{"id":4432,"date":"2025-08-11T20:57:24","date_gmt":"2025-08-11T20:57:24","guid":{"rendered":"https:\/\/qelizaesthetics.com\/predicting-medical-costs-with-vo2max\/"},"modified":"2025-08-11T20:57:24","modified_gmt":"2025-08-11T20:57:24","slug":"predicting-medical-costs-with-vo2max","status":"publish","type":"post","link":"https:\/\/qelizaesthetics.com\/sq\/parashikimi-i-kostove-mjekesore-me-vo2max\/","title":{"rendered":"Parashikimi i kostove mjek\u00ebsore me VO2max"},"content":{"rendered":"
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Epidemia e p\u00ebrhapur e s\u00ebmundjeve kronike dhe rritja q\u00eb rezulton n\u00eb shpenzimet mjek\u00ebsore \u00ebsht\u00eb nj\u00eb nga problemet m\u00eb t\u00eb r\u00ebnda t\u00eb shoq\u00ebrive moderne, ndoshta i dyti vet\u00ebm pas ndryshimeve klimatike. Inflacioni i kujdesit sh\u00ebndet\u00ebsor \u00ebsht\u00eb n\u00eb nj\u00eb rritje meteorike, dhe p\u00ebr ata me mbulim t\u00eb kufizuar ose aspak kujdes sh\u00ebndet\u00ebsor, nj\u00eb urgjenc\u00eb mjek\u00ebsore \u00ebsht\u00eb ekuivalente me falimentimin personal.  <\/span><\/p>\n

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Nj\u00eb problem i madh p\u00ebr pun\u00ebdh\u00ebn\u00ebsit<\/b><\/p>\n

N\u00eb SHBA, pun\u00ebdh\u00ebn\u00ebsit dhe konsumator\u00ebt q\u00eb p\u00ebrballen me rritje t\u00eb primeve t\u00eb sigurimit sh\u00ebndet\u00ebsor dhe shpenzime astronomike mjek\u00ebsore nga xhepi i tyre, e ndiejn\u00eb barr\u00ebn e rritjes s\u00eb kostove t\u00eb kujdesit sh\u00ebndet\u00ebsor. Problemi \u00ebsht\u00eb i till\u00eb q\u00eb edhe korporatat e m\u00ebdha dhe t\u00eb kapitalizuara zgjedhin t\u00eb d\u00ebrgojn\u00eb punonj\u00ebs jasht\u00eb shtetit p\u00ebr procedura specifike mjek\u00ebsore, pasi kostoja e udh\u00ebtimit dhe trajtimit n\u00eb nj\u00eb vend t\u00eb huaj \u00ebsht\u00eb m\u00eb e ul\u00ebt se kostoja e kujdesit n\u00eb SHBA. Nj\u00eb tjet\u00ebr shembull trondit\u00ebs \u00ebsht\u00eb fam\u00ebkeqi "karvani verior", nj\u00eb term q\u00eb p\u00ebrshkruan njer\u00ebzit me diabet n\u00eb shtetet veriore q\u00eb udh\u00ebtojn\u00eb n\u00eb Kanada p\u00ebr t\u00eb siguruar furnizimin e tyre me insulin\u00eb. Sipas... <\/span>McKinsey<\/span><\/a>, nj\u00eb anket\u00eb e kryer me mbi 300 pun\u00ebdh\u00ebn\u00ebs theksoi se rritja mesatare e kostos s\u00eb p\u00ebrfitimeve sh\u00ebndet\u00ebsore gjat\u00eb tre viteve t\u00eb fundit ka qen\u00eb brenda intervalit 6 deri n\u00eb 7 p\u00ebrqind. Kjo anket\u00eb tregoi gjithashtu se \u00e7do rritje e norm\u00ebs q\u00eb tejkalonte 4 deri n\u00eb 5 p\u00ebrqind konsiderohej e paq\u00ebndrueshme. \u00cbsht\u00eb interesante se 95 p\u00ebrqind e pun\u00ebdh\u00ebn\u00ebsve t\u00eb anketuar shpreh\u00ebn gatishm\u00ebrin\u00eb p\u00ebr t\u00eb marr\u00eb n\u00eb konsiderat\u00eb uljen e p\u00ebrfitimeve n\u00ebse kostot rriteshin me 4 p\u00ebrqind ose m\u00eb shum\u00eb. Masat kryesore t\u00eb kontrollit t\u00eb kostos q\u00eb k\u00ebta pun\u00ebdh\u00ebn\u00ebs treguan se mund t\u00eb shqyrtonin p\u00ebrfshinin rritjen e pjes\u00ebs s\u00eb kostove t\u00eb primeve t\u00eb mbuluara nga punonj\u00ebsit dhe nj\u00eb kalim t\u00eb mundsh\u00ebm n\u00eb plane sh\u00ebndet\u00ebsore me zbritje t\u00eb lart\u00eb.<\/span><\/p>\n

