{"id":{"repo_id":"greece","oai_identifier":"oai:10442/0567"},"canonical_url":"https://search.dev.ndltd.org/etd/greece/oai:10442/0567","repository":{"repo_id":"greece","name":"Greek National Archive of PhD Theses","base_url":"https://phdtheses.ekt.gr/eadd_oai/request"},"display":{"title":"ΧΕΙΡΟΥΡΓΙΚΑ ΠΡΟΒΛΗΜΑΤΑ ΤΡΙΤΗΣ ΗΛΙΚΙΑΣ (ΠΡΟΣΧΕΔΙΑΣΜΕΝΗ ΜΕΛΕΤΗ, ΧΡΗΣΗ ΗΛΕΚΤΡΟΝΙΚΟΥ ΥΠΟΛΟΓΙΣΤΗ)","abstract":"IN A PROSPECTIVE CONTROLLED TRIAL BASED ON CLINICAL AND LABORATORY DATE, 510 PTS OF THE THIRD AGE WERE STUDIED AS WELL AS 60 PTS AGED 40-60 AS A CONTROL GROUP. THE PREOPERATIVE AND INTRA- POSTOPERATIVE PROBLEMS WERE RECORDED AND STORED AND PROCESSED BY COMPUTER. THE MAIN RESULTS ARE: -1/2 - 1/3 OF THE DRUGS USED INTHE ELDERLY SURGICAL PTS ARE IRRELEVANT. A POSITIVE CORRELATION EXIST BETWEEN THE PREOPERATIVE PROBLEM AND THE POST-OPERATIVE MORBIDITY (23%) AND MORTALITY (10,2%). THE HOSPITAL STAY IS STATISTICAL INCREASED IN THE THIRD AGE. ONE OUT OFTHREE ELDERLY UNDERGOES SURGERY URGENTLY AND THE MAIN INDICATION ARE BILIARY TREE DISEASES FOLLOWED BY HERNIAR AND V.G.I. INTRAABDOMINAL SEPIN IN THE MAIN COURSE OF DEATH, THE MOST SUFFERING ORGANS ARE THE RESPIRATORY SYSTEM AND THE KIDNEYS. ONE OUT OF TEN WILL DIE IN THE FIRST 30 DAYS FOLLOWING OPERATION, 1:10 REQUIRES I.C.V., AND 1:10 LEAVES THE HOSPITAL WITH SOME DEGREE OF DISABILITY. THEPROFILACTIN ANTIBIOTICS REDUCE THE INCIDENCE OF INFECTION. THE SURGICAL SKILNESS AND EXPERIENCE DON'T INFLUENCE THE MORTALITY. THE URGENT SURGERY, THE WRONG INITIAL DIAGNOSIS AND THE MALIGNANCY INCREASE THE MORBIDITY AND MORTALITY. THERE IS NO CONTRAINDUATION IN PERFORM SURGERY IN THE THIRD AGE.","abstract_html":"IN A PROSPECTIVE CONTROLLED TRIAL BASED ON CLINICAL AND LABORATORY DATE, 510 