Serveur d'exploration sur le suicide chez les dentistes

Attention, ce site est en cours de développement !
Attention, site généré par des moyens informatiques à partir de corpus bruts.
Les informations ne sont donc pas validées.

Diabetes Screening in Dental Practice Using the Find-Risk Questionnaire - A Practice-based Pilot Study.

Identifieur interne : 000067 ( Main/Exploration ); précédent : 000066; suivant : 000068

Diabetes Screening in Dental Practice Using the Find-Risk Questionnaire - A Practice-based Pilot Study.

Auteurs : Dirk Ziebolz ; Inga Bauwe ; Jana Schmidt ; Tanja Kottmann ; Sven Rinke ; Gerhard Schmalz

Source :

RBID : pubmed:30968070

Descripteurs français

English descriptors

Abstract

PURPOSE

This dental practice-based pilot study aimed to investigate the efficacy of diabetes mellitus (DM) screening based on questionnaire replies.

MATERIALS AND METHODS

116 patients were screened in a private dental practice when visiting the dentist for a regular check-up. The Find-Risk (FR) questionnaire was used for diabetes screening. FR-positive (FR+) patients were referred to a diabetologist for further diagnostics (blood glucose, HbA1c); FR-negative patients (FR-) did not receive a diabetological examination. Furthermore, dental findings (DMFT) were obtained and periodontal condition was classified into no, mild, moderate or severe periodontitis, based upon periodontal pocket depth and clinical attachment loss. Sensitivity and specificity of the FR questionnaire and a modified FR questionnaire (additional inquiry if severe periodontitis had been ever diagnosed) were determined in a statistical model.

RESULTS

102 patients with a mean age of 56.31 years were included. Seven patients had known DM. A total of 36 patients were FR+, including the seven patients with known DM. Only 16 of the 29 participants (55%) followed the recommendation to see the diabetologist. Nine of these 16 patients showed conspicuous blood glucose findings. Both with and without modification of the FR questionnaire, a sensitivity of 100% was achieved. With the modified FR questionnaire, a higher specificity was shown in a statistical model compared to the FR questionnaire without modification (80% vs 69.5%).

CONCLUSION

FR-based DM screening in dental practice is possible and could help to identify patients with (pre-) diabetes. However, these results must be validated in a large patient cohort.