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Pse \u00ebsht\u00eb e r\u00ebnd\u00ebsishme analiza e frym\u00ebmarrjes?<\/b><\/p>\n

Lidhur me k\u00ebt\u00eb problem, vler\u00ebsimi i hersh\u00ebm dhe i sakt\u00eb se kush do t\u00eb s\u00ebmuret dhe sa do t\u00eb kushtoj\u00eb \u00ebsht\u00eb po aq kritik sa vet\u00eb trajtimi. Arsyeja \u00ebsht\u00eb se nuk ekziston asnj\u00eb metod\u00eb tjet\u00ebr p\u00ebr identifikimin e sakt\u00eb t\u00eb popullatave n\u00eb rrezik; kjo ndihmon n\u00eb p\u00ebrqendrimin e burimeve tona t\u00eb pakta parandaluese dhe v\u00ebmendjes tek ata q\u00eb kan\u00eb m\u00eb shum\u00eb nevoj\u00eb. Analiza e frym\u00ebmarrjes, e njohur edhe si VO2max ose testimi metabolik, \u00ebsht\u00eb nj\u00eb vler\u00ebsim q\u00eb zbulon dy biomarkues kryesor\u00eb q\u00eb ofrojn\u00eb vler\u00eb t\u00eb konsiderueshme parashikuese p\u00ebr gjasat e dikujt p\u00ebr t\u00eb zhvilluar s\u00ebmundje kronike t\u00eb kushtueshme. K\u00ebta dy biomarkues jan\u00eb VO2max dhe Raporti i Shk\u00ebmbimit Respirator. N\u00eb k\u00ebt\u00eb artikull, do t\u00eb zhytemi n\u00eb VO2max p\u00ebr t\u00eb kuptuar pse \u00ebsht\u00eb nj\u00eb pasqyrim kritik i sh\u00ebndetit ton\u00eb t\u00eb p\u00ebrgjithsh\u00ebm dhe, rrjedhimisht, nj\u00eb dritare n\u00eb shpenzimet tona t\u00eb ardhshme p\u00ebr kujdesin sh\u00ebndet\u00ebsor.   <\/span><\/p>\n

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\u00c7far\u00eb \u00ebsht\u00eb VO2max?<\/b><\/p>\n

Le t\u00eb fillojm\u00eb me bazat. \u00c7far\u00eb \u00ebsht\u00eb VO2max? VO2 max \u00ebsht\u00eb sasia maksimale e oksigjenit q\u00eb trupi i njeriut mund t\u00eb thith\u00eb. Matet n\u00eb mililitra oksigjeni t\u00eb konsumuar p\u00ebr kilogram t\u00eb pesh\u00ebs trupore. Formula m\u00eb posht\u00eb tregon se si llogaritet VO2max:<\/span><\/p>\n

Num\u00ebruesi tregon v\u00ebllimin e oksigjenit q\u00eb zemra, mushk\u00ebrit\u00eb dhe qelizat tuaja mund t\u00eb thithin, t\u00eb shprehur n\u00eb mililitra p\u00ebr minut\u00eb. Em\u00ebruesi tregon pesh\u00ebn e individit t\u00eb p\u00ebrfaq\u00ebsuar n\u00eb kilogram\u00eb. <\/span><\/p>\n

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Si matet VO2max?<\/b><\/p>\n

