{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T09:08:15Z","timestamp":1771405695674,"version":"3.50.1"},"reference-count":41,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:00:00Z","timestamp":1771027200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia, I.P"},{"DOI":"10.13039\/501100000348","name":"Calouste Gulbenkian Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000348","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Administra\u00e7\u00e3o Regional de Sa\u00fade Norte"},{"name":"FOREUM - Foundation for Research in Rheumatology"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"abstract":"<jats:p>Pain has an important impact on children\u2019s life, leading frequently to health care seeking. Using data from the Generation XXI cohort at 10 years, we aimed to characterize pain experience, health care use, and medical diagnoses according to children and parent reports. Of the 3725 children reporting pain, 26.7% had a parent-reported impact on at least one of their daily activities. An impact on daily activities was more likely in children with more frequent, more intense, multisite, and longer-lasting pain and also medication use. Among children with pain, 17.0% sought health care and 12.5% obtained a medical diagnosis as a result, more frequently boys. The most frequent diagnosis categories were musculoskeletal, gastroenterological, and psychological. Health care use was associated with higher pain frequency, duration, and use of medications. Despite the higher prevalence of pain among girls, we highlight a similar impact in both sexes. Most pediatric pain is managed without resorting to health care.<\/jats:p>","DOI":"10.1177\/00099228261418406","type":"journal-article","created":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T17:54:59Z","timestamp":1771091699000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Burden of Pediatric Pain: Triggers, Impact on Daily Life and Health Care Utilization\u2014A Cohort Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9452-968X","authenticated-orcid":false,"given":"Vanessa","family":"Gorito","sequence":"first","affiliation":[{"name":"EPIUnit\u2014Instituto de Sa\u00fade P\u00fablica, Universidade do Porto, Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR), Universidade do Porto, Porto, Portugal"},{"name":"Servi\u00e7o de Pediatria e Neonatologia do Centro Hospitalar de Tr\u00e1s-os-Montes e Alto Douro, Vila Real, Portugal"},{"name":"Departamento de Ginecologia e Obstetr\u00edcia, Faculdade de Medicina, Universidade do Porto, Porto, Portugal"}]},{"given":"Makram","family":"Talih","sequence":"additional","affiliation":[{"name":"EPIUnit\u2014Instituto de Sa\u00fade P\u00fablica, Universidade do Porto, Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR), Universidade do Porto, Porto, Portugal"}]},{"given":"Francisco","family":"Fernandes","sequence":"additional","affiliation":[{"name":"EPIUnit\u2014Instituto de Sa\u00fade P\u00fablica, Universidade do Porto, Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR), Universidade do Porto, Porto, Portugal"},{"name":"Unidade de Sa\u00fade P\u00fablica\u2014Unidade Local de Sa\u00fade Baixo Mondego, Figueira da Foz, Portugal"}]},{"given":"Nar\u00e9","family":"Navasardyan","sequence":"additional","affiliation":[{"name":"EPIUnit\u2014Instituto de Sa\u00fade P\u00fablica, Universidade do Porto, Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR), Universidade do Porto, Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0090-8612","authenticated-orcid":false,"given":"In\u00eas","family":"Azevedo","sequence":"additional","affiliation":[{"name":"EPIUnit\u2014Instituto de Sa\u00fade P\u00fablica, Universidade do Porto, Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR), Universidade do Porto, Porto, Portugal"},{"name":"Departamento de Ginecologia e Obstetr\u00edcia, Faculdade de Medicina, Universidade do