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Article History

Accepted: 31 October 2025

First Online: 6 November 2025

Declarations

:

: This study was approved by the Institutional Ethics Committee, Sri Devaraj Urs Medical College, Kolar (Ref: SDUMC/KLR/IEC/30/2019-20). The study protocol was approved by the Institutional Ethics Committee of Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar. All procedures were conducted in accordance with the Declaration of Helsinki.

: Written informed consent was obtained from all individual participants included in the study.

: The authors declare no competing interests.