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Article History
Received: 23 July 2025
Revised: 19 September 2025
Accepted: 24 October 2025
First Online: 17 November 2025
Competing interests
: The authors declare no competing interests.
: The AdventHealth Institutional Review Board approved this study. A waiver of parental consent was granted due to the retrospective nature of the research and the absence of direct interventions. The study was performed in accordance with the Declaration of Helsinki.
