{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:46:16Z","timestamp":1791499576282,"version":"4.3.4"},"reference-count":40,"publisher":"Archives of Pathology and Laboratory Medicine","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:p>\n                    Delayed hemolytic transfusion reactions (DHTRs) are mediated by blood group antibodies that undergo anamnestic increases following antigen reexposure. Available options for the treatment or prophylaxis of DHTRs are limited. We report the use of automated red blood cell exchange (ARE) to limit hemolysis associated with an emerging DHTR. Following transfusion of 12 red blood cell units, a family member's comments led to the discovery of a patient's history of 4 alloantibodies (anti-E, anti-c, anti-Fy\n                    <jats:sup>a<\/jats:sup>\n                    , and anti-M). Testing revealed that all 12 units were incompatible for at least 1 antigen. Six days after transfusion, the patient developed a newly positive antibody screen and direct antiglobulin test (DAT) result. To prevent further hemolysis, ARE was performed to replace incompatible red blood cells with antigen-negative units. After ARE, the patient's DAT results were negative and he was discharged without demonstrating symptoms of hemolysis. This case illustrates the use of ARE to limit hemolysis and prevent symptoms of a DHTR.\n                  <\/jats:p>","DOI":"10.5858\/arpa.2012-0154-cr","type":"journal-article","created":{"date-parts":[[2013,5,30]],"date-time":"2013-05-30T18:32:48Z","timestamp":1369938768000},"page":"861-864","source":"Crossref","is-referenced-by-count":21,"title":["Limiting the Extent of a Delayed Hemolytic Transfusion Reaction With Automated Red Blood Cell Exchange"],"prefix":"10.5858","volume":"137","author":[{"given":"Christopher A.","family":"Tormey","sequence":"first","affiliation":[{"name":"From the Pathology and Laboratory Medicine Service, VA Connecticut Healthcare System, West Haven, Connecticut; and the Department of Laboratory Medicine, Yale University School of Medicine, New Haven, Connecticut."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Stack","sequence":"additional","affiliation":[{"name":"From the Pathology and Laboratory Medicine Service, VA Connecticut Healthcare System, West Haven, Connecticut; and the Department of Laboratory Medicine, Yale University School of Medicine, New Haven, Connecticut."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3906","reference":[{"key":"i1543-2165-137-6-861-b01","series-title":"Transfusion Reactions. 3rd ed","first-page":"1","article-title":"Hemolytic transfusion reactions","author":"Davenport\n              RD .","year":"2007","unstructured":"Davenport\n              RD . \n          \n          Hemolytic transfusion reactions . In : PopovskyMA , ed . Transfusion Reactions. 3rd ed . Bethesda, MD : AABB Press;2007 :1 \u201356 ."},{"key":"i1543-2165-137-6-861-b02","series-title":"The 2009 Annual SHOT Report","article-title":"on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group","author":"Taylor\n              C ,","year":"2010","unstructured":"Taylor\n              C , \n            \n              Cohen\n              H , \n            \n              Mold\n              D , \n            et al;\n          \n          on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group . The 2009 Annual SHOT Report . Manchester, United Kingdom ; 2010 ."},{"key":"i1543-2165-137-6-861-b03","series-title":"US Food and Drug Administration (FDA)","article-title":"Fatalities reported to FDA following blood collection and transfusion","year":"2012","unstructured":"US Food and Drug Administration (FDA) . Fatalities reported to FDA following blood collection and transfusion . http:\/\/www.fda.gov\/BiologicsBloodVaccines\/SafetyAvailability\/ReportaProblem\/TransfusionDonationFatalities\/ucm302847.htm. Accessed August 21 , 2012 ."},{"issue":"3","key":"i1543-2165-137-6-861-b04","series-title":"Acta Pathol Microbiol Scand","first-page":"283","article-title":"Fatal hemolytic transfusion reaction due to anti-Fya","volume":"29","author":"Freiesleben\n              E .","year":"1951","unstructured":"Freiesleben\n              E . \n          \n          Fatal hemolytic transfusion reaction due to anti-Fya . Acta Pathol Microbiol Scand . 