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Article History

Received: 18 November 2025

Accepted: 5 May 2026

First Online: 13 May 2026

Declarations

:

: The study protocol was reviewed and approved by the Institutional Scientific Research and Ethics Board of the Tomo Riba Institute of Health and Medical Sciences (TRIHMS), Naharlagun, Arunachal Pradesh, India (Approval No.: IEC/NEW/INST/2023/4028). All procedures performed in this study involving human participants were conducted in accordance with the ethical standards of the institutional research committee and with the World Medical Association Declaration of Helsinki, and its later amendments, as well as relevant national guidelines.

: Not applicable.

: Written informed consent was obtained from all participants prior to their inclusion in the study. Participation was voluntary, and all participants were informed about the purpose of the study. Confidentiality and anonymity of the data were strictly maintained throughout the research process.

: The authors declare no competing interests.