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I
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a
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f
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aliza
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v
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tech
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d
s
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ter
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m
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tp
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[
1
]
.
So
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as
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as
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2
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at
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[
3
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.
Den
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at
ien
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,
esp
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[
4
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.
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[
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4
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.
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[
5
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.
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
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I
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t J Pu
b
lic
Hea
lth
Sci
,
Vo
l.
14
,
No
.
4
,
Dec
em
b
er
20
25
:
1
8
9
7
-
1
9
08
1898
f
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clin
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5
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[
6
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On
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co
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[
3
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I
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p
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Pu
b
licatio
n
s
[
3
]
,
[
7
]
,
[
8
]
.
P
r
o
m
o
tin
g
th
r
o
u
g
h
s
o
cial
m
ed
ia
ca
n
ed
u
ca
te
th
e
p
u
b
lic
to
en
h
an
ce
th
eir
k
n
o
wled
g
e
ab
o
u
t
o
r
al
a
n
d
d
en
tal
h
ea
lth
[
9
]
,
b
u
t
it
m
u
s
t
b
e
r
em
em
b
er
e
d
th
at
p
r
o
m
o
tio
n
s
ca
n
also
lead
to
m
is
u
n
d
er
s
tan
d
in
g
s
if
t
h
e
p
u
b
lic
m
is
in
ter
p
r
ets
th
e
in
f
o
r
m
atio
n
p
r
o
v
id
e
d
[
1
0
]
.
T
h
e
r
ef
o
r
e
,
it
is
im
p
o
r
tan
t
f
o
r
d
en
tis
ts
to
u
n
d
er
s
tan
d
th
e
p
r
in
cip
les
o
f
eth
ics
an
d
leg
ality
in
s
o
cial
m
ed
ia
p
r
o
m
o
tio
n
s
to
h
av
e
a
p
o
s
itiv
e
im
p
ac
t o
n
s
o
ciety
[
1
1
]
.
T
h
is
r
esear
ch
aim
s
to
in
v
esti
g
ate
th
e
ch
allen
g
es
an
d
im
p
licatio
n
s
ass
o
ciate
d
with
u
s
in
g
s
o
cial
m
ed
ia
as
a
p
r
o
m
o
tio
n
al
to
o
l
in
d
e
n
tis
tr
y
,
f
o
c
u
s
in
g
o
n
th
e
eth
ical
c
o
n
s
id
er
atio
n
s
,
le
g
al
f
r
am
ewo
r
k
s
,
an
d
th
e
p
o
ten
ti
al
im
p
ac
t
o
n
p
u
b
lic
u
n
d
er
s
tan
d
in
g
o
f
o
r
al
an
d
d
en
tal
h
ea
lth
.
T
h
e
p
r
im
ar
y
co
n
ce
r
n
is
to
u
n
d
e
r
s
tan
d
h
o
w
d
e
n
tis
ts
n
av
ig
ate
th
e
d
elica
te
b
alan
ce
b
etwe
en
p
r
o
m
o
tin
g
th
eir
s
er
v
i
ce
s
ef
f
ec
tiv
ely
an
d
ad
h
e
r
in
g
t
o
eth
ical
p
r
i
n
cip
les
an
d
leg
al
r
eq
u
ir
em
en
ts
.
E
x
p
l
o
r
in
g
t
h
ese
co
m
p
lex
ities
is
ess
en
tial
f
o
r
d
e
v
elo
p
in
g
g
u
id
e
lin
es
th
at
p
r
o
m
o
te
r
esp
o
n
s
ib
le
s
o
cial
m
e
d
ia
p
r
ac
tices
in
th
e
d
en
tal
p
r
o
f
ess
io
n
,
s
af
eg
u
ar
d
in
g
th
e
in
teg
r
ity
o
f
h
ea
lth
in
f
o
r
m
atio
n
wh
ile
f
o
s
ter
in
g
p
o
s
itiv
e
r
elatio
n
s
h
ip
s
b
etwe
en
d
en
tal
p
r
ac
titi
o
n
er
s
an
d
t
h
e
p
u
b
lic.
2.
M
E
T
H
O
D
T
h
is
r
esear
ch
ad
o
p
ts
a
m
eticu
lo
u
s
an
d
h
o
lis
tic
r
esear
ch
ap
p
r
o
ac
h
to
in
v
esti
g
ate
th
e
d
y
n
am
ics
o
f
s
o
cial
m
ed
ia
u
s
ag
e
in
d
en
tal
p
r
ac
tice
in
I
n
d
o
n
esia.
As
an
in
itial
s
tep
in
d
etailin
g
th
e
r
esear
ch
ap
p
r
o
ac
h
,
th
is
s
tu
d
y
u
tili
ze
s
a
n
o
r
m
ativ
e
ap
p
r
o
ac
h
in
teg
r
ated
with
th
e
u
s
e
o
f
r
i
ch
an
d
r
elev
an
t
leg
al
liter
atu
r
e.
T
h
e
n
o
r
m
ativ
e
ap
p
r
o
ac
h
s
er
v
es
as
th
e
p
r
im
ar
y
f
o
u
n
d
atio
n
in
f
o
r
m
u
latin
g
th
e
b
asis
o
f
th
is
r
esear
ch
.
T
h
is
a
p
p
r
o
ac
h
in
v
o
lv
es
in
-
d
ep
th
ex
p
lo
r
atio
n
an
d
an
al
y
s
is
o
f
eth
ical
an
d
leg
al
n
o
r
m
s
g
o
v
er
n
in
g
d
e
n
tal
p
r
ac
tice,
p
ar
tic
u
lar
ly
in
th
e
co
n
tex
t
o
f
s
o
cial
m
ed
ia
u
tili
za
tio
n
.
I
n
th
is
p
r
o
ce
s
s
,
leg
al
liter
atu
r
e
s
er
v
es
as
a
k
ey
to
o
l
u
s
ed
to
co
m
p
r
eh
en
d
th
e
leg
al
f
r
am
ewo
r
k
b
in
d
i
n
g
d
e
n
tal
p
r
a
ctitio
n
er
s
.
T
h
e
leg
is
lativ
e
ap
p
r
o
a
ch
is
th
e
n
ex
t
s
tep
tak
e
n
to
s
p
ec
if
y
h
o
w
ex
is
tin
g
r
e
g
u
latio
n
s
in
f
lu
en
ce
th
e
d
y
n
am
ics o
f
s
o
cial
m
e
d
ia
in
d
en
tal
p
r
ac
tice.
T
h
e
leg
is
lativ
e
an
aly
s
is
p
r
o
ce
s
s
in
clu
d
es c
o
m
p
r
eh
en
s
iv
e
r
esear
c
h
o
n
ap
p
licab
le
r
eg
u
latio
n
s
,
esp
e
cially
th
o
s
e
r
elate
d
to
eth
ics
an
d
d
en
tal
p
r
ac
tice
in
th
e
d
ig
ital
er
a
.
T
h
is
ap
p
r
o
ac
h
o
p
en
s
a
win
d
o
w
in
to
th
e
leg
al
d
im
en
s
io
n
g
u
id
i
n
g
p
r
o
f
ess
io
n
al
p
r
ac
tice
in
u
tili
zin
g
s
o
cial
m
e
d
ia.
T
h
e
co
n
ce
p
tu
al
ap
p
r
o
ac
h
f
o
r
m
s
a
p
r
o
f
o
u
n
d
p
i
llar
in
u
n
d
er
s
tan
d
i
n
g
k
e
y
asp
ec
ts
r
elate
d
to
th
e
u
tili
za
tio
n
o
f
s
o
cial
m
ed
ia
b
y
d
en
tal
p
r
ac
titi
o
n
er
s
.
B
y
d
ef
i
n
i
n
g
k
ey
c
o
n
ce
p
ts
,
th
is
r
esear
ch
d
etails
th
e
co
n
ce
p
tu
al
f
r
a
m
ewo
r
k
u
n
d
er
ly
i
n
g
leg
al
liter
atu
r
e
an
aly
s
is
.
T
h
is
co
n
ce
p
tu
aliza
tio
n
h
elp
s
d
ep
ict
h
o
w
s
p
ec
if
ic
asp
ec
ts
o
f
eth
ics
an
d
r
eg
u
latio
n
s
ar
e
r
ef
lecte
d
in
d
e
n
tal
p
r
ac
tice
ac
t
iv
ities
o
n
s
o
cial
m
ed
ia.
I
d
en
tifie
d
d
ata
s
o
u
r
ce
s
s
u
p
p
o
r
tin
g
th
is
r
esear
ch
in
clu
d
e
r
elev
an
t
leg
al
liter
atu
r
e,
r
eg
u
latio
n
s
r
elate
d
t
o
d
en
tal
p
r
ac
tice,
an
d
p
u
b
lis
h
e
d
eth
ical
g
u
id
elin
es.
L
e
g
al
lit
er
atu
r
e
s
er
v
es
as
t
h
e
m
ain
r
ef
er
en
ce
m
ater
ial
f
o
r
g
ain
in
g
a
d
ee
p
u
n
d
er
s
tan
d
i
n
g
o
f
th
e
le
g
al
f
o
u
n
d
atio
n
s
o
f
d
en
tal
p
r
ac
tice,
wh
ile
r
eg
u
latio
n
s
an
d
eth
ical
g
u
id
elin
es
p
r
o
v
id
e
a
co
n
cr
ete
o
v
er
v
iew
o
f
th
e
r
eg
u
latio
n
s
to
b
e
f
o
llo
wed
b
y
p
r
ac
titi
o
n
er
s
in
u
s
in
g
s
o
cial
m
ed
ia.
B
y
in
teg
r
atin
g
th
ese
f
o
u
r
ap
p
r
o
ac
h
es,
th
is
r
esear
ch
aim
s
to
in
v
esti
g
ate
h
o
w
d
en
tal
p
r
ac
titi
o
n
er
s
in
I
n
d
o
n
esia
ad
h
er
e
to
eth
ics
an
d
r
eg
u
latio
n
s
in
th
e
u
tili
za
tio
n
o
f
s
o
cial
m
e
d
ia,
cr
ea
tin
g
a
h
o
lis
tic
an
d
in
f
o
r
m
ativ
e
f
o
u
n
d
atio
n
f
o
r
u
n
d
er
s
tan
d
in
g
th
is
co
m
p
lex
is
s
u
e.
3.
DIS
CU
SS
I
O
N
3
.
1
.
So
cia
l
m
edia
So
cial
m
ed
ia
is
an
o
n
lin
e
p
l
atf
o
r
m
th
at
allo
ws
u
s
er
s
to
in
ter
ac
t
with
o
th
er
s
b
y
g
iv
in
g
th
em
th
e
o
p
p
o
r
tu
n
ity
to
s
h
ar
e
in
f
o
r
m
ati
o
n
,
o
p
i
n
io
n
s
,
an
d
i
n
ter
ests
in
s
p
ec
if
ic
ar
ea
s
[
1
2
]
.
So
cial
m
ed
i
a
en
g
ag
em
en
t
r
e
f
er
s
to
th
e
e
x
ten
t
to
wh
ich
an
in
d
i
v
id
u
al
p
ar
ticip
ates
in
s
o
cial
m
ed
ia
ac
tiv
ities
.
E
s
s
en
tially
,
s
o
m
eo
n
e
e
n
g
ag
e
d
in
s
o
cial
m
ed
ia
s
h
ar
es
p
er
s
o
n
al
o
r
s
o
cial
in
f
o
r
m
atio
n
with
clo
s
e
ac
q
u
ain
tan
ce
s
o
n
s
o
cial
n
etw
o
r
k
s
,
s
u
ch
as
f
am
ily
an
d
f
r
ien
d
s
[
1
3
]
.
So
m
e
ty
p
es
o
f
s
o
cial
m
ed
ia
u
s
ag
e
in
clu
d
e:
i
)
S
o
cial
n
etwo
r
k
:
a
m
ea
n
s
th
at
en
ab
les
in
ter
ac
tio
n
b
etwe
en
u
s
er
s
b
y
f
o
r
m
in
g
n
ew
f
r
ien
d
s
h
ip
s
b
ased
o
n
s
h
a
r
ed
in
ter
ests
,
ex
am
p
les
o
f
wh
ich
in
clu
d
e
Face
b
o
o
k
an
d
I
n
s
tag
r
am
;
ii
)
B
lo
g
:
s
o
cial
m
ed
ia
th
at
f
ac
ilit
ates
u
s
er
s
to
wr
ite,
p
o
s
t
d
aily
ac
tiv
ities
,
p
r
o
v
i
d
e
co
m
m
en
ts
,
an
d
s
h
ar
e
with
o
th
er
u
s
er
s
,
ex
am
p
les
o
f
wh
ic
h
in
cl
u
d
e
b
lo
g
s
p
o
t
;
iii
)
M
icr
o
b
lo
g
g
i
n
g
:
a
ty
p
e
o
f
s
o
cial
m
e
d
ia
th
a
t
allo
ws
u
s
er
s
to
p
o
s
t
th
eir
ac
ti
v
ities
an
d
o
p
in
io
n
s
,
an
ex
a
m
p
le
o
f
wh
ich
is
T
witter
;
iv
)
M
ed
ia
s
h
ar
in
g
:
s
o
cial
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t J Pu
b
lic
Hea
lth
Sci
I
SS
N:
2252
-
8
8
0
6
N
a
vig
a
tin
g
eth
ics:
s
o
cia
l m
ed
i
a
ch
a
llen
g
es in
I
n
d
o
n
esia
n
d
e
n
ta
l p
r
a
ctice
(
A
d
itya
P
r
a
ta
ma
S
a
r
w
o
n
o
)
1899
m
ed
ia
th
at
en
a
b
les
u
s
er
s
to
s
h
ar
e
an
d
s
to
r
e
m
ed
ia
s
u
ch
as
d
o
cu
m
en
ts
,
v
id
eo
s
,
an
d
p
h
o
to
s
o
n
lin
e,
ex
a
m
p
le
s
o
f
wh
ich
in
clu
d
e
Yo
u
T
u
b
e,
Fli
ck
r
,
o
r
T
i
k
T
o
k
;
v
)
S
o
cial
b
o
o
k
m
ar
k
in
g
:
s
o
cial
m
ed
ia
th
at
s
er
v
e
s
to
o
r
g
an
ize,
s
to
r
e
,
m
an
ag
e,
a
n
d
s
ea
r
ch
f
o
r
i
n
f
o
r
m
atio
n
o
r
n
ews
o
n
lin
e,
e
x
am
p
les
o
f
wh
ich
in
cl
u
d
e
R
ed
d
it.
co
m
,
Dig
g
.
c
o
m
,
a
n
d
L
in
tasMe
f
r
o
m
I
n
d
o
n
esia
;
an
d
vi
)
W
ik
i:
a
co
llab
o
r
ativ
e
m
ed
ia
wh
o
s
e
co
n
ten
t
is
g
en
er
ated
b
y
u
s
er
co
llab
o
r
atio
n
; e
ac
h
u
s
er
ca
n
c
h
an
g
e
o
r
ed
it p
u
b
lis
h
ed
c
o
n
ten
t,
an
ex
am
p
le
o
f
wh
ic
h
is
W
ik
ip
ed
ia
[
1
4
]
,
[
1
5
]
.