1951 ;29(3) :283 \u2013286 ."},{"issue":"5","key":"i1543-2165-137-6-861-b05","series-title":"Transfusion","first-page":"548","article-title":"Fatal delayed hemolytic transfusion reaction due to anti-c + E","volume":"19","author":"Hillman\n              NM .","year":"1979","unstructured":"Hillman\n              NM . \n          \n          Fatal delayed hemolytic transfusion reaction due to anti-c + E . Transfusion . 1979 ;19(5) :548 \u2013551 ."},{"issue":"3","key":"i1543-2165-137-6-861-b06","series-title":"Ann Intern Med","first-page":"241","article-title":"Fatal delayed hemolytic transfusion reaction without previous blood transfusion","volume":"110","author":"Schorn\n              TF ,","year":"1989","unstructured":"Schorn\n              TF , \n            \n              Knospe\n              WH . \n          \n          Fatal delayed hemolytic transfusion reaction without previous blood transfusion . Ann Intern Med . 1989 ;110(3) :241 \u2013242 ."},{"issue":"1","key":"i1543-2165-137-6-861-b07","series-title":"Br J Haematol","first-page":"268","article-title":"Delayed haemolytic transfusion reaction due to anti-M antibody","volume":"103","author":"Sancho\n              JM ,","year":"1998","unstructured":"Sancho\n              JM , \n            \n              Pujol\n              M , \n            \n              Fern\u00e1ndez\n              F , \n            \n              Soler\n              M , \n            \n              Manzano\n              P , \n            \n              Feliu\n              E . \n          \n          Delayed haemolytic transfusion reaction due to anti-M antibody . Br J Haematol . 1998 ;103(1) :268 \u2013269 ."},{"key":"i1543-2165-137-6-861-b08","series-title":"Standards for Blood Banks and Transfusion Services","author":"Carson\n              TH ,","year":"2011","unstructured":"Carson\n              TH , \n          \n          ed . Standards for Blood Banks and Transfusion Services . 27th ed . Bethesda, MD : AABB Press;2011 ."},{"issue":"3","key":"i1543-2165-137-6-861-b09","series-title":"J Clin Apher","first-page":"83","article-title":"Guidelines on the use of therapeutic apheresis in clinical practice\u2013evidence-based approach from the Apheresis Applications Committee of the American Society for Apheresis","volume":"25","author":"Szczepiorkowski\n              ZM ,","year":"2010","unstructured":"Szczepiorkowski\n              ZM , \n            \n              Winters\n              JL , \n            \n              Bandarenko\n              N , \n            et al\n           . Guidelines on the use of therapeutic apheresis in clinical practice\u2013evidence-based approach from the Apheresis Applications Committee of the American Society for Apheresis . J Clin Apher . 2010 ;25(3) :83 \u2013177 ."},{"issue":"5","key":"i1543-2165-137-6-861-b10","series-title":"Transfusion","first-page":"459","article-title":"Release of mediators of systemic inflammatory response syndrome in the course of a severe delayed hemolytic transfusion reaction caused by anti-D","volume":"38","author":"von Zabern\n              I ,","year":"1998","unstructured":"von Zabern\n              I , \n            \n              Ehlers\n              M , \n            \n              Grunwald\n              U , \n            \n              Mauermann\n              K , \n            \n              Greinacher\n              A . \n          \n          Release of mediators of systemic inflammatory response syndrome in the course of a severe delayed hemolytic transfusion reaction caused by anti-D . Transfusion . 1998 ;38(5) :459 \u2013468 ."},{"issue":"1","key":"i1543-2165-137-6-861-b11","series-title":"J Pediatr Hematol Oncol","first-page":"70","article-title":"Anti-s antibody-associated delayed hemolytic transfusion reaction in patients with sickle cell anemia","volume":"21","author":"Kalyanaraman\n              M ,","year":"1999","unstructured":"Kalyanaraman\n              M , \n            \n              Heidemann\n              SM , \n            \n              Sarnaik\n              AP , \n            \n              Meert\n              KL , \n            \n              Sarnaik\n              SA . \n          \n          Anti-s antibody-associated delayed hemolytic transfusion reaction in patients with sickle cell anemia . J Pediatr Hematol Oncol . 