PTS OF THE THIRD AGE WERE STUDIED AS WELL AS 60 PTS AGED 40-60 AS A CONTROL GROUP. THE PREOPERATIVE AND INTRA- POSTOPERATIVE PROBLEMS WERE RECORDED AND STORED AND PROCESSED BY COMPUTER. THE MAIN RESULTS ARE: -1/2 - 1/3 OF THE DRUGS USED INTHE ELDERLY SURGICAL PTS ARE IRRELEVANT. A POSITIVE CORRELATION EXIST BETWEEN THE PREOPERATIVE PROBLEM AND THE POST-OPERATIVE MORBIDITY (23%) AND MORTALITY (10,2%). THE HOSPITAL STAY IS STATISTICAL INCREASED IN THE THIRD AGE. ONE OUT OFTHREE ELDERLY UNDERGOES SURGERY URGENTLY AND THE MAIN INDICATION ARE BILIARY TREE DISEASES FOLLOWED BY HERNIAR AND V.G.I. INTRAABDOMINAL SEPIN IN THE MAIN COURSE OF DEATH, THE MOST SUFFERING ORGANS ARE THE RESPIRATORY SYSTEM AND THE KIDNEYS. ONE OUT OF TEN WILL DIE IN THE FIRST 30 DAYS FOLLOWING OPERATION, 1:10 REQUIRES I.C.V., AND 1:10 LEAVES THE HOSPITAL WITH SOME DEGREE OF DISABILITY. THEPROFILACTIN ANTIBIOTICS REDUCE THE INCIDENCE OF INFECTION. THE SURGICAL SKILNESS AND EXPERIENCE DON'T INFLUENCE THE MORTALITY. THE URGENT SURGERY, THE WRONG INITIAL DIAGNOSIS AND THE MALIGNANCY INCREASE THE MORBIDITY AND MORTALITY. THERE IS NO CONTRAINDUATION IN PERFORM SURGERY IN THE THIRD AGE.","abstract_has_math":false,"creators":["Dougenis, Dimitrios","Δουγένης, Δημήτρης"],"institution":"University of Patras","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":1987,"date_issued":"1987","date_published":"1987","updated_at":"2026-07-24T02:25:21Z","subjects":["Γηριατρική","Τρίτη ηλικία","Χειρουργική","Elderly people","Geriatrics","Surgery","Third age","Ιατρική και Επιστήμες Υγείας","Κλινική Ιατρική","Medical and Health Sciences","Clinical