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Article History

Received: 10 July 2025

Accepted: 14 October 2025

First Online: 17 December 2025

Declarations

:

: The author declares no competing interests.

: This study involved human participants and was conducted in accordance with the ethical standards of the institutional and/or national research committee, and with the 1964 Helsinki Declaration and its later amendments. Ethical approval was obtained from the Ethics Committee of Arak University of Medical Sciences, Iran.

: Written informed consent was obtained from all individual participants included in the study.