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Article History

Received: 19 February 2025

Accepted: 29 April 2025

First Online: 8 May 2025

Declarations

:

: Ethical approval was obtained from the Research Ethics Committee of the Faculty of Medicine at Alexandria University (IRB: 00012098, FWA: 00018699, protocol number: 0305289). The Ethics Committee is constituted and operates according to ICH GCP Guidelines and applicable local and institutional regulations and guidelines that govern ethics Committees operation. The present study adhered to the ethical guidelines of the EFMA, ensuring strict confidentiality for the cases involved.

: Not applicable as the study was conducted retrospectively.

: The research did not include any individual person’s data in any form.

: The authors declare no competing interests.