Medicine"],"languages":["gre"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["10.12681/eadd/0567"],"render_values":[{"text":"10.12681/eadd/0567","href":"https://doi.org/10.12681/eadd/0567","code":true}]}]},"links":{"outbound_url":"http://hdl.handle.net/10442/hedi/0567","outbound_label":"Handle","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Dougenis, Dimitrios","Δουγένης, Δημήτρης"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["1987"]},{"key":"dc:publisher","label":"Institution","values":["University of Patras","Πανεπιστήμιο Πατρών"]},{"key":"dc:type","label":"Dc Type","values":["PhD Thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Γηριατρική","Τρίτη ηλικία","Χειρουργική","Elderly people","Geriatrics","Surgery","Third age","Ιατρική και Επιστήμες Υγείας","Κλινική Ιατρική","Medical and Health Sciences","Clinical Medicine"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["gre"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["10.12681/eadd/0567","http://hdl.handle.net/10442/hedi/0567"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["IN A PROSPECTIVE CONTROLLED TRIAL BASED ON CLINICAL AND LABORATORY DATE, 510 PTS OF THE THIRD AGE WERE STUDIED AS WELL AS 60 PTS AGED 40-60 AS A CONTROL GROUP. THE PREOPERATIVE AND INTRA- POSTOPERATIVE PROBLEMS WERE RECORDED AND STORED AND PROCESSED BY COMPUTER. THE MAIN RESULTS ARE: -1/2 - 1/3 OF THE DRUGS USED INTHE ELDERLY SURGICAL PTS ARE IRRELEVANT. A POSITIVE CORRELATION EXIST BETWEEN THE PREOPERATIVE PROBLEM AND THE POST-OPERATIVE MORBIDITY (23%) AND MORTALITY (10,2%). THE HOSPITAL STAY IS STATISTICAL INCREASED IN THE THIRD AGE. ONE OUT OFTHREE ELDERLY UNDERGOES SURGERY URGENTLY AND THE MAIN INDICATION ARE BILIARY TREE DISEASES FOLLOWED BY HERNIAR AND V.G.I. INTRAABDOMINAL SEPIN IN THE MAIN COURSE OF DEATH, THE MOST SUFFERING ORGANS ARE THE