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Authors
Bonfim, Samile
Massago, Miyoko
Giacomin, Vinicius Lopes
Beltrame, Matheus Henrique Arruda
Dutra, Amanda de Carvalho
Costa, William Filipin
Filho, Luiz Carlos Thomé
Andrade, Luciano de
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Article History
Received: 17 December 2025
Accepted: 17 March 2026
First Online: 23 March 2026
Declarations
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: The study did not involve human participants or human biological material. We used secondary data that is publicly available and free of access. The study was reviewed and approved by the Research Ethics Committee of the State University of Maringá (CAAE No. 76131123.9.0000.0104).
: Not applicable, as the study used secondary anonymized administrative data.
: The authors declare no competing interests.
