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Article History

Received: 10 October 2025

Accepted: 24 January 2026

First Online: 12 February 2026

Declarations

:

: The authors have no conflicts of interest to disclose.

: The study was conducted in accordance with the ethical standards of the Declaration of Helsinki and approved by the university ethics committee (project number: 25–0413, date of approval: 23.07.2025).

: During the preparation of this work the authors used Grammarly for writing assistance and grammatical correction and ChatGPT for fluency improvement, and statistical assistance with code development, implementation and debugging. All statistical analyses were predefined, conducted, and interpreted by the authors. Following the use of these tools, the authors carefully reviewed and edited all content as necessary and take full responsibility for the final version of the manuscript.