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Article History

Received: 1 September 2025

Accepted: 23 November 2025

First Online: 12 December 2025

Declarations

:

: The authors have no competing interests to declare that are relevant to the content of this article.

: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the Kasturba Hospital Institutional Ethics Committee of Kasturba Medical College (IEC1- 323/2022).

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