Loading…
Association of problematic Internet use and oral health-related quality of life among medical and dental students
The Internet as a communication tool is an essential component of daily life. Nowadays, problematic Internet use (PIU) has led to various psychosocial problems that can indirectly lead to oral diseases due to neglect of healthy behaviors. Also, college students are a large proportion of Internet use...
Saved in:
Published in: | BMC medical education 2022-01, Vol.22 (1), p.11-11, Article 11 |
---|---|
Main Authors: | , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c563t-5232fa5093055480567464fc5b77e6913738d272a2708faf47d373d5e26a0e0b3 |
---|---|
cites | cdi_FETCH-LOGICAL-c563t-5232fa5093055480567464fc5b77e6913738d272a2708faf47d373d5e26a0e0b3 |
container_end_page | 11 |
container_issue | 1 |
container_start_page | 11 |
container_title | BMC medical education |
container_volume | 22 |
creator | Ghareghol, Halimeh Pakkhesal, Mina Naghavialhosseini, Aliakbar Ahmadinia, Amir Reza Behnampour, Nasser |
description | The Internet as a communication tool is an essential component of daily life. Nowadays, problematic Internet use (PIU) has led to various psychosocial problems that can indirectly lead to oral diseases due to neglect of healthy behaviors. Also, college students are a large proportion of Internet users. The present study aimed to determine the association between problematic Internet use and oral health-related quality of life (OHRQoL) among medical and dental students.
A cross-sectional descriptive-analytical study was conducted on medical and dental students in the first and second years of education (basic sciences courses) at the Golestan University of Medical Sciences, Iran, between January and July 2020. The data collection process was carried out in the following sequence: questionnaire on demographic characteristics (age, gender, marital status, academic field, and year); Problematic Internet Use Questionnaire (PIUQ); and Oral Health Impact Profile (OHIP-14) questionnaire.
Among 268 medical and dental students, 171 students (63.81%) [95% confidence interval: 58.02%- 69.60%] had problematic Internet use. The mean PIU score in the first-year was significantly higher than the second-year students. In addition, 65% of single students and 25% of married subjects were dealing with PIU. The statistical difference between mean OHIP scores among PIU students (12.5 ± 2.9), with average Internet usage (7.39 ± 6.6), was significant. The Spearman correlation coefficient between PIU and OHIP was 0.309 and significant (P-value |
doi_str_mv | 10.1186/s12909-021-03092-x |
format | article |
fullrecord | <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_6cddcf505fc447d599d91baf932798fb</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A693692047</galeid><doaj_id>oai_doaj_org_article_6cddcf505fc447d599d91baf932798fb</doaj_id><sourcerecordid>A693692047</sourcerecordid><originalsourceid>FETCH-LOGICAL-c563t-5232fa5093055480567464fc5b77e6913738d272a2708faf47d373d5e26a0e0b3</originalsourceid><addsrcrecordid>eNptUk1v1DAUjBCIlsIf4IAiceGS4o_Yji9IqwroSpW4wNly_LHrVWLv2glq_z0v3dJ2EfEhz88zY83zVNV7jC4x7vjngolEskEEN4giSZrbF9U5bgVpuCTo5bP6rHpTyg4hLDqKX1dntJUdwhidV4dVKckEPYUU6-TrfU794EbYm3odJ5ejm-q5uFpHW6esh3rr9DBtm-wGPTlbH2Y9hOlu4Q7BA25McVOPzgYD4IVlXZygLNO8VOVt9crrobh3D_-L6te3rz-vrpubH9_XV6ubxjBOp4YRSrxmSFLEWNshxkXLW29YL4TjElNBO0sE0USgzmvfCgstyxzhGjnU04tqfdS1Se_UPodR5zuVdFD3jZQ3SmewOTjFjbXGM8S8aUGHSWkl7rWXlAjZ-UXry1FrP_dgzYAPGMWJ6OlJDFu1Sb9VJwjBkoHApweBnA6zK5MaQzFuGHR0aS6KcMw5go8D9OM_0F2ac4RRAYpgREXb4ifURoOBEH2Ce80iqlZc0uXRWwGoy_-gYFk3BpOi8wH6JwRyJJicSsnOP3rESC2hU8fQKQidug-dugXSh-fTeaT8TRn9AzkB0aM</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2621037441</pqid></control><display><type>article</type><title>Association of problematic Internet use and oral health-related quality of life among medical and dental students</title><source>Education Collection (Proquest) (PQ_SDU_P3)</source><source>Publicly Available Content Database</source><source>Social Science Premium Collection</source><source>PubMed Central</source><creator>Ghareghol, Halimeh ; Pakkhesal, Mina ; Naghavialhosseini, Aliakbar ; Ahmadinia, Amir Reza ; Behnampour, Nasser</creator><creatorcontrib>Ghareghol, Halimeh ; Pakkhesal, Mina ; Naghavialhosseini, Aliakbar ; Ahmadinia, Amir Reza ; Behnampour, Nasser</creatorcontrib><description>The Internet as a communication tool is an essential component of daily life. Nowadays, problematic Internet use (PIU) has led to various psychosocial problems that can indirectly lead to oral diseases due to neglect of healthy behaviors. Also, college students are a large proportion of Internet users. The present study aimed to determine the association between problematic Internet use and oral health-related quality of life (OHRQoL) among medical and dental students.