So
cial
m
ed
ia
p
o
s
s
ess
es
s
p
ec
if
ic
ch
ar
ac
ter
is
tics
th
at
s
et
it
ap
ar
t
f
r
o
m
o
th
er
f
o
r
m
s
o
f
m
ed
ia
.
Firstl
y
,
it
h
as
an
in
f
r
astru
ctu
r
e
n
etwo
r
k
th
at
allo
ws
u
s
er
s
to
co
n
n
ec
t
with
o
th
e
r
d
e
v
ices
th
r
o
u
g
h
co
m
p
u
ter
-
m
ed
iated
co
m
m
u
n
icatio
n
[
1
6
]
.
Seco
n
d
ly
,
all
s
o
cial
m
ed
ia
u
s
er
s
ca
n
c
r
ea
te
r
ep
r
esen
tatio
n
s
o
f
th
eir
o
w
n
id
en
titi
es,
p
r
o
d
u
ce
co
n
ten
t,
an
d
e
n
g
ag
e
in
in
ter
ac
t
io
n
s
b
ased
o
n
th
at
co
n
ten
t
[
1
7
]
.
I
n
f
o
r
m
atio
n
g
en
e
r
ated
f
r
o
m
s
o
cial
m
ed
ia
ca
n
b
e
p
r
o
d
u
ce
d
,
d
is
s
em
in
ated
,
ex
c
h
a
n
g
ed
,
r
e
p
ac
k
ag
e
d
,
s
to
r
ed
,
a
n
d
co
n
s
u
m
ed
,
m
a
k
in
g
in
f
o
r
m
atio
n
a
v
alu
ab
le
p
r
o
d
u
ct
[
1
8
]
.
Ad
d
itio
n
all
y
,
in
f
o
r
m
atio
n
f
r
o
m
s
o
cial
m
ed
ia
ca
n
b
e
a
cc
ess
ed
an
y
tim
e
an
d
th
r
o
u
g
h
an
y
d
e
v
ice
b
ec
au
s
e
s
o
cial
m
ed
ia
h
as
ar
c
h
iv
al
ch
ar
ac
ter
is
tics
[
1
9
]
.
T
h
e
in
ter
ac
tio
n
p
r
o
ce
s
s
am
o
n
g
s
o
cial
m
ed
ia
u
s
er
s
is
also
a
d
is
tin
ctiv
e
ch
ar
ac
ter
is
tic
o
f
s
o
cial
m
ed
ia
[
2
0
]
.
M
o
r
eo
v
er
,
s
o
cial
m
ed
ia
u
s
er
s
m
u
s
t
m
ee
t
two
co
n
d
itio
n
s
to
en
g
ag
e
in
s
o
cial
s
im
u
latio
n
:
c
o
n
n
ec
tin
g
to
cy
b
e
r
s
p
ac
e
a
n
d
en
g
ag
in
g
in
s
elf
-
id
en
tity
d
is
clo
s
u
r
e
[
2
1
]
.
Fin
ally
,
co
n
ten
t
g
en
e
r
ated
in
s
o
cial
m
ed
ia
is
en
tire
ly
th
e
p
er
s
o
n
al
p
r
o
p
er
ty
an
d
b
ased
o
n
th
e
co
n
t
r
ib
u
tio
n
s
o
f
u
s
er
s
o
r
ac
co
u
n
t o
w
n
er
s
,
m
ak
in
g
th
is
c
o
n
ten
t a
s
p
ec
if
ic
ch
a
r
ac
ter
is
tic
o
f
s
o
cial
m
ed
ia
[
2
2
]
.
T
h
e
u
s
e
o
f
s
o
cial
m
ed
ia
in
th
e
f
ield
o
f
o
r
al
a
n
d
d
en
tal
h
e
alth
in
v
o
lv
es
p
r
o
v
id
in
g
ac
cu
r
ate,
clea
r
,
an
d
co
n
cise
in
f
o
r
m
atio
n
f
r
o
m
v
a
r
io
u
s
p
er
s
p
ec
tiv
es
[
2
3
]
.
B
y
o
p
ti
m
izin
g
th
e
u
s
e
o
f
s
o
cial
m
e
d
i
a,
d
en
tis
ts
ca
n
r
ea
ch
as m
an
y
p
atien
ts
o
r
th
e
g
en
er
a
l p
u
b
lic
as p
o
s
s
ib
le
[
3
]
.
So
cial
m
ed
ia
ca
n
also
b
e
u
s
ed
in
p
r
o
f
ess
io
n
al
ed
u
ca
tio
n
an
d
p
r
o
m
o
tio
n
.
Den
tis
ts
f
in
d
i
t c
o
n
v
e
n
ien
t t
o
u
p
lo
ad
ed
u
ca
tio
n
al
v
i
d
eo
s
a
n
d
p
r
esen
tatio
n
s
th
at
ex
p
lain
v
a
r
io
u
s
d
en
tal
p
r
o
ce
d
u
r
es
f
o
r
th
e
b
e
n
e
f
it
o
f
co
lleag
u
es
an
d
d
en
tal
s
tu
d
en
ts
[
2
4
]
.
Ad
d
itio
n
ally
,
d
e
n
tis
ts
also
u
s
e
s
o
cial
m
ed
ia
to
a
d
v
er
tis
e
th
eir
clin
ics
an
d
p
r
o
m
o
te
p
r
o
f
ess
io
n
al
ac
tiv
ities
s
u
ch
as
s
em
in
ar
s
.
Acc
o
r
d
in
g
to
r
ec
e
n
t
r
esear
ch
,
th
e
in
ter
n
et
h
as
a
s
ig
n
if
ican
t
im
p
ac
t
o
n
in
f
lu
e
n
cin
g
p
r
o
s
p
ec
tiv
e
p
atien
ts
wh
o
h
av
e
n
ev
e
r
r
ec
eiv
ed
tr
ea
tm
en
t
at
a
clin
ic
to
s
ee
k
h
ea
lth
in
f
o
r
m
atio
n
,
s
ee
k
d
o
c
to
r
r
ec
o
m
m
en
d
ati
o
n
s
o
r
tr
ea
tm
e
n
t,
an
d
ev
en
e
n
g
ag
e
in
r
em
o
te
m
e
d
ical
co
n
s
u
ltatio
n
s
with
d
o
cto
r
s
th
r
o
u
g
h
o
n
lin
e
p
latf
o
r
m
s
[
2
5
]
.
3
.
2
.
H
ea
lt
h
pro
mo
t
io
n
Pro
m
o
tio
n
is
an
e
f
f
o
r
t
to
i
n
cr
e
ase
tu
r
n
o
v
er
o
r
a
d
v
an
ce
a
b
u
s
in
ess
o
r
en
te
r
p
r
is
e.
T
h
e
ter
m
"p
r
o
m
o
tio
n
"
o
r
ig
in
ates
f
r
o
m
th
e
E
n
g
lis
h
wo
r
d
"p
r
o
m
o
te,
"
wh
ich
m
ea
n
s
to
ex
p
an
d
o
r
en
h
an
ce
.
I
n
t
h
e
co
n
te
x
t
o
f
s
ales,
p
r
o
m
o
tio
n
is
co
n
s
id
er
e
d
o
n
e
o
f
th
e
s
tr
ateg
ies
to
i
n
cr
ea
s
e
s
ales
v
o
lu
m
e.
Pro
m
o
tio
n
is
a
f
o
r
m
o
f
m
a
r
k
etin
g
co
m
m
u
n
icatio
n
th
at
s
ee
k
s
to
d
is
s
em
in
ate
in
f
o
r
m
atio
n
,
in
f
lu
en
ce
,
an
d
r
em
in
d
th
e
ta
r
g
e
t
m
ar
k
et
ab
o
u
t
th
e
co
m
p
an
y
an
d
its
p
r
o
d
u
cts
s
o
th
at
th
ey
ar
e
willin
g
to
p
u
r
ch
a
s
e
an
d
r
em
ain
lo
y
al
to
t
h
e
p
r
o
d
u
ct.
On
th
e
o
t
h
er
h
an
d
,
p
r
o
m
o
tio
n
is
also
a
s
er
ie
s
o
f
ac
tiv
ities
aim
ed
at
in
f
l
u
en
cin
g
co
n
s
u
m
er
s
to
b
ec
o
m
e
aw
ar
e
o
f
a
n
d
f
av
o
r
th
e
p
r
o
d
u
cts
o
f
f
er
e
d
b
y
a
co
m
p
an
y
,
u
ltima
tely
lead
in
g
to
th
eir
p
u
r
ch
ase
[
2
6
]
.
Hea
lth
p
r
o
m
o
tio
n
r
e
f
er
s
to
ef
f
o
r
ts
to
em
p
o
we
r
co
m
m
u
n
ities
to
m
ain
tain
,
im
p
r
o
v
e,
an
d
p
r
o
tect
th
eir
h
ea
lth
.
I
ts
g
o
al
is
to
in
cr
ea
s
e
a
war
en
ess
,
willin
g
n
ess
,
ab
ilit
ies,
an
d
t
h
e
d
e
v
elo
p
m
e
n
t
o
f
a
h
e
alth
y
en
v
ir
o
n
m
e
n
t.
I
n
itially
k
n
o
wn
as
h
ea
lth
ed
u
c
atio
n
,
h
ea
lth
co
u
n
s
elin
g
,
h
ea
lth
in
f
o
r
m
atio
n
co
m
m
u
n
icatio
n
,
s
o
cial
m
ar
k
etin
g
in
th
e
h
ea
lth
f
ield
,
an
d
c
o
m
m
u
n
ity
in
v
o
lv
em
e
n
t,
it
is
n
o
w
b
et
ter
k
n
o
wn
as
h
ea
lth
p
r
o
m
o
tio
n
[
2
7
]
.
E
s
s
en
tially
,
h
ea
lth
p
r
o
m
o
tio
n
an
d
d
is
ea
s
e
p
r
ev
en
tio
n
aim
to
im
p
r
o
v
e
p
er
s
o
n
al
an
d
co
m
m
u
n
ity
h
ea
lth
th
r
o
u
g
h
a
co
m
b
in
atio
n
o
f
s
tr
ateg
ies
s
u
ch
as
b
eh
av
io
r
al
ch
an
g
e,
h
ea
lth
e
d
u
ca
tio
n
,
h
ea
lth
r
is
k
d
etec
tio
n
,
an
d
h
ea
lt
h
im
p
r
o
v
em
e
n
t
a
n
d
m
ain
ten
an
ce
.
On
th
e
o
th
e
r
h
a
n
d
,
cu
r
ativ
e
an
d
r
eh
a
b
ilit
ativ
e
a
ctio
n
s
ar
e
g
en
e
r
ally
p
r
o
v
id
e
d
o
n
a
n
in
d
iv
i
d
u
al
b
asis
[
2
8
]
.
T
h
er
ef
o
r
e,
it
is
im
p
o
r
tan
t
to
p
r
o
v
id
e
in
f
o
r
m
atio
n
ab
o
u
t
o
r
al
h
ea
lth
to
th
e
p
u
b
lic
th
r
o
u
g
h
v
ar
io
u
s
m
ed
ia
an
d
teac
h
in
g
aid
s
,
d
esig
n
ed
with
th
e
p
r
in
cip
le
th
at
k
n
o
wled
g
e
is
ac
q
u
ir
ed
o
r
p
er
ce
iv
e
d
th
r
o
u
g
h
th
e
f
iv
e
s
en
s
es.
T
h
e
m
o
r
e
s
en
s
es
u
s
e
d
to
r
ec
eiv
e
in
f
o
r
m
atio
n
,
th
e
c
lear
er
an
d
m
o
r
e
ea
s
ily
u
n
d
e
r
s
to
o
d
th
e
ac
q
u
ir
ed
k
n
o
wled
g
e
[
2
9
]
.
On
e
c
o
s
t
-
e
f
f
ec
t
iv
e
wa
y
t
o
i
m
p
r
o
v
e
o
r
al
a
n
d
d
e
n
t
al
h
ea
lt
h
i
n
a
co
u
n
t
r
y
is
b
y
i
m
p
le
m
e
n
t
in
g
ef
f
ec
ti
v
e
o
r
a
l
h
e
alt
h
p
r
o
g
r
am
s
in
s
ch
o
o
ls
.
Sc
h
o
o
ls
a
r
e
a
n
i
d
e
al
p
l
ac
e
to
p
r
o
m
o
te
o
r
al
a
n
d
d
e
n
ta
l
h
ea
lt
h
b
y
p
r
o
v
i
d
i
n
g
o
r
a
l
h
ea
lt
h
in
f
o
r
m
at
io
n
t
o
c
h
i
ld
r
e
n
[
3
0
]
.
T
h
r
o
u
g
h
e
f
f
ec
ti
v
e
o
r
al
h
e
alt
h
p
r
o
m
o
ti
o
n
,
c
h
i
ld
r
en
'
s
k
n
o
wl
ed
g
e
c
a
n
s
i
g
n
if
ica
n
t
ly
in
c
r
ea
s
e
,
en
ab
li
n
g
t
h
e
m
t
o
h
a
v
e
g
o
o
d
a
n
d
s
u
f
f
ic
ie
n
t
k
n
o
wle
d
g
e
o
f
o
r
al
h
e
alt
h
.
I
t
is
ess
e
n
ti
a
l
to
m
o
ti
v
ate
e
v
e
r
y
in
d
i
v
i
d
u
al
t
o
m
a
k
e
r
e
g
u
la
r
v
is
its
t
o
t
h
e
d
en
tis
t
,
m
a
k
i
n
g
th
em
aw
ar
e
o
f
t
h
e
i
m
p
o
r
t
a
n
ce
o
f
s
elf
-
e
x
am
i
n
ati
o
n
f
o
r
d
e
n
t
al
h
e
alt
h
.
T
h
e
r
ef
o
r
e
,
e
f
f
ec
t
iv
e
o
r
al
h
e
alt
h
p
r
o
m
o
ti
o
n
s
h
o
u
ld
als
o
i
n
c
lu
d
e
i
n
f
o
r
m
ati
o
n
ab
o
u
t
t
h
e
i
m
p
o
r
ta
n
ce
o
f
v
is
i
ti
n
g
a
d
e
n
t
is
t
at
l
ea
s
t
e
v
e
r
y
s
ix
m
o
n
t
h
s
as
a
p
r
e
v
e
n
t
iv
e
m
e
asu
r
e
ag
ai
n
s
t
d
e
n
ta
l
ca
r
ies
,
ea
r
l
y
d
is
e
ase
d
et
ec
ti
o
n
,
a
n
d
t
im
el
y
i
n
t
er
v
en
t
io
n
,
t
h
e
r
e
b
y
r
ed
u
ci
n
g
t
h
e
b
u
r
d
en
o
f
d
is
e
ase
a
n
d
t
r
e
at
m
e
n
t
c
o
s
ts
[
3
1
]
.
3
.
3
.
E
t
hics
Fro
m
an
ety
m
o
lo
g
ical
p
er
s
p
ec
t
iv
e,
th
e
ter
m
"e
th
ics"
co
m
es
f
r
o
m
th
e
Gr
ee
k
wo
r
d
s
"e
th
ik
o
s
"
o
r
"e
th
o
s
,
"
wh
ich
m
ea
n
cu
s
to
m
s
,
h
a
b
its
,
an
d
p
r
ac
tices.
