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Authors
Varwani, Mohamed Hasham
Kassam, Nadeem
Shah, Jasmit
Barasa, Anders
Ngunga, Mzee
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Article History
Received: 9 June 2025
Accepted: 21 August 2025
First Online: 14 November 2025
Declarations
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: Ethical approval for the study was obtained from The Aga Khan University – Kenya; Institutional Scientific and Ethics Review Committee (ISERC) (Ref Number:2021/IERC/156-v1), National Commission for Science, Technology and Innovation (NACOSTI) (NACOSTI/P/22/22497), and all the hospital leaderships, with Aga Khan University Hospital serving as the coordinating center. Written informed consent was obtained from all participants. Patient confidentiality was maintained using anonymized identifiers, and the study adhered to the Declaration of Helsinki and national regulations.Written informed consent was obtained from all participants prior to enrollment. Patient confidentiality was protected by assigning anonymized unique identifiers. The study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki and complied with applicable national regulations.
: Not applicable. No identifying images or personal/clinical details of participants that compromise anonymity are included in this manuscript.
: The authors declare no competing interests.
