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Article History

Received: 16 September 2024

Accepted: 10 March 2025

First Online: 22 March 2025

Declarations

:

: Approval for this study was granted by the Research Ethics Committee (REC) at the Faculty of Medicine, Ain Shams University. The committee follows guidelines from the International Council on Harmonization (ICH), the Islamic Organization for Medical Sciences (IOMS), and the United States Office for Human Research Protections, operating under Federal Wide Assurance No. FWA 000017585. All participants provided written informed consent in accordance with the Declaration of Helsinki.

: Not applicable. No individual person’s data (e.g., images, videos, or any identifiable information) is included in this manuscript.

: The authors declare no competing interests.