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Authors
Santos, Cibele Maurilia de Morais
Mattos, Nathália Morais
Silva, Rafael Augusto Peixoto
Mariano-Junior, Wilson Jose
Ferreira, Mario Serra
Santos-Silva, Maria Alves Garcia
Mendonça, Elismauro Francisco
Martins, Allisson Filipe Lopes
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Article History
Received: 13 August 2025
Accepted: 15 December 2025
First Online: 29 December 2025
Declarations
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: All participants signed an informed consent to participate in this study.
: The study was approved by the UniEVANGÉLICA ethics committee (CAAE number: 70342023.0.0000.5076) and conducted in accordance with the resolutions of the Brazilian Ministry of Health and the Declaration of Helsinki.
: During the preparation of this work the authors used Grammarly (Sep 07 version) from Grammarly, Inc. ( ) to specifically review grammar and spelling. After using this tool/service, the authors reviewed and edited the content as needed and take full responsibility for the content of the publication. No large language models/tool/ service were used to analyze and draw insights from data as part of the research process.
: The authors declare no competing interests.
: Brazilian Clinical Trials Registry – REBEC; RBR-9ycg67p, March 10 th , 2023.
