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Article History

Received: 1 December 2024

Accepted: 25 April 2025

First Online: 2 August 2025

Declarations

:

: Ethical approval was given from the institutional review board of the Ministry of Health in Saudi Arabia (MOH) IRB log A0168 with national registration number NCBE-KACST, KSA: (H-02-J-002) in 2023, which follows the responsibilities and recommendations of GDRS. All participants were shown the consent form, which was read to those who could not read. Consent explained the study and its aim; it also contained the tools used in the examination and the length of the examination it had the patient’s rights, and the researchers’ contact information. If subjects showed clear understanding, they were asked to consent verbally and by applying the index finger’s fingerprint to the first page of the questionnaire. After the study was completed, data from the questionnaire and fingerprint paper were destroyed through incineration.

: Not applicable, as there are no identifying images or other personal or clinical details of participants that compromise anonymity.

: The authors declare no competing interests.