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Article History

Received: 20 November 2025

Revised: 13 March 2026

Accepted: 17 March 2026

First Online: 6 May 2026

Competing interests

: The author (s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

: This study was performed in line with the principles of the Declaration of Helsinki and its later amendments. The research ethics committee of the Faculty of Medicine, Tanta University, has approved this research under the number 35694/9/22.

: Written informed consent was obtained from the patients’ guardians.