{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T18:15:36Z","timestamp":1791224136094,"version":"4.1.0"},"reference-count":29,"publisher":"National Athletic Trainers' Association","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,11]]},"abstract":"\n Context:\u2003<\/jats:bold>\n Specific movement patterns have been identified as possible risk factors for noncontact lower extremity injuries. The Dynamic Integrated Movement Enhancement (DIME) was developed to modify these movement patterns to decrease injury risk.\n <\/jats:p>\n \n Objective:\u2003<\/jats:bold>\n To determine if the DIME is effective for preventing lower extremity injuries in US Military Academy (USMA) cadets.\n <\/jats:p>\n \n Design:\u2003<\/jats:bold>\n Cluster-randomized controlled trial.\n <\/jats:p>\n \n Setting:\u2003<\/jats:bold>\n Cadet Basic Training at USMA.\n <\/jats:p>\n \n Patients or Other Participants:\u2003<\/jats:bold>\n Participants were 1313 cadets (1070 men, 243 women).\n <\/jats:p>\n \n Intervention(s):\u2003<\/jats:bold>\n Participants were cluster randomized to 3 groups. The active warm-up (AWU) group performed standard Army warm-up exercises. The DIME groups were assigned to a DIME cadre-supervised (DCS) group or a DIME expert-supervised (DES) group; the former consisted of cadet supervision and the latter combined cadet and health professional supervision. Groups performed exercises 3 times weekly for 6 weeks.\n <\/jats:p>\n \n Main Outcome Measure(s):\u2003<\/jats:bold>\n Cumulative risk of lower extremity injury was the primary outcome. We gathered data during Cadet Basic Training and for 9 months during the subsequent academic year. Risk ratios and 95% confidence intervals (CIs) were calculated to compare groups.\n <\/jats:p>\n \n Results:\u2003<\/jats:bold>\n No differences were seen between the AWU and the combined DIME (DCS and DES) groups during Cadet Basic Training or the academic year. During the academic year, lower extremity injury risk in the DES group decreased 41% (relative risk [RR] = 0.59; 95% CI = 0.38, 0.93;\n P<\/jats:italic>\n = .02) compared with the DCS group; a nonsignificant 25% (RR = 0.75; 95% CI = 0.49, 1.14;\n P<\/jats:italic>\n = .18) decrease occurred in the DES group compared with the AWU group. Finally, there was a nonsignificant 27% (RR = 1.27; 95% CI = 0.90, 1.78;\n P<\/jats:italic>\n = .17) increase in injury risk during the academic year in the DCS group compared with the AWU group.\n <\/jats:p>\n \n Conclusions:\u2003<\/jats:bold>\n We observed no differences in lower extremity injury risk between the AWU and combined DIME groups. However, the magnitude and direction of the risk ratios in the DES group compared with the AWU group\n ,<\/jats:bold>\n although not statistically significant, indicate that professional supervision may be a factor in the success of injury-prevention programs.\n <\/jats:p>","DOI":"10.4085\/1062-6050-49.5.22","type":"journal-article","created":{"date-parts":[[2014,8,12]],"date-time":"2014-08-12T13:13:59Z","timestamp":1407849239000},"page":"905-918","source":"Crossref","is-referenced-by-count":22,"title":["Risk of Lower Extremity Injury in a Military Cadet Population After a Supervised Injury-Prevention Program"],"prefix":"10.4085","volume":"51","author":[{"given":"Scott D.","family":"Carow","sequence":"first","affiliation":[{"name":"William Beaumont Army Medical Center, El Paso, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric M.","family":"Haniuk","sequence":"additional","affiliation":[{"name":"John A. Feagin Sports Medicine Fellowship, Keller Army Community Hospital, West Point, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth L.","family":"Cameron","sequence":"additional","affiliation":[{"name":"John A. Feagin Sports Medicine Fellowship, Keller Army Community Hospital, West Point, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darin A.","family":"Padua","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen W.","family":"Marshall","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay J.","family":"DiStefano","sequence":"additional","affiliation":[{"name":"University of Connecticut, Storrs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah J.","family":"de la