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Article History

Received: 21 November 2025

Accepted: 7 March 2026

First Online: 3 April 2026

Declarations

:

: The research was conducted in full accordance with the ethical principles of the Declaration of Helsinki, and all patient data were maintained under strict confidentiality. The study protocol was reviewed and approved by the Faculty of Medicine Ethics Board, Assiut University (IRB#17101936). Written informed consent was obtained from a parent or legal guardian of every participant prior to enrollment.

: Not applicable.

: All authors disclose no competing interests.