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Article History

Received: 10 March 2025

Accepted: 9 October 2025

First Online: 20 November 2025

Declarations

:

: All procedures performed in studies involving human participants were in accordance with the ethical standards of Gambella University Institutional Research Committee. The study was approved by Institutional Review Board.

: Informed consent was obtained from all individual participants included in the study. For participants who were unable to provide their own informed consent due to age or other factors, consent was obtained from a Legally Authorized Representative (LAR) or next of kin.

: The authors affirm that human research participants provided informed consent for publication of the images depicted in Fig.  . For participants under the age of 16, consent was obtained from their legal guardians. Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

: The authors declare no competing interests.