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Authors
Valle, María M.
Robledo, Ariadna
O’Leary, Sean https://orcid.org/0000-0003-3650-705X
Basurto, Lourdes
Reyes-Maldonado, Elba https://orcid.org/0000-0002-4951-6484
Gaspar, Jennyfer
Rosales, Erika
Vega-Garcia, Sara
Martínez-Murillo, Carlos
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Article History
Received: 28 March 2024
Revised: 25 July 2025
Accepted: 11 September 2025
First Online: 26 September 2025
Competing interests
: The authors declare no competing interests.
: This study was conducted in accordance with the Declaration of Helsinki and applicable institutional and national regulations. The protocol and consent materials were reviewed and approved by the Ethics and Research Committee of the Mexican Social Security Institute (IMSS). All participants were adults and only de-identified data were analyzed. The study involved minimal risk, and no clinical interventions were performed. No identifiable images or personal data are included in this manuscript.
