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Article History

Received: 4 March 2025

Accepted: 6 June 2025

First Online: 16 June 2025

Declarations

:

: The trial, with the reference number IR.KUMS.REC.1398.214, underwent approval by the Research Ethics Committees of Kermanshah University of Medical Sciences. The trial was subsequently registered in the Iranian Clinical Trial Registration Center under the code IRCT20190916044788N1 on 03/12/2020. Before participation, written informed consent was obtained from all participants, including their agreement to volunteer and their understanding of the study’s feasibility. The authors affirm that the trial adhered to all applicable guidelines and regulations during the implementation of the methods.

: Not applicable.

: The authors declare no competing interests.