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Article History

Received: 7 October 2025

Accepted: 23 December 2025

First Online: 24 January 2026

Declarations

:

: This study was reviewed and approved by the [ Mansoura Faculty of Medicine Institutional Research Board (hereinafter called “MFM-IRB”), [Faculty of Medicine, Mansoura University] (Approval No: [R.24.07.2697.]). All procedures performed in this study involving human participants were conducted in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

: Not applicable.

: Not applicable. This manuscript does not contain any individual person’s data in any form (including individual details, images, or videos).

: All participants provided informed consent prior to inclusion in the study. The purpose, procedures, potential risks, and benefits of participation were clearly explained to each participant in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments. Written informed consent was obtained from every individual participant prior to data collection. Participants were informed that their involvement was voluntary and that they could withdraw from the study at any time without any negative consequences.

: The authors declare no competing interests.