Published on in Vol 6 (2025)
Preprints (earlier versions) of this paper are
available at
https://www.medrxiv.org/content/10.1101/2025.03.26.25324742v1, first published
.

1 Faculty of Health Sciences and Human Well-being, Universidad Indoamérica, Quito, Ecuador
2 Faculty of Health Sciences "Eugenio Espejo", Universidad UTE, Quito, Ecuador
*these authors contributed equally