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Authors
Sánchez, Xavier https://orcid.org/0000-0002-8258-8746
Carrera, Pablo
Cortez, María Daniela
Cruz, Andrés
Merchán, Isaac
Jimbo-Sotomayor, Ruth https://orcid.org/0000-0001-5016-3834
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Article History
Received: 16 September 2025
Accepted: 5 January 2026
First Online: 10 January 2026
Declarations
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: This study was approved by the Human Research Ethics Committee of the Pontificia Universidad Católica del Ecuador (PUCE) under protocol code EO-075–2024. All procedures involving human participants were conducted in accordance with the ethical standards of the institutional research committee and with the principles outlined in the Declaration of Helsinki. Electronic informed consent was obtained from all participants prior to enrollment, and data were collected anonymously to ensure confidentiality.
: Not applicable.
: The authors declare no competing interests.
