome as an early manifestation of HIV central nervous system infection. Scand j Infect Dis","volume":"18","author":"Hagberg, L.; Malmvall, B.E.; Svennerholm, L.","year":"1986","unstructured":"Hagberg L, Malmvall BE, Svennerholm L, et al. Guillain-Barre syndrome as an early manifestation of HIV central nervous system infection. Scand j Infect Dis 1986;18:591-2."},{"key":"ref_26","first-page":"143","article-title":"Acute myelopathy associated with primary infection with human immunodeficiency virus","volume":"294","author":"Denning, D.W.; Anderson, J.; Rudge, P.","year":"1987","unstructured":"Denning DW, Anderson J, Rudge P, et al. Acute myelopathy associated with primary infection with human immunodeficiency virus. BrMedJ 1987;294: 143.","journal-title":"BrMedJ"},{"key":"ref_27","first-page":"189","article-title":"Acute infection with human immunodeficiency virus associated with facial nerve palsy and neuralgia","volume":"15","author":"Wiselka, M.J.; Nicholson, K.G.; Ward, S.C.","year":"1987","unstructured":"Wiselka MJ, Nicholson KG, Ward SC, et al. Acute infection with human immunodeficiency virus associated with facial nerve palsy and neuralgia. JIInfect 1987;15:189-90.","journal-title":"JIInfect"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1007\/BF01647221","article-title":"HIV antibody and serum interferon in a patient with encephalopathy","volume":"15","author":"Abb, J.; Zachoval, R.; Zachoval, V.","year":"1987","unstructured":"Abb J, Zachoval R, Zachoval V, et al. HIV antigen, HIV antibody and serum interferon in a patient with encephalopathy. Infection 1987;15:425-6.","journal-title":"Infection"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"849","DOI":"10.7326\/0003-4819-107-6-849","article-title":"Acute infection with the human immunodeficiency virus (HIV) associated with acute brachial neuritis and exanthematous rash","volume":"107","author":"Calabrese, L.H.; Proffitt, M.R.; Levin, K.H.","year":"1987","unstructured":"Calabrese LH, Proffitt MR, Levin KH, et al. Acute infection with the human immunodeficiency virus (HIV) associated with acute brachial neuritis and exanthematous rash. Ann Intern Med 1987;107:849-5 1.","journal-title":"Ann Intern Med"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1093\/infdis\/149.6.1030","article-title":"Acquired immune deficiency syndrome possibly related to transfusion in an adult without disease-risk factors","volume":"149","author":"Gordon, S.M.; Valentine, F.T.; Holzman, R.S.","year":"1984","unstructured":"Gordon SM, Valentine FT, Holzman RS, et al. Acquired immune deficiency syndrome possibly related to transfusion in an adult without disease-risk factors. 7 Infect Dis 1984;149:1030-2.","journal-title":"7 Infect Dis"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1126\/science.6328663","article-title":"Lymphadenopathy associated virus infection of a blood donor-recipient pair with acquired immunodeficiency syndrome","volume":"225","author":"Feorino, P.M.; Kalvanaraman, V.S.; Haserkos, H.W.","year":"1984","unstructured":"Feorino PM, Kalvanaraman VS, Haserkos HW, et al. Lymphadenopathy associated virus infection of a blood donor-recipient pair with acquired immunodeficiency syndrome. Science 1984;225:69-72.","journal-title":"Science"},{"key":"ref_32","first-page":"1236","article-title":"Persistent generalised l-mphadenopathv and acyclovir","volume":"i:","author":"Goudsmit, J.","year":"1984","unstructured":"Goudsmit J. Persistent generalised l-mphadenopathv and acyclovir. Lancet 1984;i: 1236.","journal-title":"Lancet"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.1016\/S0140-6736(87)92696-1","article-title":"response in primary human imimunodeficiency virus infection","volume":"i:","author":"Gaines, H.","year":"1987","unstructured":"Gaines H, son Sydow M, Sonnerborg A, et al. Antibody response in primary human imimunodeficiency virus infection. Lancet 1987;i:1249-53.","journal-title":"Lancet"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1097\/00002030-198802000-00002","article-title":"Detection of immunoglobulin M antibody in primarhuman immunodeficiency virus infection","volume":"2","author":"Gaines, H.; von Sydow, M.; Parry, J.V.","year":"1988","unstructured":"Gaines H, von Sydow M, Parry JV, et al. Detection of immunoglobulin M antibody