2312-3893 2312-3893 S2312-38932025000100416 10.18004/rvspmi/2312-3893/2025.e12142516 Paraguay 00 00 2025 00 00 2025 12 1 416

1 2021 8 2 2 85-8 2 2018 52 1 1 1-8 3 2019 155 2 2 130-5 4 2020 18 4 4 292-5 5 2015 25 4 4 212-5 6 2020 18 4 4 287-91