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Article History

Received: 23 June 2025

Accepted: 31 August 2025

First Online: 10 September 2025

Declarations

:

: Written informed consent was obtained from the participants (or their parent/legal guardian/next of kin) towards publication of study findings.

: The authors declare no competing interests.

: All experiments were performed in accordance with relevant guidelines and regulations.

: The study protocol was reviewed and approved by the Institutional Ethics Committee of Kasturba Medical College, Mangalore (Reg. No. ECR/541/Inst/KA/2014/RR-20) with approval number IEC KMC MLR 04/2023/129.

: Written informed consent was obtained from the participants (or their parent/legal guardian/next of kin) to participate in the study.