A cross-sectional descriptive-analytical study was conducted on medical and dental students in the first and second years of education (basic sciences courses) at the Golestan University of Medical Sciences, Iran, between January and July 2020. The data collection process was carried out in the following sequence: questionnaire on demographic characteristics (age, gender, marital status, academic field, and year); Problematic Internet Use Questionnaire (PIUQ); and Oral Health Impact Profile (OHIP-14) questionnaire.
Among 268 medical and dental students, 171 students (63.81%) [95% confidence interval: 58.02%- 69.60%] had problematic Internet use. The mean PIU score in the first-year was significantly higher than the second-year students. In addition, 65% of single students and 25% of married subjects were dealing with PIU. The statistical difference between mean OHIP scores among PIU students (12.5 ± 2.9), with average Internet usage (7.39 ± 6.6), was significant. The Spearman correlation coefficient between PIU and OHIP was 0.309 and significant (P-value < 0.000001). It indicates that students with higher PIU showed higher OHIP scores.
The present study showed that problematic Internet use was significantly associated with oral health-related quality of life (OHRQoL) among first and second-year medical and dental students. Thus, the students with problematic Internet use experienced a poorer oral health-related quality of life than average Internet users. Furthermore, appropriate preventive and interventional strategies need to be developed to encourage rational use of the Internet to protect the users' oral health, especially among medical and dental students.</description><identifier>ISSN: 1472-6920</identifier><identifier>EISSN: 1472-6920</identifier><identifier>DOI: 10.1186/s12909-021-03092-x</identifier><identifier>PMID: 34980110</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Addictions ; Adolescents ; Behavior, Addictive - epidemiology ; College students ; Colleges & universities ; Computer Use ; Confidence intervals ; Cross-Sectional Studies ; Demographic aspects ; Dental schools ; Dental student ; Dental students ; Eating behavior ; Health aspects ; Humans ; Internet ; Internet access ; Internet Use ; Lifelong Learning ; Medical education ; Medical students ; Normal distribution ; Oral health ; Oral hygiene ; Psychological aspects ; Quality of Life ; Questionnaires ; Science Curriculum ; Students, Dental ; Surveys and Questionnaires ; University students</subject><ispartof>BMC medical education, 2022-01, Vol.22 (1), p.11-11, Article 11</ispartof><rights>2021. The Author(s).</rights><rights>COPYRIGHT 2022 BioMed Central Ltd.</rights><rights>2022. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c563t-5232fa5093055480567464fc5b77e6913738d272a2708faf47d373d5e26a0e0b3</citedby><cites>FETCH-LOGICAL-c563t-5232fa5093055480567464fc5b77e6913738d272a2708faf47d373d5e26a0e0b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8722195/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2621037441?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,21357,21373,25731,27901,27902,33588,33589,33854,33855,36989,36990,43709,43856,44566,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34980110$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ghareghol, Halimeh</creatorcontrib><creatorcontrib>Pakkhesal, Mina</creatorcontrib><creatorcontrib>Naghavialhosseini, Aliakbar</creatorcontrib><creatorcontrib>Ahmadinia, Amir Reza</creatorcontrib><creatorcontrib>Behnampour, Nasser</creatorcontrib><title>Association of problematic Internet use and oral health-related quality of life among medical and dental students</title><title>BMC medical education</title><addtitle>BMC Med Educ</addtitle><description>The Internet as a communication tool is an essential component of daily life. Nowadays, problematic Internet use (PIU) has led to various psychosocial problems that can indirectly lead to oral diseases due to neglect of healthy behaviors. Also, college students are a large proportion of Internet users. The present study aimed to determine the association between problematic Internet use and oral health-related quality of life (OHRQoL) among medical and dental students.
A cross-sectional descriptive-analytical study was conducted on medical and dental students in the first and second years of education (basic sciences courses) at the Golestan University of Medical Sciences, Iran, between January and July 2020. The data collection process was carried out in the following sequence: questionnaire on demographic characteristics (age, gender, marital status, academic field, and year); Problematic Internet Use Questionnaire (PIUQ); and Oral Health Impact Profile (OHIP-14) questionnaire.
