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Article History

Received: 25 October 2017

Accepted: 9 May 2018

First Online: 24 May 2018

Ethics approval and consent to participate

: All ethical principles for medical research involving human subjects including research on identifiable human material and data, as detailed in the Declaration of Helsinki, were followed. The study’s ethical approval, institutional authorization were granted by College of Medicine Research and Ethics Committee (Approval # P.06/14/1591), as well as from the medical directors of the two institutions where the study was done. College of Medicine Research Ethics Committee () is constituted as an independent scientific and ethics committee through the National Commission for Science and Technology (). CoMREC, the College of Medicine’s Institutional Review Board, is registered with United States Department of Health and Human Services (HHS). Anonymity of the identity of participation as well as the rights of their children were respected during the study process. Written informed consent was obtained from the participants before inclusion into the study by explaining nature of the study (about the procedure, its purpose, being assured of confidentiality of the information and risks and benefits). All participants found with significant distress were referred for psychological support to St John of God Clinic.

: The authors declare that they have no competing interests.

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