Motte","sequence":"additional","affiliation":[{"name":"Uniformed Services University of the Health Sciences, Bethesda, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony I.","family":"Beutler","sequence":"additional","affiliation":[{"name":"Uniformed Services University of the Health Sciences, Bethesda, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Gerber","sequence":"additional","affiliation":[{"name":"Womack Army Medical Center, Fort Bragg, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"issue":"1 suppl","key":"i1062-6050-51-11-905-b01","series-title":"Am J Prev Med","first-page":"S1","article-title":"An evidence-based public health approach to injury priorities and prevention","volume":"38","author":"Jones \n BH,","year":"2010","unstructured":"Jones \n BH, \n \n \n Canham-Chervak \n M, \n \n \n Sleet \n DA. \n \n \n An evidence-based public health approach to injury priorities and prevention. Am J Prev Med. 2010;38(1 suppl):S1\u2013S10."},{"issue":"6","key":"i1062-6050-51-11-905-b02","series-title":"Curr Sports Med Rep","first-page":"348","article-title":"Injury prevention in youth sports","volume":"7","author":"Veigel \n JD,","year":"2008","unstructured":"Veigel \n JD, \n \n \n Pleacher \n MD. \n \n \n Injury prevention in youth sports. Curr Sports Med Rep. 2008;7(6):348\u2013352."},{"issue":"1","key":"i1062-6050-51-11-905-b03","series-title":"Sports Med","first-page":"59","article-title":"Combining epidemiology and biomechanics in sports injury prevention research: a new approach for selecting suitable controls","volume":"41","author":"Finch \n CF,","year":"2011","unstructured":"Finch \n CF, \n \n \n Ullah \n S, \n \n \n McIntosh \n AS. \n \n \n Combining epidemiology and biomechanics in sports injury prevention research: a new approach for selecting suitable controls. Sports Med. 2011;41(1):59\u201372."},{"issue":"suppl 1","key":"i1062-6050-51-11-905-b04","series-title":"Am J Prev Med","first-page":"S156","article-title":"Prevention of physical training-related injuries: recommendations for the military and other active populations based on expedited systematic reviews","volume":"38","author":"Bullock \n SH,","year":"2010","unstructured":"Bullock \n SH, \n \n \n Jones \n BH, \n \n \n Gilchrist \n J, \n \n \n Marshall \n SW. \n \n \n Prevention of physical training-related injuries: recommendations for the military and other active populations based on expedited systematic reviews. Am J Prev Med. 2010;38(suppl 1):S156\u2013S181."},{"issue":"1","key":"i1062-6050-51-11-905-b05","series-title":"Orthopedics","first-page":"36","article-title":"ACL prevention programs: fact or fiction?","volume":"33","author":"Hewett \n TE,","year":"2010","unstructured":"Hewett \n TE, \n \n \n Johnson \n DL. \n \n \n ACL prevention programs: fact or fiction?\n Orthopedics. 2010;33(1):36\u201339."},{"issue":"2","key":"i1062-6050-51-11-905-b06","series-title":"Clin J Sport Med","first-page":"71","article-title":"Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons","volume":"13","author":"Myklebust \n G,","year":"2003","unstructured":"Myklebust \n G, \n \n \n Engebretsen \n L, \n \n \n Braekken \n IH, \n \n \n Skjolberg \n A, \n \n \n Olsen \n OE, \n \n \n Bahr \n R. \n \n \n Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sport Med. 2003;13(2):71\u201378."},{"issue":"1","key":"i1062-6050-51-11-905-b07","series-title":"Arch Intern Med","first-page":"43","article-title":"Prevention of soccer-related knee injuries in teenaged girls","volume":"170","author":"Kiani \n A,","year":"2009","unstructured":"Kiani \n A, \n \n \n Hellquist \n E, \n \n \n Ahlqvist \n K, \n \n \n Gedeborg \n R, \n \n \n Michaelsson \n K, \n \n \n Byberg \n L. \n \n \n Prevention of soccer-related knee injuries in teenaged girls. Arch Intern Med. 2009;170(1):43\u201349."},{"issue":"6","key":"i1062-6050-51-11-905-b08","series-title":"Am J Sports Med","first-page":"699","article-title":"The effect of neuromuscular training on the incidence of knee injury in female athletes; a prospective study","volume":"27","author":"Hewett \n TE,","year":"1999","unstructured":"Hewett \n TE, \n \n \n Lindenfeld \n TN, \n \n \n Riccobene \n JV, \n \n \n Noyes \n FR. \n \n \n The effect of neuromuscular training on the incidence of knee injury in female athletes; a prospective study. Am J Sports Med. 1999;27(6):699\u2013706."