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Authors
Mengistie, Muluken Belachew
Mengstie, Simane Kefale
Teferi, Gizaw Hailiye
Shume, Aynadis Worku
Ayalew, Wubete Lule
Ayalew, Mezigebu Lule
Mengistu, Abraham Keffale
Tizie, Sefefe Birhanu
Gebeyew, Ayenew Sisay
Terefe, Misgie Kassanew
Enyew, Lijalem Megibaru
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Article History
Received: 24 December 2025
Accepted: 15 April 2026
First Online: 24 April 2026
Declarations
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: Ethical clearance was obtained from the ethical review committee of the College of Medicine and Health Sciences at Debre Markos University with reference number RCSTTD/441/01/17. The study was conducted in accordance with the Declaration of Helsinki, ensuring that all ethical principles were adhered to throughout the research process. The Review Board of Debre Markos University, College of Medicine and Health Sciences, waived the requirement for individual informed consent because the study used anonymized and de-identified data from existing records, making it impractical to obtain consent from each participant.
: The consent for publication is not applicable in this study.
: The authors declare no competing interests.
