{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T02:38:30Z","timestamp":1776825510976,"version":"3.51.2"},"reference-count":44,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/501100004263","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado do Rio Grande do Sul","doi-asserted-by":"publisher","award":["21\/2551-0000628"],"award-info":[{"award-number":["21\/2551-0000628"]}],"id":[{"id":"10.13039\/501100004263","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004263","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado do Rio Grande do Sul","doi-asserted-by":"publisher","award":["23\/2551-0000133-0"],"award-info":[{"award-number":["23\/2551-0000133-0"]}],"id":[{"id":"10.13039\/501100004263","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"National Council for Scientific and Technological Development","doi-asserted-by":"crossref","award":["18\/2021"],"award-info":[{"award-number":["18\/2021"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Dysphagia"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1007\/s00455-025-10881-9","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T10:06:34Z","timestamp":1759917994000},"page":"316-328","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acoustic Parameters of Swallowing in Adults and Older Adults: A Cross-Sectional Study"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3690-6034","authenticated-orcid":false,"given":"Danielli Pires","family":"Vieira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virg\u00edlio da Rocha","family":"Olsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dieine Estela Bernieri","family":"Schiavon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana Costa","family":"Ara\u00fajo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafaela Soares","family":"Rech","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"issue":"2S","key":"10881_CR1","doi-asserted-by":"publisher","first-page":"992","DOI":"10.1044\/2020_AJSLP-19-00155","volume":"29","author":"JL Coyle","year":"2020","unstructured":"Coyle JL, Sejdi\u0107 E. High-Resolution cervical auscultation and data science: new tools to address an old problem. Am J Speech Lang Pathol 10 Jul. 2020;29(2S):992\u20131000.","journal-title":"Am J Speech Lang Pathol 10 Jul"},{"issue":"3","key":"10881_CR2","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1007\/s00455-007-9078-3","volume":"22","author":"C Borr","year":"2007","unstructured":"Borr C, Hielscher-Fastabend M, L\u00fccking A. Reliability and validity of cervical auscultation. Dysphagia 20 Jun. 2007;22(3):225\u201334.","journal-title":"Dysphagia 20 Jun"},{"issue":"1","key":"10881_CR3","doi-asserted-by":"publisher","DOI":"10.1186\/s12938-018-0501-9","volume":"17","author":"JM Dudik","year":"2018","unstructured":"Dudik JM, Kurosu A, Coyle JL, Sejdi\u0107 E. Dysphagia and its effects on swallowing sounds and vibrations in adults. Biomed Eng Online. 2018;17(1):69.","journal-title":"Biomed Eng Online"},{"issue":"4","key":"10881_CR4","first-page":"231","volume":"19","author":"P Leslie","year":"2004","unstructured":"Leslie P, Drinnan MJ, Finn P, Ford GA, Wilson JA. Reliability and validity of cervical auscultation: a controlled comparison using video fluoroscopy. Dysphagia. 2004;19(4):231\u201340.","journal-title":"Dysphagia"},{"issue":"2","key":"10881_CR5","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1177\/0269215515576779","volume":"30","author":"ML Lagarde","year":"2016","unstructured":"Lagarde ML, Kamalski DM, Van Den Engel-Hoek L. The reliability and validity of cervical auscultation in the diagnosis of dysphagia: a systematic review. Clin Rehabil. 