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Article History

Received: 18 July 2025

Accepted: 19 January 2026

First Online: 11 February 2026

Declarations

:

: All participants provided written informed consent before the study commencement. This study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki, as amended by the 75th WMA General Assembly, Helsinki, Finland, in October 2024 [ ]. The Institutional Research and Ethics Board (IREB) of Khyber Medical College approved this study on February 13, 2025.

: Not applicable.

: The authors declare no competing interests.