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Article History

Received: 31 December 2025

Accepted: 30 April 2026

First Online: 6 May 2026

Declarations

:

: Approval of the Ethical and Protocol Review Committee of the College was obtained for this study. Informed consent was then obtained from each participant, ensuring that their participation was voluntary and based on a clear understanding of the research process. It has been registered at the research registry with registration number- researchregistry11621 .

: The authors declare no competing interests.

: The authors affirm that they have no financial, personal, or institutional conflicts of interest that could have influenced the conduct, outcomes, or reporting of this study. All aspects of the research, including its design, data collection, analysis, interpretation, and manuscript preparation, were carried out independently and without any external influence.

: Not applicable.