E
th
ics
is
n
o
t
an
a
d
d
itio
n
to
m
o
r
al
teac
h
in
g
s
b
u
t
r
ath
er
a
p
h
ilo
s
o
p
h
y
o
r
cr
itical
an
d
f
u
n
d
am
en
tal
th
in
k
in
g
ab
o
u
t
m
o
r
al
teac
h
i
n
g
s
an
d
v
iews.
E
th
ics
is
a
s
cien
ce
,
n
o
t
ju
s
t
a
s
et
o
f
teac
h
in
g
s
.
An
o
th
er
d
ef
in
itio
n
o
f
eth
ics
is
t
h
e
s
cien
ce
o
f
g
o
o
d
an
d
e
v
il,
as
well
as
m
o
r
al
r
i
g
h
ts
an
d
o
b
lig
atio
n
s
(
m
o
r
ality
)
[
3
2
]
.
E
th
ics
s
er
v
es
as
a
g
u
id
e
f
o
r
b
eh
av
i
o
r
with
clea
r
r
ea
s
o
n
s
th
at
alig
n
with
s
p
ec
if
ic
v
alu
es
an
d
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8
8
0
6
I
n
t J Pu
b
lic
Hea
lth
Sci
,
Vo
l.
14
,
No
.
4
,
Dec
em
b
er
20
25
:
1
8
9
7
-
1
9
08
1900
ju
s
tific
atio
n
s
.
E
th
ics
is
cr
u
cial
b
ec
au
s
e
s
o
ciety
is
co
n
s
tan
tly
ev
o
lv
in
g
,
s
o
we
n
ee
d
to
c
h
o
o
s
e
an
d
b
e
awa
r
e
o
f
th
e
d
iv
er
s
ity
o
f
n
o
r
m
s
(
p
r
ac
ti
ca
l
p
h
ilo
s
o
p
h
y
)
.
I
n
o
th
e
r
wo
r
d
s
,
eth
ics
p
r
o
v
id
es
th
e
r
atio
n
a
le
f
o
r
ch
o
o
s
in
g
th
e
r
ig
h
t v
alu
es a
m
id
a
v
ar
iety
o
f
n
o
r
m
s
(
m
o
r
al
p
h
il
o
s
o
p
h
y
)
[
3
3
]
.
T
h
er
e
ar
e
f
o
u
r
f
u
n
d
am
en
tal
m
o
r
al
p
r
in
cip
les
an
d
s
o
m
e
r
u
les
r
elate
d
to
t
h
ese
p
r
i
n
cip
les
.
T
h
e
f
o
u
r
b
asic
m
o
r
al
p
r
in
cip
les
ar
e
as
f
o
llo
ws:
i
)
r
esp
ec
t
f
o
r
au
t
o
n
o
m
y
:
T
h
is
p
r
in
ci
p
le
clo
s
ely
r
elate
s
to
r
esp
ec
tin
g
th
e
d
i
g
n
ity
o
f
h
u
m
an
b
ein
g
s
with
all
th
eir
ch
ar
ac
ter
is
tics
b
ec
au
s
e
th
e
y
a
r
e
h
u
m
an
a
n
d
h
av
e
v
alu
e
an
d
t
h
e
r
ig
h
t
to
r
eq
u
est.
Au
to
n
o
m
y
is
a
p
e
r
s
o
n
al
r
u
le
f
r
ee
f
r
o
m
in
te
r
f
er
en
ce
b
y
o
th
er
s
.
ii
)
B
en
ef
icen
ce
:
T
h
is
p
r
i
n
cip
le
d
em
a
n
d
s
th
at
h
u
m
an
s
tr
ea
t
o
t
h
er
s
as
au
to
n
o
m
o
u
s
b
ein
g
s
an
d
n
o
t
h
ar
m
t
h
e
m
.
I
t
also
r
eq
u
ir
es
in
d
iv
id
u
als
to
ass
ess
th
e
well
-
b
ein
g
o
f
o
th
e
r
s
.
iii
)
No
n
-
m
ale
f
icen
ce
:
T
h
is
p
r
in
cip
le
aim
s
to
p
r
o
tect
th
o
s
e
wh
o
ar
e
i
n
ca
p
ac
itated
(
d
is
ab
led
)
o
r
non
-
a
u
to
n
o
m
o
u
s
in
d
i
v
id
u
als,
s
tatin
g
th
at
th
e
o
b
lig
atio
n
n
o
t
t
o
h
ar
m
o
th
er
s
is
s
tr
o
n
g
er
th
an
th
e
o
b
lig
atio
n
to
d
o
g
o
o
d
.
iv
)
J
u
s
tice:
T
h
is
p
r
in
cip
le
in
v
o
lv
es
f
air
n
ess
an
d
r
eq
u
i
r
es
in
d
iv
id
u
als
to
ac
t
ju
s
tly
to
war
d
o
th
e
r
s
,
s
u
ch
as
d
eter
m
in
in
g
w
h
o
n
ee
d
s
h
ea
lth
ca
r
e
f
ir
s
t
b
ased
o
n
th
e
s
ev
er
it
y
o
f
th
eir
illn
ess
.
Ph
ilo
s
o
p
h
ical
th
eo
r
ies
o
f
ju
s
tice
u
s
u
ally
co
n
ce
r
n
a
p
er
s
o
n
'
s
life
lo
n
g
in
teg
r
ity
an
d
ar
e
n
o
t
tem
p
o
r
ar
y
[
3
4
]
,
[
3
5
]
.
T
h
e
b
eh
a
v
io
r
o
f
u
s
in
g
s
o
cial
m
ed
ia
in
I
n
d
o
n
esian
s
o
ciety
is
r
eg
u
lated
b
y
L
aw
N
o
.
1
9
o
f
2
0
1
6
co
n
ce
r
n
in
g
elec
tr
o
n
i
c
in
f
o
r
m
atio
n
an
d
tr
an
s
ac
tio
n
s
(
I
T
E
)
,
wh
ich
p
r
o
h
ib
its
th
e
d
is
s
em
in
atio
n
o
f
in
f
o
r
m
atio
n
th
at
in
cites
h
at
r
ed
a
m
o
n
g
s
o
cial
g
r
o
u
p
s
b
ased
o
n
eth
n
icity
,
r
elig
io
n
,
r
ac
e,
an
d
in
ter
-
g
r
o
u
p
(
SAR
A)
,
th
r
ea
ts
o
r
ex
to
r
tio
n
,
d
ef
am
ati
o
n
o
r
s
lan
d
er
,
a
n
d
o
th
er
s
im
ilar
ac
tiv
ities
[
3
6
]
.
T
h
e
s
tu
d
y
o
f
p
r
o
m
o
tio
n
ac
co
r
d
in
g
to
m
e
d
ical
eth
ics
in
clu
d
e
s
s
ev
er
al
p
o
in
ts
,
in
clu
d
in
g
:
i
)
E
d
u
ca
tio
n
al
ar
ticles
o
r
ad
v
er
tis
em
en
ts
s
h
o
u
ld
b
e
cr
ea
ted
p
r
im
ar
ily
f
o
r
t
h
e
p
u
r
p
o
s
e
o
f
e
d
u
ca
tin
g
t
h
e
p
u
b
lic
ab
o
u
t
h
ea
lth
y
liv
in
g
[
3
7
]
.
An
y
p
r
o
m
o
tio
n
al
in
ter
ests
r
elate
d
t
o
p
r
o
d
u
cts
s
h
o
u
ld
b
e
s
ec
o
n
d
ar
y
;
ii
)
I
t
is
u
n
d
er
s
tan
d
ab
le
th
at
p
r
o
m
o
tio
n
is
a
r
ea
s
o
n
ab
le
ef
f
o
r
t
wh
en
co
n
d
u
cted
b
y
r
ele
v
a
n
t
m
an
u
f
ac
tu
r
er
s
,
b
u
t
it
is
n
o
t
ap
p
r
o
p
r
iate
f
o
r
a
d
o
cto
r
o
r
p
r
o
f
ess
io
n
al
ass
o
ciatio
n
to
en
g
a
g
e
in
p
r
o
m
o
ti
n
g
th
e
s
ale
o
f
s
u
ch
p
r
o
d
u
cts
[
3
8
]
;
iii
)
T
h
e
ter
m
s
"e
d
u
ca
tio
n
al
ad
v
e
r
tis
em
en
t"
m
u
s
t
b
e
d
is
tin
g
u
is
h
ed
f
r
o
m
r
e
g
u
lar
ad
v
e
r
tis
em
en
ts
b
ec
au
s
e
ed
u
ca
tio
n
al
ar
tic
les
s
h
o
u
ld
b
e
b
alan
ce
d
,
o
b
jectiv
e,
ed
u
ca
tio
n
al,
n
o
t
m
is
lead
in
g
,
f
ea
r
-
in
d
u
ci
n
g
,
o
r
in
v
io
latio
n
o
f
p
r
e
v
ailin
g
n
o
r
m
s
o
r
d
ec
en
c
y
in
I
n
d
o
n
esia
;
iv
)
E
d
u
ca
tio
n
al
ar
ticles
s
h
o
u
l
d
p
r
ef
er
ab
ly
b
e
cr
ea
ted
b
y
d
o
ct
o
r
s
o
r
p
r
o
f
ess
io
n
al
ass
o
ciatio
n
s
,
wh
ile
r
eg
u
lar
a
d
v
er
ti
s
em
en
ts
ar
e
m
ad
e
b
y
in
d
iv
id
u
als
wo
r
k
in
g
f
o
r
m
a
n
u
f
ac
tu
r
er
s
;
v
)
Sp
o
n
s
o
r
s
s
h
o
u
ld
n
o
t
in
ter
f
er
e
with
th
e
cr
ea
tio
n
o
f
ed
u
ca
tio
n
al
ar
ticles
,
b
u
t
m
ay
d
is
p
lay
th
eir
s
u
p
p
o
r
t
o
r
p
r
o
m
o
tio
n
al
m
ess
ag
es
in
clo
s
e
p
r
o
x
im
ity
t
o
th
e
e
d
u
ca
tio
n
al
ar
ticle
;
vi
)
Dr
af
t
ed
u
ca
tio
n
a
l
ar
ticles
m
u
s
t
b
e
co
n
s
u
lted
with
an
d
a
p
p
r
o
v
ed
b
y
th
e
Me
d
ical
E
th
ics
C
o
m
m
is
s
io
n
(
MK
E
K
I
DI
)
/
T
h
e
E
th
ics
C
o
m
m
is
s
io
n
o
f
th
e
I
n
d
o
n
esian
Den
tal
Ass
o
ciat
io
n
(
MK
E
KG
PDGI
)
b
ef
o
r
e
b
ein
g
air
e
d
o
n
t
elev
is
io
n
,
b
r
o
ad
ca
s
t o
n
th
e
r
a
d
io
,
o
r
d
is
s
em
in
ated
th
r
o
u
g
h
p
r
i
n
t
m
ed
ia
;
v
ii
)
W
r
itin
g
s
th
at
v
is
u
ally
r
esem
b
le
ed
u
ca
tio
n
al
ar
ticles
b
u
t
s
er
v
e
p
r
o
m
o
tio
n
al
p
u
r
p
o
s
es
mus
t
b
e
clea
r
ly
lab
eled
"
ad
v
er
tis
in
g
"
in
th
e
u
p
p
er
lef
t
o
r
r
ig
h
t
co
r
n
er
;
an
d
v
iii
)
R
eg
u
lar
ad
v
er
tis
em
en
ts
in
p
r
in
t
m
ed
ia
o
r
telev
is
io
n
(
cr
ea
ted
b
y
m
an
u
f
ac
tu
r
e
r
s
)
s
h
o
u
ld
n
o
t
f
ea
tu
r
e
m
ess
ag
e
d
eliv
er
er
s
wea
r
in
g
d
o
cto
r
s
'
u
n
if
o
r
m
s
,
d
is
p
lay
th
e
e
m
b
lem
o
f
I
DI
/PDGI
,
u
s
e
th
e
n
am
e/sy
m
b
o
l
o
f
a
p
r
o
f
ess
io
n
al
ass
o
ciatio
n
,
o
r
ca
r
r
y
th
e
titl
e
"
d
o
cto
r
.
"
T
h
is
d
o
es n
o
t a
p
p
ly
to
co
n
ten
t th
at
is
p
u
r
ely
f
o
r
p
u
b
lic
s
er
v
ice
o
r
e
d
u
ca
tio
n
[
3
9
]
.
3
.
4
.
T
he
f
un
ct
io
n o
f
s
o
cia
l
media
f
o
r
dentists a
nd
t
he
pu
b
lic
So
cial
m
ed
ia
h
as
r
ap
id
ly
ex
p
a
n
d
ed
,
with
n
ea
r
ly
o
n
e
-
th
ir
d
o
f
th
e
wo
r
ld
'
s
p
o
p
u
latio
n
a
ctiv
ely
u
s
in
g
it.
Peo
p
le
in
g
e
n
er
al
ac
ce
s
s
a
wid
e
r
an
g
e
o
f
in
f
o
r
m
atio
n
th
r
o
u
g
h
v
a
r
io
u
s
ty
p
es
o
f
s
o
cial
m
e
d
ia.
T
h
e
ac
ce
s
s
ed
in
f
o
r
m
atio
n
is
q
u
ite
d
iv
er
s
e,
an
d
o
n
e
o
f
th
e
f
r
e
q
u
en
tly
s
o
u
g
h
t
-
af
ter
ty
p
es
o
f
in
f
o
r
m
atio
n
is
r
elate
d
to
h
ea
lth
.
On
e
o
f
th
e
h
ea
lth
-
r
elate
d
to
p
ic
s
p
eo
p
le
s
ee
k
in
f
o
r
m
atio
n
ab
o
u
t
is
d
en
tal
an
d
o
r
al
h
ea
lth
ca
r
e.
Peo
p
le
u
s
e
s
o
cial
m
ed
ia
to
f
in
d
in
f
o
r
m
atio
n
a
b
o
u
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th
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tio
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,
p
r
ices,
an
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ty
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ices
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r
o
v
id
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b
y
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en
tis
ts
.
A
s
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r
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co
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cte
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b
y
th
e
I
n
d
o
n
esian
I
n
ter
n
et
Ser
v
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Pro
v
id
er
s
Ass
o
ciatio
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(
APJ
I
I
)
r
ev
ea
led
th
at
in
2
0
2
2
,
th
e
I
n
d
o
n
esian
p
o
p
u
latio
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alr
ea
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y
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ad
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ter
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s
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with
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p
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r
o
x
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ately
2
1
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,
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2
6
,
1
5
6
p
e
o
p
le
h
a
v
in
g
in
ter
n
et
ac
ce
s
s
[
4
0
]
.
Ma
h
ar
an
i
f
o
u
n
d
th
at
s
o
cial
m
ed
ia
ca
n
in
f
lu
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ce
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o
w
p
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p
le
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r
u
s
h
th
eir
teeth
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h
e
n
s
ee
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g
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o
r
m
atio
n
ab
o
u
t
d
en
tal
a
n
d
o
r
al
h
ea
lth
th
r
o
u
g
h
s
o
cial
m
ed
ia
.
