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Article History

Received: 14 July 2024

Accepted: 26 December 2025

First Online: 30 December 2025

Declarations

:

: This study received no specific funding from public, commercial, or not-for-profit sectors. It was conducted in accordance with the 1975 World Medical Association Declaration of Helsinki and its subsequent amendments. The study protocol received approval from the Ethics Committee of the Faculty of Medicine, Cairo University (approval number MS-359–2020). Patients provided written informed consent before participating in the study.

: This work has not been published previously and is not under consideration for publication elsewhere. All authors and relevant authorities where the work was conducted have approved its submission. If accepted, this work will not be published elsewhere in any form, electronically or otherwise, in English or any other language, without the written consent of the copyright holder. No information or images that could identify study participants were used; therefore, consent for publication of personal data or images is not applicable.

: All authors declare no financial or personal relationships with individuals or organizations that could inappropriately influence or bias the work.