Benjamin Rajasekar, A. https://orcid.org/0009-0000-7100-8104
Krithika, C. L. https://orcid.org/0000-0001-6432-2904
Ganesan, Anuradha
Aniyan, K.Yesoda
Sivakumar, Sasidharan
Article History
Received: 2 January 2026
Accepted: 20 February 2026
First Online: 2 March 2026
Declarations
:
: The Principal Investigator declares no competing interest with respect to the design, conduct, analysis, or publication of this study. The Investigator affirms that there are no financial, personal, or professional relationships that could be perceived as influencing the outcomes or integrity of this study.
: Ethical clearance for the study was obtained from the Institutional Review Board (Reg. No: SRMDC/IRB/2022/MDS/No:903).
: Consent for publication was obtained from all participants. Identity‑disclosing information (such as names, photographs, or personal identifiers) has not been published and will not be released. All data are presented in aggregate form to ensure anonymity and protect participant privacy.
: All participants provided written informed consent prior to inclusion in the study. The study objectives, procedures, potential risks, and benefits were explained in detail, and participation was entirely voluntary. Confidentiality of participant information was strictly maintained, and no personally identifiable data were collected or disclosed.