T
h
eir
r
esear
c
h
was
co
n
d
u
cted
am
o
n
g
5
2
1
ju
n
io
r
h
ig
h
s
ch
o
o
l
s
tu
d
en
ts
in
J
ak
ar
t
a,
an
d
it
f
o
u
n
d
th
at
th
e
h
ea
lth
in
f
o
r
m
atio
n
d
is
s
em
in
ated
o
n
s
o
cial
m
ed
ia
af
f
ec
ts
to
o
th
b
r
u
s
h
in
g
b
eh
a
v
io
r
[
4
1
]
.
Nu
m
er
o
u
s
s
tu
d
ies
h
av
e
id
en
ti
f
ied
th
at
s
o
cial
m
ed
ia
tech
n
o
lo
g
y
also
m
ak
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it
ea
s
ier
f
o
r
p
eo
p
le
t
o
ac
ce
s
s
in
f
o
r
m
atio
n
ab
o
u
t
d
is
ea
s
es,
p
r
ev
en
tio
n
,
an
d
tr
ea
tm
en
t
o
p
tio
n
s
,
as
well
as
ass
is
tin
g
in
m
ak
in
g
h
ea
lth
ca
r
e
d
ec
is
io
n
s
[
4
2
]
-
[
4
4
]
.
So
cial
m
ed
ia
p
latf
o
r
m
s
s
u
ch
a
s
I
n
s
tag
r
am
,
T
witter
,
Face
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o
o
k
,
W
h
atsAp
p
,
an
d
o
th
e
r
s
ar
e
c
o
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m
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s
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b
y
th
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p
u
b
lic
to
s
ee
k
i
n
f
o
r
m
atio
n
ab
o
u
t
d
en
tal
a
n
d
o
r
al
h
ea
lth
.
T
h
e
Min
is
tr
y
o
f
C
o
m
m
u
n
icatio
n
an
d
I
n
f
o
r
m
atio
n
o
f
t
h
e
R
ep
u
b
lic
o
f
I
n
d
o
n
esia
co
n
d
u
cted
a
s
u
r
v
e
y
i
n
2
0
2
0
,
wh
ich
s
h
o
wed
t
h
at
7
6
%
o
f
th
e
p
o
p
u
latio
n
u
s
es
s
o
cial
m
ed
ia
to
f
in
d
v
ar
i
o
u
s
in
f
o
r
m
atio
n
[
4
5
]
.
Acc
o
r
d
in
g
to
a
s
tu
d
y
in
Qass
im
,
Sau
d
i
Ar
ab
ia,
T
witter
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th
e
m
o
s
t
co
m
m
o
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l
y
u
s
ed
s
o
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m
ed
i
a
ap
p
licatio
n
to
ac
ce
s
s
h
ea
lth
-
r
elate
d
in
f
o
r
m
atio
n
[
4
6
]
.
Ak
s
o
y
an
d
o
th
er
co
lleag
u
es
n
o
te
d
th
at
p
eo
p
le
o
f
ten
u
s
e
Go
o
g
le
s
ea
r
ch
to
f
in
d
in
f
o
r
m
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n
ab
o
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t
d
e
n
tal
an
d
o
r
al
h
ea
lth
o
n
th
e
in
ter
n
et
[
4
7
]
-
[
5
0
]
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t J Pu
b
lic
Hea
lth
Sci
I
SS
N:
2252
-
8
8
0
6
N
a
vig
a
tin
g
eth
ics:
s
o
cia
l m
ed
i
a
ch
a
llen
g
es in
I
n
d
o
n
esia
n
d
e
n
ta
l p
r
a
ctice
(
A
d
itya
P
r
a
ta
ma
S
a
r
w
o
n
o
)
1901
B
ased
o
n
ex
is
tin
g
s
u
r
v
ey
s
an
d
jo
u
r
n
als,
it
is
also
f
o
u
n
d
th
at
s
o
cial
m
e
d
ia
is
o
n
e
o
f
th
e
p
latf
o
r
m
s
f
r
eq
u
e
n
tly
an
d
ev
en
ef
f
ec
tiv
e
ly
u
s
ed
b
y
d
en
tal
p
r
ac
titi
o
n
er
s
.
On
e
o
f
th
e
f
u
n
ctio
n
s
o
f
s
o
cial
m
ed
ia
u
s
ed
b
y
d
en
tis
ts
is
as
a
m
ea
n
s
f
o
r
d
is
cu
s
s
io
n
s
with
co
lleag
u
es.
Ad
d
itio
n
ally
,
s
o
cial
m
e
d
ia
is
u
s
e
d
f
o
r
s
ea
r
ch
in
g
f
o
r
s
o
u
r
ce
s
o
f
k
n
o
wled
g
e
an
d
in
f
o
r
m
atio
n
in
th
e
p
r
o
ce
s
s
o
f
p
r
o
f
ess
io
n
al
d
ev
elo
p
m
en
t.
Den
t
is
ts
also
u
s
e
v
ar
io
u
s
s
o
cial
m
ed
ia
f
o
r
p
r
o
m
o
tin
g
d
en
tal
h
ea
lth
an
d
th
eir
p
r
ac
t
ices.
So
cial
m
ed
ia
is
u
tili
ze
d
f
o
r
p
r
o
f
ess
io
n
al
co
m
m
u
n
icatio
n
b
etwe
en
p
r
ac
t
itio
n
er
s
an
d
p
atien
ts
.
Acc
o
r
d
i
n
g
to
a
s
tu
d
y
co
n
d
u
cted
b
y
C
h
ér
r
ez
-
Ojed
a
et
a
l
.
[
5
1
]
,
a
m
o
n
g
3
4
2
d
en
tis
ts
f
r
o
m
E
cu
ad
o
r
w
h
o
p
ar
ticip
ate
d
in
th
e
r
esear
ch
,
9
7
.
6
6
%
o
f
t
h
em
h
a
d
s
o
cial
m
ed
ia
an
d
u
s
ed
s
m
ar
t
d
ev
ices
(
s
m
ar
tp
h
o
n
es,
tab
let
PC
s
,
lap
to
p
s
/co
m
p
u
ter
s
)
to
in
ter
ac
t
with
co
lleag
u
es
an
d
p
atien
ts
.
C
h
ér
r
ez
-
Ojed
a
et
a
l.
[
5
1
]
also
s
tated
th
at
r
esp
o
n
d
en
ts
u
s
ed
s
o
c
ial
m
ed
ia
to
a
d
v
an
ce
th
eir
k
n
o
wled
g
e
in
d
en
tis
tr
y
,
s
ea
r
ch
f
o
r
n
ew
jo
b
o
p
p
o
r
t
u
n
ities
,
an
d
en
h
an
ce
p
r
o
m
o
tio
n
al
e
f
f
o
r
ts
.
R
esear
ch
co
n
d
u
cted
b
y
Hen
r
y
et
a
l.
[
5
2
]
o
n
2
2
,
6
8
2
d
en
tis
ts
in
th
e
Un
ited
States
also
in
d
icate
d
th
at
5
1
%
o
f
th
e
s
tu
d
y
'
s
r
esp
o
n
d
en
ts
u
s
e
d
s
o
cial
m
ed
ia,
with
m
o
r
e
p
r
ac
titi
o
n
er
s
u
n
d
er
th
e
ag
e
o
f
4
5
b
ein
g
m
o
r
e
ac
tiv
e
o
r
h
av
in
g
s
o
cial
m
ed
ia
co
m
p
ar
e
d
to
p
r
ac
titi
o
n
er
s
wh
o
wer
e
th
e
s
am
e
ag
e
o
r
o
ld
e
r
th
an
4
5
.
Yo
u
n
g
er
p
r
ac
titi
o
n
er
s
i
n
d
ee
d
g
r
asp
th
e
u
s
e
o
f
s
o
cial
m
ed
ia
m
o
r
e
q
u
ick
l
y
to
m
ee
t th
eir
n
ee
d
s
[
5
2
]
.
I
n
th
e
ef
f
o
r
t
to
p
r
o
m
o
te
d
e
n
tal
h
ea
lth
,
d
en
tis
ts
u
s
e
s
o
cial
m
ed
ia
as
a
p
latf
o
r
m
to
s
h
ar
e
k
n
o
wle
d
g
e
ab
o
u
t
d
en
tal
an
d
o
r
al
h
ea
lth
an
d
t
o
p
r
o
m
o
te
th
eir
clin
ics
o
r
p
r
ac
tices
with
p
h
o
to
s
.
T
h
ese
p
h
o
to
s
in
cl
u
d
e
d
o
cu
m
en
tatio
n
o
f
b
ef
o
r
e
an
d
af
ter
t
r
ea
tm
en
ts
.
T
h
ese
p
h
o
to
s
ar
e
u
s
ef
u
l
in
b
u
il
d
in
g
tr
u
s
t
with
co
n
s
u
m
er
s
/p
atien
ts
wh
o
h
av
e
s
ee
n
th
e
p
r
ac
titi
o
n
e
r
'
s
s
o
cial
m
ed
ia
an
d
d
ec
id
e
to
u
n
d
e
r
g
o
d
e
n
tal
tr
ea
tm
en
t
with
th
at
p
r
ac
titi
o
n
er
.
Fo
r
h
ea
lth
in
f
o
r
m
atio
n
,
it
ca
n
also
b
e
p
r
esen
ted
in
th
e
f
o
r
m
o
f
p
h
o
to
s
o
r
s
h
o
r
t
v
id
eo
s
s
h
ar
e
d
o
n
s
o
cial
m
ed
ia
p
a
g
es.
Ma
y
asar
i
in
2
0
2
1
co
n
f
ir
m
e
d
th
at
th
er
e
is
a
d
if
f
er
en
ce
in
o
p
in
io
n
am
o
n
g
r
esp
o
n
d
en
ts
wh
e
n
it
co
m
es
to
u
s
in
g
s
o
cial
m
ed
ia
as
a
m
ea
n
s
o
f
h
e
alth
p
r
o
m
o
tio
n
.
9
1
.
7
%
o
f
th
e
r
esp
o
n
d
en
ts
ag
r
ee
d
,
s
tatin
g
th
at
it
m
ak
es
it
ea
s
ier
f
o
r
in
d
iv
id
u
als
to
ac
ce
s
s
in
f
o
r
m
atio
n
ab
o
u
t
d
e
n
tal
an
d
o
r
al
h
ea
lth
,
ev
en
t
h
o
u
g
h
it
m
a
y
n
o
t a
lway
s
b
e
b
ased
o
n
ac
cu
r
ate
an
d
r
eliab
le
r
ef
er
e
n
ce
s
.
I
t a
ls
o
elim
in
ates th
e
b
a
r
r
ier
f
o
r
p
eo
p
le
to
o
b
tain
h
ea
lth
in
f
o
r
m
atio
n
,
wh
ich
is
ty
p
ically
o
n
ly
av
ailab
le
th
r
o
u
g
h
f
ac
e
-
to
-
f
ac
e
co
n
s
u
ltatio
n
s
with
a
d
en
tis
t
at
th
eir
p
r
ac
tice.
8
.
3
%
o
f
th
e
r
esear
c
h
r
esp
o
n
d
en
ts
d
is
ag
r
ee
d
(
o
p
p
o
s
e
d
)
to
u
s
in
g
s
o
cial
m
e
d
ia
f
o
r
h
e
alth
p
r
o
m
o
tio
n
d
u
e
to
eth
ical
c
o
n
s
id
er
atio
n
s
[
5
3
]
.
Var
io
u
s
s
o
cial
m
ed
ia
p
latf
o
r
m
s
ar
e
co
m
m
o
n
ly
u
s
ed
b
y
d
en
tis
ts
to
p
r
o
m
o
te
d
en
tal
h
ea
lth
.
So
cial
m
ed
ia
p
latf
o
r
m
s
s
u
ch
as
I
n
s
tag
r
am
,
Face
b
o
o
k
,
T
witter
,
W
h
atsAp
p
,
an
d
m
an
y
o
t
h
er
s
ca
n
b
e
u
s
ed
f
o
r
p
r
o
m
o
tin
g
d
e
n
tal
h
ea
lth
.
B
ah
ab
r
i
et
a
l.
[
2
5
]
s
tated
in
th
ei
r
r
esear
ch
th
at
4
9
%
o
f
d
en
tis
ts
an
d
5
1
%
o
f
s
p
ec
i
alis
t
d
en
tis
ts
af
f
iliated
with
T
h
e
Sau
d
i
Den
tal
As
s
o
ciatio
n
ch
o
s
e
I
n
s
tag
r
am
as
th
e
m
o
s
t
co
m
m
o
n
ly
u
s
ed
s
o
c
ial
m
ed
ia
p
latf
o
r
m
.
I
n
s
tag
r
am
h
as
a
u
n
i
q
u
e
f
ea
tu
r
e
th
at
allo
ws
th
e
ac
co
u
n
t
o
wn
er
to
s
h
ar
e
p
h
o
to
s
with
th
eir
f
o
llo
wer
s
.
T
h
er
ef
o
r
e,
if
a
f
o
llo
wer
is
s
ee
k
in
g
in
f
o
r
m
atio
n
ab
o
u
t
d
e
n
tal
ca
r
e,
th
e
y
ca
n
v
iew
th
e
p
h
o
t
o
s
s
h
ar
ed
b
y
a
d
en
tis
t'
s
ac
co
u
n
t
an
d
co
n
s
id
er
r
ec
eiv
in
g
d
en
tal
tr
ea
tm
en
t
at
th
e
clin
ic/p
r
ac
tice
o
wn
ed
b
y
th
e
ac
co
u
n
t
h
o
ld
er
.
T
h
er
ef
o
r
e,
ef
f
ec
tiv
e
m
an
ag
em
en
t
o
f
a
d
en
tis
t'
s
s
o
c
ial
m
ed
ia
ac
c
o
u
n
t
is
ess
en
tial
in
p
r
esen
tin
g
th
eir
p
r
o
f
ile
t
o
t
h
e
p
u
b
lic
in
a
wa
y
th
at
in
cr
ea
s
es th
e
d
en
tis
t'
s
ch
an
ce
s
o
f
b
ein
g
ch
o
s
en
b
y
in
d
iv
i
d
u
als wh
o
f
o
llo
w
th
e
d
en
tis
t'
s
ac
co
u
n
t,
u
ltima
tely
lead
in
g
to
th
e
m
b
ec
o
m
in
g
p
o
t
en
tial p
atien
ts
[
2
5
]
.
3
.
5
.
Rules
o
f
pro
m
o
t
io
n in dent
is
t
ry
3
.
5
.
1
.
I
nd
o
nes
ia
n
de
nta
l c
o
de
o
f
et
hics
Pro
m
o
tio
n
in
t
h
e
f
ield
o
f
d
en
t
is
tr
y
is
r
eg
u
lated
in
th
e
I
n
d
o
n
esian
d
en
tal
c
o
d
e
o
f
eth
ics
(
K
ODE
KGI
)
.
I
t
is
wr
itten
in
Ar
ticle
3
r
e
g
ar
d
in
g
p
r
o
f
ess
io
n
al
in
d
e
p
en
d
e
n
ce
,
th
e
f
ir
s
t
p
o
in
t
o
f
w
h
ich
s
t
ates
th
at
d
en
tis
ts
in
I
n
d
o
n
esia
ar
e
p
r
o
h
ib
ited
f
r
o
m
p
r
o
m
o
tin
g
th
em
s
elv
es
in
an
y
f
o
r
m
,
s
u
ch
as
s
elf
-
p
r
ais
e,
ad
v
e
r
tis
in
g
an
y
eq
u
ip
m
en
t
o
r
m
ater
ials
,
m
ak
i
n
g
d
ir
ec
t
o
r
in
d
ir
ec
t
p
r
o
m
is
es,
an
d
o
th
e
r
s
,
with
th
e
g
o
al
o
f
a
ttra
ctin
g
p
atien
ts
to
s
ee
k
tr
ea
tm
en
t
f
r
o
m
th
em
[
8
]
,
[
5
4
]
.