Porto, Porto, Portugal"},{"name":"Servi\u00e7o de Pediatria M\u00e9dica, UAG da Mulher e Crian\u00e7a, Centro Hospitalar e Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4408-8134","authenticated-orcid":false,"given":"Raquel","family":"Lucas","sequence":"additional","affiliation":[{"name":"EPIUnit\u2014Instituto de Sa\u00fade P\u00fablica, Universidade do Porto, Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR), Universidade do Porto, Porto, Portugal"},{"name":"Instituto de Ci\u00eancias Biom\u00e9dicas Abel Salazar, Universidade do Porto, Porto, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2026,2,14]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"crossref","unstructured":"Dunn KM. Extending conceptual frameworks: life course epidemiology for the study of back pain. BMC Musculoskelet Disord. 2010;11(1):23. Accessed January 19 2026. https:\/\/bmcmusculoskeletdisord.biomedcentral.com\/articles\/10.1186\/1471-2474-11-23","DOI":"10.1186\/1471-2474-11-23"},{"key":"e_1_3_3_3_2","doi-asserted-by":"crossref","unstructured":"Reiff DD Bridges JM Rife EC et al. Majority of new patient referrals to a large pediatric rheumatology center result in non-rheumatic diagnosis. Pediatr Rheumatol. 2023;21(1):120. Accessed January 19 2026. https:\/\/ped-rheum.biomedcentral.com\/articles\/10.1186\/s12969-023-00910-y.","DOI":"10.1186\/s12969-023-00910-y"},{"key":"e_1_3_3_4_2","unstructured":"World Health Organization. Persisting pain in children package: WHO guidelines on the pharmacological treatment of persisting pain in children with medical illnesses. Conjunto de documentos sobre el dolor persistente en ni\u00f1os: directrices de la OMS sobre el tratamiento farmacol\u00f3gico del dolor persistente en ni\u00f1os con enfermedades m\u00e9dicas 2012. Accessed January 19 2026. https:\/\/apps.who.int\/iris\/handle\/10665\/44540"},{"key":"e_1_3_3_5_2","doi-asserted-by":"crossref","unstructured":"Gaskin DJ Richard P. The economic costs of pain in the United States. J Pain. 2012;13(8):715-724. Accessed January 19 2026. https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1526590012005597.","DOI":"10.1016\/j.jpain.2012.03.009"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780199235766.001.0001"},{"key":"e_1_3_3_7_2","doi-asserted-by":"crossref","unstructured":"Roth-Isigkeit A Thyen U St\u00f6ven H Schwarzenberger J Schmucker P. Pain among children and adolescents: restrictions in daily living and triggering factors. Pediatrics. 2005;115(2):e152-e162. Accessed January 19 2026. https:\/\/publications.aap.org\/pediatrics\/article\/115\/2\/e152\/67372\/Pain-Among-Children-and-Adolescents-Restriction","DOI":"10.1542\/peds.2004-0682"},{"key":"e_1_3_3_8_2","doi-asserted-by":"crossref","unstructured":"King S Chambers CT Huguet A et al. The epidemiology of chronic pain in children and adolescents revisited: a systematic review. Pain. 2011;152(12):2729-2738. Accessed January 19 2026. https:\/\/journals.lww.com\/00006396-201112000-00012.","DOI":"10.1016\/j.pain.2011.07.016"},{"key":"e_1_3_3_9_2","doi-asserted-by":"crossref","unstructured":"Linhares MBM Doca FNP Martinez FE et al. Pediatric pain: prevalence assessment and management in a teaching hospital. Braz J Med Biol Res. 2012;45(12):1287-1294. Accessed January 19 2026. http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-879X2012001200026&lng=en&tlng=en","DOI":"10.1590\/S0100-879X2012007500147"},{"key":"e_1_3_3_10_2","doi-asserted-by":"crossref","unstructured":"Huguet A Mir\u00f3 J. The severity of chronic pediatric pain: an epidemiological study. J Pain. 2008;9(3):226-236. Accessed January 19 2026. https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1526590007009030.","DOI":"10.1016\/j.jpain.2007.10.015"},{"key":"e_1_3_3_11_2","doi-asserted-by":"crossref","unstructured":"Lucas R Talih M Monjardino T Guimar\u00e3es S Barros H. Mother-reported pain experience between ages 7 and 10: a prospective study in a population-based birth cohort. Paediatr Perinat Epidemiol. 