1999 ;21(1) :70 \u201373 ."},{"issue":"5","key":"i1543-2165-137-6-861-b12","series-title":"Mil Med","first-page":"503","article-title":"Estimation of combat-related blood group alloimmunization and delayed serologic transfusion reactions in U.S. military veterans","volume":"174","author":"Tormey\n              CA ,","year":"2009","unstructured":"Tormey\n              CA , \n            \n              Stack\n              G . \n          \n          Estimation of combat-related blood group alloimmunization and delayed serologic transfusion reactions in U.S. military veterans . Mil Med . 2009 ;174(5) :503 \u2013507 ."},{"issue":"3","key":"i1543-2165-137-6-861-b13","series-title":"Transfusion","first-page":"282","article-title":"Frequency of immediate adverse effects associated with therapeutic apheresis","volume":"39","author":"McLeod\n              BC ,","year":"1999","unstructured":"McLeod\n              BC , \n            \n              Sniecinski\n              I , \n            \n              Ciavarella\n              D , \n            et al\n           . Frequency of immediate adverse effects associated with therapeutic apheresis . Transfusion . 1999 ; 39(3) :282 \u2013288 ."},{"key":"i1543-2165-137-6-861-b14","series-title":"The 2010 Annual SHOT Report","article-title":"on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group","author":"Knowles\n              S ,","year":"2011","unstructured":"Knowles\n              S , \n            \n              Cohen\n              H ; \n          \n          on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group . The 2010 Annual SHOT Report . Manchester, United Kingdom ; 2011 ."},{"key":"i1543-2165-137-6-861-b15","series-title":"The 2008 Annual SHOT Report","article-title":"on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group","author":"Taylor\n              C ,","year":"2009","unstructured":"Taylor\n              C , \n            \n              Cohen\n              H , \n            \n              Mold\n              D , \n            et al;\n          \n          on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group . The 2008 Annual SHOT Report . Manchester, United Kingdom ; 2009 ."},{"key":"i1543-2165-137-6-861-b16","series-title":"The 2007 Annual SHOT Report","article-title":"on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group","author":"Taylor\n              C ,","year":"2008","unstructured":"Taylor\n              C , \n            \n              Cohen\n              H , \n            \n              Stainsby\n              D , \n            et al;\n          \n          on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group . The 2007 Annual SHOT Report . Manchester, United Kingdom ; 2008 ."},{"issue":"4","key":"i1543-2165-137-6-861-b17","series-title":"Transfus Med Rev","first-page":"273","article-title":"Serious hazards of transfusion: a decade of hemovigilance in the UK","volume":"20","author":"Stainsby\n              D ,","year":"2006","unstructured":"Stainsby\n              D , \n            \n              Jones\n              H , \n            \n              Asher\n              D , \n            et al\n           . Serious hazards of transfusion: a decade of hemovigilance in the UK . Transfus Med Rev . 2006 ;20(4) :273 \u2013282 ."},{"issue":"12","key":"i1543-2165-137-6-861-b18","series-title":"Transfusion","first-page":"2709","article-title":"The characterization and classification of concurrent blood group antibodies","volume":"49","author":"Tormey\n              CA ,","year":"2009","unstructured":"Tormey\n              CA , \n            \n              Stack\n              G . \n          \n          The characterization and classification of concurrent blood group antibodies . Transfusion . 2009 ;49(12) :2709 \u20132718 ."},{"issue":"3","key":"i1543-2165-137-6-861-b19","series-title":"Transfusion","first-page":"505","article-title":"The persistence and evanescence of blood group alloantibodies in men","volume":"49","author":"Tormey\n              CA ,","year":"2009","unstructured":"Tormey\n              CA , \n            \n              Stack\n              G . \n          \n          The persistence and evanescence of blood group alloantibodies in men . Transfusion . 