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Article History

Accepted: 25 July 2025

First Online: 21 August 2025

Declarations

:

: This study was performed in line with the principles of the Declaration of Helsinki and approved by the Ethics Research Committee of the Faculty of Health Sciences, University of Malta.

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

: This manuscript does not contain identifiable personal details, images, or case-specific information requiring consent for publication. All data have been anonymised in accordance with journal guidelines, ensuring no individual can be identified through the text in this manuscript.

: The authors declare no competing interests.