This study was carried out in agreement with the Helsinki declaration and authorized by the Hospitals Directive due to the emergency situation.21 Ethical approval for the investigation was granted by the Ethics Committee Federal University of Espírito Santo (#0993920.1.0000.5071 and #31411420.9.0000.8207). Full ethical approval was given to undertake the studies described herein. All procedures and possible risks were explained to participants before they provided written consent.

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