},{"issue":"8","key":"i1062-6050-51-11-905-b09","series-title":"Am J Sports Med","first-page":"1476","article-title":"A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players","volume":"36","author":"Gilchrist \n J,","year":"2008","unstructured":"Gilchrist \n J, \n \n \n Mandelbaum \n BR, \n \n \n Melancon \n H, \n \n \n Ryan \n GW, \n \n \n Silvers \n HJ, \n \n \n Griffin \n LY. \n \n \n A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players. Am J Sports Med. 2008;36(8):1476\u20131483."},{"issue":"4","key":"i1062-6050-51-11-905-b10","series-title":"N Am J Sports Phys Ther","first-page":"234","article-title":"Understanding and preventing ACL injuries: current biomechanical and epidemiologic considerations\u2014update 2010","volume":"5","author":"Hewett \n TE,","year":"2010","unstructured":"Hewett \n TE, \n \n \n Ford \n KR, \n \n \n Hoogenboom \n BJ, \n \n \n Myer \n GD. \n \n \n Understanding and preventing ACL injuries: current biomechanical and epidemiologic considerations\u2014update 2010. N Am J Sports Phys Ther. 2010;5(4):234\u2013251."},{"issue":"5","key":"i1062-6050-51-11-905-b11","series-title":"Knee Surg Sports Traumatol Arthrosc","first-page":"313","article-title":"Risk factors for leg injuries in female soccer players: a prospective investigation during one out-door season","volume":"9","author":"Soderman \n K,","year":"2001","unstructured":"Soderman \n K, \n \n \n Alfredson \n H, \n \n \n Pietila \n T, \n \n \n Werner \n S. \n \n \n Risk factors for leg injuries in female soccer players: a prospective investigation during one out-door season. Knee Surg Sports Traumatol Arthrosc. 2001;9(5):313\u2013321."},{"issue":"1","key":"i1062-6050-51-11-905-b12","series-title":"Arch Intern Med","first-page":"43","article-title":"Prevention of soccer-related knee injuries in teenaged girls","volume":"170","author":"Kiani \n A,","year":"2010","unstructured":"Kiani \n A, \n \n \n Hellquist \n E, \n \n \n Ahlqvist \n K, \n \n \n Gedeborg \n R, \n \n \n Michaelsson \n K, \n \n \n Byberg \n L. \n \n \n Prevention of soccer-related knee injuries in teenaged girls. Arch Intern Med. 2010;170(1):43\u201349."},{"issue":"7","key":"i1062-6050-51-11-905-b13","series-title":"Am J Sports Med","first-page":"1003","article-title":"Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up","volume":"33","author":"Mandelbaum \n BR,","year":"2005","unstructured":"Mandelbaum \n BR, \n \n \n Silvers \n HJ, \n \n \n Watanabe \n DS, \n \n \n Knarr \n JF, \n \n \n Thomas \n SD, \n \n \n Griffin \n LY. \n \n \n Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. Am J Sports Med. 2005;33(7):1003\u20131010."},{"issue":"5","key":"i1062-6050-51-11-905-b14","series-title":"Am J Sports Med","first-page":"659","article-title":"Avoidance of soccer injuries with preseason conditioning","volume":"28","author":"Heidt \n RS\n Jr,","year":"2000","unstructured":"Heidt \n RS\n Jr, \n \n \n Sweeterman \n LM, \n \n \n Carlonas \n RL, \n \n \n Traub \n JA, \n \n \n Tekulve \n FX. \n \n \n Avoidance of soccer injuries with preseason conditioning. Am J Sports Med. 2000;28(5):659\u2013662."},{"issue":"8","key":"i1062-6050-51-11-905-b15","series-title":"J Bone Joint Surg Am","first-page":"1769","article-title":"Lack of effect of a knee ligament injury prevention program on the incidence of non-contact anterior cruciate ligament injury","volume":"88","author":"Pfeiffer \n RP,","year":"2006","unstructured":"Pfeiffer \n RP, \n \n \n Shea \n KG, \n \n \n Roberts \n D, \n \n \n Grandstrand \n S, \n \n \n Bond \n L. \n \n \n Lack of effect of a knee ligament injury prevention program on the incidence of non-contact anterior cruciate ligament injury. J Bone Joint Surg Am. 2006;88(8):1769\u20131774."},{"issue":"5","key":"i1062-6050-51-11-905-b16","series-title":"Scand J Med Sci Sports","first-page":"605","article-title":"Preventing injuries in female youth football\u2014a cluster-randomized controlled trial","volume":"18","author":"Steffen \n K,","year":"2008","unstructured":"Steffen \n K, \n \n \n Myklebust \n G, \n \n \n Olsen \n OE, \n \n \n Holme \n I, \n \n \n Bahr \n R. \n \n \n Preventing injuries in female youth football\u2014a cluster-randomized controlled trial. Scand J Med Sci Sports. 