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Authors
Mackawy, Amal Mohamad Husein https://orcid.org/0000-0002-6191-8267
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Article History
Received: 28 April 2025
Revised: 27 August 2025
Accepted: 7 September 2025
First Online: 20 September 2025
Declarations
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: The research protocol received ethical clearance from the Faculty of Medicine Ethics Committee at Zagazig University (No # 1–6-2022).
: All participants provided written informed consent before enrollment, following a detailed explanation of the study's aims, methods, and possible outcomes.
: Written consent for study involvement and subsequent publication of data was obtained from every individual before participation.
: The authors declare no competing interests.