2021;35(3):359-370. Accessed January 19 2026. https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ppe.12730","DOI":"10.1111\/ppe.12730"},{"key":"e_1_3_3_12_2","doi-asserted-by":"crossref","unstructured":"Haraldstad K S\u00f8rum R Eide H Natvig GK Helseth S. Pain in children and adolescents: prevalence impact on daily life and parents\u2019 perception a school survey. Scand J Caring Sci. 2011;25(1):27-36. Accessed January 19 2026. https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1471-6712.2010.00785.x","DOI":"10.1111\/j.1471-6712.2010.00785.x"},{"key":"e_1_3_3_13_2","doi-asserted-by":"crossref","unstructured":"Gorito V Monjardino T Azevedo I Lucas R. Potentially unrecognised pain in children: population-based birth cohort study at 7 years of age. J Paediatr Child Health. 2022;58(3):474-480. Accessed January 19 2026. https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.15749","DOI":"10.1111\/jpc.15749"},{"key":"e_1_3_3_14_2","doi-asserted-by":"crossref","unstructured":"Lucas R Brand\u00e3o M Gorito V Talih M. Refining the prediction of multisite pain in 13-year-old boys and girls by using parent-reported pain experiences in the first decade of life. Eur J Pain. 2022;26(3):695-708. Accessed January 19 2026. https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ejp.1898","DOI":"10.1002\/ejp.1898"},{"key":"e_1_3_3_15_2","doi-asserted-by":"crossref","unstructured":"Fernandes F Talih M Pires C Navasardyan N Santos MJ Lucas R. Pain site persistence and changes from childhood to adolescence: a prospective cohort study. Pediatr Res. 2024;95(6):1625-1633. Accessed January 19 2026. https:\/\/www.nature.com\/articles\/s41390-024-03021-w.","DOI":"10.1038\/s41390-024-03021-w"},{"key":"e_1_3_3_16_2","doi-asserted-by":"crossref","unstructured":"Mathews L. Pain in children: neglected unaddressed and mismanaged. Indian J Palliat Care. 2011;17:S70-S73. https:\/\/jpalliativecare.com\/pain-in-children-neglected-unaddressed-and-mismanaged\/","DOI":"10.4103\/0973-1075.76247"},{"key":"e_1_3_3_17_2","doi-asserted-by":"crossref","unstructured":"Brattberg G. Do pain problems in young school children persist into early adulthood? A 13-year follow-up. Eur J Pain. 2004;8(3):187-199. Accessed January 19 2026. https:\/\/onlinelibrary.wiley.com\/doi\/10.1016\/j.ejpain.2003.08.001","DOI":"10.1016\/j.ejpain.2003.08.001"},{"key":"e_1_3_3_18_2","doi-asserted-by":"crossref","unstructured":"Hestbaek L Leboeuf-Yde C Kyvik KO Manniche C. The course of low back pain from adolescence to adulthood: eight-year follow-up of 9600 twins. Spine. 2006;31(4):468-472. Accessed January 19 2026. http:\/\/journals.lww.com\/00007632-200602150-00017.","DOI":"10.1097\/01.brs.0000199958.04073.d9"},{"key":"e_1_3_3_19_2","doi-asserted-by":"crossref","unstructured":"Jones GT Silman AJ Power C Macfarlane GJ. Are common symptoms in childhood associated with chronic widespread body pain in adulthood? Results from the 1958 British Birth Cohort Study. Arthritis Rheum. 2007;56(5):1669-1675. Accessed January 19 2026. https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/art.22587","DOI":"10.1002\/art.22587"},{"key":"e_1_3_3_20_2","doi-asserted-by":"crossref","unstructured":"Sherry DD Sonagra M Gmuca S. The spectrum of pediatric amplified musculoskeletal pain syndrome. Pediatr Rheumatol. 