How Did the COVID-19 Pandemic Effect Dental Patients? An Italian Observational Survey Study

The primary aim of this observational survey study was to assess patients' attitudes toward clinical dental practice during the COVID-19 pandemic; the secondary aim was to evaluate patients' attitudes towards oral health by maintaining an appropriate lifestyle and oral hygiene at home. The...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Healthcare (Basel) 2021-12, Vol.9 (12), p.1748
Hauptverfasser: Nardi, Gianna Maria, Grassi, Roberta, Grassi, Felice Roberto, Di Giorgio, Roberto, Guerra, Fabrizio, Ottolenghi, Livia, Acito, Giovanna, Basari, Nasrin, Bisegna, Simone, Chiavistelli, Lorella, Cimarossa, Roberta, Colavito, Arcangela, Figlia, Luigina, Gabrielli, Claudio, Sabatini, Silvia, Jedliński, Maciej, Mazur, Marta
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue 12
container_start_page 1748
container_title Healthcare (Basel)
container_volume 9
creator Nardi, Gianna Maria
Grassi, Roberta
Grassi, Felice Roberto
Di Giorgio, Roberto
Guerra, Fabrizio
Ottolenghi, Livia
Acito, Giovanna
Basari, Nasrin
Bisegna, Simone
Chiavistelli, Lorella
Cimarossa, Roberta
Colavito, Arcangela
Figlia, Luigina
Gabrielli, Claudio
Sabatini, Silvia
Jedliński, Maciej
Mazur, Marta
description The primary aim of this observational survey study was to assess patients' attitudes toward clinical dental practice during the COVID-19 pandemic; the secondary aim was to evaluate patients' attitudes towards oral health by maintaining an appropriate lifestyle and oral hygiene at home. The questionnaire was developed using Google Forms. The questionnaire consisted of three parts: Part A-geographic, demographic, and personal data; Part B-patients' attitude toward oral health selfcare and lifestyle; Part C-patients' attitude toward dental practice. This survey, conducted during the months of November and December 2020, enrolled 1135 subjects throughout Italy. All data were statistically analyzed. COVID-19 has changed patients' approach to dental procedures. Most of the people interviewed lived in families, and their greatest fear was infecting a family member. Restrictive measures forced people to stay at home, which led to an increased consumption of various types of food, including cariogenic foods. People said they felt safe when they went to the dentist, but they also paid special attention to measures to prevent contagion. Among the measures that should be introduced in similar situations in the future, people wanted telemedicine, a phone recall, and the possible use of video clips for home oral care instructions.
doi_str_mv 10.3390/healthcare9121748
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8701184</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2614231900</sourcerecordid><originalsourceid>FETCH-LOGICAL-c427t-db9d45471d5f158858aa3b8e4eedc34893fcaadc7e1391e2eada750a22dbdc753</originalsourceid><addsrcrecordid>eNplkU1P3DAQhi1UBAj4AVyQpV56Cfgra_vSCu1SWAlpkWh76cGa2JNuUDahdrJo_33Npyj44tE7zzua0UvIEWcnUlp2ukRoh6WHiJYLrpXZIntCCF1YJsWnN_UuOUzpluVnuTSy3CG7Ulk1UVrskd-X_T2dNYEOS6TTxa_5rOCWXkMXcNV4el7X6Ac6w26ANstDk6v0jZ51dJ6VBjq6qBLGde70XUZuxrjGDb0ZxrA5INs1tAkPn_998vP7-Y_pZXG1uJhPz64Kr4QeilDZoEqleShrXhpTGgBZGVSIwUtlrKw9QPAaubQcBUIAXTIQIlRZLeU--fo0926sVtmTV4zQurvYrCBuXA-N-7_TNUv3p187oxnnRuUBX54HxP7viGlwqyZ5bFvosB-TExOuhOSWsYx-fofe9mPMlz9SQk-0eaT4E-Vjn1LE-nUZztxDeu5Detlz_PaKV8dLVvIf19yYCQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2612767800</pqid></control><display><type>article</type><title>How Did the COVID-19 Pandemic Effect Dental Patients? An Italian Observational Survey Study</title><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Nardi, Gianna Maria ; Grassi, Roberta ; Grassi, Felice Roberto ; Di Giorgio, Roberto ; Guerra, Fabrizio ; Ottolenghi, Livia ; Acito, Giovanna ; Basari, Nasrin ; Bisegna, Simone ; Chiavistelli, Lorella ; Cimarossa, Roberta ; Colavito, Arcangela ; Figlia, Luigina ; Gabrielli, Claudio ; Sabatini, Silvia ; Jedliński, Maciej ; Mazur, Marta</creator><creatorcontrib>Nardi, Gianna Maria ; Grassi, Roberta ; Grassi, Felice Roberto ; Di Giorgio, Roberto ; Guerra, Fabrizio ; Ottolenghi, Livia ; Acito, Giovanna ; Basari, Nasrin ; Bisegna, Simone ; Chiavistelli, Lorella ; Cimarossa, Roberta ; Colavito, Arcangela ; Figlia, Luigina ; Gabrielli, Claudio ; Sabatini, Silvia ; Jedliński, Maciej ; Mazur, Marta</creatorcontrib><description>The primary aim of this observational survey study was to assess patients' attitudes toward clinical dental practice during the COVID-19 pandemic; the secondary aim was to evaluate patients' attitudes towards oral health by maintaining an appropriate lifestyle and oral hygiene at home. The questionnaire was developed using Google Forms. The questionnaire consisted of three parts: Part A-geographic, demographic, and personal data; Part B-patients' attitude toward oral health selfcare and lifestyle; Part C-patients' attitude toward dental practice. This survey, conducted during the months of November and December 2020, enrolled 1135 subjects throughout Italy. All data were statistically analyzed. COVID-19 has changed patients' approach to dental procedures. Most of the people interviewed lived in families, and their greatest fear was infecting a family member. Restrictive measures forced people to stay at home, which led to an increased consumption of various types of food, including cariogenic foods. People said they felt safe when they went to the dentist, but they also paid special attention to measures to prevent contagion. Among the measures that should be introduced in similar situations in the future, people wanted telemedicine, a phone recall, and the possible use of video clips for home oral care instructions.</description><identifier>ISSN: 2227-9032</identifier><identifier>EISSN: 2227-9032</identifier><identifier>DOI: 10.3390/healthcare9121748</identifier><identifier>PMID: 34946472</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Age ; Anxiety ; Attitudes ; Coronaviruses ; COVID-19 ; Curfews ; Disease transmission ; Infections ; Lifestyles ; Medical supplies ; Oral hygiene ; Pandemics ; Patients ; Questionnaires ; Restrictions ; Severe acute respiratory syndrome coronavirus 2</subject><ispartof>Healthcare (Basel), 2021-12, Vol.9 (12), p.1748</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-db9d45471d5f158858aa3b8e4eedc34893fcaadc7e1391e2eada750a22dbdc753</citedby><cites>FETCH-LOGICAL-c427t-db9d45471d5f158858aa3b8e4eedc34893fcaadc7e1391e2eada750a22dbdc753</cites><orcidid>0000-0003-3446-6119 ; 0000-0002-9329-9149 ; 0000-0002-0525-681X ; 0000-0001-7390-4316</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8701184/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8701184/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34946472$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nardi, Gianna Maria</creatorcontrib><creatorcontrib>Grassi, Roberta</creatorcontrib><creatorcontrib>Grassi, Felice Roberto</creatorcontrib><creatorcontrib>Di Giorgio, Roberto</creatorcontrib><creatorcontrib>Guerra, Fabrizio</creatorcontrib><creatorcontrib>Ottolenghi, Livia</creatorcontrib><creatorcontrib>Acito, Giovanna</creatorcontrib><creatorcontrib>Basari, Nasrin</creatorcontrib><creatorcontrib>Bisegna, Simone</creatorcontrib><creatorcontrib>Chiavistelli, Lorella</creatorcontrib><creatorcontrib>Cimarossa, Roberta</creatorcontrib><creatorcontrib>Colavito, Arcangela</creatorcontrib><creatorcontrib>Figlia, Luigina</creatorcontrib><creatorcontrib>Gabrielli, Claudio</creatorcontrib><creatorcontrib>Sabatini, Silvia</creatorcontrib><creatorcontrib>Jedliński, Maciej</creatorcontrib><creatorcontrib>Mazur, Marta</creatorcontrib><title>How Did the COVID-19 Pandemic Effect Dental Patients? An Italian Observational Survey Study</title><title>Healthcare (Basel)</title><addtitle>Healthcare (Basel)</addtitle><description>The primary aim of this observational survey study was to assess patients' attitudes toward clinical dental practice during the COVID-19 pandemic; the secondary aim was to evaluate patients' attitudes towards oral health by maintaining an appropriate lifestyle and oral hygiene at home. The questionnaire was developed using Google Forms. The questionnaire consisted of three parts: Part A-geographic, demographic, and personal data; Part B-patients' attitude toward oral health selfcare and lifestyle; Part C-patients' attitude toward dental practice. This survey, conducted during the months of November and December 2020, enrolled 1135 subjects throughout Italy. All data were statistically analyzed. COVID-19 has changed patients' approach to dental procedures. Most of the people interviewed lived in families, and their greatest fear was infecting a family member. Restrictive measures forced people to stay at home, which led to an increased consumption of various types of food, including cariogenic foods. People said they felt safe when they went to the dentist, but they also paid special attention to measures to prevent contagion. Among the measures that should be introduced in similar situations in the future, people wanted telemedicine, a phone recall, and the possible use of video clips for home oral care instructions.