de Souza de Oliveira, Karina Hellen
Abreu, Lucas Miquéias Silva
Correia, Michele Brito
Pereira, Manuelly Estefanny Vieira
Júnior, Felipe Bispo Ribeiro
Gomes, James Carlos Pereira
Neto, Antonio Bernardino Braga
Meneses, Emeson Carlos Pimenta
Nunes, Gilvano Sousa
de Oliveira, Augusto Ribeiro
Chagas, Micaella Lima Costa
de Oliveira, Elaynny Layla Castro
Filho, Carlos Alberto Alves Dias
Costa, Herikson Araujo
Dias, Carlos José Moraes
Funding for this research was provided by:
Universidade Federal Do Maranhão
Article History
Received: 20 February 2026
Revised: 27 April 2026
Accepted: 13 May 2026
First Online: 27 May 2026
Declarations
Conflict of interest: The authors declare that they have no conflicts of interest.
Ethical approval: This study was approved by the Institutional Research Ethics Committee (approval code: 4.284.220) and conducted in accordance with Resolution 466/12 of the Brazilian National Health Council.
Informed consent: All participants provided written informed consent prior to inclusion in the study.