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Article History

Received: 19 November 2024

Accepted: 18 March 2025

First Online: 27 March 2025

Declarations

:

: This study complies with all relevant ethical standards including the principles outlined in the Declaration of Helsinki and applicable ethical guidelines. The study protocol received ethical approval from the Damascus University Higher Committee for Medical Research (reference number 12245-b-45, June 2023). Informed consent was obtained from all participants prior to their inclusion in the study.

: Not applicable.

: The authors declare no competing interests.