Among 268 medical and dental students, 171 students (63.81%) [95% confidence interval: 58.02%- 69.60%] had problematic Internet use. The mean PIU score in the first-year was significantly higher than the second-year students. In addition, 65% of single students and 25% of married subjects were dealing with PIU. The statistical difference between mean OHIP scores among PIU students (12.5 ± 2.9), with average Internet usage (7.39 ± 6.6), was significant. The Spearman correlation coefficient between PIU and OHIP was 0.309 and significant (P-value < 0.000001). It indicates that students with higher PIU showed higher OHIP scores.
The present study showed that problematic Internet use was significantly associated with oral health-related quality of life (OHRQoL) among first and second-year medical and dental students. Thus, the students with problematic Internet use experienced a poorer oral health-related quality of life than average Internet users. Furthermore, appropriate preventive and interventional strategies need to be developed to encourage rational use of the Internet to protect the users' oral health, especially among medical and dental students.</description><subject>Addictions</subject><subject>Adolescents</subject><subject>Behavior, Addictive - epidemiology</subject><subject>College students</subject><subject>Colleges & universities</subject><subject>Computer Use</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Demographic aspects</subject><subject>Dental schools</subject><subject>Dental student</subject><subject>Dental students</subject><subject>Eating behavior</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Internet</subject><subject>Internet access</subject><subject>Internet Use</subject><subject>Lifelong Learning</subject><subject>Medical education</subject><subject>Medical students</subject><subject>Normal distribution</subject><subject>Oral health</subject><subject>Oral hygiene</subject><subject>Psychological aspects</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Science Curriculum</subject><subject>Students, Dental</subject><subject>Surveys and Questionnaires</subject><subject>University students</subject><issn>1472-6920</issn><issn>1472-6920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>CJNVE</sourceid><sourceid>M0P</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUk1v1DAUjBCIlsIf4IAiceGS4o_Yji9IqwroSpW4wNly_LHrVWLv2glq_z0v3dJ2EfEhz88zY83zVNV7jC4x7vjngolEskEEN4giSZrbF9U5bgVpuCTo5bP6rHpTyg4hLDqKX1dntJUdwhidV4dVKckEPYUU6-TrfU794EbYm3odJ5ejm-q5uFpHW6esh3rr9DBtm-wGPTlbH2Y9hOlu4Q7BA25McVOPzgYD4IVlXZygLNO8VOVt9crrobh3D_-L6te3rz-vrpubH9_XV6ubxjBOp4YRSrxmSFLEWNshxkXLW29YL4TjElNBO0sE0USgzmvfCgstyxzhGjnU04tqfdS1Se_UPodR5zuVdFD3jZQ3SmewOTjFjbXGM8S8aUGHSWkl7rWXlAjZ-UXry1FrP_dgzYAPGMWJ6OlJDFu1Sb9VJwjBkoHApweBnA6zK5MaQzFuGHR0aS6KcMw5go8D9OM_0F2ac4RRAYpgREXb4ifURoOBEH2Ce80iqlZc0uXRWwGoy_-gYFk3BpOi8wH6JwRyJJicSsnOP3rESC2hU8fQKQidug-dugXSh-fTeaT8TRn9AzkB0aM</recordid><startdate>20220103</startdate><enddate>20220103</enddate><creator>Ghareghol, Halimeh</creator><creator>Pakkhesal, Mina</creator><creator>Naghavialhosseini, Aliakbar</creator><creator>Ahmadinia, Amir Reza</creator><creator>Behnampour, Nasser</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88C</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0P</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20220103</creationdate><title>Association of problematic Internet use and oral health-related quality of life among medical and dental students</title><author>Ghareghol, Halimeh ; Pakkhesal, Mina ; Naghavialhosseini, Aliakbar ; Ahmadinia, Amir Reza ; Behnampour, Nasser</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c563t-5232fa5093055480567464fc5b77e6913738d272a2708faf47d373d5e26a0e0b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Addictions</topic><topic>Adolescents</topic><topic>Behavior, Addictive - epidemiology</topic><topic>College students</topic><topic>Colleges & universities</topic><topic>Computer Use</topic><topic>Confidence intervals</topic><topic>Cross-Sectional Studies</topic><topic>Demographic aspects</topic><topic>Dental schools</topic><topic>Dental student</topic><topic>Dental students</topic><topic>Eating behavior</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Internet</topic><topic>Internet access</topic><topic>Internet Use</topic><topic>Lifelong Learning</topic><topic>Medical education</topic><topic>Medical students</topic><topic>Normal distribution</topic><topic>Oral health</topic><topic>Oral hygiene</topic><topic>Psychological aspects</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Science Curriculum</topic><topic>Students, Dental</topic><topic>Surveys and Questionnaires</topic><topic>University students</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ghareghol, Halimeh</creatorcontrib><creatorcontrib>Pakkhesal, Mina</creatorcontrib><creatorcontrib>Naghavialhosseini, Aliakbar</creatorcontrib><creatorcontrib>Ahmadinia, Amir Reza</creatorcontrib><creatorcontrib>Behnampour, Nasser</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Education