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Article History

Received: 8 November 2024

Accepted: 24 April 2025

First Online: 9 May 2025

Declarations

:

: The authors obtained the approval of the Ethics Committee of Ain Shams University. We obtained additional informed consent from each individual participant, whose identifying information appears in this article. We also obtained written informed consent from all participants. The Ethics Committee of Ain Shams University approved the study protocol, ensuring it adheres to the provisions of the Declaration of Helsinki (as revised in Tokyo in 2004).

: we obtained additional written informed consent from all participants for publication.

: The authors declare no competing interests.

: All procedures carried out in studies involving human participants adhered to the ethical standards set by the institutional and/or national research committee, as well as the Egyptian Profession Ethics Regulations from 2003 and its subsequent amendments, or other comparable standards.

: The authors have declared neither the use of AI or AI-assisted technologies in the writing process through-out the whole manuscript, or in the preparation of the study.