</description><subject>Age</subject><subject>Anxiety</subject><subject>Attitudes</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Curfews</subject><subject>Disease transmission</subject><subject>Infections</subject><subject>Lifestyles</subject><subject>Medical supplies</subject><subject>Oral hygiene</subject><subject>Pandemics</subject><subject>Patients</subject><subject>Questionnaires</subject><subject>Restrictions</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><issn>2227-9032</issn><issn>2227-9032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNplkU1P3DAQhi1UBAj4AVyQpV56Cfgra_vSCu1SWAlpkWh76cGa2JNuUDahdrJo_33Npyj44tE7zzua0UvIEWcnUlp2ukRoh6WHiJYLrpXZIntCCF1YJsWnN_UuOUzpluVnuTSy3CG7Ulk1UVrskd-X_T2dNYEOS6TTxa_5rOCWXkMXcNV4el7X6Ac6w26ANstDk6v0jZ51dJ6VBjq6qBLGde70XUZuxrjGDb0ZxrA5INs1tAkPn_998vP7-Y_pZXG1uJhPz64Kr4QeilDZoEqleShrXhpTGgBZGVSIwUtlrKw9QPAaubQcBUIAXTIQIlRZLeU--fo0926sVtmTV4zQurvYrCBuXA-N-7_TNUv3p187oxnnRuUBX54HxP7viGlwqyZ5bFvosB-TExOuhOSWsYx-fofe9mPMlz9SQk-0eaT4E-Vjn1LE-nUZztxDeu5Detlz_PaKV8dLVvIf19yYCQ</recordid><startdate>20211217</startdate><enddate>20211217</enddate><creator>Nardi, Gianna Maria</creator><creator>Grassi, Roberta</creator><creator>Grassi, Felice Roberto</creator><creator>Di Giorgio, Roberto</creator><creator>Guerra, Fabrizio</creator><creator>Ottolenghi, Livia</creator><creator>Acito, Giovanna</creator><creator>Basari, Nasrin</creator><creator>Bisegna, Simone</creator><creator>Chiavistelli, Lorella</creator><creator>Cimarossa, Roberta</creator><creator>Colavito, Arcangela</creator><creator>Figlia, Luigina</creator><creator>Gabrielli, Claudio</creator><creator>Sabatini, Silvia</creator><creator>Jedliński, Maciej</creator><creator>Mazur, Marta</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>KB0</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3446-6119</orcidid><orcidid>https://orcid.org/0000-0002-9329-9149</orcidid><orcidid>https://orcid.org/0000-0002-0525-681X</orcidid><orcidid>https://orcid.org/0000-0001-7390-4316</orcidid></search><sort><creationdate>20211217</creationdate><title>How Did the COVID-19 Pandemic Effect Dental Patients? An Italian Observational Survey Study</title><author>Nardi, Gianna Maria ; Grassi, Roberta ; Grassi, Felice Roberto ; Di Giorgio, Roberto ; Guerra, Fabrizio ; Ottolenghi, Livia ; Acito, Giovanna ; Basari, Nasrin ; Bisegna, Simone ; Chiavistelli, Lorella ; Cimarossa, Roberta ; Colavito, Arcangela ; Figlia, Luigina ; Gabrielli, Claudio ; Sabatini, Silvia ; Jedliński, Maciej ; Mazur, Marta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-db9d45471d5f158858aa3b8e4eedc34893fcaadc7e1391e2eada750a22dbdc753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Anxiety</topic><topic>Attitudes</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Curfews</topic><topic>Disease transmission</topic><topic>Infections</topic><topic>Lifestyles</topic><topic>Medical supplies</topic><topic>Oral hygiene</topic><topic>Pandemics</topic><topic>Patients</topic><topic>Questionnaires</topic><topic>Restrictions</topic><topic>Severe acute respiratory syndrome coronavirus 2</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nardi, Gianna Maria</creatorcontrib><creatorcontrib>Grassi, Roberta</creatorcontrib><creatorcontrib>Grassi, Felice Roberto</creatorcontrib><creatorcontrib>Di Giorgio, Roberto</creatorcontrib><creatorcontrib>Guerra, Fabrizio</creatorcontrib><creatorcontrib>Ottolenghi, Livia</creatorcontrib><creatorcontrib>Acito, Giovanna</creatorcontrib><creatorcontrib>Basari, Nasrin</creatorcontrib><creatorcontrib>Bisegna, Simone</creatorcontrib><creatorcontrib>Chiavistelli, Lorella</creatorcontrib><creatorcontrib>Cimarossa, Roberta</creatorcontrib><creatorcontrib>Colavito, Arcangela</creatorcontrib><creatorcontrib>Figlia, Luigina</creatorcontrib><creatorcontrib>Gabrielli, Claudio</creatorcontrib><creatorcontrib>Sabatini, Silvia</creatorcontrib><creatorcontrib>Jedliński, Maciej</creatorcontrib><creatorcontrib>Mazur, Marta</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing &amp; Allied Health Source</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Publicly Available Content Database</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 China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Healthcare (Basel)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nardi, Gianna Maria</au><au>Grassi, Roberta</au><au>Grassi, Felice Roberto</au><au>Di Giorgio, Roberto</au><au>Guerra, Fabrizio</au><au>Ottolenghi, Livia</au><au>Acito, Giovanna</au><au>Basari, Nasrin</au><au>Bisegna, Simone</au><au>Chiavistelli, Lorella</au><au>Cimarossa, Roberta</au><au>Colavito, Arcangela</au><au>Figlia, Luigina</au><au>Gabrielli, Claudio</au><au>Sabatini, Silvia</au><au>Jedliński, Maciej</au><au>Mazur, Marta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>How Did the COVID-19 Pandemic Effect Dental Patients? An Italian Observational Survey Study</atitle><jtitle>Healthcare (Basel)</jtitle><addtitle>Healthcare (Basel)</addtitle><date>2021-12-17</date><risdate>2021</risdate><volume>9</volume><issue>12</issue><spage>1748</spage><pages>1748-</pages><issn>2227-9032</issn><eissn>2227-9032</eissn><abstract>The primary aim of this observational survey study was to assess patients' attitudes toward clinical dental practice during the COVID-19 pandemic; the secondary aim was to evaluate patients' attitudes towards oral health by maintaining an appropriate lifestyle and oral hygiene at home. The questionnaire was developed using Google Forms. The questionnaire consisted of three parts: Part A-geographic, demographic, and personal data; Part B-patients' attitude toward oral health selfcare and lifestyle; Part C-patients' attitude toward dental practice. This survey, conducted during the months of November and December 2020, enrolled 1135 subjects throughout Italy. All data were statistically analyzed. COVID-19 has changed patients' approach to dental procedures. Most of the people interviewed lived in families, and their greatest fear was infecting a family member. Restrictive measures forced people to stay at home, which led to an increased consumption of various types of food, including cariogenic foods. People said they felt safe when they went to the dentist, but they also paid special attention to measures to prevent contagion. Among the measures that should be introduced in similar situations in the future, people wanted telemedicine, a phone recall, and the possible use of video clips for home oral care instructions.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>34946472</pmid><doi>10.3390/healthcare9121748</doi><orcidid>https://orcid.org/0000-0003-3446-6119</orcidid><orcidid>https://orcid.org/0000-0002-9329-9149</orcidid><orcidid>https://orcid.org/0000-0002-0525-681X</orcidid><orcidid>https://orcid.org/0000-0001-7390-4316</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2227-9032
ispartof Healthcare (Basel), 2021-12, Vol.9 (12), p.1748
issn 2227-9032
2227-9032
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8701184
source MDPI - Multidisciplinary Digital Publishing Institute; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access
subjects Age
Anxiety
Attitudes
Coronaviruses
COVID-19
Curfews
Disease transmission
Infections
Lifestyles
Medical supplies
Oral hygiene
Pandemics
Patients
Questionnaires
Restrictions
Severe acute respiratory syndrome coronavirus 2
title How Did the COVID-19 Pandemic Effect Dental Patients? An Italian Observational Survey Study
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-30T02%3A35%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=How%20Did%20the%20COVID-19%20Pandemic%20Effect%20Dental%20Patients?%20An%20Italian%20Observational%20Survey%20Study&rft.jtitle=Healthcare%20(Basel)&rft.au=Nardi,%20Gianna%20Maria&rft.date=2021-12-17&rft.volume=9&rft.issue=12&rft.spage=1748&rft.pages=1748-&rft.issn=2227-9032&rft.eissn=2227-9032&rft_id=info:doi/10.3390/healthcare9121748&rft_dat=%3Cproquest_pubme%3E2614231900%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2612767800&rft_id=info:pmid/34946472&rfr_iscdi=true