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Article History

Received: 23 August 2025

Accepted: 10 February 2026

First Online: 26 February 2026

Declarations

:

: The study was conducted in full compliance with the ethical guidelines set forth by the Declaration of Helsinki and the International Council for Harmonization’s (ICH) Good Clinical Practice (GCP) guidelines. Ethical approval was obtained from the Institutional Ethics Committee of KIMS Hospital (Ref. KIMS/IEC/D-06/2021) prior to the commencement of the study.

: Informed consent was obtained from all participants or their legal guardians before their inclusion in the study. For participants aged 2–17 years, written informed consent was obtained from their parents or legal representatives, and written informed assent was obtained from participants aged 7–17 years. The consent process included a detailed explanation of the study’s purpose, procedures, potential risks, and benefits.

: Not applicable.

: The authors declare no competing interests.