2016;30(2):199\u2013207.","journal-title":"Clin Rehabil"},{"issue":"5","key":"10881_CR6","doi-asserted-by":"publisher","first-page":"517","DOI":"10.3109\/17549507.2013.855259","volume":"16","author":"L Bergstr\u00f6m","year":"2014","unstructured":"Bergstr\u00f6m L, Svensson P, Hartelius L. Cervical auscultation as an adjunct to the clinical swallow examination: a comparison with fibre-optic endoscopic evaluation of swallowing. Int J Speech Lang Pathol. 2014;16(5):517\u201328.","journal-title":"Int J Speech Lang Pathol"},{"issue":"1","key":"10881_CR7","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1080\/17549507.2021.1953592","volume":"24","author":"L Bergstr\u00f6m","year":"2022","unstructured":"Bergstr\u00f6m L, Cichero JA. Dysphagia management: does structured training improve the validity and reliability of cervical auscultation? Int J Speech Lang Pathol 2 Jan. 2022;24(1):77\u201387.","journal-title":"Int J Speech Lang Pathol 2 Jan"},{"issue":"3","key":"10881_CR8","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1590\/1982-0216201719312316","volume":"19","author":"B Madalozzo","year":"2017","unstructured":"Madalozzo B, Aoki MCDS, Soria F, Santos RS, Furkim AM. An\u00e1lise ac\u00fastica do tempo de degluti\u00e7\u00e3o Atrav\u00e9s do sonar doppler. Rev CEFAC. 2017;19(3):350\u20139.","journal-title":"Rev CEFAC"},{"issue":"1","key":"10881_CR9","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/j.artmed.2011.03.002","volume":"52","author":"J Lee","year":"2011","unstructured":"Lee J, Steele CM, Chau T. Classification of healthy and abnormal swallows based on accelerometry and nasal airflow signals. Artif Intell Med. 2011;52(1):17\u201325. https:\/\/doi.org\/10.1016\/j.artmed.2011.03.002","journal-title":"Artif Intell Med"},{"issue":"1","key":"10881_CR10","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1007\/s00455-022-10468-8","volume":"38","author":"S Miyagi","year":"2023","unstructured":"Miyagi S, Sugiyama S, Kozawa K, Moritani S, Sakamoto S, ichi, Sakai O, Classifying Dysphagic SwaJaghbeer M, Sutt AL, Bergstr\u00f6m L. Dysphagia management and cervical auscultation: reliability and validity against FEES. Dysphagia. 2023;38(1):305\u201314.","journal-title":"Dysphagia"},{"issue":"4","key":"10881_CR11","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1007\/s00455-020-10177-0","volume":"36","author":"C Donohue","year":"2021","unstructured":"Donohue C, Khalifa Y, Perera S, Sejdi\u0107 E, Coyle JL. A preliminary investigation of whether HRCA signals can differentiate between swallows from healthy people and swallows from people with neurodegenerative diseases. Dysphagia. 2021;36(4):635\u201343.","journal-title":"Dysphagia"},{"issue":"4","key":"10881_CR12","doi-asserted-by":"publisher","first-page":"1090","DOI":"10.1109\/TBME.2008.2010504","volume":"56","author":"E Sejdic","year":"2009","unstructured":"Sejdic E, Steele CM, Chau T. Segmentation of dual-axis swallowing accelerometry signals in healthy subjects with analysis of anthropometric effects on duration of swallowing activities. IEEE Trans Biomed Eng. 2009;56(4):1090\u20137.","journal-title":"IEEE Trans Biomed Eng"},{"issue":"1","key":"10881_CR13","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20010170","volume":"20","author":"BPH So","year":"2022","unstructured":"So BPH, Chan TTC, Liu L, Yip CCK, Lim HJ, Lam WK, et al. Swallow detection with acoustics and accelerometric-based wearable technology: a scoping review. Int J Environ Res Public Health. 2022;20(1):170.","journal-title":"Int J Environ Res Public Health"},{"key":"10881_CR14","doi-asserted-by":"crossref","unstructured":"Aboofazeli M, Moussavi Z. Analysis and Classification of Swallowing Sounds Using Reconstructed Phase Space Features. In: Proceedings (ICASSP \u201905) IEEE Int Conf Acoust Speech Signal Process. 2005. pp. 421\u20134.","DOI":"10.1109\/ICASSP.2005.1416330"},{"issue":"1","key":"10881_CR15","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1007\/PL00009548","volume":"13","author":"JAY Cichero","year":"1998","unstructured":"Cichero JAY, Murdoch BE. The physiologic cause of swallowing sounds: answers from heart sounds and vocal tract acoustics. Dysphagia. 