in primarhuman immunodeficiency virus infection. AIDS 1988;2: 11-5.","journal-title":"AIDS"},{"key":"ref_35","first-page":"238","article-title":"Antigen detection in primary HIV infection","volume":"2","author":"von Sydow M; H, Gaines; A, Sonnerborg","year":"1988","unstructured":"von Sydow M, Gaines H, Sonnerborg A, et al. Antigen detection in primary HIV infection. BrMed_ 1988;2%:238-40.","journal-title":"BrMed_"},{"key":"ref_36","first-page":"67","article-title":"Isolation of human immunodeficiency virus -(HIV) from plasma during primary HIN'","volume":"23","author":"Albert, J.; Gaines, H.; Sonnerborg, A.","year":"1987","unstructured":"Albert J, Gaines H, Sonnerborg A, et al. Isolation of human immunodeficiency virus -(HIV) from plasma during primary HIN' infection. 7 Med V'irol 1987;23:67-73.","journal-title":"infection. 7 Med V'irol"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/00002030-198802000-00008","article-title":"Genital ulceration as a risk factor for human immunodeficiency virus infection","volume":"2","author":"Greenblatt, R.M.; Lukehart, S.A.; Plummer, F.A.","year":"1988","unstructured":"Greenblatt RM, Lukehart SA, Plummer FA, et al. Genital ulceration as a risk factor for human immunodeficiency virus infection. AIDS 1988;2:47-50.","journal-title":"AIDS"},{"key":"ref_38","first-page":"1","article-title":"Role of sexually transmitted diseases in transmitting human immunodeficiencv virus","volume":"64","author":"Kreiss, J.; Caracl, M.; Mehus, A.","year":"1988","unstructured":"Kreiss J, Caracl M, Mehus A. Role of sexually transmitted diseases in transmitting human immunodeficiencv virus. Genitourin Med 1988;64:1-2.","journal-title":"Genitourin Med"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1056\/NEJM198602133140704","article-title":"AIDS virus infection in Nairobi prostitutes: spread of the epidemic to east Africa","volume":"314","author":"Kreiss, J.K.; Koech, D.; Plummer, F.A.","year":"1986","unstructured":"Kreiss JK, Koech D, Plummer FA, et al. AIDS virus infection in Nairobi prostitutes: spread of the epidemic to east Africa. N Engl J Med 1986;314:414-8.","journal-title":"N Engl J Med"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1001\/archinte.1988.00380040185026","article-title":"Characterization of the acute clinical illness associated with human immunodeficiencv virus infection","volume":"148","author":"Tindall, B.; Barker, S.; Donovan, B.","year":"1988","unstructured":"Tindall B, Barker S, Donovan B, et al. Characterization of the acute clinical illness associated with human immunodeficiencv virus infection. Arch Intern Med 1988;148:945-9.","journal-title":"Arch Intern Med"},{"issue":"240","key":"ref_41","first-page":"55","article-title":"The clinical manifestations of infectious mononucleosis. A report of two hundred cases","volume":"1960","author":"Hoagland, R.J.","unstructured":"Hoagland RJ. The clinical manifestations of infectious mononucleosis. A report of two hundred cases. AmJ Med Sci 1960;240:55-63.","journal-title":"AmJ Med Sci"},{"issue":"1968","key":"ref_42","first-page":"848","article-title":"Studies on infectious mononucleosis: III. Clinical data, serologic and epidemiologic findings","volume":"7","author":"Joncas, J.; Chiasson, J.P.; Turcotte, J.","unstructured":"Joncas J, Chiasson JP, Turcotte J, et al. Studies on infectious mononucleosis: III. Clinical data, serologic and epidemiologic findings. Can Med Assoc 7 1968;98:848-54.","journal-title":"Can Med Assoc"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.297.6660.1363","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.297.6660.1363","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T18:49:42Z","timestamp":1765478982000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.297.6660.1363"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,11,26]]},"references-count":42,"journal-issue":{"issue":"6660","published-online":{"date-parts":[[1988,11,26]]},"published-print":{"date-parts":[[1988,11,26]]}},"alternative-id":["10.1136\/bmj.297.6660.1363"],"URL":"https:\/\/doi.org\/10.1136\/bmj.297.6660.1363","relation":{},"ISSN":["0959-8138","1468-5833"],"issn-type":[{"value":"0959-8138","type":"print"},{"value":"1468-5833","type":"electronic"}],"subject":[],"published":{"date-parts":[[1988,11,26]]}}}