1. Postgraduate Program in Internal Medicine and Health Sciences; Hospital de Clínicas, Universidade Federal do Paraná; Curitiba Brazil
2. Centro Universitário Autônomo do Brasil - Escola de Saúde, UniBrasil; Curitiba Brazil
3. Department of Pediatrics; Universidade Federal do Paraná, Hospital de Clínicas; Curitiba Brazil
4. Graduate Program in Health Sciences, School of Medicine School of Life Sciences; Pontifícia Universidade Católica do Paraná; Curitiba Brazil