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Article History

Received: 4 September 2025

Accepted: 25 December 2025

First Online: 8 January 2026

Declarations

:

: This research received ethical approval from the Faculty of Medicine at Universidad Nacional Autónoma de México (UNAM) (No. FM/DIV/49/2023) and has been conducted according to the ethical standards outlined in the 1964 Declaration of Helsinki and its later amendments. Each participant expressed agreement to take part in the study through a written informed consent form, endorsed before any stage of data acquisition. This document outlined the study purpose; procedures and the rights associated with voluntary participation.

: Each participant affirmed authorization for the presentation of aggregated findings in scientific publications, with all personal identifiers fully safeguarded to preserve privacy and confidentiality.

: not applicable.

: The authors declare no competing interests.