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Authors
da Silva Sousa, Raphaela https://orcid.org/0000-0001-7609-3176
Alvares, Poliane Dutra https://orcid.org/0000-0003-2110-1161
de Oliveira, Augusto Ribeiro https://orcid.org/0000-0003-2296-2959
do Rêgo Santos, Sarah Cristina https://orcid.org/0000-0001-5603-0194
Viana, Raimundo Nonato Assunção https://orcid.org/0000-0002-6145-4714
de Souza, Sérgio Augusto Rosa https://orcid.org/0000-0003-2633-9654
Cabido, Christian Emmanuel Torres https://orcid.org/0000-0002-4800-0128
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Funding
Funding for this research was provided by:
Universidade Federal Do Maranhão
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Article History
Received: 12 August 2025
Accepted: 3 January 2026
First Online: 20 February 2026
Declarations
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: This is an observational study. The Research Ethics Committee of the Federal University of Maranhão confirmed that no ethical approval is required.
: The authors have no relevant financial or non-financial interests to disclose.