RESPIRATORY SYSTEM AND THE KIDNEYS. ONE OUT OF TEN WILL DIE IN THE FIRST 30 DAYS FOLLOWING OPERATION, 1:10 REQUIRES I.C.V., AND 1:10 LEAVES THE HOSPITAL WITH SOME DEGREE OF DISABILITY. THEPROFILACTIN ANTIBIOTICS REDUCE THE INCIDENCE OF INFECTION. THE SURGICAL SKILNESS AND EXPERIENCE DON'T INFLUENCE THE MORTALITY. THE URGENT SURGERY, THE WRONG INITIAL DIAGNOSIS AND THE MALIGNANCY INCREASE THE MORBIDITY AND MORTALITY. THERE IS NO CONTRAINDUATION IN PERFORM SURGERY IN THE THIRD AGE.","ΜΕ ΠΡΟΟΠΤΙΚΗ ΕΛΕΓΧΟΜΕΝΗ ΜΕΘΟΔΟ ΜΕΛΕΤΗΘΗΚΑΝ 510 ΑΣΘΕΝΕΙΣ 3ΗΣ ( > 65 ΧΡ.) ΗΛΙΚΙΑΣΚΑΙ 60 ΑΣΘΕΝΕΙΣ (40-60 ΧΡ.) ΠΟΥ ΑΠΟΤΕΛΕΣΑΝ ΤΗΝ ΟΜΑΔΑ ΜΑΡΤΥΡΩΝ. ΟΛΟΙ ΟΙ ΑΡΡΩΣΤΟΙ ΧΕΙΡΟΥΡΓΗΘΗΚΑΝ ΣΕ ΔΙΑΣΤΗΜΑ 18 ΜΗΝΩΝ (83-84) ΚΑΙ ΤΑ ΣΤΟΙΧΕΙΑ ΤΗΣ ΜΕΛΕΤΗΣ ΚΑΤΑΓΡΑΦΗΚΑΝ ΚΑΙ ΕΠΕΞΕΡΓΑΣΤΗΚΑΝ ΜΕ ΗΛΕΚΤΡΟΝΙΚΟ ΥΠΟΛΟΓΙΣΤΗ. ΚΥΡΙΟΤΕΡΑ ΣΥΜΠΕΡΑΣΜΑΤΑ ΤΗΣ ΜΕΛΕΤΗΣ ΕΙΝΑΙ: - ΤΟ 1/2 - 1/3 ΤΩΝ ΦΑΡΜΑΚΩΝ ΠΟΥ ΧΡΗΣΙΜΟΠΟΙΟΥΝ ΟΙ ΥΠΕΡΗΛΙΚΕΣ ΔΕΝ ΕΙΝΑΙ ΑΝΑΓΚΑΙΟ. - ΜΟΝΟ 1:4 ΔΕΝ ΠΑΡΟΥΣΙΑΖΕΙ ΕΠΙΣΗΜΟ ΣΟΒΑΡΟ ΠΡΟΕΓΧΕΙΡΗΤΙΚΟ ΠΡΟΒΛΗΜΑ. - ΥΠΑΡΧΕΙ ΘΕΤΙΚΗ ΣΥΣΧΕΤΙΣΗ ΑΝΑΜΕΣΑ ΣΤΑ ΠΡΟΒΛΗΜΑΤΑ ΚΑΙ ΣΤΗ ΜΕΤΕΓΧΕΙΡΗΤΙΚΗ ΘΝΗΣΙΜΟΤΗΤΑ (10,2%) ΚΑΙ ΝΟΣΗΡΟΤΗΤΑ (23%). - ΟΙ ΗΜΕΡΕΣ ΝΟΣΗΛΕΙΑΣ ΕΙΝΑΙ ΣΤΑΤΙΣΤΙΚΑ ΑΥΞΗΜΕΝΕΣ ΣΤΗ 3Η ΗΛΙΚΙΑ. - 1:3 ΥΠΗΡΗΛΙΚΕΣ ΧΕΙΡΟΥΡΓΕΙΤΑΙ ΕΠΕΙΓΟΝΤΩΣ ΚΑΙ Η ΚΥΡΙΑ ΕΝΔΕΙΞΗ ΧΕΙΡΟΥΡΓΕΙΩΝ ΕΙΝΑΙ ΤΑ ΧΟΛΗΦΟΡΑ ΚΑΙ ΑΚΟΛΟΥΘΟΥΝ ΟΙ ΚΗΛΕΣ ΜΕ ΤΟ ΑΝΩΤΕΡΟ ΠΕΠΤΙΚΟ. - 1:10 ΚΑΤΑΛΗΓΕΙ, 1:10 ΕΧΕΙ ΑΝΑΓΚΗ Μ.Ε.Θ. (ΜΟΝΑΔΑ ΕΝΤΑΤΙΚΗΣ ΘΕΡΑΠΕΙΑΣ)ΚΑΙ 1:10 ΕΜΦΑΝΙΖΕΙ ΜΟΝΙΜΗ ΑΝΑΠΗΡΙΑ. - Η ΕΝΔΟΚΟΙΛΙΑΚΗ ΣΗΨΗ ΕΙΝΑΙ Η ΚΥΡΙΑ ΑΙΤΙΑ ΘΑΝΑΤΟΥ ΚΑΙ ΤΑ ΚΥΡΙΑ ΠΑΣΧΟΝΤΑ ΟΡΓΑΝΑ ΜΕΤΕΓΧΕΙΡΗΤΙΚΑ ΕΙΝΑΙ ΤΟ ΑΝΑΠΝΕΥΣΤΙΚΟ ΚΑΙ ΤΟ ΝΕΦΡΙΚΟ. - Η ΠΡΟΛΗΠΤΙΚΗ ΑΝΤΙΒΙΩΣΗ ΕΛΑΤΤΩΝΕΙ ΤΗ ΔΙΑΓΝΩΣΗ ΤΡΑΥΜΑΤΟΣ ΚΑΙ Η ΧΕΙΡΟΥΡΓΙΚΗ ΕΜΠΕΙΡΙΑ ΔΕΝ ΕΠΗΡΡΕΑΖΕΙ ΤΗ ΜΕΤΕΓΧΕΙΡΗΤΙΚΗ ΘΝΗΣΙΜΟΤΗΤΑ. - ΤΟ ΕΚΤΑΚΤΟ ΧΕΙΡΟΥΡΓΕΙΟ, Η ΛΑΘΟΣ ΔΙΑΓΝΩΣΗ ΚΑΙ Η ΚΑΚΟΗΘΕΙΑ ΑΥΞΑΝΟΥΝ ΤΗ ΝΟΣΗΡΟΤΗΤΑ. - Η ΗΛΙΚΙΑ ΔΕΝ ΑΠΟΤΕΛΕΙ ΑΝΤΕΝΔΕΙΞΗ ΧΕΙΡΟΥΡΓΕΙΟΥ."]