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Authors
Roma, M. https://orcid.org/0000-0003-3407-8685
Kundabala, M. https://orcid.org/0000-0003-2407-1877
Hegde, Shreya https://orcid.org/0000-0003-0730-0914
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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: 20 August 2025
Accepted: 29 December 2025
First Online: 19 January 2026
Declarations
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: This study was conducted in accordance with the principles of the Declaration of Helsinki and the study was approved by the Institutional Ethics committee, MCODS Mangalore (17143). The informed consent was obtained from the parents or legal guardians of participants under the age of 16 years and all other participants at that time for future research use.
: Not Applicable.
: The authors declare no competing interests.