DOI: 10.3290/j.ohpd.a42370
PubMed: 30968070


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Diabetes Screening in Dental Practice Using the Find-Risk Questionnaire - A Practice-based Pilot Study.</title>
<author>
<name sortKey="Ziebolz, Dirk" sort="Ziebolz, Dirk" uniqKey="Ziebolz D" first="Dirk" last="Ziebolz">Dirk Ziebolz</name>
</author>
<author>
<name sortKey="Bauwe, Inga" sort="Bauwe, Inga" uniqKey="Bauwe I" first="Inga" last="Bauwe">Inga Bauwe</name>
</author>
<author>
<name sortKey="Schmidt, Jana" sort="Schmidt, Jana" uniqKey="Schmidt J" first="Jana" last="Schmidt">Jana Schmidt</name>
</author>
<author>
<name sortKey="Kottmann, Tanja" sort="Kottmann, Tanja" uniqKey="Kottmann T" first="Tanja" last="Kottmann">Tanja Kottmann</name>
</author>
<author>
<name sortKey="Rinke, Sven" sort="Rinke, Sven" uniqKey="Rinke S" first="Sven" last="Rinke">Sven Rinke</name>
</author>
<author>
<name sortKey="Schmalz, Gerhard" sort="Schmalz, Gerhard" uniqKey="Schmalz G" first="Gerhard" last="Schmalz">Gerhard Schmalz</name>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PubMed</idno>
<date when="2019">2019</date>
<idno type="RBID">pubmed:30968070</idno>
<idno type="pmid">30968070</idno>
<idno type="doi">10.3290/j.ohpd.a42370</idno>
<idno type="wicri:Area/Main/Corpus">000067</idno>
<idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000067</idno>
<idno type="wicri:Area/Main/Curation">000067</idno>
<idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000067</idno>
<idno type="wicri:Area/Main/Exploration">000067</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en">Diabetes Screening in Dental Practice Using the Find-Risk Questionnaire - A Practice-based Pilot Study.</title>
<author>
<name sortKey="Ziebolz, Dirk" sort="Ziebolz, Dirk" uniqKey="Ziebolz D" first="Dirk" last="Ziebolz">Dirk Ziebolz</name>
</author>
<author>
<name sortKey="Bauwe, Inga" sort="Bauwe, Inga" uniqKey="Bauwe I" first="Inga" last="Bauwe">Inga Bauwe</name>
</author>
<author>
<name sortKey="Schmidt, Jana" sort="Schmidt, Jana" uniqKey="Schmidt J" first="Jana" last="Schmidt">Jana Schmidt</name>
</author>
<author>
<name sortKey="Kottmann, Tanja" sort="Kottmann, Tanja" uniqKey="Kottmann T" first="Tanja" last="Kottmann">Tanja Kottmann</name>
</author>
<author>
<name sortKey="Rinke, Sven" sort="Rinke, Sven" uniqKey="Rinke S" first="Sven" last="Rinke">Sven Rinke</name>
</author>
<author>
<name sortKey="Schmalz, Gerhard" sort="Schmalz, Gerhard" uniqKey="Schmalz G" first="Gerhard" last="Schmalz">Gerhard Schmalz</name>
</author>
</analytic>
<series>
<title level="j">Oral health & preventive dentistry</title>
<idno type="eISSN">1757-9996</idno>
<imprint>
<date when="2019" type="published">2019</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Blood Glucose (metabolism)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>DMF Index (MeSH)</term>
<term>Delivery of Health Care (MeSH)</term>
<term>Dentists (MeSH)</term>
<term>Diabetes Mellitus (diagnosis)</term>
<term>Female (MeSH)</term>
<term>Germany (MeSH)</term>
<term>Glycated Hemoglobin A (metabolism)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mass Screening (methods)</term>
<term>Middle Aged (MeSH)</term>
<term>Periodontal Index (MeSH)</term>
<term>Periodontitis (MeSH)</term>
<term>Pilot Projects (MeSH)</term>
<term>Referral and Consultation (MeSH)</term>
<term>Risk Assessment (MeSH)</term>
<term>Sensitivity and Specificity (MeSH)</term>
<term>Surveys and Questionnaires (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Allemagne (MeSH)</term>
<term>Appréciation des risques (MeSH)</term>
<term>Dentistes (MeSH)</term>
<term>Diabète (diagnostic)</term>
<term>Dépistage de masse (méthodes)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Glycémie (métabolisme)</term>
<term>Humains (MeSH)</term>
<term>Hémoglobine A glycosylée (métabolisme)</term>
<term>Indice DCAO (MeSH)</term>
<term>Indice parodontal (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Orientation vers un spécialiste (MeSH)</term>
<term>Parodontite (MeSH)</term>
<term>Prestations des soins de santé (MeSH)</term>
<term>Projets pilotes (MeSH)</term>
<term>Sensibilité et spécificité (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Études transversales (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en">
<term>Blood Glucose</term>
<term>Glycated Hemoglobin A</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en">
<term>Germany</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Diabetes Mellitus</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Diabète</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Mass Screening</term>
</keywords>
<keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr">
<term>Glycémie</term>
<term>Hémoglobine A glycosylée</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr">
<term>Dépistage de masse</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Cross-Sectional Studies</term>
<term>DMF Index</term>
<term>Delivery of Health Care</term>
<term>Dentists</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Periodontal Index</term>
<term>Periodontitis</term>
<term>Pilot Projects</term>
<term>Referral and Consultation</term>
<term>Risk Assessment</term>
<term>Sensitivity and Specificity</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Allemagne</term>
<term>Appréciation des risques</term>
<term>Dentistes</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice DCAO</term>
<term>Indice parodontal</term>
<term>Mâle</term>
<term>Orientation vers un spécialiste</term>
<term>Parodontite</term>
<term>Prestations des soins de santé</term>
<term>Projets pilotes</term>
<term>Sensibilité et spécificité</term>
<term>Sujet âgé</term>
<term>Études transversales</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>Allemagne</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<b>PURPOSE</b>
</p>
<p>This dental practice-based pilot study aimed to investigate the efficacy of diabetes mellitus (DM) screening based on questionnaire replies.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MATERIALS AND METHODS</b>
</p>
<p>116 patients were screened in a private dental practice when visiting the dentist for a regular check-up. The Find-Risk (FR) questionnaire was used for diabetes screening. FR-positive (FR+) patients were referred to a diabetologist for further diagnostics (blood glucose, HbA1c); FR-negative patients (FR-) did not receive a diabetological examination. Furthermore, dental findings (DMFT) were obtained and periodontal condition was classified into no, mild, moderate or severe periodontitis, based upon periodontal pocket depth and clinical attachment loss. Sensitivity and specificity of the FR questionnaire and a modified FR questionnaire (additional inquiry if severe periodontitis had been ever diagnosed) were determined in a statistical model.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>102 patients with a mean age of 56.31 years were included. Seven patients had known DM. A total of 36 patients were FR+, including the seven patients with known DM. Only 16 of the 29 participants (55%) followed the recommendation to see the diabetologist. Nine of these 16 patients showed conspicuous blood glucose findings. Both with and without modification of the FR questionnaire, a sensitivity of 100% was achieved. With the modified FR questionnaire, a higher specificity was shown in a statistical model compared to the FR questionnaire without modification (80% vs 69.5%).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>FR-based DM screening in dental practice is possible and could help to identify patients with (pre-) diabetes. However, these results must be validated in a large patient cohort.</p>
</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">30968070</PMID>
<DateCompleted>
<Year>2019</Year>
<Month>09</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised>
<Year>2021</Year>
<Month>02</Month>
<Day>27</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1757-9996</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>17</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2019</Year>
</PubDate>
</JournalIssue>
<Title>Oral health & preventive dentistry</Title>
<ISOAbbreviation>Oral Health Prev Dent</ISOAbbreviation>
</Journal>
<ArticleTitle>Diabetes Screening in Dental Practice Using the Find-Risk Questionnaire - A Practice-based Pilot Study.</ArticleTitle>
<Pagination>
<MedlinePgn>147-156</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.3290/j.ohpd.a42370</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">This dental practice-based pilot study aimed to investigate the efficacy of diabetes mellitus (DM) screening based on questionnaire replies.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">116 patients were screened in a private dental practice when visiting the dentist for a regular check-up. The Find-Risk (FR) questionnaire was used for diabetes screening. FR-positive (FR+) patients were referred to a diabetologist for further diagnostics (blood glucose, HbA1c); FR-negative patients (FR-) did not receive a diabetological examination. Furthermore, dental findings (DMFT) were obtained and periodontal condition was classified into no, mild, moderate or severe periodontitis, based upon periodontal pocket depth and clinical attachment loss. Sensitivity and specificity of the FR questionnaire and a modified FR questionnaire (additional inquiry if severe periodontitis had been ever diagnosed) were determined in a statistical model.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">102 patients with a mean age of 56.31 years were included. Seven patients had known DM. A total of 36 patients were FR+, including the seven patients with known DM. Only 16 of the 29 participants (55%) followed the recommendation to see the diabetologist. Nine of these 16 patients showed conspicuous blood glucose findings. Both with and without modification of the FR questionnaire, a sensitivity of 100% was achieved. With the modified FR questionnaire, a higher specificity was shown in a statistical model compared to the FR questionnaire without modification (80% vs 69.5%).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">FR-based DM screening in dental practice is possible and could help to identify patients with (pre-) diabetes. However, these results must be validated in a large patient cohort.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Ziebolz</LastName>
