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Article History

Received: 1 May 2025

Accepted: 4 November 2025

First Online: 29 December 2025

Declarations

:

: The study was approved by the Institutional Review Boards of Quaid-e-Azam Medical College, Bahawalpur, and Shahida Islam Medical College, Lodhran. All participants provided written informed consent before enrollment. Participation was voluntary, and participants could withdraw at any time without penalty. The study was conducted in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments (2013).

: Not applicable.

: The authors declare no competing interests.