VO2 max matet duke analizuar sasin\u00eb totale t\u00eb oksigjenit t\u00eb konsumuar nga trupi i nj\u00eb personi gjat\u00eb ushtrimit n\u00eb kushte maksimale ose af\u00ebr maksimumit. Nd\u00ebrsa trupi yn\u00eb fillon t\u00eb l\u00ebviz\u00eb, muskujt q\u00eb punojn\u00eb duhet t\u00eb zb\u00ebrthejn\u00eb m\u00eb shum\u00eb l\u00ebnd\u00eb ushqyese (dometh\u00ebn\u00eb, yndyrna dhe karbohidrate) p\u00ebr t\u00eb mbuluar k\u00ebrkes\u00ebn n\u00eb rritje p\u00ebr energji. Meqen\u00ebse oksidimi (dometh\u00ebn\u00eb, zb\u00ebrthimi) i l\u00ebnd\u00ebve ushqyese k\u00ebrkon oksigjen, zemra, mushk\u00ebrit\u00eb dhe qarkullimi i gjakut do t\u00eb fillojn\u00eb t\u00eb punojn\u00eb m\u00eb intensivisht p\u00ebr t\u00eb ofruar oksigjenin e nevojsh\u00ebm. Nd\u00ebrsa intensiteti i ushtrimit rritet, rritet edhe nevoja p\u00ebr oksigjen nga muskujt q\u00eb punojn\u00eb, dhe aq m\u00eb shum\u00eb funksionon m\u00eb shum\u00eb sistemi yn\u00eb kardio-respirator. Kjo \u00ebsht\u00eb ajo q\u00eb p\u00ebrjetojm\u00eb t\u00eb gjith\u00eb kur fillojm\u00eb t\u00eb ushtrohemi dhe vazhdojm\u00eb t\u00eb rrisim intensitetin. Si pasoj\u00eb, kur ushtrohemi n\u00eb kulmin ton\u00eb, konsumojm\u00eb sasin\u00eb m\u00eb t\u00eb konsiderueshme t\u00eb oksigjenit. Ky \u00ebsht\u00eb VO2max yn\u00eb. Nj\u00eb vler\u00ebsim i VO2max zakonisht kryhet n\u00eb nj\u00eb bi\u00e7iklet\u00eb stacionare ose n\u00eb nj\u00eb pist\u00eb vrapimi. <\/span><\/p>\n

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Zinxhiri i Oksigjenit<\/b><\/p>\n

P\u00ebr shkak t\u00eb natyr\u00ebs themelore t\u00eb furnizimit me oksigjen t\u00eb qelizave tona, nj\u00eb pjes\u00eb e madhe e trupit ton\u00eb ka evoluar posa\u00e7\u00ebrisht p\u00ebr t\u00eb mb\u00ebshtetur k\u00ebt\u00eb proces. Detyra kryesore e zemr\u00ebs, mushk\u00ebrive dhe qarkullimit t\u00eb gjakut \u00ebsht\u00eb t\u00eb leht\u00ebsoj\u00eb dh\u00ebnien e oksigjenit dhe pastrimin e dioksidit t\u00eb karbonit, me fjal\u00eb t\u00eb tjera, t\u00eb ruaj\u00eb funksionimin e vazhduesh\u00ebm t\u00eb metabolizmit aerob. T\u00eb gjitha k\u00ebto sisteme p\u00ebrb\u00ebjn\u00eb Zinxhirin e Oksigjenit.  <\/span><\/p>\n


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Zinxhiri i oksigjenit \u00ebsht\u00eb themeli i jet\u00ebgjat\u00ebsis\u00eb njer\u00ebzore. Kjo manifestohet nga fakti se pothuajse t\u00eb gjitha gjendjet kronike q\u00eb ka t\u00eb ngjar\u00eb t'ju vrasin ose t\u00eb ulin cil\u00ebsin\u00eb e jet\u00ebs suaj shkaktohen ose shfaqen nga nj\u00eb ulje e rrjedh\u00ebs s\u00eb oksigjenit n\u00eb sistemin p\u00ebrkat\u00ebs. P\u00ebr shembull, aft\u00ebsia e reduktuar e qelizave p\u00ebr t\u00eb thithur oksigjen \u00ebsht\u00eb provuar t\u00eb jet\u00eb nj\u00eb nga parashikuesit m\u00eb t\u00eb fuqish\u00ebm t\u00eb \u00e7rregullimit metabolik dhe diabetit t\u00eb tipit II. Nj\u00eb aft\u00ebsi e reduktuar e zemr\u00ebs suaj p\u00ebr t\u00eb pompuar gjak t\u00eb pasur me oksigjen \u00ebsht\u00eb nj\u00eb tregues i besuesh\u00ebm i S\u00ebmundjes s\u00eb Arterieve Koronare. Testi VO2max \u00ebsht\u00eb i vetmi vler\u00ebsim shkencor i njohur p\u00ebr t\u00eb analizuar sh\u00ebndetin e zinxhirit tuaj t\u00eb oksigjenit dhe p\u00ebr t\u00eb vler\u00ebsuar se sa efektivisht pjes\u00ebt e tij funksionojn\u00eb individualisht dhe n\u00eb unison n\u00eb qarkullimin e oksigjenit dhe fuqizimin e metabolizmit aerobik. VO2 max \u00ebsht\u00eb metrika q\u00eb p\u00ebrmbledh sh\u00ebndetin e zinxhirit t\u00eb oksigjenit n\u00eb m\u00ebnyr\u00ebn m\u00eb gjith\u00ebp\u00ebrfshir\u00ebse. Kjo \u00ebsht\u00eb arsyeja pse studimet gjat\u00ebsore dekada t\u00eb gjata e kan\u00eb vendosur at\u00eb si parashikuesin m\u00eb t\u00eb fuqish\u00ebm se sa gjat\u00eb dhe mir\u00eb do t\u00eb jetoj\u00eb dikush. Gama e t\u00eb dh\u00ebnave shkencore q\u00eb mb\u00ebshtesin fuqin\u00eb e VO2 max p\u00ebr t\u00eb parashikuar vdekshm\u00ebrin\u00eb dhe morbiditetin e shtyu Shoqat\u00ebn Amerikane t\u00eb Zemr\u00ebs t\u00eb b\u00ebnte thirrje p\u00ebr vendosjen e testimit VO2 max si pjes\u00eb e ekzaminimit fizik vjetor t\u00eb \u00e7do personi.<\/span><\/p>\n

