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Authors
Jayawardena, Ranil https://orcid.org/0000-0002-7352-9365
Weerasinghe, Kalani https://orcid.org/0000-0002-9314-9714
Nanayakkara, Indu https://orcid.org/0000-0002-0819-4239
Madhujith, Terrence https://orcid.org/0000-0003-2821-5719
Hills, Andrew P. https://orcid.org/0000-0002-7787-7201
Kalupahana, Nishan Sudheera https://orcid.org/0000-0001-7129-5588
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Article History
Received: 20 August 2025
Accepted: 15 December 2025
First Online: 30 December 2025
Declarations
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: Written informed consent was obtained from all participants prior to their inclusion in the study, and they were given the option to withdraw from the study or continue follow-up without any impact on their clinical management, in accordance with the Helsinki Declaration. Ethical approval was granted by the Institutional Ethical Review Committee at the Faculty of Medicine, University of Peradeniya, Sri Lanka (2023/EC/71). This trial is registered with the Sri Lanka Clinical Trials Registry (2024/013), with a Universal Trial Number (UTN): U1111-1304-8890.
: Not applicable.
: The authors declare no competing interests.
