2312-3893 2312-3893 S2312-38932025000100101 10.18004/rvspmi/2312-3893/2025.e12112501 Paraguay 00 00 2025 00 00 2025 12 1 101 1 2025 12 1 1 2 2014 13 27 27 274-95 3 2020 31 1 1 76-84 4 2018 30 3 3 263-70