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Article History

Received: 30 March 2025

Accepted: 6 February 2026

First Online: 20 February 2026

Declarations

:

: This study was approved by the Ethics Committee of Van Training and Research Hospital (Approval No: 2021/18) and was conducted in strict compliance with the ethical principles of the Declaration of Helsinki. The study adhered to all applicable guidelines for research involving human participants, ensuring ethical integrity in recruitment, data collection, and participant confidentiality. Written informed consent was obtained from all participants and their legal guardians before participation. Additionally, all procedures were designed to minimize risks to participants, and they were informed of their right to withdraw from the study at any stage without consequences.

: Consent for publication was obtained from all participants and their legal guardians. All authors have reviewed and approved the manuscript for publication.

: The authors declare that they have no competing interests.

: Not applicable.