1998;13(1):39\u201352.","journal-title":"Dysphagia"},{"issue":"4","key":"10881_CR16","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1590\/S1809-48722010000400004","volume":"14","author":"MCDAF Cardoso","year":"2010","unstructured":"Cardoso MCDAF, Gomes DH. Ausculta cervical Em Adultos Sem Queixas de Altera\u00e7\u00e3o Na degluti\u00e7\u00e3o. Arquivos Internacionais de Otorrinolaringologia (Impresso). 2010;14(4):404\u20139.","journal-title":"Arquivos Internacionais de Otorrinolaringologia (Impresso)"},{"issue":"3","key":"10881_CR17","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1007\/s00455-023-10629-3","volume":"39","author":"J Baqu\u00e9","year":"2024","unstructured":"Baqu\u00e9 J, Huret O, Rayneau P, Schleich M, Morini\u00e8re S. Acoustic analysis of swallowing of an experimental meal of three food textures: A comparative aging study. Dysphagia. 2024;39(3):452\u20138.","journal-title":"Dysphagia"},{"issue":"11","key":"10881_CR18","doi-asserted-by":"publisher","first-page":"2363","DOI":"10.12998\/wjcc.v11.i11.2363","volume":"11","author":"HY Feng","year":"2023","unstructured":"Feng HY, Zhang PP, Wang XW. Presbyphagia: dysphagia in the elderly. World J Clin Cases. 2023;11(11):2363\u201373.","journal-title":"World J Clin Cases"},{"key":"10881_CR19","doi-asserted-by":"crossref","unstructured":"Rech RS, De Goulart BNG, Baumgarten A, Hilgert JB. Degluti\u00e7\u00e3o no Envelhecimento e a odontologia. Rev Fac Odontol UPF. 2018;23(1):77\u201383.","DOI":"10.5335\/rfo.v23i1.8508"},{"issue":"3","key":"10881_CR20","doi-asserted-by":"publisher","first-page":"863","DOI":"10.3390\/nu12030863","volume":"12","author":"MC Espinosa-Val","year":"2020","unstructured":"Espinosa-Val MC, Mart\u00edn-Mart\u00ednez A, Graupera M, Arias O, Elvira A, Cabr\u00e9 M, et al. Prevalence, risk factors, and complications of oropharyngeal dysphagia in older patients with dementia. Nutrients. 2020;12(3):863.","journal-title":"Nutrients"},{"issue":"8","key":"10881_CR21","doi-asserted-by":"publisher","first-page":"639","DOI":"10.2340\/16501977-0384","volume":"41","author":"A Santamato","year":"2009","unstructured":"Santamato A, Panza F, Solfrizzi V, Russo A, Frisardi V, Megna M, et al. Acoustic analysis of swallowing sounds: a new technique for assessing dysphagia. J Rehabil Med. 2009;41(8):639\u201345.","journal-title":"J Rehabil Med"},{"issue":"1","key":"10881_CR22","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1186\/1475-925X-14-3","volume":"14","author":"JM Dudik","year":"2015","unstructured":"Dudik JM, Jestrovi\u0107 I, Luan B, Coyle JL, Sejdi\u0107 E. A comparative analysis of swallowing accelerometry and sounds during saliva swallows. Biomed Eng Online. 2015;14(1):3.","journal-title":"Biomed Eng Online"},{"key":"10881_CR23","volume-title":"Statistical power analysis for the behavioral sciences","author":"J Cohen","year":"1988","unstructured":"Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: L. Erlbaum Associates; 1988.","edition":"2"},{"issue":"4","key":"10881_CR24","doi-asserted-by":"publisher","first-page":"1149","DOI":"10.3758\/BRM.41.4.1149","volume":"41","author":"F Faul","year":"2009","unstructured":"Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149\u201360.","journal-title":"Behav Res Methods"},{"issue":"1","key":"10881_CR25","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.aorl.2007.10.004","volume":"125","author":"S Morini\u00e8re","year":"2008","unstructured":"Morini\u00e8re S, Boiron M, Beutter P. Le signal acoustique de La d\u00e9glutition pharyng\u00e9e: description Chez les sujets Normaux et Chez les patients Laryngectomis\u00e9s. Ann Otolaryngol Chir Cervicofac. 