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This study has the approvals from the Institutional Ethics Committee at the Kasturba Medical College and Kasturba Hospital, Manipal (IEC:921\/2018; IEC:363\/2020, IEC: 430\/2013, IEC: 570\/2015, IEC: 302\/2013).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}