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Article History

Received: 6 May 2025

Accepted: 16 October 2025

First Online: 1 November 2025

Declarations

:

: This study was approved by the Research Ethics Committee of the Institute of Health at Nova Friburgo (ISNF), Fluminense Federal University (UFF), (CAAE: 80147624.0.0000.5626) on September 13, 2024 (Approval Number: 7.076.070).

: All participants were informed about the objectives and procedures of the study and voluntarily agreed to participate. Written informed consent was obtained from all participants prior to data collection.

: Participants consented to the publication of anonymized data and responses, in accordance with the approved research protocol.

: The authors declare no competing interests.