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Then, an official letter describing the purpose and benefits of this investigation was written from the Dean of the Applied Sciences, Hajjah University, to the Ministry of Health and Population for permission to obtain related data for this study. Therefore, owing to the retrospective nature of the study, the Ministry of Health and Population granted permission for the use of database data for research purposes based on Article 51 of the Yemeni Public Health Law No. (4) 2009 and waived the need for informed consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"28"}}