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Authors
Sarmiento-Altamirano, Doris https://orcid.org/0000-0003-2829-0188
Moyano-Vidal, Luz María https://orcid.org/0000-0002-5878-5782
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Article History
Received: 5 January 2026
Accepted: 30 January 2026
First Online: 17 February 2026
Declarations
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: Drs. Doris Sarmiento-Altamirano and Luz María Moyano Vidal have no conflicts of interest or financial ties to disclose.
: The protocol was approved by the Ethics Committee of Universidad del Azuay (Ecuador).
: This paper is not based on a previous communication.
