Brazilian Journal of Health Review; Vol. 4 No. 1 (2021); 646-660 Brazilian Journal of Health Review; v. 4 n. 1 (2021); 646-660 Brazilian Journal of Health Review Federação das Indústrias do Estado do Paraná (FIEP) instacron:BJRH Brazilian Journal of Health Review; Vol 4, No 1 (2021); 646-660