<ForeName>Dirk</ForeName>
<Initials>D</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Bauwe</LastName>
<ForeName>Inga</ForeName>
<Initials>I</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Schmidt</LastName>
<ForeName>Jana</ForeName>
<Initials>J</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Kottmann</LastName>
<ForeName>Tanja</ForeName>
<Initials>T</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Rinke</LastName>
<ForeName>Sven</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Schmalz</LastName>
<ForeName>Gerhard</ForeName>
<Initials>G</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo>
<Country>Germany</Country>
<MedlineTA>Oral Health Prev Dent</MedlineTA>
<NlmUniqueID>101167768</NlmUniqueID>
<ISSNLinking>1602-1622</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D001786">Blood Glucose</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D006442">Glycated Hemoglobin A</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="C517652">hemoglobin A1c protein, human</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>D</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001786" MajorTopicYN="N">Blood Glucose</DescriptorName>
<QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D004245" MajorTopicYN="N">DMF Index</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003695" MajorTopicYN="Y">Delivery of Health Care</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003815" MajorTopicYN="N">Dentists</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003920" MajorTopicYN="N">Diabetes Mellitus</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005858" MajorTopicYN="N" Type="Geographic">Germany</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006442" MajorTopicYN="N">Glycated Hemoglobin A</DescriptorName>
<QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008403" MajorTopicYN="N">Mass Screening</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010512" MajorTopicYN="N">Periodontal Index</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010518" MajorTopicYN="Y">Periodontitis</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012017" MajorTopicYN="Y">Referral and Consultation</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012680" MajorTopicYN="N">Sensitivity and Specificity</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">diabetes mellitus</Keyword>
<Keyword MajorTopicYN="N">diabetes screening</Keyword>
<Keyword MajorTopicYN="N">periodontitis</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="entrez">
<Year>2019</Year>
<Month>4</Month>
<Day>11</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2019</Year>
<Month>4</Month>
<Day>11</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2019</Year>
<Month>9</Month>
<Day>10</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">30968070</ArticleId>
<ArticleId IdType="pii">842203</ArticleId>
<ArticleId IdType="doi">10.3290/j.ohpd.a42370</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list></list>
<tree>
<noCountry>
<name sortKey="Bauwe, Inga" sort="Bauwe, Inga" uniqKey="Bauwe I" first="Inga" last="Bauwe">Inga Bauwe</name>
<name sortKey="Kottmann, Tanja" sort="Kottmann, Tanja" uniqKey="Kottmann T" first="Tanja" last="Kottmann">Tanja Kottmann</name>
<name sortKey="Rinke, Sven" sort="Rinke, Sven" uniqKey="Rinke S" first="Sven" last="Rinke">Sven Rinke</name>
<name sortKey="Schmalz, Gerhard" sort="Schmalz, Gerhard" uniqKey="Schmalz G" first="Gerhard" last="Schmalz">Gerhard Schmalz</name>
<name sortKey="Schmidt, Jana" sort="Schmidt, Jana" uniqKey="Schmidt J" first="Jana" last="Schmidt">Jana Schmidt</name>
<name sortKey="Ziebolz, Dirk" sort="Ziebolz, Dirk" uniqKey="Ziebolz D" first="Dirk" last="Ziebolz">Dirk Ziebolz</name>
</noCountry>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Sante/explor/SuicidDentistV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000067 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000067 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Sante
   |area=    SuicidDentistV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     pubmed:30968070
   |texte=   Diabetes Screening in Dental Practice Using the Find-Risk Questionnaire - A Practice-based Pilot Study.
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:30968070" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a SuicidDentistV1 

Wicri

This area was generated with Dilib version V0.6.39.
Data generation: Sun Oct 3 17:04:29 2021. Site generation: Sun Oct 3 17:05:17 2021