Article History
Received: 29 May 2025
Accepted: 4 October 2025
First Online: 22 December 2025
Declarations
:
: This study was conducted with the approval of the Research Ethics Committee of Saga University (Approval number: 21001). (Institute and approval number removed for anonymized review).
: Informed consent was obtained from all participants and their legal guardians prior to participation.
: The authors declare no conflicts of interest.