Brazilian Journal of Health Review; Vol 4, No 4 (2021); 16045-16057 Brazilian Journal of Health Review Federação das Indústrias do Estado do Paraná (FIEP) instacron:BJRH Brazilian Journal of Health Review; Vol. 4 No. 4 (2021); 16045-16057 Brazilian Journal of Health Review; v. 4 n. 4 (2021); 16045-16057