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Article History

Received: 13 May 2025

Accepted: 28 August 2025

First Online: 30 September 2025

Declarations

:

: This study received ethical approval from the Research Ethics Committee of the Sikkim Manipal University, Sikkim, India. Informed consent was obtained from all individual participants included in the study, as well as for the collection of data. All participants provided informed consent to participate in the study. No participants under the age of 18 years were involved.

: Not applicable.

: The authors declare no competing interests.