2020;18(1):77. Accessed January 19 2026. https:\/\/ped-rheum.biomedcentral.com\/articles\/10.1186\/s12969-020-00473-2","DOI":"10.1186\/s12969-020-00473-2"},{"key":"e_1_3_3_21_2","doi-asserted-by":"crossref","unstructured":"Stinson JN Kavanagh T Yamada J Gill N Stevens B. Systematic review of the psychometric properties interpretability and feasibility of self-report pain intensity measures for use in clinical trials in children and adolescents. Pain. 2006;125(1-2):143-157. Accessed January 19 2026. https:\/\/journals.lww.com\/00006396-200611000-00018","DOI":"10.1016\/j.pain.2006.05.006"},{"key":"e_1_3_3_22_2","doi-asserted-by":"crossref","unstructured":"Viner R Christie D. Fatigue and somatic symptoms. BMJ. 2005;330(7498):1012-1015. Accessed January 19 2026. https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.330.7498.1012","DOI":"10.1136\/bmj.330.7498.1012"},{"key":"e_1_3_3_23_2","doi-asserted-by":"crossref","unstructured":"Kamper SJ Henschke N Hestbaek L Dunn KM Williams CM. Musculoskeletal pain in children and adolescents. Braz J Phys Ther. 2016;20(3):275-284. Accessed January 19 2026. http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S141335552016000300275&lng=en&nrm=iso&tlng=en","DOI":"10.1590\/bjpt-rbf.2014.0149"},{"key":"e_1_3_3_24_2","doi-asserted-by":"crossref","unstructured":"Blyth FM March LM Brnabic AJ Cousins MJ. Chronic pain and frequent use of health care. Pain. 2004;111(1-2):51-58. Accessed January 19 2026. https:\/\/journals.lww.com\/00006396-200409000-00008","DOI":"10.1016\/j.pain.2004.05.020"},{"key":"e_1_3_3_25_2","doi-asserted-by":"crossref","unstructured":"Campo JV Comer DM Jansen-Mcwilliams L Gardner W Kelleher KJ. Recurrent pain emotional distress and health service use in childhood. J Pediatr. 2002;141(1):76-83. Accessed January 19 2026. https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022347602000422","DOI":"10.1067\/mpd.2002.125491"},{"key":"e_1_3_3_26_2","doi-asserted-by":"crossref","unstructured":"Alves E Correia S Barros H Azevedo A. Prevalence of self-reported cardiovascular risk factors in Portuguese women: a survey after delivery. Int J Public Health. 2012;57(5):837-847. Accessed January 19 2026. http:\/\/link.springer.com\/10.1007\/s00038-012-0340-6","DOI":"10.1007\/s00038-012-0340-6"},{"key":"e_1_3_3_27_2","doi-asserted-by":"crossref","unstructured":"Larsen PS Kamper-J\u00f8rgensen M Adamson A et al. Pregnancy and birth cohort resources in Europe: a large opportunity for aetiological child health research. Paediatr Perinat Epidemiol. 2013;27(4):393-414. Accessed January 19 2026. https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ppe.12060","DOI":"10.1111\/ppe.12060"},{"key":"e_1_3_3_28_2","doi-asserted-by":"crossref","unstructured":"Sperotto F Brachi S Vittadello F Zulian F. Musculoskeletal pain in schoolchildren across puberty: a 3-year follow-up study. Pediatr Rheumatol. 2015;13(1):16. Accessed January 19 2026. https:\/\/ped-rheum.biomedcentral.com\/articles\/10.1186\/s12969-015-0014-z.","DOI":"10.1186\/s12969-015-0014-z"},{"key":"e_1_3_3_29_2","doi-asserted-by":"crossref","unstructured":"Hunfeld JA Perquin CW Hazebroek-Kampschreur AA Passchier J van Suijlekom-Smit LW van der Wouden JC. Physically unexplained chronic pain and its impact on children and their families: the mother\u2019s perception. Psychol Psychother. 2002;75(Pt. 3):251-260. Accessed January 19 2026. https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/10.1348\/147608302320365172","DOI":"10.1348\/147608302320365172"},{"key":"e_1_3_3_30_2","doi-asserted-by":"crossref","unstructured":"Tian F Guittar P Moore-Clingenpeel M et al. Healthcare use patterns and economic burden of chronic musculoskeletal pain in children before diagnosis. J Pediat. 2018;197:172-176. Accessed January 19 2026. https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022347618301689.","DOI":"10.1016\/j.jpeds.2018.01.076"},{"key":"e_1_3_3_31_2","doi-asserted-by":"crossref","unstructured":"De Inocencio J. Epidemiology of musculoskeletal pain in primary care. Arch Dis Child. 2004;89(5):431-434. Accessed January 19 2026. https:\/\/adc.bmj.com\/lookup\/doi\/10.1136\/adc.2003.028860","DOI":"10.1136\/adc.2003.028860"},{"issue":"4","key":"e_1_3_3_32_2","first-page":"511","article-title":"Pain and pain management in children and adolescents","volume":"9","author":"Andersson HI","year":"2022","unstructured":"Andersson HI, Ejlertsson G, Leden I. Pain and pain management in children and adolescents. Children. 