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Parashikimi i kostos s\u00eb kujdesit sh\u00ebndet\u00ebsor<\/b><\/p>\n

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VO2max \u00ebsht\u00eb nj\u00eb metrik\u00eb q\u00eb \u00ebsht\u00eb analizuar gjer\u00ebsisht n\u00eb aft\u00ebsin\u00eb e saj p\u00ebr t\u00eb parashikuar gjasat e vdekshm\u00ebris\u00eb dhe morbiditetit dhe aft\u00ebsin\u00eb e saj p\u00ebr t\u00eb parashikuar drejtp\u00ebrdrejt kostot e kujdesit sh\u00ebndet\u00ebsor. N\u00eb m\u00ebnyr\u00eb specifike, nj\u00eb studim i r\u00ebnd\u00ebsish\u00ebm i botuar nga Klinika Mayo analizon korrelacionin midis shpenzimeve t\u00eb kujdesit sh\u00ebndet\u00ebsor dhe Fitnesit Kardio-Respirator (CRF), nj\u00eb p\u00ebrshkrim alternativ i VO2 max. Studimi p\u00ebrfshinte 9,942 pjes\u00ebmarr\u00ebs me nj\u00eb mosh\u00eb mesatare prej 59.11 vje\u00e7, t\u00eb cil\u00ebt iu n\u00ebnshtruan nj\u00eb testi maksimal t\u00eb ushtrimeve p\u00ebr q\u00ebllime klinike nga janari 2005 deri n\u00eb dhjetor 2012. Fitnesi kardio-respirator u nda n\u00eb kat\u00ebr kategori ose kuartile, t\u00eb matura si p\u00ebrqindje e ekuivalent\u00ebve metabolik\u00eb maksimal\u00eb t\u00eb parashikuar sipas mosh\u00ebs (MET) t\u00eb arritur. T\u00eb dh\u00ebnat u mor\u00ebn nga Qendra e Burimeve t\u00eb Ndarura e Administrat\u00ebs s\u00eb Veteran\u00ebve p\u00ebr t\u00eb analizuar shpenzimet totale dhe vjetore t\u00eb kujdesit sh\u00ebndet\u00ebsor. Teknika t\u00eb shum\u00ebfishta regresioni u p\u00ebrdor\u00ebn p\u00ebr t\u00eb krahasuar k\u00ebto kosto, duke marr\u00eb parasysh faktor\u00ebt demografik\u00eb dhe klinik\u00eb.<\/span><\/p>\n

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U vu re nj\u00eb marr\u00ebdh\u00ebnie e anasjellt\u00eb midis gjendjes fizike kardiorespiratore (CRF) dhe kostove t\u00eb kujdesit sh\u00ebndet\u00ebsor. Ata n\u00eb kuartilin m\u00eb pak t\u00eb p\u00ebrshtatsh\u00ebm kishin kosto t\u00eb p\u00ebrgjithshme p\u00ebr pacient n\u00eb vit af\u00ebrsisht $14,662 m\u00eb t\u00eb larta krahasuar me kuartilin m\u00eb t\u00eb p\u00ebrshtatsh\u00ebm, edhe pasi u mor\u00ebn parasysh variablat e mundshme ngat\u00ebrruese (P<.001). P\u00ebr m\u00eb tep\u00ebr, p\u00ebr \u00e7do rritje prej 1-MET n\u00eb gjendje fizike, pati nj\u00eb ulje vjetore p\u00ebrkat\u00ebse prej $1,592 n\u00eb kostot e kujdesit sh\u00ebndet\u00ebsor (q\u00eb barazohet me nj\u00eb kosto m\u00eb t\u00eb ul\u00ebt prej 5.6% p\u00ebr MET). P\u00ebrve\u00e7 k\u00ebsaj, kalimi n\u00eb nj\u00eb kuartil m\u00eb t\u00eb lart\u00eb t\u00eb gjendjes fizike rezultoi n\u00eb nj\u00eb ulje vjetore prej $4,163 t\u00eb kostove p\u00ebr pacient.<\/span><\/p>\n

