Institutional Review Board Statement
Prior to commencing the study, it was approved by the local ethical committee (Approval No: R.22.07.1769, October 2022). The work was carried out in accordance with the principles outlined in the Helsinki Declaration. Participation in the study was entirely voluntary and anonymous. The purpose of the study was elucidated in detail, and written consent was acquired. For those individuals who were illiterate or otherwise unable to offer informed consent, parental or legal guardian consent was obtained for their participation in the study.