As
a
p
r
o
f
ess
io
n
al,
a
d
en
ti
s
t
m
u
s
t
en
s
u
r
e
th
at
th
ey
co
n
v
e
y
in
f
o
r
m
atio
n
ab
o
u
t
th
eir
ex
p
e
r
tis
e
h
o
n
estl
y
a
n
d
o
b
jectiv
ely
.
T
h
is
in
f
o
r
m
atio
n
m
u
s
t b
e
ac
cu
r
ate
an
d
ac
co
u
n
tab
le
an
d
s
h
o
u
ld
n
o
t
b
e
u
s
ed
to
d
em
o
n
s
tr
ate
p
er
s
o
n
al
s
u
p
er
io
r
ity
th
r
o
u
g
h
m
ass
m
ed
ia,
in
clu
d
in
g
m
ee
tin
g
s
,
p
r
in
t
m
ed
ia,
elec
tr
o
n
ic
m
ed
ia,
s
o
cial
m
ed
ia,
o
r
o
th
er
h
ig
h
-
tech
co
m
m
u
n
icatio
n
m
e
d
ia.
Pro
m
o
tio
n
o
r
ad
v
er
tis
in
g
d
o
n
e
f
o
r
h
ea
lth
ca
r
e
s
er
v
ices,
s
u
ch
as
d
e
n
tal
p
r
ac
tice,
ca
n
v
io
late
p
r
o
f
ess
io
n
al
et
h
ics
an
d
p
o
s
e
r
is
k
s
to
o
th
e
r
d
e
n
tis
ts
,
p
atien
ts
,
an
d
th
e
p
r
o
f
ess
io
n
'
s
r
ep
u
tatio
n
.
T
h
er
ef
o
r
e
,
d
en
tis
ts
ar
e
p
r
o
h
ib
it
ed
f
r
o
m
p
r
o
m
o
tin
g
th
em
s
elv
e
s
,
co
lleag
u
es,
alm
a
m
ater
,
o
r
h
ea
lth
ca
r
e
f
ac
ilit
ies in
a
m
an
n
er
co
n
tr
ar
y
t
o
ap
p
lica
b
le
laws o
r
r
eg
u
latio
n
s
[
8
]
.
Den
tis
ts
ar
e
n
o
t
allo
wed
to
p
r
o
m
o
te
th
eir
s
k
ills
o
r
attr
ib
u
tes
i
n
th
e
f
o
r
m
o
f
s
u
p
er
lativ
e
s
tatem
en
ts
,
s
u
ch
as
claim
in
g
to
b
e
th
e
'
o
n
ly
o
n
e'
o
r
ass
er
tin
g
s
p
ec
if
ic
ex
ce
l
len
ce
,
u
n
iq
u
en
ess
,
o
r
s
o
p
h
is
ticatio
n
,
an
d
o
f
f
er
i
n
g
g
u
ar
an
tees
o
f
tr
ea
tm
e
n
t
s
u
cc
e
s
s
.
Su
ch
ac
tio
n
s
ca
n
m
is
lead
p
atien
ts
an
d
ar
e
s
o
lely
p
er
f
o
r
m
ed
to
attr
ac
t
th
eir
atten
tio
n
.
I
n
p
r
o
m
o
tin
g
h
ea
lth
,
d
en
tis
ts
m
u
s
t
n
o
t
en
g
ag
e
in
s
elf
-
p
r
o
m
o
tio
n
t
h
at
m
ay
d
eg
r
a
d
e
th
e
d
ig
n
ity
o
f
th
e
p
r
o
f
ess
io
n
,
eith
er
v
er
b
ally
o
r
i
n
wr
itin
g
.
Den
tis
ts
ar
e
al
s
o
p
r
o
h
ib
ited
f
r
o
m
b
ein
g
m
o
d
els
in
ad
v
er
tis
em
en
ts
f
o
r
m
ed
icatio
n
s
,
m
ed
ical
eq
u
ip
m
en
t,
h
ea
lth
s
u
p
p
lies
,
o
r
h
ea
lth
ca
r
e
f
ac
ilit
ies,
ex
ce
p
t
in
p
u
b
lic
s
er
v
ice
ad
v
er
tis
em
en
ts
th
at
ar
e
o
f
f
icial
g
o
v
er
n
m
en
t p
r
o
g
r
am
s
an
d
/o
r
en
d
o
r
s
ed
b
y
PDGI
[
8
]
.
W
h
en
p
r
esen
tin
g
e
d
u
ca
tio
n
al
o
r
s
cien
tific
in
f
o
r
m
atio
n
in
ar
ticles,
s
em
in
ar
s
,
o
r
o
th
e
r
p
r
o
g
r
am
s
,
d
en
tis
ts
m
u
s
t
d
is
clo
s
e
to
r
ea
d
er
s
o
r
p
ar
ticip
an
ts
th
e
co
m
p
an
ies
wh
o
s
e
p
r
o
d
u
cts
ar
e
b
ein
g
p
r
o
m
o
ted
o
r
s
u
p
p
o
r
t
th
e
p
r
esen
tatio
n
.
T
h
is
d
is
clo
s
u
r
e
m
u
s
t
b
e
m
ad
e
with
in
th
e
p
r
o
m
o
tio
n
al
p
r
esen
tatio
n
its
elf
.
Den
tis
ts
m
u
s
t
n
o
t
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8
8
0
6
I
n
t J Pu
b
lic
Hea
lth
Sci
,
Vo
l.
14
,
No
.
4
,
Dec
em
b
er
20
25
:
1
8
9
7
-
1
9
08
1902
r
ec
o
m
m
en
d
to
p
atien
ts
tr
ea
tm
en
ts
o
r
d
iag
n
o
s
tic
e
x
am
in
atio
n
s
th
at
ar
e
n
o
t
b
ased
o
n
clea
r
m
ed
ical
in
d
icatio
n
s
o
r
ac
ce
p
ted
s
cien
tific
k
n
o
wled
g
e
o
r
n
o
t su
p
p
o
r
ted
b
y
r
esear
c
h
[
8
]
.
Den
tis
ts
in
I
n
d
o
n
esia
m
u
s
t
p
r
escr
ib
e,
p
r
o
v
id
e,
o
r
r
ec
o
m
m
e
n
d
h
ea
lth
ca
r
e
eq
u
ip
m
en
t
an
d
r
ec
o
g
n
ized
m
ed
icatio
n
s
.
T
h
ey
s
h
o
u
ld
n
o
t u
s
e
h
ea
lth
ca
r
e
eq
u
ip
m
en
t,
m
e
d
icatio
n
s
,
o
th
er
m
ater
ials
,
m
eth
o
d
s
,
o
r
tech
n
iq
u
es
ex
clu
s
iv
ely
if
th
ey
h
av
e
n
o
t
b
ee
n
s
cien
tific
ally
p
r
o
v
e
n
.
De
n
tis
ts
m
u
s
t
r
ep
o
r
t
t
o
PDGI
if
th
er
e
ar
e
s
id
e
ef
f
ec
ts
f
r
o
m
m
ed
icatio
n
s
o
r
h
ea
lth
ca
r
e
eq
u
i
p
m
en
t
,
o
r
to
th
e
Natio
n
al
Ag
en
cy
o
f
Dr
u
g
an
d
Fo
o
d
C
o
n
tr
o
l/Min
is
tr
y
o
f
Hea
lth
.
Fu
r
th
er
m
o
r
e,
a
d
v
er
tis
in
g
m
ed
icatio
n
s
,
f
o
o
d
s
u
p
p
le
m
en
ts
,
o
r
h
ea
lth
ca
r
e
eq
u
ip
m
e
n
t
th
at
d
o
n
o
t
h
av
e
m
ar
k
et
a
u
th
o
r
izatio
n
o
r
d
o
n
o
t
m
ee
t
q
u
ality
a
n
d
s
af
ety
s
tan
d
ar
d
s
is
n
o
t
allo
wed
.
Den
tis
ts
m
u
s
t
n
o
t
p
r
ess
u
r
e
p
atien
ts
to
p
u
r
ch
ase
p
r
o
d
u
cts
o
r
u
n
d
e
r
g
o
p
r
o
ce
d
u
r
es
b
y
p
r
o
v
id
in
g
in
ac
c
u
r
ate
in
f
o
r
m
ati
o
n
.
T
h
ey
h
av
e
an
in
d
ep
en
d
en
t
o
b
lig
atio
n
to
i
n
v
e
s
tig
ate
th
e
tr
u
th
an
d
ac
cu
r
ac
y
o
f
claim
s
an
d
v
er
if
y
t
h
at
th
ese
claim
s
ar
e
b
ased
o
n
ac
ce
p
ted
s
cien
tific
k
n
o
wled
g
e
[
8
]
.
3
.
5
.
2
.
Reg
ula
t
io
ns
o
f
t
he
M
ini
s
t
ry
o
f
H
ea
l
t
h o
f
t
he
Republ
ic
o
f
I
nd
o
nes
ia
R
eg
u
latio
n
o
f
th
e
Min
is
tr
y
o
f
Hea
lth
Nu
m
b
er
1
7
8
7
/ME
NKE
S/P
E
R
/XI
I
/2
0
1
0
r
eg
u
lates
h
ea
lth
p
r
o
m
o
tio
n
in
g
en
er
al.
I
n
th
is
r
eg
u
latio
n
,
h
ea
lth
ca
r
e
a
d
v
er
tis
in
g
is
d
ef
in
ed
as
a
co
m
m
u
n
ica
ti
o
n
ac
tiv
ity
aim
ed
at
in
tr
o
d
u
cin
g
o
r
p
r
o
m
o
tin
g
h
ea
lth
p
o
licies,
p
r
o
g
r
am
s
,
o
r
s
er
v
ices
th
r
o
u
g
h
im
ag
es,
s
o
u
n
d
s
,
o
r
wr
itin
g
.
T
h
e
p
u
r
p
o
s
e
o
f
th
is
ad
v
e
r
tis
in
g
is
to
attr
ac
t p
u
b
lic
in
ter
est an
d
f
a
cilitate
ac
ce
s
s
to
h
ea
lth
p
o
licies,
p
r
o
g
r
a
m
s
,
an
d
/o
r
s
er
v
ices,
an
d
it
ca
n
b
e
d
o
n
e
th
r
o
u
g
h
v
ar
io
u
s
m
ed
ia
,
with
o
r
with
o
u
t
co
m
p
e
n
s
atio
n
t
o
th
e
b
r
o
a
d
ca
s
tin
g
in
s
titu
tio
n
s
co
n
ce
r
n
ed
[
7
]
.
H
ea
lt
h
ca
r
e
f
ac
ilit
ies
ar
e
lo
ca
tio
n
s
u
s
ed
b
y
h
ea
lth
ca
r
e
p
r
o
f
e
s
s
io
n
als
to
p
r
o
v
id
e
h
ea
lth
ca
r
e
s
er
v
ices,
in
clu
d
in
g
p
r
o
m
o
tiv
e,
p
r
ev
e
n
tiv
e,
cu
r
ativ
e,
an
d
r
eh
ab
ilit
ativ
e
ef
f
o
r
ts
p
r
o
v
id
ed
b
y
th
e
g
o
v
er
n
m
en
t,
lo
ca
l
g
o
v
er
n
m
en
t,
an
d
/o
r
p
r
i
v
ate
s
ec
to
r
.
Hea
lth
ca
r
e
p
r
o
f
ess
io
n
als
ar
e
n
o
t
allo
wed
to
p
r
o
m
o
te
o
r
ap
p
ea
r
as
m
o
d
els
in
ad
v
e
r
tis
em
en
ts
f
o
r
m
e
d
icin
es,
m
ed
ical
d
ev
ices,
m
ed
ical
eq
u
ip
m
en
t,
o
r
h
ea
lth
ca
r
e
f
ac
ilit
ies,
ex
ce
p
t
in
p
u
b
lic
s
er
v
ice
ad
v
e
r
tis
em
en
ts
.
T
h
is
ty
p
e
o
f
ad
v
e
r
tis
em
en
t
aim
s
to
in
cr
ea
s
e
p
u
b
lic
awa
r
en
ess
o
f
h
ea
lt
h
y
an
d
clea
n
-
li
v
in
g
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e
h
av
io
r
s
(
PHB
S)
o
r
s
u
p
p
o
r
t
g
o
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er
n
m
en
t
p
r
o
g
r
am
s
an
d
is
n
o
n
-
c
o
m
m
er
cial
in
n
atu
r
e.
T
o
m
o
n
ito
r
an
d
co
n
tr
o
l
h
ea
lth
ca
r
e
ad
v
er
tis
in
g
an
d
p
u
b
licatio
n
s
,
th
e
Min
is
ter
m
ay
estab
lis
h
an
Ass
ess
m
en
t
an
d
Su
p
er
v
is
io
n
T
ea
m
f
o
r
Hea
lth
c
ar
e
Ad
v
er
tis
in
g
a
n
d
Pu
b
licatio
n
s
u
n
d
e
r
th
e
Min
is
tr
y
o
f
Hea
lth
.
T
h
e
team
'
s
d
u
ties
in
clu
d
e
ev
al
u
atin
g
a
n
d
s
u
p
er
v
is
in
g
h
ea
lth
ca
r
e
a
d
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er
tis
in
g
a
n
d
p
u
b
licatio
n
m
ater
ials
b
ef
o
r
e
an
d
a
f
ter
th
e
y
ar
e
b
r
o
ad
ca
s
t
[
7
]
.
3
.
6
.
Do
a
nd
do
n't
f
o
r
dentists in
t
he
et
hics
o
f
pro
m
o
t
io
n
o
n
s
o
cia
l m
edia
I
n
th
e
c
o
n
tex
t
o
f
s
o
cial
m
ed
i
a
p
latf
o
r
m
s
s
u
ch
as
I
n
s
tag
r
a
m
,
T
ik
T
o
k
,
T
witter
,
Face
b
o
o
k
,
L
in
k
e
d
I
n
,
Sn
ap
ch
at,
u
s
er
s
h
av
e
t
h
e
ab
ilit
y
to
en
g
ag
e
in
v
ar
io
u
s
r
o
les
an
d
o
b
jectiv
es
d
if
f
er
en
t
f
r
o
m
th
e
class
ical
co
m
m
u
n
icatio
n
p
r
o
ce
s
s
[
5
5
]
.
T
h
ey
b
ec
o
m
e
th
eir
o
wn
p
u
b
li
city
an
d
d
o
n
o
t
r
eq
u
ir
e
th
e
s
u
p
p
o
r
t
o
f
an
e
d
ito
r
to
m
ak
e
th
eir
c
o
n
ten
t
p
u
b
licly
a
v
ailab
le
[
5
6
]
.