},{"key":"dc:title","label":"Title","values":["ΧΕΙΡΟΥΡΓΙΚΑ ΠΡΟΒΛΗΜΑΤΑ ΤΡΙΤΗΣ ΗΛΙΚΙΑΣ (ΠΡΟΣΧΕΔΙΑΣΜΕΝΗ ΜΕΛΕΤΗ, ΧΡΗΣΗ ΗΛΕΚΤΡΟΝΙΚΟΥ ΥΠΟΛΟΓΙΣΤΗ)","SURGICAL PROBLEMS IN THE ELDERLY"]}]}],"canonical_facts":{"dc:creator":["Dougenis, Dimitrios","Δουγένης, Δημήτρης"],"dc:date":["1987"],"dc:description":["IN A PROSPECTIVE CONTROLLED TRIAL BASED ON CLINICAL AND LABORATORY DATE, 510 PTS OF THE THIRD AGE WERE STUDIED AS WELL AS 60 PTS AGED 40-60 AS A CONTROL GROUP. THE PREOPERATIVE AND INTRA- POSTOPERATIVE PROBLEMS WERE RECORDED AND STORED AND PROCESSED BY COMPUTER. THE MAIN RESULTS ARE: -1/2 - 1/3 OF THE DRUGS USED INTHE ELDERLY SURGICAL PTS ARE IRRELEVANT. A POSITIVE CORRELATION EXIST BETWEEN THE PREOPERATIVE PROBLEM AND THE POST-OPERATIVE MORBIDITY (23%) AND MORTALITY (10,2%). THE HOSPITAL STAY IS STATISTICAL INCREASED IN THE THIRD AGE. ONE OUT OFTHREE ELDERLY UNDERGOES SURGERY URGENTLY AND THE MAIN INDICATION ARE BILIARY TREE DISEASES FOLLOWED BY HERNIAR AND V.G.I. INTRAABDOMINAL SEPIN IN THE MAIN COURSE OF DEATH, THE MOST SUFFERING ORGANS ARE THE RESPIRATORY SYSTEM AND THE KIDNEYS. ONE OUT OF TEN WILL DIE IN THE FIRST 30 DAYS FOLLOWING OPERATION, 1:10 REQUIRES I.C.V., AND 1:10 LEAVES THE HOSPITAL WITH SOME DEGREE OF DISABILITY. THEPROFILACTIN ANTIBIOTICS REDUCE THE INCIDENCE OF INFECTION. THE SURGICAL SKILNESS AND EXPERIENCE DON'T INFLUENCE THE MORTALITY. THE URGENT SURGERY, THE WRONG INITIAL DIAGNOSIS AND THE MALIGNANCY INCREASE THE MORBIDITY AND MORTALITY. THERE IS NO CONTRAINDUATION IN PERFORM SURGERY IN THE THIRD AGE.","ΜΕ ΠΡΟΟΠΤΙΚΗ ΕΛΕΓΧΟΜΕΝΗ ΜΕΘΟΔΟ ΜΕΛΕΤΗΘΗΚΑΝ 510 ΑΣΘΕΝΕΙΣ 3ΗΣ ( > 65 ΧΡ.) ΗΛΙΚΙΑΣΚΑΙ 60 ΑΣΘΕΝΕΙΣ (40-60 ΧΡ.) ΠΟΥ ΑΠΟΤΕΛΕΣΑΝ ΤΗΝ ΟΜΑΔΑ ΜΑΡΤΥΡΩΝ. ΟΛΟΙ ΟΙ ΑΡΡΩΣΤΟΙ ΧΕΙΡΟΥΡΓΗΘΗΚΑΝ ΣΕ ΔΙΑΣΤΗΜΑ 18 ΜΗΝΩΝ (83-84) ΚΑΙ ΤΑ ΣΤΟΙΧΕΙΑ ΤΗΣ ΜΕΛΕΤΗΣ ΚΑΤΑΓΡΑΦΗΚΑΝ ΚΑΙ ΕΠΕΞΕΡΓΑΣΤΗΚΑΝ ΜΕ ΗΛΕΚΤΡΟΝΙΚΟ ΥΠΟΛΟΓΙΣΤΗ. ΚΥΡΙΟΤΕΡΑ ΣΥΜΠΕΡΑΣΜΑΤΑ ΤΗΣ ΜΕΛΕΤΗΣ ΕΙΝΑΙ: - ΤΟ 1/2 - 1/3 ΤΩΝ ΦΑΡΜΑΚΩΝ ΠΟΥ ΧΡΗΣΙΜΟΠΟΙΟΥΝ ΟΙ ΥΠΕΡΗΛΙΚΕΣ ΔΕΝ ΕΙΝΑΙ ΑΝΑΓΚΑΙΟ. - ΜΟΝΟ 1:4 ΔΕΝ ΠΑΡΟΥΣΙΑΖΕΙ ΕΠΙΣΗΜΟ ΣΟΒΑΡΟ ΠΡΟΕΓΧΕΙΡΗΤΙΚΟ ΠΡΟΒΛΗΜΑ. - ΥΠΑΡΧΕΙ ΘΕΤΙΚΗ ΣΥΣΧΕΤΙΣΗ ΑΝΑΜΕΣΑ ΣΤΑ ΠΡΟΒΛΗΜΑΤΑ ΚΑΙ ΣΤΗ ΜΕΤΕΓΧΕΙΡΗΤΙΚΗ ΘΝΗΣΙΜΟΤΗΤΑ (10,2%) ΚΑΙ ΝΟΣΗΡΟΤΗΤΑ (23%). - ΟΙ ΗΜΕΡΕΣ ΝΟΣΗΛΕΙΑΣ ΕΙΝΑΙ ΣΤΑΤΙΣΤΙΚΑ ΑΥΞΗΜΕΝΕΣ ΣΤΗ 3Η ΗΛΙΚΙΑ. - 1:3 ΥΠΗΡΗΛΙΚΕΣ ΧΕΙΡΟΥΡΓΕΙΤΑΙ ΕΠΕΙΓΟΝΤΩΣ ΚΑΙ Η ΚΥΡΙΑ ΕΝΔΕΙΞΗ ΧΕΙΡΟΥΡΓΕΙΩΝ ΕΙΝΑΙ ΤΑ ΧΟΛΗΦΟΡΑ ΚΑΙ ΑΚΟΛΟΥΘΟΥΝ ΟΙ ΚΗΛΕΣ ΜΕ ΤΟ ΑΝΩΤΕΡΟ ΠΕΠΤΙΚΟ. - 1:10 ΚΑΤΑΛΗΓΕΙ, 1:10 ΕΧΕΙ ΑΝΑΓΚΗ Μ.Ε.Θ. (ΜΟΝΑΔΑ ΕΝΤΑΤΙΚΗΣ ΘΕΡΑΠΕΙΑΣ)ΚΑΙ 1:10 ΕΜΦΑΝΙΖΕΙ ΜΟΝΙΜΗ ΑΝΑΠΗΡΙΑ. - Η ΕΝΔΟΚΟΙΛΙΑΚΗ ΣΗΨΗ ΕΙΝΑΙ Η ΚΥΡΙΑ ΑΙΤΙΑ ΘΑΝΑΤΟΥ ΚΑΙ ΤΑ ΚΥΡΙΑ ΠΑΣΧΟΝΤΑ ΟΡΓΑΝΑ ΜΕΤΕΓΧΕΙΡΗΤΙΚΑ ΕΙΝΑΙ ΤΟ ΑΝΑΠΝΕΥΣΤΙΚΟ ΚΑΙ ΤΟ ΝΕΦΡΙΚΟ. - Η ΠΡΟΛΗΠΤΙΚΗ ΑΝΤΙΒΙΩΣΗ ΕΛΑΤΤΩΝΕΙ ΤΗ ΔΙΑΓΝΩΣΗ ΤΡΑΥΜΑΤΟΣ ΚΑΙ Η ΧΕΙΡΟΥΡΓΙΚΗ ΕΜΠΕΙΡΙΑ ΔΕΝ ΕΠΗΡΡΕΑΖΕΙ ΤΗ ΜΕΤΕΓΧΕΙΡΗΤΙΚΗ ΘΝΗΣΙΜΟΤΗΤΑ. - ΤΟ ΕΚΤΑΚΤΟ ΧΕΙΡΟΥΡΓΕΙΟ, Η ΛΑΘΟΣ ΔΙΑΓΝΩΣΗ ΚΑΙ Η ΚΑΚΟΗΘΕΙΑ ΑΥΞΑΝΟΥΝ ΤΗ ΝΟΣΗΡΟΤΗΤΑ. - Η ΗΛΙΚΙΑ ΔΕΝ ΑΠΟΤΕΛΕΙ ΑΝΤΕΝΔΕΙΞΗ ΧΕΙΡΟΥΡΓΕΙΟΥ."],"dc:identifier":["10.12681/eadd/0567","http://hdl.handle.net/10442/hedi/0567"],"dc:language":["gre"],"dc:publisher":["University of Patras","Πανεπιστήμιο Πατρών"],"dc:subject":["Γηριατρική","Τρίτη ηλικία","Χειρουργική","Elderly people","Geriatrics","Surgery","Third age","Ιατρική και Επιστήμες Υγείας","Κλινική Ιατρική","Medical and Health Sciences","Clinical Medicine"],"dc:title":["ΧΕΙΡΟΥΡΓΙΚΑ ΠΡΟΒΛΗΜΑΤΑ ΤΡΙΤΗΣ ΗΛΙΚΙΑΣ (ΠΡΟΣΧΕΔΙΑΣΜΕΝΗ ΜΕΛΕΤΗ, ΧΡΗΣΗ ΗΛΕΚΤΡΟΝΙΚΟΥ ΥΠΟΛΟΓΙΣΤΗ)","SURGICAL PROBLEMS IN THE ELDERLY"],"dc:type":["PhD Thesis"]},"updated_at":"2026-07-24T02:25:21Z"}