2008;125(1):1\u201310.","journal-title":"Ann Otolaryngol Chir Cervicofac"},{"issue":"3","key":"10881_CR26","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1590\/S1516-80342007000300007","volume":"12","author":"AR Padovani","year":"2007","unstructured":"Padovani AR, Moraes DP, Mangili LD, Andrade CRFD. Protocolo fonoaudiol\u00f3gico de Avalia\u00e7\u00e3o do Risco Para disfagia (PARD). Rev Soc Bras Fonoaudiol. 2007;12(3):199\u2013205.","journal-title":"Rev Soc Bras Fonoaudiol"},{"key":"10881_CR27","unstructured":"Ahmad Omar B, Cynthia B-P, Lopez Alan D, Murray Christopher JL. Lozano Rafael, Inou Mie. Age Standardization of Rates: A New WHO Standard. GPE Discussion Paper Series. 2001;(31)."},{"issue":"4","key":"10881_CR28","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzac032","volume":"6","author":"XS Wu","year":"2022","unstructured":"Wu XS, Miles A, Braakhuis A. The effectiveness of IDDSI-tailored interventions on staff knowledge and texture-modified diet compliance in aged care facilities: a pre-post study. Curr Dev Nutr. 2022;6(4):nzac032.","journal-title":"Curr Dev Nutr"},{"issue":"3","key":"10881_CR29","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1007\/PL00009595","volume":"14","author":"KH O\u2019Neil","year":"1999","unstructured":"O\u2019Neil KH, Purdy M, Falk J, Gallo L. The dysphagia outcome and severity scale. Dysphagia. 1999;14(3):139\u201345.","journal-title":"Dysphagia"},{"issue":"2","key":"10881_CR30","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1007\/BF00417897","volume":"11","author":"JC Rosenbek","year":"1996","unstructured":"Rosenbek JC, Robbins JA, Roecker EB, Coyle JL, Wood JL. A penetration-aspiration scale. Dysphagia. 1996;11(2):93\u20138.","journal-title":"Dysphagia"},{"issue":"1","key":"10881_CR31","first-page":"149","volume":"1","author":"E Andrews","year":"2020","unstructured":"Andrews E, Hayes A, Cerulli L, Miller EG, Slamon N. Legacy building in pediatric end-of-life care through innovative use of a digital stethoscope. Palliat Med Rep. 2020;1(1):149\u201355.","journal-title":"Palliat Med Rep"},{"issue":"4","key":"10881_CR32","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1007\/s12471-025-01952-5","volume":"33","author":"P Van Der Harst","year":"2025","unstructured":"Van Der Harst P, Nathoe H. Transforming cardiology with AI: the Eko CORE 500 digital stethoscope. Neth Heart J. 2025;33(4):141\u20132.","journal-title":"Neth Heart J"},{"issue":"1","key":"10881_CR33","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1007\/s00246-018-1972-y","volume":"40","author":"S Behere","year":"2019","unstructured":"Behere S, Baffa JM, Penfil S, Slamon N. Real-world evaluation of the Eko electronic teleauscultation system. Pediatr Cardiol. 2019;40(1):154\u201360.","journal-title":"Pediatr Cardiol"},{"key":"10881_CR34","doi-asserted-by":"crossref","unstructured":"Andrews E, Hayes A, Cerulli L, Miller EG, Slamon N. Legacy Building in Pediatric End-of-Life Care through Innovative Use of a Digital Stethoscope. Palliat Med Rep. 1o de julho de. 2020;1(1):149\u201355.","DOI":"10.1089\/pmr.2020.0028"},{"key":"10881_CR35","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1007\/BF00262760","volume":"9","author":"K Takahashi","year":"1994","unstructured":"Takahashi K, Groher ME, Michi K. Methodology for detecting swallowing sounds. Dysphagia. 1994;9(1):54\u201362. https:\/\/doi.org\/10.1007\/BF00262760","journal-title":"Dysphagia"},{"key":"10881_CR36","unstructured":"Robert J, Webbie M. Pydub 0.25.1 [Internet]. 