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Article History

Received: 22 December 2025

Accepted: 1 April 2026

First Online: 8 April 2026

Competing interests

: The authors declare no competing interests.

: The study was performed after obtaining prior approval from the Institutional Research Ethics Committee – Sri Ramachandra Institute of Higher Education and Research (CSP–MED/19/SEP/56/122) and all methods were performed by relevant guidelines and regulations.

: Informed consent was obtained from all subjects and/or their legal guardians involved in the study.

: The online version contains supplementary material available at ….

: Correspondence and requests for materials should be addressed to M.S.

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