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Authors
Jacob, Soumya Liz https://orcid.org/0000-0002-1619-0545
Nayak, Malathi G https://orcid.org/0000-0002-3487-0771
George, Linu Sara https://orcid.org/0000-0003-0022-4373
Noronha, Judith Angelitta https://orcid.org/0000-0003-4194-588X
Nayak, Baby S https://orcid.org/0000-0001-9659-9860
Y N, Shashidhara https://orcid.org/0000-0003-2776-7917
Macaden, Leah https://orcid.org/0000-0002-2680-6462
Damani, Anuja Dwarkadas https://orcid.org/0000-0002-4469-0846
Lakshmi R, Vani https://orcid.org/0000-0003-2473-5311
Panchalingam, Suba Sooria https://orcid.org/0000-0003-1896-5444
Murugan, Sangeetha N https://orcid.org/0009-0002-9478-4645
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Funding
Funding for this research was provided by:
Manipal Academy of Higher Education, Manipal
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Article History
Received: 2 August 2025
Accepted: 19 January 2026
First Online: 5 February 2026
Declarations
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: Ethical approval was obtained from the Kasturba Medical College and Kasturba Hospital Institutional Ethical Committee (IEC1-59/2023), and Karunashraya Ethics Committee (EC/NEW/INST/2024/KA/0398) in accordance with the Declaration of Helsinki. The study was registered in the Clinical Trials Registry of India CTRI/2023/07/055216) dated 14/07/2023. Written informed consent to participate in the study was obtained from all participants prior to data collection.
: Not applicable.
: The authors declare no competing interests.
