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The Bioethics Committee of the Faculty of Medicine of Torre\u00f3n of the Autonomous University of Coahuila reviewed and approved this protocol, with reference number CEI010924\/September 27th, 2024 and renewed on February 27 2026, with reference number CEI010924.","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that this article has not been previously published in whole or in part and is not under review in any other journal. There are no conflicts of interest in this study. The authors have no relevant financial or non-financial interests to disclose.","order":2,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}}]}}