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A written permission letter was obtained from DCSH. Additionally, after explaining the importance, purpose and, procedure of the study briefly, a written informed consent was obtained from each study participant. Participants were fully informed about the nature of the research and their rights, and they provided written consent before participating. A positive result was communicated to the physician\/doctors. The confidentiality of all study participants was maintained by using a secret code for each. Generally, this study was conducted in accordance with the principles of the Declaration of Helsinki.","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":"1560"}}