T
h
e
u
s
e
o
f
s
o
ci
al
m
ed
ia
o
f
f
er
s
an
e
n
g
ag
i
n
g
e
x
p
er
ien
ce
,
s
u
ch
as
q
u
ick
id
ea
ex
ch
a
n
g
e,
im
p
u
ls
iv
e
co
n
ten
t
p
o
s
tin
g
,
a
n
d
th
e
p
o
t
en
tial
f
o
r
r
a
p
id
v
ir
ality
.
W
ith
th
e
ad
v
a
n
ce
m
en
t
o
f
tech
n
o
lo
g
y
,
th
e
u
s
e
o
f
s
o
cial
m
ed
ia
h
as
b
ec
o
m
e
a
d
aily
h
ab
i
t
f
o
r
m
o
s
t
p
eo
p
le.
New
m
ed
ia
an
d
s
o
cial
m
ed
ia,
in
p
ar
ticu
lar
,
ca
n
b
r
i
n
g
m
an
y
o
p
p
o
r
tu
n
ities
an
d
r
is
k
s
,
esp
ec
ially
f
o
r
th
e
y
o
u
n
g
e
r
g
en
er
atio
n
a
cc
u
s
to
m
ed
to
th
eir
f
ast
-
p
ac
ed
u
s
ag
e.
T
h
is
cr
ea
tes
eth
ical
is
s
u
es
an
d
ch
allen
g
es
n
o
t
alwa
y
s
co
v
e
r
ed
in
tr
ad
itio
n
a
l
m
ed
ia
eth
ics.
T
h
e
o
p
en
n
ess
o
f
s
o
cial
m
ed
ia
ca
n
b
r
in
g
s
ig
n
if
ican
t
ex
p
ec
tatio
n
s
an
d
r
is
k
s
as
it
lack
s
s
tr
ict
r
eg
u
latio
n
s
.
I
n
t
h
is
r
eg
ar
d
,
m
an
y
q
u
esti
o
n
s
n
ee
d
to
b
e
ask
ed
to
d
eter
m
in
e
wh
at
ca
n
b
e
u
p
lo
ad
ed
an
d
s
h
ar
ed
with
o
th
e
r
s
an
d
th
e
b
o
u
n
d
a
r
ies
o
f
u
s
er
b
eh
av
io
r
,
as
well
a
s
h
o
w
eq
u
al
p
ar
ticip
atio
n
an
d
f
r
ee
d
o
m
o
f
ex
p
r
ess
io
n
ca
n
b
e
en
s
u
r
ed
o
n
s
o
cial
m
ed
i
a
p
latf
o
r
m
s
.
T
h
is
is
wh
er
e
eth
ical
is
s
u
es
an
d
d
ilem
m
as
ar
is
e
wh
en
p
o
s
tin
g
o
r
s
h
ar
in
g
co
n
ten
t
th
r
o
u
g
h
s
o
cial
m
ed
ia
p
latf
o
r
m
s
[
5
7
]
,
[
5
8
]
.
I
t
is
ex
p
lain
e
d
th
at
d
e
n
tis
ts
ca
n
an
d
s
h
o
u
ld
a
d
v
er
tis
e
th
e
ir
p
r
o
f
ess
io
n
al
b
ac
k
g
r
o
u
n
d
,
wo
r
k
f
ield
,
p
r
o
ce
d
u
r
es,
an
d
tr
ea
tm
en
t
t
e
ch
n
iq
u
es
b
y
f
o
cu
s
in
g
o
n
in
f
o
r
m
atio
n
t
h
at
ef
f
ec
tiv
ely
co
n
tr
ib
u
tes
to
p
u
b
lic
u
n
d
er
s
tan
d
i
n
g
in
a
n
ed
u
c
atio
n
al
m
an
n
er
,
with
o
u
t
e
n
g
ag
in
g
in
tr
ad
e
o
r
cr
ea
tin
g
u
n
h
ea
l
th
y
co
m
p
etitio
n
o
r
u
n
d
er
m
i
n
in
g
th
e
v
alu
e
o
f
th
e
d
en
tal
p
r
o
f
ess
io
n
.
Mo
s
t
cu
r
r
e
n
t
p
o
s
ts
p
r
ed
o
m
in
an
tly
f
o
cu
s
o
n
ae
s
th
etic
ap
p
ea
l,
m
ag
ical
co
m
p
ar
is
o
n
s
o
f
ap
p
ea
r
an
ce
b
e
f
o
r
e
an
d
af
ter
tr
ea
tm
e
n
t,
u
n
n
atu
r
ally
wh
ite
s
m
iles
o
n
m
an
i
p
u
lated
a
n
d
ex
p
r
ess
io
n
less
f
ac
es.
Den
tis
tr
y
s
ee
m
s
to
h
av
e
ab
an
d
o
n
e
d
its
r
o
le
as
a
h
ea
lth
ca
r
e
p
r
o
f
ess
io
n
,
s
o
wh
at
we
s
ee
o
n
s
o
cial
n
etwo
r
k
s
is
n
o
t
h
ea
lth
p
r
o
m
o
tio
n
.
I
n
t
h
is
co
n
tex
t,
as
a
d
en
tis
t,
o
n
e
s
h
o
u
l
d
n
o
t
ce
ase
p
r
o
m
o
tin
g
th
e
v
alu
es
o
f
d
en
tis
tr
y
.
T
h
ey
s
h
o
u
ld
n
o
t
g
iv
e
u
p
o
n
a
d
v
o
ca
tin
g
f
o
r
g
r
ea
ter
in
ter
ests
an
d
p
r
o
tectin
g
p
at
ien
ts
[
5
9
]
,
[
6
0
]
.
I
n
th
e
b
o
o
k
A
DA
P
r
in
cip
les
o
f
E
th
ics
a
n
d
C
o
d
e
o
f
C
o
n
d
u
ct
,
it
is
s
tated
th
at
d
en
tis
ts
s
h
o
u
ld
n
o
t
m
ak
e
u
n
r
ea
s
o
n
ab
le
claim
s
ab
o
u
t
tr
ea
tm
en
t
o
u
tco
m
es
th
at
ca
n
b
e
ac
h
iev
ed
o
r
p
r
o
v
id
e
m
ater
ial
o
r
o
b
jectiv
e
r
ep
r
esen
tatio
n
s
in
d
icatin
g
th
at
th
e
a
d
v
er
tis
ed
s
er
v
ices
a
r
e
s
u
p
er
io
r
in
q
u
ality
to
th
o
s
e
o
f
o
t
h
er
d
e
n
tis
ts
if
s
u
ch
claim
s
ca
n
n
o
t
b
e
r
ea
s
o
n
ab
ly
s
u
b
s
tan
tiated
[
6
1
]
.
T
h
is
alig
n
s
with
ar
ticle
3
in
KODE
K
G
I
,
wh
ich
p
r
o
h
ib
its
d
en
tis
ts
f
r
o
m
ad
v
er
tis
in
g
th
eir
ab
ilit
ies
o
r
s
tr
en
g
th
s
u
s
in
g
s
u
p
er
lativ
e
s
tatem
en
ts
lik
e
'
th
e
o
n
ly
o
n
e'
o
r
im
p
ly
in
g
s
p
ec
if
ic
s
u
p
er
io
r
ity
,
u
n
iq
u
e
n
e
s
s
,
o
r
s
o
p
h
is
ticatio
n
,
in
clu
d
in
g
p
r
o
v
id
in
g
tr
ea
tm
en
t
s
u
cc
ess
g
u
ar
an
tees,
as
th
is
ca
n
m
is
lead
p
atien
ts
in
to
s
ee
k
in
g
th
eir
s
er
v
ices.
Fu
r
th
e
r
m
o
r
e,
d
en
tis
ts
ar
e
also
p
r
o
h
i
b
ited
f
r
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m
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f
lu
en
ci
n
g
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2252
-
8
8
0
6
N
a
vig
a
tin
g
eth
ics:
s
o
cia
l m
ed
i
a
ch
a
llen
g
es in
I
n
d
o
n
esia
n
d
e
n
ta
l p
r
a
ctice
(
A
d
itya
P
r
a
ta
ma
S
a
r
w
o
n
o
)
1903
p
atien
ts
to
p
u
r
ch
ase
p
r
o
d
u
cts
o
r
u
n
d
e
r
g
o
p
r
o
ce
d
u
r
es
b
y
m
is
in
ter
p
r
etin
g
th
e
v
alu
e
o
f
th
e
p
r
o
d
u
ct
o
r
p
r
o
f
ess
io
n
al
ex
p
er
tis
e
i
n
r
ec
o
m
m
en
d
in
g
th
o
s
e
p
r
o
d
u
cts o
r
p
r
o
ce
d
u
r
es
[
8
]
.
3
.
7
.
Adv
a
nt
a
g
es a
nd
dis
a
dv
a
nta
g
es o
f
s
o
cia
l
m
edia
f
o
r
pa
t
ient
s
Acc
o
r
d
in
g
to
a
s
tu
d
y
c
o
n
d
u
ct
ed
b
y
Mir
et
a
l.
[
6
2
]
,
t
h
e
m
a
jo
r
ity
o
f
s
u
r
v
ey
p
ar
ticip
a
n
ts
a
g
r
ee
th
at
d
en
tis
ts
s
h
o
u
ld
b
e
ab
le
to
co
m
m
u
n
icate
with
p
atien
ts
th
r
o
u
g
h
s
o
cial
m
ed
ia
c
o
m
p
a
r
ed
to
co
n
v
e
n
tio
n
al
m
ed
ia
s
u
ch
as
T
V,
n
ewsp
ap
er
s
,
an
d
m
ag
az
in
es
.
T
h
is
is
in
lin
e
with
r
esear
ch
co
n
d
u
c
te
d
b
y
Par
m
ar
et
a
l.
[
6
3
]
,
wh
ich
s
tates
th
at
p
ar
ticip
an
ts
ap
p
r
ec
i
ate
h
ea
lth
ca
r
e
p
r
o
v
i
d
er
s
'
co
m
m
u
n
icatio
n
t
h
r
o
u
g
h
s
o
cial
m
e
d
ia.
T
h
e
r
ea
s
o
n
f
o
r
th
is
tr
u
s
t
is
th
e
d
ir
ec
t
co
m
m
u
n
icatio
n
with
d
e
n
tis
ts
,
an
d
th
e
in
f
o
r
m
atio
n
co
n
v
ey
e
d
ca
n
b
e
tr
u
s
ted
with
o
u
t
f
ilter
in
g
o
r
m
a
n
ip
u
latio
n
[
6
3
]
.
B
ase
d
o
n
th
e
f
in
d
in
g
s
o
f
t
h
ese
s
tu
d
ies,
p
atien
ts
wan
t
to
k
n
o
w
th
e
q
u
alif
icatio
n
s
o
f
d
e
n
tal
p
r
o
f
ess
io
n
als
b
ef
o
r
e
v
is
itin
g
a
d
en
tal
p
r
ac
tice.
Fo
r
s
o
m
e
p
atien
ts
,
p
o
s
itiv
e
r
ev
iews,
awa
r
d
s
,
an
d
o
r
ig
in
al
co
n
ten
t o
n
d
en
tis
ts
'
s
o
cial
m
ed
ia
ca
n
b
e
v
er
y
u
s
ef
u
l i
n
f
o
r
m
ati
o
n
b
ef
o
r
e
c
h
o
o
s
in
g
a
d
en
tis
t
[
6
4
]
.
Mo
r
e
t
h
a
n
h
al
f
o
f
th
e
s
u
r
v
e
y
p
a
r
ti
ci
p
a
n
ts
a
g
r
e
e
t
h
at
s
o
cia
l
m
e
d
ia
is
t
h
e
ir
f
ir
s
t
c
h
o
ice
f
o
r
o
b
t
ai
n
i
n
g
in
f
o
r
m
at
io
n
a
b
o
u
t d
en
tal
t
r
e
at
m
e
n
ts
,
esp
ec
ial
ly
i
n
t
h
e
f
iel
d
o
f
ae
s
t
h
eti
cs.
Pa
r
t
ici
p
a
n
ts
f
e
el
t
h
at
t
h
ey
g
ai
n
a
l
o
t
o
f
h
el
p
f
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l
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m
ati
o
n
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m
a
k
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t
d
ec
is
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o
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s
an
d
ch
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o
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n
g
a
d
e
n
tis
t
t
h
r
o
u
g
h
s
o
c
ial
m
e
d
ia
.
B
e
f
o
r
e
-
a
n
d
-
af
t
er
p
h
o
t
o
s
ar
e
a
n
ess
e
n
ti
al
f
a
c
to
r
,
es
p
ec
ial
ly
a
m
o
n
g
w
o
m
e
n
.
I
n
f
ac
t
,
m
o
s
t
d
e
n
t
al
ad
v
e
r
t
is
e
m
en
ts
r
el
y
o
n
b
ef
o
r
e
-
an
d
-
a
f
te
r
p
h
o
t
o
s
b
e
ca
u
s
e
th
ese
p
h
o
t
o
s
p
r
o
v
i
d
e
th
e
a
est
h
et
ic
r
esu
l
ts
a
n
d
o
v
e
r
a
ll
q
u
ali
ty
d
es
ir
ed
b
y
p
a
ti
en
ts
[
6
5
]
.
Mo
s
t
p
a
tie
n
ts
p
a
y
a
tte
n
t
io
n
t
o
p
o
s
iti
v
e
r
e
v
i
ews
w
h
e
n
v
is
it
in
g
d
e
n
tis
ts
'
s
o
ci
al
m
e
d
ia
ac
c
o
u
n
t
s
.
Ne
g
a
ti
v
e
o
n
li
n
e
r
e
v
i
ews
d
is
c
o
u
r
a
g
e
9
4
%
o
f
c
o
n
s
u
m
e
r
s
f
r
o
m
v
is
i
ti
n
g
a
d
e
n
t
al
p
r
ac
tic
e.
T
h
er
ef
o
r
e
,
p
o
s
it
iv
e
o
n
li
n
e
r
e
v
i
ews
h
av
e
a
b
et
te
r
im
p
a
ct
o
n
a
d
e
n
ta
l
cli
n
i
c
.
D
e
n
tis
ts
'
q
u
al
if
ic
ati
o
n
s
ar
e
an
o
t
h
e
r
c
r
u
cia
l
f
a
ct
o
r
[
6
6
]
,
[
6
7
]
.
T
h
e
q
u
ality
o
f
t
h
e
web
s
i
te
is
also
v
ital
in
in
f
lu
en
cin
g
p
atie
n
ts
an
d
v
is
ito
r
s
an
d
h
as
a
p
o
s
itiv
e
im
p
ac
t
o
n
d
en
tal
p
r
ac
tice.
T
h
is
h
elp
s
im
p
r
o
v
e
cu
s
to
m
er
c
o
n
f
id
e
n
c
e
in
th
e
p
r
o
f
ess
io
n
alis
m
o
f
t
h
e
clin
ic
[
6
2
]
.
T
h
e
s
ch
ed
u
lin
g
o
f
p
atien
t
ap
p
o
in
t
m
en
ts
th
r
o
u
g
h
th
e
web
s
ite
also
s
av
es
tim
e.
T
h
er
e
is
ev
en
a
co
r
r
elatio
n
b
etwe
e
n
th
e
d
esig
n
o
f
th
e
d
e
n
tal
clin
ic's we
b
s
ite
an
d
in
cr
ea
s
ed
p
atien
t a
ttra
ctio
n
to
th
e
clin
ic
[
6
6
]
.
