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Additionally, the research adheres to the principles of the Declaration of Helsinki, whose Article 32 mandates the requirement of obtaining free and informed consent from participants when they are involved in the collection, processing, storage, or foreseeable secondary use of biological material and identifiable or potentially re-identifiable data.Since the present research utilizes exclusively public, irreversibly anonymized data\u2014with no sensitive information or possibility of reidentification\u2014it fully complies with these provisions, aligning with both Brazilian National Health Council Resolution No. 510\/2016 and international ethical standards. 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