2008;18(5):605\u2013614."},{"issue":"6","key":"i1062-6050-51-11-905-b17","series-title":"Am J Sports Med","first-page":"1052","article-title":"Prevention of injuries among male soccer players: a prospective, randomized intervention study targeting players with previous injuries or reduced function","volume":"36","author":"Engebretsen \n AH,","year":"2008","unstructured":"Engebretsen \n AH, \n \n \n Myklebust \n G, \n \n \n Holme \n I, \n \n \n Engebretsen \n L, \n \n \n Bahr \n R. \n \n \n Prevention of injuries among male soccer players: a prospective, randomized intervention study targeting players with previous injuries or reduced function. Am J Sports Med. 2008;36(6):1052\u20131060."},{"issue":"11","key":"i1062-6050-51-11-905-b18","series-title":"Am J Sports Med","first-page":"2108","article-title":"A prospective investigation of biomechanical risk factors for patellofemoral pain syndrome: the Joint Undertaking to Monitor and Prevent ACL Injury (JUMP-ACL) cohort","volume":"37","author":"Boling \n MC,","year":"2009","unstructured":"Boling \n MC, \n \n \n Padua \n DA, \n \n \n Marshall \n SW, \n \n \n Guskiewicz \n K, \n \n \n Pyne \n S, \n \n \n Beutler \n A. \n \n \n A prospective investigation of biomechanical risk factors for patellofemoral pain syndrome: the Joint Undertaking to Monitor and Prevent ACL Injury (JUMP-ACL) cohort. Am J Sports Med. 2009;37(11):2108\u20132116."},{"issue":"4","key":"i1062-6050-51-11-905-b19","series-title":"Am J Sports Med","first-page":"663","article-title":"Prevention of overuse injuries by a concurrent exercise program in subjects exposed to an increase in training load: a randomized controlled trial of 1020 Army recruits","volume":"36","author":"Brushoj \n C,","year":"2008","unstructured":"Brushoj \n C, \n \n \n Larsen \n K, \n \n \n Albrecht-Beste \n E, \n \n \n Nielsen \n MB, \n \n \n Loye \n F, \n \n \n Holmich \n P. \n \n \n Prevention of overuse injuries by a concurrent exercise program in subjects exposed to an increase in training load: a randomized controlled trial of 1020 Army recruits. Am J Sports Med. 2008;36(4):663\u2013670."},{"key":"i1062-6050-51-11-905-b20","series-title":"TC 3\u201322.20: Army Physical Readiness Training","volume":"432","year":"2010","unstructured":"TC 3\u201322.20: Army Physical Readiness Training. Fort Jackson, SC: Headquarters, Department of the Army; 2010:432."},{"issue":"2","key":"i1062-6050-51-11-905-b21","series-title":"J Athl Train","first-page":"207","article-title":"Issues in estimating risks and rates in sports injury research","volume":"41","author":"Knowles \n SB,","year":"2006","unstructured":"Knowles \n SB, \n \n \n Marshall \n SW, \n \n \n Guskiewicz \n KM. \n \n \n Issues in estimating risks and rates in sports injury research. J Athl Train. 2006;41(2):207\u2013215."},{"issue":"10","key":"i1062-6050-51-11-905-b22","series-title":"Am J Sports Med","first-page":"1635","article-title":"Gender differences in anterior cruciate ligament injury vary with activity: epidemiology of anterior cruciate ligament injuries in a young, athletic population","volume":"35","author":"Mountcastle \n SB,","year":"2007","unstructured":"Mountcastle \n SB, \n \n \n Posner \n M, \n \n \n Kragh \n JF\n Jr, \n \n \n Taylor \n DC. \n \n \n Gender differences in anterior cruciate ligament injury vary with activity: epidemiology of anterior cruciate ligament injuries in a young, athletic population. Am J Sports Med. 2007;35(10):1635\u20131642."},{"issue":"4","key":"i1062-6050-51-11-905-b23","series-title":"Am J Sports Med","first-page":"797","article-title":"Epidemiology of ankle sprain at the United States Military Academy","volume":"38","author":"Waterman \n BR,","year":"2010","unstructured":"Waterman \n BR, \n \n \n Belmont \n PJ\n Jr, \n \n \n Cameron \n KL, \n \n \n Deberardino \n TM, \n \n \n Owens \n BD. \n \n \n Epidemiology of ankle sprain at the United States Military Academy. Am J Sports Med. 2010;38(4):797\u2013803."