\u00cbsht\u00eb interesante se ndikimi i CRF n\u00eb kosto ishte m\u00eb i theksuar tek subjektet pa s\u00ebmundje kardiovaskulare (SKV), duke treguar se k\u00ebto gjetje nuk ishin t\u00eb nxitura nga mund\u00ebsia q\u00eb individ\u00ebt m\u00eb pak n\u00eb form\u00eb t\u00eb mir\u00eb fizike t\u00eb kishin nj\u00eb prevalenc\u00eb m\u00eb t\u00eb lart\u00eb t\u00eb SKV-ve. Kursimet e kostove q\u00eb i atribuohen form\u00ebs m\u00eb t\u00eb mir\u00eb fizike ishin m\u00eb t\u00eb r\u00ebnd\u00ebsishme tek subjektet mbipesh\u00eb dhe obez\u00eb, me kursime m\u00eb t\u00eb ul\u00ebta t\u00eb v\u00ebrejtura tek ata me nj\u00eb indeks t\u00eb mas\u00ebs trupore m\u00eb pak se 25 kg\/m\u00b2. Kur merren n\u00eb konsiderat\u00eb t\u00eb dh\u00ebnat historike, klinike dhe t\u00eb testeve t\u00eb ushtrimeve, d\u00ebshtimi i zemr\u00ebs doli si parashikuesi m\u00eb me ndikim i kostove t\u00eb kujdesit sh\u00ebndet\u00ebsor, i ndjekur nga CRF.<\/span><\/p>\n


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Burimi: https:\/\/doi.org\/10.1016\/j.mayocp.2017.09.019<\/span><\/a><\/p>\n

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Konkluzioni<\/b><\/p>\n

Sasia e madhe e provave shkencore q\u00eb q\u00ebndrojn\u00eb pas marr\u00ebdh\u00ebnies midis vdekshm\u00ebris\u00eb maksimale t\u00eb VO2, morbiditetit dhe kostos s\u00eb kujdesit sh\u00ebndet\u00ebsor \u00ebsht\u00eb nj\u00eb mjet i fuqish\u00ebm p\u00ebr t\u00eb ndihmuar ofruesit dhe pal\u00ebt e interesuara n\u00eb sh\u00ebndet dhe mir\u00ebqenie t\u00eb p\u00ebrmbajn\u00eb pandemin\u00eb e s\u00ebmundjeve kronike. \u00cbsht\u00eb e pamohueshme q\u00eb sistemi yn\u00eb i kujdesit sh\u00ebndet\u00ebsor \u00ebsht\u00eb i kufizuar n\u00eb burime, pasi ofruesit p\u00ebrballen me koh\u00ebn m\u00eb sfiduese n\u00eb koh\u00ebt moderne p\u00ebr t\u00eb rekrutuar personelin e nevojsh\u00ebm. Si e till\u00eb, synimi i burimeve tona t\u00eb kufizuara aty ku ka m\u00eb shum\u00eb r\u00ebnd\u00ebsi mund t\u00eb b\u00ebj\u00eb diferenc\u00ebn midis suksesit dhe d\u00ebshtimit n\u00eb zbutjen e kostove t\u00eb kujdesit sh\u00ebndet\u00ebsor.<\/span><\/p>\n<\/div>\n



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Sh\u00ebndeti Metabolik<\/strong><\/p>\n

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 <\/p><\/p>","protected":false},"excerpt":{"rendered":"

The rampant chronic disease epidemic and the resulting surge in medical expenses is one of the most dire problems of modern societies, probably only second to climate change. Healthcare inflation is on a meteoric rise, and for those with limited or no healthcare coverage, a medical emergency is the equivalent of personal bankruptcy.     A […]<\/p>","protected":false},"author":1,"featured_media":4450,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4432","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/posts\/4432","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/comments?post=4432"}],"version-history":[{"count":0,"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/posts\/4432\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/media\/4450"}],"wp:attachment":[{"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/media?parent=4432"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/categories?post=4432"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/tags?post=4432"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}