Alth
o
u
g
h
s
o
cial
m
ed
ia
ca
n
b
e
u
s
ed
to
im
p
r
o
v
e
p
atien
t
ca
r
e
an
d
ed
u
ca
tio
n
,
it
ca
n
also
p
o
s
e
p
o
ten
tial
r
is
k
s
to
p
atien
ts
an
d
h
ea
lth
ca
r
e
p
r
o
v
id
er
s
.
T
h
e
d
is
s
em
in
atio
n
o
f
lo
w
-
q
u
ality
in
f
o
r
m
atio
n
ca
n
b
e
h
ar
m
f
u
l
to
p
atien
ts
an
d
d
am
ag
e
p
r
o
f
ess
io
n
al
im
ag
es.
Alth
o
u
g
h
p
atien
t e
n
g
ag
em
e
n
t
o
n
s
o
cial
m
ed
ia
is
s
ee
n
b
y
m
an
y
as
a
f
ac
to
r
t
h
at
in
f
l
u
en
ce
s
im
p
r
o
v
e
d
h
ea
lth
an
d
r
ed
u
ce
d
c
o
s
ts
,
th
er
e
is
a
r
elativ
ely
h
ig
h
r
is
k
f
o
r
p
atien
ts
to
r
ec
eiv
e
m
is
lead
in
g
in
f
o
r
m
atio
n
.
Hea
lth
ca
r
e
p
r
ac
titi
o
n
er
s
ca
n
h
elp
r
ed
u
ce
th
e
p
o
ten
tial
d
an
g
e
r
s
ca
u
s
ed
b
y
u
n
r
eliab
le
in
f
o
r
m
atio
n
tak
e
n
f
r
o
m
s
o
cial
m
ed
ia
b
y
s
h
ar
in
g
ac
cu
r
ate
k
n
o
wled
g
e
an
d
ed
u
ca
tin
g
p
atien
ts
ab
o
u
t
r
ep
u
tab
le
web
s
ites
.
An
o
th
er
r
is
k
is
th
e
ex
ch
an
g
e
o
f
in
a
p
p
r
o
p
r
iate
o
n
lin
e
in
f
o
r
m
atio
n
o
r
ad
v
ice
f
o
r
d
ir
ec
t
v
is
its
to
h
ea
lth
ca
r
e
p
r
o
v
id
er
s
[
6
8
]
.
Den
tal
p
r
ac
titi
o
n
er
s
m
ay
also
f
ac
e
is
s
u
es
in
m
an
ag
in
g
th
eir
p
r
o
f
ess
io
n
al
im
ag
e
a
n
d
r
elatio
n
s
h
ip
s
with
p
atien
ts
d
u
e
to
wid
e
an
d
f
ast i
n
f
o
r
m
atio
n
ac
ce
s
s
.
Patien
ts
an
d
d
en
tis
ts
m
ay
f
ac
e
ad
d
itio
n
al
is
s
u
es
th
at
th
r
ea
ten
th
eir
p
r
iv
ac
y
d
u
e
to
th
e
u
s
e
o
f
s
o
cial
m
ed
ia
[
6
9
]
.
I
t
is
r
ep
o
r
ted
th
at
d
en
tis
ts
d
o
n
o
t
f
u
lly
u
n
d
e
r
s
tan
d
th
e
co
n
ce
p
ts
,
m
eth
o
d
s
,
an
d
p
r
o
ce
s
s
es
ass
o
c
iated
with
s
o
cial
m
ed
ia
co
m
m
u
n
icatio
n
.
So
m
e
is
s
u
es
ex
p
er
ien
ce
d
b
y
p
atien
ts
,
s
u
ch
as a
f
ter
-
clin
ic
ca
r
e
an
d
d
en
tal
an
x
iety
,
ca
n
b
e
d
is
cu
s
s
ed
o
n
s
o
cial
m
e
d
ia.
Den
tal
an
x
ie
ty
is
a
s
er
io
u
s
is
s
u
e
in
d
en
tis
tr
y
,
o
f
ten
lead
in
g
to
d
ep
r
ess
io
n
,
s
leep
d
is
o
r
d
e
r
s
,
r
elu
ctan
ce
to
b
u
ild
in
tim
ate
in
ter
p
er
s
o
n
al
r
elatio
n
s
h
ip
s
,
an
d
wo
r
k
p
lace
d
if
f
icu
lties
[
6
5
]
.
3
.
8
.
Adv
a
nt
a
g
es a
nd
dis
a
dv
a
nta
g
es
of
s
o
cia
l
-
m
edia
dent
a
l pro
m
o
t
i
o
n
So
cial
m
ed
ia
h
as b
ec
o
m
e
an
i
n
teg
r
al
p
ar
t o
f
m
o
d
er
n
life
[
2
5
]
.
So
cial
m
ed
ia
h
as tr
an
s
f
o
r
m
e
d
p
er
s
o
n
al
an
d
p
r
o
f
ess
io
n
al
life
,
r
aisi
n
g
m
an
y
eth
ical
q
u
esti
o
n
s
f
o
r
h
ea
lth
ca
r
e
s
er
v
ice
p
r
o
v
id
er
s
an
d
c
lin
ician
s
[
7
0
]
.
So
cial
m
ed
ia
m
a
k
es
it
ea
s
ier
f
o
r
p
r
o
f
ess
io
n
als
to
p
r
o
v
id
e
h
ea
lth
p
r
o
m
o
tio
n
,
f
ee
d
b
ac
k
,
a
n
d
h
ea
lt
h
ed
u
ca
tio
n
to
t
h
e
g
en
er
al
p
u
b
lic.
T
h
r
o
u
g
h
s
o
cia
l
m
ed
ia,
h
ea
lth
ca
r
e
p
r
o
f
ess
io
n
als
ca
n
en
h
an
ce
th
eir
s
er
v
ices
in
th
e
h
ea
lth
ca
r
e
f
ield
.
W
is
e
u
s
e
o
f
s
o
cial
m
ed
i
a
will
in
cr
ea
s
e
p
u
b
lic
awa
r
en
ess
o
f
th
e
im
p
o
r
tan
ce
o
f
m
ain
tain
in
g
o
r
al
h
ea
lth
,
cr
ea
te
p
atien
t
in
ter
est
in
a
v
ailab
le
tr
ea
tm
en
ts
,
an
d
p
u
b
lis
h
r
esear
ch
[
7
1
]
.
T
o
d
a
y
,
p
ee
r
co
m
m
u
n
icatio
n
n
o
t
o
n
ly
lead
s
to
r
ef
e
r
r
als
b
u
t
also
s
er
v
es
as
a
p
latf
o
r
m
f
o
r
s
h
ar
in
g
ex
p
er
ien
ce
s
.
So
cial
m
e
d
ia
also
f
ac
ilit
ates
a
wea
lth
o
f
ed
u
ca
tio
n
al
m
ater
ials
,
b
o
th
f
r
o
m
ex
p
er
ien
ce
d
an
d
less
ex
p
er
i
en
ce
d
d
o
cto
r
s
[
7
0
]
,
[
7
2
]
.
I
n
th
e
f
ield
o
f
e
d
u
ca
tio
n
a
n
d
r
esear
ch
,
th
e
u
s
e
o
f
in
ter
n
et
-
b
ased
p
latf
o
r
m
s
an
d
s
o
cial
m
ed
ia
h
as
d
r
am
atica
lly
ex
p
a
n
d
ed
th
e
r
e
a
ch
o
f
e
d
u
ca
tio
n
in
r
ec
e
n
t y
ea
r
s
[
7
3
]
.
Nu
m
er
o
u
s
f
r
ee
m
ed
ia
a
n
d
web
s
ites
m
ak
e
it
ea
s
y
f
o
r
d
e
n
tis
ts
to
ac
ce
s
s
in
ter
n
atio
n
al
d
en
tal
in
f
o
r
m
atio
n
.
T
h
is
also
allo
ws
d
en
tis
t
s
to
b
r
o
a
d
en
th
eir
k
n
o
wled
g
e
with
o
u
t
b
ein
g
co
n
s
tr
ain
ed
b
y
d
is
tan
ce
an
d
tim
e.
Den
tis
ts
ca
n
p
u
b
lis
h
r
esear
ch
r
esu
lts
o
n
li
n
e
an
d
s
h
ar
e
th
em
wit
h
d
en
tis
ts
wo
r
ld
wid
e
[
2
5
]
.
T
h
e
r
o
le
o
f
d
o
cto
r
s
en
co
m
p
as
s
es
n
o
t
o
n
ly
p
atien
t
ca
r
e
in
cli
n
ics
o
r
h
o
s
p
itals
b
u
t
also
ad
v
a
n
cin
g
th
e
k
n
o
wled
g
e
a
n
d
u
n
d
er
s
tan
d
i
n
g
o
f
p
atien
ts
an
d
th
eir
f
am
ili
es.
No
wad
ay
s
,
p
atien
ts
ca
n
ea
s
ily
ac
ce
s
s
h
ea
lth
k
n
o
wled
g
e
th
r
o
u
g
h
s
o
cial
m
e
d
ia
[
7
4
]
.
T
h
is
r
o
le
alig
n
s
with
th
e
p
r
in
cip
les
r
eq
u
ir
i
n
g
d
o
cto
r
s
to
ac
t
to
p
r
o
m
o
te
th
e
h
ea
lth
o
f
t
h
eir
p
atien
ts
,
p
r
i
o
r
itizin
g
p
atien
t
h
ea
lth
,
an
d
ju
s
tice
p
r
in
cip
les,
wh
ich
r
eq
u
ir
e
d
o
cto
r
s
to
co
n
s
id
er
th
e
ef
f
ec
ts
o
f
th
eir
ac
tio
n
s
o
n
o
th
er
m
em
b
er
s
o
f
s
o
ciety
b
ey
o
n
d
th
eir
c
u
r
r
e
n
t p
atien
ts
[
7
1
]
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8
8
0
6
I
n
t J Pu
b
lic
Hea
lth
Sci
,
Vo
l.
14
,
No
.
4
,
Dec
em
b
er
20
25
:
1
8
9
7
-
1
9
08
1904
T
h
e
wid
esp
r
ea
d
av
ailab
ilit
y
a
n
d
ea
s
y
ac
ce
s
s
to
in
f
o
r
m
atio
n
o
n
s
o
cial
m
ed
ia
an
d
t
h
e
in
ter
n
et
in
cr
ea
s
e
d
o
cto
r
s
'
r
esp
o
n
s
ib
ilit
y
to
e
d
u
c
ate
th
e
p
u
b
lic
a
n
d
p
r
o
tect
p
atien
ts
f
r
o
m
in
co
r
r
ec
t
in
f
o
r
m
atio
n
[
7
5
]
.
I
f
th
e
d
o
ct
o
r
s
d
o
n
o
t
p
r
o
v
id
e
a
cc
u
r
ate
in
f
o
r
m
atio
n
,
th
e
p
u
b
lic
ca
n
b
e
ex
p
o
s
ed
to
in
c
o
r
r
ec
t
in
f
o
r
m
atio
n
wid
ely
d
is
s
em
in
ated
o
n
s
o
cial
m
ed
ia.
Ver
if
y
i
n
g
in
f
o
r
m
atio
n
p
r
esen
ted
o
n
lin
e
is
n
o
t
ea
s
y
,
an
d
it
h
as
b
ee
n
p
r
o
v
e
n
th
at
th
e
s
p
ee
d
o
f
s
p
r
ea
d
in
g
f
alse
in
f
o
r
m
atio
n
o
n
lin
e
is
n
ea
r
ly
ten
tim
es
g
r
ea
ter
th
an
th
e
r
ate
an
d
s
p
ee
d
o
f
s
p
r
ea
d
in
g
ac
cu
r
ate
in
f
o
r
m
atio
n
[
7
0
]
.
T
h
e
ea
s
y
ac
ce
s
s
to
in
f
o
r
m
atio
n
is
also
a
ch
allen
g
e
f
o
r
d
en
tis
ts
.
As
d
en
tal
p
r
o
f
ess
io
n
als,
it
is
ess
en
tial
to
u
n
d
er
s
tan
d
th
e
ev
id
e
n
ce
b
ase
o
f
th
e
in
f
o
r
m
atio
n
we
a
cc
ess
.
Po
o
r
-
q
u
ality
in
f
o
r
m
ati
o
n
is
a
s
ig
n
if
ican
t
d
r
awb
ac
k
wh
en
u
s
in
g
s
o
cial
m
ed
ia
f
o
r
lear
n
in
g
b
ec
au
s
e
it i
s
ch
allen
g
in
g
to
en
s
u
r
e
th
e
v
alid
ity
o
f
th
e
p
r
o
v
id
ed
in
f
o
r
m
atio
n
.
Fo
r
e
x
am
p
le,
t
h
r
o
u
g
h
s
o
cial
m
ed
ia,
a
d
en
tis
t
m
ay
o
b
tain
u
n
r
ef
er
en
ce
d
in
f
o
r
m
atio
n
,
a
lac
k
o
f
ev
id
en
ce
b
ase,
a
n
d
th
e
f
ac
t th
a
t a
n
y
u
s
er
ca
n
u
p
l
o
ad
co
n
ten
t t
o
an
y
web
s
ite
[
7
0
]
.
I
f
a
d
en
tis
t
d
o
es
n
o
t
f
o
llo
w
g
u
id
elin
es
an
d
s
et
lim
its
o
n
s
o
cial
m
ed
ia
u
s
ag
e,
th
is
ac
tio
n
c
an
d
am
a
g
e
th
eir
p
r
o
f
e
s
s
io
n
al
im
ag
e
[
7
1
]
.
A
d
en
tis
t
s
h
o
u
ld
n
o
t
u
p
lo
ad
in
f
o
r
m
atio
n
th
at
d
en
ig
r
ates
th
e
en
tire
p
r
o
f
ess
io
n
.
Alth
o
u
g
h
s
o
cial
m
ed
ia
allo
ws d
en
tis
ts
to
co
m
m
u
n
icate
f
r
ee
l
y
an
d
an
o
n
y
m
o
u
s
ly
,
u
s
er
s
m
u
s
t
b
e
ca
u
tio
u
s
ab
o
u
t
p
o
s
tin
g
in
ap
p
r
o
p
r
iate
o
r
p
o
ten
tially
h
ar
m
f
u
l
m
ater
ial
th
at
c
o
u
ld
h
ar
m
th
eir
o
wn
r
ep
u
tatio
n
an
d
th
e
r
ep
u
tatio
n
o
f
th
e
p
r
o
f
ess
io
n
as a
wh
o
le
[
2
5
]
,
[
7
6
]
.
T
h
e
ea
s
y
ac
ce
s
s
to
all
in
f
o
r
m
atio
n
th
r
o
u
g
h
s
o
cial
m
ed
ia,
co
m
b
in
ed
with
th
e
in
cr
ea
s
ed
k
n
o
wled
g
e
o
f
p
atien
ts
,
ca
n
cr
ea
te
g
ap
s
th
at
ar
e
d
etr
im
en
tal
to
a
d
en
tis
t
'
s
p
r
ac
tice.
Patien
ts
ca
n
ea
s
ily
p
u
b
lis
h
b
o
th
p
o
s
itiv
e
an
d
n
eg
ativ
e
p
o
s
t
-
tr
ea
tm
e
n
t
ex
p
er
ien
ce
s
.
