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Article History

Received: 17 April 2025

Accepted: 23 June 2025

First Online: 25 July 2025

Declarations

:

: The authors declare no competing interests.

: Ethical approval was obtained from the ethical clearance committee of Debark University with Ref No, DKU/RCS/09/23, and permission was obtained from Janamora Primary and Debark General hospitals. Written consent was also obtained from the patients. The data obtained during the study were kept confidential. Paper data were kept in a locked cabinet, and computer-based data were secured with passwords. Except for the research team members, no one was accessing patient data.

: The authors and participants of this manuscript declare the following: This manuscript represents original research work and has not been previously published, nor is it currently under consideration for publication elsewhere. All the authors have made substantial contributions to the conception, design, execution, analysis, and interpretation of the data. All the authors have read and approved the final version of the manuscript and agree to its submission for publication. The research was conducted ethically and in accordance with relevant guidelines and regulations, including obtaining informed consent from all participants. There are no conflicts of interest to declare.