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Authors
Dias, Alana Ferreira Gomes https://orcid.org/0000-0003-3753-7920
Vieira, Márcio Fragoso https://orcid.org/0009-0000-0571-1520
Jamacaru, Francisco Vagnaldo Fechine https://orcid.org/0000-0002-8893-5323
de Moraes, Maria Elisabete Amaral https://orcid.org/0000-0002-6826-8930
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Article History
Received: 22 September 2025
Accepted: 22 November 2025
First Online: 28 November 2025
Declarations
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: This study was approved by the Research Ethics Committee of the Federal University of Ceará - CEP/UFC/PROPESQ (CAAE 55193422.1.0000.5054). Written informed consent was obtained from all participants prior to enrollment.
: Not applicable.
: The authors declare no competing interests.