Den
tis
ts
m
u
s
t
b
e
ca
r
ef
u
l
wh
en
p
u
b
lis
h
in
g
p
atien
t
-
r
elate
d
in
f
o
r
m
atio
n
.
All
p
atien
t
-
r
elate
d
in
f
o
r
m
atio
n
s
h
o
u
ld
b
e
an
o
n
y
m
ize
d
,
an
d
o
n
ce
in
f
o
r
m
atio
n
is
p
u
b
lis
h
ed
,
it
is
ch
allen
g
in
g
to
r
etr
ac
t
i
t
[
7
0
]
.
I
f
th
e
r
e
is
a
b
r
ea
ch
,
d
en
tis
ts
m
ay
r
ec
eiv
e
war
n
in
g
s
an
d
f
u
r
th
er
d
is
cip
lin
a
r
y
ac
tio
n
s
an
ctio
n
s
.
T
h
er
ef
o
r
e,
it
is
cr
u
cial
to
esta
b
lis
h
p
u
b
licatio
n
lim
its
f
r
o
m
th
e
b
eg
in
n
i
n
g
an
d
o
b
tain
v
alid
wr
itten
co
n
s
en
t
th
at
d
o
es n
o
t a
llo
w
p
at
ien
t
-
id
en
tifi
ab
le
in
f
o
r
m
atio
n
to
b
e
s
h
ar
ed
o
n
s
o
cial
m
ed
ia
[
7
1
]
.
So
cial
m
ed
ia
s
er
v
es
as
an
en
t
er
tain
m
en
t
m
ed
iu
m
f
o
r
p
r
o
f
es
s
io
n
als
in
th
eir
p
er
s
o
n
al
liv
es.
T
h
er
e
ar
e
alwa
y
s
lim
its
to
th
is
,
an
d
wh
en
th
o
s
e
lim
its
ar
e
ex
ce
e
d
ed
,
s
o
cial
m
ed
ia
ca
n
b
ec
o
m
e
an
escap
e
f
r
o
m
r
ea
lity
,
m
ak
in
g
d
e
n
tis
ts
r
elu
ctan
t
to
a
d
d
r
ess
r
ea
l
-
life
is
s
u
es.
Peer
p
r
ess
u
r
e
allo
ws
f
o
r
a
lack
o
f
s
elf
-
co
n
f
id
e
n
ce
in
a
d
en
tis
t
af
ter
s
ee
in
g
wh
at
o
th
er
d
en
tis
ts
h
a
v
e
p
u
b
lis
h
ed
o
n
s
o
cial
m
ed
ia.
T
h
is
ca
n
lead
to
s
o
cial
en
v
y
a
n
d
ex
ce
s
s
iv
e
an
x
iety
in
a
d
en
tis
t
[
7
7
]
.
T
h
e
ab
s
en
ce
o
f
lim
its
o
n
a
p
u
b
licatio
n
ca
n
h
a
r
m
th
e
f
u
n
d
a
m
en
tal
p
r
i
n
cip
les
o
f
a
d
en
tis
t'
s
p
r
o
f
ess
io
n
.
I
f
a
d
en
tis
t
p
u
b
lis
h
es
co
m
p
r
e
h
en
s
iv
e
in
f
o
r
m
atio
n
ab
o
u
t
th
eir
wo
r
k
,
it
m
ay
p
r
o
v
id
e
a
n
o
p
e
n
i
n
g
f
o
r
i
r
r
es
p
o
n
s
ib
le
in
d
iv
id
u
als
to
im
itate
p
r
o
ce
d
u
r
es
an
d
ca
s
e
m
an
ag
em
en
t d
o
n
e
b
y
th
e
d
en
tis
t.
I
n
a
d
d
itio
n
,
s
o
ciety
to
d
ay
h
as
th
e
b
r
o
ad
r
ig
h
t
to
s
p
ea
k
an
d
co
m
m
en
t
,
an
d
s
h
ar
e
in
f
o
r
m
atio
n
t
h
at
is
n
o
t
g
u
ar
a
n
teed
to
b
e
tr
u
e.
T
h
is
ca
n
u
ltima
tely
lead
to
d
am
a
g
e
to
a
d
en
tis
t'
s
r
ep
u
tatio
n
[
7
8
]
.
3
.
9
.
E
t
hica
l
dil
em
ma
s
o
f
s
o
c
ia
l m
edia
pro
mo
t
io
n
I
n
th
e
p
r
o
m
o
tio
n
o
f
d
e
n
tis
tr
y
,
esp
ec
ially
o
n
s
o
cial
m
ed
ia
,
th
er
e
ar
e
s
ev
e
r
al
eth
ical
d
ilem
m
as
to
co
n
s
id
er
.
T
h
er
e
ar
e
co
m
m
o
n
e
th
ical
d
ilem
m
as
in
th
e
p
r
o
m
o
t
io
n
o
f
d
en
tis
tr
y
,
in
clu
d
in
g
:
(
i
)
C
r
ed
ib
ilit
y
,
wh
ich
n
ee
d
s
to
b
e
c
o
n
s
id
er
ed
i
n
d
e
n
tal
p
r
o
m
o
tio
n
.
Fo
r
ex
am
p
le,
if
a
d
en
tis
t
en
g
a
g
es
in
ex
ce
s
s
iv
e
p
r
o
m
o
tio
n
th
at
d
o
esn
'
t
alig
n
with
th
eir
ev
er
y
d
ay
p
er
f
o
r
m
a
n
ce
,
it
ca
n
r
ed
u
ce
th
e
d
en
tis
t'
s
cr
ed
ib
ilit
y
an
d
af
f
ec
t
p
atien
t
tr
u
s
t
[
7
9
]
;
(
ii
)
B
alan
cin
g
b
en
ef
its
an
d
r
is
k
s
,
p
r
o
m
o
tio
n
s
ab
o
u
t ser
v
ices o
f
f
er
ed
s
h
o
u
ld
also
co
n
s
id
er
th
is
asp
ec
t.
Fo
r
ex
am
p
le,
if
a
d
en
tal
clin
ic
p
r
o
m
o
tes
in
v
asiv
e
d
en
tal
tr
ea
tm
e
n
ts
with
o
u
t
co
n
s
id
er
in
g
a
p
atie
n
t'
s
d
en
tal
co
n
d
itio
n
,
it p
o
s
es r
is
k
s
o
f
d
en
tal
d
am
ag
e
an
d
h
ar
m
to
p
atie
n
ts
[
8
0
]
;
(
ii
i
)
Acc
u
r
ate
in
f
o
r
m
atio
n
,
ac
cu
r
ac
y
is
also
a
cr
u
cial
elem
en
t
in
d
en
tal
p
r
o
m
o
tio
n
.
Fo
r
in
s
tan
ce
,
if
a
d
en
tal
clin
ic
p
r
o
m
o
tes
p
r
o
d
u
cts
o
r
s
er
v
ice
s
th
at
lack
s
cien
tifi
c
ev
id
en
ce
o
r
ar
e
u
n
p
r
o
v
en
in
ef
f
ec
tiv
en
ess
,
it
ca
n
m
is
lead
p
a
tien
ts
an
d
v
io
late
eth
ical
p
r
in
cip
les
in
d
en
tis
tr
y
[
8
1
]
;
iv
)
Patien
t
p
r
iv
ac
y
,
p
r
o
m
o
tio
n
s
m
u
s
t
co
n
s
id
er
th
is
an
d
av
o
id
m
is
u
s
in
g
p
atien
ts
'
p
er
s
o
n
al
in
f
o
r
m
atio
n
f
o
r
p
r
o
m
o
tio
n
al
p
u
r
p
o
s
es.
Fo
r
ex
am
p
le,
if
a
d
e
n
tal
clin
ic
p
r
o
m
o
tes
s
p
ec
if
ic
s
er
v
ices
b
ased
o
n
a
p
atien
t'
s
p
r
iv
ate
m
ed
ical
in
f
o
r
m
atio
n
,
it
ca
n
b
r
ea
ch
p
atien
t
p
r
iv
ac
y
an
d
v
i
o
late
eth
ical
p
r
in
cip
les
in
d
en
tis
tr
y
[
8
2
]
;
Fin
ally
,
(
v
)
E
x
ce
s
s
iv
e
p
r
o
m
o
tio
n
,
d
en
tis
ts
s
h
o
u
ld
r
ef
r
ain
f
r
o
m
o
v
er
-
p
r
o
m
o
tio
n
.
Fo
r
ex
am
p
le
,
if
a
d
en
tis
t
en
g
ag
es
in
s
p
am
m
in
g
o
r
ex
ce
s
s
iv
ely
ca
lli
n
g
p
atien
ts
,
it
ca
n
af
f
ec
t
th
e
d
en
tis
t
'
s
in
teg
r
ity
an
d
v
i
o
late
eth
ical
p
r
in
cip
les
in
d
en
tis
tr
y
[
8
3
]
.
4.
CO
NCLU
SI
O
N
W
h
en
p
r
o
m
o
tin
g
o
r
ad
v
er
tis
in
g
d
en
tal
p
r
ac
tices,
th
er
e
ar
e
s
e
v
er
al
th
in
g
s
th
at
d
en
tis
ts
n
ee
d
t
o
co
n
s
id
er
.
On
e
o
f
th
em
is
th
e
u
s
e
o
f
ap
p
r
o
p
r
iate
an
d
ac
cu
r
ate
lan
g
u
ag
e
in
s
o
cial
m
ed
ia.
T
h
is
is
d
o
n
e
to
av
o
id
ap
p
ea
r
in
g
ex
ce
s
s
iv
e
an
d
g
iv
in
g
u
n
r
ea
lis
tic
ex
p
ec
tatio
n
s
to
p
atien
ts
,
o
r
ev
en
d
a
m
ag
in
g
th
e
r
e
p
u
tatio
n
o
f
o
th
er
d
en
tis
ts
.
Den
tis
ts
m
u
s
t a
l
s
o
en
s
u
r
e
th
at
th
eir
p
r
o
m
o
tio
n
s
ad
h
er
e
to
et
h
ical
s
tan
d
ar
d
s
in
th
e
f
ield
o
f
d
en
tis
tr
y
.
I
n
to
d
ay
'
s
er
a
o
f
d
ig
ital g
lo
b
aliza
tio
n
,
s
o
cial
m
ed
ia
is
a
d
o
u
b
le
-
ed
g
ed
s
wo
r
d
b
ec
au
s
e,
b
esid
es b
ein
g
a
v
er
y
u
s
ef
u
l
to
o
l
f
o
r
p
r
o
m
o
ti
n
g
b
u
s
in
ess
es,
it
ca
n
also
h
av
e
d
etr
im
en
tal
ef
f
ec
ts
,
p
o
te
n
tially
d
is
r
u
p
tin
g
th
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2252
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8
8
0
6
N
a
vig
a
tin
g
eth
ics:
s
o
cia
l m
ed
i
a
ch
a
llen
g
es in
I
n
d
o
n
esia
n
d
e
n
ta
l p
r
a
ctice
(
A
d
itya
P
r
a
ta
ma
S
a
r
w
o
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o
)
1905
o
p
er
atio
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o
f
a
b
u
s
in
ess
.
So
cial
m
ed
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p
r
o
v
id
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s
ig
n
if
ica
n
t
b
e
n
ef
its
f
o
r
d
en
tal
an
d
o
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al
h
ea
lt
h
s
er
v
ices
as
it
ca
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b
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u
s
ed
as
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ed
u
ca
tio
n
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l
f
o
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a
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r
o
ad
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u
d
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ce
,
th
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y
in
cr
ea
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p
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b
lic
awa
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en
ess
o
f
th
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im
p
o
r
tan
ce
o
f
o
r
al
an
d
d
e
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tal
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ea
lth
.
Ho
we
v
er
,
u
n
wis
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s
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f
s
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cial
m
ed
ia,
wh
ich
d
o
es
n
o
t
ad
h
e
r
e
to
m
ed
ical
eth
ics,
ca
n
h
ar
m
th
e
im
ag
e
o
f
d
en
tis
ts
.
Mo
r
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u
s
in
g
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o
cial
m
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a
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ap
p
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p
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cr
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te
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ea
lis
tically
h
ig
h
ex
p
ec
tatio
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s
f
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r
p
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r
eg
ar
d
in
g
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p
ar
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to
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is
ap
p
o
in
tm
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t
.
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h
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u
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e
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f
s
o
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m
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will
b
e
h
ig
h
ly
ef
f
ec
tiv
e
wh
en
d
o
n
e
wh
ile
ad
h
er
in
g
to
m
ed
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eth
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an
d
th
e
eth
ical
p
r
in
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les
n
ec
ess
ar
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f
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h
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lth
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r
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eq
u
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s
o
f
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iv
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p
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o
m
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tio
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.
F
UNDING
I
NF
O
R
M
A
T
I
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N
Au
th
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s
s
tate
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AUTHO
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(
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h
ip
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p
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tes,
an
d
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ac
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co
llab
o
r
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n
.
Na
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Aut
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Vi
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Fu
Ad
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a
Pra
tam
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Ma
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ie
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C
:
C
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p
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Au
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DATA AV
AI
L
AB
I
L
I
T
Y
Data
av
ailab
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y
is
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o
t
ap
p
lica
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th
is
p
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o
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ACK
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WL
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DG
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Au
th
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wo
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to
th
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k
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Facu
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Den
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,
Un
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T
r
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ak
ti
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f
o
r
th
eir
tech
n
ical
an
d
f
in
a
n
cial
s
u
p
p
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r
t.
RE
F
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R
E
NC
E
S
[
1
]
U
.
M
a
h
mu
d
,
S
.
H
u
ssa
i
n
,
a
n
d
I
.
K
.
T
o
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o
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m
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2
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p
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0
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1
1
5
5
/
2
0
2
2
/
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4
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5
1
.
[
2
]
C
.
M
.
S
i
a
n
t
u
r
i
,
V
.
A
.
R
.
P
a
sari
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.
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.
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sar
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d
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,
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U
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T
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S
T
:
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.
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3
]
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.
A
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W
.
S
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,
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u
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Ai
sy
a
h
:
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m
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.
[
4
]
D
.
G
h
a
n
d
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t
a
l
.
,
“
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v
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so
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me
d
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–
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c
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c
t
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a
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d
y
,
”
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,
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[
5
]
S
.
K
a
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d
A
.
G
a
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a
n
e
,
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o
c
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me
d
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:
a
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r
r
a
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v
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v
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w
,
”
C
u
r
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u
s
,
Jan
.
2
0
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3
,
d
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1
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.
7
7
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3
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.
[
6
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A
.
M
.
A
l
A
l
i
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d
H
.
N
a
z
a
r
,
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r
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p
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a
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me
d
i
a
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K
u
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t
,
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w
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Me
d
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c
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J
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a
l
,
2
0
2
3
.
[
7
]
M
i
n
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s
t
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o
f
H
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a
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t
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o
f
t
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R
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p
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b
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I
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d
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si
a
,
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.
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2
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.
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O
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[
8
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M
.
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f
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,
M
.
D
.
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t
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(
K
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)
.
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p
p
.
1
–
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[
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.
[
9
]
R
.
W
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d
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y
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st
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t
i
,
M
.
A
w
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T.
P
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ma,
a
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d
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