2022;9(4):511.","journal-title":"Children"},{"issue":"4","key":"e_1_3_3_33_2","first-page":"629","article-title":"Parents\u2019 experiences with pediatric chronic pain: a qualitative study","volume":"23","author":"Le A","year":"2019","unstructured":"Le A, Logan DE, Simons LE. Parents\u2019 experiences with pediatric chronic pain: a qualitative study. J Child Health. 2019;23(4):629-641.","journal-title":"J Child Health"},{"key":"e_1_3_3_34_2","first-page":"1","article-title":"Factors that influence parental decision-making as it relates to acute pain management for children","volume":"2023","author":"Bharadia A","year":"2023","unstructured":"Bharadia A, Wilson N, D\u2019Souza S, et al. Factors that influence parental decision-making as it relates to acute pain management for children. Pain Res Manag. 2023;2023:1-9.","journal-title":"Pain Res Manag"},{"key":"e_1_3_3_35_2","unstructured":"WHO. Musculoskeletal conditions. World Health Organization; 2019. Accessed January 19 2026. https:\/\/www.who.int\/news-room\/factsheets\/detail\/musculoskeletal-conditions"},{"key":"e_1_3_3_36_2","doi-asserted-by":"crossref","unstructured":"Clinch J Eccleston C. Chronic musculoskeletal pain in children: assessment and management. Rheumatology. 2008;48(5):466-474. Accessed January 19 2026. https:\/\/academic.oup.com\/rheumatology\/article-lookup\/doi\/10.1093\/rheumatology\/kep001","DOI":"10.1093\/rheumatology\/kep001"},{"key":"e_1_3_3_37_2","doi-asserted-by":"crossref","unstructured":"Bartley EJ Fillingim RB. Sex differences in pain: a brief review of clinical and experimental findings. Br J Anaesth. 2013;111(1):52-58. Accessed January 19 2026. https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0007091217329665.","DOI":"10.1093\/bja\/aet127"},{"key":"e_1_3_3_38_2","doi-asserted-by":"crossref","unstructured":"Holley AL Wilson AC Palermo TM. Predictors of the transition from acute to persistent musculoskeletal pain in children and adolescents: a prospective study. Pain. 2017;158(5):794-801. Accessed January 19 2026. https:\/\/journals.lww.com\/00006396-201705000-00006","DOI":"10.1097\/j.pain.0000000000000817"},{"key":"e_1_3_3_39_2","doi-asserted-by":"crossref","unstructured":"Petersen S Brulin C Bergstr\u00f6m E. Recurrent pain symptoms in young schoolchildren are often multiple. Pain. 2006;121(1-2):145-150. Accessed January 19 2026. https:\/\/journals.lww.com\/00006396-200603000-00017","DOI":"10.1016\/j.pain.2005.12.017"},{"key":"e_1_3_3_40_2","doi-asserted-by":"crossref","unstructured":"Auvinen J Eskola PJ Ohtonen HR et al. Long-term adolescent multi-site musculoskeletal pain is associated with psychological distress and anxiety. J Psychosom Res. 2017;93:28-32. Accessed January 19 2026. https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S002239991630575X","DOI":"10.1016\/j.jpsychores.2016.12.006"},{"key":"e_1_3_3_41_2","doi-asserted-by":"crossref","unstructured":"Gorito V Brand\u00e3o M Azevedo I Moreira A Lucas R. Atopic dermatitis in early life and pain at 10 years of age: an exploratory study. Eur J Pediatr. 2024;183(5):2239-2249. Accessed January 19 2026. https:\/\/link.springer.com\/10.1007\/s00431-024-05439-0","DOI":"10.1007\/s00431-024-05439-0"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1093\/bjaed\/mkw010"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228261418406","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00099228261418406","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228261418406","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T08:20:13Z","timestamp":1771402813000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00099228261418406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,14]]},"references-count":41,"alternative-id":["10.1177\/00099228261418406"],"URL":"https:\/\/doi.org\/10.1177\/00099228261418406","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,14]]},"article-number":"00099228261418406"}}