2009 ;49(3) :505 \u2013512 ."},{"issue":"7","key":"i1543-2165-137-6-861-b20","series-title":"Transfusion","first-page":"1465","article-title":"Regional registry of patient alloantibodies: first-year experience","volume":"50","author":"Schwickerath\n              V ,","year":"2010","unstructured":"Schwickerath\n              V , \n            \n              Kowalski\n              M , \n            \n              Menitove\n              JE . \n          \n          Regional registry of patient alloantibodies: first-year experience . Transfusion . 2010 ;50(7) :1465 \u20131470 ."},{"key":"i1543-2165-137-6-861-b01","series-title":"Transfusion Reactions. 3rd ed","first-page":"1","article-title":"Hemolytic transfusion reactions","author":"Davenport\n              RD .","year":"2007","unstructured":"Davenport\n              RD . \n          \n          Hemolytic transfusion reactions . In : PopovskyMA , ed . Transfusion Reactions. 3rd ed . Bethesda, MD : AABB Press;2007 :1 \u201356 ."},{"key":"i1543-2165-137-6-861-b02","series-title":"The 2009 Annual SHOT Report","article-title":"on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group","author":"Taylor\n              C ,","year":"2010","unstructured":"Taylor\n              C , \n            \n              Cohen\n              H , \n            \n              Mold\n              D , \n            et al;\n          \n          on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group . The 2009 Annual SHOT Report . Manchester, United Kingdom ; 2010 ."},{"key":"i1543-2165-137-6-861-b03","series-title":"US Food and Drug Administration (FDA)","article-title":"Fatalities reported to FDA following blood collection and transfusion","year":"2012","unstructured":"US Food and Drug Administration (FDA) . Fatalities reported to FDA following blood collection and transfusion . http:\/\/www.fda.gov\/BiologicsBloodVaccines\/SafetyAvailability\/ReportaProblem\/TransfusionDonationFatalities\/ucm302847.htm. Accessed August 21 , 2012 ."},{"issue":"3","key":"i1543-2165-137-6-861-b04","series-title":"Acta Pathol Microbiol Scand","first-page":"283","article-title":"Fatal hemolytic transfusion reaction due to anti-Fya","volume":"29","author":"Freiesleben\n              E .","year":"1951","unstructured":"Freiesleben\n              E . \n          \n          Fatal hemolytic transfusion reaction due to anti-Fya . Acta Pathol Microbiol Scand . 1951 ;29(3) :283 \u2013286 ."},{"issue":"5","key":"i1543-2165-137-6-861-b05","series-title":"Transfusion","first-page":"548","article-title":"Fatal delayed hemolytic transfusion reaction due to anti-c + E","volume":"19","author":"Hillman\n              NM .","year":"1979","unstructured":"Hillman\n              NM . \n          \n          Fatal delayed hemolytic transfusion reaction due to anti-c + E . Transfusion . 1979 ;19(5) :548 \u2013551 ."},{"issue":"3","key":"i1543-2165-137-6-861-b06","series-title":"Ann Intern Med","first-page":"241","article-title":"Fatal delayed hemolytic transfusion reaction without previous blood transfusion","volume":"110","author":"Schorn\n              TF ,","year":"1989","unstructured":"Schorn\n              TF , \n            \n              Knospe\n              WH . \n          \n          Fatal delayed hemolytic transfusion reaction without previous blood transfusion . Ann Intern Med . 1989 ;110(3) :241 \u2013242 ."},{"issue":"1","key":"i1543-2165-137-6-861-b07","series-title":"Br J Haematol","first-page":"268","article-title":"Delayed haemolytic transfusion reaction due to anti-M antibody","volume":"103","author":"Sancho\n              JM ,","year":"1998","unstructured":"Sancho\n              JM , \n            \n              Pujol\n              M , \n            \n              Fern\u00e1ndez\n              F , \n            \n              Soler\n              M , \n            \n              Manzano\n              P , \n            \n              Feliu\n              E . \n          \n          Delayed haemolytic transfusion reaction due to anti-M antibody . Br J Haematol . 1998 ;103(1) :268 \u2013269 ."