2018. Available from: http:\/\/pydub.com\/"},{"key":"10881_CR37","doi-asserted-by":"publisher","unstructured":"McFee B, McVicar M, Faronbi D, Roman I, Gover M, Balke S et al. librosa\/librosa: 0.10.2.post1 [Internet]. Zenodo; 2024. Available from: https:\/\/doi.org\/10.5281\/zenodo.11192913","DOI":"10.5281\/zenodo.11192913"},{"issue":"2","key":"10881_CR38","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1007\/BF03339567","volume":"8","author":"E Dejaeger","year":"1996","unstructured":"Dejaeger E, Pelemans W. Swallowing and the duration of the hyoid movement in normal adults of different ages. Aging Clin Exp Res. 1996;8(2):130\u20134.","journal-title":"Aging Clin Exp Res"},{"issue":"1","key":"10881_CR39","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1111\/1460-6984.12768","volume":"58","author":"O Sella-Weiss","year":"2023","unstructured":"Sella-Weiss O. The test of mastication and swallowing solids and the timed water swallow test: reliability, associations, age and gender effects, and normative data. Int J Lang Commun Disord. 2023;58(1):67\u201381.","journal-title":"Int J Lang Commun Disord"},{"issue":"12","key":"10881_CR40","doi-asserted-by":"publisher","first-page":"4513","DOI":"10.3390\/s22124513","volume":"22","author":"Y Ye-Lin","year":"2022","unstructured":"Ye-Lin Y, Prats-Boluda G, Galiano-Botella M, Roldan-Vasco S, Orozco-Duque A, Garcia-Casado J. Directed functional coordination analysis of swallowing muscles in healthy and dysphagic subjects by surface electromyography. Sensors. 2022;22(12):4513.","journal-title":"Sensors"},{"key":"10881_CR41","volume":"8","author":"C Estupi\u00f1\u00e1n Artiles","year":"2022","unstructured":"Estupi\u00f1\u00e1n Artiles C, Regan J, Donnellan C. Physiological mechanisms and associated pathophysiology of dysphagia in older adults. Gerontol Geriatr Med. 2022;8:233372142211429.","journal-title":"Gerontol Geriatr Med"},{"issue":"5","key":"10881_CR42","doi-asserted-by":"publisher","first-page":"730","DOI":"10.1002\/hbm.21062","volume":"32","author":"GA Malandraki","year":"2011","unstructured":"Malandraki GA, Perlman AL, Karampinos DC, Sutton BP. Reduced somatosensory activations in swallowing with age. Hum Brain Mapp. 2011;32(5):730\u201343.","journal-title":"Hum Brain Mapp"},{"issue":"4","key":"10881_CR43","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1109\/THMS.2015.2408615","volume":"45","author":"JM Dudik","year":"2015","unstructured":"Dudik JM, Coyle JL, Sejdic E. Dysphagia screening: contributions of cervical auscultation signals and modern signal-processing techniques. IEEE Transactions on Human-Machine Systems. 2015;45(4):465\u201377.","journal-title":"IEEE Transactions on Human-Machine Systems"},{"key":"10881_CR44","doi-asserted-by":"crossref","unstructured":"Soria FS, Da Silva RG, Furkim AM. Acoustic analysis of oropharyngeal swallowing using Sonar Doppler. Braz J Otorhinolaryngol. 2016;82(1):39\u201346.llowing Sounds with Support Vector Machines. Healthcare. 21 Apr 2020;8(2):103.","DOI":"10.1016\/j.bjorl.2015.12.001"}],"container-title":["Dysphagia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00455-025-10881-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00455-025-10881-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00455-025-10881-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T01:59:38Z","timestamp":1776823178000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00455-025-10881-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,8]]},"references-count":44,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10881"],"URL":"https:\/\/doi.org\/10.1007\/s00455-025-10881-9","relation":{},"ISSN":["0179-051X","1432-0460"],"issn-type":[{"value":"0179-051X","type":"print"},{"value":"1432-0460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,8]]},"assertion":[{"value":"13 February 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 August 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}},{"value":"The Research Ethics Committee of one hospital in Brazil approved this study under reports 5.767.755 and 5.843.732.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"All the participants in the sample signed an informed consent form (ICF) to participate in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}}]}}