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Article History

Received: 11 May 2024

Accepted: 19 February 2026

First Online: 25 February 2026

Declarations

:

: All procedures performed in the study involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study proposal was written and approved by the Research Ethics Committee of the University of Nigeria Teaching hospital Ituku-ozala, Enugu state, Nigeria. Participants were fully informed about the study protocol and provided verbal and written informed consent before participating.

: Not applicable.

: The authors declare no competing interests.