},{"key":"i1543-2165-137-6-861-b08","series-title":"Standards for Blood Banks and Transfusion Services","author":"Carson\n              TH ,","year":"2011","unstructured":"Carson\n              TH , \n          \n          ed . Standards for Blood Banks and Transfusion Services . 27th ed . Bethesda, MD : AABB Press;2011 ."},{"issue":"3","key":"i1543-2165-137-6-861-b09","series-title":"J Clin Apher","first-page":"83","article-title":"Guidelines on the use of therapeutic apheresis in clinical practice\u2013evidence-based approach from the Apheresis Applications Committee of the American Society for Apheresis","volume":"25","author":"Szczepiorkowski\n              ZM ,","year":"2010","unstructured":"Szczepiorkowski\n              ZM , \n            \n              Winters\n              JL , \n            \n              Bandarenko\n              N , \n            et al\n           . Guidelines on the use of therapeutic apheresis in clinical practice\u2013evidence-based approach from the Apheresis Applications Committee of the American Society for Apheresis . J Clin Apher . 2010 ;25(3) :83 \u2013177 ."},{"issue":"5","key":"i1543-2165-137-6-861-b10","series-title":"Transfusion","first-page":"459","article-title":"Release of mediators of systemic inflammatory response syndrome in the course of a severe delayed hemolytic transfusion reaction caused by anti-D","volume":"38","author":"von Zabern\n              I ,","year":"1998","unstructured":"von Zabern\n              I , \n            \n              Ehlers\n              M , \n            \n              Grunwald\n              U , \n            \n              Mauermann\n              K , \n            \n              Greinacher\n              A . \n          \n          Release of mediators of systemic inflammatory response syndrome in the course of a severe delayed hemolytic transfusion reaction caused by anti-D . Transfusion . 1998 ;38(5) :459 \u2013468 ."},{"issue":"1","key":"i1543-2165-137-6-861-b11","series-title":"J Pediatr Hematol Oncol","first-page":"70","article-title":"Anti-s antibody-associated delayed hemolytic transfusion reaction in patients with sickle cell anemia","volume":"21","author":"Kalyanaraman\n              M ,","year":"1999","unstructured":"Kalyanaraman\n              M , \n            \n              Heidemann\n              SM , \n            \n              Sarnaik\n              AP , \n            \n              Meert\n              KL , \n            \n              Sarnaik\n              SA . \n          \n          Anti-s antibody-associated delayed hemolytic transfusion reaction in patients with sickle cell anemia . J Pediatr Hematol Oncol . 1999 ;21(1) :70 \u201373 ."},{"issue":"5","key":"i1543-2165-137-6-861-b12","series-title":"Mil Med","first-page":"503","article-title":"Estimation of combat-related blood group alloimmunization and delayed serologic transfusion reactions in U.S. military veterans","volume":"174","author":"Tormey\n              CA ,","year":"2009","unstructured":"Tormey\n              CA , \n            \n              Stack\n              G . \n          \n          Estimation of combat-related blood group alloimmunization and delayed serologic transfusion reactions in U.S. military veterans . Mil Med . 2009 ;174(5) :503 \u2013507 ."},{"issue":"3","key":"i1543-2165-137-6-861-b13","series-title":"Transfusion","first-page":"282","article-title":"Frequency of immediate adverse effects associated with therapeutic apheresis","volume":"39","author":"McLeod\n              BC ,","year":"1999","unstructured":"McLeod\n              BC , \n            \n              Sniecinski\n              I , \n            \n              Ciavarella\n              D , \n            et al\n           . Frequency of immediate adverse effects associated with therapeutic apheresis . Transfusion . 1999 ; 39(3) :282 \u2013288 ."},{"key":"i1543-2165-137-6-861-b14","series-title":"The 2010 Annual SHOT Report","article-title":"on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group","author":"Knowles\n              S ,","year":"2011","unstructured":"Knowles\n              S , \n            \n              Cohen\n              H ; \n          \n          on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group . The 2010 Annual SHOT Report . Manchester, United Kingdom ; 2011 ."