},{"issue":"5","key":"i1062-6050-51-11-905-b24","series-title":"Am J Sports Med","first-page":"992","article-title":"Risk factors for syndesmotic and medial ankle sprain: role of sex, sport, and level of competition","volume":"39","author":"Waterman \n BR,","year":"2011","unstructured":"Waterman \n BR, \n \n \n Belmont \n PJ\n Jr, \n \n \n Cameron \n KL, \n \n \n Svoboda \n SJ, \n \n \n Alitz \n CJ, \n \n \n Owens \n BD. \n \n \n Risk factors for syndesmotic and medial ankle sprain: role of sex, sport, and level of competition. Am J Sports Med. 2011;39(5):992\u2013998."},{"issue":"3","key":"i1062-6050-51-11-905-b25","series-title":"Am J Sports Med","first-page":"490","article-title":"Anterior cruciate ligament injuries in female athletes: part 2, a meta-analysis of neuromuscular interventions aimed at injury prevention","volume":"34","author":"Hewett \n TE,","year":"2006","unstructured":"Hewett \n TE, \n \n \n Ford \n KR, \n \n \n Myer \n GD. \n \n \n Anterior cruciate ligament injuries in female athletes: part 2, a meta-analysis of neuromuscular interventions aimed at injury prevention. Am J Sports Med. 2006;34(3):490\u2013498."},{"issue":"suppl 2","key":"i1062-6050-51-11-905-b26","series-title":"J Athl Train","first-page":"S27","article-title":"The influence of an ACL injury training program on knee mechanics during a side-step cutting maneuver","volume":"39","author":"Powers \n C,","year":"2004","unstructured":"Powers \n C, \n \n \n Sigward \n SM, \n \n \n Ota \n S, \n \n \n Pelley \n K. \n \n \n The influence of an ACL injury training program on knee mechanics during a side-step cutting maneuver. J Athl Train. 2004;39(suppl 2):S27."},{"issue":"10","key":"i1062-6050-51-11-905-b27","series-title":"Am J Sports Med","first-page":"1996","article-title":"The Landing Error Scoring System (LESS) is a valid and reliable clinical assessment tool of jump-landing biomechanics: the JUMP-ACL study","volume":"37","author":"Padua \n DA,","year":"2009","unstructured":"Padua \n DA, \n \n \n Marshall \n SW, \n \n \n Boling \n MC, \n \n \n Thigpen \n CA, \n \n \n Garrett \n WE\n Jr, \n \n \n Beutler \n AI. \n \n \n The Landing Error Scoring System (LESS) is a valid and reliable clinical assessment tool of jump-landing biomechanics: the JUMP-ACL study. Am J Sports Med. 2009;37(10):1996\u20132002."},{"issue":"4","key":"i1062-6050-51-11-905-b28","series-title":"J Sports Sci Med","first-page":"663","article-title":"Muscle strength and qualitative jump-landing differences in male and female military cadets: the JUMP-ACL Study","volume":"8","author":"Beutler \n A,","year":"2009","unstructured":"Beutler \n A, \n \n \n de la Motte \n S, \n \n \n Marshall \n S, \n \n \n Padua \n D, \n \n \n Boden \n B. \n \n \n Muscle strength and qualitative jump-landing differences in male and female military cadets: the JUMP-ACL Study. J Sports Sci Med. 2009;8(4):663\u2013671."},{"issue":"14","key":"i1062-6050-51-11-905-b29","series-title":"Br J Sports Med","first-page":"979","article-title":"Evaluation of the effectiveness of neuromuscular training to reduce anterior cruciate ligament injury in female athletes: a critical review of relative risk reduction and numbers-needed-to-treat analyses","volume":"46","author":"Sugimoto \n D,","year":"2012","unstructured":"Sugimoto \n D, \n \n \n Myer \n GD, \n \n \n McKeon \n JM, \n \n \n Hewett \n TE. \n \n \n Evaluation of the effectiveness of neuromuscular training to reduce anterior cruciate ligament injury in female athletes: a critical review of relative risk reduction and numbers-needed-to-treat analyses. Br J Sports Med. 2012;46(14):979\u2013988."}],"container-title":["Journal of Athletic Training"],"original-title":[],"link":[{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/51\/11\/article-p905.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/51\/11\/905\/1458059\/1062-6050-49_5_22.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/51\/11\/article-p905.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/51\/11\/article-p905.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T20:45:09Z","timestamp":1749674709000},"score":1,"resource":{"primary":{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/51\/11\/article-p905.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11]]},"references-count":29,"journal-issue":{"issue":"11"},"URL":"https:\/\/doi.org\/10.4085\/1062-6050-49.5.22","relation":{},"ISSN":["1062-6050"],"issn-type":[{"value":"1062-6050","type":"print"}],"subject":[],"published":{"date-parts":[[2016,11]]}}}