Funding for this research was provided by:
Manipal Academy of Higher Education, Manipal
Article History
Received: 6 September 2025
Accepted: 16 January 2026
First Online: 29 January 2026
Declarations
:
: The authors declare no competing interests.
: The parents of the children included in the study and the children were informed about the purpose and method of the study, and the human ethics and consent to participate were obtained regarding their voluntary participation from the parents/guardians of the subjects. The study was approved by the Institutional Ethics Committee of VMMC & Safdarjung Hospital (IEC/VMMC/SJH/Thesis/2020-11/CC-262) and dated 10/12/2020. The procedures adhered to the guidelines outlined in the Declaration of Helsinki 2013.