Journals</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Healthcare Administration Database</collection><collection>PML(ProQuest Medical Library)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC medical education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ghareghol, Halimeh</au><au>Pakkhesal, Mina</au><au>Naghavialhosseini, Aliakbar</au><au>Ahmadinia, Amir Reza</au><au>Behnampour, Nasser</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of problematic Internet use and oral health-related quality of life among medical and dental students</atitle><jtitle>BMC medical education</jtitle><addtitle>BMC Med Educ</addtitle><date>2022-01-03</date><risdate>2022</risdate><volume>22</volume><issue>1</issue><spage>11</spage><epage>11</epage><pages>11-11</pages><artnum>11</artnum><issn>1472-6920</issn><eissn>1472-6920</eissn><abstract>The Internet as a communication tool is an essential component of daily life. Nowadays, problematic Internet use (PIU) has led to various psychosocial problems that can indirectly lead to oral diseases due to neglect of healthy behaviors. Also, college students are a large proportion of Internet users. The present study aimed to determine the association between problematic Internet use and oral health-related quality of life (OHRQoL) among medical and dental students.
A cross-sectional descriptive-analytical study was conducted on medical and dental students in the first and second years of education (basic sciences courses) at the Golestan University of Medical Sciences, Iran, between January and July 2020. The data collection process was carried out in the following sequence: questionnaire on demographic characteristics (age, gender, marital status, academic field, and year); Problematic Internet Use Questionnaire (PIUQ); and Oral Health Impact Profile (OHIP-14) questionnaire.
Among 268 medical and dental students, 171 students (63.81%) [95% confidence interval: 58.02%- 69.60%] had problematic Internet use. The mean PIU score in the first-year was significantly higher than the second-year students. In addition, 65% of single students and 25% of married subjects were dealing with PIU. The statistical difference between mean OHIP scores among PIU students (12.5 ± 2.9), with average Internet usage (7.39 ± 6.6), was significant. The Spearman correlation coefficient between PIU and OHIP was 0.309 and significant (P-value < 0.000001). It indicates that students with higher PIU showed higher OHIP scores.
The present study showed that problematic Internet use was significantly associated with oral health-related quality of life (OHRQoL) among first and second-year medical and dental students. Thus, the students with problematic Internet use experienced a poorer oral health-related quality of life than average Internet users. Furthermore, appropriate preventive and interventional strategies need to be developed to encourage rational use of the Internet to protect the users' oral health, especially among medical and dental students.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>34980110</pmid><doi>10.1186/s12909-021-03092-x</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1472-6920 |
ispartof | BMC medical education, 2022-01, Vol.22 (1), p.11-11, Article 11 |
issn | 1472-6920 1472-6920 |
language | eng |
recordid | cdi_doaj_primary_oai_doaj_org_article_6cddcf505fc447d599d91baf932798fb |
source | Education Collection (Proquest) (PQ_SDU_P3); Publicly Available Content Database; Social Science Premium Collection; PubMed Central |
subjects | Addictions Adolescents Behavior, Addictive - epidemiology College students Colleges & universities Computer Use Confidence intervals Cross-Sectional Studies Demographic aspects Dental schools Dental student Dental students Eating behavior Health aspects Humans Internet Internet access Internet Use Lifelong Learning Medical education Medical students Normal distribution Oral health Oral hygiene Psychological aspects Quality of Life Questionnaires Science Curriculum Students, Dental Surveys and Questionnaires University students |
title | Association of problematic Internet use and oral health-related quality of life among medical and dental students |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-01T04%3A42%3A35IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Association%20of%20problematic%20Internet%20use%20and%20oral%20health-related%20quality%20of%20life%20among%20medical%20and%20dental%20students&rft.jtitle=BMC%20medical%20education&rft.au=Ghareghol,%20Halimeh&rft.date=2022-01-03&rft.volume=22&rft.issue=1&rft.spage=11&rft.epage=11&rft.pages=11-11&rft.artnum=11&rft.issn=1472-6920&rft.eissn=1472-6920&rft_id=info:doi/10.1186/s12909-021-03092-x&rft_dat=%3Cgale_doaj_%3EA693692047%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c563t-5232fa5093055480567464fc5b77e6913738d272a2708faf47d373d5e26a0e0b3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2621037441&rft_id=info:pmid/34980110&rft_galeid=A693692047&rfr_iscdi=true |