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Article History

Received: 25 March 2025

Revised: 16 November 2025

Accepted: 15 April 2026

First Online: 24 April 2026

Declarations

:

: Ethics Committee Approval was received from the Scientific Research and Publication Ethics Committee of a University (10.05.2024, No: 141184). Institutional permission was obtained from Muş Provincial Health Directorate (24.06.2024, E-35465298-605-248682136). All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

: Before participating in the study, participants were informed about the study, and their consent was obtained based on the principle of voluntariness. They were also informed that their names and personal data would not be shared.

: All authors declare that they have no relevant affiliations or financial involvement (e.g., honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent licensing arrangements) or non-financial interest (e.g., personal or professional relationships, affiliations, knowledge, or beliefs) in the subject matter or materials discussed in this manuscript.