},{"key":"i1543-2165-137-6-861-b15","series-title":"The 2008 Annual SHOT Report","article-title":"on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group","author":"Taylor\n              C ,","year":"2009","unstructured":"Taylor\n              C , \n            \n              Cohen\n              H , \n            \n              Mold\n              D , \n            et al;\n          \n          on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group . The 2008 Annual SHOT Report . Manchester, United Kingdom ; 2009 ."},{"key":"i1543-2165-137-6-861-b16","series-title":"The 2007 Annual SHOT Report","article-title":"on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group","author":"Taylor\n              C ,","year":"2008","unstructured":"Taylor\n              C , \n            \n              Cohen\n              H , \n            \n              Stainsby\n              D , \n            et al;\n          \n          on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group . The 2007 Annual SHOT Report . Manchester, United Kingdom ; 2008 ."},{"issue":"4","key":"i1543-2165-137-6-861-b17","series-title":"Transfus Med Rev","first-page":"273","article-title":"Serious hazards of transfusion: a decade of hemovigilance in the UK","volume":"20","author":"Stainsby\n              D ,","year":"2006","unstructured":"Stainsby\n              D , \n            \n              Jones\n              H , \n            \n              Asher\n              D , \n            et al\n           . Serious hazards of transfusion: a decade of hemovigilance in the UK . Transfus Med Rev . 2006 ;20(4) :273 \u2013282 ."},{"issue":"12","key":"i1543-2165-137-6-861-b18","series-title":"Transfusion","first-page":"2709","article-title":"The characterization and classification of concurrent blood group antibodies","volume":"49","author":"Tormey\n              CA ,","year":"2009","unstructured":"Tormey\n              CA , \n            \n              Stack\n              G . \n          \n          The characterization and classification of concurrent blood group antibodies . Transfusion . 2009 ;49(12) :2709 \u20132718 ."},{"issue":"3","key":"i1543-2165-137-6-861-b19","series-title":"Transfusion","first-page":"505","article-title":"The persistence and evanescence of blood group alloantibodies in men","volume":"49","author":"Tormey\n              CA ,","year":"2009","unstructured":"Tormey\n              CA , \n            \n              Stack\n              G . \n          \n          The persistence and evanescence of blood group alloantibodies in men . Transfusion . 2009 ;49(3) :505 \u2013512 ."},{"issue":"7","key":"i1543-2165-137-6-861-b20","series-title":"Transfusion","first-page":"1465","article-title":"Regional registry of patient alloantibodies: first-year experience","volume":"50","author":"Schwickerath\n              V ,","year":"2010","unstructured":"Schwickerath\n              V , \n            \n              Kowalski\n              M , \n            \n              Menitove\n              JE . \n          \n          Regional registry of patient alloantibodies: first-year experience . Transfusion . 2010 ;50(7) :1465 \u20131470 ."}],"container-title":["Archives of Pathology and Laboratory Medicine"],"original-title":[],"link":[{"URL":"https:\/\/aplm.kglmeridian.com\/view\/journals\/arpa\/137\/6\/article-p861.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/aplm\/article-pdf\/137\/6\/861\/1612149\/arpa_2012-0154-cr.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/aplm.kglmeridian.com\/downloadpdf\/journals\/arpa\/137\/6\/article-p861.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/aplm.kglmeridian.com\/downloadpdf\/journals\/arpa\/137\/6\/article-p861.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:59:27Z","timestamp":1770771567000},"score":1,"resource":{"primary":{"URL":"https:\/\/aplm.kglmeridian.com\/view\/journals\/arpa\/137\/6\/article-p861.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6]]},"references-count":40,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.5858\/arpa.2012-0154-cr","relation":{},"ISSN":["1543-2165","0003-9985"],"issn-type":[{"value":"1543-2165","type":"electronic"},{"value":"0003-9985","type":"print"}],"subject":[],"published":{"date-parts":[[2013,6]]}}}