2024-03-302024-03-30https://repositoriobiblioteca.intec.edu.do/handle/123456789/6858application/pdftext/htmltext/xmlapplication/epub+zipDerechos de autor 2024 Ciencia y Saludhttps://creativecommons.org/licenses/by-nc-sa/4.0/deed.esinfo:eu-repo/semantics/article